NUR 2459 Mental Health Exam with 270 questions & correct answers
Rasmussen
A mother rescues two of her four children from a house fire. In an emergency
department, she cries, "I should have gone back in to get them. I should have died,
not them." Which of the following responses by the nurse is an example of
reflection? - ANSWER-"You're feeling guilty because you weren't able to save
your children."
An entry level registered nurse works with patients in a community setting. Which
groups should this nurse expect to lead? - ANSWER-Symptom management
Medication education
Self-care
A client has been involuntarily admitted to an inpatient behavioral health unit.
During this admission, which of the following rights does the client still retain? -
ANSWER-The right to refuse medications
The right to informed consent
A mother who is notified that her child was killed in a tragic car accident states, "I
can't bear to go on with my life." Which nursing statement conveys empathy? -
ANSWER-"It must be horrible to lose a child, and I'll stay with you until your
husband arrives."
During the implementation phase of the nursing process, a nurse is teaching an
adult depressed patient with a cochlear implant about medications. Which
modification in the teaching plan would be the most appropriate for this client? -
ANSWER-Speaking directly face-to-face
,A 22 year old college student is admitted to hospital following a suicide attempt
and states, "No one will ever love a loser like me." According to Erikson's theory
of personality development, a nurse should recognize a deficit in which
developmental stage? - ANSWER-Intimacy vs Isolation
A nursing instructor is teaching about the monoamine category of
neurotransmitters. Which student statement indicates that learning about the
function of norepinephrine has occurred? - ANSWER-Norepinephrine functions to
regulate mood, cognition, and perception.
A nurse is educating a patient about the difference between mental health and
mental illness. Which statement by the patient reflects an accurate understanding
of mental health? - ANSWER-Mental health is successful adaptation to stressors in
the internal external environment.
The nurse understands a client taking which medication could place a client at high
risk for life-threatening hypertensive crisis if tyramine is ingested? - ANSWER-A
client taking tranylcypromine (Parnate)
A client taking isocarboxazid (Marplan)
A client taking phenelzine (Nardil)
A client was recently admitted to the inpatient unit after a suicide attempt and has
not responded to SSRIs or tricyclic antidepressants. The client asks the nurse, "I
heard about MAOIs (monoamine oxidase inhibitors). Why can't they be added to
what I am on now? Wouldn't adding one help?" Which is the appropriate nursing
response? - ANSWER-"Combined use can lead to a life-threatening condition
called hypertensive crisis."
A 29-year-old client living with parents has few interpersonal relationships. The
client states, "I have trouble trusting people." Based on Erikson's developmental
theory, which should the nurse recognize as true statements about the client? -
,ANSWER-The client has not progressed beyond the trust vs. mistrust development
stage.
Developmental deficits in earlier life stages have impaired the client's adult
functioning.
A patient discloses several concerns and associated feelings. If the nurse wishes to
seek clarification, which comment would be most appropriate? - ANSWER-"Am I
correct in understanding that..."
The health care provider prescribes an antidepressant for an elderly client, but
nurse notices that the dosage is greater than the usual adult dosage. Which of the
following best describes what action the nurse should take? - ANSWER-Hold the
medication until clarification with the health care provider.
Which intervention by a psychiatric nurse best utilizes the ethical principle of
autonomy? The nurse: - ANSWER-Explores alternative solutions with a patient,
who then makes a choice.
Which of the following should the nurse plan to include in the assessment of an
older adult client? - ANSWER-Identify any age related physical needs and
necessary accommodations for this client.
A patient is about to be released and tells the staff nurse "I'm glad I'm getting out
of here; I swear the first thing I'll do is kill my ex-wife and that stupid boyfriend of
hers." Which of the following is the staff nurse's legal duty? - ANSWER-Report
the threat to the treatment team and document the statement.
A client tells a nurse that he hates his doctor and plans to hurt the doctor, but she
did not report this prior to leaving. When the nurse returns to work the next day,
she finds that the physician has been brutally beaten by the client and the physician
, is hospitalized. Which of the following best represents the nurse's failure to act by
not reporting the client's intent? - ANSWER-Negligence
A newly admitted patient is hyperactive, restless, and disorganized. The patient
goes to the dining room and begins to throw food. Verbal intervention is
ineffective. Seclusion is instituted for the primary purpose of: - ANSWER-
Reducing environmental stimuli that negatively affect the patient.
A Mexican American patient puts a picture of the Virgin Mary on the bedside
table. Under which section of the assessment should the nurse document this
behavior? - ANSWER-Culture
Which of the following best represents a potential liability issue for the
professional nurse? - ANSWER-Placing a patient who talks constantly and loudly
into a secluded room alone.
A researcher tells the nurse that she would like a patient to participate in a study on
the effects of a new medication. The nurse's responsibility in regard to this study is:
- ANSWER-To assess whether the patient has the ability and legal right to give
informed consent.
A nurse is performing a mental health assessment on an adult client. According to
Maslow's hierarchy of needs, which client action would demonstrate the highest
achievement in terms of mental health? - ANSWER-Possessing a feeling of self-
fulfillment and realizing full potential.
