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1. A charge nurse is discussing mental status exams with a newly licensed
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nurse. Which of the following statements by the newly licensed nurse indi-
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cates an understanding of the teaching? (Select all that apply)
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A) To assess cognitive ability, I should ask the client to count backward by
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sevens.
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B) To assess affect, I should observe the client's facial expression
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C) To assess language ability, I should instruct the client to write a sentence.
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D) To assess remote memory, I should have the client repeat a list of objects.
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E) To assess the client's abstract thinking, I should ask the client to identify
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our most recent presidents.
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…Ans>> A, B, C m m m
2. A nurse is planning care for a client who has a mental health disorder.
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,m Which of the following actions should the nurse include as a psychobiological
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intervention?
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A) Assist the client with systematic desensitization therapy.
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B) Teach the client appropriate coping mechanisms.
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C) Assess the client for comorbid health conditions.
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D) Monitor the client for adverse effects of the medications.
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…Ans>> D mm
3. A nurse in an outpatient mental health clinic is preparing to conduct an
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m initial client interview. When conducting the interview, which of the
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m followingactions should the nurse identify as the priority?
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A) Coordinate holistic care with social services. m m m m m
B) Identify the client's perception of her mental health status.
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C) Include the client's family in the interview.
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D) Teach the client about her current mental health disorder
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…Ans>> B mm
4. A nurse is told during change of shift report that a client is stuporous. When
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assessing the client, which of the following findings should the nurse expect?
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A) The client arouses briefly in response to a sternal rub.
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B) The client has a glasgow coma scale score less than 7.
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C) The client exhibits decorticate rigidity.
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D) The client is alert but disoriented to time and place.
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, …Ans>> A mm
5. A nurse is planning a peer group about the DSM-5. Which of the
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m following information is appropriate to include in the discussion? (Select all
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that apply).
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A) The DSM-5 includes client education handouts for mental health disorders.
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B) The DSM-5 establishes diagnostic criteria for individual mental health
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dis-orders.
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C) The DSM-5 indicates recommended pharmacological treatment for
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mentalhealth disorders.
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D) The DSM-5 assists nurses in planning care for client's who have mental
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health disorders.
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, E) The DSM-5 indicates expected assessment findings of mental health disor-
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ders.
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…Ans>> B, D, E mm m m
6. A nurse in an emergency mental health facility is caring for a group of
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m clients. The nurse should identify that which of the following clients
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m requiresa temporary emergency admission?
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A) A client who has schizophrenia with delusions of grandeur
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B) A client who has manifestations of depression and attempted suicide a year
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ago.
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C) A client who has borderline personality disorder and assaulted a homeless
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man with a metal rod.
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D) A client who has bipolar disorder and paces quickly around the room while
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talking to himself.
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…Ans>> C mm
7. A nurse decides to put a client who has a psychotic disorder in seclusion
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overnight because the unit is very short-staffed, and the client frequently
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m fights with other clients. The nurse's actions are an example of which of the
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following torts?
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A) Invasion of privacy m m
B) False imprisonment m
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