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WorksheetsMH Exam 1 Review
Total questions: 64
Worksheet time: 2hrs 8mins
A nurse is caring for a group of clients in a mental health facility. Which of the following clients recommend the provider see first?
A client taking clozapine who has a sore throat and mild fever.
A client taking chlorpromazine who is napping frequently throughout the day
A client taking risperidone who has gained 5 lb in 3 weeks.
A client taking olanzapine who experiences dizziness upon standing
A nurse is caring for an older adult client admitted to the hospital following a cerebrovascular accident. The client's daughter tells the nurse, "I wish I could stay with my father, but I need to go home to my family." Which of the following responses should the nurse make?
You are feeling drawn in two different directions.
Don't worry. We'll take good care of your father while you are gone.
Perhaps you could stay here and just call your family to see how they are doing.
There's nothing you can do here. You should go home to your family.
A client who is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?
You've been feeling that your life has no meaning.
It's not unusual for people who have depression to feel this way.
Why do you feel you are worthless?
You have a great deal to live for.
A nurse observes that a client is sitting alone in her room crying. As the nurse approaches, she states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses is appropriate for the nurse?
"I'll just sit here with you for a few minutes then."
"It might help you feel better if you talk about it."
"I understand. I've felt like that before, too."
"Why are you feeling so down?"
A nurse on a mental health unit is assisting with several group therapy sessions. The nurse should include which of the following information about using group therapy as a treatment method?
It establishes a situation where the client can relate to others and share perceptions.
It enables clients to see that other individuals have mental health issues.
It is economical, since one staff member can treat many clients at once.
It provides a forum to reinforce client teaching regarding medication administration.
A nurse is an acute care facility is caring for an older adult client who is being discharged to an extended-care nursing facility the next day. The client asks, “Why do I have to go to that place?” Which of the following responses should the nurse make?
Your doctor feels that this is the best place for you right now.
Why don’t you ask your doctor about that when he comes in to see you?
What have you been told about going to the new facility?
Your family can’t take care of you at home, so you will need to go there.
A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?
You really need to follow the rules of the unit and get out of bed.
If you do not get out of bed, you will not receive your meal.
I will help you sit up and get your slippers on.
You should rest in bed until you feel able to take part in unit activities.
A nurse is caring for a client three days after admission to an acute care mental health facility for treatment of major depression. The client leaves her current activity, approaches the nurse and states, “There’s no reason to go on living. I just want to end it all.” Which of the following nursing interventions is appropriate?
Ask the client if she has a plan to commit suicide.
Recognize the attempt at manipulation and escort the client back to her activity.
Assist the client to her room and allow her to rest before resuming activity.
Notify the client’s family and request a visitor to stay with the client until thoughts of suicide are gone.
A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?
Remain with the client.
Provide an activity for diversion.
Encourage verbalization of feelings.
Have the client identify two coping skills.
A nurse is collecting data on a client who is experiencing chronic stress. Which of the following is an expected finding?
Hypotension
Viral infection
Increased energy
Increased cognitive awareness
A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?
A. A 6-year-old child who has a spiral fracture of the tibia and fibula, which reportedly occurred while riding a bicycle
B. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows.
C. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water
D. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself.
A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?
Share personal information to help the client feel comfortable.
Develop an emotional commitment to the client.
Set boundaries with the client regarding personal space.
Tell the client if she reminds the nurse of a personal friend or relative.
A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?
Set limits for the relationship.
Promote the use of transference by the client.
Instruct the client on how he should behave.
Engage in friendly interactions with the client.
A nurse observes a client sitting alone in her room crying. As the nurse approaches her, the client states, "I'm feeling sad. I don't want to talk now." Which of the following responses should the nurse make?
It will help you feel better if you talk about it.
I'll come back when you feel like talking.
I'll stay with you for a few minutes.
Come on out and get involved with the game the other clients are playing.
A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions is appropriate to include in the plan of care?
