Mental heath
Midterm exam based questions and verified answers 2025
A client says she is experiencing increased stress because her significant
other is "pressuring me and my kids to go live with him. I love him, but I'm
not ready to do that." Which of the following recommendations should the
nurse make to promote a change in the client's situation?
A) Learn to practice mindfulness
B) Use assertiveness techniques
C) Exercise regularly
D) Rely on the support of a close friend
(ANS) - ✔✔B
A nurse is caring for a client who states, "I'm so stressed at work because of
my coworker. He expects me to finish his work because he's too lazy!" When
discussing effective communication, which of the following statements by
the client to his coworker indicates client understanding?
A) You really should complete your own work. I don't think its right to expect
me to complete your responsibilities
B) Why do you expect me to complete your work? You must realize that I
have my own responsibilities
C) It is not fair to expect me to complete your work. If you continue, then I
will report your behavior to our supervisor
D) When I have to pick up extra work, I feel very overwhelmed. I need to
focus on my own responsibilities
(ANS) - ✔✔D
A nurse is providing teaching for a client who is scheduled to receive ECT for
the treatment of major depressive disorder. Which of the following client
statements indicates understanding of the teaching?
,A) It is common to treat depression with ECT before trying medications
B) I can have my depression cured if I receive a series of ECT treatments
C) I should receive ECT once a week for 6 weeks
D) I will receive a muscle relaxant to protect me from injury during ECT
(ANS) - ✔✔D
A charge nurse is discussing TMS with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding
of the teaching?
A) TMS is indicated for clients who have schizophrenia spectrum disorders
B) I will provide postanesthia care following TMS
C) TMS treatments usually last 5-10 minutes
D) I will schedule the client for daily TMS treatments for the first several
weeks\
(ANS) - ✔✔D
A nurse is assessing a client immediately following an ECT procedure. Which
of the following findings should the nurse expect? (Select all that apply)
A) Hypotension
B) Paralytic ileus
C) Memory loss
D) Nausea
E) Confusion
(ANS) - ✔✔C, D, E
A nurse is leading a peer group discussion about the indications for ECT.
Which of the following indications should the nurse include in the discussion?
A) Borderline personality disorder
B) Acute withdrawal related to a substance use disorder
C) Bipolar disorder with rapid cycling
, D) Dysphoric disorder
(ANS) - ✔✔C
A nurse is planning care for a client following surgical implantation of a VNS
device. The nurse should plan to monitor for which of the following adverse
effects? (Select all that apply)
A) Voice changes
B) Seizure activity
C) Disorientation
D) Dysphagia
E) Neck pain
(ANS) - ✔✔A, D, E
A nurse observes a client who has OCD repeatedly applying, removing, and
then reapplying makeup. The nurse identifies that repetitive behavior in a
client who has OCD is due to which of the following underlying reasons?
A) Narcissistic behavior
B) Fear of rejection from staff
C) Attempt to reduce anxiety
D) Adverse effect of antidepressant medication
(ANS) - ✔✔C
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A) Discuss new relaxation techniques
B) Show the client how to change his behavior
C) Distract the client with a television show
D) Stay with the client and remain quiet
(ANS) - ✔✔D
Midterm exam based questions and verified answers 2025
A client says she is experiencing increased stress because her significant
other is "pressuring me and my kids to go live with him. I love him, but I'm
not ready to do that." Which of the following recommendations should the
nurse make to promote a change in the client's situation?
A) Learn to practice mindfulness
B) Use assertiveness techniques
C) Exercise regularly
D) Rely on the support of a close friend
(ANS) - ✔✔B
A nurse is caring for a client who states, "I'm so stressed at work because of
my coworker. He expects me to finish his work because he's too lazy!" When
discussing effective communication, which of the following statements by
the client to his coworker indicates client understanding?
A) You really should complete your own work. I don't think its right to expect
me to complete your responsibilities
B) Why do you expect me to complete your work? You must realize that I
have my own responsibilities
C) It is not fair to expect me to complete your work. If you continue, then I
will report your behavior to our supervisor
D) When I have to pick up extra work, I feel very overwhelmed. I need to
focus on my own responsibilities
(ANS) - ✔✔D
A nurse is providing teaching for a client who is scheduled to receive ECT for
the treatment of major depressive disorder. Which of the following client
statements indicates understanding of the teaching?
,A) It is common to treat depression with ECT before trying medications
B) I can have my depression cured if I receive a series of ECT treatments
C) I should receive ECT once a week for 6 weeks
D) I will receive a muscle relaxant to protect me from injury during ECT
(ANS) - ✔✔D
A charge nurse is discussing TMS with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding
of the teaching?
A) TMS is indicated for clients who have schizophrenia spectrum disorders
B) I will provide postanesthia care following TMS
C) TMS treatments usually last 5-10 minutes
D) I will schedule the client for daily TMS treatments for the first several
weeks\
(ANS) - ✔✔D
A nurse is assessing a client immediately following an ECT procedure. Which
of the following findings should the nurse expect? (Select all that apply)
A) Hypotension
B) Paralytic ileus
C) Memory loss
D) Nausea
E) Confusion
(ANS) - ✔✔C, D, E
A nurse is leading a peer group discussion about the indications for ECT.
Which of the following indications should the nurse include in the discussion?
A) Borderline personality disorder
B) Acute withdrawal related to a substance use disorder
C) Bipolar disorder with rapid cycling
, D) Dysphoric disorder
(ANS) - ✔✔C
A nurse is planning care for a client following surgical implantation of a VNS
device. The nurse should plan to monitor for which of the following adverse
effects? (Select all that apply)
A) Voice changes
B) Seizure activity
C) Disorientation
D) Dysphagia
E) Neck pain
(ANS) - ✔✔A, D, E
A nurse observes a client who has OCD repeatedly applying, removing, and
then reapplying makeup. The nurse identifies that repetitive behavior in a
client who has OCD is due to which of the following underlying reasons?
A) Narcissistic behavior
B) Fear of rejection from staff
C) Attempt to reduce anxiety
D) Adverse effect of antidepressant medication
(ANS) - ✔✔C
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A) Discuss new relaxation techniques
B) Show the client how to change his behavior
C) Distract the client with a television show
D) Stay with the client and remain quiet
(ANS) - ✔✔D
