Saunders Mental Health Exam
Questions & Answers (Grade A+)
1073. A client in a long-term care facility who had multiple sclerosis
is embarrassed about the need to use a wheelchair and the muscle
spasms that are readily visible in her legs. Which approach is
therapeutic in assisting the client to cope?
1. Keep the client in her room as much as possible .
2. Assist the client with all activities of daily living (ADLs).
3. Tell the client that many of the people in the facility have these
same sorts of problems.
4. Encourage and praise perseverance in performing ADLs, and
assist the client to dress and groom daily. -
correct answer ✅4. Encourage and praise perseverance in
performing ADLs, and assist the client to dress and groom daily
1074. The nurse uses which approach when caring for a client with
a diagnosis of acute undifferentiated schizophrenia?
1. Repeatedly points out inconsistencies in the client's
communication .
2. Allows the client to set his or her own treatment goals for the
plan of care.
3. Lets the client act out initially and uses the quiet room and
restraints as needed.
,Saunders Mental Health Exam
Questions & Answers (Grade A+)
4. Provides assistance with grooming and nutrition until the client's
thinking is cleared. -
correct answer ✅4. Provides assistance with grooming and
nutrition until the client's thinking is cleared
1075. A client is admitted to the mental health unit after a suicide
attempt by hanging. The nurse's most important aspect of care is to
maintain client safety. The is best accomplished by which action?
1. Requesting that a peer remain with the client at all times.
2. Removing the client's clothing and placing the client in a hospital
gown.
3. Assigning a staff member to the client who will remain with the
client at all times.
4. Admitting the client to a seclusion room where all potentially
dangerous articles are removed. -
correct answer ✅3. Assigning a staff member to the client who
will remain with the client at all times
1076. The nurse providing end-of-life care to a Muslim client
understands that which practice is accurate regarding end-of-life
care?
1. The client's head should be positioned below the body.
,Saunders Mental Health Exam
Questions & Answers (Grade A+)
2. Discussions about death are usually welcomed and open.
3. A same-gendered Muslim should handle the body if possible.
4. Stopping medical treatment is allowed if permitted by the family.
-
correct answer ✅3. A same-gendered Muslim should handle the
body if possible.
1077. On admission assessment, the nurse is obtaining subjective
data about a client's sexual and reproductive status. The client
states, "I don't want to discuss this; it's private and personal."
Which response by the nurse is most therapeutic?
1. "I'd hate being asked these sorts of questions too, but it's a
necessary part of providing you with the best care."
2. "This is difficult for you to speak about, but I need this
information from you in order to perform a complete assessment."
3. "I am a professional registered nurse, and , as such, I'll have you
know that all your information is certainly kept confidential."
4. " I know that some of these questions are difficult for you, but, as
a professional nurse, I am obligated to respect your confidentiality."
-
correct answer ✅4. " I know that some of these questions are
difficult for you, but, as a professional nurse, I am obligated to
respect your confidentiality."
, Saunders Mental Health Exam
Questions & Answers (Grade A+)
1078. The nurse should include which information in the nursing
plan of care for a client with obsessive-compulsive disorder (OCD)?
Select all that apply.
1. The medical diagnosis of the client.
2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
5. Interruption of all compulsive behaviors. -
correct answer ✅2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
1079. A client asks the nurse to explain what milieu therapy is. The
nurse responds, knowing that the primary focus of milieu therapy
can be best described by which statement?
1. Changing behavior through crisis intervention.
2. A cognitive approach to changing client behavior.
3. Providing a safe, therapeutic environment for clients.
Questions & Answers (Grade A+)
1073. A client in a long-term care facility who had multiple sclerosis
is embarrassed about the need to use a wheelchair and the muscle
spasms that are readily visible in her legs. Which approach is
therapeutic in assisting the client to cope?
1. Keep the client in her room as much as possible .
2. Assist the client with all activities of daily living (ADLs).
3. Tell the client that many of the people in the facility have these
same sorts of problems.
4. Encourage and praise perseverance in performing ADLs, and
assist the client to dress and groom daily. -
correct answer ✅4. Encourage and praise perseverance in
performing ADLs, and assist the client to dress and groom daily
1074. The nurse uses which approach when caring for a client with
a diagnosis of acute undifferentiated schizophrenia?
1. Repeatedly points out inconsistencies in the client's
communication .
2. Allows the client to set his or her own treatment goals for the
plan of care.
3. Lets the client act out initially and uses the quiet room and
restraints as needed.
,Saunders Mental Health Exam
Questions & Answers (Grade A+)
4. Provides assistance with grooming and nutrition until the client's
thinking is cleared. -
correct answer ✅4. Provides assistance with grooming and
nutrition until the client's thinking is cleared
1075. A client is admitted to the mental health unit after a suicide
attempt by hanging. The nurse's most important aspect of care is to
maintain client safety. The is best accomplished by which action?
1. Requesting that a peer remain with the client at all times.
2. Removing the client's clothing and placing the client in a hospital
gown.
3. Assigning a staff member to the client who will remain with the
client at all times.
4. Admitting the client to a seclusion room where all potentially
dangerous articles are removed. -
correct answer ✅3. Assigning a staff member to the client who
will remain with the client at all times
1076. The nurse providing end-of-life care to a Muslim client
understands that which practice is accurate regarding end-of-life
care?
1. The client's head should be positioned below the body.
,Saunders Mental Health Exam
Questions & Answers (Grade A+)
2. Discussions about death are usually welcomed and open.
3. A same-gendered Muslim should handle the body if possible.
4. Stopping medical treatment is allowed if permitted by the family.
-
correct answer ✅3. A same-gendered Muslim should handle the
body if possible.
1077. On admission assessment, the nurse is obtaining subjective
data about a client's sexual and reproductive status. The client
states, "I don't want to discuss this; it's private and personal."
Which response by the nurse is most therapeutic?
1. "I'd hate being asked these sorts of questions too, but it's a
necessary part of providing you with the best care."
2. "This is difficult for you to speak about, but I need this
information from you in order to perform a complete assessment."
3. "I am a professional registered nurse, and , as such, I'll have you
know that all your information is certainly kept confidential."
4. " I know that some of these questions are difficult for you, but, as
a professional nurse, I am obligated to respect your confidentiality."
-
correct answer ✅4. " I know that some of these questions are
difficult for you, but, as a professional nurse, I am obligated to
respect your confidentiality."
, Saunders Mental Health Exam
Questions & Answers (Grade A+)
1078. The nurse should include which information in the nursing
plan of care for a client with obsessive-compulsive disorder (OCD)?
Select all that apply.
1. The medical diagnosis of the client.
2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
5. Interruption of all compulsive behaviors. -
correct answer ✅2. Individualized goals and objectives.
3. Attendance at group therapy sessions.
4. Self-care measures to improve hygiene.
1079. A client asks the nurse to explain what milieu therapy is. The
nurse responds, knowing that the primary focus of milieu therapy
can be best described by which statement?
1. Changing behavior through crisis intervention.
2. A cognitive approach to changing client behavior.
3. Providing a safe, therapeutic environment for clients.
