Mental Health Practice Exam Questions | Psychiatric Nursing Exam Prep & Study Guide

Mental.,Health.,Practice.,Exam.,Questions


The.,nurse.,is.,conducting.,discharge.,teaching.,for.,a.,client.,with.,schizophreni
a.,who.,plans.,to.,live.,in.,a.,group.,home..,Which.,statement.,is.,most.,indicative.,o
f.,the.,need.,for.,careful.,follow-up.,after.,discharge?


a..,Crickets.,are.,a.,good.,source.,of.,protein.
b..,I.,have.,not.,heard.,any.,voices.,for.,a.,week.
c..,Only.,my.,belief.,in.,God.,can.,help.,me.

d..,Sometimes.,I.,have.,a.,hard.,time.,sitting.,still.,-.,correct.,answer.,✔ ✔
*C..,Only.,my.,belief.,in.,God.,can.,help.,me.*


The.,most.,frequent.,cause.,of.,increased.,symptoms.,in.,psychotic.,clients.,is.,no
n-
compliance.,with.,the.,medication.,regimen..,If.,clients.,believe.,that.,"God.,alo
ne".,is.,going.,to.,heal.,them.,(C).,then.,they.,may.,discontinue.,their.,medication,.,
so.,(C).,would.,pose.,the.,greatest.,threat.,to.,this.,client's.,prognosis..,(A).,would.,
require.,further.,teaching,.,but.,is.,not.,as.,significant.,a.,statement.,as.,(C)..,(B).,in
dicates.,an.,improvement.,in.,the.,client's.,condition..,(D).,may.,be.,a.,sign.,of.,anx
iety.,that.,could.,improve.,with.,tx,.,but.,does.,not.,have.,the.,priority.,of.,(C).


A.,child.,is.,brought.,to.,the.,ER.,with.,a.,broken.,arm..,Because.,of.,other.,injuries,.
,the.,nurse.,suspects.,the.,child.,may.,be.,a.,victim.,of.,abuse..,When.,the.,nurse.,trie


s.,to.,give.,the.,child.,an.,injection,.,the.,child's.,mother.,becomes.,very.,loud.,and.,
shouts,.,"I.,won't.,leave.,my.,son!.,Don't.,you.,touch.,him!.,You'll.,hurt.,my.,child!

,".,What.,is.,the.,best.,interpretation.,of.,the.,mother's.,statements?.,The.,mother.,i
s


a..,regressing.,to.,an.,earlier.,behavior.,pattern.
b..,sublimating.,her.,anger.
c..,projecting.,her.,feelings.,onto.,the.,nurse.

d..,suppressing.,her.,fear..,-.,correct.,answer.,✔ ✔
*C..,projecting.,her.,feelings.,onto.,the.,nurse.*


Projection.,is.,attributing.,one's.,own.,thoughts,.,impulses,.,or.,behaviors.,onto.,
another--
it.,is.,the.,mother.,who.,is.,probably.,harming.,the.,child.,and.,she.,is.,attributing.,h
er.,actions.,to.,the.,nurse.,(C)..,The.,mother.,may.,be.,immature,.,but.,(A).,is.,not.,th
e.,best.,description.,of.,her.,behavior..,(B).,is.,substituting.,a.,socially.,acceptable
.,feeling.,for.,an.,unacceptable.,one..,These.,are.,not.,socially.,acceptable.,feeling


s..,The.,mother.,may.,be.,suppressing.,her.,fear.,(D).,by.,displaying.,anger,.,but.,s
uch.,an.,interpretation.,cannot.,be.,concluded.,from.,the.,data.,presented.


An.,elderly.,female.,client.,with.,advanced.,dementia.,is.,admitted.,to.,the.,hospit
al.,with.,a.,fractured.,hip..,The.,client.,repeatedly.,tells.,the.,staff,.,"Take.,me.,hom
e..,I.,want.,my.,Mommy.".,Which.,response.,is.,best.,for.,the.,nurse.,to.,provide?


a..,Orient.,the.,client.,to.,the.,time,.,place,.,and.,person.
b..,Tell.,the.,client.,that.,the.,nurse.,is.,there.,and.,will.,help.,her.

