Mental Health Online Practice 2023 B with
NGN
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?
A) Encourage the parents to avoid discussing the death with their other children to protect their
feelings.
B) Recommend each parent grieve in private to avoid hindering each other's healing.
C) Suggest forming a weekly support group for parents who have experienced the death of a child.
D) Advise the parents to begin counseling if they are still grieving in a few months.
C
Support groups are a positive resource in the process of recovery for parents following the death of a
child.
A nurse in a community health center is working with a group of clients who have post-traumatic
stress disorder. Which of the following interventions should the nurse include to reduce anxiety
among the group members?
A) Response prevention
B) Guided imagery
C) Aversion therapy
D) Light therapy
B
Guided imagery involves assisting the client to imagine a restful and safe place. This method is
effective in reducing anxiety in clients who have post-traumatic stress disorder.
A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the
following actions should the nurse include in the plan?
A) Administer phenytoin 30 min prior to the procedure.
B) Instruct the client to expect a headache following the procedure.
C) Place the client in four point restraints prior to the procedure.
D) Monitor the client's cardiac rhythm during the procedure.
D
The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to
monitor the client's cardiac rhythm during ECT via an electrocardiogram.
,A nurse is planning prevention strategies for partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention?
A) Provide teaching about the use of positive coping mechanisms.
B) Establish screening programs to identify at-risk clients.
C) Refer survivors of intimate partner abuse to a legal advocacy program.
D) Organize rehabilitation therapy for clients who have experienced intimate partner abuse.
B
This is an example of secondary prevention. By establishing screening programs, the nurse can
identify individuals who are at risk for partner violence in the community and can take the necessary
steps to address individual client needs.
.
A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following
findings places the client at the greatest risk for self-directed injury or injuring others?
A) Inability to communicate with others
B) Feelings of absence of self-worth
C) Lack of motivation to perform daily tasks
D) Command hallucinations
D
A client who has schizophrenia and is experiencing command hallucinations can hear voices telling
them to hurt themselves or others. Therefore, a client who is experiencing command hallucinations is
at the greatest risk for self-directed injury or injuring others.
A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for
which of the following findings as an adverse effect of methylphenidate?
A) Weight gain
B) Tinnitus
C) Tachycardia
D) Increased salivation
C
The nurse should monitor the child for tachycardia, which is an adverse effect of methylphenidate.
A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the
following statements should the nurse make?
A) "It appears as though you would like to open the door."
, B) "You will feel more comfortable after you've been here for a while."
C) "It is okay to not want to be here."
D) "You really shouldn't be pushing on the door."
A
This statement is an example of the therapeutic technique of making observations. This technique
encourages the client to notice the behavior so that they can describe thoughts and feelings related
to that behavior.
A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence.
Which of the following statements by the client indicates acceptance of her illness?
A) "I am going to order a wheelchair for when I'm unable to walk."
B) "I am going to stop paying my bills since I won't be around much longer."
C) "I wish you would go take care of somebody who actually needs you."
D) "I am sure I'm going to be able to continue to care for myself without help."
A
The client is recognizing the reality of continued loss of independence and is anticipating the need for
assistive devices, which indicates the behavioral response of acceptance.
A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the treatment
team?
A) Calling family members
B) Spending time alone
C) Giving away possessions
D) Excessive crying
C
Giving away possessions indicates that this client is at greatest risk for suicide. Therefore, this is the
priority finding for the nurse to report to the treatment team.
A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of
acute mania. Which of the following findings should the client's partner report to the provider?
A) Obsessive attention to detail
B) Inability to sleep
C) Reports of fatigue
NGN
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?
A) Encourage the parents to avoid discussing the death with their other children to protect their
feelings.
B) Recommend each parent grieve in private to avoid hindering each other's healing.
C) Suggest forming a weekly support group for parents who have experienced the death of a child.
D) Advise the parents to begin counseling if they are still grieving in a few months.
C
Support groups are a positive resource in the process of recovery for parents following the death of a
child.
A nurse in a community health center is working with a group of clients who have post-traumatic
stress disorder. Which of the following interventions should the nurse include to reduce anxiety
among the group members?
A) Response prevention
B) Guided imagery
C) Aversion therapy
D) Light therapy
B
Guided imagery involves assisting the client to imagine a restful and safe place. This method is
effective in reducing anxiety in clients who have post-traumatic stress disorder.
A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the
following actions should the nurse include in the plan?
A) Administer phenytoin 30 min prior to the procedure.
B) Instruct the client to expect a headache following the procedure.
C) Place the client in four point restraints prior to the procedure.
D) Monitor the client's cardiac rhythm during the procedure.
D
The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to
monitor the client's cardiac rhythm during ECT via an electrocardiogram.
,A nurse is planning prevention strategies for partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention?
A) Provide teaching about the use of positive coping mechanisms.
B) Establish screening programs to identify at-risk clients.
C) Refer survivors of intimate partner abuse to a legal advocacy program.
D) Organize rehabilitation therapy for clients who have experienced intimate partner abuse.
B
This is an example of secondary prevention. By establishing screening programs, the nurse can
identify individuals who are at risk for partner violence in the community and can take the necessary
steps to address individual client needs.
.
A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following
findings places the client at the greatest risk for self-directed injury or injuring others?
A) Inability to communicate with others
B) Feelings of absence of self-worth
C) Lack of motivation to perform daily tasks
D) Command hallucinations
D
A client who has schizophrenia and is experiencing command hallucinations can hear voices telling
them to hurt themselves or others. Therefore, a client who is experiencing command hallucinations is
at the greatest risk for self-directed injury or injuring others.
A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for
which of the following findings as an adverse effect of methylphenidate?
A) Weight gain
B) Tinnitus
C) Tachycardia
D) Increased salivation
C
The nurse should monitor the child for tachycardia, which is an adverse effect of methylphenidate.
A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the
following statements should the nurse make?
A) "It appears as though you would like to open the door."
, B) "You will feel more comfortable after you've been here for a while."
C) "It is okay to not want to be here."
D) "You really shouldn't be pushing on the door."
A
This statement is an example of the therapeutic technique of making observations. This technique
encourages the client to notice the behavior so that they can describe thoughts and feelings related
to that behavior.
A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence.
Which of the following statements by the client indicates acceptance of her illness?
A) "I am going to order a wheelchair for when I'm unable to walk."
B) "I am going to stop paying my bills since I won't be around much longer."
C) "I wish you would go take care of somebody who actually needs you."
D) "I am sure I'm going to be able to continue to care for myself without help."
A
The client is recognizing the reality of continued loss of independence and is anticipating the need for
assistive devices, which indicates the behavioral response of acceptance.
A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the treatment
team?
A) Calling family members
B) Spending time alone
C) Giving away possessions
D) Excessive crying
C
Giving away possessions indicates that this client is at greatest risk for suicide. Therefore, this is the
priority finding for the nurse to report to the treatment team.
A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of
acute mania. Which of the following findings should the client's partner report to the provider?
A) Obsessive attention to detail
B) Inability to sleep
C) Reports of fatigue
