Mental Health Comprehensive Exam Questions And
Answers Verified 100% Correct
A 27-year-old female client is admitted to a psychiatric hospital with a diagnosis of
bipolar disorder, manic phase. She is demanding and active. Which intervention should
the nurse include in this clients plan of care?
A. Schedule her to attend various group activities.
B. Reinforce her ability to make her own decisions.
C. Encourage her to identify feelings of anger.
D. Provide a structural environment with little stimuli. - ANSWER Provide a structural
environment with little stimuli
The nurse plan to help an 18-year-old female intellectually disable client ambulate the
first postoperative day after an appendectomy. When the nurse tells the client it is time
to get out of bed, the client becomes angry and tells the nurse. "Get out of here I'll get
up when I'm ready!" Which response is best for the nurse to make?
A. "Your healthcare provider has prescribed ambulation on the first day
postoperative day."
B. "You must ambulate to avoid complications which could cause more discomfort
than ambulating."
C. "I know how you feel. You're angry about having to ambulate, but this will help
you get well."
D. "I'll be back in 30 minutes to help you get out of bed and walk around the room." -
ANSWER "I'll be back in 30 minutes to help you get out of bed and walk around the
room."
A 46-year-old female client has been on antipsychotic neuroleptic medication for the
past three days. She has had a decrease in psychotic behavior and appears to be
responding well to the medication. On the fourth day, the client blood pressure increase,
she becomes pale and febrile, and demonstrates muscular rigidity. Which action will the
nurse initiate.
A. Place the client on seizure precautions and monitor carefully.
B. Immediately transfer the client to ICU.
C. Describe the symptoms to the charge nurse and record on the clients chart.
D. No action is required at this time as these are known side effects of such drugs. -
ANSWER Immediately transfer the client to the ICU
,A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia. During the admission procedure, the client looks up and states. "No. It's
not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the
nurse to take?
A. Reassure the client by telling him that his fears of the admission procedure is to be
expected.
B. Tell the client that no one is accusing him of murder and remind him that the hospital
is a safe place.
C. Assess the content of the hallucination by asking the client what he is hearing.
D. Ignore the behavior and make no response at all to his delusional statements. -
ANSWER Assess the content of the hallucination by asking the client whats wrong
A 35-year-old male client on the psychiatric unit of a general hospital believes that
someone is trying to poison him. The nurse understands that a client's delusions are
most likely related to his
A. Early childhood experiences involving authority issues.
B. Anger about being hospitalized.
C. Low self-esteem
D. Phobia fear of food - ANSWER Low self- esteem
A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse
assesses the client mental status. Which assessment finding is most characteristic of a
client with schizophrenia?
A. Mood swings.
B. Extreme sadness.
C. Manipulative behavior.
D. Flat affect. - ANSWER Flat affect
The is concluding discharge teaching for a client with schizophrenia who plans to live in
a group home. Which statement is most indicative of the need for careful follow-up after
discharge?
A. "Crickets are a good course of protein."
B. "I have no heard any voices for a week."
C. "Only my belief in God can help me."
D. "Sometimes I have a hard time sitting still." - ANSWER "Only my belief in God can
help me."
A 52-year-old male client in the intensive care unit who has been oriented suddenly
becomes disoriented and fearful. Assessment of vital signs and other physical
parameter reveals no significant change and the nurse formulates the diagnosis.
, "Confusion related to ICU psychosis." Which intervention would best be to implement?
A. Move all machines away from the client's immediate area.
B. Attempt to allay the clients fears by explaining the etiology of his condition.
C. Cluster care so that brief periods of rest can be scheduled during the day.
D. Extend visitation times for family and friends. - ANSWER Cluster care so that brief
periods of rest can be scheduled during the day
The nurse observes a female client with schizophrenia watching the news on TV. She
beings to laugh softly and says. "Yes, my love, I'll do it." When the nurse questions the
client about her comment she states "The news commentator is my lover and he speaks
to me each evening. Only I can understand what he is saying." What is the best
response for the nurse to make?
A. "What do you believe the news commentator
said to you?"
B. "Let's watch news on a different television
channel."
C. "Does the news commentator have plan to harm
you or others?"
D. "The news commentator is not talking to you." - ANSWER What
do you believe the
new commentator said to
you?
A male client who is taking fluphenazine decanoate (Prolixin decanoate) is being
discharged in the morning. A repeat dose of the medication is scheduled for 20 days
after discharge. The client tells the nurse that he is going on vacation in the Bahamas
and will return in 18 days. Which statement by the client indicated a need for health
teaching?
A. "When I return from my tropical island vacation, I will go to the clinic to get my
Prolixin injection."
B. "While I am on vacation and when I return, I will not eat or drink anything that
contains alcohol."
C. "I will notify the healthcare provider if I have a sore throat or flu-like symptoms."
D. "I will continue to take my benztropine mesylate (Cogentin) every day." - ANSWER
"When I return from my tropical island vacation. I will go to the clinic to get my
Prolixin injection."