,c..,Remind.,the.,client.,that.,her.,mother.,is.,no.,longer.,living.
d..,Explain.,the.,seriousness.,of.,her.,injury.,and.,need.,for.,hospitalization..,-
.,correct.,answer.,✔ ✔
*B..,Tell.,the.,client.,that.,the.,nurse.,is.,there.,and.,will.,help.,her.*


Those.,with.,dementia.,often.,refer.,to.,home.,or.,parents.,when.,seeking.,securit
y.,and.,comfort..,The.,nurse.,should.,use.,the.,techniques.,of.,"offering.,self".,and.,
"talking.,to.,the.,feelings".,to.,provide.,reassurance.,(B)..,Clients.,with.,advance
d.,dementia.,have.,permanent.,physiological.,changes.,in.,the.,brain.,(plaques.,a
nd.,tangles).,that.,prevent.,them.,from.,comprehending.,and.,retaining.,new.,inf
ormation,.,so.,(A,.,C,.,and.,D).,are.,likely.,to.,be.,of.,little.,use.,to.,this.,client.,and.,d
o.,not.,help.,the.,clients.,emotional.,needs.


A.,27.,y/o.,F.,client.,is.,admitted.,to.,the.,psychiatric.,hospital.,with.,a.,dx.,of.,bipol
ar.,disorder,.,manic.,phase..,She.,is.,demanding.,and.,active..,Which.,interventio
n.,should.,the.,nurse.,include.,in.,this.,client's.,plan.,of.,care?


a..,Schedule.,her.,to.,attend.,various.,group.,activities.
b..,Reinforce.,her.,ability.,to.,make.,her.,own.,decisions.
c..,Encourage.,her.,to.,identify.,feelings.,of.,anger.
d..,Provide.,a.,structured.,environment.,with.,little.,stimuli..,-.,correct.,answer.,
✔ ✔ *D..,Provide.,a.,structured.,environment.,with.,little.,stimuli.*

, Clients.,in.,the.,manic.,phase.,of.,bipolar.,disorder.,require.,decreased.,stimuli.,a
nd.,a.,structured.,environment.,(D)..,Plan.,noncompetitive.,activities.,that.,can.,
be.,carried.,out.,alone..,(A).,is.,contraindicated;.,stimuli.,should.,be.,reduced.,as.,
much.,as.,possible..,Impulsive.,decision-
making.,is.,characteristic.,of.,clients.,with.,bipolar.,disorder..,To.,prevent.,futur
e.,complications,.,the.,nurse.,should.,monitor.,these.,clients'.,decisions.,and.,assi
st.,them.,in.,decision-
making.,process.,(B)..,(C).,is.,more.,often.,associated.,with.,depression.,than.,wi
th.,bipolar.,disorder.


An.,adult.,male.,client.,who.,was.,admitted.,to.,the.,mental.,hospital.,unit.,yesterd
ay.,tells.,the.,nurse.,that.,microchips.,were.,planted.,in.,his.,head.,for.,military.,sur
veillance.,of.,his.,every.,move..,Which.,response.,is.,best.,for.,the.,nurse.,to.,provi
de?


a..,You.,are.,in.,the.,hospital,.,and.,I.,am.,the.,nurse.,caring.,for.,you.
b..,It.,must.,be.,difficult.,for.,you.,to.,control.,your.,anxious.,feelings.
c..,Go.,to.,occupational.,therapy.,and.,start.,a.,project.
d..,You.,are.,not.,in.,a.,war.,area.,now;.,this.,is.,the.,United.,States..,-
.,correct.,answer.,✔ ✔
*.,C..,Go.,to.,occupational.,therapy.,and.,start.,a.,project.*


Delusions.,often.,generate.,fear.,and.,isolation,.,so.,the.,nurse.,should.,help.,the.,c
lient.,participate.,in.,activities.,that.,avoid.,focusing.,on.,the.,false.,belief.,and.,en
courage.,interaction.,with.,others.,(C)..,Delusions.,are.,often.,well-
fixed,.,and.,though.,(A).,reinforces.,reality,.,it.,is.,argumentative.,and.,dismisses.