NURSING 278- MENTAL HEALTH EXAM 2022
Re 3 (t 4):
1. A nurse is preparing to meet with a client who was recently admitted to an outpatient mental
health facility…. Should the nurse plan to take during the working phase of the nurse client
relationship?
a. Inform the client about the confidentiality issues
b. Assist the client to make changes in her behavior
c. Identify the goals that the client achieved during the relationship
d. Discuss the clients’ responsibilities for the relationship
2. Medical record of 4 clients, which should the nurse identify as a risk factor for violent behavior?
a. Schizoid personality disorder
b. Alcohol intoxication
c. Dysrhythmic behavior
d. Long term isolation
3. A nurse is caring for a group of clients on a mental health unit. For which of the…. Appropriate
agency?
a. A client who reports lying to his provider about having suicidialdeation
b. A client who reports that her partner ties their child to a bed as punishment
c. A client who reports that she took $20 from the cash register where she works
d. A client who reports that he enjoys smoking marijuana on weekends
4. A nurse in a mental health clinic is reviewing laboratory results for a client who is prescribed
risperidone. The nurse should notify the provider of which of the following findings?
a. Blood glucose 175 mg/dL
b. Serum sodium 140 mEq/L
c. Platelets 250,000/mm3
d. Aspartate aminotransferase 20 units/L
5. A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states
“I can’t think about that until after my first grandchild is born next week”. The nurse should
identify the client’s statement as indicating the maladaptive use of which of the following defense
mechanisms?
a. Compensation
b. Suppression
c. Regression
d. Sublimation
6. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the….
Plan of care?
a. Changes behavior as a result of peer pressure
b. Acknowledges that his delusions are not real
c. Meets own needs without manipulating others
d. Initiates social interactions with caregivers
7. A nurse is caring for a client who has alcohol use disorder and is experiencing…nurse expect to
administer first?
a. Naltrexone
b. Disulfiram
c. Acamprosate
d. Lorazepam
8. A nurse is caring for a client who has major depression disorder. After discussing the treatment
with his partner. The client verbally agrees to electroconvulsive therapy (ECT) but will not sign
the consent form. Which of the following actions should the nurse take?
a. Request that the clients partner sign the consent form
, b. Cancel the scheduled ECT
c. Proceed with preparation for ECT based on implied consent
d. Inform the client about the risks of refusing ECT
9. A nurse is assessing a client during a follow up visit at a behavioral health clinic. The client
reports that they have not been…... antipsychotic medication on a regular basis. Which of the
following actions should the nurse take to improve medication adherence?
a. Tell the client they will be admitted to an impatient care facility if they do not take the
medication
b. Request the provider prescribe a second antipsychotic medication to the client
c. Discuss the providers goals for the client’s care
d. Ask the client if the medication is causing adverse effects
10. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.
Which….
a. Provide detailed explanations to the client
b. Administer methylphenidate to the client
c. Dim the lights in the client’s room
d. Encourage the client to join activities
11. A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to
a client who is manic and refuses the medication. Which of the following actions should the nurse
manager take first?
a. Discuss the purpose of the medication with the client
b. Stop the newly licensed nurse from administrating the medication
c. Assess the need for physical restraints
d. Demonstrate how to verbally de-escalate a situation
12. A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who
has major depressive disorder. Which of the following findings obtained during the initial
assessment is the priority to report to other disciplines?
a. Markedly neglected hygiene
b. Poor problem-solving plans
c. Significant weight loss
d. Psychomotor retardation
13. A nurse is caring for a client who is prescribed message therapy to treat panic disorder. The client
states “I can’t stand to be touched by another person” which of the following responses should the
nurse make?
a. “I will tell your provider that you would like a treatment other than massage”
b. “Why don’t you like to be touched by others?”
c. “don’t worry about it, your anxiety will lessen once the massage begins”
d. “I will request that the massage therapist wear gloves during treatment”
14. A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted
another client. Which of the following actions should the nurse take?
