mental health final exam questions with
correct answers
an outpatient diagnosed with bipolar takes lithium carbonate 300 mg three times daily.
The patients reports nausea. To reduce the nausea most effectively, the nurse
suggests that the lithium be taken with - meals
the nurse is working with a client with somatic system disorder. What predominant
symptoms should the nurse expect to assess - disproportionate and persistent
thoughts about the seriousness of one's symptoms
which client should be assigned to a newly- graduated nurse who has just started on the
acute psychiatric unit - a client diagnosed with major depression and rumination
about loss and suicide
A geriatric nurse is teaching student nurses about the risk factors for development
of delirium in older adults. Which student statement indicates that learning has
occurred? - "Täking multiple medications may lead to adverse interactions or
toxicity."
A woman speaking of a rival for her husband's affection says in a gushy, syrupy
voice, "She is a lovely person. I simply adore her." The woman is using which one of
the following ego defense mechanisms? - reaction formation
Which statement by an emergency department nurse indicates accurate knowledge
of domestic violence? - "Power and contrabare central to the dynamic of
domestic violence."
A patient checks and rechecks electrical cords related to an obsessive thought that
the house may burn down. The nurse and patient explore the likelihood of an
actual fire. The patient states this event is not likely. This counseling demonstrates
principles of - cognitive restructuring
Which of the following behaviors would indicate to the nurse that care for a
client who dissociates has been most effective? - Client demonstrates three
stress management techniques
A client who is 5 foot 8 inches tall and weighs 105 pounds is admitted to the
medical unit with a diagnosis of anorexia nervosa. She has been taking laxatives
daily and, self-induces vomiting after eating. Which nursing diagnosis would take
priority at
this time? - Imbalanced nutrition:less than body requirements related to
inadequate food intake
MH5 When doing discharge teaching with your client who is taking chlorpromazine,
which of the following instructions is appropriate? - "Wear protective clothes and hat
when in the sun."
The case manager plans to discuss the treatment plan with a patient's family. Select
the case manager's first action. - Obtain the patient's permission for the exchange
of information.
A patient tells the nurse, "I know that I should reduce the stress in my life, but I have
no idea where to start." What would be the best initial nursing response? - "Let's talk
about what is going on in your life and then look at possible options."
, Which of the following best describes the experiences of a client with bulimia
nervosa when binging and purging? - Pleasure and a release of tension followed
by self degradation and depression.
A soldier returned 3 months ago from a combat zone and was diagnosed with PTSD.
Which social event would be most disturbing for this soldier? - Fireworks display
on July 4th
You are interviewing a patient with suicidal ideations and a history of major
depression. Which comment concerns you the most? - My father and my
brother both committed suicide."
Which medication should the nurse be prepared to educate patients on when they
are prescribed a selective serotonin reuptake inhibitor (SSRI) for panic attacks> -
fluoxette (Prozac)
A client is seeing her new general practitioner for the first time. She complains of
multiple somatic symptoms. The general practitioner suspects somatic symptom
disorder after completing a history. What would be the next most appropriate
step to confirm the diagnosis? - Complete a thorough physical examination
A health teaching plan for a patient taking lithium should include instructions to -
maintain normal sal and fluids in the diet.
A male high school student is attracted to a female teacher. The school nurse
overhears the student say, "I know she wants me. The nurse recognizes the
student is using which defense mechanism? - projection
A patient diagnosed with schizophrenia, paranoid type, is admitted to an acute-care
psychiatric hospital unit. Which nursing diagnosis should be give highest priority in
the initial nursing care plan? - Risk for Violence Directed at Self or Others
The nurse assesses a patient who complains of loneliness and episodes of anxiety.
Which statement by the patient is mostly likely if this patient also has agoraphobia? -
"Being afraid to go out seems ridiculous@but I can't go out the door."
What is being assessed when a nurse asks a client to identify name, date, residential
address, and situation? - orientating
A patient diagnosed with schizophrenia has been stable for 2 months. Today the
patient's spouse calls the nurse to report the patient has not taken prescribed
medication and is having disorganized thinking. The patient forgot to refill the
prescription. The nurse arranges a refill. Select the best outcome to add to the plan
of care. - The patient's spouse will mark dates for prescription refills on the
family calendar.
Which client should a nurse identify as a potential candidate for
involuntarily commitment? - A client verbalizing intent to commit suicide
Which statement should the nurse identify as correct regarding a client's right to
refuse treatment? - Professionals can override treatment refusal if the client is
actively suicidal or
homicidal.
Group therapy is strongly encouraged, but not mandatory, on an inpatient
psychiatric unit. The unit manager's policy is that clients can make a choice about
whether to attend group therapy. Which ethical principle does the unit manager's
policy preserve? - autonomy
The patient has schizophrenia, residual type. A nursing care plan should give priority
correct answers
an outpatient diagnosed with bipolar takes lithium carbonate 300 mg three times daily.
