MATI RN MENTAL HEALTH ONLINE
PRACTICE 2023 B QUESTIONS WITH
VERIFIED ANSWERS
A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they
stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected
adverse effect that might have caused the client to spot taking the medication?
1. Sore throat
2. Photophobia
3. Hand tremors
4. Constipation - Correct = 3. Hand Tremors
- Fine hand tremors are an expected adverse effect of lithium and can interfere with performance of
ADLs, causing the client to stop taking the medication.
*Diarrhea is an early manifestation of lithium toxicity
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body
weight. Which of the following interventions should the nurse include in the plan?
1. Include a liquid supplement with meals.
2. Identify the client's trigger foods.
3. Allow the client at least 1 hr for each meal.
4. Weigh the client at bedtime each day. - Correct = 2. Identify the client's trigger foods.
- The nurse should identify the trigger foods that initiate the client's binge and assist the client to
understanding their thoughts and behavior that relate to the food.
,The nurse should limit the client's meal times to about 30 min to prevent putting excessive focus on
food.
The nurse should weigh the client immediately after they wake up and void and prior to oral intake. The
nurse should weigh the client daily for the first week and then three times per week.
*The nurse should include a liquid supplement for a client who is below their ideal body weight and
might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
A nurse is caring for a client whose child has a terminal illness. The client requests information about
how to deal with the upcoming loss. Which of the following statements should the nurse make?
1. "It will be better for you to keep busy to avoid thinking about your child's death."
2. "You will complete the grieving process about a year after your child's death."
3. "The grief process will start once your child actually dies."
4. "It is not uncommon to feel angry toward yourself or others." - Correct = 4. "It is not uncommon to
feel angry toward yourself or others."
- Feelings of blame and anger toward oneself or others are an expected reaction when a client is
experiencing a loss.
The grief process has no timeline. It varies for each individual.
The client can begin anticipatory grieving during the child's illness.
A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine.
Which of the following interventions should the nurse identify as the priority?
1. Advise the client to take frequent sips of water.
2. Recommend that the client exercise regularly.
3. Consult a dietitian for a calorie-controlled diet plan.
4. Instruct the client to avoid driving during initial therapy. - Correct = 4. Instruct the client to avoid
driving during initial therapy.
,- The greatest risk to this client is injury resulting from drowsiness or dizziness. Therefore, the nurse's
priority intervention is to instruct the client to avoid activities that require mental alertness during initial
medication therapy.
The nurse should advise the client to take frequent sips of water due to the adverse effect of dry mouth.
However, this is not the nurse's priority intervention.
The nurse should advise the client to exercise regularly due to the adverse effects of weight gain and
constipation. However, this is not the nurse's priority intervention.
The mnurse mshould mconsult ma mdietitian mfor ma mcalorie-controlled mdiet mplan mdue mto mthe madverse
meffect mof mweight mgain. mHowever, mthis mis mnot mthe mnurse's mpriority mintervention.
A mnurse mis mcounseling man madolescent mwho mhas manorexia mnervosa mand mreports mexcessive mlaxative
muse mand mfear mof mgaining mweight. mThe mClient mstates, m"I'm mso mfat mI mcan't meven mstand mto mlook mat
mmyself.". mWhich mof mthe mfollowing mtherapeutic mresponses mdemonstrates mthe mnurse's muse mof
msummarizing?
1. m"You've mdiscussed mseveral mconcerns mabout myour mweight. mLet's mgo mback mand mtalk mabout myour
mbelief mthat myou mare mfat."
2. m"You're msaying mthat myou mthink myou mare mfat mand mare musing mlaxatives mbecause myou mare mafraid
mof mgaining mweight."
3. m"You mdon't mwant mto mlook mat myourself mbecause myou mthink myou mare mfat."
4. m"You mand mI mcan mwork mtogether mto movercome myour mfears mof mgaining mweight." m- mCorrect m= m2.
m"You're msaying mthat myou mthink myou mare mfat mand mare musing mlaxatives mbecause myou mare mafraid mof
mgaining mweight."
- mThe mnurse mis musing mthe mtherapeutic mtechnique mof msummarizing mto mreview mthe mkey mpoints mof
mthe mdiscussion.
