TUTORPAPER
PSYCHIATRIC AND MENTAL HEALTH NURSING +
QUESTIONS AND ANSWERS
1. **Which assessment finding is most consistent with early alcohol withdrawal?**
- A. Heart rate of 60 to 80 beats/minute
- B. Heart rate of 80 to 100 beats/minute
- C. **Heart rate of 120 to 140 beats/minute**
- D. Heart rate of 140 to 160 beats/minute
2. **Which client is at highest risk for suicide?**
- A. One who expresses sadness and hopelessness
- B. One who has a supportive family
- C. One who has a history of suicide attempts
- D. **One who plans a violent death and has the means readily available**
3. **A 15-year-old client is brought to the clinic by her mother. Her mother expresses concern about her
daughter's weight loss and constant dieting. The nurse conducts a health history interview. Which of the
following comments indicates that the client may be suffering from anorexia nervosa?**
- A. "I just eat less than others."
- B. "I am trying to stay healthy."
- C. **"I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls."**
- D. "I eat a lot of fruits and vegetables."
4. **The nurse is caring for a client who has been abusing opiates. Data collection findings in a client
abusing opiates such as morphine include:**
- A. Dilated pupils and agitation
- B. Diaphoresis and insomnia
- C. **Euphoria and constricted pupils**
- D. Tremors and nausea
5. **The nurse is caring for an adolescent female who reports amenorrhea, weight loss, and depression.
Which additional data collection finding would suggest that the woman has an eating disorder?**
- A. Regular social interactions
- B. Normal body mass index
- C. Healthy appetite
- D. **Excessive and ritualized exercise**
,TUTORPAPER
6. **A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5'
8" (1.7 m) tall and weighs only 103 lb (46.7 kg), she talks incessantly about how fat she is. Which
approach should the nurse take first when caring for this client?**
- A. Encourage the client to eat more
- B. **Establish a trusting relationship with the client**
- C. Challenge the client's distorted body image
- D. Provide information about healthy weight
7. **Which task is most important when developing a plan of care for a client with anorexia nervosa?**
- A. Providing nutritional supplements
- B. Monitoring fluid intake and output
- C. Teaching about balanced diet
- D. **Evaluating exercise activities**
8. **While collecting data on a client who was diagnosed with impulse control disorder (and who
displays violent, aggressive, and assaultive behavior), the nurse can expect to find which of the following
assessments? (Select all that apply)**
- A. **Client functions well in other areas of his life**
- B. Client is always calm
- C. **The degree of aggressiveness is out of proportion to the stressor**
- D. Client shows no signs of stress
- E. **The client has a history of parental alcoholism and a chaotic, abusive family life**
9. **A client with a history of alcoholism returns to the hospital 3 hours later than the time specified on
his day pass. His breath smells of alcohol, and his gait is unsteady. What should the nurse say?**
- A. "You're in trouble now."
- B. "Why did you drink alcohol?"
- C. **"Please go to bed now. We'll talk in the morning."**
- D. "You're not allowed to leave again."
10. **A client voluntarily admits himself to the substance abuse unit. He confesses that he drinks 1
quart or more of vodka each day. Later that afternoon, he begins to show signs of alcohol withdrawal.
What are some early signs of this condition?**
- A. Bradycardia and hypotension
- B. Delusions and hallucinations
- C. **Diaphoresis, tremors, and nervousness**
- D. Fatigue and muscle weakness
11. **One of the goals for a client with anorexia nervosa is that the client will demonstrate increased
coping by responding to stress in constructive ways. Which of the following actions is a positive indicator
that the client is working toward meeting the goal?**
- A. The client refuses to discuss stress
,TUTORPAPER
- B. The client avoids stressors entirely
- C. **The client keeps a journal and discusses it with the nurse**
- D. The client skips meals to avoid stress
12. **A local high school recently identified a problem with alcohol-related accidents among student
drivers; two of these accidents resulted in death. School officials developed a plan to address the
problem. The school nurse begins her part by addressing primary prevention. Which intervention by the
school nurse is appropriate?**
- A. Distributing pamphlets about alcohol
- B. Encouraging students to abstain from alcohol
- C. **Arranging for a presentation by a local teenager who was involved in an alcohol-related traffic
fatality**
- D. Providing counseling for students who drink
13. **During postprandial monitoring, a client with bulimia nervosa tells the nurse, "You can sit with me,
but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my
goal is to do it twice." What is the nurse's best response?**
- A. "I'm disappointed in you."
- B. "It's not healthy to purge after meals."
- C. "You'll have to try harder not to purge."
