Mental Health Exam 6 review questions
n answers rated A+
A nurse is completing an admission assessment of a client admitted for an infection. The client
states living in a homeless shelter. What additional assessments should the nurse complete on
the client? Select all that apply.
a. Nutrition
b. Mental illness
c. Substance abuse
d. Medication intake
e. Vision
A, B, C,
A homeless client with bipolar disorder states that sometimes he feels "normal," but does not
know how to begin to put his life back together. Which of the following nursing diagnoses would
provide the best direction for intervention?
a. Social Isolation related to chronic homelessness
b. Chronic Low Self-Esteem related to social stigma associated with mental illness
c. Powerlessness related to history of minimal functioning
d. Ineffective Coping related to mental illness
C
This client is feeling Powerlessness related to lack of personal control over environment.
A nursing instructor is teaching a class on homelessness and informs students that the homeless
are 3 to 6 times more likely to become ill, but until barriers to care are identified nothing will be
done. What does the instructor list as common barriers to care for this group? Select all that
apply.
a. Lack of knowledge about where to get treatment
b. Lack of identification
c. Lack of transportation
d. Having a friend fill out the forms
e. Embarrassment
, A,B, C, E
A client with schizophrenia and substance abuse disorder is admitted to a detoxification
program. The client has been prescribed neuroleptic medications for schizophrenia. When
caring for this client, the nurse would implement interventions to reduce the client's risk for
relapse, integrating knowledge that relapse frequently is secondary to which of the following?
a. Poor social skills
b. Lack of vocational skills
c. Medication nonadherence
d. Dysfunctional family systems
C
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain
why it is so easy to start drinking again, even though hospitalization and prescribed medications
can eventually "control" his mental problems. Which statement by the client would the nurse
interpret as reflecting the client's beliefs?
a. "It just seems easier and cheaper to go out and get a bottle or a fix than it does to keep
paying for medications with money I don't have."
b. "If I come out of the hospital and keep taking my prescribed medications, I know I will
function better, but I won't be able to escape my feelings or feel high like I do when I drink."
c. "I just don't like the side effects my prescribed medications cause, and, besides that, I can
never remember to take them at specific times or with food."
d. "I don't like to take them because then my spouse expects me to be more responsible and to
help around the house more often. I don't have to be bothered with that when I drink or use."
B
A nurse is presenting to a church group a program about domestic violence. During the
presentation, a member of the audience asks the nurse to explain what "intergenerational
transmission of violence" means because the person has seen that phrase used in the media.
Which response by the nurse would be most appropriate?
a. "People who are violent are that way because of the various neurochemical imbalances in
their brains."
b. "People who grow up in violent home situations tend to be involved in domestic violence
situations as an adult."
c. "Recent research has identified a gene that is responsible for transmission of a risk for violent
n answers rated A+
A nurse is completing an admission assessment of a client admitted for an infection. The client
states living in a homeless shelter. What additional assessments should the nurse complete on
the client? Select all that apply.
a. Nutrition
b. Mental illness
c. Substance abuse
d. Medication intake
e. Vision
A, B, C,
A homeless client with bipolar disorder states that sometimes he feels "normal," but does not
know how to begin to put his life back together. Which of the following nursing diagnoses would
provide the best direction for intervention?
a. Social Isolation related to chronic homelessness
b. Chronic Low Self-Esteem related to social stigma associated with mental illness
c. Powerlessness related to history of minimal functioning
d. Ineffective Coping related to mental illness
C
This client is feeling Powerlessness related to lack of personal control over environment.
A nursing instructor is teaching a class on homelessness and informs students that the homeless
are 3 to 6 times more likely to become ill, but until barriers to care are identified nothing will be
done. What does the instructor list as common barriers to care for this group? Select all that
apply.
a. Lack of knowledge about where to get treatment
b. Lack of identification
c. Lack of transportation
d. Having a friend fill out the forms
e. Embarrassment
, A,B, C, E
A client with schizophrenia and substance abuse disorder is admitted to a detoxification
program. The client has been prescribed neuroleptic medications for schizophrenia. When
caring for this client, the nurse would implement interventions to reduce the client's risk for
relapse, integrating knowledge that relapse frequently is secondary to which of the following?
a. Poor social skills
b. Lack of vocational skills
c. Medication nonadherence
d. Dysfunctional family systems
C
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain
why it is so easy to start drinking again, even though hospitalization and prescribed medications
can eventually "control" his mental problems. Which statement by the client would the nurse
interpret as reflecting the client's beliefs?
a. "It just seems easier and cheaper to go out and get a bottle or a fix than it does to keep
paying for medications with money I don't have."
b. "If I come out of the hospital and keep taking my prescribed medications, I know I will
function better, but I won't be able to escape my feelings or feel high like I do when I drink."
c. "I just don't like the side effects my prescribed medications cause, and, besides that, I can
never remember to take them at specific times or with food."
d. "I don't like to take them because then my spouse expects me to be more responsible and to
help around the house more often. I don't have to be bothered with that when I drink or use."
B
A nurse is presenting to a church group a program about domestic violence. During the
presentation, a member of the audience asks the nurse to explain what "intergenerational
transmission of violence" means because the person has seen that phrase used in the media.
Which response by the nurse would be most appropriate?
a. "People who are violent are that way because of the various neurochemical imbalances in
their brains."
b. "People who grow up in violent home situations tend to be involved in domestic violence
situations as an adult."
c. "Recent research has identified a gene that is responsible for transmission of a risk for violent
