Saunders Mental Health Exam Questions
With Correct Answers
1073. A client in a long-term care facility who had multiple sclerosis is
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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 .
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2. Assist the client with all activities of daily living (ADLs).
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3. Tell the client that many of the people in the facility have these same
| | | | | | | | | | | | | |
sorts of problems.
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4. Encourage and praise perseverance in per - CORRECT ANSWER✔✔-4.
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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
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diagnosis of acute undifferentiated schizophrenia?
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1. Repeatedly points out inconsistencies in the client's communication .
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2. Allows the client to set his or her own treatment goals for the plan of
| | | | | | | | | | | | | | |
care.
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3. Lets the client act out initially and uses the quiet room and restraints
| | | | | | | | | | | | |
as needed.
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,4. Provides assistance with grooming and nutrition until the client's
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thinking is cleared. - CORRECT ANSWER✔✔-4. Provides assistance with
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grooming and nutrition until the client's thinking is cleared
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1075. A client is admitted to the mental health unit after a suicide
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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 dan -
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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
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understands that which practice is accurate regarding end-of-life care?
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1. The client's head should be positioned below the body.
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2. Discussions about death are usually welcomed and open.
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3. A same-gendered Muslim should handle the body if possible.
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4. Stopping medical treatment is allowed if permitted by the family. -
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CORRECT ANSWER✔✔-3. A same-gendered Muslim should handle the
| | | | | | | |
body if possible.
| | |
,1077. On admission assessment, the nurse is obtaining subjective data
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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 a - 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."
| | |
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.
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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.
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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.
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4. A behavioral approach to changing behavior appropriately. - CORRECT
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ANSWER✔✔-3. Providing a safe, therapeutic environment for clients.
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1080. An older adult client states to the nurse, "Lately I'm getting
| | | | | | | | | | |
forgetful about things. Do you think I'm getting Alzheimer's disease?"
| | | | | | | | | |
Which response by the nurse is most therapeutic?
| | | | | | | |
1. "Oh, I'm certain it's not Alzheimer's disease because everyone forgets
| | | | | | | | | |
things sometimes."
| |
2. " No, I don't think we really need to discuss this because I' sure it is
| | | | | | | | | | | | | | | |
just normal aging."
| | |
3. " Although it's not unusual to experience some lapses of memory,
| | | | | | | | | | |
let's discuss your concerns."
| | | |
4. " I am so forgetful, - CORRECT ANSWER✔✔-3. " Although it's not
| | | | | | | | | | | |
unusual to experience some lapses of memory, let's discuss your
| | | | | | | | | |
concerns."
|
With Correct Answers
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 per - 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.
| |
,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 dan -
| | | | | | | | | | | |
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.
| | | | | | | | |
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 a - 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."
| | |
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.
| | | | | | |
4. A behavioral approach to changing behavior appropriately. - CORRECT
| | | | | | | | |
ANSWER✔✔-3. Providing a safe, therapeutic environment for clients.
| | | | | | | |
1080. An older adult client states to the nurse, "Lately I'm getting
| | | | | | | | | | |
forgetful about things. Do you think I'm getting Alzheimer's disease?"
| | | | | | | | | |
Which response by the nurse is most therapeutic?
| | | | | | | |
1. "Oh, I'm certain it's not Alzheimer's disease because everyone forgets
| | | | | | | | | |
things sometimes."
| |
2. " No, I don't think we really need to discuss this because I' sure it is
| | | | | | | | | | | | | | | |
just normal aging."
| | |
3. " Although it's not unusual to experience some lapses of memory,
| | | | | | | | | | |
let's discuss your concerns."
| | | |
4. " I am so forgetful, - CORRECT ANSWER✔✔-3. " Although it's not
| | | | | | | | | | | |
unusual to experience some lapses of memory, let's discuss your
| | | | | | | | | |
concerns."
|
