NUR 2459 Mental Health Exam 1 |
Rasmussen College
MENTAL HEALTH EXAM 1
1. The nurse assists the physician with ECT on a client that refused to give consent.
What possible legal action may this nurse be charged with?
a. Breach of confidentiality
b. Defamation of character
c. Battery
d. Assault
2. A client was involuntarily admitted after trying to harm himself. Which
statement by the client would indicate further education regarding his rights?
a. “I can understand why you restrained me when I threatened you.”
b. “I can leave anytime I tell you I’m not going to hurt myself.”
c. “I may be here, but I still have the right to vote.”
d. “You can’t tell my boss that I attempted suicide.”
3. A nurse is working with a client with a history of panic attacks. During group
therapy, the nurse notes the client begins to tap their foot, becomes mildly anxious,
and is pushing away, preparing to leave the group. The nurse instructs the client to
remain seated and asks if they would like a journal to write down some thoughts
while the group resumes. What phase of crisis care is the nurse implementing?
a. Phase two – planning
b. Phase four – evaluation
c. Phase one – assessment
d. Phase three – intervention
4. A victim of violence comes to the crisis center seeking help. The nurse uses
crisis intervention strategies that focus on which of the following?
a. Supporting emotional security
b. Providing legal assistance
c. Offering long-term resolution of issues
d. Promoting growth of the individual
,5. A client prescribed venlafaxine 75mg every AM and 150mg every HS. It comes
in 37.5 mg tablet. How many tablets would the nurse administer a day? 4
6. Therapeutic communication is the foundation of a client-centered interaction.
Which of the following could negatively impact communication?
a. Exploring
b. Seeking clarification
c. Advising
d. Restating
7. A nurse is leading a family therapy session for a mother, father, and two
siblings. Which of the following statements should the nurse recognize as
manipulation?
a. “Please do not raise your voice at the children. I am the one who left the dishes
in the sink.”
b. “Can you tell me the reason you are so upset when I go to the mall?”
c. “If you keep saying that, I will tell everyone what you did last night.”
d. “She is always bossing me around. Should she do that?”
8. During the interdisciplinary treatment team meeting, a short-term outcome is
established for a client with depressive symptoms. Which SMART goal is most
appropriate?
a. The client will demonstrate increased interaction with other clients by discharge.
b. The client will reduce self-rating on depression scale by 10% by the second
day of admission.
c. The client will express and demonstrate increases in energy by the third day of
admission.
d. The client will make statements that he feels less depressed by the end of the
first day of admission.
9. During a nurse client interaction, the nurse becomes uncomfortable. Which of
the following would represent the use of a non-therapeutic response? SAA
a. The nurse falsely reassures the client
b. The nurse uses exploring to understand the client’s feelings
c. The nurse uses probing
d. The nurse uses silence to allow the client to gather thoughts
e. The nurse changes the subject
Answer: a, c, e
, 10. A county in Florida was just devastated by a major hurricane. Community
mental health nurses have been sent to the area to provide crisis intervention. What
type of prevention strategy is this?
a. Secondary
b. Interventional
c. Primary
d. Tertiary
11. Which of the following behaviors suggest a breach of professional
boundaries? SAA
a. The nurse reads a get well card to the client.
b. The nurse allows a client to hold her hand before chemotherapy.
c. The nurse makes plans to have lunch with the client after discharge.
d. The nurse shares details about her family problems
e. The nurse agrees to keep a secret with the client
Answer: c, d, e
12. A client has a phobia of horses and has been receiving behavioral therapy.
During her sessions over the last few months, she has progressed from looking at a
photo of the animal and through other small steps resulting in petting the real
animal. The progression is an example of which behavioral therapy?
a. Modeling
b. Systematic desensitization
c. Flooding
d. Positive reinforcement
13. A client becomes agitated and shouts at the nurse. “If you come any closer, I
will hit you.” What is the best response?
a. “I am not planning to come any closer. What is happening now?”
b. “You need to stay calm. You are responsible for your behavior.”
c. “I am going to get your medication. Try to relax while I am gone.”
d. “I am calling for assistance. You have until then to get it together.”
14. A client with schizophrenia tells the nurse, “The CIA is monitoring my
thoughts through satellite signals.” The nurse’s best response is:
a. “That sounds frightening. Tell me more about what you are experiencing.”
b. “I don’t believe that is true. You are safe here.”
