correct Answers
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia
nervosa. Which of the following questions should the nurse include in the assessment? (Select all that
apply)
A. "What is your relationship like with your family.
B. "Why do you want to lose weight?
C. "Would you describe your current eating habits?
D. "At what weight do you believe you will look better?
E. "Can you discuss your feelings about your appearance?"
A. "What is your relationship like with your family.
C. "Would you describe your current eating habits?
E. "Can you discuss your feelings about your appearance?"
We have an expert-written solution to this problem!
A nurse is assessing a client who has major depressive disorder. The nurse should identify which of the
following client statements as an overt comment about suicide? (Select all that apply)
A. "My family will be better off if I'm dead."
B. "The stress in my life is too much to handle."
C. "I wish my life was over."
D. "I don't feel like I can ever be happy again."
E. "If I kill myself then my problems will go away.
,A. "My family will be better off if I'm dead."
C. "I wish my life was over."
E. "If I kill myself then my problems will go away.
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that
apply).
A. "To assess cognitive ability, I should ask the client to count backward by sevens."
B. "To assess affect, I should observe the client's facial expression.
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the c
A. "To assess cognitive ability, I should ask the client to count backward by sevens."
B. "To assess affect, I should observe the client's facial expression.
C. "To assess language ability, I should instruct the client to write a sentence."
A nurse in an acute mental health facility is planning care for a client who has dissociative fugue. Which
of the following interventions should the nurse add to the plan of care?
A. Teach the client to recognize how stress brings on a personality change in the client
B. Repeatedly present the client with information about past events
C. Make decisions for the client regarding routine daily activities
D. Work with the client on grounding techniques
D. Work with the client on grounding techniques
A nurse is planning care for a client who has a mental health disorder. Which of the following actions
should the nurse include as a psychobiological intervention?
,A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications.
D. Monitor the client for adverse effects of the medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When
conducting the interview, which of the following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
B. Identify the client's perception of her mental health status.
A nurse is told during change of shift report that a client is stuporous. When assessing the client, which
of the following findings should the nurse expect?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
A. The client arouses briefly in response to a sternal rub.
A nurse is planning a peer group discussion about the DSM-5. Which of the following information is
appropriate to include in the discussion? (Select all that apply)
, A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health d
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders.
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify
that which of the following clients requires a temporary emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod
D. A client who has bipolar disorder and paces quickly around the room wh
C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is
very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example
of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery
B. False imprisonment