A nurse explains to the family of a mentally ill patient how the nurse-patient
relationship differs from other interpersonal relationships. Which is the nurse's best
explanation? - ANSWER-"The focus is on the patient. Problems are discussed by
the nurse and patient; but solutions are implemented by the patient"
Rasmussen
A mother rescues two of her four children from a house fire. In an emergency
department, she cries, "I should have gone back in to get them. I should have died,
not them." Which of the following responses by the nurse is an example of
reflection? - ANSWER-"You're feeling guilty because you weren't able to save
your children."
An entry level registered nurse works with patients in a community setting. Which
groups should this nurse expect to lead? - ANSWER-Symptom management
Medication education
Self-care
A client has been involuntarily admitted to an inpatient behavioral health unit.
During this admission, which of the following rights does the client still retain? -
ANSWER-The right to refuse medications
The right to informed consent
A mother who is notified that her child was killed in a tragic car accident states, "I
can't bear to go on with my life." Which nursing statement conveys empathy? -
ANSWER-"It must be horrible to lose a child, and I'll stay with you until your
husband arrives."
During the implementation phase of the nursing process, a nurse is teaching an
adult depressed patient with a cochlear implant about medications. Which
modification in the teaching plan would be the most appropriate for this client? -
ANSWER-Speaking directly face-to-face
,A 22 year old college student is admitted to hospital following a suicide attempt
and states, "No one will ever love a loser like me." According to Erikson's theory
of personality development, a nurse should recognize a deficit in which
developmental stage? - ANSWER-Intimacy vs Isolation
A nursing instructor is teaching about the monoamine category of
neurotransmitters. Which student statement indicates that learning about the
function of norepinephrine has occurred? - ANSWER-Norepinephrine functions to
regulate mood, cognition, and perception.
A nurse is educating a patient about the difference between mental health and
mental illness. Which statement by the patient reflects an accurate understanding
of mental health? - ANSWER-Mental health is successful adaptation to stressors in
the internal external environment.
The nurse understands a client taking which medication could place a client at high
risk for life-threatening hypertensive crisis if tyramine is ingested? - ANSWER-A
client taking tranylcypromine (Parnate)
A client taking isocarboxazid (Marplan)
A client taking phenelzine (Nardil)
A client was recently admitted to the inpatient unit after a suicide attempt and has
not responded to SSRIs or tricyclic antidepressants. The client asks the nurse, "I
heard about MAOIs (monoamine oxidase inhibitors). Why can't they be added to
what I am on now? Wouldn't adding one help?" Which is the appropriate nursing
response? - ANSWER-"Combined use can lead to a life-threatening condition
called hypertensive crisis."
A 29-year-old client living with parents has few interpersonal relationships. The
client states, "I have trouble trusting people." Based on Erikson's developmental
theory, which should the nurse recognize as true statements about the client? -
,ANSWER-The client has not progressed beyond the trust vs. mistrust development
stage.
Developmental deficits in earlier life stages have impaired the client's adult
functioning.
A patient discloses several concerns and associated feelings. If the nurse wishes to
seek clarification, which comment would be most appropriate? - ANSWER-"Am I
correct in understanding that..."
The health care provider prescribes an antidepressant for an elderly client, but
nurse notices that the dosage is greater than the usual adult dosage. Which of the
following best describes what action the nurse should take? - ANSWER-Hold the
medication until clarification with the health care provider.
Which intervention by a psychiatric nurse best utilizes the ethical principle of
autonomy? The nurse: - ANSWER-Explores alternative solutions with a patient,
who then makes a choice.
Which of the following should the nurse plan to include in the assessment of an
older adult client? - ANSWER-Identify any age related physical needs and
necessary accommodations for this client.
A patient is about to be released and tells the staff nurse "I'm glad I'm getting out
of here; I swear the first thing I'll do is kill my ex-wife and that stupid boyfriend of
hers." Which of the following is the staff nurse's legal duty? - ANSWER-Report
the threat to the treatment team and document the statement.
A client tells a nurse that he hates his doctor and plans to hurt the doctor, but she
did not report this prior to leaving. When the nurse returns to work the next day,
she finds that the physician has been brutally beaten by the client and the physician
, is hospitalized. Which of the following best represents the nurse's failure to act by
not reporting the client's intent? - ANSWER-Negligence
A newly admitted patient is hyperactive, restless, and disorganized. The patient
goes to the dining room and begins to throw food. Verbal intervention is
ineffective. Seclusion is instituted for the primary purpose of: - ANSWER-
Reducing environmental stimuli that negatively affect the patient.
A Mexican American patient puts a picture of the Virgin Mary on the bedside
table. Under which section of the assessment should the nurse document this
behavior? - ANSWER-Culture
Which of the following best represents a potential liability issue for the
professional nurse? - ANSWER-Placing a patient who talks constantly and loudly
into a secluded room alone.
A researcher tells the nurse that she would like a patient to participate in a study on
the effects of a new medication. The nurse's responsibility in regard to this study is:
- ANSWER-To assess whether the patient has the ability and legal right to give
informed consent.
A nurse is performing a mental health assessment on an adult client. According to
Maslow's hierarchy of needs, which client action would demonstrate the highest
achievement in terms of mental health? - ANSWER-Possessing a feeling of self-
fulfillment and realizing full potential.
A nurse explains to the family of a mentally ill patient how the nurse-patient
relationship differs from other interpersonal relationships. Which is the nurse's best
explanation? - ANSWER-"The focus is on the patient. Problems are discussed by
the nurse and patient; but solutions are implemented by the patient"
