Mental Health -evolve (red book)
MENTAL HEALTH -EVOLVE (RED BOOK) EXAM NEWEST ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A client who was admitted 2 days earlier to a drug rehabilitation unit tells the
nurse, "I'm going to do what you people tell me to do so I can get out of here and
get a job." What is the most accurate interpretation of this client's statement?
A. The treatment program is effective and the client is highly motivated.
B. Defense mechanisms are being used to decrease anxiety.
C. Manipulation is being used to achieve the client's personal goals.
D. The client has insight into his behaviors, so privileges should be given. - Correct
Answer-C. Manipulation is being used to achieve the client's personal goals.
Rationale:
Drug abusers tend to be manipulative, so (C) is the best interpretation of the
client's statement at this time in the client's treatment. He has been in
treatment only 2 days, which is not enough time to benefit from the program, so
(A and D) are highly unlikely. Although defense mechanisms (B) are frequently
used to decrease anxiety, this statement is more likely because of (C).
During a home visit, a client with schizophrenia reports hearing voices that tell the
client to walk in the middle of the street. The nurse records several statements
made by the client. Based on which statement should the nurse determine that
the client needs hospitalization?
A. "Sometimes I take an extra one of my pills when I hear the voices."
B. "The voices are louder when I forget to take my medication. "
1|Page
, Mental Health -evolve (red book)
C. "No matter what I do, I cannot make the voices go away.
D."I just try to tell the voices to stop when they bother me. - Correct Answer-C.
"No matter what I do, I cannot make the voices go away.
Rationale:
Hospitalization is needed if the client continues to hear voices telling the client
to do things that can cause self-harm (C). (A or B) do not require hospitalization
unless symptoms become severe. The client should continue symptom
management strategies (D) to prevent hospitalization.
The nurse is planning to initiate a socialization group for older residents of a long-
term facility. Which information would be most useful to the nurse when planning
activities for the group?
A. Each resident's length of stay at this nursing home
B. A brief description of each resident's family life
C. The age and medication regimen of each group member
D. The usual activity patterns of each group member - Correct Answer-D. The
usual activity patterns of each group member
Rationale:
An older person's level of activity (D) is a determining factor in adjustment to
aging as described by the activity theory of aging. All the information described
in (A, B, and C) might be useful to the nurse but is not as helpful during the
initiation of the socialization group. The most useful initial information would be
an assessment of each individual's adjustment to the aging process.
A woman brings her 48-year-old husband to the outpatient psychiatric unit and
tells the nurse that he has been sleepwalking, cannot remember who he is, and
2|Page
, Mental Health -evolve (red book)
exhibits multiple personalities. These behaviors are often associated with which
condition?
A. Dissociative disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Posttraumatic stress syndrome - Correct Answer-A. Dissociative disorder
Rationale:
Sleepwalking, amnesia, and multiple personalities are examples of detaching
emotional conflict from one's consciousness (A). (B) is characterized by
persistent, recurrent intrusive thoughts or urges (obsessions) that are unwilled
and cannot be ignored and provoke impulsive acts (compulsions), such as
constant and repeated hand washing. (C) is an acute attack of anxiety
characterized by personality disorganization. (D) is reexperiencing a
psychologically terrifying or distressing event that is outside the usual range of
human experience such as war or rape.
A 35-year-old client admitted to the psychiatric unit of an acute care hospital tells
the nurse that someone is trying to poison her. The client's delusions are most
likely related to which factor?
A. Authority issues in childhood
B. Anger about being hospitalized
C. Low self-esteem
D. Phobia of food - Correct Answer-C. Low self-esteem
Rationale:
Delusional clients have difficulty with trust and have low self-esteem (C).
Nursing care should be directed at building trust and promoting positive self-
esteem. Activities with limited concentration and no competition should be
3|Page
, Mental Health -evolve (red book)
encouraged to build self-esteem. (A, B, and D) are not specifically related to the
development of delusions.
The nurse is caring for a client who is taking the mood stabilizer divalproex sodium
(Depakote). Which laboratory finding is most important to include in this client's
record?
A. Liver function test results
B. Creatinine clearance
C. Complete blood count
D. Chemistry panel - Correct Answer-A. Liver function test results
Rationale:
Depakote is metabolized by the liver and can cause hepatotoxicity, so laboratory
findings of liver function tests (A) should be included in the client's record. (B)
should be in the client record of those who are receiving lithium because it is
excreted by the kidneys. (C and D) are routine laboratory tests and are not
specifically related to administration of Depakote.
When planning care for the client undergoing electroconvulsive therapy (ECT),
which equipment should the nurse make available? (Select all that apply.)
