Mental Health Assessment B
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1. A nurse is collecting data from a client who has D) Seizures
a history of cocaine use. Which of the following
manifestations is an indication that the client is The nurse should ex-
experiencing cocaine toxicity? pect a client who
is experiencing cocaine
A) Hypothermia toxicity to experience
B) Piloerection seizures. Other mani-
C) Somnolence festations include se-
D) Seizures vere anxiety, halluci-
nations, and paranoid
thoughts.
2. A nurse is reinforcing teaching with an adoles- B) "Have you consid-
cent client who has a history of aggressive be- ered participating in a
havior. Which of the following statements should sport to help control
the nurse make? your aggression?"
A) "If you can control your actions this week, I'll The nurse should en-
talk to your parents about extending your cur- courage the client to
few." participate in sports and
B) "Have you considered participating in a sport other physical activities
to help control your aggression?" because they can pro-
C) "If you become aggressive, your parents will vide a safer outlet for ag-
take away privileges." gression.
D) "You're hurting others. Do you understand
why that's wrong?"
3. A nurse is participating in group therapy for A) Confidentiality
clients who have major depressive disorder.
Which of the following topics should the nurse The nurse should es-
include in the orientation phase of group thera- tablish the expectations
py? of confidentiality during
the orientation phase of
A) Confidentiality group therapy.
B) Developing goals
C) Problem solving
D) Identifying the roles of group members
4.
, Mental Health Assessment B
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A nurse is caring for a client who has schizo- D) Shuffling gait
phrenia and a prescription for haloperidol. The
nurse should identify that which of the following The nurse should iden-
findings indicates a potential need for a PRN tify that a shuffling
dose of benztropine? gait can be indica-
tive of the presence
A) Sore throat of pseudoparkinsonism,
B) Increased mental confusion which can be treated
C) Urinary retention with a PRN dose of ben-
D) Shuffling gait ztropine.
5. A nurse on a mental health unit is reinforcing D) "The consent form
teaching about informed consent with a newly li- should have the name of
censed nurse. Which of the following statements the provider who is per-
indicates an understanding of the teaching? forming the procedure
on the form."
A) "The consent form should be written at a sev-
enth-grade reading level." The consent form
B) "If the consent form is signed, I can send a should include the name
client for a procedure even if she has questions." of the provider who will
C) "I should explain everything to the client about be performing the pro-
the procedure before the client signs the consent cedure. This should be
form." present on the form be-
D) "The consent form should have the name of fore the client signs it.
the provider who is performing the procedure on
the form."
6. A nurse is assisting with the admission of a client C) Evaluate the client's
to an acute care mental health facility. Which of progress toward meet-
the following activities should the nurse plan for ing his goals.
the working phase of the therapeutic relation-
ship? The nurse should eval-
uate the progress the
A) Define the specific responsibilities of the client is making toward
client and of the nurse. the goals he has es-
B) Assist the client to establish mutual goals. tablished as part of
C) Evaluate the client's progress toward meeting the working phase of
his goals. the therapeutic relation-
ship. During the working
, Mental Health Assessment B
Study online at https://quizlet.com/_8bcezp
D) Discuss how the client can incorporate new phase, the nurse and
strategies into his daily life. the client identify and
implement measures to
help the client meet his
goals.
7. A nurse is collecting data from a client who has A) Hepatic failure
delirium. The nurse should identify which of the
following conditions as a predisposing factor for Hepatic failure can be
delirium? a predisposing factor
for the development of
A) Hepatic failure delirium. Other potential
B) Chronic alcohol use predisposing factors in-
C) Hypertension clude febrile illness, hy-
D) Fluid volume overload poxia, head trauma, and
stroke.
8. A nurse is caring for a group of clients on a C) A client who is manic
mental health unit. Which of the following client has been pacing the unit
behaviors should the nurse report to the charge for several hours
nurse?
The nurse should iden-
A) A client who has schizophrenia is communi- tify that excessive phys-
cating using echolalia ical activity in a client
B) A client who has depression is exhibiting an- who is experiencing a
ergia manic episode places
C) A client who is manic has been pacing the unit the client at risk for
for several hours physical exhaustion and
D) A client who has a phobia is using thought possible death. The
stopping nurse should report this
client's behavior to the
charge nurse.
9. A nurse is reinforcing teaching about stress B) "You should listen
management techniques with a client who has to music when you feel
mild anxiety. Which of the following statements stress."
should the nurse make?
