WITH WELL INFORMED
ANSWERS
A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward by
sevens.
B) To assess affect, I should observe the client's facial expression
,C) To assess language ability, I should instruct the client to write a
sentence.
D) To assess remote memory, I should have the client repeat a list of
objects.
E) To assess the client's abstract thinking, I should ask the client to identify
our most recent presidents. - 🧠 ANSWER ✔✔A, B, C
A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A) Assist the client with systematic desensitization therapy.
B) Teach the client appropriate coping mechanisms.
C) Assess the client for comorbid health conditions.
D) Monitor the client for adverse effects of the medications. - 🧠 ANSWER
✔✔D
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the following
actions should the nurse identify as the priority?
A) Coordinate holistic care with social services.
,B) Identify the client's perception of her mental health status.
C) Include the client's family in the interview.
D) Teach the client about her current mental health disorder - 🧠 ANSWER
✔✔B
A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse
expect?
A) The client arouses briefly in response to a sternal rub.
B) The client has a glasgow coma scale score less than 7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place. - 🧠 ANSWER ✔✔A
A nurse is planning a peer group about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that
apply).
A) The DSM-5 includes client education handouts for mental health
disorders.
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, B) The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C) The DSM-5 indicates recommended pharmacological treatment for
mental health disorders.
D) The DSM-5 assists nurses in planning care for client's who have mental
health disorders.
E) The DSM-5 indicates expected assessment findings of mental health
disorders. - 🧠 ANSWER ✔✔B, D, E
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?
A) A client who has schizophrenia with delusions of grandeur
B) A client who has manifestations of depression and attempted suicide a
year ago.
C) A client who has borderline personality disorder and assaulted a
homeless man with a metal rod.
D) A client who has bipolar disorder and paces quickly around the room
while talking to himself. - 🧠 ANSWER ✔✔C