PSYCHIATRIC/MENTAL HEALTH NURSING exam
Questions and Correct Answers (100% COMPLETE
ANSWERS) ALREADY GRADED A+ | 100% satisfaction
guarantee with complete solutions.
Involve the client in activities in which success can be ensured - ANSWER-A depressed client is very
resistive and complains about inabilities and worthlessness. The best nursing approach is to:
Disruptions in cerebral blood flow, resulting in thrombi or emboli - ANSWER-The nurse is caring for a
client with vascular dementia. What does the nurse identify as the cause of this problem?
Loneliness
Hopelessness - ANSWER-A nurse is interacting with a depressed, suicidal client. What themes in the
client's conversation are of most concern to the nurse? (Select all that apply.)
quality of depression - ANSWER-What is the greatest difficulty for nurses caring for the severely
depressed client?
Accepting that the client is unable to control this behavior and setting appropriate limits - ANSWER-A
psychologist has been a client on a mental health unit for 3 days. The client has questioned the authority
of the treatment team, advised other clients that their treatment plans are wrong, and been disruptive
in group therapy. What is the most appropriate nursing intervention?
Allow the client to undress when ready to help maintain identity - ANSWER-A client with schizophrenia
who is being admitted to a psychiatric hospital for evaluation refuses to remove dirty clothing. What
should the nurse do to best meet the client's needs?
Calm
Matter-of-fact (In their head) - ANSWER-A nurse is caring for a client with the diagnosis of somatoform
disorder, conversion type. What type of affect does the nurse expect this client to exhibit? (Select all
that apply.)
,Reply, "I'll stay with you for a while because you seem frightened." - ANSWER-A client who is
hallucinating actively approaches the nurse and reports, "I'm hearing voices that are saying bad things
about me." What should the nurse do?
Recognizing that the behavior is part of the illness but setting limits on it - ANSWER-A client who is
hallucinating actively approaches the nurse and reports, "I'm hearing voices that are saying bad things
about me." What should the nurse do?
"Let's discuss this concern a little more." - ANSWER-During a routine yearly physical an older adult says
to a nurse, "I haven't had sex lately because I can't get an erection anymore!" What should the nurse's
initial response be?
Guilt - ANSWER-A nurse is caring for several clients with the diagnosis of bulimia nervosa. What primary
feeling does the nurse anticipate that these clients experience after an episode of bingeing?
Removing as many stimuli from the client's environment as possible - ANSWER-What should be the
nurse's first intervention in the care of a client with a generalized anxiety disorder?
"Everyone has a bed. This one is yours." - ANSWER-A male client with the diagnosis of a bipolar disorder,
depressed episode, is found lying on the floor in his room in the psychiatric unit. He states, "I don't
deserve a comfortable bed; give it to someone else." The best response response by the nurse is:
The client is fearful of the impulses and is seeking protection from them. - ANSWER-A client confides to
the nurse, "I've been thinking about suicide lately." What conclusion should the nurse make about the
client?
"When I look at you I see a person, not a devil." - ANSWER-One day the nurse and a young adult client
sit together and draw. The client draws a face with horns and says, "This is me. I'm a devil." What is the
best response by the nurse?
Immediately after the client's admission to the hospital - ANSWER-A widow who is hospitalized for a
medical problem has dementia of the Alzheimer type and is no longer able to live alone. The client is to
be transferred from the hospital to a long-term care facility. When should the staff begin preparation for
the transfer?
, Play - ANSWER-A nurse is caring for a preschool-aged child with a history of physical and sexual abuse.
What type of therapy will be the most advantageous for this child?
Increased risk of suicide - ANSWER-A nurse has been caring for a suicidal client for 3 weeks on an
inpatient unit. One morning the client greets the nurse cheerfully and states, "Everything is looking up.
I'm not going to have problems for very long." What does the client's behavior and statement indicate?
Increased risk for suicide - ANSWER-A client has been hospitalized for 3 weeks while receiving a tricyclic
medication for severe depression. One day the client says to the nurse, "I'm really feeling better; my
energy level is up." After the encounter an aide tells the nurse that the client has given away his favorite
jacket. What should the nurse conclude that the client's statement indicates?
Stay with the client during meals - ANSWER-A depressed client has been sitting alone in a chair most of
the day and displays no interest in eating. How should the nurse plan to meet this client's nutritional
needs?
"It must be frustrating to deal with your child's behavior." - ANSWER-The parent of a child with a
tentative diagnosis of attention deficit-hyperactivity disorder (ADHD) arrives at the pediatric clinic
insisting on getting a prescription for medication that will control the child's behavior. What is best
response by the nurse?
Do not want to repeat the ritual but feel compelled to do so - ANSWER-A nurse has been assigned to
care for a client with the diagnosis of obsessive-compulsive disorder (OCD). Before providing care for
this client, the nurse should consider that clients with OCD:
Moving the client to a quiet place on the unit - ANSWER-A delusional client verbalizes the belief that
others are out to harm him. A nurse notes the client's worsening pacing and agitation. What is the best
nursing intervention?
Increase alertness to the environment - ANSWER-A client who is to begin a physical therapy regimen
after orthopedic surgery expresses anxiety about starting this new therapy. The nurse responds that
some of this apprehension can be an asset because it will:
Repression - ANSWER-A 20-year-old woman is brought to an emergency department after having been
raped. She is very anxious and cannot recall any of the circumstances surrounding the assault or provide
Questions and Correct Answers (100% COMPLETE
ANSWERS) ALREADY GRADED A+ | 100% satisfaction
guarantee with complete solutions.
