PSYC MENTAL HEALTH NURSING EXAM #20 (8TH EDITION)
CH. 2, 6, 7, 8, 10, 12, 21, 24 FULLY COVERED
Tony, age 21, has been diagnosed with schizophrenia. He has been socially isolated
and hearing voices telling him to kill his parents. He has been admitted to the
psychiatric unit from the emergency department. The INITIAL nursing intervention for
Tony is to
A) Give him an injection of Thorazine
B) Ensure a safe environment for him and others
C) Place him in restraints
D) Order him a nutritious diet - correct answer B) Ensure a safe environment for him
and others
The primary goal in working with an actively psychotic, suspicious client would be to:
A) Promote interaction with others
B) Decrease his anxiety and increase trust
C) Improve his relationship with his parents
D) Encourage participation in therapy activities - correct answer B) Decrease his anxiety
and increase trust
The nurse is caring for a client with schizophrenia. Orders from the physician include
100mg chlorpromazine IM STAT and then 50mg PO bid; 2 mg benztropine PO bid prn.
Why is chlorpromazine ordered?
A) To reduce EPS
B) To prevent neuroleptic malignant syndrome
C) To decrease psychotic symptoms
D) To induce sleep - correct answer C) To decrease psychotic symptoms
The nurse is caring for a client with schizophrenia. Orders from the physician include
100mg chlorpromazine IM STAT and then 50mg PO bid; 2mg benztropine PO bid prn.
Because benztropine was ordered on a prn basis, which of the following assessments
by the nurse would convey a need for this medication?
A) The client's level of agitation increases
B) The client complains of a sore throat
C) The client's skin has a yellowish cast
D) The client develops tremors and a shuffling gait - correct answer D) The client
develops tremors and a shuffling gait
Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins
to tell the nurse about how the CIA is looking for him and will kill him if they find him.
The most appropriate response by the nurse is:
A) That's ridiculous, Clint. No one is going to hurt you.
B) The CIA isn't interested in people like you, Clint
C) Why do you think the CIA wants to kill you?
D)I know you believe that, Clint, but it's really hard for me to believe - correct answer D)
I know you believe that, Clint, but it's really hard for me to believe
,Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins
to tell the nurse about how the CIA is looking for him and will kill him if they find him.
Clint's belief is an example of:
A) Delusion of persecution
B) Delusion of reference
C) Delusion of control or influence
D) Delusion of grandeur - correct answer A) Delusion of persecution
The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the
side, stops talking in midsentence, and listens intently. The nurse recognizes from these
signs that the client is likely experiencing:
A) Somatic delusions
B) Catatonic stupor
C) Auditory hallucinations
D) Pseudoparkinsonism - correct answer C) Auditory hallucinations
The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the
side, stops talking in midsentence, and listens intently. The nurse recognizes these
behaviors as a symptom of the client's illness. The most appropriate nursing
intervention for this symptom is to:
A) Ask the client to describe his physical symptoms
B) Ask the client to describe what he is hearing
C) Administer a dose of benztropine
D) Call the physician for additional orders - correct answer B) Ask the client to describe
what he is hearing
When a client suddenly becomes aggressive and violent on the unit, which of the
following approaches would be best for the nurse to use first?
A) Provide large motor activities to relieve the client's pent-up tension
B) Administer a dose of prn chlorpromazine to keep the client calm
C) Call for sufficient help to control the situation safely
D) Convey to the client that his behavior is unacceptable and will not be permitted -
correct answer C) Call for sufficient help to control the situation safely
The primary focus of family therapy for clients with schizophrenia and their families is:
A) To discuss concrete problem solving and adaptive behaviors for coping with stress
B) To introduce the family to others with the same problem
C) To keep the client and family in touch with the health care system
D) To promote family interaction and increase understanding of the illness - correct
answer D) To promote family interaction and increase understanding of the illness
Which of the following is a true statement about mental health recovery? (select all that
apply)
A. Mental health recovery applies only to severe and persistent mental illnesses
, B. Mental health recovery serves to provide empowerment to the client
C. Mental health recovery is based on the medical model
D. Mental health recovery is a collaborative process - correct answer b, d
A nurse is assisting an individual with mental illness recovery using the Tidal Model.
Which of the following is a component of this model?
A. The wellness toolbox
B. The daily maintenance list
C. The individual's personal story
D. Triggers - correct answer c
A nurse is assisting an individual with mental illness recovery using the Psychological
Recovery Model. The client says to the nurse, "I have schizophrenia. Nothing can be
done. I might as well die." In which stage of the Psychological Recovery Model would
the nurse assess the individual to be?
A. The awareness stage
B. The preparation stage
C. The rebuilding stage
D. The moratorium stage - correct answer d
A nurse who is helping a client in the preparation stage of the Psychological Recovery
Model might include which of the following interventions?
A. Teach about effects of the illness and how to recognize, monitor, and manage
symptoms
B. Help the client identify triggers that cause distress or discomfort
C. Help the client establish a daily maintenance list
D. Listen actively while the client composes his or her personal story - correct answer a
A nurse who is helping a client with mental illness recovery using the WRAP Model says
to the client, "First you must create a wellness toolbox." She explains to the client that a
wellness toolbox is which of the following?
