Psychiatric/Mental Health Practice
Exam with verified answers passed
B. Dental erosion.
A client with bulimia often denies binging and purging with induced vomiting that causes
erosion of tooth enamel (B), which should be reported for evaluation by the treatment team.
(A, C, and D) are more common with anorexia, not bulimia. - correct answer ✔✔ The practical
nurse (PN) is caring for a client with bulimia who continues to deny purging. Which finding
should the PN report to the RN?
A. O Amenorrhea.
B. O Dental erosion.
C. O Thin, brittle hair.
D. O Clubbing of the fingers.
B. Ideas of reference
Ideas of reference (B) are misinterpretations of the verbalizations or actions of others that the
client gives suspicious personal meanings to these behaviors. This behavior does not reflect (A,
C, or D). - correct answer ✔✔ The practical nurse (PN) is assessing a newly admitted client with
paranoid schizophrenia who is hypervigilant and who constantly scans the environment. The
client tells the PN, "I saw those two doctors in the hall talking about me." What descriptive
terminology should the PN document to describe the client's thought process?
, A. O Echolalia.
B. O Ideas of reference.
C. • Delusions of infidelity.
D. Auditory hallucinations.
D. Schedule occupational therapy and unit activities for this client.
Distraction and engagement in productive tasks, such as occupational therapy (OT) and unit
activities, provide opportunities for the client to socialize and interact with others and limits his
time for self-absorption and self-criticism (D). (A, B, and C) are solo activities that allow the
client time to ruminate over his past. - correct answer ✔✔ A male client who is hospitalized for
depression ruminates over poor financial decisions that he made in the past and calls himself
"stupid". Which strategy should the practical nurse (PN) implement to limit the amount of time
the client spends on negative self-evaluation?
A. O Assign client to dust and sweep unit floors.
B. Have client write thoughts and feelings in a journal. Incorrect
C. O Contract with client to focus only on positive topics.
D. O Schedule occupational therapy and unit activities for client.
A. Thiamine - correct answer ✔✔ A man who has been admitted numerous times for alcohol
detoxification is found wandering in the street and is unable to identify himself or his home
address. He is manifesting ataxia, nystagmus, and confusion and has a blood alcohol level (BAL)
Exam with verified answers passed
B. Dental erosion.
A client with bulimia often denies binging and purging with induced vomiting that causes
erosion of tooth enamel (B), which should be reported for evaluation by the treatment team.
(A, C, and D) are more common with anorexia, not bulimia. - correct answer ✔✔ The practical
nurse (PN) is caring for a client with bulimia who continues to deny purging. Which finding
should the PN report to the RN?
A. O Amenorrhea.
B. O Dental erosion.
C. O Thin, brittle hair.
D. O Clubbing of the fingers.
B. Ideas of reference
Ideas of reference (B) are misinterpretations of the verbalizations or actions of others that the
client gives suspicious personal meanings to these behaviors. This behavior does not reflect (A,
C, or D). - correct answer ✔✔ The practical nurse (PN) is assessing a newly admitted client with
paranoid schizophrenia who is hypervigilant and who constantly scans the environment. The
client tells the PN, "I saw those two doctors in the hall talking about me." What descriptive
terminology should the PN document to describe the client's thought process?
, A. O Echolalia.
B. O Ideas of reference.
C. • Delusions of infidelity.
D. Auditory hallucinations.
D. Schedule occupational therapy and unit activities for this client.
Distraction and engagement in productive tasks, such as occupational therapy (OT) and unit
activities, provide opportunities for the client to socialize and interact with others and limits his
time for self-absorption and self-criticism (D). (A, B, and C) are solo activities that allow the
client time to ruminate over his past. - correct answer ✔✔ A male client who is hospitalized for
depression ruminates over poor financial decisions that he made in the past and calls himself
"stupid". Which strategy should the practical nurse (PN) implement to limit the amount of time
the client spends on negative self-evaluation?
A. O Assign client to dust and sweep unit floors.
B. Have client write thoughts and feelings in a journal. Incorrect
C. O Contract with client to focus only on positive topics.
D. O Schedule occupational therapy and unit activities for client.
A. Thiamine - correct answer ✔✔ A man who has been admitted numerous times for alcohol
detoxification is found wandering in the street and is unable to identify himself or his home
address. He is manifesting ataxia, nystagmus, and confusion and has a blood alcohol level (BAL)
