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1. A client who is scheduled to undergo a sleep-deprivation
electroencephalogram (EEG) in the morning is experiencing moderate
anxiety about the procedure. Based on an understanding of this test, which
would the PMH nurse avoid?
A) Explaining in depth what to expect during the upcoming procedure
B) Administering a benzodiazepine medication prescribed for anxiety
C) Taking a thorough history of the client's use of prescribed and illicit
drugs
D) Giving the client a noncaffeinated beverage of choice - Correct
Answer: B
2. A PMH nurse is reviewing the various neurotransmitters and their functions.
The PMH nurse demonstrates understanding by identifying which substance
as a neuropeptide?
A) Somatostatin
B) Serotonin
C) Glutamate
D) Gamma-aminobutyric acid - Correct Answer: A
,3. A PMH nurse is assessing a client who is experiencing anxiety and observes
increased sweating and goose flesh. The PMH nurse understands that these
symptoms are the result of which substance?
A) Acetylcholine
B) Norepinephrine
C) Serotonin
D) Histamine - Correct Answer: B
4. A client with depression tells a PMH nurse, "I have a test that involves the
recording of an electroencephalogram (EEG) throughout the night." The
PMH nurse most likely identifies this as what type of testing?
A) Sleep-deprivation EEG
B) Polysomnography
C) Evoked potentials
D) Functional magnetic resonance imaging - Correct Answer: B
5. The PMH nurse is caring for a client with a history of several psychiatric
readmissions for nonadherence to medications. Which action by the PMH
nurse would best help the client with medication adherence?
A) Using a person-centered approach
B) Gaining the client's trust before informing the client about the plan of
care
C) Asking why the client failed to adhere to the medication regimen
D) Including a support person from home in the client's plan of care -
Correct Answer: A
6. The PMH nurse is caring for a client who wants to actively participate in the
plan of care. Which action should the PMH nurse take?
A) Discuss the informed choice model with the client.
, B) Include the concept of empowerment when planning the client's
care.
C) Use the shared decision-making model when planning the client's
care.
D) Discuss the paternalistic model with the client. - Correct Answer:
C
7. A client is talking to the PMH nurse about the reasons for being
hospitalized. The client describes things about a personal relationship that
are uncomfortable and asks the PMH nurse, "Should I break up with my
partner?" Which response by the PMH nurse would be most effective in
building rapport between the client and nurse?
A) "Of course you should; I would never stay with a partner who didn't
make me happy."
B) "Yes, I think you should pursue a new relationship to help you move
on."
C) "It sounds like you're beginning to be uncomfortable in this
relationship."
D) "You need to focus on yourself rather than the relationship right now.
- Correct Answer: C
8. When providing care to a client diagnosed with a mental disorder, the client
asks the PMH nurse, "Does mental illness run in your family?" Which
response by the PMH nurse would be non-therapeutic?
A) "Mental illnesses do run in families, and I've had a lot of experience
caring for people with mental illness."
B) "It sounds like you are concerned that there may be a family
connection to your current problem?"
C) "Yes, it does. I have a sister who was diagnosed several years ago with
severe major depression."
, D) "Mental illness can be family related. Let's focus the discussion on
you and how you're doing today." - Correct Answer: C
9. A PMH nurse observes an older adult client who has been taking
antipsychotic medications for four years. The PMH nurse sees the client's
lips smacking and eyes blinking rapidly. The PMH nurse also observes a
protruding tongue. Which action by the PMH nurse would be most
appropriate?
A) Ask whether the client has been experiencing side effects.
B) Contact the client's physician for a different medication order.
C) Document the client's symptoms of possible tardive dyskinesia.
D) Instruct the client to begin tapering the medication. - Correct
Answer: C
10.During a solution-focused behavior therapy session, the PMH therapist asks
the client, "How would your life be different if you woke up tomorrow and
all your problems had disappeared?" Which type of question is the
therapist using?
A) Exception question
B) Miracle question
C) Relationship question
D) Scaling question - Correct Answer: B
11.When describing solution-focused brief therapy, which characteristic would
the PMH nurse identify as being different from the other therapies?
A) Focus on functional aspects of the client
B) Challenge about the existence of problems
C) Assumption that change is not constant
D) View of the past rather than the present - Correct Answer: A