Mental Health Pre- assessment quiz
Questions & Answers
A nurse in a long-term care setting is caring for a client who has Alzheimer's disease.
The client states, "I just came back from a hard day's work in my office." The nurse
should identify this statement is an example of which of the following coping
mechanisms?
1. Preservation
2. Confabulation
3. Though deletion
4. Tangentially - ANSWERS2 Confabulation
A nurse is collecting data from a client who has major depression disorder ( MDD).
Which of the following finding should the nurse expect?
1. Significant change in weight
2. Hyperexcitability
3.Exaggerated response of pleasure to stimuli
4. Attention-seeking behavior - ANSWERS1. Significant change in weight
A nurse is planning care for a new client. Which of the following actions should the
nurse plan to take in order to use the technique of presence to establish the nurse-client
relationship?
1. Telephone the client at his home prior to admission to make introduction.
2. Dominate the conversation to reduce the client's anxiety.
3. Share stories about personal experience with the client
4. Use active listening when with the client. - ANSWERS4. Use active listening when
with the client.
A client who has a femur fracture states, "I can't stay in this bed any longer. I need to
get home so I can take care of my family." The nurse responds by saying, "You have
, talked about your family. Can you tell me more about your specific concerns?" Which of
the following therapeutic communication techniques is the nurse using?
1. Summmarizing
2. Empathizing
3.Focusing
4. Clarifying - ANSWERS3. Focusing.
A nurse is collecting data from a client following a recent suicide attempt. Which of the
following findings in the client's history places him at the greatest risk for another suicide
attempt?
1. Access to health care
2. Impulsivity
3. Close family ties
4. Effective problem -solving skills. - ANSWERS2. Impulsively
A nurse is caring for a group of older adult clients. Which of the following client findings
indicates delirium? - ANSWERSA client asks when family members will be arriving after
visiting 1 hr earlier.
A nurse is reinforcing teaching with a client about a new prescription for lithium. Which
of the following statements should the nurse include in the teaching? - ANSWERS"We
will need to check your lithium levels in the next 3 to 5 days."
Lithium is prescribed to treat bipolar disorder. The medication has a narrow therapeutic
rang and establishing a therapeutic lithium level is an essential component of care. it is
recommend to check lithium level with the first 5 days. of beginning of treatment and
possibly twice weekly until a maintenace dosage has been reached. Lithium levels are
checked about every 3 months during maintenance therapy when lithium levels have
stabilized.
A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine.
Which of the following statements by the client indicates an understanding of the
teaching? - ANSWERS"I will contact my provider if I have difficulty urinating."
Chlorpromazine is a first generation , or typical , antipsychotic medication prescribed for
schizophrenia. The client should monitor for anticholinergic adverse effects, such as dry
mouth and urinary retention. Difficult urinating could be a sign of urinary retention and
should be reported to the provider for further evaluation.
A nurse is caring for an older adult client who is scheduled for surgery. The client
becomes upset when the nurse asks her to remove her dentures prior to the surgery.
Questions & Answers
A nurse in a long-term care setting is caring for a client who has Alzheimer's disease.
The client states, "I just came back from a hard day's work in my office." The nurse
should identify this statement is an example of which of the following coping
mechanisms?
1. Preservation
2. Confabulation
3. Though deletion
4. Tangentially - ANSWERS2 Confabulation
A nurse is collecting data from a client who has major depression disorder ( MDD).
Which of the following finding should the nurse expect?
1. Significant change in weight
2. Hyperexcitability
3.Exaggerated response of pleasure to stimuli
4. Attention-seeking behavior - ANSWERS1. Significant change in weight
A nurse is planning care for a new client. Which of the following actions should the
nurse plan to take in order to use the technique of presence to establish the nurse-client
relationship?
1. Telephone the client at his home prior to admission to make introduction.
2. Dominate the conversation to reduce the client's anxiety.
3. Share stories about personal experience with the client
4. Use active listening when with the client. - ANSWERS4. Use active listening when
with the client.
A client who has a femur fracture states, "I can't stay in this bed any longer. I need to
get home so I can take care of my family." The nurse responds by saying, "You have
, talked about your family. Can you tell me more about your specific concerns?" Which of
the following therapeutic communication techniques is the nurse using?
1. Summmarizing
2. Empathizing
3.Focusing
4. Clarifying - ANSWERS3. Focusing.
A nurse is collecting data from a client following a recent suicide attempt. Which of the
following findings in the client's history places him at the greatest risk for another suicide
attempt?
1. Access to health care
2. Impulsivity
3. Close family ties
4. Effective problem -solving skills. - ANSWERS2. Impulsively
A nurse is caring for a group of older adult clients. Which of the following client findings
indicates delirium? - ANSWERSA client asks when family members will be arriving after
visiting 1 hr earlier.
A nurse is reinforcing teaching with a client about a new prescription for lithium. Which
of the following statements should the nurse include in the teaching? - ANSWERS"We
will need to check your lithium levels in the next 3 to 5 days."
Lithium is prescribed to treat bipolar disorder. The medication has a narrow therapeutic
rang and establishing a therapeutic lithium level is an essential component of care. it is
recommend to check lithium level with the first 5 days. of beginning of treatment and
possibly twice weekly until a maintenace dosage has been reached. Lithium levels are
checked about every 3 months during maintenance therapy when lithium levels have
stabilized.
A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine.
Which of the following statements by the client indicates an understanding of the
teaching? - ANSWERS"I will contact my provider if I have difficulty urinating."
Chlorpromazine is a first generation , or typical , antipsychotic medication prescribed for
schizophrenia. The client should monitor for anticholinergic adverse effects, such as dry
mouth and urinary retention. Difficult urinating could be a sign of urinary retention and
should be reported to the provider for further evaluation.
A nurse is caring for an older adult client who is scheduled for surgery. The client
becomes upset when the nurse asks her to remove her dentures prior to the surgery.
