1
(RN VERIFIED)
RN/RN-MENTAL HEALTH ONLINE PRACTICE 2023 B SET OF
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
A nurse is caring for an older adult client who has dementia and has wandered into the day room
looking for their deceased partner. Which of the following actions should the nurse take?
a. Move the client to a room near the nurses' station.
b. Limit visitors until the client is oriented to the environment.
c. Tell the client that their partner is deceased.
d. Talk with the client about activities they enjoyed with their partner.
d. Talk with the client about activities they enjoyed with their partner.
A nurse is reviewing the medication administration record for a client who is experiencing
adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of
the following adverse effects?
a. Blurred vision
b. Orthostatic hypotension
c. Dry mouth
d. Acute dystonia
d. Acute dystonia
The nurse should administer benztropine, an anticholinergic agent, to relieve acute dystonia,
which is an extrapyramidal adverse effect of chlorpromazine.
A nurse is caring for a client in a mental health facility. The nurse overhears another staff
member make derogatory comments to the client. Which of the following actions should the
nurse take?
a. Confront the staff member.
b. Encourage the client to report the incident.
c. Document the incident in the client's health record.
, 2
(RN VERIFIED)
d. Report the occurrence to the charge nurse.
d. Report the occurrence to the charge nurse.
Talking about positive experiences can help distract the client from their disorientation
A nurse on a mental health unit is admitting a client who has bipolar disorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's ______ due to the client's ______.
When prioritizing hypotheses, the nurse should identify the greatest risk to the client is
cardiovascular injury due to constant psychomotor activity. The client is pacing, moving arms
and hands around dramatically, and is unable to sit still. This can increase the client's blood
pressure and heart rate, which can indicate unexpected cardiovascular findings.
A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints.
Which of the following information should the nurse include in the teaching?
a. Complete documentation about the client's status every hour while they are in restraints.
b. Maintain the client in restraints for a minimum of 4 hr.
c. Apply restraints when other means of managing the client's behavior have failed.
d. Request that the provider assess the client within 8 hr of the application of restraints.
c. Apply restraints when other means of managing the client's behavior have failed.
According to the Patient Self-Determination Act, clients have a right to be free from restraints or
seclusion unless the safety of the client or others is at risk. De-escalation methods for controlling
behavior should be attempted prior to initiating restraints.
A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the treatment
team?
a. Calling family members
b. Spending time alone
, 3
(RN VERIFIED)
c. Giving away possessions
d. Excessive crying
c. Giving away possessions
Giving away possessions indicates that this client is at greatest risk for suicide. Therefore, this is
the priority finding for the nurse to report to the treatment team.
A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the
following information should the nurse include in the teaching?
a. "You might notice an increase in saliva while taking this medication."
b. "You might experience difficulties with sexual functioning while taking this medication."
c. "You should expect an improvement in symptoms of depression in 3 to 4 days."
d. "You may notice a temporary ringing in the ears when starting this medication."
b. "You might experience difficulties with sexual functioning while taking this medication."
Fluoxetine is a selective serotonin reuptake inhibitor that can cause sexual dysfunction such as
anorgasmia and impotence. The nurse should instruct the client to notify the provider if sexual
dysfunction occurs.
A nurse is caring for a client whose child has a terminal illness. The client requests information
about how to deal with the upcoming loss. Which of the following statements should the nurse
make?
a. "It will be better for you to keep busy to avoid thinking about your child's death."
b. "You will complete the grieving process about a year after your child's death."
c. "The grief process will start once your child actually dies."
d. "It is not uncommon to feel angry toward yourself or others."
d. "It is not uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction when a client is
experiencing a loss.
, 4
(RN VERIFIED)
A nurse is admitting a client who has major depressive disorder and a new prescription for
tranylcypromine. Which of the following over-the-counter medications that the client reports
taking should alert the nurse to a potential adverse reaction?
a. Lansoprazole
b. Naproxen
c. Magnesium hydroxide
d. Phenylephrine
d. Phenylephrine
Clients who are taking tranylcypromine, an MAOI antidepressant, should not take phenylephrine
and other over-the-counter medications for sinus congestion, colds, or allergies due to their
actions on the sympathetic nervous system, which can result in severe hypertension.
A nurse is caring for a client who has schizophrenia and began taking a conventional
antipsychotic medication yesterday. Which of the following findings indicates the nurse should
administer benztropine 2 mg IM?
a. Shuffling gait
b. Hypotension
c. Decreased WBC count
d. Blurred vision
a. Shuffling gait
Benztropine is used to treat parkinsonism manifestations, such as shuffling gait.
A nurse is reviewing the electronic medical record of a client who has schizophrenia and is
taking clozapine. Which of the following findings is the priority for the nurse to notify the
provider?
a. The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month.
b. The client reports an inability to breathe easily.
