RN Mental Health Online Practice 2023
A Full Score Comprehensive Questions
with Correct Answers Graded Perfect
Score
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, "My roommate never sleeps and keeps
me up, too." Which of the following actions should the nurse take?
Move the client who has bipolar disorder to a private room
Administer sleep medication to the client who has bipolar disorder.
Move the client who has severe depression to a private room.
Administer sleep medication to the c
- Answer -Move the client who has bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the therapeutic milieu for other clients. Therefore, the
nurse should move this client to a private room.
A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of the following
statements indicates that the client is at risk for complicated grief?
"I wish I had been nicer and more generous with my wife before she died."
"I told my wife to go to the doctor, but she wouldn't listen to me."
"I think about my wife all the time when I go on outings with my family."
"I feel so empty without my wife that it's hard to get up every morning."
- Answer -"I feel so empty without my wife that it's hard to get up every morning."
,The nurse should identify that when a client has difficulty carrying on normal activities following a loss,
this is an indication that there is a risk for complicated grief.
A nurse in a community health center is counseling a family of two parents and two children. Which of
the following statements by a family member indicates manipulative behavior?
"If you do my homework for me, I won't bother you for the rest of the day."
"Mom is always upset."
"It's not the children's fault. It's mine."
"It's your fault that we're having problems as a family."
- Answer -"If you do my homework for me, I won't bother you for the rest of the day."
This is an example of manipulative behavior. It is an example of manipulation when the family member
uses a behavior to get what they desire rather than directly asking for what they want.
A nurse in a community health center is teaching families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the
nurse include?
Repeatedly talks about the traumatic incident
Sleeps excessively
Experiences feelings of isolation
Uses repetitive speech
- Answer -Experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
, A nurse in a community health center is working with a group of clients who have post-traumatic stress
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
- Answer -Guided imagery
Guided imagery involves assisting the client to imagine a restful and safe place. This method is effective
in reducing anxiety in clients who have post-traumatic stress disorder.
A nurse in a mental health facility is caring for a client who requires the use of restraints. Which of the
following actions should the nurse take when caring for the client?
Complete written documentation every 60 min.
Request a PRN prescription for restraints after the client has been reintegrated to the unit.
Renew prescription for restraints every 48 hr.
Ensure a staff member checks on the client every 15 min.
- Answer -Ensure a staff member checks on the client every 15 min.
When caring for a client who is in restraints, the nurse should assess the client's needs for hydration and
elimination, and monitor the circulation in the extremities every 15 min.
A Full Score Comprehensive Questions
with Correct Answers Graded Perfect
Score
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, "My roommate never sleeps and keeps
me up, too." Which of the following actions should the nurse take?
Move the client who has bipolar disorder to a private room
Administer sleep medication to the client who has bipolar disorder.
Move the client who has severe depression to a private room.
Administer sleep medication to the c
- Answer -Move the client who has bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the therapeutic milieu for other clients. Therefore, the
nurse should move this client to a private room.
A nurse in a clinic is assessing a client whose partner died 4 months ago. Which of the following
statements indicates that the client is at risk for complicated grief?
"I wish I had been nicer and more generous with my wife before she died."
"I told my wife to go to the doctor, but she wouldn't listen to me."
"I think about my wife all the time when I go on outings with my family."
"I feel so empty without my wife that it's hard to get up every morning."
- Answer -"I feel so empty without my wife that it's hard to get up every morning."
,The nurse should identify that when a client has difficulty carrying on normal activities following a loss,
this is an indication that there is a risk for complicated grief.
A nurse in a community health center is counseling a family of two parents and two children. Which of
the following statements by a family member indicates manipulative behavior?
"If you do my homework for me, I won't bother you for the rest of the day."
"Mom is always upset."
"It's not the children's fault. It's mine."
"It's your fault that we're having problems as a family."
- Answer -"If you do my homework for me, I won't bother you for the rest of the day."
This is an example of manipulative behavior. It is an example of manipulation when the family member
uses a behavior to get what they desire rather than directly asking for what they want.
A nurse in a community health center is teaching families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the
nurse include?
Repeatedly talks about the traumatic incident
Sleeps excessively
Experiences feelings of isolation
Uses repetitive speech
- Answer -Experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
, A nurse in a community health center is working with a group of clients who have post-traumatic stress
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
- Answer -Guided imagery
Guided imagery involves assisting the client to imagine a restful and safe place. This method is effective
in reducing anxiety in clients who have post-traumatic stress disorder.
A nurse in a mental health facility is caring for a client who requires the use of restraints. Which of the
following actions should the nurse take when caring for the client?
Complete written documentation every 60 min.
Request a PRN prescription for restraints after the client has been reintegrated to the unit.
Renew prescription for restraints every 48 hr.
Ensure a staff member checks on the client every 15 min.
- Answer -Ensure a staff member checks on the client every 15 min.
When caring for a client who is in restraints, the nurse should assess the client's needs for hydration and
elimination, and monitor the circulation in the extremities every 15 min.