Rasmussen College
MENTAL HEALTH EXAM 1
1. The nurse assists the physician with ECT on a client that refused to give consent.
What possible legal action may this nurse be charged with?
a. Breach of confidentiality
b. Defamation of character
c. Battery
d. Assault
2. A client was involuntarily admitted after trying to harm himself. Which
statement by the client would indicate further education regarding his rights?
a. “I can understand why you restrained me when I threatened you.”
b. “I can leave anytime I tell you I’m not going to hurt myself.”
c. “I may be here, but I still have the right to vote.”
d. “You can’t tell my boss that I attempted suicide.”
3. A nurse is working with a client with a history of panic attacks. During group
therapy, the nurse notes the client begins to tap their foot, becomes mildly anxious,
and is pushing away, preparing to leave the group. The nurse instructs the client to
remain seated and asks if they would like a journal to write down some thoughts
while the group resumes. What phase of crisis care is the nurse implementing?
a. Phase two – planning
b. Phase four – evaluation
c. Phase one – assessment
d. Phase three – intervention
4. A victim of violence comes to the crisis center seeking help. The nurse uses
crisis intervention strategies that focus on which of the following?
a. Supporting emotional security
b. Providing legal assistance
c. Offering long-term resolution of issues
d. Promoting growth of the individual
,5. A client prescribed venlafaxine 75mg every AM and 150mg every HS. It comes
in 37.5 mg tablet. How many tablets would the nurse administer a day? 4
6. Therapeutic communication is the foundation of a client-centered interaction.
Which of the following could negatively impact communication?
a. Exploring
b. Seeking clarification
c. Advising
d. Restating
7. A nurse is leading a family therapy session for a mother, father, and two
siblings. Which of the following statements should the nurse recognize as
manipulation?
a. “Please do not raise your voice at the children. I am the one who left the dishes
in the sink.”
b. “Can you tell me the reason you are so upset when I go to the mall?”
c. “If you keep saying that, I will tell everyone what you did last night.”
d. “She is always bossing me around. Should she do that?”
8. During the interdisciplinary treatment team meeting, a short-term outcome is
established for a client with depressive symptoms. Which SMART goal is most
appropriate?
a. The client will demonstrate increased interaction with other clients by discharge.
b. The client will reduce self-rating on depression scale by 10% by the second
day of admission.
c. The client will express and demonstrate increases in energy by the third day of
admission.
d. The client will make statements that he feels less depressed by the end of the
first day of admission.
9. During a nurse client interaction, the nurse becomes uncomfortable. Which of
the following would represent the use of a non-therapeutic response? SAA
a. The nurse falsely reassures the client
b. The nurse uses exploring to understand the client’s feelings
c. The nurse uses probing
d. The nurse uses silence to allow the client to gather thoughts
e. The nurse changes the subject
Answer: a, c, e
, 10. A county in Florida was just devastated by a major hurricane. Community
mental health nurses have been sent to the area to provide crisis intervention. What
type of prevention strategy is this?
a. Secondary
b. Interventional
c. Primary
d. Tertiary
11. Which of the following behaviors suggest a breach of professional
boundaries? SAA
a. The nurse reads a get well card to the client.
b. The nurse allows a client to hold her hand before chemotherapy.
c. The nurse makes plans to have lunch with the client after discharge.
d. The nurse shares details about her family problems
e. The nurse agrees to keep a secret with the client
Answer: c, d, e
12. A client has a phobia of horses and has been receiving behavioral therapy.
During her sessions over the last few months, she has progressed from looking at a
photo of the animal and through other small steps resulting in petting the real
animal. The progression is an example of which behavioral therapy?
a. Modeling
b. Systematic desensitization
c. Flooding
d. Positive reinforcement
13. A client becomes agitated and shouts at the nurse. “If you come any closer, I
will hit you.” What is the best response?
a. “I am not planning to come any closer. What is happening now?”
b. “You need to stay calm. You are responsible for your behavior.”
c. “I am going to get your medication. Try to relax while I am gone.”
d. “I am calling for assistance. You have until then to get it together.”
14. A client with schizophrenia tells the nurse, “The CIA is monitoring my
thoughts through satellite signals.” The nurse’s best response is:
a. “That sounds frightening. Tell me more about what you are experiencing.”
b. “I don’t believe that is true. You are safe here.”