A mnurse mis madmitting ma mclient mwho mhas mschizophrenia mto man macute mcare msetting. mWhen mthe
mnurse mquestions mthe mclient mregarding mtheir madmission, mthe mclient mstates, m"I'm mred, min mthe mhead,
mand mI'm mgoing mto mbed!". mThe mnurse mshould mdocument mthe mclient's mspeech mpattern mas mwhich mof
mthe mfollowing?
1. mClang mAssociation
2. mWord mSalad
, 3. mNeologism
4. mEcholalia m- mCorrect m= m1. mClang mAssociation
- mThe mnurse mshould mdocument mthat mthe mclient's mspeech muses mclang massociations, mwhich moften
mrhyme mor mcontain ma mstring mof mwords mthat mcan mhave ma msimilar msound.
NGN: mA mnurse mis mcaring mfor ma mClient mwho mhas man malcohol muse mdisorder. m
Complete mthe mfollowing msentence mby musing mthe mlist mof moptions...
Dropdown m1: m"The mClient mis mat mgreatest mrisk mfor m________
1. mDehydration
2. mViolent mBehavior
3. mIneffective mCoping
Dropdown m2: m"as mevidenced mby mthe mClient's m________
4. mInability mto mPerform mSimple mTasks
5. mLoss mof mAppetite
6. mAgitation m- mCorrect m=
Dropdown m1: m
2. mViolent mBehavior
- mThe mgreatest mrisk mfor mthe mclient mis mengaging min mviolent mbehavior mdue mto mthe mwithdrawal mof
malcohol, mwhich mis mcausing mthem mincreasing magitation. mThe mnurse mshould mclosely mmonitor mthe
mclient mand mbe mprepared mto mintervene mto mprotect mthe mclient mand mothers mfrom minjury.
Dropdown m2:
6. mAgitation
- mThe mclient mis mat mgreatest mrisk mof mengaging min mviolent mbehavior mas mevidenced mby mthe mclient's
magitation, mwhich mcan mbe mindicated mby mpacing, mrestlessness, mstaring, msilence, mrigid mposture, mand
mclenched mjaw. mThe mnurse mshould mclosely mmonitor mthe mclient mand mbe mprepared mto mintervene mto
mprotect mthe mclient mand mothers mfrom minjury.
PRACTICE 2023 B QUESTIONS WITH
VERIFIED ANSWERS
A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they
stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected
adverse effect that might have caused the client to spot taking the medication?
1. Sore throat
2. Photophobia
3. Hand tremors
4. Constipation - Correct = 3. Hand Tremors
- Fine hand tremors are an expected adverse effect of lithium and can interfere with performance of
ADLs, causing the client to stop taking the medication.
*Diarrhea is an early manifestation of lithium toxicity
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body
weight. Which of the following interventions should the nurse include in the plan?
1. Include a liquid supplement with meals.
2. Identify the client's trigger foods.
3. Allow the client at least 1 hr for each meal.
4. Weigh the client at bedtime each day. - Correct = 2. Identify the client's trigger foods.
- The nurse should identify the trigger foods that initiate the client's binge and assist the client to
understanding their thoughts and behavior that relate to the food.
,The nurse should limit the client's meal times to about 30 min to prevent putting excessive focus on
food.
The nurse should weigh the client immediately after they wake up and void and prior to oral intake. The
nurse should weigh the client daily for the first week and then three times per week.
*The nurse should include a liquid supplement for a client who is below their ideal body weight and
might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
A nurse is caring for a client whose child has a terminal illness. The client requests information about
how to deal with the upcoming loss. Which of the following statements should the nurse make?
1. "It will be better for you to keep busy to avoid thinking about your child's death."
2. "You will complete the grieving process about a year after your child's death."
3. "The grief process will start once your child actually dies."
4. "It is not uncommon to feel angry toward yourself or others." - Correct = 4. "It is not uncommon to
feel angry toward yourself or others."
- Feelings of blame and anger toward oneself or others are an expected reaction when a client is
experiencing a loss.
The grief process has no timeline. It varies for each individual.
The client can begin anticipatory grieving during the child's illness.
A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine.
Which of the following interventions should the nurse identify as the priority?
1. Advise the client to take frequent sips of water.
2. Recommend that the client exercise regularly.
3. Consult a dietitian for a calorie-controlled diet plan.
4. Instruct the client to avoid driving during initial therapy. - Correct = 4. Instruct the client to avoid
driving during initial therapy.
