NURS 326 (Mental Health) ACTUAL EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
ATHABASCA UNIVERSITY
A newly licensed nurse is reviewing the American Nurses Association's
core professional values of nursing. Which of the following actions by the
nurse demonstrates the value of empowerment?
a. the nurse becomes a trainer for the new equipment for other nurses on
the unit
b. the nurse schedules care around the client's religious practices of daily
prayer
c. the nurse supports the autonomy of a client who refuses
chemotherapy, even though their family wants it
d. the nurse provides resources to the client who wants to create a living
will before they have surgery
D, the value of empowerment involves the use of decision making to solve
problems for the client.
A nurse is caring for a newly admitted client who states they are
concerned about their privacy and rights while on the psychiatric unit. The
nurse should explain to the client that they have which of the following
rights?
a. the right to refuse treatment
b. the right for their information to be shared with their family at any time
c. the right for their clinical notes to be shared with anyone at the facility
d. the right for providers to solely decide their treatment options
A
A nurse is reviewing the medical records of a group of clients. The nurse
should identify that which of the following factors places a client at risk
for mental illness?
,a. a family member wit ha diagnosis of diabetes
b. a medical diagnosis of diabetes
c. a history of using community support services
d. a history of abuse
D
A nurse is assessing a client who has major depressive disorder. The
nurse should identify which of the following client statements as an overt
comment about suicide? (SATA)
a. my family will be better off if I'm dead
b. the stress in my life is too much to handle
c. I wish my life was over
d. I don't feel like I can ever be happy again
e. If I kill myself then my problems will go away
ACE, a statement is an overt comment about suicide if the client directly talks
about their perception of an outcome of their death
BD are cover comments, where the client identifies a problem but does not
directly talk about suicide, there is a need to assess for suicidal ideation
A nurse is caring for a client who states "I plan to commit suicide." Which
of the following assessments should the nurse identify as the priority?
a. client's educational and economic background
b. lethality of the method and availability of means
c. quality of the client's social support
d. client's insight into the reasons for the decision
B, priority is to find out: how lethal the method is, how available the method is,
and how detailed the plan is
A nurse is assisting with the development of protocols to address the
increasing number of suicide attempts in the community. Which of the
following interventions should the nurse include as a primary
intervention? (SATA)
a. conducting a suicide risk screening on all new clients
, b. creating a support group for family members of clients who completed
suicide
c. educating high school teens about suicide prevention
d. initiating one-on-one observation for a client who has current suicidal
ideation
e. teaching middle-school educators about warning indicators of suicide
ACE, primary intervention includes screening and community education
B is tertiary prevention
D is secondary prevention
A nurse is caring for a client who is on suicide precautions. Which of the
following interventions should the nurse include in the plan of care?
a. assign the client to a private room
b. document the client's behavior every hour
c. allow the client to keep perfume in her room
d. ensure that the client swallows medication
D, prevents the client from possibly hoarding meds to overdose
A: its better to not give them a private room
B: document behavior q15min
C: no
A nurse is conducting a class for a group of newly licensed nurses on
caring for clients who are at risk for suicide. Which of the following
information should the nurse include in the teaching?
a. a client' verbal threat of suicide is attention-seeking behavior
b. interventions are ineffective for clients who really want to commit
suicide
c. using the term suicide increases the client's risk for a suicide attempt
d. a no-suicide contract decreases the client's risk for suicide
D, a contract promotes and maintains trust between the nurse and client
(however it should not be used as a replacement for other suicide prevention
QUESTIONS WITH VERIFIED SOLUTIONS
ATHABASCA UNIVERSITY
A newly licensed nurse is reviewing the American Nurses Association's
core professional values of nursing. Which of the following actions by the
nurse demonstrates the value of empowerment?
a. the nurse becomes a trainer for the new equipment for other nurses on
the unit
b. the nurse schedules care around the client's religious practices of daily
prayer
c. the nurse supports the autonomy of a client who refuses
chemotherapy, even though their family wants it
d. the nurse provides resources to the client who wants to create a living
will before they have surgery
D, the value of empowerment involves the use of decision making to solve
problems for the client.
A nurse is caring for a newly admitted client who states they are
concerned about their privacy and rights while on the psychiatric unit. The
nurse should explain to the client that they have which of the following
rights?
a. the right to refuse treatment
b. the right for their information to be shared with their family at any time
c. the right for their clinical notes to be shared with anyone at the facility
d. the right for providers to solely decide their treatment options
A
A nurse is reviewing the medical records of a group of clients. The nurse
should identify that which of the following factors places a client at risk
for mental illness?
,a. a family member wit ha diagnosis of diabetes
b. a medical diagnosis of diabetes
c. a history of using community support services
d. a history of abuse
D
A nurse is assessing a client who has major depressive disorder. The
nurse should identify which of the following client statements as an overt
comment about suicide? (SATA)
a. my family will be better off if I'm dead
b. the stress in my life is too much to handle
c. I wish my life was over
d. I don't feel like I can ever be happy again
e. If I kill myself then my problems will go away
ACE, a statement is an overt comment about suicide if the client directly talks
about their perception of an outcome of their death
BD are cover comments, where the client identifies a problem but does not
directly talk about suicide, there is a need to assess for suicidal ideation
A nurse is caring for a client who states "I plan to commit suicide." Which
of the following assessments should the nurse identify as the priority?
a. client's educational and economic background
b. lethality of the method and availability of means
c. quality of the client's social support
d. client's insight into the reasons for the decision
B, priority is to find out: how lethal the method is, how available the method is,
and how detailed the plan is
A nurse is assisting with the development of protocols to address the
increasing number of suicide attempts in the community. Which of the
following interventions should the nurse include as a primary
intervention? (SATA)
a. conducting a suicide risk screening on all new clients
, b. creating a support group for family members of clients who completed
suicide
c. educating high school teens about suicide prevention
d. initiating one-on-one observation for a client who has current suicidal
ideation
e. teaching middle-school educators about warning indicators of suicide
ACE, primary intervention includes screening and community education
B is tertiary prevention
D is secondary prevention
A nurse is caring for a client who is on suicide precautions. Which of the
following interventions should the nurse include in the plan of care?
a. assign the client to a private room
b. document the client's behavior every hour
c. allow the client to keep perfume in her room
d. ensure that the client swallows medication
D, prevents the client from possibly hoarding meds to overdose
A: its better to not give them a private room
B: document behavior q15min
C: no
A nurse is conducting a class for a group of newly licensed nurses on
caring for clients who are at risk for suicide. Which of the following
information should the nurse include in the teaching?
a. a client' verbal threat of suicide is attention-seeking behavior
b. interventions are ineffective for clients who really want to commit
suicide
c. using the term suicide increases the client's risk for a suicide attempt
d. a no-suicide contract decreases the client's risk for suicide
D, a contract promotes and maintains trust between the nurse and client
(however it should not be used as a replacement for other suicide prevention
