Mental Health - Pre-Assessment Quiz
100% Correct Answers!!!
A nurse is caring for a client who has depression. The client refuses to get out of bed, go to
activities, or participate in any of the unit's programs. Which of the following responses should
the nurse take? - ANS "I will help you get ready and then you can rest after activities"
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent personal
stressors including the loss of her mother and a divorce. Which of the following is the priority
nursing action? - ANS Preventing self-directed violence
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV).
He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need
treatment for something I don't have." The nurse identifies that the client is experiencing which
of the following types of crisis? - ANS Situational
A nurse ins a mental health facility is interacting with a client who us angry and becomes
increasingly aggressive. Which of the following actions should the nurse take? - ANS Use
clarification to determine what the client is feeling
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications
and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and
diaphoresis. The nurse should recognize that which of the following adverse effects may be
occurring? - ANS Neuroleptic malignant syndrome
A nurse is caring for a client who was involved in heavy combat and observed war casualties.
The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if
the client makes which of the following statements? - ANS "In my dreams, all I can see are
the wounded reaching out and trying to grab me."
A nurse in an acute care facility is assessing a client who had a hip surgery and has Alzheimer's
disease. The nurse asks the client how therapy went that morning. Which of the following
statements by the client should the nurse document as confabulation? - ANS "It was good.
The Queen of England visited me there."
A nurse is admitting a clients who is about to undergo surgery for benign prostatic hypertrophy.
The client states, "I don't know what I will do if they find I have cancer." Which of the following
statements should the nurse make? - ANS "I'm hearing that you are concerned that it might
turn out that you have cancer."
100% Correct Answers!!!
A nurse is caring for a client who has depression. The client refuses to get out of bed, go to
activities, or participate in any of the unit's programs. Which of the following responses should
the nurse take? - ANS "I will help you get ready and then you can rest after activities"
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent personal
stressors including the loss of her mother and a divorce. Which of the following is the priority
nursing action? - ANS Preventing self-directed violence
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV).
He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need
treatment for something I don't have." The nurse identifies that the client is experiencing which
of the following types of crisis? - ANS Situational
A nurse ins a mental health facility is interacting with a client who us angry and becomes
increasingly aggressive. Which of the following actions should the nurse take? - ANS Use
clarification to determine what the client is feeling
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications
and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and
diaphoresis. The nurse should recognize that which of the following adverse effects may be
occurring? - ANS Neuroleptic malignant syndrome
A nurse is caring for a client who was involved in heavy combat and observed war casualties.
The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if
the client makes which of the following statements? - ANS "In my dreams, all I can see are
the wounded reaching out and trying to grab me."
A nurse in an acute care facility is assessing a client who had a hip surgery and has Alzheimer's
disease. The nurse asks the client how therapy went that morning. Which of the following
statements by the client should the nurse document as confabulation? - ANS "It was good.
The Queen of England visited me there."
A nurse is admitting a clients who is about to undergo surgery for benign prostatic hypertrophy.
The client states, "I don't know what I will do if they find I have cancer." Which of the following
statements should the nurse make? - ANS "I'm hearing that you are concerned that it might
turn out that you have cancer."