,- The greatest risk to this client is injury resulting from drowsiness or dizziness. Therefore, the nurse's
priority intervention is to instruct the client to avoid activities that require mental alertness during initial
medication therapy.
The nurse should advise the client to take frequent sips of water due to the adverse effect of dry mouth.
However, this is not the nurse's priority intervention.
The nurse should advise the client to exercise regularly due to the adverse effects of weight gain and
constipation. However, this is not the nurse's priority intervention.
The mnurse mshould mconsult ma mdietitian mfor ma mcalorie-controlled mdiet mplan mdue mto mthe madverse
meffect mof mweight mgain. mHowever, mthis mis mnot mthe mnurse's mpriority mintervention.
A mnurse mis mcounseling man madolescent mwho mhas manorexia mnervosa mand mreports mexcessive mlaxative
muse mand mfear mof mgaining mweight. mThe mClient mstates, m"I'm mso mfat mI mcan't meven mstand mto mlook mat
mmyself.". mWhich mof mthe mfollowing mtherapeutic mresponses mdemonstrates mthe mnurse's muse mof
msummarizing?
1. m"You've mdiscussed mseveral mconcerns mabout myour mweight. mLet's mgo mback mand mtalk mabout myour
mbelief mthat myou mare mfat."
2. m"You're msaying mthat myou mthink myou mare mfat mand mare musing mlaxatives mbecause myou mare mafraid
mof mgaining mweight."
3. m"You mdon't mwant mto mlook mat myourself mbecause myou mthink myou mare mfat."
4. m"You mand mI mcan mwork mtogether mto movercome myour mfears mof mgaining mweight." m- mCorrect m= m2.
m"You're msaying mthat myou mthink myou mare mfat mand mare musing mlaxatives mbecause myou mare mafraid mof
mgaining mweight."
- mThe mnurse mis musing mthe mtherapeutic mtechnique mof msummarizing mto mreview mthe mkey mpoints mof
mthe mdiscussion.
A mnurse mis madmitting ma mclient mwho mhas mschizophrenia mto man macute mcare msetting. mWhen mthe
mnurse mquestions mthe mclient mregarding mtheir madmission, mthe mclient mstates, m"I'm mred, min mthe mhead,
mand mI'm mgoing mto mbed!". mThe mnurse mshould mdocument mthe mclient's mspeech mpattern mas mwhich mof
mthe mfollowing?
1. mClang mAssociation
2. mWord mSalad
, 3. mNeologism
4. mEcholalia m- mCorrect m= m1. mClang mAssociation
- mThe mnurse mshould mdocument mthat mthe mclient's mspeech muses mclang massociations, mwhich moften
mrhyme mor mcontain ma mstring mof mwords mthat mcan mhave ma msimilar msound.
NGN: mA mnurse mis mcaring mfor ma mClient mwho mhas man malcohol muse mdisorder. m
Complete mthe mfollowing msentence mby musing mthe mlist mof moptions...
Dropdown m1: m"The mClient mis mat mgreatest mrisk mfor m________
1. mDehydration
2. mViolent mBehavior
3. mIneffective mCoping
Dropdown m2: m"as mevidenced mby mthe mClient's m________
4. mInability mto mPerform mSimple mTasks
5. mLoss mof mAppetite
6. mAgitation m- mCorrect m=
Dropdown m1: m
2. mViolent mBehavior
- mThe mgreatest mrisk mfor mthe mclient mis mengaging min mviolent mbehavior mdue mto mthe mwithdrawal mof
malcohol, mwhich mis mcausing mthem mincreasing magitation. mThe mnurse mshould mclosely mmonitor mthe
mclient mand mbe mprepared mto mintervene mto mprotect mthe mclient mand mothers mfrom minjury.
Dropdown m2:
6. mAgitation
- mThe mclient mis mat mgreatest mrisk mof mengaging min mviolent mbehavior mas mevidenced mby mthe mclient's
magitation, mwhich mcan mbe mindicated mby mpacing, mrestlessness, mstaring, msilence, mrigid mposture, mand
mclenched mjaw. mThe mnurse mshould mclosely mmonitor mthe mclient mand mbe mprepared mto mintervene mto
mprotect mthe mclient mand mothers mfrom minjury.
