Behavioral Health Quiz

The client who is delusional says to the nurse "the FBI is going to kill me". The best response by the nurse is:

• "I do not believe this is the truth"
• "You know the FBI is not going to kill you"
• "Why do you think the FBI is going to kill you"
• "I do not know anything about the FBI. You are afraid people are trying to hurt you.

The nurse is planning activities for a client with Bipolar Disorder who experiences aggressive social behavior. Of the following activities, the nurse determines the most appropriate activity for this client would be:

• a board game
• coloring
• Ping Pong
• Basketball

When planning the discharge of a client with chronic anxiety, a nurse selects goals which promote a safe home environment. The most appropriate maintenance goal should focus on which of the following?

• Ignoring feelings of anxiety
• Identifying anxiety-producing situations
• Continued contact with a crisis counselor
• Eliminating all anxiety from daily situations

A client is admitted to the behavioral health unit with a diagnosis of schizophrenia. While developing the nursing plan of care, the nurse chooses a nursing diagnosis of "disturbed thought processes related to paranoia". In developing nursing interventions  with the interdisciplinary team, the nurse provides instructions to:

• Increase socialization of the client with peers
• Avoid laughing or whispering in front of the client
• Begin to educate the client about available community resources
• Have the client sign a release of information to appropriate parties so adequate information can be shared with the client's employer 

A nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa, and the student nurse will be observing. The nurse asks the student about the expected assessment findings and determines the student needs to research the disorder further when the student states that which of the following is a characteristic finding?

• Dental decay

• Loss of tooth enamel

• Electrolyte imbalances

• Body weight well below ideal range

A moderately depressed 42 year-old male who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis over. The client says to a nurse "I am finally cured"! The nurse interprets this behavior as a cue to modify the treatment plan by:

• Suggesting a reduction of medication
• Allowing increased "in-room" activities
• Increasing the level of suicide precautions
• Allowing the client off-unit activities as needed

The client is admitted to the behavioral health unit after an attempt of suicide by hanging. The nurse correctly identifies the most important aspect of care is to maintain client safety. This will be best accomplished by:

• Requesting that a peer remain with the client at all times
• Removing the client's clothing and placing the client in a hospital gown
• Assigning a staff member to the client who will remain with the client at all times
• Admitting the client to a seclusion room where all potentially dangerous items are removed

A 19 year-old female admitted with a diagnosis of anorexia nervosa who is in a state of starvation, is in a two-bed room. A newly admitted client will be assigned to this client's room. Which of the following clients would be an appropriate choice as this client's roommate?

• A client with pneumonia
• A client receiving diagnostic tests
• A client who thrives on managing others
• A client who could benefit from the client's assistance at mealtime

A nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for withdrawal delirium?

• Hypotension, ataxia, hunger.
• Stupor, agitation. muscular rigidity.
• Hypotension, course hand tremors, agitation.
• Hypertension, changes in LOC, hallucinations

A nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for withdrawal delirium?

• Hypotension, ataxia, hunger.
• Stupor, agitation. muscular rigidity.
• Hypotension, course hand tremors, agitation.
• Hypertension, changes in LOC, hallucinations