SAUNDERS MENTAI HEALTH EXAM WITH QUESTIONS
AND CORRECT ANSWERS
Which data indicate to the nurse that a client is experiencing
effective coping following the loss of a spouse? Select all that
apply.
1.
Looks at old snapshots of family
2.
Constantly neglects personal grooming
3.
Visits the spouse's grave once a month
4.
Visits the senior citizens' center once a month
5.
Prefers to spend time alone and avoids contact with others -
answer 1,3,4
Which client is most likely at risk to become a victim of elder
abuse?
1.
A 75-year-old man with moderate hypertension
,2.
A 68-year-old man with newly diagnosed cataracts
3.
A 90-year-old woman with advanced Alzheimer's disease
4.
A 70-year-old woman with early diagnosed Lyme disease -
answer 3
The nurse is assigned to care for a client experiencing disturbed
thought processes. The nurse is told that the client believes that
their food is being poisoned. Which communication technique
should the nurse plan to use to encourage the client to eat?
1.
Open-ended questions and silence
2.
Focusing on self-disclosure regarding food preferences
3.
Stating the reasons that the client may not want to eat
4.
Offering opinions about the necessity of adequate nutrition -
answer 1
The nurse is assigned to care for a client admitted to the hospital
after sustaining an injury from a house fire. The client attempted
to save a neighbor involved in the fire, but despite the client's
,efforts, the neighbor died. Which action should the nurse take to
enable the client to work through the meaning of the crisis?
1.
Identifying the client's ability to function
2.
Identifying the client's potential for self-harm
3.
Inquiring about the client's feelings that may affect coping
4.
Inquiring about the client's perception of the cause of the
neighbor's death -answer 3
The nurse is assisting with the data collection on a client
admitted to the psychiatric unit. After review of the obtained
data, the nurse should identify which as a priority concern?
1.
The client's report of not eating or sleeping
2.
The presence of bruises on the client's body
3.
The client's report of self-destructive thoughts
4.
The family member is disapproving of the treatment. -answer 3
, Laboratory work is prescribed for a client who has been
experiencing delusions. When the laboratory technician
approaches the client to obtain a specimen of the client's blood,
the client begins to shout, "You're all vampires. Let me out of
here!" The nurse present at the time should respond with which
question or statement?
1.
"The technician is not going to hurt you but is going to help."
2.
"Are you fearful and think that others may want to hurt you?"
3.
"What makes you think that the technician wants to hurt you?"
4.
"The technician will leave and come back later for your blood."
-answer 2
An intoxicated client is brought to the emergency department by
local police. The client is told that the primary health care
provider (PHCP) will be in to see the client in about 30 minutes.
The client becomes very loud and offensive and wants to be
seen by the PHCP immediately. The nurse assisting to care for
the client should take which appropriate nursing intervention?
1.
Watch the behavior escalate before intervening.
AND CORRECT ANSWERS
Which data indicate to the nurse that a client is experiencing
effective coping following the loss of a spouse? Select all that
apply.
1.
Looks at old snapshots of family
2.
Constantly neglects personal grooming
3.
Visits the spouse's grave once a month
4.
Visits the senior citizens' center once a month
5.
Prefers to spend time alone and avoids contact with others -
answer 1,3,4
Which client is most likely at risk to become a victim of elder
abuse?
1.
A 75-year-old man with moderate hypertension
,2.
A 68-year-old man with newly diagnosed cataracts
3.
A 90-year-old woman with advanced Alzheimer's disease
4.
A 70-year-old woman with early diagnosed Lyme disease -
answer 3
The nurse is assigned to care for a client experiencing disturbed
thought processes. The nurse is told that the client believes that
their food is being poisoned. Which communication technique
should the nurse plan to use to encourage the client to eat?
1.
Open-ended questions and silence
2.
Focusing on self-disclosure regarding food preferences
3.
Stating the reasons that the client may not want to eat
4.
Offering opinions about the necessity of adequate nutrition -
answer 1
The nurse is assigned to care for a client admitted to the hospital
after sustaining an injury from a house fire. The client attempted
to save a neighbor involved in the fire, but despite the client's
,efforts, the neighbor died. Which action should the nurse take to
enable the client to work through the meaning of the crisis?
1.
Identifying the client's ability to function
2.
Identifying the client's potential for self-harm
3.
Inquiring about the client's feelings that may affect coping
4.
Inquiring about the client's perception of the cause of the
neighbor's death -answer 3
The nurse is assisting with the data collection on a client
admitted to the psychiatric unit. After review of the obtained
data, the nurse should identify which as a priority concern?
1.
The client's report of not eating or sleeping
2.
The presence of bruises on the client's body
3.
The client's report of self-destructive thoughts
4.
The family member is disapproving of the treatment. -answer 3
, Laboratory work is prescribed for a client who has been
experiencing delusions. When the laboratory technician
approaches the client to obtain a specimen of the client's blood,
the client begins to shout, "You're all vampires. Let me out of
here!" The nurse present at the time should respond with which
question or statement?
1.
"The technician is not going to hurt you but is going to help."
2.
"Are you fearful and think that others may want to hurt you?"
3.
"What makes you think that the technician wants to hurt you?"
4.
"The technician will leave and come back later for your blood."
-answer 2
An intoxicated client is brought to the emergency department by
local police. The client is told that the primary health care
provider (PHCP) will be in to see the client in about 30 minutes.
The client becomes very loud and offensive and wants to be
seen by the PHCP immediately. The nurse assisting to care for
the client should take which appropriate nursing intervention?
1.
Watch the behavior escalate before intervening.
