MENTAL HEALTH EXAM 2 PRACTICE
QUESTIONS WITH COMPLETE
SOLUTIONS.
The nurse finds a client crying in his room. The client states, "I'm so sad and
lonely. I'm sitting here crying like a baby." The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?" - Correct Answer-d. "Are
you embarrassed because you're crying?"
A withdrawn client is assessed as having distorted thinking that is not reality
based. A nursing diagnosis that should be considered for her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping. - Correct Answer-b. disturbed thought processes
Jim is sometimes seen moving his lips silently or murmuring to himself when
he does not realize others are watching. Sometimes when he is conversing
with others, he suddenly stops, appears distracted for a moment, and then
resumes. Based on these observations, Jim most likely is experiencing which
symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors. - Correct Answer-d. Auditory hallucinations.
e. Impaired reality testing.
,Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking. - Correct Answer-d. poorly organized thinking.
Which assessment finding represents a negative symptom of schizophrenia?
a. Apathy
b. Delusion
c. Motor tic
d. Hallucination - Correct Answer-a. Apathy
In general, when a nurse admitting a client experiencing an acute
schizophrenia episode, she would most likely assess which of the following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking - Correct Answer-b. Loss of contact with
reality
While the nurse was doing the assessment, Jeffery turned to an empty chair
talking as if someone was sitting there. The nurse was unable to understand
what he was mumbling. This, in fact, indicates that the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas. - Correct Answer-b. Hallucinations.
According to the previous scenario, which of the following symptoms is
considered a negative symptom of schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him -
Correct Answer-c. The patient has anergia.
, -lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
The client is prescribed a first- generation neuroleptic for his schizophrenia.
Discharge teaching by the nurse should include contacting the health
provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time - Correct Answer-a.
Elevated temperature
-Neuroleptic malignant syndrome
The client has been on Haldol since admission. Which assessment by the
nurse would best determine the effectiveness of a client's antipsychotic
medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge - Correct Answer-a. The client no longer
has hallucinations
-first generation antipsychotic
A client has developed neuroleptic malignant syndrome. A priority nursing
intervention would be which of the following?
a. Provide comfort and rest
b. Measure intake and output
c. Encourage client to remain active
d. Monitor vital signs and blood pressure - Correct Answer-d. Monitor vital
signs and blood pressure
1A client is admitted to the emergency room with complains of sore throat
and fever. The client's mother informs the nurse that the client has been
QUESTIONS WITH COMPLETE
SOLUTIONS.
The nurse finds a client crying in his room. The client states, "I'm so sad and
lonely. I'm sitting here crying like a baby." The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?" - Correct Answer-d. "Are
you embarrassed because you're crying?"
A withdrawn client is assessed as having distorted thinking that is not reality
based. A nursing diagnosis that should be considered for her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping. - Correct Answer-b. disturbed thought processes
Jim is sometimes seen moving his lips silently or murmuring to himself when
he does not realize others are watching. Sometimes when he is conversing
with others, he suddenly stops, appears distracted for a moment, and then
resumes. Based on these observations, Jim most likely is experiencing which
symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors. - Correct Answer-d. Auditory hallucinations.
e. Impaired reality testing.
,Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking. - Correct Answer-d. poorly organized thinking.
Which assessment finding represents a negative symptom of schizophrenia?
a. Apathy
b. Delusion
c. Motor tic
d. Hallucination - Correct Answer-a. Apathy
In general, when a nurse admitting a client experiencing an acute
schizophrenia episode, she would most likely assess which of the following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking - Correct Answer-b. Loss of contact with
reality
While the nurse was doing the assessment, Jeffery turned to an empty chair
talking as if someone was sitting there. The nurse was unable to understand
what he was mumbling. This, in fact, indicates that the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas. - Correct Answer-b. Hallucinations.
According to the previous scenario, which of the following symptoms is
considered a negative symptom of schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him -
Correct Answer-c. The patient has anergia.
, -lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
The client is prescribed a first- generation neuroleptic for his schizophrenia.
Discharge teaching by the nurse should include contacting the health
provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time - Correct Answer-a.
Elevated temperature
-Neuroleptic malignant syndrome
The client has been on Haldol since admission. Which assessment by the
nurse would best determine the effectiveness of a client's antipsychotic
medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge - Correct Answer-a. The client no longer
has hallucinations
-first generation antipsychotic
A client has developed neuroleptic malignant syndrome. A priority nursing
intervention would be which of the following?
a. Provide comfort and rest
b. Measure intake and output
c. Encourage client to remain active
d. Monitor vital signs and blood pressure - Correct Answer-d. Monitor vital
signs and blood pressure
1A client is admitted to the emergency room with complains of sore throat
and fever. The client's mother informs the nurse that the client has been
