Mental Health Nursing Taken by: gram20253
Practice Test 0% Score
1. A nurse is caring for a client who witnessed her brother's homicide and
has posttraumatic stress disorder (PTSD). Which of the following findings
should the nurse expect?
The client is constantly drowsy and sleeps 11-12 hours daily.
The client is easily startled by loud voices.
The client reports satisfying personal relationships with family and
close friends.
The client talks constantly about the traumatic experience.
2. If a nurse observes tachycardia in a child taking methylphenidate, what
should be the nurse's immediate action?
Document the finding and continue monitoring.
Administer a beta-blocker immediately.
Increase the dosage of methylphenidate.
Notify the healthcare provider.
3. If a nurse discovers that a client with bulimia nervosa has identified
chocolate as a trigger food, what would be an appropriate nursing
intervention?
Assist the client in developing coping strategies to manage
cravings for chocolate.
Suggest the client eat chocolate in moderation.
Encourage the client to avoid all foods that contain chocolate.
Advise the client to weigh themselves after consuming chocolate.
4. The nurse is summarizing her assessment findings with the family and tells
them she perceives them to be an enmeshed family. What is the best
, description of enmeshment?
Family members do not have a strong sense of self.
Intrafamily boundaries are rigid.
The family member perceived to be the weakest is blamed for the
family's troubles.
Family members are unconnected to each other.
5. A nurse is working with a client who has just identified signs of escalation
in their abusive relationship. What should the nurse prioritize in their next
steps?
Encourage the client to confront their partner about the behavior.
Advise the client to minimize their interactions with friends and
family.
Suggest the client stay in the relationship for financial stability.
Assist the client in developing a comprehensive safety plan.
6. A nurse is planning prevention strategies for partner violence in the
community. Which of the following strategies should the nurse include as
a method of secondary prevention?
Organize rehabilitation therapy for clients who have experienced
intimate partner
Refer survivors of intimate partner abuse to a legal advocacy
program.
Provide teaching about the use of positive coping mechanisms.
Establish screening programs to identify at-risk clients.
7. The nurse would expect to access which of the following signs and
symptoms in a client undergoing alcohol withdrawal?
tachycardia and hypotension
, tachycardia and hypertension
bradycardia and hypertension
bradycardia and hypotension
8. You see from a new client's health history that the client has struggled
with bulimia nervosa over the past year. Which of the following signs of
this condition should you most expect to see in the client?
Erosion of teeth
Cardiac arrhythmia
Emaciated body
Low pulse rate
9. What is the primary goal of secondary prevention in the context of
partner violence?
To identify at-risk clients
To teach positive coping mechanisms
To provide rehabilitation therapy
To refer survivors to legal advocacy
10. Explain the process the nurse follows to determine the volume of
diazepam to administer for a dose of 7.5 mg.
The nurse only considers the total volume of the vial.
The nurse calculates the dose based on the patient's weight.
The nurse uses the Desired Over Have method to calculate the
volume based on the available concentration.
The nurse administers the medication without calculation.
11. If a nurse encounters a client with PTSD who expresses similar feelings of
guilt and punishment, what would be an appropriate nursing intervention
, to promote therapeutic communication?
Encourage the client to express their feelings and discuss the
underlying issues.
Redirect the conversation to more positive topics to avoid
distress.
Suggest that the client should focus on their recovery and not
dwell on the past.
Tell the client that their feelings are irrational and should not be
entertained.
12. A client with major depressive disorder is prescribed tranylcypromine
and reports taking several over-the-counter medications. If the nurse
identifies that the client is also taking a decongestant containing
phenylephrine, what should the nurse do next?
Educate the client about the risks of taking phenylephrine with
tranylcypromine and recommend discontinuing it.
Notify the physician to change the client's antidepressant
medication.
Suggest the client increase the dosage of tranylcypromine to
counteract the effects of phenylephrine.
Advise the client to continue taking phenylephrine as it is safe
with tranylcypromine.
13. What behavior should a nurse prioritize reporting for a client with
bipolar disorder who may be at risk for suicide?
