PROCTORED EXAM WITH
CORRECT ANSWERS 2025
The client is responsive and able to fully respond by opening their eyes
anda attending
to normal tone of voice and speech. What is the level of
consciousness?
answers ) ( Correct
Alert
The client is able to open their eyes and respond but is drowsy and falls
asleepisreadily.
What the level of consciousness? ( Correct answers )
Lethargic
The client requires vigorous or painful stimuli (pinching a tendon or
rubbing the
sternum) to elicit a brief response. They might not be able to respond
verbally.
the level What
of consciousness?
is ( Correct answers )
Stuporous
The client is unconscious and does not respond to painful stimuli. What is
the level of
consciousness? ( Correct answers )
Comatose
How to test a client's immediate memory ( Correct answers ) Ask the
client
a to of
series repeat
numbers or a list of
objects
How to test a client's recent memory ( Correct answers ) Ask the
client to
recent recall such as visitors from the current day, or the purpose of
events,
the current
mental health appointment or
admission
How to test a client's remote memory ( Correct answers ) Ask the client to
state his
from a fact
past that is verifiable, such as his birth date or his mother's
maiden name
How to assess a client's ability to calculate ( Correct answers ) Ask the
client to count
backward from 100 in
sevens
How to assess a client's ability to think abstractly ( Correct answers ) Ask
the clientsomething
interpret to complex such as, "A bird in the hand is worth two
in the bush."
Glasgow coma scale ( Correct answers ) Used to obtain a baseline
assessment
client's levelof ofaconsciousness; highest score is 15 and indicates that
the client
awake andisresponding appropriately; a score of 7 or less indicates that
the client is in
a
coma
GRADED
A+
,Serious mental illness ( Correct answers ) Includes disorders classified as
severe andmental illnesses; clients often have difficulty with ADLs; can be
persistent
chronic or
recurren
t
A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A. Assist
B. with systematic
Teach the client appropriate desensitization therapy.
coping
mechanisms.
C. Assess the client for comorbid health
conditions.
D. Monitor the client for adverse effects of the medications. ( Correct
answers ) D.
Monitoring for adverse effects of medications is an example of a
intervention. Systematic desensitization is cognitive and behavioral.
psychobiological
Teaching coping
mechanisms is a counseling or health teaching. Assessing for comorbid
conditions
health promotion
is and
maintenance.
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client
interview. When conducting the interview, which of the following actions
shouldidentify
nurse the as the priority?
A. Coordinate holistic care with social
services.
B. Identify the client's perception of her mental
health
C. status.
Include the client's family in the
interview.
D. Teach the client about her current mental health disorder. ( Correct
answers ) B.is the priority action. Identifying the client's perception of
Assessment
her mental
health status provides important information about the client's psychosocial
history.
A nurse is told during change of shift report that a client is stuporous.
When assessing the client, which of the following findings should the nurse
expect?
B. The client has a glasgow coma scale score less
A. The
than
C. 7. client arouses
exhibits briefly in response to a sternal rub.
decorticate
D. The client is alert but disoriented to time and place. ( Correct
rigidity.
answers
who is stuporous
) A. A client
requires vigorous or painful stimuli to elicit a response. B
& C occur
with comatose patients.
A nurse is planning a peer group discussion about the DSM-5. Which of
the following information is appropriate to include in the discussion?
(Select all that apply)
A. The DSM-5 includes client education handouts for mental health
disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C.The DSM-5 indicates recommended pharmacological treatment for
mental health disorders.
GRADED
A+
,D. The DSM-5 assists nurses in planning care for client's who have
mental health
disorders
.E. The DSM-5 indicates expected assessment findings of mental health
disorders.
Correct answers
( ) B, D,
& E.
The DSM-5 establishes diagnostic criteria, assists nurses in planning
care, and expected findings for mental health disorders. The DSM-5 does
identifies
not contain
client education handouts or recommended pharmacological
treatment.
Fidelity ( Correct answers ) Loyalty and faithfulness to the client and to
one's duty
Requirements for restraining a patient ( Correct answers ) Provider must
the restraint in writing; time limits are based on age, 4 hr for adults, 2 hr
prescribe
forhrages
1 for age
9-17,
8 and younger; must be reviewed every 24 hr; documentation
must be
every 15-30
done
min
Altruism ( Correct answers ) Dealing with anxiety by reaching out
to others
Sublimation ( Correct answers ) Dealing with unacceptable feelings or
impulses by unconsciously substituting acceptable forms of expression
Suppression ( Correct answers ) Voluntarily denying unpleasant thoughts
and feelings
Repression ( Correct answers ) Unconsciously putting unacceptable ideas,
thoughts, and emotions out of awareness
Regression ( Correct answers ) Sudden use of childlike or primitive
behaviors that do not correlate with the person's current developmental
level
Displacement ( Correct answers ) Shifting feelings related to an object,
person, or situation to another less threatening object, person, or
situation
Reaction formation ( Correct answers ) Overcompensating or
demonstrating the answers
Undoing ( Correct opposite) behavior of an
Performing what
actistofelt
make up for prior
behavior
Rationalization ( Correct answers ) Creating reasonable and acceptable
explanations for unacceptable behavior
Dissociation ( Correct answers ) Creating a temporary
compartmentalization
of connection betweenorthelack
person's identity, memory, or how they
perceive the
environme
nt
GRADED
A+
, Denial ( Correct answers ) Pretending the truth is not reality to manage
the anxiety of acknowledging what is real
Compensation ( Correct answers ) Emphasizing strengths to make up for
weaknesses
Identification ( Correct answers ) Conscious or unconscious
assumption of the characteristics of another individual or group
Intellectualization ( Correct answers ) Separation of emotional and logical
facts when analyzing or coping with a situation or event
Conversion ( Correct answers ) Responding to stress through the
unconscious development of physical manifestations not caused by
a physical illness
Splitting ( Correct answers ) Demonstrating an inability to reconcile
negative and positive attributes of self or others
Projection ( Correct answers ) Attributing one's unacceptable thoughts
and feelings onto another who does not have them
Mild anxiety ( Correct answers ) Occurs in normal experience of
everyday living, increases one's ability to perceive reality, has an
identifiable cause
information occurs and selective inattention can occur, ability to
Moderate
think anxiety
clearly
hampered ( Correct
is learning
but and answers
problem )solving
Slightly reduced
can perception
still occur, and
may show
processingHR
increased
and of
RR
Severe anxiety ( Correct answers ) Perceptual field is greatly reduced
with distortedlearning and problem solving do not occur, may cause
perceptions,
increased HR and
RR
Panic level anxiety ( Correct answers ) Characterized by markedly
disturbed
cannot process
behavior,
what is occurring in the environment and can lose touch
with reality, extreme fight and
experiences
horror
Transference ( Correct answers ) Occurs when the client views a
member
health care
of the
team as having characteristics of another person who has been
to the client's personal
significant
life
Countertransference ( Correct answers ) Occurs when a health care
team member displaces characteristics of people in her past onto a
client
GRADED
A+