Mental Health Capstone Exam
Questions With Complete Solutions5
A nurse is reinforcing teaching with a client who is to start taking lithium for bipolar disorder.
Which of the following instructions should the nurse include? - ANSWERS Take lithium with
meals or a glass of milk
A nurse is caring for a client following reported physical abuse. The client is quiet and
withdrawn which of the following action should the nurse take. - ANSWERS Be direct and
honest when communicating with the client
A nurse is collecting data from a client who is schizophrenia and is taking fluphenazine. The
nurse observes that the clients tongue is protruding and he has irregular movements of his
limbs. The nurse should identify that the client is exhibiting manifestations of which of the
following. - ANSWERS Early symptoms of tardive dyskinesia
A newly licensed Nurse it's assisting with the involuntary admission of a client who has a
depression to an acute care mental health facility. Which of the following guidelines. Should the
nurse follow when caring for the client? - ANSWERS The client has the right to refuse
medication.
A nurse in an acute care mental health unit is speaking with a client who reports that other
client leave trash in the lounge. Which of the following actions should the nurse take? -
ANSWERS Encourage the client to discuss the problem with other clients.
Doing a group therapy session, a nurse observes several clients using multiple defense
mechanisms. Which of the following client statements demonstrates the use of maladaptive
coping mechanisms? - ANSWERS "I don't care about work anymore since I was not given a
promotion"
, A nurse is collecting data for a client who has schizophrenia. The client states that he hears
voices telling him to do "bad things.". The nurse should recognize this finding as which of the
following? - ANSWERS Command hallucination
A nurse is participating in a planning a support group for clients who recently experienced a loss
of family member. Which of the following actions should the nurse plan for the leader to take
during the working phase of the group? - ANSWERS Focus on problem solving.
A nurse in an outpatient clinic is caring for a client who reports bilateral knee pain after a hike in
the mountains this past weekend. He tells the nurse that he is worried because his cousin died
from bone cancer recently. Which of the following response should the nurse make? - ANSWERS
"You seem worried. Let's talk about how you are feeling".
Which of the following six items required immediate follow up SATA? - ANSWERS Lithium level
Sodium level
TSH level
Bun level
Levothyroxine dosage
Lithium dosage
A nurse is assessing a young adult client who has a new diagnosis of idiopathic juvenile arthritis.
The client states, "The pain in my joints is just a temporary thing. If I keep eating right and
exercising, it'll go away." The nurse should identify that the client is using which of the following
defense mechanism - ANSWERS Denial
A client states that his family would be better off if he was dead, which of the following
responses is the nurse's priority? - ANSWERS " Are you thinking of killing yourself?"
Questions With Complete Solutions5
A nurse is reinforcing teaching with a client who is to start taking lithium for bipolar disorder.
Which of the following instructions should the nurse include? - ANSWERS Take lithium with
meals or a glass of milk
A nurse is caring for a client following reported physical abuse. The client is quiet and
withdrawn which of the following action should the nurse take. - ANSWERS Be direct and
honest when communicating with the client
A nurse is collecting data from a client who is schizophrenia and is taking fluphenazine. The
nurse observes that the clients tongue is protruding and he has irregular movements of his
limbs. The nurse should identify that the client is exhibiting manifestations of which of the
following. - ANSWERS Early symptoms of tardive dyskinesia
A newly licensed Nurse it's assisting with the involuntary admission of a client who has a
depression to an acute care mental health facility. Which of the following guidelines. Should the
nurse follow when caring for the client? - ANSWERS The client has the right to refuse
medication.
A nurse in an acute care mental health unit is speaking with a client who reports that other
client leave trash in the lounge. Which of the following actions should the nurse take? -
ANSWERS Encourage the client to discuss the problem with other clients.
Doing a group therapy session, a nurse observes several clients using multiple defense
mechanisms. Which of the following client statements demonstrates the use of maladaptive
coping mechanisms? - ANSWERS "I don't care about work anymore since I was not given a
promotion"
, A nurse is collecting data for a client who has schizophrenia. The client states that he hears
voices telling him to do "bad things.". The nurse should recognize this finding as which of the
following? - ANSWERS Command hallucination
A nurse is participating in a planning a support group for clients who recently experienced a loss
of family member. Which of the following actions should the nurse plan for the leader to take
during the working phase of the group? - ANSWERS Focus on problem solving.
A nurse in an outpatient clinic is caring for a client who reports bilateral knee pain after a hike in
the mountains this past weekend. He tells the nurse that he is worried because his cousin died
from bone cancer recently. Which of the following response should the nurse make? - ANSWERS
"You seem worried. Let's talk about how you are feeling".
Which of the following six items required immediate follow up SATA? - ANSWERS Lithium level
Sodium level
TSH level
Bun level
Levothyroxine dosage
Lithium dosage
A nurse is assessing a young adult client who has a new diagnosis of idiopathic juvenile arthritis.
The client states, "The pain in my joints is just a temporary thing. If I keep eating right and
exercising, it'll go away." The nurse should identify that the client is using which of the following
defense mechanism - ANSWERS Denial
A client states that his family would be better off if he was dead, which of the following
responses is the nurse's priority? - ANSWERS " Are you thinking of killing yourself?"