Provide a cognitively stimulating environment.
Rotate staff to prevent caregiver role strain.
Limit the client's choices for daily activities.
Use confrontation to manage negative behavior.
A nurse is discussing the reporting of child abuse with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Evidence of abuse must be collected prior to reporting.
Reporting is voluntary for health care workers.
Civil liability can result if the abuse can't be proven.
If suspicion of abuse exists then reporting is mandatory.
A nurse on an inpatient mental health unit is caring for a group of clients. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Spending extra time to calm an agitated client
Describing the adverse effects of a client’s medications
Supporting a client’s wishes to refuse prescribed treatments
Ensuring that a client understands expectations for group participation
A nurse is collecting data from a client who has generalized anxiety disorders. Which of the following findings should the nurse expect in this client?
Sleeps 11 to 12 hr./night
Seeks reassurance from others
Makes impulsive decisions
Exhibits constant hair pulling or skin picking
A nurse is caring for an older adult client who has dementia and is agitated. The client says, “I have to go home and see my mother.” The nurse replies, “You miss your mother.” Which of the following therapeutic techniques is the nurse using?
Guided imagery
Validation
Remotivation
Orientation to reality
A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?
Dementia is characterized by a sudden onset over a few hours or days.
An altered level of consciousness is associated with dementia.
The manifestations of dementia are progressive and irreversible.
Dementia is often caused by a sudden change in environment.
A nurse is caring for a client who has moderate anxiety disorder. The client is pacing in the hallway and states, “I am at the end of my rope, I can’t take it anymore.” Which of the following responses should the nurse make?
Most clients with anxiety issues benefit from lying down.
Walk with me to an area where we can talk about how you’re feeling.
Providers usually recommend relaxation exercises for clients who are as upset as you are.
An antianxiety pill works best for situations like this. Let me get you one.
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse’s priority?
Offer the client high-calorie fluids.
Remain with the client in a quiet area.
Administer an antianxiety medication to the client.
Teach the client relaxation exercises.
A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding?
The legal requirement for client confidentiality does not apply if the client is deceased.
Staff members are required to divulge information regarding a client’s hospitalization to a client’s employer.
Health care workers can use client confidentiality for their own legal defense.
Providers are required to warn individuals if the client threatens harm.
A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A client who has alcohol tolerance develops physical changes when they haven’t recently ingested alcohol.
Alcohol tolerance causes the client to have an increased effect when taking opiates.
Alcohol tolerance can result in a decreased physical response to alcohol.
Alcohol tolerance is a medical emergency and can develop as a result of withdrawal.
A nurse is collecting data from a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?
Significant change in weight
Hyperexcitability
Exaggerated response of pleasure to stimuli
Attention-seeking behavior
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Remove utensils from the client’s meal trays.
Assign the client to a private room.
Inspect the client’s personal belongings.
Tuck bedcovers over client’s hands and arms.
A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?
Being married
Pregnancy
Male gender
Chronic illness
29. A nurse is teaching a newly licensed nurse about electroconvulsive therapy (ECT). Which of the following statements by the newly licensed nurse indicates understanding?
ECT is used to treat severe depression when other treatments have failed.
ECT is the first-line treatment for all mental health disorders.
ECT causes permanent memory loss in all patients.
ECT is performed without anesthesia.
A nurse is collecting data from a client who has a depressive disorder. The client states, "I just can't feel any happiness or joy in life." Which of the following terms should the nurse use when documenting this finding?
Anhedonia
Anergia
Anosognosia
Akathisia
A nurse is discussing guided imagery with peers. Which of the following clients should the nurse identify as being a candidate for guided imagery?
A client who has post-traumatic stress disorder
A client who has schizophrenia
A client who has pedophilia
A client who has paranoid personality disorder
A nurse is caring for a client who becomes verbally abusive when the nurse enters her room. Which of the following actions should the nurse take?
Punish the client for the behavior.
