A charge nurse is discussing mental status examination with a newly licensed nurse. Which of
the following statements made by the newly licensed nurse indicates and understanding of the
teaching? (Select all that apply).
A. "To assess cognitive ability, I should ask the client to count backwards by seven."
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."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most recent
presidents." - ANSA. "To assess cognitive ability, I should ask the client to count backwards by
seven."
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?
A. Assist the client with systematic 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. - ANSD. 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?
A. Coordinate holistic care with social services.
B. Identify the client's perceptions of her mental health status.
C. Include the client;s family in the interview.
D. Teach the client about her current mental health disorder. - ANSB. Identify the client's
perceptions 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? - ANSThe client arouses briefly
in response to a sternal rub.
A nurse is planning a peer group discussion about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that apply).
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 treatment.
D. The DSM-5 assists nurses in planning care for clients.
, E. The DSM-5 indicates expected assessment findings of mental health disorders. - ANSB. The
DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 assists nurses in planning care for clients.
E. The DSM-5 indicates expected assessment findings of mental health disorders.
A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying
makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of
the underlying reasons?
A. Narcissistic behavior.
B. Fear of rejjection from staff
C. Attempt to reduce anxiety.
D. Adverse effect of antidepressant medication - ANSC. Attempt to reduce anxiety.
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions
should the nurse take? - ANSStay with the client and remain quiet.
A nurse is assessing a client who has GAD. Which of the following findings should the nurse
expect? (Select all that apply).
A. Excessive worry for 6 months.
B. Impulsive decision making.
C. Delayed reflexes
D. Restlessness
E. Need for reassurance - ANSA. Excessive worry for 6 months.
D. Restlessness
E. Need for reassurance
A nurse is planning care for a client who has body dysmorphic disorder. Which of the following
actions should the nurse plan to take first?
A. Assessing the client's risk for self harm.
B. Instilling hope for positive outcomes.
C. Encouraging the client to participate in group therapy sessions.
D. Encouraging the client to participate in treatment decisions. - ANSA. Assessing the client's
risk for self harm.
A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety.
Which of the following statements action should the nurse make?
A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease your anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Let's discuss the medications your provider is prescribing to decrease your anxiety." - ANSA.
"Tell me about how you are feeling right now."