TEST BANK MENTAL HEALTH EXAM 3
QUESTIONS WITH CORRECT
ANSWERS
The emergency department nurse is assessing a female client with traumatic
injuries. To assess whether or not the client's injuries have resulted from abuse,
which question would be most appropriate for the nurse to ask the client?
A) Is your partner being mean to you?
B) Why do you think your husband has beaten you?
C)It looks like someone has hurt you. Tell me about it.
D)Can you describe the person who did this to you? - Answer-C)It looks like
someone has hurt you. Tell me about it.
A female client has been admitted to the inpatient psychiatric facility with a diagnosis
of posttraumatic stress disorder after a history of violence by her boyfriend. During
the initial assessment interview, which assessment would be the priority?
A) Nutritional status
B) Hydration status
C)Sleep patterns
D)Suicide risk - Answer-D) Suicide risk
The nurse is caring for a family in which the elderly mother has been a victim of
abuse and neglect by her 48-year-old son. Which of the following would be most
important for the nurse to keep in mind before interviewing the family?
A) A top nursing priority will be to legally remove the son from the home.
B) The main focus of the nurse's actions should be on improving the elderly mother's
self-esteem.
C)The nurse must allow the elderly mother to decide if she wants to leave the
situation or not. D)Placement for the elderly woman in a nursing home within the
community is crucial. - Answer-C) The nurse must allow the elderly mother to decide
if she wants to leave the situation or not.
A nurse is working with a female client who is anticipating the possibility of leaving
an abusive relationship. In helping the client make the decision to leave or to stay in
the abusive situation, which of the following would be most important for the nurse to
do?
A) Ensure that the client can effectively describe the behaviors inherent in each
phase of the cycle of domestic violence.
B) Inform the client that if she leaves the abusive situation, there is a possibility her
partner will attempt to murder her.
C)Assist the client in finding a new apartment and a new job so she will be safe after
she leaves her current situation.
D)Suggest that the client legally change her name and move out of state so she will
be safe from future harm. - Answer-B) Inform the client that if she leaves the abusive
situation, there is a possibility her partner will attempt to murder her.
,A nurse is conducting a public information seminar on the topic of rape and sexual
assault at a local community center. Which of the following would the nurse include
when describing power rapists?
A) Committed by sadistic perpetrators who plan the rape before committing it to
experience erotic enjoyment in response to the victim's suffering
B) Target very young or elderly victims, may involve extreme force, and often results
in victim injury
C)Are not planned ahead of time and result from the perpetrator being obsessed with
uncontrollable sexual urges
D)Target victims near the age of the perpetrators and involve minimal physical force
and intimidation in controlling their victims - Answer-D) Target victims near the age of
the perpetrators and involve minimal physical force and intimidation in controlling
their victims
The school nurse is aware that a student has requested aspirin three times during
the past week because his back hurts. The nurse has noticed that he often wears
long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects
that the student may be the victim of physical abuse. The nurse is preparing to ask
the child about his ongoing backache. Which of the following would the nurse
anticipate being reported by the child if he was being abused?
A) Explain that his father is beating him on a regular basis.
B) Give a far-fetched explanation not logically connected to his injuries.
C) Give the same reason his sister would give were she asked to explain his injuries.
D) Carefully explain that his mother disciplines him because she loves him. -
Answer-B) Give a far-fetched explanation not logically connected to his injuries.
A nurse is presenting a program to a church group about domestic violence. During
the presentation, a member of the audience asks the nurse to explain what
intergenerational transmission of violence means because he has seen that phrase
used in the media. Which of the following responses by the nurse would be most
appropriate?
A) People who are violent are that way because of the various neurochemical
imbalances in their brains.
B) People who grow up in violent home situations tend to be involved in domestic
violence situations as an adult.
C) Recent research has identified a gene that is responsible for transmission of a
risk for violent behavior that is passed on from generation to generation.
D)Domestic violence seems to skip every other generation when it is traced in
families. - Answer-B) People who grow up in violent home situations tend to be
involved in domestic violence situations as an adult.
A group of nursing students is reviewing information about intimate partner violence
(IPV). The group demonstrates understanding of this topic when they identify which
of the following?
A) Men are more likely to be seriously injured even though more women are typically
victims.
,B)Men may not consider behaviors such as slapping or shoving as abuse.
