• Mental Health Care 09/15/2026
Test Bank Foundations of Mental Health Care 8th
Edition Morrison Valfre | 9780323810296 | All
Chapters with Answers and Rationals
A client in the early dementia stage of Alzheimer disease is admitted to a long-term care facility. Which activities
must the nurse initiate? Select all that apply.
1
Weighing the client once a week
2
Having specialized rehabilitation equipment available
3
Keeping the client in pajamas and robe most of the day
4
Establishing a schedule with periods of rest after activities
5
Reviewing the client's weekly budget and use of community resources
P 1
, • Mental Health Care 09/15/2026
6
Setting up a plan for weekly entertainment through a senior citizens group - Correct Answer :124
Monitoring weight is an objective way to assess nutritional status. Specialized equipment can facilitate the
client's participation in self-care. Incorporating rest periods into the client's day prevents fatigue and energizes
the client for the next period of activity. The client needs to wear clothes to help maintain a positive view of self.
It is not appropriate to review budgeting and use of community resources with a client in the early dementia
stage of Alzheimer disease; these activities may produce frustration, withdrawal, or self-absorption. A client in
the early dementia stage of Alzheimer disease is usually unable to participate in or travel with a senior citizen
group.
A client is admitted to a long-term care facility and placed in a semiprivate room. After the second night on the
unit the client's roommate reports that the client is masturbating at night and demands another room. What is
the most appropriate intervention by the nurse?
1
Telling the roommate that this is acceptable behavior and that the client has the right to engage in it
2
Informing the client who is masturbating that this behavior is inappropriate and should not continue
3
Providing the client who was masturbating with periods of private time
4
Moving the roommate who made the report to another room - Correct Answer :3Masturbating is a healthy
human sexual behavior. The client should be provided with private time. The client has the right to meet physical
needs but should not impose the behavior on others. Moving the roommate to another room could be
ineffective because this may happen with the client's future roommate. Telling the roommate that this is
acceptable behavior and that the client has the right to engage in it does not address either client's needs.
A nurse is counseling a client who is experiencing substance abuse delirium. What communication strategies
should be used by the nurse when working with this client?
1
Encouraging the client to practice self-control
2
Using humor when communicating with the client
3
Approaching the client from the side rather than the front
P 2
, • Mental Health Care 09/15/2026
4
Offering an introduction to the client at each meeting - Correct Answer :4Clients with delirium have short-term
memory loss; therefore it is necessary to reinforce information. A client experiencing delirium is unable to
participate in a discussion about self-control. Humor is inappropriate and may cause the client to feel
uncomfortable. Approaching the client from the side rather than the front may initiate a startle response,
causing the client to become fearful.
What clinical findings may be expected when a nurse assesses an individual with an anxiety disorder? Select all
that apply.
1
Worrying about a variety of issues
2
Acting out with antisocial behavior
3
Converting the anxiety into a physical symptom
4
Displacing the anxiety onto a less threatening object
5
Demonstrating behavior common to an earlier stage of development - Correct Answer :1345Excessive anxiety
and worry about a number of events, topics, or activities for a 6-month duration are the hallmark of generalized
anxiety disorder. Converting anxiety into a physical symptom is an example of a conversion disorder, which
eases anxiety. Displacing the anxiety onto a less threatening object, which eases anxiety, is typical of a phobic
disorder. Regression is an attempt during periods of stress to return to behavior that has been satisfying and is
appropriate at an earlier stage of development. Acting out anxiety with antisocial behavior is most commonly
found in individuals with personality rather than anxiety disorders.
A nurse in the mental health clinic is counseling a client with the diagnosis of depression. During the counseling
session the client says, "Things always seem the same. They never change." The nurse suspects that the client is
feeling hopeless. For what indication of hopelessness should the nurse assess the client?
1
Focused concentration
2
Preoccupation with delusions
3
P 3
, • Mental Health Care 09/15/2026
Intense interpersonal relationships
4
Outbursts of anger - Correct Answer :4Clients who are depressed and feeling hopeless also tend to have
inappropriate expressions of anger. Depressed clients frequently have a diminished ability to think or
concentrate. Preoccupation with delusions is usually associated with clients who have schizophrenia rather than
with clients experiencing depression and hopelessness. Clients who are depressed and feeling hopeless tend to
be socially withdrawn and do not have the physical or emotional energy for intense interpersonal relationships.
An older adult living in a long-term care facility has been receiving lithium 600 mg twice a day for 3 weeks to ease
manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and
muscle weakness. What is the most appropriate nursing intervention?
1
Obtaining a prescription for the antidote to lithium and administering it immediately
2
Suggesting that the practitioner replace the lithium for an antiepileptic that will control the mania
3
Assessing the client for coarse hand tremor and, if it is present, giving the daily dose of lithium with a bit of water
4
Withholding the next dose of lithium and drawing blood to test it for toxicity - Correct Answer :4
The client is displaying signs and symptoms of early lithium toxicity; older clients should be monitored carefully
and given smaller doses of lithium because its excretion from the kidneys is slower than that in younger adults.
There is no antidote to lithium. Coarse hand tremor is an indication of advanced lithium toxicity; the lithium
should be withheld. Although antiepileptics are effective in 25% to 50% of clients with treatment-resistant bipolar
disorder, this is not the appropriate treatment for lithium toxicity.
The nurse teaches a client methods of coping with anger. The nurse concludes that the client has learned the
most effective method when the client states that when she is angry she will:
1
Go for a long jog.
2
Go to the basement to scream.
3
Concentrate on what made her angry.