a. Request that the provider renew the prescription for restraints every 8 hrs
b. Obtain a prescription for restraints on an as needed basis
c. Have the provider assess the client within 1 hour after applying restraints
d. Evaluate the client hourly while the restraints are applied
15. A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which
of the following findings…. adherence to the treatment plan?
a. The client reports following various cooking blogs
b. The client states that she knows she can’t be perfect
c. The client’s potassium level is 3.2
d. The clients current BMI is 14
,16. A nurse in a community mental health clinic is assessing a client who began taking lithium
carbonate 5 days ago, the client……tremors and has a current lithium level of 1.2 mEq/L. which
of the following actions should the nurse take?
a. Instruct the client to consume a low sodium diet to decrease hand tremors
b. Teach the client to take the lithium in a single dose
c. Encourage the client to take naproxen sodium to decrease tremors
d. Contact the provider for a possible decrease in the lithium dosage
17. A nurse in a long-term care facility is assessing a client who has dementia. Which of the
following findings… this client?
a. The room has an area rug
b. Hallways are long distances
c. Outside doors have locks
d. The bed is in a low position
18. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
a. Set a weight gain goal of 2.2 kg (4.9 lb.) per week
b. Prepare the client for electroconvulsive therapy
c. Encourage the client to participate in family therapy
d. Weight the client twice per day
19. A nurse is leading a therapy session for a group of adolescent clients. Which of the following...
use of ego defense mechanisms?
a. “Since injuring my knee, I’ve decided to become the team manager”
b. “Since my mom died, I focus all my attention on my grades”
c. “I’m not even going to think about writing that thesis paper until after prom”
d. “I didn’t tell the teacher about the bullying, because it wouldn’t have changed anything”
20.
, Re 4 (t 5): Ex: 12/22 AND some of Re 2 (t 3) 12/3
1. A nurse is teaching about deep-breathing exercises with a client who reports experiencing intense
stress at work. Which of the following statements by the client indicates an understanding of the
teaching?
a. "I will hold my breath for 5 or 6 seconds each time."
b. "I will focus on how the muscles in my stomach feel with each breath."
c. "I will focus on the causes of my stress during the exercise."
d. "I will inhale through my mouth and exhale through my noise."
2. A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider.
Which of the following actions should the nurse take?
a. Discourage the client forming new relationships
b. Change the subject when the client becomes upset
c. Offer the client advice about various treatment choices
d. Allow the client unlimited time for the grieving process
3. A nurse is caring for a client who is seeking treatment for opioid use disorder. Which of the
following actions should the nurse take?
a. Initiate facility procedures for emergency commitment
b. Inform the client about polices for dispensing methadone
c. Request a prescription for varenicline from the client's provider
d. Assess the client using the CAGE questionnaire
4. A nurse is caring for a school-age child who has conduct disorder and requires wrist restrains.
Which of the following actions should the nurse take?
a. Have the child perform range of motion exercises every 3 hr
b. Obtain a prescription for the restraints within 2 hr of initiating them
c. Monitor the child's vital signs every 15 min
d. Ensure three fingers will fit between the child's wrist and the restraint
5. A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse
should identify that which of the following findings is a contraindication for aripiprazole therapy?
a. Crohn's disease
b. Hypothyroidism
c. Seizure disorder
d. Asthma
6. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the
following findings is the priority for the nurse to report to the provider?
a. Nausea
b. Random blood glucose 130 mg/dL
c. Sore throat
d. Heart rate 104/min
7. A nurse is planning to conduct a supporting group for adolescents who have cancer. Which of the
following actions should the nurse include during the orientation phase?
a. Establish a rapport with group members
b. Maintain the group's focus on identified issues
c. Encourage the use of problem-solving skills
d. Manage conflict within the group
8. A nurse is conducting an education class for a group of clients who have schizophrenia and a new
prescription for clozapine. Which of the following statements by a client indicates an
understanding of the teaching?
a. "I should discontinue the medication if I have adverse effects."
b. "My symptoms will resolve in 4 days."
