Page 1 of 562
MENTAL HEALTH EXAM 3 EXAM QUESTION BANK
COMPLETE 600 QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
Question: The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa.
Which INTERVENTIONs would be included in the plan of care? SELECT ALL THAT APPLY.
1. Allow client to remain on current laxatives
2. Assess client for electrolyte imbalances
3. Be alert to hidden or discarded food wrappers
4. Do not allow client to keep a food diary during hospitalization
5. Monitor client for 1-2 hours after each meal in a central area - CORRECT ANSWER✔✔2,3,5
Question: A client is receiving nasogastric tube feedings as nutritional rehabilitation for
anorexia nervosa. After a weigh-in, the client learns of gaining 2 lb (0.9 kg) and says to the
nurse, "See what your force feeding has done to me? I'm fatter and uglier than ever." What is
the BEST action by the nurse?
1. Have the client keep a journal and write about feelings
2. Initiate one-on-one supervision of the client during feedings
3. Remind the client that gaining weight means being able to go home
1
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4. Say that the client is not fat and ugly - CORRECT ANSWER✔✔2
Question: A client recently diagnosed with schizophrenia is hospitalized. The client appears
distraught and says to the nurse, "The voices are bad today. They are so angry with me." Which
of the following is the BEST response by the nurse?
1 "Do you need something to help you calm down?"
2. "Don't pay any attention to the voices. Let's go into the dayroom."
3. "The voices are not real. Tell them to go away."
4. "What are the voices saying to you?" - CORRECT ANSWER✔✔4
Question: A client is brought to the emergency department after the spouse finds the client
locked in the car inside their garage with the motor running. The spouse says to the nurse, "If I
hadn't come home early from work, my spouse would be dead I can't believe this is happening."
What is the BEST response by the nurse?
1. "Do you have any relatives or close friends who can help you through this?"
2. "Has your spouse seemed depressed lately?"
3. "This has been very overwhelming for you. What are you feeling right now?"
4. "Well, you did find your spouse. You need to focus on helping your spouse get better" -
CORRECT ANSWER✔✔3
2
SUCCESS!
,Page 3 of 562
Question: The nurse is caring for a client with paranoid personality disorder. When the nurse
directs the client to go to the dining room for dinner, the client says, "And eat that poisonous
food? You better not make me go anywhere near that room" Which statement BEST explains
the client's behavior?
1. The client has a problem with authority figures
2. The client has an intense need to control the environment
3. The client is hearing voices
4. The client is trying to control anger - CORRECT ANSWER✔✔2
Question: A client with a history of obsessive-compulsive personality disorder (OCPD) is seeking
treatment for a gastrointestinal disorder and is scheduled for a colonoscopy at 10:00 AM. Due
to a computer glitch, the procedure is postponed to 3:00 PM. Which response would be
characteristic of an individual with OCPD?
1. "How dare they change my appointment? I insist that the procedure be done at 10:00 AM."
2. "That's fine. I can come in whenever it is convenient for everyone."
3. "This is unacceptable. I had my whole day planned out."
4. "Why are they doing this to me?" - CORRECT ANSWER✔✔3
Question: The nurse plans care for a client diagnosed with anorexia nervosa who is being
admitted after failure of outpatient treatment. Which client outcome will the nurse PRIORITIZE
?
1. Acknowledges poor interpersonal skills
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2. Identifies new coping mechanisms
3. Increases caloric intake to gain weight
4. Verbalizes sources of conflict and anger - CORRECT ANSWER✔✔3
Question: Which statement by a client with a diagnosis of dependent personality disorder
would the nurse recognize as progress toward a positive therapeutic outcome?
1. "I really appreciate all the time you have spent trying to help me."
2. "I think I really messed up at work today."
3. "My mother could not drive me here today, so I took the bus."
4. "When my parents go away on vacation, I'm planning to stay with my cousin." - CORRECT
ANSWER✔✔3
Question: A client hospitalized for anorexia nervosa has a nursing diagnosis of imbalanced
nutrition: less than body requirements. Which nursing actions are appropriate for promoting
weight gain in this client? SELECT ALL THAT APPLY.
1. Determine minimum goals for daily caloric intake and weekly weight gain
2. Do not allow client to make food choices
3. Restrict privileges if weight loss occurs
4. Reweigh client on request
4
SUCCESS!
