lOMoARcPSD|10646696
Mental Health Exam 4
1. The nurse is providing support to the family of a recently deceased client. A family member
states, “My father took me "shing all the #me. He can’t physically take me anymore, but he will
be watching over me. I really miss him, “The nurse recognizes the family member is experiencing
A. Mourning
B. An#cipatory grief
C. Disenfreanchised grief
D. Bereavement
2. The nurse educator is providing an in—service to nursing sta- on a unit that has recently
experienced and increase in client deaths. The nurse educator knows that a priority
recommenda#on for nurses who are struggling to cope with all the loss is
A. Crea#ng sustainable prac#ce of self-care and balance
B. Working addi#onal shi0s to provide support for each other
C. Volunteering on days o- to stay busy and make a posi#ve di-erence
D. Temporarily transferring to another unit with fewer terminal diagnosis
3. The nurse is caring for a client whose spouse of 52 years suddenly died. Which of the following
statements by the nurse is most therapeu#c.
A. “Your loved on is no longer in pain: you should be happy for that.”
B. “You can be grateful for the #me you had together”
C. “Your loved one was very special and will not be replaceable”
D. “I know how you feel: I have had many family members pass away”
4. The nurse is caring for a client who is dying and in severe pain. Which of the following
interven#ons should the nurse consider as the priority?
A. Teach the client the end stages of grief.
B. Enhance the client’s quality of life.
C. Encourage the client to speak to a grief counselor.
D. Support the clients family in grieving.
5. The nurse is caring for a terminally ill client. Which of the following statements by the nurse best
demonstrates the art of presence?
A. “Would you like to talk about what this experience is like for you?”
B. “I am going to sit here and read a book, just pretend I am not here.”
C. “I am going to the other room so you can be alone and re;ect on your life; please call out if
you need me.”
D. “Are you feeling guilty about leaving your wife and kids behind?”
6. The home health nurse is caring for a client who is dying from acquired immune de"ciency
syndrome (AIDS). The client is incompetent and asks the nurse to help with assisted suicide. The
nurse tell the client they will not assist with the request. Which of the following ethical liber#es
is the nurse demonstra#ng?
A. Autonomy
B. Nonmale"cence
C. Individual liberty
D. Bene"cence
.
, lOMoARcPSD|10646696
7. A nurse is caring for a client in hospice who is in the dying process. The family wants to put in a
feeding tube because the client is refusing to eat. Which of the following statements by the
nurse is appropriate therapeu#c communica#on?
A. “Its natural for clients to refuse food at this stage and can be diBcult for family members”
B. “You do understand this can be a painful procedure.”
C. “You do not need to worry about that at this stage of the dying process.”
D. “It is not unusual for family members to feel guilty”
8. The nurse is caring for a client who is dying. The client tells the nurse, “ I have worked hard all
my life and now this, its not fair!” The nurse recognizes the phase of Kubler-Ross the client is
experiencing is
A. Denial
B. Depression
C. Bargaining
D. Anger
9. The nurse is caring for assigned clients who have various diseases and is preparing a referral to
hospice. The nurse recognizes which of the following clients as mee#ng the admission criteria?
A> 50-year-old who has early-stage cervical cancer and is scheduled for a hysterectomy.
B> 70-year-old who has chronic obstruc#ve pulmonary disease (COPD) and has two years to
live.
C> 92-year-old who has acute pneumonia and late-stage Alzheimer’s disease with no insurance.
D> 35-year-old who has mul#pule sclerosis (MS) and severe pain from muscle spasms.
10. The nurse is caring for a client who has a terminal diagnosis and asks the nurse if physician-
assisted suicide is allowed in every state. Which of the following responses by the nurse is
appropriate?
A. “I don’t know but I personally "nd it immoral. Aren’t you a religious person?”
B. “Yes, the federal government now allows providers in every state to facilitate physician-
assisted suicide. I will get your provider to discuss with you.”
C. “No, physician-assisted suicide is determined by state legislature. Tell me more about what
you are thinking.”
D. “Yes, the Na#onal Hospice and Pallia#ve Care Organiza#on (NHPCO) has advocated for
nurses to help clients with the last request.”
11. The school nurse is providing an in-service for parents about warning signs of ea#ng disorders in
children. A parent asks,” Are poor graders a common warning sign for anorexia in children?” The
appropriate response by the school nurse is
A. “Has your child gained a lot of weight lately?”
B. “Does your child have a problem paying aLen#on in class, too?”
C. “ No, children who are at risk for anorexia are o0en strive for academic excellence.”
D. “Yes, declining grades are o0en an early sign of anorexia.
12. The nurse is caring for a client who is being admiLed with bulimia nervosa. Which of the
following informa#on from the chart below should the nurse report immediately to the PCP?
A. Body mass index (BMI)
B. Temperature
C. Calcium
D. Potassium
.
