500+ ACTUAL EXAM QUESTIONS WITH CORRECT
gt gt gt gt gt gt
DETAILED ANSWERS WITH EXPLANATIONS/RN
gt gt gt gt
MENTAL HEALTH PROCTORED EAM TESTBANK
gt gt gt gt gt
/BRAND NEW!!!ALREADY GRADED A+ gt gt gt gt
A caregiver in a mental health unit is admitting a patient who
gt gt gt gt gt gt gt gt gt gt gt
isanxious because he often hears voices telling him what to
gt gt gt gt gt gt gt gt gt gt gt
do. Which of the following actions should the caregiver take?
gt gt gt gt gt gt gt gt gt gt
1. Tell the patient that the voices do not really exist2.
gt gt gt gt gt gt gt gt gt gt gt
Touch the patient to help reduce his anxiety
gt gt gt gt gt gt gt gt
3. Instruct the patient to go to a quiet room when he hears gt gt gt gt gt gt gt gt gt gt gt
voices
gt
4. Ask the patient what the voices are saying -
gt gt gt gt gt gt gt gt
...ACCURATE RESPONSE...4. Ask the patient what the gt gt gt gt gt gt
voices are saying
gt gt gt
EXPLANATION: It is important for the caregiver to ask the gt gt gt gt gt gt gt gt gt
patient directly about the hallucinations to determine if the
gt gt gt gt gt gt gt gt gt
patient orothers are at risk for injury
gt gt t
g gt gt gt gt gt
A caregiver is planning care for a newly admitted patient who
gt gt gt gt gt gt gt gt gt gt
hasbipolar disorder. Which of the following is the priority
gt gt gt gt gt gt gt gt gt gt
action by the caregiver?
gt gt gt gt
1. Schedule the patient for group therapy sessions
gt gt gt gt gt gt gt
2. Maintain consistent rules
gt gt gt gt
3. Provide frequent high-calorie snacks gt gt gt
4. Avoid the use of value judgments - ...ACCURATE gt gt gt gt gt gt gt
RESPONSE...3.Provide frequent high-calorie snacks
gt t
g gt gt gt
EXPLANATION: The priority action the caregiver should gt gt gt gt gt gt
take whenusing Maslow's hierarchy of needs is to meet the
gt gt t
g gt gt gt gt gt gt gt gt
,gt patient's need for adequate nutrition. Therefore, providing
gt gt gt gt gt gt
gt high- calorie snacks is the priority action for the caregiver to
gt gt gt gt gt gt gt gt gt gt
gt take.
A caregiver is teaching a patient who has a depressive disorder
gt gt gt gt gt gt gt gt gt gt
about fluoxetine. Which of the following information should
gt gt gt gt gt gt gt gt
the caregiver include in the teaching?
gt gt gt gt gt gt
1. "You may notice an increase in saliva while taking this
gt gt gt gt gt gt gt gt gt
medication."
gt
2. "You may experience difficulties with sexual functioning
gt gt gt gt gt gt
while taking this medication."
gt gt gt gt
3. "You should expect an improvement in symptoms of
gt gt gt gt gt gt gt
depression in 3 to 4 days."
gt gt gt gt gt gt
4. "You may notice a temporary ringing in the ears when
gt gt gt gt gt gt gt gt gt
starting this medication." - ...ACCURATE RESPONSE...2.
gt gt gt gt gt gt
"You may experience difficulties with sexual functioning
gt gt gt gt gt gt gt
while takingthis medication."
gt gt t
g gt
EXPLANATION: Fluoxetine is a selective serotonin gt gt gt gt gt
reuptakeinhibitor that can cause sexual dysfunction such
gt t
g gt gt gt gt gt gt
as anorgasmia and impotence. The caregiver should
gt gt gt gt gt gt gt
instruct thepatient to notify the provider if sexual
gt gt t
g gt gt gt gt gt gt
dysfunction occurs.
gt gt
A caregiver is educating the parent of a child who has a new
gt gt gt gt gt gt gt gt gt gt gt gt
diagnosis of autism spectrum disorder. Which of the
gt gt gt gt gt gt gt gt
following manifestations of this disorder should the
gt gt gt gt gt gt gt
caregiverinclude in the teaching?
