HEALTH| QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT|
GRADE A +
A charge nurse is discussing mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching? (Select all that apply.)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify out most
recent presidents." -
F. Answer-A. "To assess cognitive ability, I should ask the client to count backward
by sevens."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
A nurse is planning care for a client who has a mental health disorder. Which of
the following actions should the nurse include as a psychobiological
intervention?
A. Assist the client with systematic desensitization therapy
B. Teach the client appropriate coping mechanisms
C. Assess the client for comorbid health conditions
D. Monitor the client for adverse effects of medications -
Answer-D. Monitor the client for adverse effects of medications
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the following
actions should the nurse identify as the priority?
A. Coordinate holistic care with social services
B. Identify the client's perception of their mental health status
C. Include the client's family in the interview
D. Teach the client about their current mental health disorder -
E. Answer-B. Identify the client's perception of their mental health status
A nurse is planning a peer group discussion about the Diagnostic and Statistical
Manual of Mental disorders, 5th Edition (DSM-5). Which of the following
information is appropriate to include in the discussion? (Select all that apply.)
A. The DSM-5 includes client education handouts for mental health disorders
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders
C. The DSM-5 indicates recommended pharmacological treatment for mental health
disorders
, D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders
E. The DSM-5 indicates expected assessment findings of mental health disorders -
F. Answer-B. The DSM-5 establishes diagnostic criteria for individual mental
health disorders
D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders
E. The DSM-5 indicates expected assessment findings of mental health disorders
A nurse is caring for a client who smokes and has lung cancer. The client
reports, "I'm coughing because I have that cold that everyone has been
getting." The nurse should identify that the client is using which of the
following defense mechanisms?
A. Reaction formation
B. Denial
C. Displacement
D. Sublimation -
Answer-B. Denial
A nurse is providing preoperative teaching for a client who was informed of the
need for emergency surgery. The client has a respiratory rate 30/min, and says,
"This is difficult to comprehend. I feel shaky and nervous." The nurse should
identify that the client is experiencing which of the following levels of anxiety?
A. Mild
B. Moderate
C. Severe
D. Panic -
E. Answer-B. Moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse take when trying to give necessary information
to the client? (Select all that apply.)
A. Reassure the client that everything will be okay
B. Discuss prior use of coping mechanisms with the client
C. Ignore the client's anxiety so that she will not be embarrassed
D. Demonstrate a calm manner while using simple and clear directions
E. Gather information from the client using closed-ended questions -
F. Answer-B. Discuss prior use of coping mechanisms with the client
D. Demonstrate a calm manner while using simple and clear directions
A nurse is planning care for several clients who are attending community-based
mental health programs. Which of the following clients should the nurse visit
first?
A. A client who received a burn on the arm while using a hot iron at home
B. A client who requests a change of antipsychotic medication due to some new
adverse effects