Question 1
A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
CORRECT ANSWER
A. Is attempting to physically restrain the patient.
Question 2
A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN should plan
one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
CORRECT ANSWER
D. "I don't want to walk. Nothing matters anymore."
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,Question 3
The RN is performing intake interviews at a psychiatric clinic. A female client with a known
history of drug abuse reports that she had a heart attack four years ago. Useof which
substance places the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
CORRECT ANSWER
C. Methamphetamine
Question 4
A male client comes to the emergency center because he has an erection that will not
resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. Which
information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
CORRECT ANSWER
B. Have you taken any medications for erectile dysfunction?
Question 5
A female client admitted to the mental health unit starts to shout and scream at the RN.
What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
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,C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
CORRECT ANSWER
A. Stay quietly with the patient
Question 6
When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has
the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
CORRECT ANSWER
C. Ineffective breathing pattern.
Question 7
A female client on a psychiatric unit is sweating profusely while she vigorously does push-
ups and then runs the length of the corridor several times before crashing into furniture in
the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to
sit in. When another client objects to the disturbance, the client shouts, "I am the boss
here. I do what I want." Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
CORRECT ANSWER
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, B. Risk for other related violence related to disruptive behavior.
Question 8
A RN is preparing the physical environment to interview a new client for admission to the
mental health unit. Which environmental setting facilitates the best outcome of the
interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.
CORRECT ANSWER
C. Reduce the noise level in the room by turning off the television and radio.
Question 9
The RN is providing education about strategies for a safety plan for a female client who is a
victim of intimate partner violence. Which strategies should be included in the safety
plan? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
CORRECT ANSWER
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
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A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
CORRECT ANSWER
A. Is attempting to physically restrain the patient.
Question 2
A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN should plan
one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
CORRECT ANSWER
D. "I don't want to walk. Nothing matters anymore."
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@THE STUDY VAULT
,Question 3
The RN is performing intake interviews at a psychiatric clinic. A female client with a known
history of drug abuse reports that she had a heart attack four years ago. Useof which
substance places the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
CORRECT ANSWER
C. Methamphetamine
Question 4
A male client comes to the emergency center because he has an erection that will not
resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. Which
information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
CORRECT ANSWER
B. Have you taken any medications for erectile dysfunction?
Question 5
A female client admitted to the mental health unit starts to shout and scream at the RN.
What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
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,C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
CORRECT ANSWER
A. Stay quietly with the patient
Question 6
When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has
the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
CORRECT ANSWER
C. Ineffective breathing pattern.
Question 7
A female client on a psychiatric unit is sweating profusely while she vigorously does push-
ups and then runs the length of the corridor several times before crashing into furniture in
the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to
sit in. When another client objects to the disturbance, the client shouts, "I am the boss
here. I do what I want." Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
CORRECT ANSWER
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@THE STUDY VAULT
, B. Risk for other related violence related to disruptive behavior.
Question 8
A RN is preparing the physical environment to interview a new client for admission to the
mental health unit. Which environmental setting facilitates the best outcome of the
interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.
CORRECT ANSWER
C. Reduce the noise level in the room by turning off the television and radio.
Question 9
The RN is providing education about strategies for a safety plan for a female client who is a
victim of intimate partner violence. Which strategies should be included in the safety
plan? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
CORRECT ANSWER
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
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