Involve the client in activities in which success can be ensured - ANSWER-A depressed client is very
resistive and complains about inabilities and worthlessness. The best nursing approach is to:
Disruptions in cerebral blood flow, resulting in thrombi or emboli - ANSWER-The nurse is caring for a
client with vascular dementia. What does the nurse identify as the cause of this problem?
Loneliness
Hopelessness - ANSWER-A nurse is interacting with a depressed, suicidal client. What themes in the
client's conversation are of most concern to the nurse? (Select all that apply.)
quality of depression - ANSWER-What is the greatest difficulty for nurses caring for the severely
depressed client?
Accepting that the client is unable to control this behavior and setting appropriate limits - ANSWER-A
psychologist has been a client on a mental health unit for 3 days. The client has questioned the authority
of the treatment team, advised other clients that their treatment plans are wrong, and been disruptive
in group therapy. What is the most appropriate nursing intervention?
Allow the client to undress when ready to help maintain identity - ANSWER-A client with schizophrenia
who is being admitted to a psychiatric hospital for evaluation refuses to remove dirty clothing. What
should the nurse do to best meet the client's needs?
Calm
Matter-of-fact (In their head) - ANSWER-A nurse is caring for a client with the diagnosis of somatoform
disorder, conversion type. What type of affect does the nurse expect this client to exhibit? (Select all
that apply.)
,Reply, "I'll stay with you for a while because you seem frightened." - ANSWER-A client who is
hallucinating actively approaches the nurse and reports, "I'm hearing voices that are saying bad things
about me." What should the nurse do?
Recognizing that the behavior is part of the illness but setting limits on it - ANSWER-A client who is
hallucinating actively approaches the nurse and reports, "I'm hearing voices that are saying bad things
about me." What should the nurse do?
"Let's discuss this concern a little more." - ANSWER-During a routine yearly physical an older adult says
to a nurse, "I haven't had sex lately because I can't get an erection anymore!" What should the nurse's
initial response be?
Guilt - ANSWER-A nurse is caring for several clients with the diagnosis of bulimia nervosa. What primary
feeling does the nurse anticipate that these clients experience after an episode of bingeing?
Removing as many stimuli from the client's environment as possible - ANSWER-What should be the
nurse's first intervention in the care of a client with a generalized anxiety disorder?
"Everyone has a bed. This one is yours." - ANSWER-A male client with the diagnosis of a bipolar disorder,
depressed episode, is found lying on the floor in his room in the psychiatric unit. He states, "I don't
deserve a comfortable bed; give it to someone else." The best response response by the nurse is:
The client is fearful of the impulses and is seeking protection from them. - ANSWER-A client confides to
the nurse, "I've been thinking about suicide lately." What conclusion should the nurse make about the
client?
"When I look at you I see a person, not a devil." - ANSWER-One day the nurse and a young adult client
sit together and draw. The client draws a face with horns and says, "This is me. I'm a devil." What is the
best response by the nurse?
Immediately after the client's admission to the hospital - ANSWER-A widow who is hospitalized for a
medical problem has dementia of the Alzheimer type and is no longer able to live alone. The client is to
be transferred from the hospital to a long-term care facility. When should the staff begin preparation for
the transfer?
, Play - ANSWER-A nurse is caring for a preschool-aged child with a history of physical and sexual abuse.
What type of therapy will be the most advantageous for this child?
Increased risk of suicide - ANSWER-A nurse has been caring for a suicidal client for 3 weeks on an
inpatient unit. One morning the client greets the nurse cheerfully and states, "Everything is looking up.
I'm not going to have problems for very long." What does the client's behavior and statement indicate?
Increased risk for suicide - ANSWER-A client has been hospitalized for 3 weeks while receiving a tricyclic
medication for severe depression. One day the client says to the nurse, "I'm really feeling better; my
energy level is up." After the encounter an aide tells the nurse that the client has given away his favorite
jacket. What should the nurse conclude that the client's statement indicates?
Stay with the client during meals - ANSWER-A depressed client has been sitting alone in a chair most of
the day and displays no interest in eating. How should the nurse plan to meet this client's nutritional
needs?
"It must be frustrating to deal with your child's behavior." - ANSWER-The parent of a child with a
tentative diagnosis of attention deficit-hyperactivity disorder (ADHD) arrives at the pediatric clinic
insisting on getting a prescription for medication that will control the child's behavior. What is best
response by the nurse?
Do not want to repeat the ritual but feel compelled to do so - ANSWER-A nurse has been assigned to
care for a client with the diagnosis of obsessive-compulsive disorder (OCD). Before providing care for
this client, the nurse should consider that clients with OCD:
Moving the client to a quiet place on the unit - ANSWER-A delusional client verbalizes the belief that
others are out to harm him. A nurse notes the client's worsening pacing and agitation. What is the best
nursing intervention?
Increase alertness to the environment - ANSWER-A client who is to begin a physical therapy regimen
after orthopedic surgery expresses anxiety about starting this new therapy. The nurse responds that
some of this apprehension can be an asset because it will:
Repression - ANSWER-A 20-year-old woman is brought to an emergency department after having been
raped. She is very anxious and cannot recall any of the circumstances surrounding the assault or provide
