SME Mental Health Questions with
Complete Correct Answers | Grade
A+
The nurse admits the client with a diagnosis of schizophrenia to the unit. The client's needs
are best met by which action?
1. Give the client a brief orientation and stay with the client for a while.
2. Offer the client a description of ward activities and introduce the client to other clients.
3. Introduce the client to another client and ask the other client to give a short unit tour.
4. Sit with the client in a quiet room and wait until the hallucinations stop.
Ans: Give the client a brief orientation and stay with the client for a while.
The client with a diagnosis of antisocial personality disorder fails to arrive on time for a
scheduled appointment with the nurse. The nurse contacts the client to remind the client of
the appointment, and the client states, "I would rather meet between 12 and 1." Which
response by the nurse is best?
1. "Perhaps we can make that change the next time."
2. "Is there something you are having trouble discussing?"
3. "I would have to discuss any changes with the team first."
4. "Are you having some difficulty with the time you agreed to?"
Ans: "Are you having some difficulty with the time you agreed to?"
,A client has recently taken heroin. Which signs and symptoms does the nurse expect to
observe?
1. Constricted pupils, depressed respirations.
2. Dilated pupils, increased respirations.
3. Vomiting and hypotension.
4. Agitation and tachycardia.
Ans: Constricted pupils, depressed respirations.
The nurse expects which medications to be ordered for a client experiencing alcohol
withdrawal delirium?
1. Phenobarbital and chlordiazepoxide.
2. Disulfiram and chlorpromazine.
3. Disulfiram and barbiturates.
4. Tricyclics and sedatives.
Ans: Phenobarbital and chlordiazepoxide.
A young adult client is brought to the emergency department by a friend. The client is
agitated and is screaming, "I can't stop seeing things. Help me, I'm going crazy." The friend
reports the client took some lysergic acid diethylamide earlier in the day. It is most important
for the nurse to take which action?
,1. Give the client reflective feedback.
2. Stay with the client and quietly attempt to talk the client down.
3. Set limits on the client's behavior.
4. Place the client in a well-lighted room close to the nurse's station.
Ans: Stay with the client and quietly attempt to talk the client down.
During group therapy on the unit, one client seldom speaks. One morning, the quiet client
listens intensely and maintains eye contact with another client who speaks about depression,
but the quiet client still does not speak. Which response by the nurse is most appropriate?
1. "You are both sad now, but it is better to have a positive view to share."
2. "Why are you looking that way? You seem very upset."
3. "Express yourself verbally, so the group understands you."
4. "Do you have some feelings about what's being said?"
Ans: "Do you have some feelings about what's being said?"
The client is told by the health care provider that the client's cancer is inoperable. The nurse
enters the rooms a short time later and finds the client crying. Which action should the nurse
take first?
1. Acknowledge this is a sad time.
2. Quietly leave the room.
3. Call the chaplain or spiritual leader at the hospital.
, 4. Stress what can be done in the time remaining.
Ans: Acknowledge this is a sad time.
During the second session of individual therapy, a client sits quietly with arms folded and
eyes cast down. Which approach by the nurse is best?
1. Use small talk to keep the conversation going.
2. Ask the client why the client is having difficulty talking.
3. Ask concrete, direct questions that require simple answers.
4. Use broad openings and leads to encourage discussion.
Ans: Use broad openings and leads to encourage discussion.
The client is admitted to the hospital with a diagnosis of paranoid schizophrenia. The spouse
states the client has not slept in three nights. Which nursing goal takes priority?
1. Increase a sense of responsibility.
2. Increase independence.
3. Promote trust.
4. Promote rest.
Ans: Promote trust.
Complete Correct Answers | Grade
A+
The nurse admits the client with a diagnosis of schizophrenia to the unit. The client's needs
are best met by which action?
1. Give the client a brief orientation and stay with the client for a while.
2. Offer the client a description of ward activities and introduce the client to other clients.
3. Introduce the client to another client and ask the other client to give a short unit tour.
4. Sit with the client in a quiet room and wait until the hallucinations stop.
Ans: Give the client a brief orientation and stay with the client for a while.
The client with a diagnosis of antisocial personality disorder fails to arrive on time for a
scheduled appointment with the nurse. The nurse contacts the client to remind the client of
the appointment, and the client states, "I would rather meet between 12 and 1." Which
response by the nurse is best?
1. "Perhaps we can make that change the next time."
2. "Is there something you are having trouble discussing?"
3. "I would have to discuss any changes with the team first."
4. "Are you having some difficulty with the time you agreed to?"
Ans: "Are you having some difficulty with the time you agreed to?"
,A client has recently taken heroin. Which signs and symptoms does the nurse expect to
observe?
1. Constricted pupils, depressed respirations.
2. Dilated pupils, increased respirations.
3. Vomiting and hypotension.
4. Agitation and tachycardia.
Ans: Constricted pupils, depressed respirations.
The nurse expects which medications to be ordered for a client experiencing alcohol
withdrawal delirium?
1. Phenobarbital and chlordiazepoxide.
2. Disulfiram and chlorpromazine.
3. Disulfiram and barbiturates.
4. Tricyclics and sedatives.
Ans: Phenobarbital and chlordiazepoxide.
A young adult client is brought to the emergency department by a friend. The client is
agitated and is screaming, "I can't stop seeing things. Help me, I'm going crazy." The friend
reports the client took some lysergic acid diethylamide earlier in the day. It is most important
for the nurse to take which action?
,1. Give the client reflective feedback.
2. Stay with the client and quietly attempt to talk the client down.
3. Set limits on the client's behavior.
4. Place the client in a well-lighted room close to the nurse's station.
Ans: Stay with the client and quietly attempt to talk the client down.
During group therapy on the unit, one client seldom speaks. One morning, the quiet client
listens intensely and maintains eye contact with another client who speaks about depression,
but the quiet client still does not speak. Which response by the nurse is most appropriate?
1. "You are both sad now, but it is better to have a positive view to share."
2. "Why are you looking that way? You seem very upset."
3. "Express yourself verbally, so the group understands you."
4. "Do you have some feelings about what's being said?"
Ans: "Do you have some feelings about what's being said?"
The client is told by the health care provider that the client's cancer is inoperable. The nurse
enters the rooms a short time later and finds the client crying. Which action should the nurse
take first?
1. Acknowledge this is a sad time.
2. Quietly leave the room.
3. Call the chaplain or spiritual leader at the hospital.
, 4. Stress what can be done in the time remaining.
Ans: Acknowledge this is a sad time.
During the second session of individual therapy, a client sits quietly with arms folded and
eyes cast down. Which approach by the nurse is best?
1. Use small talk to keep the conversation going.
2. Ask the client why the client is having difficulty talking.
3. Ask concrete, direct questions that require simple answers.
4. Use broad openings and leads to encourage discussion.
Ans: Use broad openings and leads to encourage discussion.
The client is admitted to the hospital with a diagnosis of paranoid schizophrenia. The spouse
states the client has not slept in three nights. Which nursing goal takes priority?
1. Increase a sense of responsibility.
2. Increase independence.
3. Promote trust.
4. Promote rest.
Ans: Promote trust.
