RN Mental Health Online Practice 2023 A Latest Update Version Practical Questions And Correct Answers 2024.

A school nurse is assessing a school-age child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post-traumatic stress disorder (PTSD)? - correct answer Lack of interest in an upcoming holiday A nurse is caring for a group of clients. Which of the following findings should the nurse report? - correct answer A client who is taking lamotrigine and has developed a rash A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine? - correct answer WBC count 2,500/mm3 (5,000-10,000/mm3) A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? - correct answer "It is easier to talk about my feelings now." During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors? - correct answer The client is interested in what the nurse is saying. A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan? - correct answer Promote the use of music to compete with the client's auditory hallucinations. A nurse is caring for a client who has impaired cognition. A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client. - correct answer Anticipated- approach from front, give directions to the client, decrease sensory, assign client to a room contra- use a vest, ensure the bed is kept, keep the lights off non- provide the client with high A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information about relapse should the nurse include? - correct answer Early identification of changes, such as decreased social involvement, is important. A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client? - correct answer Set realistic limits on the client's behavior. A nurse in a community health center is teaching families of clients who have post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? - correct answer Experiences feelings of isolation A nurse in an inpatient mental health facility is caring for a client. The client begins pacing with their fists clenched and is verbally abusing the staff. Which of the following actions should the nurse take? - correct answer Ensure security personnel are available in the background to assist if the client's behavior escalates. A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? - correct answer A client was administered one-half of the prescribed dose of medication. A nurse in a community health center is working with a group of clients who have post-traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - correct answer Guided imagery A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? - correct answer Gather supplies for endotracheal intubation. A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? - correct answer Hypertension A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, "My roommate never sleeps and keeps me up, too." Which of the following actions should the nurse take? - correct answer Move the client who has bipolar disorder to a private room. A nurse is planning care for a client who has generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? - correct answer Mild A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate? - correct answer Tachycardia A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching? - correct answer The client should obtain a sponsor before discharge for an increased chance of recovery. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? - correct answer Offer the client high-calorie finger foods frequently. A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? - correct answer Emotional lability A nurse is caring for an older adult client who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Which of the following responses should the nurse make? - correct answer "Let's talk about what is upsetting you." A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answer 1.5 A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? - correct answer Easily distracted A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of the following statements indicates that the client is at risk for complicated grief? - correct answer "I feel so empty without my wife that it's hard to get up every morning." A nurse is preparing to administer prescribed clozapine to a client. Which of the following client laboratory results should the nurse review prior to administering the clozapine. - correct answer Absolute neutrophil count A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? - correct answer Monitor the client's cardiac rhythm during the procedure. A nurse in a provider's office is collecting a health history from the guardian of a school-age child who has been taking atomoxetine. Which of the following adverse effects reported by the guardian is the priority for the nurse to report to the provider? - correct answer Dark urine A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the client's partner report to the provider? - correct answer Inability to sleep A nurse on an acute mental health facility is receiving a change-of-shift report for four clients. Which of the following clients should the nurse assess first? - correct answer A client who is experiencing delusions of persecution A nurse is educating the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder should the nurse include in the teaching? - correct answer Language delay A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? - correct answer Establish screening programs to identify at-risk clients. A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse should identify that which of the following treatment options can offer interdiscplinary services for the client at home? - correct answer Assertive community treatment A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? - correct answer "If you do my homework for me, I won't bother you for the rest of the day." A nurse is caring for a group of clients. Which of the following findings is the nurse required to report? - correct answer A client who has borderline personality disorder threatened to harm their roommate. A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take? - correct answer Suggest forming a weekly support group for parents who have experienced the death of a child. A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the priority? - correct answer Reduce environmental stimuli. A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client's plan of care? - correct answer Permit the client to perform daily rituals to decrease anxiety. A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? - correct answer Spending adequate time with a client who is verbally abusive A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - correct answer "I will update the plan of care as a client's manifestations of depression change." A nurse in a mental health facility is caring for a client who requires the use of restraints. Which of the following actions should the nurse take when caring for the client? - correct answer Ensure a staff member checks on the client every 15 min. A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder? - correct answer Anhedonia A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage violent behavior. Which of the following ethical principles should the nurse apply in this situation? - correct answer Nonmaleficence A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL (0-50 mg/dL). Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - correct answer Blood pressure 154/96 mm Hg