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PN MENTAL HEALTH PROCTORED EXAM 2 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+

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PN MENTAL HEAL TH PROCTORED EXAM 2 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+ An adolescent female client is admitted to the Emergency Department because she reports being raped. When the male unlicensed assistive personnel (UAP) enters the room to obtain her vital signs, she begins screaming for her mother and curls up in the corner of the room. What action should the nurse implement? A. Reassure client that the male UAP is a staff member who wants to help her. B. Tell the client that her fear is understandable under these circumstances. C. Reassign an all-female healthcare team to the client until her fear subsides. P a ge 1 | 185 PN MENTAL HEALTH PROCTORED EXAM Page | 2 D. Ask her mother to please stay with her throughout the assessment procedures. – Correct Answer :ANS: C. Reassign an all-female healthcare team to the client until her fear subsides. An adolescent female who has been physically violated and emotionally traumatized needs a non threatening environment, and reassigning this client to all-female personnel is best to reduce her fear and anxiety related to rape. The other actions do not specifically address the client's fear of the male UAP. Which action should the nurse implement first for a client experiencing alcohol withdrawal? A. Apply vest or extremity restraints. B. Give an alpha-adrenergic blocker. C. Provide a diet high in protein and calories. D. Prepare the environment to prevent self-injury. – Correct Answer :ANS: D. Prepare the environment to prevent self-injury. During alcohol withdrawal, self-destructive or violent behavior can occur due to agitation and hallucinations and cause a potentially immediate and life-threatening risk to the client and others. The

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PN MENTAL HEALTH PROCTORED EXAM P a g e |
1


PN MENTAL HEALTH PROCTORED EXAM 2
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+




An adolescent female client is admitted to the Emergency Department because she reports being
raped. When the male unlicensed assistive personnel (UAP) enters the room to obtain her vital signs,
she begins screaming for her mother and curls up in the corner of the room. What action should the
nurse implement?



A. Reassure client that the male UAP is a staff member who wants to help her.



B. Tell the client that her fear is understandable under these circumstances.



C. Reassign an all-female healthcare team to the client until her fear subsides.

P a g e 1 | 185

, PN MENTAL HEALTH PROCTORED EXAM P a g e |
2



D. Ask her mother to please stay with her throughout the assessment procedures. –



Correct Answer :ANS: C. Reassign an all-female healthcare team to the client until her fear subsides.



An adolescent female who has been physically violated and emotionally traumatized needs a non-
threatening environment, and reassigning this client to all-female personnel is best to reduce her fear
and anxiety related to rape. The other actions do not specifically address the client's fear of the male
UAP.




Which action should the nurse implement first for a client experiencing alcohol withdrawal?



A. Apply vest or extremity restraints.



B. Give an alpha-adrenergic blocker.



C. Provide a diet high in protein and calories.



D. Prepare the environment to prevent self-injury. –




Correct Answer :ANS: D. Prepare the environment to prevent self-injury.



During alcohol withdrawal, self-destructive or violent behavior can occur due to agitation and
hallucinations and cause a potentially immediate and life-threatening risk to the client and others. The

P a g e 2 | 185

, PN MENTAL HEALTH PROCTORED EXAM P a g e |
3

nurse should first provide a safe environment by removing any potential objects that could inflict self-
injury. Secondary prevention strategies, administration of medications, and nutrition needs are then
indicated.



The nurse is assessing



a client with a history of borderline personality disorder. Which question should the nurse include in
the assessment?



A. At what age did you begin to exhibit symptoms?



B. Do you have a family history of borderline disorder?



C. How often do you drink alcoholic beverages?



D. Do you frequently have temper tantrums? –



Correct Answer :ANS: D. Do you frequently have temper tantrums?



A client with borderline personality disorder often has a history of intense outbursts of anger. The
other questions may provide worthwhile information, but do not provide specific information about
the client's symptomatology of borderline personality disorder.




A nurse is teaching about women's health with a female client who is in a homosexual relationship.
Which topic is the most important for the nurse to address?



A. Sexually transmitted diseases.



P a g e 3 | 185

, PN MENTAL HEALTH PROCTORED EXAM P a g e |
4

B. Annual gynecologic examination.



C. Monthly breast self-examination.



D. Domestic violence interventions. –




Correct Answer :ANS: D. Domestic violence interventions.



Since all women, regardless of sexual orientation, are at risk for domestic violence that can be
potentially lethal, this is the most important topic for the nurse to address and is a policy that should
be included in the nursing interview. The other topics should be included, but determining the
presence of domestic violence is a life threatening priority.




An adult female who is married and works full-time in a factory has been absent from work for three
days at a time on several occasions. Each time she returns to work, she wears dark glasses to cover
facial bruising. Her supervisor refers her to the occupational health nurse. What assessment question
should the nurse use?



A. Do you drink excessively?



B. Did your husband beat you?



C. How did this happen to you?



D. What did you do to deserve this? –



Correct Answer :ANS: C. How did this happen to you?
P a g e 4 | 185

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