Leave the client's room.
Tell the client her behavior is disappointing.
Maintain eye contact until the behavior stops.
A nurse is collecting data from a client who is experiencing moderate anxiety. Which of the following findings should the nurse expect?
The client's communications are NOT difficult to understand. (In moderate anxiety, communication is usually clear, but the client may have some difficulty concentrating.)
The client is unable to speak coherently and is disoriented to person and place.
The client is completely calm and shows no signs of anxiety.
The client is experiencing hallucinations and delusions.
A nurse in an acute care mental health facility is caring for a client who begins to yell and scream at staff members. Which of the following actions is the nurse’s priority?
Administer haloperidol IM to the client.
Place the client in restraints.
Move the client to a seclusion room with continuous observation.
Ask the client to talk about his feelings.
A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?
A client wants to know what type of poison the nurse placed in her medication.
A client asks when family members will be arriving after visiting 1 hr earlier.
A client requests extra blankets when the thermostat in the room indicates 80° F.
A client expresses dislike of orange juice after reporting earlier that it was a favorite juice.
A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
A. “What are the voices telling you?”
B. “How often do you hear the voices?”
C. “I know you hear the voices, but I do not.”
D. “The voices are part of your illness.”
A nurse is collecting data from a newly admitted client who has major depressive disorder. Which of the following findings should the nurse expect?
Psychomotor retardation
Ritualistic behaviors
Impulsivity
Clang associations
A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?
I need to decrease my sodium intake while on this medication.
This medication can cause a dry cough.
I should call the provider if I experience excessive sweating and muscle twitching.
This medication can cause harmless, temporary changes to my ability to taste and smell.
A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy (ECT) for the treatment of depression. Which of the following should the nurse ensure is in the medical record?
Electroencephalogram (EEG) report
The client’s signed informed consent form
Urine analysis
Pulmonary function test results
A nurse is contributing to the plan of care for a client who has a prescription for electroconvulsive therapy (ECT). Which of the following medications should the nurse prepare to administer prior to the treatment?
Levodopa
Atropine
Epinephrine
A nurse is reinforcing teaching with a client about electroconvulsive therapy (ECT). Which of the following should information should the nurse include in the teaching?
You might experience some temporary memory loss after the procedure.
You will receive a medication to prevent seizure activity.
These treatments should cure your depression.
You will remain asleep for about 2 hr after the procedure.
A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?
The client will contact a staff member when she feels she might hurt herself.
The client will identify her position in the grief process.
The client will identify positive qualities about herself.
The client will identify ways to achieve a reachable goal for the future.
A nurse is caring for a client who has depression and is discussing ADLs with his family. The nurse identifies that, after discharge, the client is able to perform which of the following if independent with ADLs?
Driving
Hygiene
House cleaning
Grocery shopping
The nurse is caring for a client who has been admitted involuntarily for psychiatric treatment. Which of the following information about involuntary commitment should the nurse provide the client's family?
A psychiatrist determines that the client's behavior is irrational.
The client has been accused of breaking the law.
The client's behavior is a threat to self or others.
The client is unable to manage the affairs necessary for daily life.
What was the primary focus of Dorothea Dix's advocacy efforts?
Mental health reform and care of prisoners
Advocating for birth control and women's health rights
Establishing nursing schools and formal education programs
Leading medical research on infectious diseases
Which criteria must be met for an involuntary admission in acute mental health care?
The client voluntarily agrees to treatment.
The client is able to meet basic self-care needs.
The client has a mild mental health diagnosis.
The client poses a danger to self or others.
The primary goal of acute mental health treatment is:
to stabilize the patient and ensure safety
to provide long-term therapy
to focus on physical health only
to avoid medication use
What role does a nurse play in the interprofessional team during acute mental health care?
Planning and monitoring individualized treatment plans.
Prescribing medication.
Conducting legal reviews of admissions.
Setting court dates for commitment hearings.
