Mental health cms
A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine Which of
the following is an expected outcome for
this client?
a) Decrease hallucination
b) Improved mood
c) Reduction in hand tremors
d) Absence of seizures - ANS Improved mood
A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was
voluntary. For which of the following
interventions should the nurse confirm that the client has given informed consent?
a). Receiving light therapy
b) Participating in a group exercise program
c) Attending a cognitive behavioral therapy class
d) Taking an experimental medication - ANS d) Taking an experimental medication
A nurse is collecting data from a client who has schizophrenia. Which of the following client statements
indicates that the client is experiencing a command hallucination?
a) "Can you see these spiders crawling all over me?"
b) "Are you planning to kill me?"
c) "The aliens are going to abduct me tonight."
,d) "The voices told me to quit eating the food here" - ANS d) The voices told me to quit eating the food
here"
A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions
should the nurse take?
a) Arrange for the sibling to visit the client in the dayroom.
b) Refer the sibling to the client's provider.
c) Encourage the client to visit with the sibling.
d) Tell the sibling the client does not want visitors. - ANS D)Tell the sibling the client does not want
visitors
A nurse is reviewing the laboratory results of a client who has anorexia nervosa. Which of the following
results should the nurse report to the
provider?
a) Potassium 2.8 mEq/L
b) WBC count 6.000/mm?
c) HbA1c 496
d) Sodium 138 mEg/L - ANS A) Potassium 2.8 mEq/L
A nurse in an urgent care facility is collecting data from a group of clients. The nurse should identify that
which of the following clients is at risk
for experiencing a maturational crisis?
a) A client who was sexually assaulted
b) A client who is in the process of getting a divorce
, c) A client who recently retired from a longtime job
d) A client who lost her home in a fire - ANS C) A client who recently retired from a longtime job
A nurse is caring for a male client who is to begin therapy with valproic acid. Which of the following
diagnostic results should the nurse plan to
review before administering the first dose?
a) Prostate specific antigen test
b) Liver function tests
c) Chest x-ray
d) Urine culture - ANS Liver function tests
A nurse is caring for a newly admitted client who has schizophrenia and hearing loss. Which of the
following actions should the nurse take first
when communicating with the client?
a) Face the client when speaking so the client can read lips.
b) Evaluate the client's understanding of the message.
c) Contact a sign-language interpreter to communicate with the client.
d) Determine how the client prefers to communicate. - ANS Face the client when speaking so the client
can read lips
A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should
identify which of the following events as a
potential cause of a maturational crisis?
a) A child leaving for college
A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine Which of
the following is an expected outcome for
this client?
a) Decrease hallucination
b) Improved mood
c) Reduction in hand tremors
d) Absence of seizures - ANS Improved mood
A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was
voluntary. For which of the following
interventions should the nurse confirm that the client has given informed consent?
a). Receiving light therapy
b) Participating in a group exercise program
c) Attending a cognitive behavioral therapy class
d) Taking an experimental medication - ANS d) Taking an experimental medication
A nurse is collecting data from a client who has schizophrenia. Which of the following client statements
indicates that the client is experiencing a command hallucination?
a) "Can you see these spiders crawling all over me?"
b) "Are you planning to kill me?"
c) "The aliens are going to abduct me tonight."
,d) "The voices told me to quit eating the food here" - ANS d) The voices told me to quit eating the food
here"
A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions
should the nurse take?
a) Arrange for the sibling to visit the client in the dayroom.
b) Refer the sibling to the client's provider.
c) Encourage the client to visit with the sibling.
d) Tell the sibling the client does not want visitors. - ANS D)Tell the sibling the client does not want
visitors
A nurse is reviewing the laboratory results of a client who has anorexia nervosa. Which of the following
results should the nurse report to the
provider?
a) Potassium 2.8 mEq/L
b) WBC count 6.000/mm?
c) HbA1c 496
d) Sodium 138 mEg/L - ANS A) Potassium 2.8 mEq/L
A nurse in an urgent care facility is collecting data from a group of clients. The nurse should identify that
which of the following clients is at risk
for experiencing a maturational crisis?
a) A client who was sexually assaulted
b) A client who is in the process of getting a divorce
, c) A client who recently retired from a longtime job
d) A client who lost her home in a fire - ANS C) A client who recently retired from a longtime job
A nurse is caring for a male client who is to begin therapy with valproic acid. Which of the following
diagnostic results should the nurse plan to
review before administering the first dose?
a) Prostate specific antigen test
b) Liver function tests
c) Chest x-ray
d) Urine culture - ANS Liver function tests
A nurse is caring for a newly admitted client who has schizophrenia and hearing loss. Which of the
following actions should the nurse take first
when communicating with the client?
a) Face the client when speaking so the client can read lips.
b) Evaluate the client's understanding of the message.
c) Contact a sign-language interpreter to communicate with the client.
d) Determine how the client prefers to communicate. - ANS Face the client when speaking so the client
can read lips
A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should
identify which of the following events as a
potential cause of a maturational crisis?
a) A child leaving for college
