2024/500+ ACTUAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS WITH
EXPLANATIONS/RN MENTAL HEALTH PROCTORED
EAM TESTBANK 2024-2025/BRAND NEW!!!ALREADY
GRADED A+
A caregiver in a mental health unit is admitting a patient
who isanxious because he often hears voices telling him
what to do. Which of the following actions should the
caregiver take?
1. Tell the patient that the voices do not really
exist2. Touch the patient to help reduce his
anxiety
3. Instruct the patient to go to a quiet room when he
hearsvoices
4. Ask the patient what the voices are saying -
...ACCURATE RESPONSE...4. Ask the patient what the
voices are saying
EXPLANATION: It is important for the caregiver to ask
the patient directly about the hallucinations to determine if
the patient orothers are at risk for injury
A caregiver is planning care for a newly admitted patient
who hasbipolar disorder. Which of the following is the
priority action by the caregiver?
1. Schedule the patient for group therapy
sessions2. Maintain consistent rules
3. Provide frequent high-calorie snacks
4. Avoid the use of value judgments - ...ACCURATE
RESPONSE...3.Provide frequent high-calorie snacks
,EXPLANATION: The priority action the caregiver I I I I I
should take whenusing Maslow's hierarchy of needs is to
I I I I I I I I I I
meet the patient's need for adequate nutrition. Therefore,
I I I I I I I I
providing high- calorie snacks is the priority action for the
I I I I I I I I I I
caregiver to take.
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A caregiver is teaching a patient who has a depressive
I I I I I I I I I
disorder about fluoxetine. Which of the following
I I I I I I I
information shouldthe caregiver include in the teaching?
I I I I I I I I
1. "You may notice an increase in saliva while taking this
I I I I I I I I I
medication."
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2. "You may experience difficulties with sexual functioning
I I I I I I
while taking this medication."
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3. "You should expect an improvement in symptoms of
I I I I I I I
depression in 3 to 4 days."
I I I I I I
4. "You may notice a temporary ringing in the ears when
I I I I I I I I I
starting this medication." - ...ACCURATE RESPONSE...2.
I I I I I I
"You may experience difficulties with sexual functioning
I I I I I I I
while takingthis medication."
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EXPLANATION: Fluoxetine is a selective serotonin I I I I I
reuptakeinhibitor that can cause sexual dysfunction
I I I I I I I
such as anorgasmia and impotence. The caregiver
I I I I I I I
should instruct thepatient to notify the provider if
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sexual dysfunction occurs.
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A caregiver is educating the parent of a child who has a
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new diagnosis of autism spectrum disorder. Which of the
I I I I I I I I I
following manifestations of this disorder should the
I I I I I I I
caregiverinclude in the teaching?
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1. Fear of abandonment
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2. Motor and verbal tics
I I I I I
3. Hostile behavior
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,4. Language delay - ...ACCURATE RESPONSE...4.
I I I I I
Language delay
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EXPLANATION: A child who has autism spectrum I I I I I I
disorderusually has language delay
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A caregiver is caring for an older patient who is
I I I I I I I I I
experiencing delirium. Which of the following
I I I I I I
interventions should thecaregiver include in the patient's
I I I I I I I I
plan of care?
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1. Offer the patient various choices for meal selection
I I I I I I I I
2. Assign different nursing personnel for each shift
I I I I I I I I
3. Permit the patient to perform daily rituals to decrease
I I I I I I I I
anxiety
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4. Maintain an environment that has low lighting - I I I I I I I
...ACCURATE RESPONSE...3. Permit the patient to I I I I I
perform daily rituals todecrease anxiety
I I I I I I
A caregiver in an acute mental health facility is
I I I I I I I I
receivingchange-of-shift report for four patients.
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Which of the following patients should the caregiver
I I I I I I I I
assess first?
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1. A patient who does not recognize familiar people
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2. A patient who is awake and disoriented at night
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3. A patient who is awake and disoriented at night
I I I I I I I I I I
4. A patient who is experiencing delusions of persecution -
I I I I I I I I I
...ACCURATE RESPONSE...4. A patient who is I I I I I
experiencing delusions ofpersecution
I I I I
EXPLANATION: The presence of delusions of I I I I I
persecution indicates that this patient is at the greatest risk
I I I I I I I I I I
for injury dueto the patient's belief that a person in power is
I I I I I I I I I I I I I
out to harm him. Therefore, the caregiver should assess this
I I I I I I I I I I
, I patient first. I
During a patient's initial interview in a mental health inpatient
I I I I I I I I I
setting, the caregiver identifies that the patient is maintaining
I I I I I I I I I
eye contact and leaning forward. Which of the following
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assumptions should the caregiver make based on the patient's
I I I I I I I I I
nonverbal behaviors?
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1. The patient is interested in what the caregiver is
I I I I I I I I I
saying2. The patient is attempting to manipulate the
I I I I I I I I I
Icaregiver 3. The patient is physically attracted to the
I I I I I I I I
caregiver
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4. The patient needs to feel accepted by the caregiver -
I I I I I I I I I I
...ACCURATE RESPONSE...1. The patient is interested in I I I I I I
what the caregiver issaying.
I I I I I
EXPLANATION: The patient's posture and eye contact I I I I I I
demonstratethat she is interested in the interview and what
I I I I I I I I I I
the caregiver is saying.
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A caregiver who works with newborns is assessing the
I I I I I I I I
potentialfor abuse or neglect. Which of the following family
I I I I I I I I I I
groups should the caregiver identify as the highest potential
I I I I I I I I I
for futurechild abuse?
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1. A family in which both parents are adolescents
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2. A family in which the parents respond indifferently
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toward their newborn
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3. A family where one or both parents witnessed intimate
I I I I I I I I
partner violence in the home as children
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4. A family in which one or both parents has a
I I I I I I I I I
developmental disability - ...ACCURATE RESPONSE...3.
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A family whereone or both parents witnessed intimate
I I I I I I I I I
partner violence in the home as children
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