- D. **"I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you
eat."**
14. **The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a
client diagnosed with bulimia is to:**
- A. Gain weight rapidly
- B. Increase physical activity
- C. **Identify anxiety-causing situations**
- D. Reduce meal portions
15. **A client is being treated for alcoholism. After a family meeting, the client's spouse asks the nurse
about ways to help the family deal with the effects of alcoholism. The nurse should suggest that the
family join which organization?**
- A. Alcoholics Anonymous
- B. **Al-Anon**
- C. Nar-Anon
- D. Overeaters Anonymous
16. **A client is admitted to the inpatient adolescent unit after being arrested for attempting to sell
cocaine to an undercover police officer. The nurse assists in writing a behavioral contract. To best
promote compliance, the contract should be written:**
- A. By the nurse alone
, TUTORPAPER
- B. By the client alone
- C. By the client's family
- D. **Jointly by the client and nurse**
17. **A client begins to experience alcoholic hallucinosis. What is the appropriate nursing intervention
at this time?**
- A. Restrain the client to prevent injury
- B. **Provide a quiet environment and administer medication as needed and prescribed**
- C. Engage the client in group therapy
- D. Encourage the client to discuss hallucinations
18. **A nurse is caring for a client who just separated from her husband because of his alcohol abuse
problem. Which statement by the nurse conveys empathy?**
- A. "You should have left sooner."
- B. **"You made a very difficult decision. I'll be here if you want to talk."**
- C. "He will regret his actions."
- D. "You need to focus on moving on."
19. **A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The
nurse should tell the client that the only completely effective treatment for alcoholism is:**
- A. Gradual reduction in alcohol intake
- B. **Total abstinence**
- C. Counseling and therapy
- D. Medication management
20. **Which nursing interventions should be included in the treatment plan of a client diagnosed with
bulimia nervosa? (Select all that apply)**
- A. Allow the client to choose her own meals
- B. **Establish a contract with the client that specifies the amounts and types of food she must eat at
each meal**
- C. **Reward the client for satisfactory weight gain**
- D. Encourage the client to exercise excessively
- E. Ignore the client's concerns about weight
21. **Which psychosocial influence has been causally related to the development of aggressive behavior
and conduct disorder?**
- A. Parental overprotection
- B. **Rejection by peers**
- C. High academic pressure
- D. Strict discipline
PSYCHIATRIC AND MENTAL HEALTH NURSING +
QUESTIONS AND ANSWERS
1. **Which assessment finding is most consistent with early alcohol withdrawal?**
- A. Heart rate of 60 to 80 beats/minute
- B. Heart rate of 80 to 100 beats/minute
- C. **Heart rate of 120 to 140 beats/minute**
- D. Heart rate of 140 to 160 beats/minute
2. **Which client is at highest risk for suicide?**
- A. One who expresses sadness and hopelessness
- B. One who has a supportive family
- C. One who has a history of suicide attempts
- D. **One who plans a violent death and has the means readily available**
3. **A 15-year-old client is brought to the clinic by her mother. Her mother expresses concern about her
daughter's weight loss and constant dieting. The nurse conducts a health history interview. Which of the
following comments indicates that the client may be suffering from anorexia nervosa?**
- A. "I just eat less than others."
- B. "I am trying to stay healthy."
- C. **"I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls."**
- D. "I eat a lot of fruits and vegetables."
4. **The nurse is caring for a client who has been abusing opiates. Data collection findings in a client
abusing opiates such as morphine include:**
- A. Dilated pupils and agitation
- B. Diaphoresis and insomnia
- C. **Euphoria and constricted pupils**
- D. Tremors and nausea
5. **The nurse is caring for an adolescent female who reports amenorrhea, weight loss, and depression.
Which additional data collection finding would suggest that the woman has an eating disorder?**
- A. Regular social interactions
- B. Normal body mass index
- C. Healthy appetite
- D. **Excessive and ritualized exercise**
,TUTORPAPER
6. **A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5'
8" (1.7 m) tall and weighs only 103 lb (46.7 kg), she talks incessantly about how fat she is. Which
approach should the nurse take first when caring for this client?**
- A. Encourage the client to eat more
- B. **Establish a trusting relationship with the client**
- C. Challenge the client's distorted body image
- D. Provide information about healthy weight
7. **Which task is most important when developing a plan of care for a client with anorexia nervosa?**
- A. Providing nutritional supplements
- B. Monitoring fluid intake and output
- C. Teaching about balanced diet
- D. **Evaluating exercise activities**
8. **While collecting data on a client who was diagnosed with impulse control disorder (and who
displays violent, aggressive, and assaultive behavior), the nurse can expect to find which of the following
assessments? (Select all that apply)**
- A. **Client functions well in other areas of his life**
- B. Client is always calm
- C. **The degree of aggressiveness is out of proportion to the stressor**
- D. Client shows no signs of stress
- E. **The client has a history of parental alcoholism and a chaotic, abusive family life**
9. **A client with a history of alcoholism returns to the hospital 3 hours later than the time specified on
his day pass. His breath smells of alcohol, and his gait is unsteady. What should the nurse say?**
- A. "You're in trouble now."
