PRN 1562 Mental Health Exam 3 (Quiz & Evolve
Questions) With Complete Solutions
Quiz
The nurse is developing a plan of care for a 16-year-old client with bulimia
nervosa. Which intervention would be included in the plan of care? Select all that
apply.
1. Allow client to remain on current laxatives
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
4. Do not allow client to keep a food diary during hospitalization
5. Monitor the client for 1-2 hours after each meal in a central area
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
5. Monitor the client for 1-2 hours after each meal in a central area
A new client at the sleep disorders clinical tells the nurse, "I have not slept well in
a year, so I never feel good. I do not expect things will ever improve or be any
different." Which of the following interventions should the nurse consider for this
client?
1. Suggest the use of alcohol as a sedative to promote sleep
2. Provide instruction on relaxation techniques
3. Teach fatigue producing exercises for the client to become overtired
4. Encourage long daytime naps to compensate for the sleep deprivation
2. Provide instruction on relaxation techniques
Which nursing action should occur first regarding a client who has a problem of
sexual dysfunction or sexual disorder?
1. The nurse should develop an understanding of human sexual response
2. The nurse should assess the client's sexual functioning and needs
3. The nurse should acquire knowledge of the client's sexual roles
4. The nurse should clarify own personal values about sexuality
4. The nurse should clarify own personal values about sexuality
A client diagnosed with schizophrenia has been taking chlorpromazine daily for
several weeks. The nurse observes that the client's head and neck are contracted
and the client's eyes are locked in an upward position. Which of the following is
the nurse's best analysis and action?
1. The client has tardive dyskinesia. The nurse should teach the client relaxation
exercises.
2. The client is having an acute dystonic reaction. The nurse should administer
benztropine IM per PRN order.
3. The client has akathisia. The nurse should notify the psychiatrist to discuss a
possible change in medication.
4. The client is experiencing auditory hallucinations. The nurse should administer
haloperidol PO per PRN order.
2. The client is having an acute dystonic reaction. The nurse should administer
benztropine IM per PRN order.
,A client diagnosed with borderline personality disorder and chronic back pain
takes the maximum safe dose of opioid analgesic medication. The client tells the
nurse, "The other nurses don't care about my pain, but you've always been so
good to me. Could you give me a little extra medication? I won't tell anyone."
Which of the following is the nurse's best response?
1. "I'll check with your doctor and get back to you."
2. "I'm sorry. I wish there was something more we could do to help you."
3. "No. I think you're trying to manipulate me into giving you more medication."
4. "I understand that you are in pain, but giving you more medication would not
be safe."
4. "I understand that you are in pain, but giving you more medication would not be safe."
The nurse is caring for a client with bulimia nervosa. Which is the most important
time for the nurse to monitor the client's behavior?
1. During 1-2 hours after each meal
2. During every meal
3. During the evening meal
4. During the overnight hours
1. During 1-2 hours after each meal
A client tells the nurse, "Everyone says we should sleep 8 hours a night. I can
only sleep 6 hours no matter how hard I try. Am I doing harm to my body?" Which
of the following would be the most appropriate response by the nurse?
1. Tell me about strategies you have tried to increase your total sleep hours
2. Lack of sleep acts as a stressor on the body and can cause physical changes
3. If you have really tried to sleep more, maybe you should consult your
healthcare provider
4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal
for some people
4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal for
some people
A man who frequently experiences premature ejaculation tells the nurse, "I feel
like such a failure. It's so awful for both me and my partner." Which of the
following would be the most appropriate therapeutic response by the nurse?
1. I sense you are feeling frustrated and upset
2. Tell me more about feeling like a failure
3. You are too hard on yourself
4. What do you mean by awful?
1. I sense you are feeling frustrated and upset
A client recently diagnosed with schizophrenia is hospitalized. The client appears
distraught and says to the nurse, "The voices are bad today...they are so angry
with me." Which of the following is the best response by the nurse?
1. Do you need something to help you calm down?
2. Don't pay any attention to the voices. Let's go into the dayroom.
3. The voices are not real. Tell them to go away.
4. What are the voices saying to you?
1. Do you need something to help you calm down?
, A nurse appropriately set limits while interacting with a client diagnosed with a
borderline personality disorder. The client tells the nurse, "You used to care
about me. I thought you were wonderful. Now I can see I was wrong. You're the
worst nurse ever." Which defense mechanism is being used by this client?
