Mental Health Progression Practice Test- Answer Key

Mental Health Progression Practice Test- Answer Key A nurse is providing education to a group of parents and teenagers on preventing suicide. Which of the following levels of prevention is this an example of? a. Primary prevention. b. Secondary prevention. c. Tertiary prevention. d. Quarternary prevention. Correct Answer: primary prevention A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make? a. "Perhaps you should discuss this with your physician." b. "Of course you aren't going to die, at least not in the immediate future." c. "I recommend you exercise daily and avoid smoking to decrease your risk." d. "Tell me more about these fears of dying from a heart attack." Correct Answer: "Tell me more about these fears of dying from a heart attack." A client tells the nurse, "You and that other nurse were talking about me, weren't you?" The nurse replies, "We were discussing ways to help you relate to the other clients in a more positive way." Which ethical principle is the nurse demonstrating? a. Autonomy b. Justice c. Fidelity d. Veracity Correct Answer: veracity A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints? a. Self-destructive behavior despite alternative interventions. b. Coercion to take prescribed medications. c. Discipline for throwing objects at staff. d. Punishment for verbally abusing other clients. Correct Answer: self-destructive behavior despite alternative interventions A nurse is caring for a client admitted to a mental health facility who asks, "Can I refuse the electroconvulsive therapy (ECT) treatment scheduled for tomorrow?" Which of the following should be the nurse's response? a. "You have already given signed consent for the treatments after they were explained to you." b. "You will feel better after the course of treatments." c. "You have the right to refuse even though the consent form has been signed." d. "You can refuse them, but the provider may be upset with you." Correct Answer: "You have the right to refuse even though the consent form has been signed." A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions? a. Denial b. Displacement c. Projection d. Undoing Correct Answer: denial A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make? a. "Of course people care. Your family comes to visit every day." b. "Why do you feel that way?" c. "Tell me who you think doesn't care about you." d. "I care about you, and I am concerned that you feel so sad." Correct Answer: "I care about you, and I am concerned that you feel so sad." A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy? a. Encouraging client feedback about satisfaction with the facility experience. b. Explaining unit rules and policies regarding unacceptable behaviors. c. Supporting the client's wish to refuse prescribed medications. d. Making sure the client understands expectations for client participation. Correct Answer: supporting the client's wish to refuse prescribed medications Which of the following is an example of countertransference? a. A client is angry and hostile towards a nurse because the nurse reminds him of his abusive sister. b. A client becomes infatuated with the nurse and demands extra sessions. c. A nurse who had an eating disorder becomes frustrated with a client who has an eating disorder and continues to lose weight. d. A nurse accepts a gift from a client. Correct Answer: a nurse who had an eating disorder becomes frustrated with a client who has an eating disorder and continues to lose weight A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients would seclusion be contraindicated? a. A school-age client who attempts to repeatedly bite staff. b. An adult client experiencing a panic attack. c. An adolescent client who throws objects at other clients. d. An older adult client who is manic and crying due to overstimulation. Correct Answer: an adult client experiencing a panic attack (ATI Ch.2, pp. 10-11) A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse? a. "Evidence must exist prior to reporting." b. "If the potential abuser commits to stopping the abuse, health care workers are not required to report it." c. "I don't want to defame someone if the report is false." d. "If suspicion of abuse exists then reporting is mandatory." Correct Answer: "If suspicion of abuse exists then reporting is mandatory." A nurse is caring for a client who is hospitalized and says to the nurse, "My partner called and told me my boss hired someone to take my place." Which of the following responses should the nurse make? a. "You should call your boss and ask if you can have your job back." b. "I don't understand why your partner would upset you with news like that." c. "You must feel very concerned and disappointed by that information." d. "There really isn't much you can do about that until you are discharged." Correct Answer: "You must feel very concerned and disappointed by that information." A nurse is admitting a client to an alcohol abuse program. The client states, "I'm here because of my boss. It was part of my job to go to parties and drink with clients." The client's statement is an example of which of the following defense mechanisms? a. Reaction-formation b. Compensation c. Rationalization d. Suppression Correct Answer: rationalization A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?