PN Mental Health Online Practice 2020 B with NGN
1. A nurse is assisting in the morning hygiene care of a client who is cognitive- ly impaired. Which of the following
statements should the nurse make?: "Let me help you get your toothbrush"
2. A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an
indication that the client is experiencing cocaine toxicity?: Seizures
3. A nurse is reinforcing teaching with the parent of an adolescent who has am- phetamine use disorder. The nurse
should identify that which of the following statements by the parent indicates an understanding of the teaching?:
"Dilated pupils are a sign that my child is using amphetamines."
MY ANSWER
4. A nurse is caring for a client who was admitted with major depressive disorder (MDD) and states that they do
not want to attend group therapy. Which of the following responses should the nurse make?: "What are your
feelings about going to group therapy?"
5. A nurse is reinforcing teaching with the caregiver of a client who has histrionic personality disorder. Which of
the following manifestations should the nurse tell the caregiver to expect?: Attention-seeking behavior
6. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of
the following statements should the nurse make?: "Have you considered participating in a sport to help control your
aggres- sion?"
7. A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the
following short-term goals should the nurse recommend be included in the plan?: The client will discuss feelings
that cause hostility
8. A nurse is caring for a client who is undergoing behavioral therapy for posttraumatic stress disorder (PTSD).
The nurse should identify that which of the following findings indicates an improvement in the client's condition?:
The client reports about techniques they use to promote sleep.
9. A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following
clients should the nurse identify as using a maladaptive defense mechanism?: A client who has multiple sclerosis
stops taking their medication and says their diagnosis is wrong.
10.A nurse is caring for a client who recently lost their child in a motor-vehicle crash. The client is expressing
feelings of hopelessness. Which of the follow- ing questions is the most important for the nurse to ask?: "Have you
had any thoughts of harming yourself?"
1/
6
, PN Mental Health Online Practice 2020 B with NGN
11.A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days.
Which of the following laboratory values should the nurse report to the provider?: Sodium 132 mEq/L
12.A nurse in a mental health unit is reinforcing teaching about informed con- sent with a newly licensed nurse.
Which of the following statements indicates an understanding of the teaching?: "The consent form should have the
name of the provider who is performing the procedure on the form."
13.A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for
phenelzine. Which of the following foods should the nurse instruct the client to avoid?: Smoked Sausage
14.A nurse is collecting data from a client who has major depressive disorder and is taking phenelzine. Which
of the following findings should the nurse identify as an adverse effect of this medication?: Weight gain
15.A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following
findings should the nurse withhold the client's medications and notify the provider? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate cate- gories of data.): WBC
count
16.A nurse is reinforcing teaching with a client who has obsessive-com- pulsive disorder and performs hand
hygiene to decrease anxiety. Which of the following actions should the nurse take to demonstrate modeling as
a behavioral intervention strategy?: Demonstrating performing hand hygiene at appropriate times
17.A nurse is collecting data from a client who has agoraphobia. The nurse should identify that which of the
following situations will increase the client's anxiety?: Traveling in an airplane
18.A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder.
Which of the following findings is the priority to report to the provider?: Yellow sclerae
19.A nurse is gathering data on a client who is displaying manifestations of delirium. Which of the following
information from the client's medical record is a risk factor for delirium?
Select all that apply.: Hospital environment, older adult, postoperative, fever
20.Which of the following findings should the nurse report to the provider immediately?
Select the 5 findings that require immediate follow-up.: Cognitive awareness, blood pressure, sleep/wake cycle, I&O,
temperature
21.A nurse is collecting data from an older adult client who is postoperative following right knee arthroplasty.
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6
1. A nurse is assisting in the morning hygiene care of a client who is cognitive- ly impaired. Which of the following
statements should the nurse make?: "Let me help you get your toothbrush"
2. A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an
indication that the client is experiencing cocaine toxicity?: Seizures
3. A nurse is reinforcing teaching with the parent of an adolescent who has am- phetamine use disorder. The nurse
should identify that which of the following statements by the parent indicates an understanding of the teaching?:
"Dilated pupils are a sign that my child is using amphetamines."
MY ANSWER
4. A nurse is caring for a client who was admitted with major depressive disorder (MDD) and states that they do
not want to attend group therapy. Which of the following responses should the nurse make?: "What are your
feelings about going to group therapy?"
5. A nurse is reinforcing teaching with the caregiver of a client who has histrionic personality disorder. Which of
the following manifestations should the nurse tell the caregiver to expect?: Attention-seeking behavior
6. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of
the following statements should the nurse make?: "Have you considered participating in a sport to help control your
aggres- sion?"
7. A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the
following short-term goals should the nurse recommend be included in the plan?: The client will discuss feelings
that cause hostility
8. A nurse is caring for a client who is undergoing behavioral therapy for posttraumatic stress disorder (PTSD).
The nurse should identify that which of the following findings indicates an improvement in the client's condition?:
The client reports about techniques they use to promote sleep.
9. A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following
clients should the nurse identify as using a maladaptive defense mechanism?: A client who has multiple sclerosis
stops taking their medication and says their diagnosis is wrong.
10.A nurse is caring for a client who recently lost their child in a motor-vehicle crash. The client is expressing
feelings of hopelessness. Which of the follow- ing questions is the most important for the nurse to ask?: "Have you
had any thoughts of harming yourself?"
1/
6
, PN Mental Health Online Practice 2020 B with NGN
11.A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days.
Which of the following laboratory values should the nurse report to the provider?: Sodium 132 mEq/L
12.A nurse in a mental health unit is reinforcing teaching about informed con- sent with a newly licensed nurse.
Which of the following statements indicates an understanding of the teaching?: "The consent form should have the
name of the provider who is performing the procedure on the form."
13.A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for
phenelzine. Which of the following foods should the nurse instruct the client to avoid?: Smoked Sausage
14.A nurse is collecting data from a client who has major depressive disorder and is taking phenelzine. Which
of the following findings should the nurse identify as an adverse effect of this medication?: Weight gain
15.A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following
findings should the nurse withhold the client's medications and notify the provider? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate cate- gories of data.): WBC
count
16.A nurse is reinforcing teaching with a client who has obsessive-com- pulsive disorder and performs hand
hygiene to decrease anxiety. Which of the following actions should the nurse take to demonstrate modeling as
a behavioral intervention strategy?: Demonstrating performing hand hygiene at appropriate times
17.A nurse is collecting data from a client who has agoraphobia. The nurse should identify that which of the
following situations will increase the client's anxiety?: Traveling in an airplane
18.A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder.
Which of the following findings is the priority to report to the provider?: Yellow sclerae
19.A nurse is gathering data on a client who is displaying manifestations of delirium. Which of the following
information from the client's medical record is a risk factor for delirium?
Select all that apply.: Hospital environment, older adult, postoperative, fever
20.Which of the following findings should the nurse report to the provider immediately?
Select the 5 findings that require immediate follow-up.: Cognitive awareness, blood pressure, sleep/wake cycle, I&O,
temperature
21.A nurse is collecting data from an older adult client who is postoperative following right knee arthroplasty.
2/
6
