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1. A charge nurse is discussing mental status exams with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indi- cates an
understanding of the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward bysevens.
B) To assess affect, I should observe the client's facial expression
C) To assess language ability, I should instruct the client to write a sentence.
D) To assess remote memory, I should have the client repeat a list of objects.
E) To assess the client's abstract thinking, I should ask the client to identifyour most
recent presidents.: A, B, C
2. A nurse is planning care for a client who has a mental health disorder. Which of the
following actions should the nurse include as a psychobiologicalintervention?
A) Assist the client with systematic desensitization therapy.
B) Teach the client appropriate coping mechanisms.
C) Assess the client for comorbid health conditions.
D) Monitor the client for adverse effects of the medications.: D
3. A nurse in an outpatient mental health clinic is preparing to conduct an initial client
,interview. When conducting the interview, which of the followingactions should the
nurse identify as the priority?
A) Coordinate holistic care with social services.
B) Identify the client's perception of her mental health status.
C) Include the client's family in the interview.
D) Teach the client about her current mental health disorder: B
4. A nurse is told during change of shift report that a client is stuporous.Whenassessing the
client, which of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal rub.
B) The client has a glasgow coma scale score less than 7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place.: A
5. A nurse is planning a peer group about the DSM-5. Which of the following information is
appropriate to include in the discussion? (Select all that apply).
A) The DSM-5 includes client education handouts for mental health disorders.
B) The DSM-5 establishes diagnostic criteria for individual mental health dis-orders.
C) The DSM-5 indicates recommended pharmacological treatment for mentalhealth
disorders.
D) The DSM-5 assists nurses in planning care for client's who have mentalhealth
disorders.
,E) The DSM-5 indicates expected assessment findings of mental health disor-ders.: B, D,
E
6. A nurse in an emergency mental health facility is caring for a group of clients. The
nurse should identify that which of the following clients requiresa temporary emergency
admission?
A) A client who has schizophrenia with delusions of grandeur
B) A client who has manifestations of depression and attempted suicide a yearago.
C) A client who has borderline personality disorder and assaulted a homelessman with a
metal rod.
D) A client who has bipolar disorder and paces quickly around the room whiletalking to
himself.: C
7. A nurse decides to put a client who has a psychotic disorder in seclusionovernight
because the unit is very short-staffed, and the client frequently fights with other clients.
The nurse's actions are an example of which of thefollowing torts?
A) Invasion of privacy
B) False imprisonment
C) Assault
D) Battery: B
8. A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always yellingat me and threatening
me." Which of the following actions should the nurse take?
A) Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince him to admit to hiding the knife.
B) Keep the client's communication confidential, but watch the client and hisroommate
, closely.
C) Tell the client that this must be reported to the healthcare team because itconcerns
the health and safety of the client and others.
D) Report the incident to the health care team, but do not inform the client ofthe
intention to do so.: D
9. A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? (Selectall that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel