MENTAL HEALTH FINAL EXAM (NCLEX-STYLE QUESTIONS) FULLY SOLVED #23
A nurse is assessing a client who, over the past 3 years has experienced feelings of
sadness r/t death of a beloved aunt. Client barely eats, or sleeps and is socially
isolative. How should the nurse interpret the behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness - correct answer D
Which of the following is an immediate physical response associated with fight or flight?
(Select all that apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed - correct answer B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would
be most concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea - correct answer A
A client asks a nurse not to tell his parents about his alcohol problem. What is the most
appropriate response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?" - correct answer D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's
family asks the nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease" - correct answer B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The
client tells the nurse, "I don't have a problem. My wife made me come here." Which
defense mechanism does the nurse interpret the client's statement as representing?
, A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial - correct answer B
An alcoholic client tells the nurse, "I feel so depressed about what i've done to my family
that I feel like giving up." It is most important for the nurse to assess the client for which
of the following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings - correct answer B
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse
teaches the client that disulfiram will have which action?
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed - correct answer D
A 45-year-old client who recently completed alcohol detoxification reports plans to begin
using disulfiram (Antabuse) as part of the alcoholism treatment regimen. What important
client teaching does the nurse share regarding this drug?
A. Voluntary compliance with the disulfiram regimen is very high
B. A single dose of oral disulfiram will be effective for up to 72 hours
C. Disulfiram may be taken intramuscularly and will be effective for as long as 7 days
D. Foods, medications, and any topical preparation containing alcohol should be
avoided - correct answer D
An angry patient is in the community room. She picks up a chair and uses it to hit
another patient on the head. When you come into the community room, what should
your first response to the patient holding the chair be?
A. "Are you crazy? Hitting people can hurt them!"
B. "Hitting others is unacceptable. Please put the chair completely down on the floor."
C. "How would you like it if I hit you over the head with a chair?"
D. "You're in big trouble now. It's probably prison you are looking at!" - correct answer B
Gerald was admitted to the psychiatric acute care unit because he stood in the center of
a main two-way street in his underwear and a T-shirt, shouting, "I am being held against
my will. I have personal rights". Gerald was diagnosed with bipolar disorder, manic type.
A nurse is assessing a client who, over the past 3 years has experienced feelings of
sadness r/t death of a beloved aunt. Client barely eats, or sleeps and is socially
isolative. How should the nurse interpret the behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness - correct answer D
Which of the following is an immediate physical response associated with fight or flight?
(Select all that apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed - correct answer B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would
be most concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea - correct answer A
A client asks a nurse not to tell his parents about his alcohol problem. What is the most
appropriate response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?" - correct answer D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's
family asks the nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease" - correct answer B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The
client tells the nurse, "I don't have a problem. My wife made me come here." Which
defense mechanism does the nurse interpret the client's statement as representing?
, A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial - correct answer B
An alcoholic client tells the nurse, "I feel so depressed about what i've done to my family
that I feel like giving up." It is most important for the nurse to assess the client for which
of the following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings - correct answer B
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse
teaches the client that disulfiram will have which action?
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed - correct answer D
A 45-year-old client who recently completed alcohol detoxification reports plans to begin
using disulfiram (Antabuse) as part of the alcoholism treatment regimen. What important
client teaching does the nurse share regarding this drug?
A. Voluntary compliance with the disulfiram regimen is very high
B. A single dose of oral disulfiram will be effective for up to 72 hours
C. Disulfiram may be taken intramuscularly and will be effective for as long as 7 days
D. Foods, medications, and any topical preparation containing alcohol should be
avoided - correct answer D
An angry patient is in the community room. She picks up a chair and uses it to hit
another patient on the head. When you come into the community room, what should
your first response to the patient holding the chair be?
A. "Are you crazy? Hitting people can hurt them!"
B. "Hitting others is unacceptable. Please put the chair completely down on the floor."
C. "How would you like it if I hit you over the head with a chair?"
D. "You're in big trouble now. It's probably prison you are looking at!" - correct answer B
Gerald was admitted to the psychiatric acute care unit because he stood in the center of
a main two-way street in his underwear and a T-shirt, shouting, "I am being held against
my will. I have personal rights". Gerald was diagnosed with bipolar disorder, manic type.
