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,Mental Health
Version-1
,5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6) A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for
an eye in the sky. Sky is up high." The nurse should document the client's statement
as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
8) An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "I'm so worried that my mother is depressed" which
of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
9) A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse give the client when using thought
stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
11) A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicate the nurse is practicing the ethical principle
of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for
treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the
client.
d. Being truthful with the client about the manifestations of withdrawl.
12) A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from other clients. Which of the
following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior.
13) A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
,Mental Health
Version-1
,5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6) A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for
an eye in the sky. Sky is up high." The nurse should document the client's statement
as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
8) An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "I'm so worried that my mother is depressed" which
of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
9) A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse give the client when using thought
stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
11) A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicate the nurse is practicing the ethical principle
of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for
treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the
client.
d. Being truthful with the client about the manifestations of withdrawl.
12) A nurse in a group home facility is caring for a client who is developmentally
disabled. The client has been stealing belongings from other clients. Which of the
following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior.
13) A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