What is the definition of recidivism?
The tendency of a convicted criminal to reoffend
The act of providing rehabilitation to individuals
The process of legal appeal in court cases
The act of relocating individuals to different facilities
Which category from Maslow's hierarchy of needs is associated with social relationships, family, and friends?
Physiological needs
Esteem needs
Safety
Love and belonging
During which stage of Piaget's cognitive development theory does a child begin to develop an understanding of objects within their environment and the concept of object permanence?
Sensorimotor
Preoperational
A nurse is assisting with the readmission of a client to the medical unit after a transfer to ICU following a suicide attempt using an overdose of medication. The client looks down at the floor and mumbles, 'Hello.' Which of the following responses should the nurse make?
You have been transferred back to this unit. This is your new room.
Hello. I see that in ICU you’ve been getting a light diet. How does your stomach feel now?
I was upset when I found you had tried to kill yourself.
Would you like to talk about what happened?
A nurse is preparing an advocacy plan of care for a client. Which of the following actions should the nurse plan to take first?
Conduct an evaluation of the outcomes of the plan.
Determine the client’s needs.
Verify the client’s goals.
Communicate the client’s needs to other members of the health care team.
A nurse is assisting with teaching a class about client advocacy. The nurse should include which of the following as an example of client advocacy?
A nurse keeps a promise to return to a client’s room.
A nurse accepts responsibility for their own actions.
A nurse protects a client’s personal health information.
A nurse communicates a client’s wishes to their provider.
A nurse is assisting with the care of a client during crisis intervention. Which of the following statements by the client indicates the client is indicate that the crisis has passed?
I cannot face my family. But I don’t think I can get up and walk around.
This is a joke. You are all a joke. I just got to get out of here now.
I am feeling calmer and hungrier.
A nurse is caring for a client who reports stress related to homelessness. The nurse should identify that the client is experiencing which of the following types of stressors?
Developmental
Adventitious
Socioeconomical
Cultural
A nurse is assisting with teaching a class about Freud’s psychosexual stages. The nurse should reinforce that fixation at the oral stage of development can lead to which of the following conditions?
Overeating
Bedwetting
Inability to form healthy relationships
Feelings of shame
A nurse is caring for several clients at various developmental stages. The nurse understands that according to Erikson, acceptance of death occurs at which of the following stages of psychosocial development?
A. Autonomy vs. Shame and Doubt
B. Generativity vs. Stagnation
C. Identity vs. Role Diffusion
D. Integrity vs. Despair
What is the primary purpose of talk therapy?
To provide clients with strategies to change thinking patterns.
To administer medications to clients.
To perform physical exercises with clients.
A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
The client talks constantly about the traumatic experience.
The client is constantly drowsy and sleeps 11-12 hr daily.
The client is easily startled by loud voices.
The client reports satisfying personal relationships with family and close friends.
A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Sleeping 12 hr or more each day
Increasing sense of attachment to others
Constant need to talk about the event
Increasing feelings of anger
A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?
The milieu consists of the physical and psychosocial environmental factors.
A therapeutic milieu requires unstructured programming, allowing clients to focus on their interests.
The gathering spaces should have the chairs positioned around the perimeter of the day room.
The clients can keep any personal items they would like in their rooms.
A nurse working in a mental health facility is utilizing milieu therapy to provide a therapeutic environment for their clients. Which of the following steps of the nursing process is the nurse demonstrating?
Implementation
Data collection
Evaluation
Planning
When does the preparation for discharge typically begin for a patient?
Upon admission
During discharge
At the end of hospitalization
After consultation with the patient's family
What is the principle of nonmaleficence based on in nursing ethics?
The concept of doing no harm to the client, or avoiding causing pain or suffering to the client.
The ability to make rational decisions related to their care.
Fair and equal care and treatment for all clients, regardless of the client's background or culture.
Doing good and acting in the best interest of a client by providing care that benefits them.