MENTAL HEALTH EXAM 3 EXAM QUESTION BANK
COMPLETE 600 QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
Question: The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa.
Which INTERVENTIONs would be included in the plan of care? SELECT ALL THAT APPLY.
1. Allow client to remain on current laxatives
2. Assess client for electrolyte imbalances
3. Be alert to hidden or discarded food wrappers
4. Do not allow client to keep a food diary during hospitalization
5. Monitor client for 1-2 hours after each meal in a central area - CORRECT ANSWER✔✔2,3,5
Question: A client is receiving nasogastric tube feedings as nutritional rehabilitation for
anorexia nervosa. After a weigh-in, the client learns of gaining 2 lb (0.9 kg) and says to the
nurse, "See what your force feeding has done to me? I'm fatter and uglier than ever." What is
the BEST action by the nurse?
1. Have the client keep a journal and write about feelings
2. Initiate one-on-one supervision of the client during feedings
3. Remind the client that gaining weight means being able to go home
1
SUCCESS!
,Page 2 of 562
4. Say that the client is not fat and ugly - CORRECT ANSWER✔✔2
Question: A client recently diagnosed with schizophrenia is hospitalized. The client appears
distraught and says to the nurse, "The voices are bad today. They are so angry with me." Which
of the following is the BEST response by the nurse?
1 "Do you need something to help you calm down?"
2. "Don't pay any attention to the voices. Let's go into the dayroom."
3. "The voices are not real. Tell them to go away."
4. "What are the voices saying to you?" - CORRECT ANSWER✔✔4
Question: A client is brought to the emergency department after the spouse finds the client
locked in the car inside their garage with the motor running. The spouse says to the nurse, "If I
hadn't come home early from work, my spouse would be dead I can't believe this is happening."
What is the BEST response by the nurse?
1. "Do you have any relatives or close friends who can help you through this?"
2. "Has your spouse seemed depressed lately?"
3. "This has been very overwhelming for you. What are you feeling right now?"
4. "Well, you did find your spouse. You need to focus on helping your spouse get better" -
CORRECT ANSWER✔✔3
2
SUCCESS!
,Page 3 of 562
Question: The nurse is caring for a client with paranoid personality disorder. When the nurse
directs the client to go to the dining room for dinner, the client says, "And eat that poisonous
food? You better not make me go anywhere near that room" Which statement BEST explains
the client's behavior?
1. The client has a problem with authority figures
2. The client has an intense need to control the environment
3. The client is hearing voices
4. The client is trying to control anger - CORRECT ANSWER✔✔2
Question: A client with a history of obsessive-compulsive personality disorder (OCPD) is seeking
treatment for a gastrointestinal disorder and is scheduled for a colonoscopy at 10:00 AM. Due
to a computer glitch, the procedure is postponed to 3:00 PM. Which response would be
characteristic of an individual with OCPD?
1. "How dare they change my appointment? I insist that the procedure be done at 10:00 AM."
2. "That's fine. I can come in whenever it is convenient for everyone."
3. "This is unacceptable. I had my whole day planned out."
4. "Why are they doing this to me?" - CORRECT ANSWER✔✔3
Question: The nurse plans care for a client diagnosed with anorexia nervosa who is being
admitted after failure of outpatient treatment. Which client outcome will the nurse PRIORITIZE
?
1. Acknowledges poor interpersonal skills
3
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, Page 4 of 562
2. Identifies new coping mechanisms
3. Increases caloric intake to gain weight
4. Verbalizes sources of conflict and anger - CORRECT ANSWER✔✔3
Question: Which statement by a client with a diagnosis of dependent personality disorder
would the nurse recognize as progress toward a positive therapeutic outcome?
1. "I really appreciate all the time you have spent trying to help me."
2. "I think I really messed up at work today."
3. "My mother could not drive me here today, so I took the bus."
4. "When my parents go away on vacation, I'm planning to stay with my cousin." - CORRECT
ANSWER✔✔3
Question: A client hospitalized for anorexia nervosa has a nursing diagnosis of imbalanced
nutrition: less than body requirements. Which nursing actions are appropriate for promoting
weight gain in this client? SELECT ALL THAT APPLY.
1. Determine minimum goals for daily caloric intake and weekly weight gain
2. Do not allow client to make food choices
3. Restrict privileges if weight loss occurs
4. Reweigh client on request
4
SUCCESS!
