RN Mental Health Online Practice 2019 A
A nurse is caring for a group of clients. For which of the following situations should the
nurse complete an incident report? Correct Answer:- A client was administered one-
half of the prescribed dose of medication
an incident report is a recording of any occurrence that does not meet the standard of
care. the nurse should report medication errors using the facility's incident or occurrence
form
a nurse is caring for a group of clients. Which of the following findings is the nurse
required to report? Correct Answer:- A client who has borderline personality disorder
threatened to harm their roommate
s/s of BPD include interpersonal relationships accompanied by threats and other-
directed violence. while it is important for the nurse to maintain the pts confidentiality on
occasions when another individuals like might be in danger, the nurse is required by law
to report it to authorities
A nurse is caring for a client who has borderline personality disorder. Which of the
following goals is the priority when planning care for this client? Correct Answer:- The
client will refrain from self-mutilation
the greatest risk to the pt is injury to self and others. therefore, the priority goal is for the
pt to refrain from self-mutilation
a nurse is discussing the home care of a client who has advanced Alzheimer's disease
with he client's partner, who is planning to go out of town for several days. Which of the
following resources should the nurse recommended to the caregiver? Correct Answer:-
Respite care
respirte care programs allow the pt to stay ina nursing facility for a set number of days,
allowing the caregivers to go on vacation or have some time to themselves
A nurse is caring for an older adult client who has dementia and has wandered into the
day room looking for their deceased partner. Which of the following actions should the
nurse take? Correct Answer:- Talk with the client about activities they enjoyed with
their partner
talking about positive experiences can help distract the pt from their disorientation
A nurse is admitting a client who has schizophrenia to an acute care setting. When the
nurse questions the client regarding their admission, the client states, "I'm red, in the
, head, and I'm going to bed!" The nurse should document the client's speech pattern as
which of the following? Correct Answer:- Clang association
the nurse should document that the pts speech uses clang associations which often
rhyme or contain a string of words that can have a similar sound
A nurse is assessing a client who has schizophrenia. Which of the following findings
should the nurse document as a negative symptom of this disorder? Correct Answer:-
Anhedonia
neg symptoms of schizophrenia affect a person's ability to interact with others and are
less dominant than pos symptoms. these symptoms develop over time. examples of
neg symptoms include flat affect, anergia (lack of energy), anhedonia (inability to enjoy
otherwise pleasurable activities and thought blocking
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Correct Answer:- Change the dressing of a client who has borderline personality
disorder and superficial self-inflicted wounds
a pt who has borderline personality disorder is at risk for self-mutilation such as cutting,
self-inflicted wounds, scratching or picking at wounds. it is within the LPNs scope of
practice to change the dressing cleanse the wound, and collect data regarding the
healing of the wound
A nurse is assessing a school-age child who has conduct disorder. Which of the
following characteristics should the nurse expect the child to demonstrate? Correct
Answer:- Aggression toward animals
the nurse should identify that aggression toward people and animals is an expected
characteristic of a child who has conduct disorder
A nurse in a mental health clinic is planning car for a client who has a new prescription
for olanzapine. Which of the following interventions should the nurse identify as the
priority? Correct Answer:- Instruct the client to avoid driving during initial therapy
the greatest risk to the pt is injury resulting from drowsiness or dizziness. therefore the
nurses priority intervention is to instruct the pt to avoid activities that require mental
alertness during initial med therapy
A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempt to administer
oral lorazepam, the client refuses to take the medication and becomes physically
aggressive. Which of the following actions should the nurse take? Correct Answer:- Do
not administer the lorazepam
A nurse is caring for a group of clients. For which of the following situations should the
nurse complete an incident report? Correct Answer:- A client was administered one-
half of the prescribed dose of medication
an incident report is a recording of any occurrence that does not meet the standard of
care. the nurse should report medication errors using the facility's incident or occurrence
form
a nurse is caring for a group of clients. Which of the following findings is the nurse
required to report? Correct Answer:- A client who has borderline personality disorder
threatened to harm their roommate
s/s of BPD include interpersonal relationships accompanied by threats and other-
directed violence. while it is important for the nurse to maintain the pts confidentiality on
occasions when another individuals like might be in danger, the nurse is required by law
to report it to authorities
A nurse is caring for a client who has borderline personality disorder. Which of the
following goals is the priority when planning care for this client? Correct Answer:- The
client will refrain from self-mutilation
the greatest risk to the pt is injury to self and others. therefore, the priority goal is for the
pt to refrain from self-mutilation
a nurse is discussing the home care of a client who has advanced Alzheimer's disease
with he client's partner, who is planning to go out of town for several days. Which of the
following resources should the nurse recommended to the caregiver? Correct Answer:-
Respite care
respirte care programs allow the pt to stay ina nursing facility for a set number of days,
allowing the caregivers to go on vacation or have some time to themselves
A nurse is caring for an older adult client who has dementia and has wandered into the
day room looking for their deceased partner. Which of the following actions should the
nurse take? Correct Answer:- Talk with the client about activities they enjoyed with
their partner
talking about positive experiences can help distract the pt from their disorientation
A nurse is admitting a client who has schizophrenia to an acute care setting. When the
nurse questions the client regarding their admission, the client states, "I'm red, in the
, head, and I'm going to bed!" The nurse should document the client's speech pattern as
which of the following? Correct Answer:- Clang association
the nurse should document that the pts speech uses clang associations which often
rhyme or contain a string of words that can have a similar sound
A nurse is assessing a client who has schizophrenia. Which of the following findings
should the nurse document as a negative symptom of this disorder? Correct Answer:-
Anhedonia
neg symptoms of schizophrenia affect a person's ability to interact with others and are
less dominant than pos symptoms. these symptoms develop over time. examples of
neg symptoms include flat affect, anergia (lack of energy), anhedonia (inability to enjoy
otherwise pleasurable activities and thought blocking
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Correct Answer:- Change the dressing of a client who has borderline personality
disorder and superficial self-inflicted wounds
a pt who has borderline personality disorder is at risk for self-mutilation such as cutting,
self-inflicted wounds, scratching or picking at wounds. it is within the LPNs scope of
practice to change the dressing cleanse the wound, and collect data regarding the
healing of the wound
A nurse is assessing a school-age child who has conduct disorder. Which of the
following characteristics should the nurse expect the child to demonstrate? Correct
Answer:- Aggression toward animals
the nurse should identify that aggression toward people and animals is an expected
characteristic of a child who has conduct disorder
A nurse in a mental health clinic is planning car for a client who has a new prescription
for olanzapine. Which of the following interventions should the nurse identify as the
priority? Correct Answer:- Instruct the client to avoid driving during initial therapy
the greatest risk to the pt is injury resulting from drowsiness or dizziness. therefore the
nurses priority intervention is to instruct the pt to avoid activities that require mental
alertness during initial med therapy
A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempt to administer
oral lorazepam, the client refuses to take the medication and becomes physically
aggressive. Which of the following actions should the nurse take? Correct Answer:- Do
not administer the lorazepam
