M e n t a l H e a l t h S p e c i a l t y T es t & D o s a g e C a l c u l a t i o n 2 0 2 3 |
Questions and Answers | Latest Update
Mental health Specialty test 2023
1. A nurse in a mental health facility is collecting a blood specimen from a
client. The client is hallucinating and states, "That looks like a snake,
and I won't let it take all of my blood.”. Which of the following
responses should the nurse make?
-Snakes cannot be in the clinic.” OR
-I don't see a snake, but that must be scary for you.
2. A nurse is caring for a client who has depressive disorder following the
recent death of their partner. Which of the following responses should
the nurse make?
-"Tell me what your relationship with your partner was like.”
3. A nurse is participating in a community program about eating
disorders. Which of the following information about bulimia nervosa
should the nurse include in the presentation?
-"Bulimia nervosa is difÏcult to notice because a person might be of
average or ideal body weight.”
4. A nurse is collecting data from a client who is experiencing opioid
withdrawal. Which of the following manifestations should the nurse
expect?
-Diarrhea
5. A nurse is providing information to a client about smoking cessation.
Which of the following medications should the nurse include?
-Bupropion
6. A nurse is collecting data from a client who experienced physical abuse
as a child. Which of the following findings should the nurse identify as a
risk factor for the client to become a perpetrator of child abuse?
-Improved mood or
-Low tolerance for frustration
7. A nurse is contributing to the plan of care for a client who is to start
therapy with fluoxetine. Which of the following is an expected outcome
for this client?
-Improved mood
, Mental health Specialty test 2023
8. A client is becoming increasingly agitated, anxious, and tense. The
nurse notes a clenched jaw and a change in the pitch of the client's
voice. Which of the following interventions should the nurse implement
first?
-Make a personal introduction to the client at each interaction
9. A nurse is assisting with the care of a client who has dementia. Which
of the following actions should the nurse take?
-Acknowledge an inability to control drinking OR
-Make a personal introduction to the client at each interaction.
10. A nurse in a substance use disorder clinic is explaining the
alcohol recovery process to a client's family. Which of the following
should the nurse identify as the first step toward successful recovery
from alcohol use disorder?
- Acknowledge an inability to control drinking
11. A nurse in a substance use disorder clinic is explaining the
alcohol recovery process to a client's family. Which of the following
should the nurse identify as the first step toward successful recovery
from alcohol use disorder?
- "I may be more sensitive to the sun while taking this medication.”
12. A nurse is reinforcing teaching about a new prescription for
haloperidol with a client who has schizophrenia. Which of the following
statements by the client indicates an understanding of the teaching?
-Taking experimental medication OR
-"I may be more sensitive to the sun while taking this medication."
13. A nurse is contributing to the plan of care for a client who has
bipolar disorder and whose admission was voluntary. For which of the
following interventions should the nurse confirm that the client has
given informed consent?
-Somatization
14. A nurse is caring for a client who has an anxiety disorder. The
client transforms their anxiety into physical manifestations. The nurse
should recognize that the client is ing which of the following
manifestations?
, Mental health Specialty test 2023
-"A client can verbally designate a durable power of attorney.”
15. A nurse is reinforcing teaching with a newly licensed nurse about
the Patient Self-Determination Act (PSDA). Which of the following
statements by the newly licensed nurse indicates an understanding of
the teaching?
-Limit the client's need to make decisions. OR
-"A client can verbally designate a durable power of attorney."
16. A nurse is contributing to the plan of care for a client who has
acute delirium. Which of the following interventions should the nurse
include in the plan of care?
-"I should re-engage my child in an appropriate activity.” OR
-Limit the client's need to make decisions.
17. A nurse is reinforcing behavior management techniques with the
parent of a school-age child who has conduct disorder. Which of the
following statements by the parent indicates an understanding of the
redirection technique?
-"The voices told me to quit eating the food here.” OR
-"I should re-engage my child in an appropriate activity."
18. A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is
experiencing a command hallucination?
-“The voices told me to quit eating the food here.”
19. A nurse is reinforcing teaching with a client who has bipolar
disorder and has a new prescription for lithium. To address possible
adverse effects, the nurse should include that which of the following
laboratory values will be monitored while the client is taking this
medication?
-"You should limit yourself to two caffeinated beverages per day.”
20. A nurse is caring for a client who has depression and reports only
sleeping a few hours each night. Which of the following instructions
should the nurse give the client to promote sleep?
-Dual diagnosis treatment. OR
-You should limit yourself to two caffeinated beverages per day.
, Mental health Specialty test 2023
21. A nurse in a mental health facility is caring for a client who has
antisocial personality disorder and alcohol dependency. The nurse
should encourage the client to participate in which of the following
groups?
-Manipulative behaviors.
-Splitting.
-Impulsiveness.
-Lack of empathy OR
-Dual diagnosis treatment
22. A nurse is collecting data from a client who has antisocial
personality disorder. Which of the following findings should the nurse
expect? (Select all that apply.)
-Alcohol use disorder
-Access to guns in the home.
-Sibling history of suicide.
-Terminal liver cancer
23. A nurse in a mental health clinic is collecting data from a client to
determine the client's risk for suicide. Which of the following findings
should the nurse identify as a risk factor for suicide? (Select all that
apply.)
-Alcohol use disorder
-Access to guns in the home.
-Sibling history of suicide
-Terminal liver cancer
24. A nurse is collecting data from a client who has anorexia
nervosa. Which of the following findings should the nurse expect?
(Select all that apply.)
-Hypotension.
-Cold extremities.
-Tooth erosion.
-Lanugo
25. A nurse is collecting data from an older adult client who was
admitted with heart failure. The nurse should report which of the
following findings to the provider as an indication of delirium?