gt t
g gt gt gt
1. Fear of abandonment
gt gt gt
2. Motor and verbal tics
gt gt gt gt gt
3. Hostile behavior
gt gt gt
4. Language delay - ...ACCURATE RESPONSE...4. Language
gt gt gt gt gt gt
delay
gt
,EXPLANATION: A child who has autism spectrum gt gt gt gt gt gt
disorderusually has language delay
gt t
g gt gt gt
A caregiver is caring for an older patient who is
gt gt gt gt gt gt gt gt gt
experiencing delirium. Which of the following
gt gt gt gt gt gt
interventions should thecaregiver include in the patient's
gt gt gt t
g gt gt gt gt
plan of care?
gt gt gt
1. Offer the patient various choices for meal selection
gt gt gt gt gt gt gt gt
2. Assign different nursing personnel for each shift
gt gt gt gt gt gt gt gt
3. Permit the patient to perform daily rituals to decrease
gt gt gt gt gt gt gt gt
anxiety
gt
4. Maintain an environment that has low lighting - gt gt gt gt gt gt gt
...ACCURATE RESPONSE...3. Permit the patient to gt gt gt gt gt
perform daily rituals todecrease anxiety
gt gt gt gt t
g gt
A caregiver in an acute mental health facility is
gt gt gt gt gt gt gt gt
receivingchange-of-shift report for four patients.
gt t
g gt gt gt gt
Which of the following patients should the caregiver
gt gt gt gt gt gt gt gt
assess first?
gt gt
1. A patient who does not recognize familiar people
gt gt gt gt gt gt gt gt
2. A patient who is awake and disoriented at night 3.
gt gt gt gt gt gt gt gt gt gt gt
A patient who is awake and disoriented at night
gt gt gt gt gt gt gt gt gt
4. A patient who is experiencing delusions of persecution -
gt gt gt gt gt gt gt gt gt
...ACCURATE RESPONSE...4. A patient who is gt gt gt gt gt
experiencing delusions ofpersecution
gt gt gt gt
EXPLANATION: The presence of delusions of persecution gt gt gt gt gt gt
indicates that this patient is at the greatest risk for injury dueto
gt gt gt gt gt gt gt gt gt gt gt gt gt
the patient's belief that a person in power is out to harm him.
gt gt gt gt gt gt gt gt gt gt gt gt gt
Therefore, the caregiver should assess this patient first.
gt gt gt gt gt gt gt gt
During a patient's initial interview in a mental health inpatient
gt gt gt gt gt gt gt gt gt
, setting, the caregiver identifies that the patient is maintaining
gt gt gt gt gt gt gt gt gt
eye contact and leaning forward. Which of the following
gt gt gt gt gt gt gt gt gt
assumptions should the caregiver make based on the patient's
gt gt gt gt gt gt gt gt gt
nonverbal behaviors?
gt gt
1. The patient is interested in what the caregiver is
gt gt gt gt gt gt gt gt gt
saying2. The patient is attempting to manipulate the
gt gt gt gt gt gt gt gt gt
caregiver 3. The patient is physically attracted to the
gt gt gt gt gt gt gt gt gt
caregiver
gt
4. The patient needs to feel accepted by the caregiver -
gt gt gt gt gt gt gt gt gt gt
...ACCURATE RESPONSE...1. The patient is interested in gt gt gt gt gt gt
what the caregiver issaying.
gt gt gt gt t
g
EXPLANATION: The patient's posture and eye contact gt gt gt gt gt gt
demonstratethat she is interested in the interview and what the
gt t
g gt gt gt gt gt gt gt gt gt
caregiver is saying.
gt gt gt
A caregiver who works with newborns is assessing the
gt gt gt gt gt gt gt gt
potentialfor abuse or neglect. Which of the following family
gt t
g gt gt gt gt gt gt gt gt
groups should the caregiver identify as the highest potential
gt gt gt gt gt gt gt gt gt
for futurechild abuse?
gt gt t
g gt
1. A family in which both parents are adolescents
gt gt gt gt gt gt gt
2. A family in which the parents respond indifferently
gt gt gt gt gt gt gt
toward their newborn
gt gt gt
3. A family where one or both parents witnessed intimate
gt gt gt gt gt gt gt gt
partner violence in the home as children
gt gt gt gt gt gt gt
4. A family in which one or both parents has a developmental
gt gt gt gt gt gt gt gt gt gt
disability - ...ACCURATE RESPONSE...3. A family where
gt gt gt gt gt gt gt
one or both parents witnessed intimate partner violence in the
gt gt gt gt gt gt gt gt gt gt
home as children
gt gt gt
EXPLANATION: Parents who witnessed intimate partner gt gt gt gt gt
violenceas children are more likely to become abusive
gt t
g gt gt gt gt gt gt gt
themselves.
gt