NUR 3450 UPDATED TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔A client usually watches television all day, seldom going out in the community or
socializing with others. The client says, "I don't know what to do with my free time."
Which member of the treatment team would be most helpful to this client?
a. Psychologist
b. Social worker
c. Recreational therapist
d. Occupational therapist - ✔✔c. Recreational therapist
✔✔A client diagnosed with schizophrenia has been stable for 2 months. Today the
client's spouse calls the nurse to report the client has not taken prescribed medication
and is having disorganized thinking. The client forgot to refill the prescription. The nurse
arranges a refill.
What is the best outcome to add to the plan of care?
a. The client's spouse will mark dates for prescription refills on the family calendar.
b. The nurse will obtain prescription refills every 90 days and deliver to the client.
c. The client will call the nurse weekly to discuss medication-related issues.
d. The client will report to the clinic for medication follow-up every week. - ✔✔a. The
client's spouse will mark dates for prescription refills on the family calendar.
✔✔A community mental health nurse has worked for months to establish a relationship
with a delusional, suspicious client. The client recently lost employment and could no
longer afford prescribed medications. The client says, "Only a traitor would make me go
to the hospital."
What is the nurse's best initial intervention?
a. With the client's consent, contact resources to provide medications without charge
temporarily.
b. Arrange a bed in a local homeless shelter with nightly on-site supervision.
c. Hospitalize the client until the symptoms have stabilized.
d. Ask the client, "Do you feel like I am a traitor?" - ✔✔a. With the client's consent,
contact resources to provide medications without charge temporarily.
,✔✔Which activity is appropriate for a nurse engaged exclusively in community-based
primary prevention?
a. Medication follow-up
b. Teaching parenting skills
c. Substance abuse counseling
d. Making a referral for family therapy - ✔✔b. Teaching parenting skills
✔✔A health care provider prescribed long acting antipsychotic medication injections
every 3 weeks at the clinic for a client with a history of medication nonadherence. For
this plan to be successful, which factor will be of critical importance?
a. The attitude of significant others toward the client
b. Nutrition services in the client's neighborhood
c. The level of trust between the client and nurse
d. The availability of transportation to the clinic - ✔✔d. The availability of transportation
to the clinic
✔✔Which assessment finding for a client diagnosed with serious and persistent mental
illness and living in the community merits priority intervention by the psychiatric nurse?
a. The client receives social security disability income plus a small check from a trust
fund
every month.
b. The client was absent from two of six planned Alcoholics Anonymous meetings in the
past
2 weeks.
c. The client lives in an apartment with two clients who attend partial hospitalization
programs.
d. The client has a sibling who was recently diagnosed with a mental illness. - ✔✔b. The
client was absent from two of six planned Alcoholics Anonymous meetings in the past 2
weeks.
✔✔The nurse should refer which of the following clients to a partial hospitalization
program?
a. One who has a therapeutic lithium level and reports regularly for blood tests and
clinic follow-up.
b. One who needs psychoeducation for relaxation therapy related to agoraphobia and
panic episodes.
c. One who spent yesterday in a supervised crisis care center and continues to have
active suicidal ideation.
d. One who cannot avoid using alcohol when their spouse goes to work every morning.
- ✔✔d. One who cannot avoid using alcohol when their spouse goes to work every
morning.
, ✔✔After a Category 5 tornado hits a community and destroys many homes and
businesses, a community mental health nurse encourages victims to describe their
memories and feelings about the event. What does this action by the nurse best
demonstrate?
a. triage.
b. primary prevention.
c. psychosocial rehabilitation.
d. psychiatric case management. - ✔✔b. Primary prevention
✔✔A nurse makes an initial visit to a homebound client diagnosed with a serious mental
illness.
A family member offers the nurse a cup of coffee. What is the nurse's best response?
a. "Thank you. I would enjoy having a cup of coffee with you."
b. "Thank you, but I would prefer to proceed with the assessment."
c. "No but thank you. I never accept drinks from clients or families."
d. "Our agency policy prohibits me from eating or drinking in clients' homes." - ✔✔a.
"Thank you. I would enjoy having a cup of coffee with you."
✔✔A nurse performed these actions while caring for clients in an inpatient psychiatric
setting.
Which action violated clients' rights?
a. Prohibited a client from using the telephone
b. In client's presence, opened a package mailed to client
c. Remained within arm's length of client with homicidal ideation
d. Permitted a client with psychosis to refuse oral psychotropic medication - ✔✔a.
Prohibited a client from using the telephone
✔✔A nurse can best address factors of critical importance to successful community
treatment by including making assessments focused on what? (Select all that apply.)
a. housing adequacy.
b. family and support systems.
c. income adequacy and stability.
d. early psychosocial development.
e. substance abuse history and current use. - ✔✔a. housing adequacy.
b. family and support systems.
c. income adequacy and stability.
e. substance abuse history and current use.
✔✔The health care team at an inpatient psychiatric facility drafts these criteria for
admission.
Which criteria should be included in the final version of the admission policy? (Select all
that apply.)
a. Clear risk of danger to self or others
b. Adjustment needed for doses of psychotropic medication
QUESTIONS SET A+
✔✔A client usually watches television all day, seldom going out in the community or
socializing with others. The client says, "I don't know what to do with my free time."
