MENTAL HEALTH EXAM

Chapter 1 1. A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (SATA) a. “To assess cognitive ability, I should ask the client to count backward by sevens” i. Appropriate technique to assess a client’s cognitive ability b. “To assess affect, i should observe the client's facial expression” i. Observing a client’s facial expression is appropriate when assessing affect c. “To assess language ability, I should instruct the client to write a sentence” i. Writing a sentence is an indication of language ability d. “To assess remote memory, I should have the client repeat a list of objects” e. “To assess the clients abstract thinking, I should ask the client to identify our most recent presidents” 2. A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? a. Assist the client with systemic desensitization therapy b. Teach the client appropriate coping mechanisms c. Assess the client for comorbid health conditions d. Monitor the client for adverse effects of medications i. Monitoring for adverse effects of medications is an example of psychobiological intervention 3. A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as a priority? a. Coordinate holistic care with social services b. Identify the client’s perception of their mental health status i. Assessment is the priority action when using the nursing process approach to client care. Identifying the client’s perception of their mental health status provides important information about the client’s psychosocial history c. Include the client’s family in the interview d. Teach the client about their current mental health disorder 4. A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following information is appropriate to include in the discussion? (SATA) a. The DSM-5 includes client education handouts for mental health disorders b. The DSM-5 establishes diagnostic criteria for individual mental health disorders c. The DSM-5 indicates recommended pharmacological treatments for mental health disorders d. The DSM-5 assists nurses in planning care for client’s who have mental health disorders i. Nurses use the DSM-5 to plan, implement, and evaluate care for client’s who have mental health disorders e. The DSM-5 indicates expected assessment findings of mental health disorders Chapter 2 1. A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? a. A client who has schizophrenia with delusions of grandeur b. A client who has manifestations of depression and attempted suicide a year ago c. A client who has borderline personality disorder and assaulted a homeless man with a metal rod d. A client who has bipolar disorder and paces quickly around the room while talking to themselves 2. A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse’s actions are an example of which of the following torts? a. Invasion of privacy b. False imprisonment i. A civil wrong that violates a client’s civil rights is a tort. In this case, it is false imprisonment, which is the confining of a client to a specific area (a seclusion room) if the reason for such confinement is for the convenience of the staff c. Assault d. Battery 3. A client tells a nurse, “Don’t tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me.” Which of the following action