A. Oxygen
B. Suction equipment
C. Continuous passive range-of-motion (CPM) machine
D. Crash cart
E. Chest tube drainage system - Correct Answer-A. Oxygen
B. Suction equipment
4|Page
MENTAL HEALTH -EVOLVE (RED BOOK) EXAM NEWEST ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A client who was admitted 2 days earlier to a drug rehabilitation unit tells the
nurse, "I'm going to do what you people tell me to do so I can get out of here and
get a job." What is the most accurate interpretation of this client's statement?
A. The treatment program is effective and the client is highly motivated.
B. Defense mechanisms are being used to decrease anxiety.
C. Manipulation is being used to achieve the client's personal goals.
D. The client has insight into his behaviors, so privileges should be given. - Correct
Answer-C. Manipulation is being used to achieve the client's personal goals.
Rationale:
Drug abusers tend to be manipulative, so (C) is the best interpretation of the
client's statement at this time in the client's treatment. He has been in
treatment only 2 days, which is not enough time to benefit from the program, so
(A and D) are highly unlikely. Although defense mechanisms (B) are frequently
used to decrease anxiety, this statement is more likely because of (C).
During a home visit, a client with schizophrenia reports hearing voices that tell the
client to walk in the middle of the street. The nurse records several statements
made by the client. Based on which statement should the nurse determine that
the client needs hospitalization?
A. "Sometimes I take an extra one of my pills when I hear the voices."
B. "The voices are louder when I forget to take my medication. "
1|Page
, Mental Health -evolve (red book)
C. "No matter what I do, I cannot make the voices go away.
D."I just try to tell the voices to stop when they bother me. - Correct Answer-C.
"No matter what I do, I cannot make the voices go away.
Rationale:
Hospitalization is needed if the client continues to hear voices telling the client
to do things that can cause self-harm (C). (A or B) do not require hospitalization
unless symptoms become severe. The client should continue symptom
management strategies (D) to prevent hospitalization.
The nurse is planning to initiate a socialization group for older residents of a long-
term facility. Which information would be most useful to the nurse when planning
activities for the group?
A. Each resident's length of stay at this nursing home
B. A brief description of each resident's family life
C. The age and medication regimen of each group member
D. The usual activity patterns of each group member - Correct Answer-D. The
usual activity patterns of each group member
Rationale:
An older person's level of activity (D) is a determining factor in adjustment to
aging as described by the activity theory of aging. All the information described
in (A, B, and C) might be useful to the nurse but is not as helpful during the
initiation of the socialization group. The most useful initial information would be
an assessment of each individual's adjustment to the aging process.
A woman brings her 48-year-old husband to the outpatient psychiatric unit and
tells the nurse that he has been sleepwalking, cannot remember who he is, and
2|Page
, Mental Health -evolve (red book)
exhibits multiple personalities. These behaviors are often associated with which
condition?
A. Dissociative disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Posttraumatic stress syndrome - Correct Answer-A. Dissociative disorder
Rationale:
Sleepwalking, amnesia, and multiple personalities are examples of detaching
emotional conflict from one's consciousness (A). (B) is characterized by
persistent, recurrent intrusive thoughts or urges (obsessions) that are unwilled
and cannot be ignored and provoke impulsive acts (compulsions), such as
constant and repeated hand washing. (C) is an acute attack of anxiety
characterized by personality disorganization. (D) is reexperiencing a
psychologically terrifying or distressing event that is outside the usual range of
human experience such as war or rape.
A 35-year-old client admitted to the psychiatric unit of an acute care hospital tells
the nurse that someone is trying to poison her. The client's delusions are most
likely related to which factor?
A. Authority issues in childhood
B. Anger about being hospitalized
C. Low self-esteem
D. Phobia of food - Correct Answer-C. Low self-esteem
Rationale:
Delusional clients have difficulty with trust and have low self-esteem (C).
Nursing care should be directed at building trust and promoting positive self-
esteem. Activities with limited concentration and no competition should be
3|Page
, Mental Health -evolve (red book)
encouraged to build self-esteem. (A, B, and D) are not specifically related to the
development of delusions.
The nurse is caring for a client who is taking the mood stabilizer divalproex sodium
(Depakote). Which laboratory finding is most important to include in this client's
record?
A. Liver function test results
B. Creatinine clearance
C. Complete blood count
D. Chemistry panel - Correct Answer-A. Liver function test results
Rationale:
Depakote is metabolized by the liver and can cause hepatotoxicity, so laboratory
findings of liver function tests (A) should be included in the client's record. (B)
should be in the client record of those who are receiving lithium because it is
excreted by the kidneys. (C and D) are routine laboratory tests and are not
specifically related to administration of Depakote.
When planning care for the client undergoing electroconvulsive therapy (ECT),
which equipment should the nurse make available? (Select all that apply.)
A. Oxygen
B. Suction equipment
C. Continuous passive range-of-motion (CPM) machine
D. Crash cart
E. Chest tube drainage system - Correct Answer-A. Oxygen
B. Suction equipment
4|Page
