WCU Mental Health Exam 1 with complete solutions

A charge nurse is discussing mental status examination with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select All that apply.) - Answer- A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." 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? - Answer- Monitor the client for adverse effects of medications. 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 the priority? - Answer- Identify the client's perception of her mental health status A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? - Answer- The client arouses briefly in response to a sternal rub. A nurse is planning a peer group discussion about Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following information is appropriate to include in the discussion? (Select all that apply.) - Answer- A. DSM-5 establishes diagnostic criteria for individual mental health disorders. B. The DSM-5 assists nurses in planning care for client's who have mental health disorders. C. The DSM-5 indicates expected assessment findings of mental health disorders. 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. - Answer- A client who has a borderline personality disorder and assaulted a homeless man with a metal rod. A nurse decides to put a client who has a psychiatric disorder in seclusion overnight because the unit is very short -staffed, and the client frequently fights with other clients. The nurses actions are an example of which of the following torts? - Answer- False imprisonment A client tells a nurse, " Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from roommate, who is always yelling at me and threatening me. "Which of the following actions should the nurse take ? - Answer- Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others. A nurse is caring for a client who is in mechanical restraints. which of the following statements should the nurse include in the documentation? (Select all that apply) - Answer- A. Client was offered 8oz of water every hour B. Client shouted obscenities at assistive personnel C. Client received chlorpromazine 15mg by mount at 1000. A nurse hears a newly licensed nurse discussing a clients hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? - Answer- Tell the nurse to stop discussing the behavior. A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurse. Which of the following aspects of communication should the nurse identify as a component of verbal communication? - Answer- intonation A nurse in an acute mental health facility is communicating with a client. The client states, "I cant sleep. I stay up all night." The nurse responds, "you are having difficulty sleeping?" Which of the fallowing therapeutic communication techniques is the nurse demonstrating? - Answer- Restating A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? - Answer- offering advice A nurse caring for a client who has anorexia nerves a. Which of the following examples demonstrates the nurses use of interpersonal communication? - Answer- The nurse ask the client about her body image perception. A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? - Answer- " I understand you're concerned. Let's discuss what concerns you specifically." A nurse is caring for a client who smokes and has lung cancer. The client reports. " Im coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanism? - Answer- Denial A nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. The client, has a respiratory rate of 30/min, and says, " this is difficult to comprehend. I feel shaky and nervous" The nurse should identify that the client is experiencing which of the following levels of anxiety? - Answer- Moderate A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? ( Select all that apply) - Answer- A. Discuss prior use of coping mechanism with the client B. Demonstrate a calm manner while using simple and clear directions. A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make? - Answer- "Losing someone close to you must be very upsetting." A charge nurse is discussing the characteristics of a nurse -client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? ( Select all that apply) - Answer- A. It's goal directed B. Behavioral change is encouraged C. A termination date is established A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference? - Answer- The client accuses the nurse of telling him what to do just like his ex-girlfriend. A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? - Answer- Discussing ways to use new behaviors A nurse is orientating a new client to a mental health unit. When explaining the unit's community meetings, which of the following statement should the nurse make? - Answer- " You and the other clients will meet with the staff to discuss common problems" A nurse is caring for several clients who are attending community based mental health programs. Which of the following clients should the nurse plan to visit first. - Answer- A client who says he is hearing a voice that tells him he is not worthy of living anymore. A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? - Answer- Establishing rehabilitation programs to decrease the effects of depression. A nurse is working in a community mental health facility. Which of the following services does this type of program provide? ( Select all apply) - Answer- A. Educational program B. Medication dispensing programs C. Individual counseling programs D. Family therapy