Re 3 (t 4):
1. A nurse is preparing to meet with a client who was recently admitted to an outpatient mental
health facility…. Should the nurse plan to take during the working phase of the nurse client
relationship?
a. Inform the client about the confidentiality issues
b. Assist the client to make changes in her behavior
c. Identify the goals that the client achieved during the relationship
d. Discuss the clients’ responsibilities for the relationship
2. Medical record of 4 clients, which should the nurse identify as a risk factor for violent behavior?
a. Schizoid personality disorder
b. Alcohol intoxication
c. Dysrhythmic behavior
d. Long term isolation
3. A nurse is caring for a group of clients on a mental health unit. For which of the…. Appropriate
agency?
a. A client who reports lying to his provider about having suicidialdeation
b. A client who reports that her partner ties their child to a bed as punishment
c. A client who reports that she took $20 from the cash register where she works
d. A client who reports that he enjoys smoking marijuana on weekends
4. A nurse in a mental health clinic is reviewing laboratory results for a client who is prescribed
risperidone. The nurse should notify the provider of which of the following findings?
a. Blood glucose 175 mg/dL
b. Serum sodium 140 mEq/L
c. Platelets 250,000/mm3
d. Aspartate aminotransferase 20 units/L
5. A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states
“I can’t think about that until after my first grandchild is born next week”. The nurse should
identify the client’s statement as indicating the maladaptive use of which of the following defense
mechanisms?
a. Compensation
b. Suppression
c. Regression
d. Sublimation
6. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the….
Plan of care?
a. Changes behavior as a result of peer pressure
b. Acknowledges that his delusions are not real
c. Meets own needs without manipulating others
d. Initiates social interactions with caregivers
7. A nurse is caring for a client who has alcohol use disorder and is experiencing…nurse expect to
administer first?
a. Naltrexone
b. Disulfiram
c. Acamprosate
d. Lorazepam
8. A nurse is caring for a client who has major depression disorder. After discussing the treatment
with his partner. The client verbally agrees to electroconvulsive therapy (ECT) but will not sign
the consent form. Which of the following actions should the nurse take?
a. Request that the clients partner sign the consent form
, b. Cancel the scheduled ECT
c. Proceed with preparation for ECT based on implied consent
d. Inform the client about the risks of refusing ECT
9. A nurse is assessing a client during a follow up visit at a behavioral health clinic. The client
reports that they have not been…... antipsychotic medication on a regular basis. Which of the
following actions should the nurse take to improve medication adherence?
a. Tell the client they will be admitted to an impatient care facility if they do not take the
medication
b. Request the provider prescribe a second antipsychotic medication to the client
c. Discuss the providers goals for the client’s care
d. Ask the client if the medication is causing adverse effects
10. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.
Which….
a. Provide detailed explanations to the client
b. Administer methylphenidate to the client
c. Dim the lights in the client’s room
d. Encourage the client to join activities
11. A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to
a client who is manic and refuses the medication. Which of the following actions should the nurse
manager take first?
a. Discuss the purpose of the medication with the client
b. Stop the newly licensed nurse from administrating the medication
c. Assess the need for physical restraints
d. Demonstrate how to verbally de-escalate a situation
12. A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who
has major depressive disorder. Which of the following findings obtained during the initial
assessment is the priority to report to other disciplines?
a. Markedly neglected hygiene
b. Poor problem-solving plans
c. Significant weight loss
d. Psychomotor retardation
13. A nurse is caring for a client who is prescribed message therapy to treat panic disorder. The client
states “I can’t stand to be touched by another person” which of the following responses should the
nurse make?
a. “I will tell your provider that you would like a treatment other than massage”
b. “Why don’t you like to be touched by others?”
c. “don’t worry about it, your anxiety will lessen once the massage begins”
d. “I will request that the massage therapist wear gloves during treatment”
14. A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted
another client. Which of the following actions should the nurse take?
