MENTAL HEALTH EXAM 2 PRACTICE
QUESTIONS correctly answered to
pass
A client who has borderline personality disorder and assaulted a homeless man with a metal
rod - correct answer ✔✔ a nurse in an emergency mental health facility is caring for a group of
clients. the nurse should identify that which of the following clients requires a temporary
emergency admission?
False imprisonment - correct answer ✔✔ A nurse decodes to put a client who has a psychotic
disorder in seclusion overnight because the unit is very short-staffed, and the client frequently
fights with other clients. The nurses actions are an example of which of the following torts?
Report the incident to the healthcare team, but do not inform the client of the intention to do
so. - correct answer ✔✔ A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under
my mattress in order to protect myself from my roommate, who is always threatening me".
Which of the following actions should the nurse take?
"Client was offered 8oz of water every hr."
"Client shouted obscenities at assistive personnel."
"Client acted out after lunch." - correct answer ✔✔ A nurse is caring for a client who is in
mechanical restraints. Which of the following statements should the nurse include in the
documentation?
Tell the nurse to stop discussing the behavior - correct answer ✔✔ A nurse hears a newly
licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of
the following actions should the nurse take first?
, Denial - correct answer ✔✔ 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?
Moderate - correct answer ✔✔ A nurse is providing preoperative teaching for a client who was
informed of the need for emergency surgery. The client has a respiratory rate of 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?
Discuss prior use of coping mechanisms with the client - correct answer ✔✔ 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?
Excessive stressors cause the client to experience distress - correct answer ✔✔ A nurse is
preparing an educational seminar on stress for other nursing staff. Which of the following
information should the nurse include in the discussion?
Depressed immune response
Increased blood pressure
Unhappiness - correct answer ✔✔ A nurse is discussing acute vs. prolonged stress with a client.
Which of following effects should the nurse identify as an acute stress response?
"Cognitive reframing will help me change my irrational thoughts to something positive". -
correct answer ✔✔ A nurse is teaching a client about stress-reduction techniques. Which of the
following client statements indicates understanding of the teaching?
QUESTIONS correctly answered to
pass
A client who has borderline personality disorder and assaulted a homeless man with a metal
rod - correct answer ✔✔ a nurse in an emergency mental health facility is caring for a group of
clients. the nurse should identify that which of the following clients requires a temporary
emergency admission?
False imprisonment - correct answer ✔✔ A nurse decodes to put a client who has a psychotic
disorder in seclusion overnight because the unit is very short-staffed, and the client frequently
fights with other clients. The nurses actions are an example of which of the following torts?
Report the incident to the healthcare team, but do not inform the client of the intention to do
so. - correct answer ✔✔ A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under
my mattress in order to protect myself from my roommate, who is always threatening me".
Which of the following actions should the nurse take?
"Client was offered 8oz of water every hr."
"Client shouted obscenities at assistive personnel."
"Client acted out after lunch." - correct answer ✔✔ A nurse is caring for a client who is in
mechanical restraints. Which of the following statements should the nurse include in the
documentation?
Tell the nurse to stop discussing the behavior - correct answer ✔✔ A nurse hears a newly
licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of
the following actions should the nurse take first?
, Denial - correct answer ✔✔ 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?
Moderate - correct answer ✔✔ A nurse is providing preoperative teaching for a client who was
informed of the need for emergency surgery. The client has a respiratory rate of 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?
Discuss prior use of coping mechanisms with the client - correct answer ✔✔ 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?
Excessive stressors cause the client to experience distress - correct answer ✔✔ A nurse is
preparing an educational seminar on stress for other nursing staff. Which of the following
information should the nurse include in the discussion?
Depressed immune response
Increased blood pressure
Unhappiness - correct answer ✔✔ A nurse is discussing acute vs. prolonged stress with a client.
Which of following effects should the nurse identify as an acute stress response?
"Cognitive reframing will help me change my irrational thoughts to something positive". -
correct answer ✔✔ A nurse is teaching a client about stress-reduction techniques. Which of the
following client statements indicates understanding of the teaching?
