RN Mental Health Online Practice B
Questions And Correct Answers
\Q\.A nurse in an outpatient clinic is reviewing the medical record of a client who has anorexia
nervosa.
Click to highlight the information in the client's medical record that indicate the client's
condition is deteriorating. To deselect information, click on the information again.
-QT prolongation
-Exercise regimen
-Hematemesis
-Temperature
-Laxative use
-BMI - ANSWERS✔-QT prolongation is correct. The finding of QT prolongation in the client's ECG
during the second visit reveals cardiac complications of anorexia nervosa. Changes in electrolyte
levels can shorten or prolong the QT interval. This is an indication that the client's condition is
deteriorating.
Exercise regimen is correct. The client's purchase of exercise equipment and working out twice a
day is a new manifestation of anorexia nervosa. This is an indication that the client's condition is
deteriorating.
Hematemesis is correct. New onset of hematemesis might be caused by esophageal irritation or
ulceration due to the increase in the frequency of induction of vomiting. Continued induction of
vomiting can cause esophageal rupture. Therefore, hematemesis is an indication that the
client's condition is deteriorating.
,Temperature is incorrect. The client's temperature has remained within the expected reference
range. A decrease in body temperature with cool skin is an indication that the client's condition
is deteriorating.
Laxative use is incorrect. The client's cessation of the use of laxatives is an indication that the
client's condition is improving.
BMI is correct. The client's BMI decreased between visits, which indicates the client is
continuing to lose weight. This is an indication that the client's condition is deteriorating.
\Q\.A nurse is caring for an older adult client who has dementia and has wandered into the day
room looking for their deceased partner. Which of the following actions should the nurse take?
a. Move the client to a room near the nurses' station.
b. Limit visitors until the client is oriented to the environment.
c. Tell the client that their partner is deceased.
d. Talk with the client about activities they enjoyed with their partner. - ANSWERS✔-d. Talk with
the client about activities they enjoyed with their partner.
Talking about positive experiences can help distract the client from their disorientation
\Q\.A nurse is caring for a client who has alcohol use disorder.
Complete the following sentence by using the list of options.
The client is at greatest risk for ______ as evidenced by the client's ______.
Dropdown 1:
,-Ineffective coping
-Dehydration
-Violent behavior
Dropdown 2:
-Agitation
-Loss of appetite
-Inability to perform simple tasks - ANSWERS✔-Drop down 1:
Ineffective coping is incorrect. The nurse should continue to monitor the client for ineffective
coping and encourage the client to use coping techniques. However, this is not the greatest risk
for this client.
Dehydration is incorrect. The nurse should monitor the client's intake and encourage the client
to eat and drink. However, this is not the greatest risk for this client.
Violent behavior is correct. The greatest risk for the client is engaging in violent behavior due to
the withdrawal of alcohol, which is causing them increasing agitation. The nurse should closely
monitor the client and be prepared to intervene to protect the client and others from injury.
Dropdown 2: Agitation is correct. The client is at greatest risk of engaging in violent behavior as
evidenced by the client's agitation, which can be indicated by pacing, restlessness, staring,
silence, rigid posture, and clenched jaw. The nurse should closely monitor the client and be
prepared to intervene to protect the client and others from injury.
Loss of appetite is incorrect. The nurse should monitor the client's intake and encourage the
client to eat and drink. However, this is not the greatest risk for the client. Loss of appetite is an
expected finding for a client who is experiencing alcohol withdrawal.
, Inability to perform simple tasks is incorrect. The nurse should monitor the client's ability to
perform simple tasks and encourage use of coping strategies. However, this is not the greatest
risk for the client.
\Q\.A nurse on a mental health unit is admitting a client who has bipolar disorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's ______ due to the client's
______. - ANSWERS✔-When prioritizing hypotheses, the nurse should identify the greatest risk
to the client is cardiovascular injury due to constant psychomotor activity. The client is pacing,
moving arms and hands around dramatically, and is unable to sit still. This can increase the
client's blood pressure and heart rate, which can indicate unexpected cardiovascular findings.
\Q\.A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints.
Which of the following information should the nurse include in the teaching?
a. Complete documentation about the client's status every hour while they are in restraints.
b. Maintain the client in restraints for a minimum of 4 hr.
c. Apply restraints when other means of managing the client's behavior have failed.
d. Request that the provider assess the client within 8 hr of the application of restraints. -
ANSWERS✔-c. Apply restraints when other means of managing the client's behavior have failed.
According to the Patient Self-Determination Act, clients have a right to be free from restraints or
seclusion unless the safety of the client or others is at risk. De-escalation methods for
controlling behavior should be attempted prior to initiating restraints.
\Q\.A nurse is preparing to participate in an interdisciplinary conference for a client who has
bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the
treatment team?