Excessive crying
Calling family members
Spending time alone
Giving away possessions
Practice Test 0% Score
1. A nurse is caring for a client who witnessed her brother's homicide and
has posttraumatic stress disorder (PTSD). Which of the following findings
should the nurse expect?
The client is constantly drowsy and sleeps 11-12 hours daily.
The client is easily startled by loud voices.
The client reports satisfying personal relationships with family and
close friends.
The client talks constantly about the traumatic experience.
2. If a nurse observes tachycardia in a child taking methylphenidate, what
should be the nurse's immediate action?
Document the finding and continue monitoring.
Administer a beta-blocker immediately.
Increase the dosage of methylphenidate.
Notify the healthcare provider.
3. If a nurse discovers that a client with bulimia nervosa has identified
chocolate as a trigger food, what would be an appropriate nursing
intervention?
Assist the client in developing coping strategies to manage
cravings for chocolate.
Suggest the client eat chocolate in moderation.
Encourage the client to avoid all foods that contain chocolate.
Advise the client to weigh themselves after consuming chocolate.
4. The nurse is summarizing her assessment findings with the family and tells
them she perceives them to be an enmeshed family. What is the best
, description of enmeshment?
Family members do not have a strong sense of self.
Intrafamily boundaries are rigid.
The family member perceived to be the weakest is blamed for the
family's troubles.
Family members are unconnected to each other.
5. A nurse is working with a client who has just identified signs of escalation
in their abusive relationship. What should the nurse prioritize in their next
steps?
Encourage the client to confront their partner about the behavior.
Advise the client to minimize their interactions with friends and
family.
Suggest the client stay in the relationship for financial stability.
Assist the client in developing a comprehensive safety plan.
6. A nurse is planning prevention strategies for partner violence in the
community. Which of the following strategies should the nurse include as
a method of secondary prevention?
Organize rehabilitation therapy for clients who have experienced
intimate partner
Refer survivors of intimate partner abuse to a legal advocacy
program.
Provide teaching about the use of positive coping mechanisms.
Establish screening programs to identify at-risk clients.
7. The nurse would expect to access which of the following signs and
symptoms in a client undergoing alcohol withdrawal?
tachycardia and hypotension
, tachycardia and hypertension
bradycardia and hypertension
bradycardia and hypotension
8. You see from a new client's health history that the client has struggled
with bulimia nervosa over the past year. Which of the following signs of
this condition should you most expect to see in the client?
Erosion of teeth
Cardiac arrhythmia
Emaciated body
Low pulse rate
9. What is the primary goal of secondary prevention in the context of
partner violence?
To identify at-risk clients
To teach positive coping mechanisms
To provide rehabilitation therapy
To refer survivors to legal advocacy
10. Explain the process the nurse follows to determine the volume of
diazepam to administer for a dose of 7.5 mg.
The nurse only considers the total volume of the vial.
The nurse calculates the dose based on the patient's weight.
The nurse uses the Desired Over Have method to calculate the
volume based on the available concentration.
The nurse administers the medication without calculation.
11. If a nurse encounters a client with PTSD who expresses similar feelings of
guilt and punishment, what would be an appropriate nursing intervention
, to promote therapeutic communication?
Encourage the client to express their feelings and discuss the
underlying issues.
Redirect the conversation to more positive topics to avoid
distress.
Suggest that the client should focus on their recovery and not
dwell on the past.
Tell the client that their feelings are irrational and should not be
entertained.
12. A client with major depressive disorder is prescribed tranylcypromine
and reports taking several over-the-counter medications. If the nurse
identifies that the client is also taking a decongestant containing
phenylephrine, what should the nurse do next?
Educate the client about the risks of taking phenylephrine with
tranylcypromine and recommend discontinuing it.
Notify the physician to change the client's antidepressant
medication.
Suggest the client increase the dosage of tranylcypromine to
counteract the effects of phenylephrine.
Advise the client to continue taking phenylephrine as it is safe
with tranylcypromine.
13. What behavior should a nurse prioritize reporting for a client with
bipolar disorder who may be at risk for suicide?
Excessive crying
Calling family members
Spending time alone
Giving away possessions