C)IPV in same-sex couples occurs less frequently as compared with heterosexual
relationships.
D)The reactions to IPV are similar in male and female victims. - Answer-B)Men may
not consider behaviors such as slapping or shoving as abuse.
The nurse is planning a presentation to a group of nursing students on the topic of
anxiety disorders. Which of the following would the nurse include when describing
panic disorder?
A)Individuals may believe they are having a heart attack when a panic attack occurs.
B)People with panic attacks often have fewer attacks if they also have agoraphobia.
C)Typically, individuals experience this disorder after the age of 30 years.
D)Persons rarely have an underlying comorbid condition of depression. - Answer-
A)Individuals may believe they are having a heart attack when a panic attack occurs.
A client comes to the emergency department because he thinks he is having a heart
attack. Further assessment determines that the client is not having a heart attack but
is having a panic attack. When beginning to interview the client, which question
would be most appropriate for the nurse to use?
A)Are you feeling much better now that you are lying down?
B)What did you experience just before and during the attack?
C) Do you think you will be able to drive home?
D)What do you think caused you to feel this way? - Answer-B)What did you
experience just before and during the attack?
A client with a panic disorder has been prescribed a benzodiazepine medication.
Which of the following would the nurse emphasize as a risk associated with using
this medication?
A)Dietary restrictions
B)Withdrawal symptoms
C)Agitation
D)Fecal impaction - Answer-B)Withdrawal symptoms
A female client is diagnosed with panic disorder. The client tells the nurse that she
hasn't left her house in more than a month because she was afraid of another attack.
She visited the mental health clinic today only because her son brought her. Which
nursing diagnosis would be a priority for this client?
A)Powerlessness related to symptoms of anxiety
B)Decisional Conflict related to fear of leaving the house
C)Ineffective Family Coping related to symptoms of anxiety
D)Social Isolation related to fear of recurrence of anxiety symptoms - Answer-
D)Social Isolation related to fear of recurrence of anxiety symptoms
The nurse has instructed a client with panic disorder about how to use the technique
of positive self- talk. The nurse determines that the client has understood the
instructions when the client verbalizes which statement to use during an impending
panic attack?
A)I am feeling very nervous right now.
, B)I can handle this anxiety; it will be over shortly.
C)I am taking medication to eliminate these symptoms.
D)Relax your muscles, relax your muscles. - Answer-B)I can handle this anxiety; it
will be over shortly.
A client who has been diagnosed with panic disorder visits the clinic and experiences
a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and
I'm sweating. I feel as if I'm having a stroke right now. Which of the following would
the nurse do first?
A)Stay with the client while remaining calm.
B)Move the client to a safe environment.
C)Tell the client that the attack will soon pass.
D)Teach the client deep breathing techniques to calm her. - Answer-A)Stay with the
client while remaining calm.
A nurse who has worked with a client diagnosed with generalized anxiety disorder
(GAD) when he was an inpatient on the psychiatric unit sees the client in the waiting
room of the outpatient psychiatric clinic. The client motions to the nurse to come over
so he can tell the nurse how things have been going since he was discharged. While
talking with the client, the nurse determines that the client's therapy has been
effective when the client states which of the following?
A)I am still experiencing quite a bit of stress at home and at work; things are different
at home than they were in the hospital.
B)When my mother-in-law comes over now, I go out to my workshop and work on
one of my projects.
C)I'm still drinking coffee; I can't quit after drinking it all these years. D)I've learned
having a beer after I get home from work helps me relax. - Answer-B)When my
mother-in-law comes over now, I go out to my workshop and work on one of my
projects.
The nurse is caring for a client who is being treated in the emergency department for
a panic attack. Which of the following nursing interventions would be most
appropriate?
A)Demonstrate empathy for the client by trying to mimic the client's state of anxiety.
B)Tell the client that you must leave to go report his symptoms to the psychiatrist on
duty.
C)Tell the client this is an acute exacerbation with a positive prognosis and low
morbidity.
D)Stay with the client, emphasizing that he is safe and that you will remain with him.
- Answer-D)Stay with the client, emphasizing that he is safe and that you will remain
with him.
A nurse determines that a client who is experiencing anxiety is using relief behaviors.
The nurse determines that the client is experiencing which degree of anxiety?