- B. "Why did you drink alcohol?"
- C. **"Please go to bed now. We'll talk in the morning."**
- D. "You're not allowed to leave again."
10. **A client voluntarily admits himself to the substance abuse unit. He confesses that he drinks 1
quart or more of vodka each day. Later that afternoon, he begins to show signs of alcohol withdrawal.
What are some early signs of this condition?**
- A. Bradycardia and hypotension
- B. Delusions and hallucinations
- C. **Diaphoresis, tremors, and nervousness**
- D. Fatigue and muscle weakness
11. **One of the goals for a client with anorexia nervosa is that the client will demonstrate increased
coping by responding to stress in constructive ways. Which of the following actions is a positive indicator
that the client is working toward meeting the goal?**
- A. The client refuses to discuss stress
,TUTORPAPER
- B. The client avoids stressors entirely
- C. **The client keeps a journal and discusses it with the nurse**
- D. The client skips meals to avoid stress
12. **A local high school recently identified a problem with alcohol-related accidents among student
drivers; two of these accidents resulted in death. School officials developed a plan to address the
problem. The school nurse begins her part by addressing primary prevention. Which intervention by the
school nurse is appropriate?**
- A. Distributing pamphlets about alcohol
- B. Encouraging students to abstain from alcohol
- C. **Arranging for a presentation by a local teenager who was involved in an alcohol-related traffic
fatality**
- D. Providing counseling for students who drink
13. **During postprandial monitoring, a client with bulimia nervosa tells the nurse, "You can sit with me,
but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my
goal is to do it twice." What is the nurse's best response?**
- A. "I'm disappointed in you."
- B. "It's not healthy to purge after meals."
- C. "You'll have to try harder not to purge."
- D. **"I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you
eat."**
14. **The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a
client diagnosed with bulimia is to:**
- A. Gain weight rapidly
- B. Increase physical activity
- C. **Identify anxiety-causing situations**
- D. Reduce meal portions
15. **A client is being treated for alcoholism. After a family meeting, the client's spouse asks the nurse
about ways to help the family deal with the effects of alcoholism. The nurse should suggest that the
family join which organization?**
- A. Alcoholics Anonymous
- B. **Al-Anon**
- C. Nar-Anon
- D. Overeaters Anonymous
16. **A client is admitted to the inpatient adolescent unit after being arrested for attempting to sell
cocaine to an undercover police officer. The nurse assists in writing a behavioral contract. To best
promote compliance, the contract should be written:**
- A. By the nurse alone
, TUTORPAPER
- B. By the client alone
- C. By the client's family
- D. **Jointly by the client and nurse**
17. **A client begins to experience alcoholic hallucinosis. What is the appropriate nursing intervention
at this time?**
- A. Restrain the client to prevent injury
- B. **Provide a quiet environment and administer medication as needed and prescribed**
- C. Engage the client in group therapy
- D. Encourage the client to discuss hallucinations
18. **A nurse is caring for a client who just separated from her husband because of his alcohol abuse
problem. Which statement by the nurse conveys empathy?**
- A. "You should have left sooner."
- B. **"You made a very difficult decision. I'll be here if you want to talk."**
- C. "He will regret his actions."
- D. "You need to focus on moving on."
19. **A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The
nurse should tell the client that the only completely effective treatment for alcoholism is:**
- A. Gradual reduction in alcohol intake
- B. **Total abstinence**
- C. Counseling and therapy
- D. Medication management
20. **Which nursing interventions should be included in the treatment plan of a client diagnosed with
bulimia nervosa? (Select all that apply)**
- A. Allow the client to choose her own meals
- B. **Establish a contract with the client that specifies the amounts and types of food she must eat at
each meal**
- C. **Reward the client for satisfactory weight gain**
- D. Encourage the client to exercise excessively
- E. Ignore the client's concerns about weight
21. **Which psychosocial influence has been causally related to the development of aggressive behavior
and conduct disorder?**
- A. Parental overprotection
- B. **Rejection by peers**
- C. High academic pressure
- D. Strict discipline