The nurse is leading a "current events group" with chronic psychiatric clients. One group
member states, " Clara Barton was my nurse during my last hospitalization. She was
very mean nurse and wasn't nice to me." Which response would be best for the nurse to
Answers Verified 100% Correct
A 27-year-old female client is admitted to a psychiatric hospital with a diagnosis of
bipolar disorder, manic phase. She is demanding and active. Which intervention should
the nurse include in this clients plan of care?
A. Schedule her to attend various group activities.
B. Reinforce her ability to make her own decisions.
C. Encourage her to identify feelings of anger.
D. Provide a structural environment with little stimuli. - ANSWER Provide a structural
environment with little stimuli
The nurse plan to help an 18-year-old female intellectually disable client ambulate the
first postoperative day after an appendectomy. When the nurse tells the client it is time
to get out of bed, the client becomes angry and tells the nurse. "Get out of here I'll get
up when I'm ready!" Which response is best for the nurse to make?
A. "Your healthcare provider has prescribed ambulation on the first day
postoperative day."
B. "You must ambulate to avoid complications which could cause more discomfort
than ambulating."
C. "I know how you feel. You're angry about having to ambulate, but this will help
you get well."
D. "I'll be back in 30 minutes to help you get out of bed and walk around the room." -
ANSWER "I'll be back in 30 minutes to help you get out of bed and walk around the
room."
A 46-year-old female client has been on antipsychotic neuroleptic medication for the
past three days. She has had a decrease in psychotic behavior and appears to be
responding well to the medication. On the fourth day, the client blood pressure increase,
she becomes pale and febrile, and demonstrates muscular rigidity. Which action will the
nurse initiate.
A. Place the client on seizure precautions and monitor carefully.
B. Immediately transfer the client to ICU.
C. Describe the symptoms to the charge nurse and record on the clients chart.
D. No action is required at this time as these are known side effects of such drugs. -
ANSWER Immediately transfer the client to the ICU
,A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia. During the admission procedure, the client looks up and states. "No. It's
not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the
nurse to take?
A. Reassure the client by telling him that his fears of the admission procedure is to be
expected.
B. Tell the client that no one is accusing him of murder and remind him that the hospital
is a safe place.
C. Assess the content of the hallucination by asking the client what he is hearing.
D. Ignore the behavior and make no response at all to his delusional statements. -
ANSWER Assess the content of the hallucination by asking the client whats wrong
A 35-year-old male client on the psychiatric unit of a general hospital believes that
someone is trying to poison him. The nurse understands that a client's delusions are
most likely related to his
A. Early childhood experiences involving authority issues.
B. Anger about being hospitalized.
C. Low self-esteem
D. Phobia fear of food - ANSWER Low self- esteem
A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse
assesses the client mental status. Which assessment finding is most characteristic of a
client with schizophrenia?
A. Mood swings.
B. Extreme sadness.
C. Manipulative behavior.
D. Flat affect. - ANSWER Flat affect
The is concluding discharge teaching for a client with schizophrenia who plans to live in
a group home. Which statement is most indicative of the need for careful follow-up after
discharge?
A. "Crickets are a good course of protein."
B. "I have no heard any voices for a week."
C. "Only my belief in God can help me."
D. "Sometimes I have a hard time sitting still." - ANSWER "Only my belief in God can
help me."
A 52-year-old male client in the intensive care unit who has been oriented suddenly
becomes disoriented and fearful. Assessment of vital signs and other physical
parameter reveals no significant change and the nurse formulates the diagnosis.
, "Confusion related to ICU psychosis." Which intervention would best be to implement?
A. Move all machines away from the client's immediate area.
B. Attempt to allay the clients fears by explaining the etiology of his condition.
C. Cluster care so that brief periods of rest can be scheduled during the day.
D. Extend visitation times for family and friends. - ANSWER Cluster care so that brief
periods of rest can be scheduled during the day
The nurse observes a female client with schizophrenia watching the news on TV. She
beings to laugh softly and says. "Yes, my love, I'll do it." When the nurse questions the
client about her comment she states "The news commentator is my lover and he speaks
to me each evening. Only I can understand what he is saying." What is the best
response for the nurse to make?
A. "What do you believe the news commentator
said to you?"
B. "Let's watch news on a different television
channel."
C. "Does the news commentator have plan to harm
you or others?"
D. "The news commentator is not talking to you." - ANSWER What
do you believe the
new commentator said to
you?
A male client who is taking fluphenazine decanoate (Prolixin decanoate) is being
discharged in the morning. A repeat dose of the medication is scheduled for 20 days
after discharge. The client tells the nurse that he is going on vacation in the Bahamas
and will return in 18 days. Which statement by the client indicated a need for health
teaching?
A. "When I return from my tropical island vacation, I will go to the clinic to get my
Prolixin injection."
B. "While I am on vacation and when I return, I will not eat or drink anything that
contains alcohol."
C. "I will notify the healthcare provider if I have a sore throat or flu-like symptoms."
D. "I will continue to take my benztropine mesylate (Cogentin) every day." - ANSWER
"When I return from my tropical island vacation. I will go to the clinic to get my
Prolixin injection."
The nurse is leading a "current events group" with chronic psychiatric clients. One group
member states, " Clara Barton was my nurse during my last hospitalization. She was
very mean nurse and wasn't nice to me." Which response would be best for the nurse to
