Mental Health Exam 2 - practice
questions with complete solutions
passed
d. "Are you embarrassed because you're crying?" - correct answer ✔✔ The nurse finds a client
crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying like a baby."
The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?"
b. disturbed thought processes - correct answer ✔✔ A withdrawn client is assessed as having
distorted thinking that is not reality based. A nursing diagnosis that should be considered for
her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping.
d. Auditory hallucinations.
e. Impaired reality testing. - correct answer ✔✔ Jim is sometimes seen moving his lips silently or
murmuring to himself when he does not realize others are watching. Sometimes when he is
conversing with others, he suddenly stops, appears distracted for a moment, and then resumes.
,Based on these observations, Jim most likely is experiencing which symptom(s)? Select all that
apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors.
d. poorly organized thinking. - correct answer ✔✔ Looseness of associations in a person with
schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking.
a. Apathy - correct answer ✔✔ Which assessment finding represents a negative symptom of
schizophrenia?
a. Apathy
b. Delusion
c. Motor tic
d. Hallucination
,b. Loss of contact with reality - correct answer ✔✔ In general, when a nurse admitting a client
experiencing an acute schizophrenia episode, she would most likely assess which of the
following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking
b. Hallucinations. - correct answer ✔✔ While the nurse was doing the assessment, Jeffery
turned to an empty chair talking as if someone was sitting there. The nurse was unable to
understand what he was mumbling. This, in fact, indicates that the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas.
c. The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present - correct answer ✔✔ According to
the previous scenario, which of the following symptoms is considered a negative symptom of
schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
, d. The patient believes that everything in the environment refer to him
a. Elevated temperature
-Neuroleptic malignant syndrome - correct answer ✔✔ The client is prescribed a first-
generation neuroleptic for his schizophrenia. Discharge teaching by the nurse should include
contacting the health provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time
a. The client no longer has hallucinations
-first generation antipsychotic - correct answer ✔✔ The client has been on Haldol since
admission. Which assessment by the nurse would best determine the effectiveness of a client's
antipsychotic medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge
d. Monitor vital signs and blood pressure - correct answer ✔✔ A client has developed
neuroleptic malignant syndrome. A priority nursing intervention would be which of the
following?
questions with complete solutions
passed
d. "Are you embarrassed because you're crying?" - correct answer ✔✔ The nurse finds a client
crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying like a baby."
The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?"
b. disturbed thought processes - correct answer ✔✔ A withdrawn client is assessed as having
distorted thinking that is not reality based. A nursing diagnosis that should be considered for
her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping.
d. Auditory hallucinations.
e. Impaired reality testing. - correct answer ✔✔ Jim is sometimes seen moving his lips silently or
murmuring to himself when he does not realize others are watching. Sometimes when he is
conversing with others, he suddenly stops, appears distracted for a moment, and then resumes.
,Based on these observations, Jim most likely is experiencing which symptom(s)? Select all that
apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors.
d. poorly organized thinking. - correct answer ✔✔ Looseness of associations in a person with
schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking.
a. Apathy - correct answer ✔✔ Which assessment finding represents a negative symptom of
schizophrenia?
a. Apathy
b. Delusion
c. Motor tic
d. Hallucination
,b. Loss of contact with reality - correct answer ✔✔ In general, when a nurse admitting a client
experiencing an acute schizophrenia episode, she would most likely assess which of the
following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking
b. Hallucinations. - correct answer ✔✔ While the nurse was doing the assessment, Jeffery
turned to an empty chair talking as if someone was sitting there. The nurse was unable to
understand what he was mumbling. This, in fact, indicates that the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas.
c. The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present - correct answer ✔✔ According to
the previous scenario, which of the following symptoms is considered a negative symptom of
schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
, d. The patient believes that everything in the environment refer to him
a. Elevated temperature
-Neuroleptic malignant syndrome - correct answer ✔✔ The client is prescribed a first-
generation neuroleptic for his schizophrenia. Discharge teaching by the nurse should include
contacting the health provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time
a. The client no longer has hallucinations
-first generation antipsychotic - correct answer ✔✔ The client has been on Haldol since
admission. Which assessment by the nurse would best determine the effectiveness of a client's
antipsychotic medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge
d. Monitor vital signs and blood pressure - correct answer ✔✔ A client has developed
neuroleptic malignant syndrome. A priority nursing intervention would be which of the
following?
