MENTAL HEALTH EXAM 3 NEWEST EXAM 2025 |
ALL QUESTIONS AND CORRECT ANSWERS
WITH DETAILED EXPLANATIONS | GRADED A+ |
VERIFIED ANSWERS | JUST RELEASED
The nurse observes a client pacing in the hall. Which statement by the
nurse may help the client recognize his anxiety?
A. "I guess you're worried about something, aren't you?
b. "Can I get you some medication to help calm you?"
c. "Have you been pacing for a long time?"
d. "I notice that you're pacing. How are you feeling?" ---------CORRECT
ANSWER-----------------D. "I notice that you're pacing. How are you feeling?"
By acknowledging the observed behavior and asking the client to
express his feelings the nurse can best assist the client to become
aware of his anxiety.
A client with obsessive-compulsive disorder is hospitalized on an inpatient
unit. Which nursing response is most therapeutic?
A. Accepting the client's obsessive-compulsive behaviors
B. Challenging the client's obsessive-compulsive behaviors
C. Preventing the client's obsessive-compulsive behaviors
D. Rejecting the client's obsessive-compulsive behaviors ---------CORRECT
ANSWER-----------------A. Accepting the client's obsessive-compulsive
behaviors
A client with obsessive-compulsive behavior uses this behavior to
decrease anxiety. Accepting this behavior as the client's attempt to
feel secure is therapeutic. When a specific treatment plan is
developed, other nursing responses may also be acceptable.
Options B, C, and D: The remaining answer choices will increase the
client's anxiety and therefore are inappropriate.
,A client who abuses alcohol and cocaine tells a nurse that he only uses
substances because of his stressful marriage and difficult job. Which
defense mechanisms is this client using?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation ---------CORRECT ANSWER-----------------C. Rationalization
Rationalization is the defense mechanism that involves offering
excuses for maladaptive behavior. The client is defending his
substance abuse by providing reasons related to life stressors. This
is a common defense mechanism used by clients with substance
abuse problems.
An 11-year-old child diagnosed with conduct disorder is admitted to the
psychiatric unit for treatment. Which of the following behaviors would the
nurse assess?
A. Restlessness, short attention span, hyperactivity
B. Physical aggressiveness, low-stress tolerance disregard for the rights of
others
C. Deterioration in social functioning, excessive anxiety, and worry, bizarre
behavior
D. Sadness, poor appetite and sleeplessness, loss of interest in activities --
-------CORRECT ANSWER-----------------B. Physical aggressiveness, low-
stress tolerance disregard for the rights of others
Physical aggressiveness, low-stress tolerance, and a disregard for
the rights of others are common behaviors in clients with conduct
disorders.
,The nurse provides a referral to Alcoholics Anonymous to a client who
describes a 20-year history of alcohol abuse. The primary function of this
group is to:
A. Encourage the use of a 12-step program.
B. Help members maintain sobriety.
C. Provide fellowship among members.
D. Teach positive coping mechanisms. ---------CORRECT ANSWER----------
-------B. Help members maintain sobriety.
The primary purpose of Alcoholics Anonymous is to help members
achieve and maintain sobriety.
Options A, C, and D: Although each of the remaining answer choices
may be an outcome of attendance at Alcoholics Anonymous, the
primary purpose is directed toward sobriety of members.
A client with panic disorder experiences an acute attack while the nurse is
completing an admission assessment. List the following interventions
according to their level of priority.
A. Remain with the client.
B. Encourage physical activity.
C. Encourage low, deep breathing.
D. Reduce external stimuli.
E. Teach coping measures. ---------CORRECT ANSWER-----------------A, D,
C, B, then E.
The nurse should remain with the client to provide support and
promote safety. Reducing external stimuli, including dimming lights
and avoiding crowded areas, will help decrease anxiety. Encouraging
the client to use slow, deep breathing will help promote the body's
relaxation response, thereby interrupting stimulation from the
autonomic nervous system. Encouraging physical activity will help
him to release energy resulting from the heightened anxiety state; this
should be done only after the client has brought his breathing under
control. Teaching coping measures will help the client learn to handle
, anxiety; however, this can only be accomplished when the client's
panic has dissipated and he is better able to focus.
A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He
has a long history of alcohol dependence. During the late evening following
his admission, he becomes increasingly disoriented and agitated. Which of
the following would the client be least likely to experience?
A. Diaphoresis and tremors.
B. Increased blood pressure and heart rate.
C. Illusions.
D. Delusions of grandeur. ---------CORRECT ANSWER-----------------D.
Delusions of grandeur
Delusions of grandeur are symptomatic of manic clients, not clients
withdrawing from alcohol. The symptoms and history of alcohol
abuse suggest this client is in alcohol withdrawal.
Option A: Diaphoresis and tremors occur in the first phase of alcohol
withdrawal.
Option B: The blood pressure and heart rate increase in the first
phase of alcohol withdrawal.
Option C: Illusions are common in persons withdrawing from alcohol.
Illusions occur most often in dim artificial lighting where the
environment is not perceived accurately.
Marco approached Nurse Trisha asking for advice on how to deal with his
alcohol addiction. Nurse Trisha should tell the client that the only effective
treatment for alcoholism is:
A. Psychotherapy
B. Alcoholics Anonymous (A.A.)
C. Total abstinence
D. Aversion Therapy ---------CORRECT ANSWER-----------------C. Total
abstinence
ALL QUESTIONS AND CORRECT ANSWERS
WITH DETAILED EXPLANATIONS | GRADED A+ |
VERIFIED ANSWERS | JUST RELEASED
The nurse observes a client pacing in the hall. Which statement by the
nurse may help the client recognize his anxiety?