A)Mild
B)Moderate
C)Severe
D)Panic - Answer-C)Severe
QUESTIONS WITH CORRECT
ANSWERS
The emergency department nurse is assessing a female client with traumatic
injuries. To assess whether or not the client's injuries have resulted from abuse,
which question would be most appropriate for the nurse to ask the client?
A) Is your partner being mean to you?
B) Why do you think your husband has beaten you?
C)It looks like someone has hurt you. Tell me about it.
D)Can you describe the person who did this to you? - Answer-C)It looks like
someone has hurt you. Tell me about it.
A female client has been admitted to the inpatient psychiatric facility with a diagnosis
of posttraumatic stress disorder after a history of violence by her boyfriend. During
the initial assessment interview, which assessment would be the priority?
A) Nutritional status
B) Hydration status
C)Sleep patterns
D)Suicide risk - Answer-D) Suicide risk
The nurse is caring for a family in which the elderly mother has been a victim of
abuse and neglect by her 48-year-old son. Which of the following would be most
important for the nurse to keep in mind before interviewing the family?
A) A top nursing priority will be to legally remove the son from the home.
B) The main focus of the nurse's actions should be on improving the elderly mother's
self-esteem.
C)The nurse must allow the elderly mother to decide if she wants to leave the
situation or not. D)Placement for the elderly woman in a nursing home within the
community is crucial. - Answer-C) The nurse must allow the elderly mother to decide
if she wants to leave the situation or not.
A nurse is working with a female client who is anticipating the possibility of leaving
an abusive relationship. In helping the client make the decision to leave or to stay in
the abusive situation, which of the following would be most important for the nurse to
do?
A) Ensure that the client can effectively describe the behaviors inherent in each
phase of the cycle of domestic violence.
B) Inform the client that if she leaves the abusive situation, there is a possibility her
partner will attempt to murder her.
C)Assist the client in finding a new apartment and a new job so she will be safe after
she leaves her current situation.
D)Suggest that the client legally change her name and move out of state so she will
be safe from future harm. - Answer-B) Inform the client that if she leaves the abusive
situation, there is a possibility her partner will attempt to murder her.
,A nurse is conducting a public information seminar on the topic of rape and sexual
assault at a local community center. Which of the following would the nurse include
when describing power rapists?
A) Committed by sadistic perpetrators who plan the rape before committing it to
experience erotic enjoyment in response to the victim's suffering
B) Target very young or elderly victims, may involve extreme force, and often results
in victim injury
C)Are not planned ahead of time and result from the perpetrator being obsessed with
uncontrollable sexual urges
D)Target victims near the age of the perpetrators and involve minimal physical force
and intimidation in controlling their victims - Answer-D) Target victims near the age of
the perpetrators and involve minimal physical force and intimidation in controlling
their victims
The school nurse is aware that a student has requested aspirin three times during
the past week because his back hurts. The nurse has noticed that he often wears
long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects
that the student may be the victim of physical abuse. The nurse is preparing to ask
the child about his ongoing backache. Which of the following would the nurse
anticipate being reported by the child if he was being abused?
A) Explain that his father is beating him on a regular basis.
B) Give a far-fetched explanation not logically connected to his injuries.
C) Give the same reason his sister would give were she asked to explain his injuries.
D) Carefully explain that his mother disciplines him because she loves him. -
Answer-B) Give a far-fetched explanation not logically connected to his injuries.
A nurse is presenting a program to a church group about domestic violence. During
the presentation, a member of the audience asks the nurse to explain what
intergenerational transmission of violence means because he has seen that phrase
used in the media. Which of the following responses by the nurse would be most
appropriate?
A) People who are violent are that way because of the various neurochemical
imbalances in their brains.
B) People who grow up in violent home situations tend to be involved in domestic
violence situations as an adult.
C) Recent research has identified a gene that is responsible for transmission of a
risk for violent behavior that is passed on from generation to generation.
D)Domestic violence seems to skip every other generation when it is traced in
families. - Answer-B) People who grow up in violent home situations tend to be
involved in domestic violence situations as an adult.
A group of nursing students is reviewing information about intimate partner violence
(IPV). The group demonstrates understanding of this topic when they identify which
of the following?
A) Men are more likely to be seriously injured even though more women are typically
victims.
,B)Men may not consider behaviors such as slapping or shoving as abuse.
