Mental Health Kaplan A, B, & C Questions With Complete
Solutions
The client uses heroin several times a day. Which signs and
symptoms does the nurse expect to observe? SATA
1. Constricted pupils, depressed respirations
2. Drowsiness or sedation
3. Vomiting and hypotension
4. Agitation and tachycardia
5. Slurred or incoherent speech
6. Dilated pupils, increased respirations
1. Constricted pupils, depressed respirations
2. Drowsiness or sedation
5. Slurred or incoherent speech
A client diagnosed with PTSD was held hostage in a bank
robbery about 6 weeks ago. The client states that one of the
employees was shot and still remains ina coma in the hospital
nearby. The client reports daily flashbacks of the incident.
Which action by the nurse is best when the client experiences
flashbacks?
1. Help them identify areas of life and situations that aren't
within their ability to control
2. Encourage them to explore the underlying feelings that may
cause irrational fear
,3. Stay with the client, offer assurance of safety, tell them these
feelings are normal
4. Assess the impact of trauma on their ability to resume ADLs
and problem solving
3. Stay with the client, offer assurance of safety, tell them these
feelings are normal
The nurse provides care for a client diagnosed with dependent
personality disorder. Which client statement best indicates
improvement in the clients condition?
1. "I am planning which herbs I want to plant in my garden"
2. "I need to call my partner at work several times a day"
3. "I want you to help me decide what I should wear today"
4. "I feel like I can't breathe when my spouse leaves for work"
1. "I am planning which herbs I want to plant in my garden"
The nurse observes which characteristic in a client diagnosed
with a personality disorder?
1. Needs are met primarily through manipulation
2. Complies with the treatment regimen
3. Verbalizes feelings of distress
4. Withdraws from social contact and unit activities
1. Needs are met primarily through manipulation
A client is brought to the ED following a motor vehicle accident.
The client is agitated and fights against the nurse while care is
being provided. The clients drug screen returns positive for
,cocaine. It's most important for the nurse to provide which
intervention?
1. Cover the client with blankets and raise the temp in the room
2. Provide a calm atmosphere and monitor respiratory and
cardiac status
3. Restrain the client and administer a sedative
4. Place the client in a well-lighted room and perform
neurological assessment every hour
2. Provide a calm atmosphere and monitor respiratory and
cardiac status
The nurse assesses a client diagnosed with bipolar disorder,
acute manic phase. Which symptom does the nurse expect to
observe in the client?
1. Anergia
2. Self-blame
3. Negativism
4. Hyperactivity
4. Hyperactivity
An older adult client diagnosed with a terminal illness dies while
the family is visiting. Which action is appropriate for the nurse
to take?
1. Offer the family the opportunity to privately spend time with
the clients body
2. Explains that the clients in heaven now and ask if the family
, would like to pray
3. Usher the family from the room immediately and provide
postmortem care
4. Remove the clients dentures and remove the pillow from
behind the clients head
1. Offer the family the opportunity to privately spend time with
the clients body
The nurse provides care for clients on the detoxification unit.
One client says to the nurse "I know you despise me." Which
defense mechanism does the nurse interpret that the client is
using?
1. Identification
2. Projection
3. Displacement
4. Reaction formation
2. Projection
A client with a diagnosis of type 2 DM has very poor control of
BG and develops gangrenous ulcers on the feet. After being told
the feet will need to be amputated, the client states "I'm sure if I
start taking my meds like I'm supposed to my feet will heal."
The nurse identifies this as an example of which behavior?
1. Conversion
2. Acting out
3. Compensation
4. Denial
Solutions
The client uses heroin several times a day. Which signs and
symptoms does the nurse expect to observe? SATA
1. Constricted pupils, depressed respirations
2. Drowsiness or sedation
3. Vomiting and hypotension
4. Agitation and tachycardia
5. Slurred or incoherent speech
6. Dilated pupils, increased respirations
1. Constricted pupils, depressed respirations
2. Drowsiness or sedation
5. Slurred or incoherent speech
A client diagnosed with PTSD was held hostage in a bank
robbery about 6 weeks ago. The client states that one of the
employees was shot and still remains ina coma in the hospital
nearby. The client reports daily flashbacks of the incident.
Which action by the nurse is best when the client experiences
flashbacks?
1. Help them identify areas of life and situations that aren't
within their ability to control
2. Encourage them to explore the underlying feelings that may
cause irrational fear
,3. Stay with the client, offer assurance of safety, tell them these
feelings are normal
4. Assess the impact of trauma on their ability to resume ADLs
and problem solving
3. Stay with the client, offer assurance of safety, tell them these
feelings are normal
The nurse provides care for a client diagnosed with dependent
personality disorder. Which client statement best indicates
improvement in the clients condition?
1. "I am planning which herbs I want to plant in my garden"
2. "I need to call my partner at work several times a day"
3. "I want you to help me decide what I should wear today"
4. "I feel like I can't breathe when my spouse leaves for work"
1. "I am planning which herbs I want to plant in my garden"
The nurse observes which characteristic in a client diagnosed
with a personality disorder?
1. Needs are met primarily through manipulation
2. Complies with the treatment regimen
3. Verbalizes feelings of distress
4. Withdraws from social contact and unit activities
1. Needs are met primarily through manipulation
A client is brought to the ED following a motor vehicle accident.
The client is agitated and fights against the nurse while care is
being provided. The clients drug screen returns positive for
,cocaine. It's most important for the nurse to provide which
intervention?
1. Cover the client with blankets and raise the temp in the room
2. Provide a calm atmosphere and monitor respiratory and
cardiac status
3. Restrain the client and administer a sedative
4. Place the client in a well-lighted room and perform
neurological assessment every hour
2. Provide a calm atmosphere and monitor respiratory and
cardiac status
The nurse assesses a client diagnosed with bipolar disorder,
acute manic phase. Which symptom does the nurse expect to
observe in the client?
1. Anergia
2. Self-blame
3. Negativism
4. Hyperactivity
4. Hyperactivity
An older adult client diagnosed with a terminal illness dies while
the family is visiting. Which action is appropriate for the nurse
to take?
1. Offer the family the opportunity to privately spend time with
the clients body
2. Explains that the clients in heaven now and ask if the family
, would like to pray
3. Usher the family from the room immediately and provide
postmortem care
4. Remove the clients dentures and remove the pillow from
behind the clients head
1. Offer the family the opportunity to privately spend time with
the clients body
The nurse provides care for clients on the detoxification unit.
One client says to the nurse "I know you despise me." Which
defense mechanism does the nurse interpret that the client is
using?
1. Identification
2. Projection
3. Displacement
4. Reaction formation
2. Projection
A client with a diagnosis of type 2 DM has very poor control of
BG and develops gangrenous ulcers on the feet. After being told
the feet will need to be amputated, the client states "I'm sure if I
start taking my meds like I'm supposed to my feet will heal."
The nurse identifies this as an example of which behavior?
1. Conversion
2. Acting out
3. Compensation
4. Denial