1. Splitting
2. Projection
3. Displacement
4. Reaction formation
1. Splitting
Chapter 18 Evolve
Which statement is true of the eating disorder referred to as bulimia?
1. Patients with bulimia often appear at a normal weight.
2. Patients with bulimia binge eat but do not engage in compensatory measures.
3. Patients with bulimia severely restrict their food intake.
4. One sign of bulimia is lanugo.
1. Patients with bulimia often appear at a normal weight.
According to current theory, which statement regarding eating disorders is
accurate?
1. Eating disorders are psychotic disorders in which patients experience body
dysmorphic disorder.
2. Eating disorders are frequently misdiagnosed.
3. Eating disorders are possibly influenced by sociocultural factors.
4. Eating disorders are rarely comorbid with other mental health disorders.
3. Eating disorders are possibly influenced by sociocultural factors.
When educating a client diagnosed with bulimia nervosa about the medication
fluoxetine, the nurse should include what information about this medication?
1. It will reduce the need for cognitive therapy.
2. It will be prescribed at a higher than typical dose.
3. There are a variety of medications to prescribe if fluoxetine proves to be
ineffective.
4. Long-term management of symptoms is best achieved with tricyclic
antidepressants.
2. It will be prescribed at a higher than typical dose.
Ali is a 17-year-old patient with bulimia coming to the outpatient mental health
clinic for counseling. Which of the following statements by Ali indicates that an
appropriate outcome for treatment has been met?
1. "I purge only once a day now instead of twice."
2. "I feel a lot calmer lately, just like when I used to eat four or five
cheeseburgers."
3. "I am a hard worker and I am very compassionate toward others."
4. "I always purge when I'm alone so that I'm not a bad role model for my younger
sister."
3. "I am a hard worker and I am very compassionate toward others."
A 16-year-old patient being treated for anorexia, has been prescribed medication
to reduce compulsive behaviors regarding food now that ideal weight has been
reached. Which class of medication is prescribed for this specific issue
Questions) With Complete Solutions
Quiz
The nurse is developing a plan of care for a 16-year-old client with bulimia
nervosa. Which intervention would be included in the plan of care? Select all that
apply.
1. Allow client to remain on current laxatives
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
4. Do not allow client to keep a food diary during hospitalization
5. Monitor the client for 1-2 hours after each meal in a central area
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
5. Monitor the client for 1-2 hours after each meal in a central area
A new client at the sleep disorders clinical tells the nurse, "I have not slept well in
a year, so I never feel good. I do not expect things will ever improve or be any
different." Which of the following interventions should the nurse consider for this
client?
1. Suggest the use of alcohol as a sedative to promote sleep
2. Provide instruction on relaxation techniques
3. Teach fatigue producing exercises for the client to become overtired
4. Encourage long daytime naps to compensate for the sleep deprivation
2. Provide instruction on relaxation techniques
Which nursing action should occur first regarding a client who has a problem of
sexual dysfunction or sexual disorder?
1. The nurse should develop an understanding of human sexual response
2. The nurse should assess the client's sexual functioning and needs
3. The nurse should acquire knowledge of the client's sexual roles
4. The nurse should clarify own personal values about sexuality
4. The nurse should clarify own personal values about sexuality
A client diagnosed with schizophrenia has been taking chlorpromazine daily for
several weeks. The nurse observes that the client's head and neck are contracted
and the client's eyes are locked in an upward position. Which of the following is
the nurse's best analysis and action?
1. The client has tardive dyskinesia. The nurse should teach the client relaxation
exercises.
2. The client is having an acute dystonic reaction. The nurse should administer
benztropine IM per PRN order.
3. The client has akathisia. The nurse should notify the psychiatrist to discuss a
possible change in medication.
4. The client is experiencing auditory hallucinations. The nurse should administer
haloperidol PO per PRN order.
2. The client is having an acute dystonic reaction. The nurse should administer
benztropine IM per PRN order.
