RN MENTAL HEALTH EXIT EXAM ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The occupational health nurse is working with a female
employee who was just notified that her child was involved in a
motor vehicle accident and taken to the hospital. The employee
states, "I can't believe this. What should I do?" Which response
is best for the RN to provide in this crisis?
A. "Tell me what you think should happen."
B. "How serious was the collision?"
C. "What do you think you should do?"
D. Call for transportation to the hospital - ANSWER -D. Call for
transportation to the hospital
A client tells the RN that he has an IQ of 400+ and is a genius
and an inventor. He also reports that he is married to a female
movie star and thinks that his brother wants a sexual
relationship with her. What is the priority nursing problem
admission to the psychiatric unit?
A. Ineffective sexual patterns
B. Impaired environmental interpretation
C. Disturbed sensory perception
,D. Compromised Family Coping - ANSWER -A. Ineffective sexual
patterns
The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the
abdomen. Which approach should the RN use when changing
this client's dressing? A. Provide detailed thorough
explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own
abdomen.
D. Request another staff member assist with the dressing
change. - ANSWER -B. Perform the dressing change in a non-
judgmental manner.
While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the
floor, and talks softly when interacting verbally with the
RN. The two trade places, and the RN
demonstrates the client's behaviors. What is the main
goal of this therapeutic technique?
a. Initiate a non-threatening
conversation with the client.
b. Dialogue about the
ineffectiveness of his interactions
,c. Allow the client to identify the
way he interacts.
d. Discuss the client's feelings when he responds. - ANSWER
-c. Allow the client to identify the way he
interacts.
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink
water from the bathroom sink faucet. Which
intervention should the
RN implement?
A. Report the client's serum
lithium level to the HCP.
B. Encourage the client to suck on hard
candy to relieve the symptoms.
C. No action is needed since
polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
- ANSWER -A. Report the client's serum
lithium level to
the HCP.
An outpatient clinic who has been receiving haloperidol
(Haldol) for 2 days develops muscular rigidity, altered
, consciousness, a temperature of 103, and trouble breathing on
day 3. The nurse interest these findings as indicating which of
the following.
A) Neuroleptic Malignant Syndrome
B) Tardive dyskinesia
C) Extrapyramidal adverse effects
D) Drug-induced parksonism - ANSWER -A) Neuroleptic
Malignant Syndrome
A newly admitted client describes her mission in life as one of
saving her son by eliminating the "provocative sluts" of the
world. There are several attractive young women on the unit.
What should the nurse do first?
A) Ask the client for her definition of "provocative sluts"
B) Ask the young female clients on the unit to dress less
provocatively
C) Ask the client to discuss her concerns in the next group
session
D) Ask the client to inform the staff if she has negative thoughts
about other clients - ANSWER -D) Ask the client to inform the
staff if she has negative thoughts about other clients
The wife of a client diagnosed with paranoid schizophrenia visits
2 days after her husband's admission and