-Fluctuating level of orientation.
Questions and Answers | Latest Update
Mental health Specialty test 2023
1. A nurse in a mental health facility is collecting a blood specimen from a
client. The client is hallucinating and states, "That looks like a snake,
and I won't let it take all of my blood.”. Which of the following
responses should the nurse make?
-Snakes cannot be in the clinic.” OR
-I don't see a snake, but that must be scary for you.
2. A nurse is caring for a client who has depressive disorder following the
recent death of their partner. Which of the following responses should
the nurse make?
-"Tell me what your relationship with your partner was like.”
3. A nurse is participating in a community program about eating
disorders. Which of the following information about bulimia nervosa
should the nurse include in the presentation?
-"Bulimia nervosa is difÏcult to notice because a person might be of
average or ideal body weight.”
4. A nurse is collecting data from a client who is experiencing opioid
withdrawal. Which of the following manifestations should the nurse
expect?
-Diarrhea
5. A nurse is providing information to a client about smoking cessation.
Which of the following medications should the nurse include?
-Bupropion
6. A nurse is collecting data from a client who experienced physical abuse
as a child. Which of the following findings should the nurse identify as a
risk factor for the client to become a perpetrator of child abuse?
-Improved mood or
-Low tolerance for frustration
7. A nurse is contributing to the plan of care for a client who is to start
therapy with fluoxetine. Which of the following is an expected outcome
for this client?
-Improved mood
, Mental health Specialty test 2023
8. A client is becoming increasingly agitated, anxious, and tense. The
nurse notes a clenched jaw and a change in the pitch of the client's
voice. Which of the following interventions should the nurse implement
first?
-Make a personal introduction to the client at each interaction
9. A nurse is assisting with the care of a client who has dementia. Which
of the following actions should the nurse take?
-Acknowledge an inability to control drinking OR
-Make a personal introduction to the client at each interaction.
10. A nurse in a substance use disorder clinic is explaining the
alcohol recovery process to a client's family. Which of the following
should the nurse identify as the first step toward successful recovery
from alcohol use disorder?
- Acknowledge an inability to control drinking
11. A nurse in a substance use disorder clinic is explaining the
alcohol recovery process to a client's family. Which of the following
should the nurse identify as the first step toward successful recovery
from alcohol use disorder?
- "I may be more sensitive to the sun while taking this medication.”
12. A nurse is reinforcing teaching about a new prescription for
haloperidol with a client who has schizophrenia. Which of the following
statements by the client indicates an understanding of the teaching?
-Taking experimental medication OR
-"I may be more sensitive to the sun while taking this medication."
13. A nurse is contributing to the plan of care for a client who has
bipolar disorder and whose admission was voluntary. For which of the
following interventions should the nurse confirm that the client has
given informed consent?
-Somatization
14. A nurse is caring for a client who has an anxiety disorder. The
client transforms their anxiety into physical manifestations. The nurse
should recognize that the client is ing which of the following
manifestations?
, Mental health Specialty test 2023
-"A client can verbally designate a durable power of attorney.”
15. A nurse is reinforcing teaching with a newly licensed nurse about
the Patient Self-Determination Act (PSDA). Which of the following
statements by the newly licensed nurse indicates an understanding of
the teaching?
-Limit the client's need to make decisions. OR
-"A client can verbally designate a durable power of attorney."
16. A nurse is contributing to the plan of care for a client who has
acute delirium. Which of the following interventions should the nurse
include in the plan of care?
-"I should re-engage my child in an appropriate activity.” OR
-Limit the client's need to make decisions.
17. A nurse is reinforcing behavior management techniques with the
parent of a school-age child who has conduct disorder. Which of the
following statements by the parent indicates an understanding of the
redirection technique?
-"The voices told me to quit eating the food here.” OR
-"I should re-engage my child in an appropriate activity."
18. A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is
experiencing a command hallucination?
-“The voices told me to quit eating the food here.”
19. A nurse is reinforcing teaching with a client who has bipolar
disorder and has a new prescription for lithium. To address possible
adverse effects, the nurse should include that which of the following
laboratory values will be monitored while the client is taking this
medication?
-"You should limit yourself to two caffeinated beverages per day.”
20. A nurse is caring for a client who has depression and reports only
sleeping a few hours each night. Which of the following instructions
should the nurse give the client to promote sleep?
-Dual diagnosis treatment. OR
-You should limit yourself to two caffeinated beverages per day.
, Mental health Specialty test 2023
21. A nurse in a mental health facility is caring for a client who has
antisocial personality disorder and alcohol dependency. The nurse
should encourage the client to participate in which of the following
groups?
-Manipulative behaviors.
-Splitting.
-Impulsiveness.
-Lack of empathy OR
-Dual diagnosis treatment
22. A nurse is collecting data from a client who has antisocial
personality disorder. Which of the following findings should the nurse
expect? (Select all that apply.)
-Alcohol use disorder
-Access to guns in the home.
-Sibling history of suicide.
-Terminal liver cancer
23. A nurse in a mental health clinic is collecting data from a client to
determine the client's risk for suicide. Which of the following findings
should the nurse identify as a risk factor for suicide? (Select all that
apply.)
-Alcohol use disorder
-Access to guns in the home.
-Sibling history of suicide
-Terminal liver cancer
24. A nurse is collecting data from a client who has anorexia
nervosa. Which of the following findings should the nurse expect?
(Select all that apply.)
-Hypotension.
-Cold extremities.
-Tooth erosion.
-Lanugo
25. A nurse is collecting data from an older adult client who was
admitted with heart failure. The nurse should report which of the
following findings to the provider as an indication of delirium?
-Fluctuating level of orientation.