Mental Health Exam 4
1. The nurse is providing support to the family of a recently deceased client. A family member
states, “My father took me "shing all the #me. He can’t physically take me anymore, but he will
be watching over me. I really miss him, “The nurse recognizes the family member is experiencing
A. Mourning
B. An#cipatory grief
C. Disenfreanchised grief
D. Bereavement
2. The nurse educator is providing an in—service to nursing sta- on a unit that has recently
experienced and increase in client deaths. The nurse educator knows that a priority
recommenda#on for nurses who are struggling to cope with all the loss is
A. Crea#ng sustainable prac#ce of self-care and balance
B. Working addi#onal shi0s to provide support for each other
C. Volunteering on days o- to stay busy and make a posi#ve di-erence
D. Temporarily transferring to another unit with fewer terminal diagnosis
3. The nurse is caring for a client whose spouse of 52 years suddenly died. Which of the following
statements by the nurse is most therapeu#c.
A. “Your loved on is no longer in pain: you should be happy for that.”
B. “You can be grateful for the #me you had together”
C. “Your loved one was very special and will not be replaceable”
D. “I know how you feel: I have had many family members pass away”
4. The nurse is caring for a client who is dying and in severe pain. Which of the following
interven#ons should the nurse consider as the priority?
A. Teach the client the end stages of grief.
B. Enhance the client’s quality of life.
C. Encourage the client to speak to a grief counselor.
D. Support the clients family in grieving.
5. The nurse is caring for a terminally ill client. Which of the following statements by the nurse best
demonstrates the art of presence?
A. “Would you like to talk about what this experience is like for you?”
B. “I am going to sit here and read a book, just pretend I am not here.”
C. “I am going to the other room so you can be alone and re;ect on your life; please call out if
you need me.”
D. “Are you feeling guilty about leaving your wife and kids behind?”
6. The home health nurse is caring for a client who is dying from acquired immune de"ciency
syndrome (AIDS). The client is incompetent and asks the nurse to help with assisted suicide. The
nurse tell the client they will not assist with the request. Which of the following ethical liber#es
is the nurse demonstra#ng?
A. Autonomy
B. Nonmale"cence
C. Individual liberty
D. Bene"cence
.
, lOMoARcPSD|10646696
7. A nurse is caring for a client in hospice who is in the dying process. The family wants to put in a
feeding tube because the client is refusing to eat. Which of the following statements by the
nurse is appropriate therapeu#c communica#on?
A. “Its natural for clients to refuse food at this stage and can be diBcult for family members”
B. “You do understand this can be a painful procedure.”
C. “You do not need to worry about that at this stage of the dying process.”
D. “It is not unusual for family members to feel guilty”
8. The nurse is caring for a client who is dying. The client tells the nurse, “ I have worked hard all
my life and now this, its not fair!” The nurse recognizes the phase of Kubler-Ross the client is
experiencing is
A. Denial
B. Depression
C. Bargaining
D. Anger
9. The nurse is caring for assigned clients who have various diseases and is preparing a referral to
hospice. The nurse recognizes which of the following clients as mee#ng the admission criteria?
A> 50-year-old who has early-stage cervical cancer and is scheduled for a hysterectomy.
B> 70-year-old who has chronic obstruc#ve pulmonary disease (COPD) and has two years to
live.
C> 92-year-old who has acute pneumonia and late-stage Alzheimer’s disease with no insurance.
D> 35-year-old who has mul#pule sclerosis (MS) and severe pain from muscle spasms.
10. The nurse is caring for a client who has a terminal diagnosis and asks the nurse if physician-
assisted suicide is allowed in every state. Which of the following responses by the nurse is
appropriate?
A. “I don’t know but I personally "nd it immoral. Aren’t you a religious person?”
B. “Yes, the federal government now allows providers in every state to facilitate physician-
assisted suicide. I will get your provider to discuss with you.”
C. “No, physician-assisted suicide is determined by state legislature. Tell me more about what
you are thinking.”
D. “Yes, the Na#onal Hospice and Pallia#ve Care Organiza#on (NHPCO) has advocated for
nurses to help clients with the last request.”
11. The school nurse is providing an in-service for parents about warning signs of ea#ng disorders in
children. A parent asks,” Are poor graders a common warning sign for anorexia in children?” The
appropriate response by the school nurse is
A. “Has your child gained a lot of weight lately?”
B. “Does your child have a problem paying aLen#on in class, too?”
C. “ No, children who are at risk for anorexia are o0en strive for academic excellence.”
D. “Yes, declining grades are o0en an early sign of anorexia.
12. The nurse is caring for a client who is being admiLed with bulimia nervosa. Which of the
following informa#on from the chart below should the nurse report immediately to the PCP?
A. Body mass index (BMI)
B. Temperature
C. Calcium
D. Potassium
.