A. A list of words that describe how the individual feels when he or she is feeling well
B. A list of things the client needs to do every day to maintain wellness
C. A list of strategies the client has used in the past that help relieve disturbing
symptoms
D. A list of the client's favorite health-care providers and phone numbers - correct
answer c
N.J. is the nurse leader of a childbirth preparation group. Each week she shows various
films and sets out various reading materials. She expects the participants to utilize their
time on a topic of their choice on practice skills they have observed on the films. Two
CH. 2, 6, 7, 8, 10, 12, 21, 24 FULLY COVERED
Tony, age 21, has been diagnosed with schizophrenia. He has been socially isolated
and hearing voices telling him to kill his parents. He has been admitted to the
psychiatric unit from the emergency department. The INITIAL nursing intervention for
Tony is to
A) Give him an injection of Thorazine
B) Ensure a safe environment for him and others
C) Place him in restraints
D) Order him a nutritious diet - correct answer B) Ensure a safe environment for him
and others
The primary goal in working with an actively psychotic, suspicious client would be to:
A) Promote interaction with others
B) Decrease his anxiety and increase trust
C) Improve his relationship with his parents
D) Encourage participation in therapy activities - correct answer B) Decrease his anxiety
and increase trust
The nurse is caring for a client with schizophrenia. Orders from the physician include
100mg chlorpromazine IM STAT and then 50mg PO bid; 2 mg benztropine PO bid prn.
Why is chlorpromazine ordered?
A) To reduce EPS
B) To prevent neuroleptic malignant syndrome
C) To decrease psychotic symptoms
D) To induce sleep - correct answer C) To decrease psychotic symptoms
The nurse is caring for a client with schizophrenia. Orders from the physician include
100mg chlorpromazine IM STAT and then 50mg PO bid; 2mg benztropine PO bid prn.
Because benztropine was ordered on a prn basis, which of the following assessments
by the nurse would convey a need for this medication?
A) The client's level of agitation increases
B) The client complains of a sore throat
C) The client's skin has a yellowish cast
D) The client develops tremors and a shuffling gait - correct answer D) The client
develops tremors and a shuffling gait
Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins
to tell the nurse about how the CIA is looking for him and will kill him if they find him.
The most appropriate response by the nurse is:
A) That's ridiculous, Clint. No one is going to hurt you.
B) The CIA isn't interested in people like you, Clint
C) Why do you think the CIA wants to kill you?
D)I know you believe that, Clint, but it's really hard for me to believe - correct answer D)
I know you believe that, Clint, but it's really hard for me to believe
,Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins
to tell the nurse about how the CIA is looking for him and will kill him if they find him.
Clint's belief is an example of:
A) Delusion of persecution
B) Delusion of reference
C) Delusion of control or influence
D) Delusion of grandeur - correct answer A) Delusion of persecution
The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the
side, stops talking in midsentence, and listens intently. The nurse recognizes from these
signs that the client is likely experiencing:
A) Somatic delusions
B) Catatonic stupor
C) Auditory hallucinations
D) Pseudoparkinsonism - correct answer C) Auditory hallucinations
The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the
side, stops talking in midsentence, and listens intently. The nurse recognizes these
behaviors as a symptom of the client's illness. The most appropriate nursing
intervention for this symptom is to:
A) Ask the client to describe his physical symptoms
B) Ask the client to describe what he is hearing
C) Administer a dose of benztropine
D) Call the physician for additional orders - correct answer B) Ask the client to describe
what he is hearing
When a client suddenly becomes aggressive and violent on the unit, which of the
following approaches would be best for the nurse to use first?
A) Provide large motor activities to relieve the client's pent-up tension
B) Administer a dose of prn chlorpromazine to keep the client calm
C) Call for sufficient help to control the situation safely
D) Convey to the client that his behavior is unacceptable and will not be permitted -
correct answer C) Call for sufficient help to control the situation safely
The primary focus of family therapy for clients with schizophrenia and their families is:
A) To discuss concrete problem solving and adaptive behaviors for coping with stress
B) To introduce the family to others with the same problem
C) To keep the client and family in touch with the health care system
D) To promote family interaction and increase understanding of the illness - correct
answer D) To promote family interaction and increase understanding of the illness
Which of the following is a true statement about mental health recovery? (select all that
apply)
A. Mental health recovery applies only to severe and persistent mental illnesses
, B. Mental health recovery serves to provide empowerment to the client
C. Mental health recovery is based on the medical model
D. Mental health recovery is a collaborative process - correct answer b, d
A nurse is assisting an individual with mental illness recovery using the Tidal Model.
Which of the following is a component of this model?
A. The wellness toolbox
B. The daily maintenance list
C. The individual's personal story
D. Triggers - correct answer c
A nurse is assisting an individual with mental illness recovery using the Psychological
Recovery Model. The client says to the nurse, "I have schizophrenia. Nothing can be
done. I might as well die." In which stage of the Psychological Recovery Model would
the nurse assess the individual to be?
A. The awareness stage
B. The preparation stage
C. The rebuilding stage
D. The moratorium stage - correct answer d
A nurse who is helping a client in the preparation stage of the Psychological Recovery
Model might include which of the following interventions?
A. Teach about effects of the illness and how to recognize, monitor, and manage
symptoms
B. Help the client identify triggers that cause distress or discomfort
C. Help the client establish a daily maintenance list
D. Listen actively while the client composes his or her personal story - correct answer a
A nurse who is helping a client with mental illness recovery using the WRAP Model says
to the client, "First you must create a wellness toolbox." She explains to the client that a
wellness toolbox is which of the following?
A. A list of words that describe how the individual feels when he or she is feeling well
B. A list of things the client needs to do every day to maintain wellness
C. A list of strategies the client has used in the past that help relieve disturbing
symptoms
D. A list of the client's favorite health-care providers and phone numbers - correct
answer c
N.J. is the nurse leader of a childbirth preparation group. Each week she shows various
films and sets out various reading materials. She expects the participants to utilize their
time on a topic of their choice on practice skills they have observed on the films. Two
