PN MENTAL HEALTH PROCTORED EXAM P a g e | 1
PN MENTAL HEALTH PROCTORED EXAM 3
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
41.
A female client refuses to take an oral hypoglycemic agent because she believes that the drug is being
administered as part of an elaborate plan by the Mafia to harm her. Which nursing intervention is most
important to include in this client's plan of care?
A) Reassure the client that no one will harm her while she is in the hospital.
B) Ask the healthcare provider to give the client the medication.
C) Explain that the diabetic medication is important to take.
D) Reassess client's mental status for thought processes and content. –
Correct Answer :The most important intervention is to reassess the client's mental status (D) and to
take further action based on the findings of this assessment. Attempting to reassure the client (A) is in
effect arguing with the client's delusions and could escalate an already anxious situation. Collaborating
about diabetic care (B and C) is not likely to help change the client's false beliefs.
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Correct Answer(s): D
42.
On admission to a residential care facility, an elderly female client tells the nurse that she enjoys
cooking, quilting, and watching television. Twenty-fours after admission, the nurse notes that the
client is withdrawn and isolated. It is best for the nurse to encourage this client to become involved in
which activity?
A) Clean the unit kitchen cabinets.
B) Participate in a group quilting project.
C) Watch television in the activity room.
D) Bake a cake for a resident's birthday. –
Correct Answer :Peer interaction in a group activity (B) will help to prevent social isolation and
withdrawal. (A, C, and D) are activities that can be accomplished alone, without peer interaction.
Correct Answer(s): B
43.
A male adolescent is admitted with bipolar disorder after being released from jail for assault with a
deadly weapon. When the nurse asks the teen to identify his reason for the assault, he replies,
"Because he made me mad!" Which goal is best for the nurse to include in the client's plan of care?
The client will
A) outline methods for managing anger.
B) control impulsive actions toward self and others.
C) verbalize feelings when anger occurs.
D) recognize consequences for behaviors exhibited. –
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Correct Answer :Those with bipolar disorder often exhibit poor impulse control, and the most
important goal for this client at this time is to learn to control impulsive behavior (B) so that he can
avert the social consequences related to such behaviors. (A, C, and D) are important goals, but they
do not address the acute issue of impulse control, which is necessary to reduce the likelihood of
harming self or others.
Correct Answer(s): B
44.
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to
state that someone is trying to steal his clothing. Which action should the nurse implement?
A) Encourage the client to actively participate in assigned activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
D) Explain to the client that his suspicions are false. –
Correct Answer :Diverting the client's attention from paranoid ideation and encouraging him to
complete assignments can be helpful in assisting him to develop a positive self-image (A). The client's
problem is not security, and (B) actually supports his paranoid ideation. (C) is not correct because
ignoring the client's symptoms may lower his self-esteem. The nurse should not argue with the client
about his delusions (D), and should not try to reason with the client regarding his paranoid ideation.
Correct Answer(s): A
45.
A nurse working on a mental health unit receives a community call from a person who is tearful and
states, "I just feel so nervous all of the time. I don't know what to do about my problems. I haven't
been able to sleep at night and have hardly eaten for the past 3 or 4 days." The nurse should initiate a
referral based on which assessment?
A) Altered thought processes.
B) Moderate levels of anxiety.
C) Inadequate social support.
D) Altered health maintenance. –
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Correct Answer :The nurse should initiate a referral based on anxiety levels (B) and feelings of
nervousness that interfere with sleep, appetite, and the inability to solve problems. The client does
not report symptoms of (A) or evidence of (C). There is not enough information to initiate a referral
based on (D).
Correct Answer(s): B
48.
The nurse suspects child abuse when assessing a 3-year-old boy and noticing several small, round
burns on his legs and trunk that might be the result of cigarette burns. Which parental behavior
provides the greatest validation for such suspicions?
A) The parents' explanation of how the burns occurred is different from the child's explanation of how
they occurred.
B) The parents seem to dismiss the severity of the child's burns, saying they are very small and have
not posed any problem.
C) The parents become very anxious when the nurse suggests that the child may need to be admitted
for further evaluation.
D) The parents tell the nurse that the child was burned in a house fire which is incompatible with the
nurse's observation of the type of burn. –
Correct Answer :(D) provides the most validation. The parent's explanation (subjective data) is
incompatible with the objective data (small round burns on the legs and trunk). (A) provides only
subjective data, and the child's explanation could be influenced by factors such as age, fear, or
imagination. The parent's apparent lack of concern (B) is inconclusive, but the nurse's opinion of the
parents' reaction is subjective and could be wrong. (C) might provide a clue that child abuse occurred,
but the nurse must remember that most parents are anxious about their child being hospitalized.
Correct Answer(s): D
49.
The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a history
of chronic depression. Recently, the client's viral load has begun to increase rather than decrease
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PN MENTAL HEALTH PROCTORED EXAM 3
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
41.
