PN Mental Health Online Practice 2023 A
1. After reviewing the client's medical record, the nurse should report which of the following findings to the
provider? Select the 5 findings that should be reported.: When analyzing cues, the nurse should identify that the
client's blood pressure. heart rate, temperature, speech pattern, and hallucinations are findings the nurse should report to
the provider. The client's blood pressure is above the expected reference range, indicating hypertension. The heart rate is
above the expected reference range, indicating tachycardia, The temperature is above the expected reference range,
indicating a fever. The client is exhibiting a change
in speech pattern, including rapid and rambling speech. Also, hallucinations and delusions are manifestations which can
indicate alcohol withdrawal delirium, or delirium tremens (DT). DT is an emergent condition that can be fatal.
Therefore, the nurse should report these findings to the provider.
2. A nurse is reviewing the medical record of a female client who has schiz- ophrenia. 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 categories of
data.): WBC count
3. A nurse is caring for a client who has visible injuries as a result of partner violence. Which of the following
actions should the nurse take?: Encourage the client to develop a safety plan.
R: The nurse should encourage the client to develop a safety plan to aid in escaping further violence if necessary.
4. A nurse is participating in group therapy for clients who have major depres- sive disorder. Which of the
following topics should the nurse include in the orientation phase of group therapy?: Confidentiality
5. Click to highlight the information in the client's medical record that indicates the client's condition is
deteriorating. To deselect a piece of information, click on the information again.: QT prolongation
Exercise regimen
Hematemesis BMI
6. A nurse is preparing to administer haloperidol 3 mg IM to a client. Available is haloperidol solution 5 mg/mL.
How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use a leading zero if
it applies. Do not use a trailing zero.): .6
7. A nurse is planning to collect data from a group of clients. The nurse should expect that which of the following
clients is likely to exhibit speech pattern alterations?: a client who has schizophrenia
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, PN Mental Health Online Practice 2023 A
8. 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?"
9. A nurse is collecting data from a client who is experiencing alcohol with- drawal. Which of the following
findings should the nurse expect?: elevated blood pressure
10.A nurse is contributing to the plan of care for a client who has bipolar dis- order and is experiencing mania.
Which of the following intervention: should the nurse include to improve the client's nutritional status?: Have
finger foods available for the client in a quiet area.
11.A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting disruptive
behaviors at home, Which of the following actions should the nurse instruct the parent to take?: Initiate a point
system for the child
12.A nurse is collecting data from a client who has dementia and whose family expresses concern about their
increasing "memory problems." Which of the following findings should the nurse identify as the priority?: The
client sometimes wanders from the house.
13.A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and whose
partner died several years ago. The din ap- pears upset and asks the nurse when their partner will visit again. The
nurse states, "It seems like you are feeling lonely. Let's take outside and talk." Which of the following
communication strategies is the nurse using?: Validation ther- apy
14.A nurse is assisting with the admission of a client to an acute care mental health facility. Which of the
following activities should the nurse plan for
the working phase of the therapeutic nurse-client relationship?: Evaluate the client's progress toward meeting their
goals.
15.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
16.A nurse is reinforcing teaching with the caregiver of an adolescent who has amphetamine use disorder. The
nurse should identify that which of the following statements by the caregiver indicates an understanding of the
teach- ing?: "Dilated pupils are a sign that my child is using amphetamines."
17.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
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1. After reviewing the client's medical record, the nurse should report which of the following findings to the
provider? Select the 5 findings that should be reported.: When analyzing cues, the nurse should identify that the
client's blood pressure. heart rate, temperature, speech pattern, and hallucinations are findings the nurse should report to
the provider. The client's blood pressure is above the expected reference range, indicating hypertension. The heart rate is
above the expected reference range, indicating tachycardia, The temperature is above the expected reference range,
indicating a fever. The client is exhibiting a change
in speech pattern, including rapid and rambling speech. Also, hallucinations and delusions are manifestations which can
indicate alcohol withdrawal delirium, or delirium tremens (DT). DT is an emergent condition that can be fatal.
Therefore, the nurse should report these findings to the provider.
2. A nurse is reviewing the medical record of a female client who has schiz- ophrenia. 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 categories of
data.): WBC count
3. A nurse is caring for a client who has visible injuries as a result of partner violence. Which of the following
actions should the nurse take?: Encourage the client to develop a safety plan.
R: The nurse should encourage the client to develop a safety plan to aid in escaping further violence if necessary.
4. A nurse is participating in group therapy for clients who have major depres- sive disorder. Which of the
following topics should the nurse include in the orientation phase of group therapy?: Confidentiality
5. Click to highlight the information in the client's medical record that indicates the client's condition is
deteriorating. To deselect a piece of information, click on the information again.: QT prolongation
Exercise regimen
Hematemesis BMI
6. A nurse is preparing to administer haloperidol 3 mg IM to a client. Available is haloperidol solution 5 mg/mL.
How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use a leading zero if
it applies. Do not use a trailing zero.): .6
7. A nurse is planning to collect data from a group of clients. The nurse should expect that which of the following
clients is likely to exhibit speech pattern alterations?: a client who has schizophrenia
1/
7
, PN Mental Health Online Practice 2023 A
8. 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?"
9. A nurse is collecting data from a client who is experiencing alcohol with- drawal. Which of the following
findings should the nurse expect?: elevated blood pressure
10.A nurse is contributing to the plan of care for a client who has bipolar dis- order and is experiencing mania.
Which of the following intervention: should the nurse include to improve the client's nutritional status?: Have
finger foods available for the client in a quiet area.
11.A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting disruptive
behaviors at home, Which of the following actions should the nurse instruct the parent to take?: Initiate a point
system for the child
12.A nurse is collecting data from a client who has dementia and whose family expresses concern about their
increasing "memory problems." Which of the following findings should the nurse identify as the priority?: The
client sometimes wanders from the house.
13.A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and whose
partner died several years ago. The din ap- pears upset and asks the nurse when their partner will visit again. The
nurse states, "It seems like you are feeling lonely. Let's take outside and talk." Which of the following
communication strategies is the nurse using?: Validation ther- apy
14.A nurse is assisting with the admission of a client to an acute care mental health facility. Which of the
following activities should the nurse plan for
the working phase of the therapeutic nurse-client relationship?: Evaluate the client's progress toward meeting their
goals.
15.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
16.A nurse is reinforcing teaching with the caregiver of an adolescent who has amphetamine use disorder. The
nurse should identify that which of the following statements by the caregiver indicates an understanding of the
teach- ing?: "Dilated pupils are a sign that my child is using amphetamines."
17.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
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7