C)IPV in same-sex couples occurs less frequently as compared with heterosexual
relationships.
D)The reactions to IPV are similar in male and female victims. - Answer-B)Men may
not consider behaviors such as slapping or shoving as abuse.
The nurse is planning a presentation to a group of nursing students on the topic of
anxiety disorders. Which of the following would the nurse include when describing
panic disorder?
A)Individuals may believe they are having a heart attack when a panic attack occurs.
B)People with panic attacks often have fewer attacks if they also have agoraphobia.
C)Typically, individuals experience this disorder after the age of 30 years.
D)Persons rarely have an underlying comorbid condition of depression. - Answer-
A)Individuals may believe they are having a heart attack when a panic attack occurs.
A client comes to the emergency department because he thinks he is having a heart
attack. Further assessment determines that the client is not having a heart attack but
is having a panic attack. When beginning to interview the client, which question
would be most appropriate for the nurse to use?
A)Are you feeling much better now that you are lying down?
B)What did you experience just before and during the attack?
C) Do you think you will be able to drive home?
D)What do you think caused you to feel this way? - Answer-B)What did you
experience just before and during the attack?
A client with a panic disorder has been prescribed a benzodiazepine medication.
Which of the following would the nurse emphasize as a risk associated with using
this medication?
A)Dietary restrictions
B)Withdrawal symptoms
C)Agitation
D)Fecal impaction - Answer-B)Withdrawal symptoms
A female client is diagnosed with panic disorder. The client tells the nurse that she
hasn't left her house in more than a month because she was afraid of another attack.
She visited the mental health clinic today only because her son brought her. Which
nursing diagnosis would be a priority for this client?
A)Powerlessness related to symptoms of anxiety
B)Decisional Conflict related to fear of leaving the house
C)Ineffective Family Coping related to symptoms of anxiety
D)Social Isolation related to fear of recurrence of anxiety symptoms - Answer-
D)Social Isolation related to fear of recurrence of anxiety symptoms
The nurse has instructed a client with panic disorder about how to use the technique
of positive self- talk. The nurse determines that the client has understood the
instructions when the client verbalizes which statement to use during an impending
panic attack?
A)I am feeling very nervous right now.
, B)I can handle this anxiety; it will be over shortly.
C)I am taking medication to eliminate these symptoms.
D)Relax your muscles, relax your muscles. - Answer-B)I can handle this anxiety; it
will be over shortly.
A client who has been diagnosed with panic disorder visits the clinic and experiences
a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and
I'm sweating. I feel as if I'm having a stroke right now. Which of the following would
the nurse do first?
A)Stay with the client while remaining calm.
B)Move the client to a safe environment.
C)Tell the client that the attack will soon pass.
D)Teach the client deep breathing techniques to calm her. - Answer-A)Stay with the
client while remaining calm.
A nurse who has worked with a client diagnosed with generalized anxiety disorder
(GAD) when he was an inpatient on the psychiatric unit sees the client in the waiting
room of the outpatient psychiatric clinic. The client motions to the nurse to come over
so he can tell the nurse how things have been going since he was discharged. While
talking with the client, the nurse determines that the client's therapy has been
effective when the client states which of the following?
A)I am still experiencing quite a bit of stress at home and at work; things are different
at home than they were in the hospital.
B)When my mother-in-law comes over now, I go out to my workshop and work on
one of my projects.
C)I'm still drinking coffee; I can't quit after drinking it all these years. D)I've learned
having a beer after I get home from work helps me relax. - Answer-B)When my
mother-in-law comes over now, I go out to my workshop and work on one of my
projects.
The nurse is caring for a client who is being treated in the emergency department for
a panic attack. Which of the following nursing interventions would be most
appropriate?
A)Demonstrate empathy for the client by trying to mimic the client's state of anxiety.
B)Tell the client that you must leave to go report his symptoms to the psychiatrist on
duty.
C)Tell the client this is an acute exacerbation with a positive prognosis and low
morbidity.
D)Stay with the client, emphasizing that he is safe and that you will remain with him.
- Answer-D)Stay with the client, emphasizing that he is safe and that you will remain
with him.
A nurse determines that a client who is experiencing anxiety is using relief behaviors.
The nurse determines that the client is experiencing which degree of anxiety?
A)Mild
B)Moderate
C)Severe
D)Panic - Answer-C)Severe