(RN VERIFIED)
RN/RN-MENTAL HEALTH ONLINE PRACTICE 2023 B SET OF
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
A nurse is caring for an older adult client who has dementia and has wandered into the day room
looking for their deceased partner. Which of the following actions should the nurse take?
a. Move the client to a room near the nurses' station.
b. Limit visitors until the client is oriented to the environment.
c. Tell the client that their partner is deceased.
d. Talk with the client about activities they enjoyed with their partner.
d. Talk with the client about activities they enjoyed with their partner.
A nurse is reviewing the medication administration record for a client who is experiencing
adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of
the following adverse effects?
a. Blurred vision
b. Orthostatic hypotension
c. Dry mouth
d. Acute dystonia
d. Acute dystonia
The nurse should administer benztropine, an anticholinergic agent, to relieve acute dystonia,
which is an extrapyramidal adverse effect of chlorpromazine.
A nurse is caring for a client in a mental health facility. The nurse overhears another staff
member make derogatory comments to the client. Which of the following actions should the
nurse take?
a. Confront the staff member.
b. Encourage the client to report the incident.
c. Document the incident in the client's health record.
, 2
(RN VERIFIED)
d. Report the occurrence to the charge nurse.
d. Report the occurrence to the charge nurse.
Talking about positive experiences can help distract the client from their disorientation
A nurse on a mental health unit is admitting a client who has bipolar disorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's ______ due to the client's ______.
When prioritizing hypotheses, the nurse should identify the greatest risk to the client is
cardiovascular injury due to constant psychomotor activity. The client is pacing, moving arms
and hands around dramatically, and is unable to sit still. This can increase the client's blood
pressure and heart rate, which can indicate unexpected cardiovascular findings.
A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints.
Which of the following information should the nurse include in the teaching?
a. Complete documentation about the client's status every hour while they are in restraints.
b. Maintain the client in restraints for a minimum of 4 hr.
c. Apply restraints when other means of managing the client's behavior have failed.
d. Request that the provider assess the client within 8 hr of the application of restraints.
c. Apply restraints when other means of managing the client's behavior have failed.
According to the Patient Self-Determination Act, clients have a right to be free from restraints or
seclusion unless the safety of the client or others is at risk. De-escalation methods for controlling
behavior should be attempted prior to initiating restraints.
A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the treatment
team?
a. Calling family members
b. Spending time alone
, 3
(RN VERIFIED)
c. Giving away possessions
d. Excessive crying
c. Giving away possessions
Giving away possessions indicates that this client is at greatest risk for suicide. Therefore, this is
the priority finding for the nurse to report to the treatment team.
A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the
following information should the nurse include in the teaching?
a. "You might notice an increase in saliva while taking this medication."
b. "You might experience difficulties with sexual functioning while taking this medication."
c. "You should expect an improvement in symptoms of depression in 3 to 4 days."
d. "You may notice a temporary ringing in the ears when starting this medication."
b. "You might experience difficulties with sexual functioning while taking this medication."
Fluoxetine is a selective serotonin reuptake inhibitor that can cause sexual dysfunction such as
anorgasmia and impotence. The nurse should instruct the client to notify the provider if sexual
dysfunction occurs.
A nurse is caring for a client whose child has a terminal illness. The client requests information
about how to deal with the upcoming loss. Which of the following statements should the nurse
make?
a. "It will be better for you to keep busy to avoid thinking about your child's death."
b. "You will complete the grieving process about a year after your child's death."
c. "The grief process will start once your child actually dies."
d. "It is not uncommon to feel angry toward yourself or others."
d. "It is not uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction when a client is
experiencing a loss.
, 4
(RN VERIFIED)
A nurse is admitting a client who has major depressive disorder and a new prescription for
tranylcypromine. Which of the following over-the-counter medications that the client reports
taking should alert the nurse to a potential adverse reaction?
a. Lansoprazole
b. Naproxen
c. Magnesium hydroxide
d. Phenylephrine
d. Phenylephrine
Clients who are taking tranylcypromine, an MAOI antidepressant, should not take phenylephrine
and other over-the-counter medications for sinus congestion, colds, or allergies due to their
actions on the sympathetic nervous system, which can result in severe hypertension.
A nurse is caring for a client who has schizophrenia and began taking a conventional
antipsychotic medication yesterday. Which of the following findings indicates the nurse should
administer benztropine 2 mg IM?
a. Shuffling gait
b. Hypotension
c. Decreased WBC count
d. Blurred vision
a. Shuffling gait
Benztropine is used to treat parkinsonism manifestations, such as shuffling gait.
A nurse is reviewing the electronic medical record of a client who has schizophrenia and is
taking clozapine. Which of the following findings is the priority for the nurse to notify the
provider?
a. The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month.
b. The client reports an inability to breathe easily.
