Mental Health Online Practice 2023 B with
NGN
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose
family reports episodes of confusion. Which of the following assessment findings supports the nurse's
suspicion of delirium?
Easily distracted
.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make?
"I'll stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify that which of
the following clients can give informed consent?
A 35-year-old client who has major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive
disorders. Which of the following statements by the newly licensed nurse indicates an understanding
of the teaching?
"I will update the plan of care as a client's manifestations of depression change."
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a
motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following
findings should indicate to the nurse that the client is experiencing alcohol withdrawal?
Blood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward others on the
unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer
the client to a unit that is equipped to manage violent behavior. Which of the following ethical
principles should the nurse apply in this situation?
Nonmaleficence
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute
care facility undergoing detoxification. Which of the following information should the nurse include in
the teaching?
The client should obtain a sponsor before discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to
harm others on the unit. Which of the following interventions should the nurse include in the plan?
Renew the prescription for the client every 4 hr.
.
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions
should the nurse take first?
Inform the client that this admission is confidential.
, A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse
should identify that which of the following treatment options can offer interdisciplinary services for
the client at home?
Assertive community treatment
.
A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the
nurse is an example of the ethical principle of justice?
Spending adequate time with a client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia
nervosa. Which of the following statements made by the guardians indicates an understanding of
their child's illness?
"It is important for our child to have regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline
for 1 week. Which of the following outcomes should the nurse expect?
Greater risk of attempting suicide as affect and energy improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of the following
levels of anxiety should the nurse plan to teach the client relaxation techniques?
Mild
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal
body weight. Which of the following interventions should the nurse include in the plan?
Identify the client's trigger foods.
A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of
the following statements should the nurse make?
"Clients who are admitted involuntarily maintain the right to give informed consent for procedures."
A nurse is reviewing the medication administration record for a client who is experiencing adverse
effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following
adverse effects?
Acute dystonia
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following
findings?
Tooth erosion
A nurse is talking with a group of parents who have recently experienced the death of a child. Which
of the following actions should the nurse take?
Suggest forming a weekly support group for parents who have experienced the death of a child.
A nurse is evaluating the client after 2 weeks. Which of the following findings indicate an
improvement in the client's condition? (Select all that apply.)
Sodium
NGN
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose
family reports episodes of confusion. Which of the following assessment findings supports the nurse's
suspicion of delirium?
Easily distracted
.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make?
"I'll stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify that which of
the following clients can give informed consent?
A 35-year-old client who has major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive
disorders. Which of the following statements by the newly licensed nurse indicates an understanding
of the teaching?
"I will update the plan of care as a client's manifestations of depression change."
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a
motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following
findings should indicate to the nurse that the client is experiencing alcohol withdrawal?
Blood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward others on the
unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer
the client to a unit that is equipped to manage violent behavior. Which of the following ethical
principles should the nurse apply in this situation?
Nonmaleficence
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute
care facility undergoing detoxification. Which of the following information should the nurse include in
the teaching?
The client should obtain a sponsor before discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to
harm others on the unit. Which of the following interventions should the nurse include in the plan?
Renew the prescription for the client every 4 hr.
.
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions
should the nurse take first?
Inform the client that this admission is confidential.
, A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse
should identify that which of the following treatment options can offer interdisciplinary services for
the client at home?
Assertive community treatment
.
A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the
nurse is an example of the ethical principle of justice?
Spending adequate time with a client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia
nervosa. Which of the following statements made by the guardians indicates an understanding of
their child's illness?
"It is important for our child to have regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline
for 1 week. Which of the following outcomes should the nurse expect?
Greater risk of attempting suicide as affect and energy improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of the following
levels of anxiety should the nurse plan to teach the client relaxation techniques?
Mild
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal
body weight. Which of the following interventions should the nurse include in the plan?
Identify the client's trigger foods.
A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of
the following statements should the nurse make?
"Clients who are admitted involuntarily maintain the right to give informed consent for procedures."
A nurse is reviewing the medication administration record for a client who is experiencing adverse
effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following
adverse effects?
Acute dystonia
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following
findings?
Tooth erosion
A nurse is talking with a group of parents who have recently experienced the death of a child. Which
of the following actions should the nurse take?
Suggest forming a weekly support group for parents who have experienced the death of a child.
A nurse is evaluating the client after 2 weeks. Which of the following findings indicate an
improvement in the client's condition? (Select all that apply.)
Sodium