The patients reports nausea. To reduce the nausea most effectively, the nurse
suggests that the lithium be taken with - meals
the nurse is working with a client with somatic system disorder. What predominant
symptoms should the nurse expect to assess - disproportionate and persistent
thoughts about the seriousness of one's symptoms
which client should be assigned to a newly- graduated nurse who has just started on the
acute psychiatric unit - a client diagnosed with major depression and rumination
about loss and suicide
A geriatric nurse is teaching student nurses about the risk factors for development
of delirium in older adults. Which student statement indicates that learning has
occurred? - "Täking multiple medications may lead to adverse interactions or
toxicity."
A woman speaking of a rival for her husband's affection says in a gushy, syrupy
voice, "She is a lovely person. I simply adore her." The woman is using which one of
the following ego defense mechanisms? - reaction formation
Which statement by an emergency department nurse indicates accurate knowledge
of domestic violence? - "Power and contrabare central to the dynamic of
domestic violence."
A patient checks and rechecks electrical cords related to an obsessive thought that
the house may burn down. The nurse and patient explore the likelihood of an
actual fire. The patient states this event is not likely. This counseling demonstrates
principles of - cognitive restructuring
Which of the following behaviors would indicate to the nurse that care for a
client who dissociates has been most effective? - Client demonstrates three
stress management techniques
A client who is 5 foot 8 inches tall and weighs 105 pounds is admitted to the
medical unit with a diagnosis of anorexia nervosa. She has been taking laxatives
daily and, self-induces vomiting after eating. Which nursing diagnosis would take
priority at
this time? - Imbalanced nutrition:less than body requirements related to
inadequate food intake
MH5 When doing discharge teaching with your client who is taking chlorpromazine,
which of the following instructions is appropriate? - "Wear protective clothes and hat
when in the sun."
The case manager plans to discuss the treatment plan with a patient's family. Select
the case manager's first action. - Obtain the patient's permission for the exchange
of information.
A patient tells the nurse, "I know that I should reduce the stress in my life, but I have
no idea where to start." What would be the best initial nursing response? - "Let's talk
about what is going on in your life and then look at possible options."
, Which of the following best describes the experiences of a client with bulimia
nervosa when binging and purging? - Pleasure and a release of tension followed
by self degradation and depression.
A soldier returned 3 months ago from a combat zone and was diagnosed with PTSD.
Which social event would be most disturbing for this soldier? - Fireworks display
on July 4th
You are interviewing a patient with suicidal ideations and a history of major
depression. Which comment concerns you the most? - My father and my
brother both committed suicide."
Which medication should the nurse be prepared to educate patients on when they
are prescribed a selective serotonin reuptake inhibitor (SSRI) for panic attacks> -
fluoxette (Prozac)
A client is seeing her new general practitioner for the first time. She complains of
multiple somatic symptoms. The general practitioner suspects somatic symptom
disorder after completing a history. What would be the next most appropriate
step to confirm the diagnosis? - Complete a thorough physical examination
A health teaching plan for a patient taking lithium should include instructions to -
maintain normal sal and fluids in the diet.
A male high school student is attracted to a female teacher. The school nurse
overhears the student say, "I know she wants me. The nurse recognizes the
student is using which defense mechanism? - projection
A patient diagnosed with schizophrenia, paranoid type, is admitted to an acute-care
psychiatric hospital unit. Which nursing diagnosis should be give highest priority in
the initial nursing care plan? - Risk for Violence Directed at Self or Others
The nurse assesses a patient who complains of loneliness and episodes of anxiety.
Which statement by the patient is mostly likely if this patient also has agoraphobia? -
"Being afraid to go out seems ridiculous@but I can't go out the door."
What is being assessed when a nurse asks a client to identify name, date, residential
address, and situation? - orientating
A patient diagnosed with schizophrenia has been stable for 2 months. Today the
patient's spouse calls the nurse to report the patient has not taken prescribed
medication and is having disorganized thinking. The patient forgot to refill the
prescription. The nurse arranges a refill. Select the best outcome to add to the plan
of care. - The patient's spouse will mark dates for prescription refills on the
family calendar.
Which client should a nurse identify as a potential candidate for
involuntarily commitment? - A client verbalizing intent to commit suicide
Which statement should the nurse identify as correct regarding a client's right to
refuse treatment? - Professionals can override treatment refusal if the client is
actively suicidal or
homicidal.
Group therapy is strongly encouraged, but not mandatory, on an inpatient
psychiatric unit. The unit manager's policy is that clients can make a choice about
whether to attend group therapy. Which ethical principle does the unit manager's
policy preserve? - autonomy
The patient has schizophrenia, residual type. A nursing care plan should give priority
