Mental Health Exam 2 Practice
Questions Exam And Verified Latest
Answers 2024.
The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying
like a baby." The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?" - Answer d. "Are you embarrassed because you're
crying?"
A withdrawn client is assessed as having distorted thinking that is not reality based. A nursing diagnosis
that should be considered for her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping. - Answer b. disturbed thought processes
Jim is sometimes seen moving his lips silently or murmuring to himself when he does not realize others
are watching. Sometimes when he is conversing with others, he suddenly stops, appears distracted for a
moment, and then resumes. Based on these observations, Jim most likely is experiencing which
symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
,d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors. - Answer d. Auditory hallucinations.
e. Impaired reality testing.
Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking. - Answer d. poorly organized thinking.
Which assessment finding represents a negative symptom of schizophrenia?
a. Apathy
b. Delusion
c. Motor tic
d. Hallucination - Answer a. Apathy
In general, when a nurse admitting a client experiencing an acute schizophrenia episode, she would most
likely assess which of the following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking - Answer b. Loss of contact with reality
,While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if someone was
sitting there. The nurse was unable to understand what he was mumbling. This, in fact, indicates that the
patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas. - Answer b. Hallucinations.
According to the previous scenario, which of the following symptoms is considered a negative symptom
of schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him - Answer c. The patient has
anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge teaching by the
nurse should include contacting the health provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time - Answer a. Elevated temperature
-Neuroleptic malignant syndrome
, The client has been on Haldol since admission. Which assessment by the nurse would best determine
the effectiveness of a client's antipsychotic medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge - Answer a. The client no longer has hallucinations
-first generation antipsychotic
A client has developed neuroleptic malignant syndrome. A priority nursing intervention would be which
of the following?
a. Provide comfort and rest
b. Measure intake and output
c. Encourage client to remain active
d. Monitor vital signs and blood pressure - Answer d. Monitor vital signs and blood pressure
1A client is admitted to the emergency room with complains of sore throat and fever. The client's mother
informs the nurse that the client has been taking Clozaril. Which of the following laboratory tests is a
priority at this time?
a. Fasting blood sugar
b. Cholesterol level
c. Blood urea nitrogen
d. White blood cell count - Answer d. White blood cell count
8. A new graduate has been assigned four patients whom she must perform an assessment on. Her
assessment reveals several clients complain. Which client complains should receive priority?
Questions Exam And Verified Latest
Answers 2024.
The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying
like a baby." The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?" - Answer d. "Are you embarrassed because you're
crying?"
A withdrawn client is assessed as having distorted thinking that is not reality based. A nursing diagnosis
that should be considered for her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping. - Answer b. disturbed thought processes
Jim is sometimes seen moving his lips silently or murmuring to himself when he does not realize others
are watching. Sometimes when he is conversing with others, he suddenly stops, appears distracted for a
moment, and then resumes. Based on these observations, Jim most likely is experiencing which
symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
,d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors. - Answer d. Auditory hallucinations.
e. Impaired reality testing.
Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking. - Answer d. poorly organized thinking.
Which assessment finding represents a negative symptom of schizophrenia?
a. Apathy
b. Delusion
c. Motor tic
d. Hallucination - Answer a. Apathy
In general, when a nurse admitting a client experiencing an acute schizophrenia episode, she would most
likely assess which of the following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking - Answer b. Loss of contact with reality
,While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if someone was
sitting there. The nurse was unable to understand what he was mumbling. This, in fact, indicates that the
patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas. - Answer b. Hallucinations.
According to the previous scenario, which of the following symptoms is considered a negative symptom
of schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him - Answer c. The patient has
anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge teaching by the
nurse should include contacting the health provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time - Answer a. Elevated temperature
-Neuroleptic malignant syndrome
, The client has been on Haldol since admission. Which assessment by the nurse would best determine
the effectiveness of a client's antipsychotic medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge - Answer a. The client no longer has hallucinations
-first generation antipsychotic
A client has developed neuroleptic malignant syndrome. A priority nursing intervention would be which
of the following?
a. Provide comfort and rest
b. Measure intake and output
c. Encourage client to remain active
d. Monitor vital signs and blood pressure - Answer d. Monitor vital signs and blood pressure
1A client is admitted to the emergency room with complains of sore throat and fever. The client's mother
informs the nurse that the client has been taking Clozaril. Which of the following laboratory tests is a
priority at this time?
a. Fasting blood sugar
b. Cholesterol level
c. Blood urea nitrogen
d. White blood cell count - Answer d. White blood cell count
8. A new graduate has been assigned four patients whom she must perform an assessment on. Her
assessment reveals several clients complain. Which client complains should receive priority?