P 4
Test Bank Foundations of Mental Health Care 8th
Edition Morrison Valfre | 9780323810296 | All
Chapters with Answers and Rationals
A client in the early dementia stage of Alzheimer disease is admitted to a long-term care facility. Which activities
must the nurse initiate? Select all that apply.
1
Weighing the client once a week
2
Having specialized rehabilitation equipment available
3
Keeping the client in pajamas and robe most of the day
4
Establishing a schedule with periods of rest after activities
5
Reviewing the client's weekly budget and use of community resources
P 1
, • Mental Health Care 09/15/2026
6
Setting up a plan for weekly entertainment through a senior citizens group - Correct Answer :124
Monitoring weight is an objective way to assess nutritional status. Specialized equipment can facilitate the
client's participation in self-care. Incorporating rest periods into the client's day prevents fatigue and energizes
the client for the next period of activity. The client needs to wear clothes to help maintain a positive view of self.
It is not appropriate to review budgeting and use of community resources with a client in the early dementia
stage of Alzheimer disease; these activities may produce frustration, withdrawal, or self-absorption. A client in
the early dementia stage of Alzheimer disease is usually unable to participate in or travel with a senior citizen
group.
A client is admitted to a long-term care facility and placed in a semiprivate room. After the second night on the
unit the client's roommate reports that the client is masturbating at night and demands another room. What is
the most appropriate intervention by the nurse?
1
Telling the roommate that this is acceptable behavior and that the client has the right to engage in it
2
Informing the client who is masturbating that this behavior is inappropriate and should not continue
3
Providing the client who was masturbating with periods of private time
4
Moving the roommate who made the report to another room - Correct Answer :3Masturbating is a healthy
human sexual behavior. The client should be provided with private time. The client has the right to meet physical
needs but should not impose the behavior on others. Moving the roommate to another room could be
ineffective because this may happen with the client's future roommate. Telling the roommate that this is
acceptable behavior and that the client has the right to engage in it does not address either client's needs.
A nurse is counseling a client who is experiencing substance abuse delirium. What communication strategies
should be used by the nurse when working with this client?
1
Encouraging the client to practice self-control
2
Using humor when communicating with the client
3
Approaching the client from the side rather than the front
P 2
, • Mental Health Care 09/15/2026
4
Offering an introduction to the client at each meeting - Correct Answer :4Clients with delirium have short-term
memory loss; therefore it is necessary to reinforce information. A client experiencing delirium is unable to
participate in a discussion about self-control. Humor is inappropriate and may cause the client to feel
uncomfortable. Approaching the client from the side rather than the front may initiate a startle response,
causing the client to become fearful.
What clinical findings may be expected when a nurse assesses an individual with an anxiety disorder? Select all
that apply.
1
Worrying about a variety of issues
2
Acting out with antisocial behavior
3
Converting the anxiety into a physical symptom
4
Displacing the anxiety onto a less threatening object
5
Demonstrating behavior common to an earlier stage of development - Correct Answer :1345Excessive anxiety
and worry about a number of events, topics, or activities for a 6-month duration are the hallmark of generalized
anxiety disorder. Converting anxiety into a physical symptom is an example of a conversion disorder, which
eases anxiety. Displacing the anxiety onto a less threatening object, which eases anxiety, is typical of a phobic
disorder. Regression is an attempt during periods of stress to return to behavior that has been satisfying and is
appropriate at an earlier stage of development. Acting out anxiety with antisocial behavior is most commonly
found in individuals with personality rather than anxiety disorders.
A nurse in the mental health clinic is counseling a client with the diagnosis of depression. During the counseling
session the client says, "Things always seem the same. They never change." The nurse suspects that the client is
feeling hopeless. For what indication of hopelessness should the nurse assess the client?
1
Focused concentration
2
Preoccupation with delusions
3
P 3
, • Mental Health Care 09/15/2026
Intense interpersonal relationships
4
Outbursts of anger - Correct Answer :4Clients who are depressed and feeling hopeless also tend to have
inappropriate expressions of anger. Depressed clients frequently have a diminished ability to think or
concentrate. Preoccupation with delusions is usually associated with clients who have schizophrenia rather than
with clients experiencing depression and hopelessness. Clients who are depressed and feeling hopeless tend to
be socially withdrawn and do not have the physical or emotional energy for intense interpersonal relationships.
An older adult living in a long-term care facility has been receiving lithium 600 mg twice a day for 3 weeks to ease
manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and
muscle weakness. What is the most appropriate nursing intervention?
1
Obtaining a prescription for the antidote to lithium and administering it immediately
2
Suggesting that the practitioner replace the lithium for an antiepileptic that will control the mania
3
Assessing the client for coarse hand tremor and, if it is present, giving the daily dose of lithium with a bit of water
4
Withholding the next dose of lithium and drawing blood to test it for toxicity - Correct Answer :4
The client is displaying signs and symptoms of early lithium toxicity; older clients should be monitored carefully
and given smaller doses of lithium because its excretion from the kidneys is slower than that in younger adults.
There is no antidote to lithium. Coarse hand tremor is an indication of advanced lithium toxicity; the lithium
should be withheld. Although antiepileptics are effective in 25% to 50% of clients with treatment-resistant bipolar
disorder, this is not the appropriate treatment for lithium toxicity.
The nurse teaches a client methods of coping with anger. The nurse concludes that the client has learned the
most effective method when the client states that when she is angry she will:
1
Go for a long jog.
2
Go to the basement to scream.
3
Concentrate on what made her angry.
P 4