The nurse should en-
courage the client to lis-
Study online at https://quizlet.com/_8bcezp
1. A nurse is collecting data from a client who has D) Seizures
a history of cocaine use. Which of the following
manifestations is an indication that the client is The nurse should ex-
experiencing cocaine toxicity? pect a client who
is experiencing cocaine
A) Hypothermia toxicity to experience
B) Piloerection seizures. Other mani-
C) Somnolence festations include se-
D) Seizures vere anxiety, halluci-
nations, and paranoid
thoughts.
2. A nurse is reinforcing teaching with an adoles- B) "Have you consid-
cent client who has a history of aggressive be- ered participating in a
havior. Which of the following statements should sport to help control
the nurse make? your aggression?"
A) "If you can control your actions this week, I'll The nurse should en-
talk to your parents about extending your cur- courage the client to
few." participate in sports and
B) "Have you considered participating in a sport other physical activities
to help control your aggression?" because they can pro-
C) "If you become aggressive, your parents will vide a safer outlet for ag-
take away privileges." gression.
D) "You're hurting others. Do you understand
why that's wrong?"
3. A nurse is participating in group therapy for A) Confidentiality
clients who have major depressive disorder.
Which of the following topics should the nurse The nurse should es-
include in the orientation phase of group thera- tablish the expectations
py? of confidentiality during
the orientation phase of
A) Confidentiality group therapy.
B) Developing goals
C) Problem solving
D) Identifying the roles of group members
4.
, Mental Health Assessment B
Study online at https://quizlet.com/_8bcezp
A nurse is caring for a client who has schizo- D) Shuffling gait
phrenia and a prescription for haloperidol. The
nurse should identify that which of the following The nurse should iden-
findings indicates a potential need for a PRN tify that a shuffling
dose of benztropine? gait can be indica-
tive of the presence
A) Sore throat of pseudoparkinsonism,
B) Increased mental confusion which can be treated
C) Urinary retention with a PRN dose of ben-
D) Shuffling gait ztropine.
5. A nurse on a mental health unit is reinforcing D) "The consent form
teaching about informed consent with a newly li- should have the name of
censed nurse. Which of the following statements the provider who is per-
indicates an understanding of the teaching? forming the procedure
on the form."
A) "The consent form should be written at a sev-
enth-grade reading level." The consent form
B) "If the consent form is signed, I can send a should include the name
client for a procedure even if she has questions." of the provider who will
C) "I should explain everything to the client about be performing the pro-
the procedure before the client signs the consent cedure. This should be
form." present on the form be-
D) "The consent form should have the name of fore the client signs it.
the provider who is performing the procedure on
the form."
6. A nurse is assisting with the admission of a client C) Evaluate the client's
to an acute care mental health facility. Which of progress toward meet-
the following activities should the nurse plan for ing his goals.
the working phase of the therapeutic relation-
ship? The nurse should eval-
uate the progress the
A) Define the specific responsibilities of the client is making toward
client and of the nurse. the goals he has es-
B) Assist the client to establish mutual goals. tablished as part of
C) Evaluate the client's progress toward meeting the working phase of
his goals. the therapeutic relation-
ship. During the working
, Mental Health Assessment B
Study online at https://quizlet.com/_8bcezp
D) Discuss how the client can incorporate new phase, the nurse and
strategies into his daily life. the client identify and
implement measures to
help the client meet his
goals.
7. A nurse is collecting data from a client who has A) Hepatic failure
delirium. The nurse should identify which of the
following conditions as a predisposing factor for Hepatic failure can be
delirium? a predisposing factor
for the development of
A) Hepatic failure delirium. Other potential
B) Chronic alcohol use predisposing factors in-
C) Hypertension clude febrile illness, hy-
D) Fluid volume overload poxia, head trauma, and
stroke.
8. A nurse is caring for a group of clients on a C) A client who is manic
mental health unit. Which of the following client has been pacing the unit
behaviors should the nurse report to the charge for several hours
nurse?
The nurse should iden-
A) A client who has schizophrenia is communi- tify that excessive phys-
cating using echolalia ical activity in a client
B) A client who has depression is exhibiting an- who is experiencing a
ergia manic episode places
C) A client who is manic has been pacing the unit the client at risk for
for several hours physical exhaustion and
D) A client who has a phobia is using thought possible death. The
stopping nurse should report this
client's behavior to the
charge nurse.
9. A nurse is reinforcing teaching about stress B) "You should listen
management techniques with a client who has to music when you feel
mild anxiety. Which of the following statements stress."
should the nurse make?
The nurse should en-
courage the client to lis-