Which member of the treatment team would be most helpful to this client?
a. Psychologist
b. Social worker
c. Recreational therapist
d. Occupational therapist - ✔✔c. Recreational therapist
✔✔A client diagnosed with schizophrenia has been stable for 2 months. Today the
client's spouse calls the nurse to report the client has not taken prescribed medication
and is having disorganized thinking. The client forgot to refill the prescription. The nurse
arranges a refill.
What is the best outcome to add to the plan of care?
a. The client's spouse will mark dates for prescription refills on the family calendar.
b. The nurse will obtain prescription refills every 90 days and deliver to the client.
c. The client will call the nurse weekly to discuss medication-related issues.
d. The client will report to the clinic for medication follow-up every week. - ✔✔a. The
client's spouse will mark dates for prescription refills on the family calendar.
✔✔A community mental health nurse has worked for months to establish a relationship
with a delusional, suspicious client. The client recently lost employment and could no
longer afford prescribed medications. The client says, "Only a traitor would make me go
to the hospital."
What is the nurse's best initial intervention?
a. With the client's consent, contact resources to provide medications without charge
temporarily.
b. Arrange a bed in a local homeless shelter with nightly on-site supervision.
c. Hospitalize the client until the symptoms have stabilized.
d. Ask the client, "Do you feel like I am a traitor?" - ✔✔a. With the client's consent,
contact resources to provide medications without charge temporarily.
,✔✔Which activity is appropriate for a nurse engaged exclusively in community-based
primary prevention?
a. Medication follow-up
b. Teaching parenting skills
c. Substance abuse counseling
d. Making a referral for family therapy - ✔✔b. Teaching parenting skills
✔✔A health care provider prescribed long acting antipsychotic medication injections
every 3 weeks at the clinic for a client with a history of medication nonadherence. For
this plan to be successful, which factor will be of critical importance?
a. The attitude of significant others toward the client
b. Nutrition services in the client's neighborhood
c. The level of trust between the client and nurse
d. The availability of transportation to the clinic - ✔✔d. The availability of transportation
to the clinic
✔✔Which assessment finding for a client diagnosed with serious and persistent mental
illness and living in the community merits priority intervention by the psychiatric nurse?
a. The client receives social security disability income plus a small check from a trust
fund
every month.
b. The client was absent from two of six planned Alcoholics Anonymous meetings in the
past
2 weeks.
c. The client lives in an apartment with two clients who attend partial hospitalization
programs.
d. The client has a sibling who was recently diagnosed with a mental illness. - ✔✔b. The
client was absent from two of six planned Alcoholics Anonymous meetings in the past 2
weeks.
✔✔The nurse should refer which of the following clients to a partial hospitalization
program?
a. One who has a therapeutic lithium level and reports regularly for blood tests and
clinic follow-up.
b. One who needs psychoeducation for relaxation therapy related to agoraphobia and
panic episodes.
c. One who spent yesterday in a supervised crisis care center and continues to have
active suicidal ideation.
d. One who cannot avoid using alcohol when their spouse goes to work every morning.
- ✔✔d. One who cannot avoid using alcohol when their spouse goes to work every
morning.
, ✔✔After a Category 5 tornado hits a community and destroys many homes and
businesses, a community mental health nurse encourages victims to describe their
memories and feelings about the event. What does this action by the nurse best
demonstrate?
a. triage.
b. primary prevention.
c. psychosocial rehabilitation.
d. psychiatric case management. - ✔✔b. Primary prevention
✔✔A nurse makes an initial visit to a homebound client diagnosed with a serious mental
illness.
A family member offers the nurse a cup of coffee. What is the nurse's best response?
a. "Thank you. I would enjoy having a cup of coffee with you."
b. "Thank you, but I would prefer to proceed with the assessment."
c. "No but thank you. I never accept drinks from clients or families."
d. "Our agency policy prohibits me from eating or drinking in clients' homes." - ✔✔a.
"Thank you. I would enjoy having a cup of coffee with you."
✔✔A nurse performed these actions while caring for clients in an inpatient psychiatric
setting.
Which action violated clients' rights?
a. Prohibited a client from using the telephone
b. In client's presence, opened a package mailed to client
c. Remained within arm's length of client with homicidal ideation
d. Permitted a client with psychosis to refuse oral psychotropic medication - ✔✔a.
Prohibited a client from using the telephone
✔✔A nurse can best address factors of critical importance to successful community
treatment by including making assessments focused on what? (Select all that apply.)
a. housing adequacy.
b. family and support systems.
c. income adequacy and stability.
d. early psychosocial development.
e. substance abuse history and current use. - ✔✔a. housing adequacy.
b. family and support systems.
c. income adequacy and stability.
e. substance abuse history and current use.
✔✔The health care team at an inpatient psychiatric facility drafts these criteria for
admission.
Which criteria should be included in the final version of the admission policy? (Select all
that apply.)
a. Clear risk of danger to self or others
b. Adjustment needed for doses of psychotropic medication