a. Request that the provider renew the prescription for restraints every 8 hrs
b. Obtain a prescription for restraints on an as needed basis
c. Have the provider assess the client within 1 hour after applying restraints
d. Evaluate the client hourly while the restraints are applied
15. A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which
of the following findings…. adherence to the treatment plan?
a. The client reports following various cooking blogs
b. The client states that she knows she can’t be perfect
c. The client’s potassium level is 3.2
d. The clients current BMI is 14
,16. A nurse in a community mental health clinic is assessing a client who began taking lithium
carbonate 5 days ago, the client……tremors and has a current lithium level of 1.2 mEq/L. which
of the following actions should the nurse take?
a. Instruct the client to consume a low sodium diet to decrease hand tremors
b. Teach the client to take the lithium in a single dose
c. Encourage the client to take naproxen sodium to decrease tremors
d. Contact the provider for a possible decrease in the lithium dosage
17. A nurse in a long-term care facility is assessing a client who has dementia. Which of the
following findings… this client?
a. The room has an area rug
b. Hallways are long distances
c. Outside doors have locks
d. The bed is in a low position
18. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
a. Set a weight gain goal of 2.2 kg (4.9 lb.) per week
b. Prepare the client for electroconvulsive therapy
c. Encourage the client to participate in family therapy
d. Weight the client twice per day
19. A nurse is leading a therapy session for a group of adolescent clients. Which of the following...
use of ego defense mechanisms?
a. “Since injuring my knee, I’ve decided to become the team manager”
b. “Since my mom died, I focus all my attention on my grades”
c. “I’m not even going to think about writing that thesis paper until after prom”
d. “I didn’t tell the teacher about the bullying, because it wouldn’t have changed anything”
20.
, Re 4 (t 5): Ex: 12/22 AND some of Re 2 (t 3) 12/3
1. A nurse is teaching about deep-breathing exercises with a client who reports experiencing intense
stress at work. Which of the following statements by the client indicates an understanding of the
teaching?
a. "I will hold my breath for 5 or 6 seconds each time."
b. "I will focus on how the muscles in my stomach feel with each breath."
c. "I will focus on the causes of my stress during the exercise."
d. "I will inhale through my mouth and exhale through my noise."
2. A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider.
Which of the following actions should the nurse take?
a. Discourage the client forming new relationships
b. Change the subject when the client becomes upset
c. Offer the client advice about various treatment choices
d. Allow the client unlimited time for the grieving process
3. A nurse is caring for a client who is seeking treatment for opioid use disorder. Which of the
following actions should the nurse take?
a. Initiate facility procedures for emergency commitment
b. Inform the client about polices for dispensing methadone
c. Request a prescription for varenicline from the client's provider
d. Assess the client using the CAGE questionnaire
4. A nurse is caring for a school-age child who has conduct disorder and requires wrist restrains.
Which of the following actions should the nurse take?
a. Have the child perform range of motion exercises every 3 hr
b. Obtain a prescription for the restraints within 2 hr of initiating them
c. Monitor the child's vital signs every 15 min
d. Ensure three fingers will fit between the child's wrist and the restraint
5. A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse
should identify that which of the following findings is a contraindication for aripiprazole therapy?
a. Crohn's disease
b. Hypothyroidism
c. Seizure disorder
d. Asthma
6. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the
following findings is the priority for the nurse to report to the provider?
a. Nausea
b. Random blood glucose 130 mg/dL
c. Sore throat
d. Heart rate 104/min
7. A nurse is planning to conduct a supporting group for adolescents who have cancer. Which of the
following actions should the nurse include during the orientation phase?
a. Establish a rapport with group members
b. Maintain the group's focus on identified issues
c. Encourage the use of problem-solving skills
d. Manage conflict within the group
8. A nurse is conducting an education class for a group of clients who have schizophrenia and a new
prescription for clozapine. Which of the following statements by a client indicates an
understanding of the teaching?
a. "I should discontinue the medication if I have adverse effects."
b. "My symptoms will resolve in 4 days."