,A client diagnosed with borderline personality disorder and chronic back pain
takes the maximum safe dose of opioid analgesic medication. The client tells the
nurse, "The other nurses don't care about my pain, but you've always been so
good to me. Could you give me a little extra medication? I won't tell anyone."
Which of the following is the nurse's best response?
1. "I'll check with your doctor and get back to you."
2. "I'm sorry. I wish there was something more we could do to help you."
3. "No. I think you're trying to manipulate me into giving you more medication."
4. "I understand that you are in pain, but giving you more medication would not
be safe."
4. "I understand that you are in pain, but giving you more medication would not be safe."
The nurse is caring for a client with bulimia nervosa. Which is the most important
time for the nurse to monitor the client's behavior?
1. During 1-2 hours after each meal
2. During every meal
3. During the evening meal
4. During the overnight hours
1. During 1-2 hours after each meal
A client tells the nurse, "Everyone says we should sleep 8 hours a night. I can
only sleep 6 hours no matter how hard I try. Am I doing harm to my body?" Which
of the following would be the most appropriate response by the nurse?
1. Tell me about strategies you have tried to increase your total sleep hours
2. Lack of sleep acts as a stressor on the body and can cause physical changes
3. If you have really tried to sleep more, maybe you should consult your
healthcare provider
4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal
for some people
4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal for
some people
A man who frequently experiences premature ejaculation tells the nurse, "I feel
like such a failure. It's so awful for both me and my partner." Which of the
following would be the most appropriate therapeutic response by the nurse?
1. I sense you are feeling frustrated and upset
2. Tell me more about feeling like a failure
3. You are too hard on yourself
4. What do you mean by awful?
1. I sense you are feeling frustrated and upset
A client recently diagnosed with schizophrenia is hospitalized. The client appears
distraught and says to the nurse, "The voices are bad today...they are so angry
with me." Which of the following is the best response by the nurse?
1. Do you need something to help you calm down?
2. Don't pay any attention to the voices. Let's go into the dayroom.
3. The voices are not real. Tell them to go away.
4. What are the voices saying to you?
1. Do you need something to help you calm down?
, A nurse appropriately set limits while interacting with a client diagnosed with a
borderline personality disorder. The client tells the nurse, "You used to care
about me. I thought you were wonderful. Now I can see I was wrong. You're the
worst nurse ever." Which defense mechanism is being used by this client?
1. Splitting
2. Projection
3. Displacement
4. Reaction formation
1. Splitting
Chapter 18 Evolve
Which statement is true of the eating disorder referred to as bulimia?
1. Patients with bulimia often appear at a normal weight.
2. Patients with bulimia binge eat but do not engage in compensatory measures.
3. Patients with bulimia severely restrict their food intake.
4. One sign of bulimia is lanugo.
1. Patients with bulimia often appear at a normal weight.
According to current theory, which statement regarding eating disorders is
accurate?
1. Eating disorders are psychotic disorders in which patients experience body
dysmorphic disorder.
2. Eating disorders are frequently misdiagnosed.
3. Eating disorders are possibly influenced by sociocultural factors.
4. Eating disorders are rarely comorbid with other mental health disorders.
3. Eating disorders are possibly influenced by sociocultural factors.
When educating a client diagnosed with bulimia nervosa about the medication
fluoxetine, the nurse should include what information about this medication?
1. It will reduce the need for cognitive therapy.
2. It will be prescribed at a higher than typical dose.
3. There are a variety of medications to prescribe if fluoxetine proves to be
ineffective.
4. Long-term management of symptoms is best achieved with tricyclic
antidepressants.
2. It will be prescribed at a higher than typical dose.
Ali is a 17-year-old patient with bulimia coming to the outpatient mental health
clinic for counseling. Which of the following statements by Ali indicates that an
appropriate outcome for treatment has been met?
1. "I purge only once a day now instead of twice."
2. "I feel a lot calmer lately, just like when I used to eat four or five
cheeseburgers."
3. "I am a hard worker and I am very compassionate toward others."
4. "I always purge when I'm alone so that I'm not a bad role model for my younger
sister."
3. "I am a hard worker and I am very compassionate toward others."
A 16-year-old patient being treated for anorexia, has been prescribed medication
to reduce compulsive behaviors regarding food now that ideal weight has been
reached. Which class of medication is prescribed for this specific issue
