Mental Health Progression Practice Test- Answer Key

1.A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make? A. "We will call your family in time for them to get here." Rationale: The nurse dismisses the client’s concerns and gives false reassurance. B. "I wonder if you are fearful of dying alone." Rationale: The nurse dismisses the client’s concerns and gives false reassurance. C. "I will make sure a staff member is in your room at all times." Rationale: The nurse dismisses the client’s concerns and gives false reassurance. D. "I will tell your family of your concern so that they can be here." Rationale: The nurse dismisses the client’s concerns and gives false reassurance. 2.A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make? A. "It sounds like you're having a difficult time." Rationale: This therapeutic response is an open-ended, empathetic statement that encourages the client to talk. B. "Have you talked to your parents about this yet?" Rationale: This nontherapeutic response is focused inappropriately on the client's parents. It does not address the client's need to communicate or express feelings. C. "Why do you think you are so anxious?" Rationale: This nontherapeutic response can make the client feel defensive, and he might not be able to tell the nurse why. D. "How long has this been going on?" Rationale: This nontherapeutic response is a closed-ended statement that does not encourage the client to talk. 3.A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client? A. A private room in a quiet location on the unit Rationale:A private room in a quiet location is ideal for a client with mania. The client may easily become overstimulated by the number of people and activities in a nursing care unit. A private room can