A female client refuses to take an oral hypoglycemic agent because she believes that the drug is being
administered as part of an elaborate plan by the Mafia to harm her. Which nursing intervention is most
important to include in this client's plan of care?
A) Reassure the client that no one will harm her while she is in the hospital.
B) Ask the healthcare provider to give the client the medication.
C) Explain that the diabetic medication is important to take.
D) Reassess client's mental status for thought processes and content. –
Correct Answer :The most important intervention is to reassess the client's mental status (D) and to
take further action based on the findings of this assessment. Attempting to reassure the client (A) is in
effect arguing with the client's delusions and could escalate an already anxious situation. Collaborating
about diabetic care (B and C) is not likely to help change the client's false beliefs.
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Correct Answer(s): D
42.
On admission to a residential care facility, an elderly female client tells the nurse that she enjoys
cooking, quilting, and watching television. Twenty-fours after admission, the nurse notes that the
client is withdrawn and isolated. It is best for the nurse to encourage this client to become involved in
which activity?
A) Clean the unit kitchen cabinets.
B) Participate in a group quilting project.
C) Watch television in the activity room.
D) Bake a cake for a resident's birthday. –
Correct Answer :Peer interaction in a group activity (B) will help to prevent social isolation and
withdrawal. (A, C, and D) are activities that can be accomplished alone, without peer interaction.
Correct Answer(s): B
43.
A male adolescent is admitted with bipolar disorder after being released from jail for assault with a
deadly weapon. When the nurse asks the teen to identify his reason for the assault, he replies,
"Because he made me mad!" Which goal is best for the nurse to include in the client's plan of care?
The client will
A) outline methods for managing anger.
B) control impulsive actions toward self and others.
C) verbalize feelings when anger occurs.
D) recognize consequences for behaviors exhibited. –
P a g e 2 | 79
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Correct Answer :Those with bipolar disorder often exhibit poor impulse control, and the most
important goal for this client at this time is to learn to control impulsive behavior (B) so that he can
avert the social consequences related to such behaviors. (A, C, and D) are important goals, but they
do not address the acute issue of impulse control, which is necessary to reduce the likelihood of
harming self or others.
Correct Answer(s): B
44.
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to
state that someone is trying to steal his clothing. Which action should the nurse implement?
A) Encourage the client to actively participate in assigned activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
D) Explain to the client that his suspicions are false. –
Correct Answer :Diverting the client's attention from paranoid ideation and encouraging him to
complete assignments can be helpful in assisting him to develop a positive self-image (A). The client's
problem is not security, and (B) actually supports his paranoid ideation. (C) is not correct because
ignoring the client's symptoms may lower his self-esteem. The nurse should not argue with the client
about his delusions (D), and should not try to reason with the client regarding his paranoid ideation.
Correct Answer(s): A
45.
A nurse working on a mental health unit receives a community call from a person who is tearful and
states, "I just feel so nervous all of the time. I don't know what to do about my problems. I haven't
been able to sleep at night and have hardly eaten for the past 3 or 4 days." The nurse should initiate a
referral based on which assessment?
A) Altered thought processes.
B) Moderate levels of anxiety.
C) Inadequate social support.
D) Altered health maintenance. –
P a g e 3 | 79
, PN MENTAL HEALTH PROCTORED EXAM P a g e | 4
Correct Answer :The nurse should initiate a referral based on anxiety levels (B) and feelings of
nervousness that interfere with sleep, appetite, and the inability to solve problems. The client does
not report symptoms of (A) or evidence of (C). There is not enough information to initiate a referral
based on (D).
Correct Answer(s): B
48.
The nurse suspects child abuse when assessing a 3-year-old boy and noticing several small, round
burns on his legs and trunk that might be the result of cigarette burns. Which parental behavior
provides the greatest validation for such suspicions?
A) The parents' explanation of how the burns occurred is different from the child's explanation of how
they occurred.
B) The parents seem to dismiss the severity of the child's burns, saying they are very small and have
not posed any problem.
C) The parents become very anxious when the nurse suggests that the child may need to be admitted
for further evaluation.
D) The parents tell the nurse that the child was burned in a house fire which is incompatible with the
nurse's observation of the type of burn. –
Correct Answer :(D) provides the most validation. The parent's explanation (subjective data) is
incompatible with the objective data (small round burns on the legs and trunk). (A) provides only
subjective data, and the child's explanation could be influenced by factors such as age, fear, or
imagination. The parent's apparent lack of concern (B) is inconclusive, but the nurse's opinion of the
parents' reaction is subjective and could be wrong. (C) might provide a clue that child abuse occurred,
but the nurse must remember that most parents are anxious about their child being hospitalized.
Correct Answer(s): D
49.
The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a history
of chronic depression. Recently, the client's viral load has begun to increase rather than decrease
P a g e 4 | 79
