PN MENTAL HEALTH PROCTORED EXAM
QUESTIONS AND ANSWERS ALREADY
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A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following
initial reactions should the nurse expect from the client?
A) Bargaining
B) Depression
C) Denial
D) Anger –
Correct Answer :C) Denial
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A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine.
For which of the following findings should the nurse question the provider's prescription?
A) A skeletal muscle injury
B) History of status epileptics
C) Hypotension
D) Insomnia –
Correct Answer :C) Hypotension
A nurse is caring for a client who attends family counseling with his partner and their children. The
client tells the nurse that he isn't going to attend any further sessions and states " I don't have time
for all that talking." Which of the following responses should the nurse make?
A) It must be difficult for you to talk about family problems
B) You should continue attending the family counseling sessions until the therapist tells you to stop
C) If you should continue to go to family counseling, I', sure you'll be able to resolve your family
problems soon
D) I think you need to continue family therapy if your partner and children want to receive further
counseling –
Correct Answer :A) It must be difficult for you to talk about family problems
A nurse is assisting in the planning of a staff education session about the administration of
antidepressant medications to older adult clients. Which of the following information should the nurse
recommend to include?
A) Older adult clients require a lower initial dose of antidepressant medication than adult clients
B) Older adult clients should not receive antidepressant medication
C) Older adult clients achieve the therapeutic effects of antidepressant medications more quickly than
adult clients
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D) Older adult clients have decreased risk for adverse effects from antidepressant medication –
Correct Answer :A) Older adult clients require a lower initial dose of antidepressant medication than
adult clients
A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The
nurse should expect a prescription for memantine for a client who has which of the following
diagnoses?
A) Depression
B) Schizophrenia
C) Obesity
D) Alzheimer's disease –
Correct Answer :D) Alzheimer's disease
A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. Which
of the following actions should the nurse take?
A) Monitor the client's liver function while taking this medication
B) Increase the dosage of the medication every 72 hours
C) Off the client a PRN aspirin while taking this medication
D) Administer the medication at bedtime –
Correct Answer :D) Administer the medication at bedtime
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A nurse is collecting admission data from a client who has anorexia nervosa. Which of the following
findings should the nurse expect?
A) Poor personal hygiene habits
B) Strenuous exercise regimen
C) Grandiose behaviors
D) Intense fear of death –
Correct Answer :B) Strenuous exercise
A nurse is reinforcing teaching with a client who has agoraphobia about systematic densification.
Which of the following comments should the nurse include in the teaching?
A) You will watch from a secure location as your therapist goes to public spaces
B) You will start your therapy by staying in a public space until your anxiety decreases
C) You will be instructed to stay "stop" out loud when you become anxious in public spaces
D) You will slowly be exposed to increasing levels of public spaces –
Correct Answer :D) You will slowly be exposed to increasing levels of public spaces
A nurse on an acute care unit is providing postoperative care to an older adult client who develops
delirium. Which of the following actions should the nurse take?
A) Withhold PRN Anti-anxiety medication
B) Provide the client with a stimulation activity prior to bedtime
C) Keep the client's room well-lit at night
D) Encourage the client to make decisions about her daily routine –
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