Questions And Correct Answers
\Q\.A nurse in an outpatient clinic is reviewing the medical record of a client who has anorexia
nervosa.
Click to highlight the information in the client's medical record that indicate the client's
condition is deteriorating. To deselect information, click on the information again.
-QT prolongation
-Exercise regimen
-Hematemesis
-Temperature
-Laxative use
-BMI - ANSWERS✔-QT prolongation is correct. The finding of QT prolongation in the client's ECG
during the second visit reveals cardiac complications of anorexia nervosa. Changes in electrolyte
levels can shorten or prolong the QT interval. This is an indication that the client's condition is
deteriorating.
Exercise regimen is correct. The client's purchase of exercise equipment and working out twice a
day is a new manifestation of anorexia nervosa. This is an indication that the client's condition is
deteriorating.
Hematemesis is correct. New onset of hematemesis might be caused by esophageal irritation or
ulceration due to the increase in the frequency of induction of vomiting. Continued induction of
vomiting can cause esophageal rupture. Therefore, hematemesis is an indication that the
client's condition is deteriorating.
,Temperature is incorrect. The client's temperature has remained within the expected reference
range. A decrease in body temperature with cool skin is an indication that the client's condition
is deteriorating.
Laxative use is incorrect. The client's cessation of the use of laxatives is an indication that the
client's condition is improving.
BMI is correct. The client's BMI decreased between visits, which indicates the client is
continuing to lose weight. This is an indication that the client's condition is deteriorating.
\Q\.A nurse is caring for an older adult client who has dementia and has wandered into the day
room looking for their deceased partner. Which of the following actions should the nurse take?
a. Move the client to a room near the nurses' station.
b. Limit visitors until the client is oriented to the environment.
c. Tell the client that their partner is deceased.
d. Talk with the client about activities they enjoyed with their partner. - ANSWERS✔-d. Talk with
the client about activities they enjoyed with their partner.
Talking about positive experiences can help distract the client from their disorientation
\Q\.A nurse is caring for a client who has alcohol use disorder.
Complete the following sentence by using the list of options.
The client is at greatest risk for ______ as evidenced by the client's ______.
Dropdown 1:
,-Ineffective coping
-Dehydration
-Violent behavior
Dropdown 2:
-Agitation
-Loss of appetite
-Inability to perform simple tasks - ANSWERS✔-Drop down 1:
Ineffective coping is incorrect. The nurse should continue to monitor the client for ineffective
coping and encourage the client to use coping techniques. However, this is not the greatest risk
for this client.
Dehydration is incorrect. The nurse should monitor the client's intake and encourage the client
to eat and drink. However, this is not the greatest risk for this client.
Violent behavior is correct. The greatest risk for the client is engaging in violent behavior due to
the withdrawal of alcohol, which is causing them increasing agitation. The nurse should closely
monitor the client and be prepared to intervene to protect the client and others from injury.
Dropdown 2: Agitation is correct. The client is at greatest risk of engaging in violent behavior as
evidenced by the client's agitation, which can be indicated by pacing, restlessness, staring,
silence, rigid posture, and clenched jaw. The nurse should closely monitor the client and be
prepared to intervene to protect the client and others from injury.
Loss of appetite is incorrect. The nurse should monitor the client's intake and encourage the
client to eat and drink. However, this is not the greatest risk for the client. Loss of appetite is an
expected finding for a client who is experiencing alcohol withdrawal.
, Inability to perform simple tasks is incorrect. The nurse should monitor the client's ability to
perform simple tasks and encourage use of coping strategies. However, this is not the greatest
risk for the client.
\Q\.A nurse on a mental health unit is admitting a client who has bipolar disorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's ______ due to the client's
______. - ANSWERS✔-When prioritizing hypotheses, the nurse should identify the greatest risk
to the client is cardiovascular injury due to constant psychomotor activity. The client is pacing,
moving arms and hands around dramatically, and is unable to sit still. This can increase the
client's blood pressure and heart rate, which can indicate unexpected cardiovascular findings.
\Q\.A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints.
Which of the following information should the nurse include in the teaching?
a. Complete documentation about the client's status every hour while they are in restraints.
b. Maintain the client in restraints for a minimum of 4 hr.
c. Apply restraints when other means of managing the client's behavior have failed.
d. Request that the provider assess the client within 8 hr of the application of restraints. -
ANSWERS✔-c. Apply restraints when other means of managing the client's behavior have failed.
According to the Patient Self-Determination Act, clients have a right to be free from restraints or
seclusion unless the safety of the client or others is at risk. De-escalation methods for
controlling behavior should be attempted prior to initiating restraints.
\Q\.A nurse is preparing to participate in an interdisciplinary conference for a client who has
bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the
treatment team?