A. "I guess you're worried about something, aren't you?
b. "Can I get you some medication to help calm you?"
c. "Have you been pacing for a long time?"
d. "I notice that you're pacing. How are you feeling?" ---------CORRECT
ANSWER-----------------D. "I notice that you're pacing. How are you feeling?"
By acknowledging the observed behavior and asking the client to
express his feelings the nurse can best assist the client to become
aware of his anxiety.
A client with obsessive-compulsive disorder is hospitalized on an inpatient
unit. Which nursing response is most therapeutic?
A. Accepting the client's obsessive-compulsive behaviors
B. Challenging the client's obsessive-compulsive behaviors
C. Preventing the client's obsessive-compulsive behaviors
D. Rejecting the client's obsessive-compulsive behaviors ---------CORRECT
ANSWER-----------------A. Accepting the client's obsessive-compulsive
behaviors
A client with obsessive-compulsive behavior uses this behavior to
decrease anxiety. Accepting this behavior as the client's attempt to
feel secure is therapeutic. When a specific treatment plan is
developed, other nursing responses may also be acceptable.
Options B, C, and D: The remaining answer choices will increase the
client's anxiety and therefore are inappropriate.
,A client who abuses alcohol and cocaine tells a nurse that he only uses
substances because of his stressful marriage and difficult job. Which
defense mechanisms is this client using?
A. Displacement
B. Projection
C. Rationalization
D. Sublimation ---------CORRECT ANSWER-----------------C. Rationalization
Rationalization is the defense mechanism that involves offering
excuses for maladaptive behavior. The client is defending his
substance abuse by providing reasons related to life stressors. This
is a common defense mechanism used by clients with substance
abuse problems.
An 11-year-old child diagnosed with conduct disorder is admitted to the
psychiatric unit for treatment. Which of the following behaviors would the
nurse assess?
A. Restlessness, short attention span, hyperactivity
B. Physical aggressiveness, low-stress tolerance disregard for the rights of
others
C. Deterioration in social functioning, excessive anxiety, and worry, bizarre
behavior
D. Sadness, poor appetite and sleeplessness, loss of interest in activities --
-------CORRECT ANSWER-----------------B. Physical aggressiveness, low-
stress tolerance disregard for the rights of others
Physical aggressiveness, low-stress tolerance, and a disregard for
the rights of others are common behaviors in clients with conduct
disorders.
,The nurse provides a referral to Alcoholics Anonymous to a client who
describes a 20-year history of alcohol abuse. The primary function of this
group is to:
A. Encourage the use of a 12-step program.
B. Help members maintain sobriety.
C. Provide fellowship among members.
D. Teach positive coping mechanisms. ---------CORRECT ANSWER----------
-------B. Help members maintain sobriety.
The primary purpose of Alcoholics Anonymous is to help members
achieve and maintain sobriety.
Options A, C, and D: Although each of the remaining answer choices
may be an outcome of attendance at Alcoholics Anonymous, the
primary purpose is directed toward sobriety of members.
A client with panic disorder experiences an acute attack while the nurse is
completing an admission assessment. List the following interventions
according to their level of priority.
A. Remain with the client.
B. Encourage physical activity.
C. Encourage low, deep breathing.
D. Reduce external stimuli.
E. Teach coping measures. ---------CORRECT ANSWER-----------------A, D,
C, B, then E.
The nurse should remain with the client to provide support and
promote safety. Reducing external stimuli, including dimming lights
and avoiding crowded areas, will help decrease anxiety. Encouraging
the client to use slow, deep breathing will help promote the body's
relaxation response, thereby interrupting stimulation from the
autonomic nervous system. Encouraging physical activity will help
him to release energy resulting from the heightened anxiety state; this
should be done only after the client has brought his breathing under
control. Teaching coping measures will help the client learn to handle
, anxiety; however, this can only be accomplished when the client's
panic has dissipated and he is better able to focus.
A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He
has a long history of alcohol dependence. During the late evening following
his admission, he becomes increasingly disoriented and agitated. Which of
the following would the client be least likely to experience?
A. Diaphoresis and tremors.
B. Increased blood pressure and heart rate.
C. Illusions.
D. Delusions of grandeur. ---------CORRECT ANSWER-----------------D.
Delusions of grandeur
Delusions of grandeur are symptomatic of manic clients, not clients
withdrawing from alcohol. The symptoms and history of alcohol
abuse suggest this client is in alcohol withdrawal.
Option A: Diaphoresis and tremors occur in the first phase of alcohol
withdrawal.
Option B: The blood pressure and heart rate increase in the first
phase of alcohol withdrawal.
Option C: Illusions are common in persons withdrawing from alcohol.
Illusions occur most often in dim artificial lighting where the
environment is not perceived accurately.
Marco approached Nurse Trisha asking for advice on how to deal with his
alcohol addiction. Nurse Trisha should tell the client that the only effective
treatment for alcoholism is:
A. Psychotherapy
B. Alcoholics Anonymous (A.A.)
C. Total abstinence
D. Aversion Therapy ---------CORRECT ANSWER-----------------C. Total
abstinence
