RN MENTAL HEALTH
ONLINE PRACTICE 2023 A
REVIEW
Instructions
All answers are underlined and all questions are in bold.
Questions
A client who has a recent diagnosis of bipolar
disorder is placed in a room with a client who has
severe depression. The client who has depression
reports to the nurse, "My roommate never sleeps and
keeps me up, too." Which of the following actions
should the nurse take?
Move the client who has bipolar disorder to a private
room
,Administer sleep medication to the client who has
bipolar disorder.
Move the client who has severe depression to a
private room.
Administer sleep medication to the client who has
severe depression. <answer>Move the client who has
bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the
therapeutic milieu for other clients. Therefore, the nurse
should move this client to a private room.
A nurse in a clinic is assessing a client whose partner
died 4 months ago. Which of the following statements
indicates that the client is at risk for complicated
grief?
"I wish I had been nicer and more generous with my
wife before she died."
"I told my wife to go to the doctor, but she wouldn't
listen to me."
"I think about my wife all the time when I go on
outings with my family."
"I feel so empty without my wife that it's hard to get up
every morning." <answer>"I feel so empty without my
wife that it's hard to get up every morning."
,The nurse should identify that when a client has difficulty
carrying on normal activities following a loss, this is an
indication that there is a risk for complicated grief.
A nurse in a community health center is counseling a
family of two parents and two children. Which of the
following statements by a family member indicates
manipulative behavior?
"If you do my homework for me, I won't bother you for
the rest of the day."
"Mom is always upset."
"It's not the children's fault. It's mine."
"It's your fault that we're having problems as a family."
<answer>"If you do my homework for me, I won't bother
you for the rest of the day."
This is an example of manipulative behavior. It is an
example of manipulation when the family member uses a
behavior to get what they desire rather than directly asking
for what they want.
A nurse in a community health center is teaching
families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical
, manifestations. Which of the following manifestations
should the nurse include?
Repeatedly talks about the traumatic incident
Sleeps excessively
Experiences feelings of isolation
Uses repetitive speech <answer>Experiences feelings of
isolation
The nurse should expect clients who have PTSD to feel
estranged and detached from others.
A nurse in a community health center is working with
a group of clients who have post-traumatic stress
disorder. Which of the following interventions should
the nurse include to reduce anxiety among the group
members?
Response prevention
Guided imagery
Aversion therapy
Light therapy <answer>Guided imagery
Guided imagery involves assisting the client to imagine a
restful and safe place. This method is effective in reducing
anxiety in clients who have post-traumatic stress disorder.
ONLINE PRACTICE 2023 A
REVIEW
Instructions
All answers are underlined and all questions are in bold.
Questions
A client who has a recent diagnosis of bipolar
disorder is placed in a room with a client who has
severe depression. The client who has depression
reports to the nurse, "My roommate never sleeps and
keeps me up, too." Which of the following actions
should the nurse take?
Move the client who has bipolar disorder to a private
room
,Administer sleep medication to the client who has
bipolar disorder.
Move the client who has severe depression to a
private room.
Administer sleep medication to the client who has
severe depression. <answer>Move the client who has
bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the
therapeutic milieu for other clients. Therefore, the nurse
should move this client to a private room.
A nurse in a clinic is assessing a client whose partner
died 4 months ago. Which of the following statements
indicates that the client is at risk for complicated
grief?
"I wish I had been nicer and more generous with my
wife before she died."
"I told my wife to go to the doctor, but she wouldn't
listen to me."
"I think about my wife all the time when I go on
outings with my family."
"I feel so empty without my wife that it's hard to get up
every morning." <answer>"I feel so empty without my
wife that it's hard to get up every morning."
,The nurse should identify that when a client has difficulty
carrying on normal activities following a loss, this is an
indication that there is a risk for complicated grief.
A nurse in a community health center is counseling a
family of two parents and two children. Which of the
following statements by a family member indicates
manipulative behavior?
"If you do my homework for me, I won't bother you for
the rest of the day."
"Mom is always upset."
"It's not the children's fault. It's mine."
"It's your fault that we're having problems as a family."
<answer>"If you do my homework for me, I won't bother
you for the rest of the day."
This is an example of manipulative behavior. It is an
example of manipulation when the family member uses a
behavior to get what they desire rather than directly asking
for what they want.
A nurse in a community health center is teaching
families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical
, manifestations. Which of the following manifestations
should the nurse include?
Repeatedly talks about the traumatic incident
Sleeps excessively
Experiences feelings of isolation
Uses repetitive speech <answer>Experiences feelings of
isolation
The nurse should expect clients who have PTSD to feel
estranged and detached from others.
A nurse in a community health center is working with
a group of clients who have post-traumatic stress
disorder. Which of the following interventions should
the nurse include to reduce anxiety among the group
members?
Response prevention
Guided imagery
Aversion therapy
Light therapy <answer>Guided imagery
Guided imagery involves assisting the client to imagine a
restful and safe place. This method is effective in reducing
anxiety in clients who have post-traumatic stress disorder.
