CMS mental health, Mental Health ( accurate) questions
with verified answers
1. Pt states "I should be dead. I'm a failure" nurse should respond? Ans✓✓✓
"You are feeling like a failure?"
11.Teaching about ECT (Electroconvulsive therapy) Ans✓✓✓ Pt can experience
memory loss for weeks afterthe procedure
15.Alcohol withdrawal manifestation? Q#2 Ans✓✓✓ Tachycardia
2. Which child has the highest risk of being abused? Ans✓✓✓ A toddler with
cystic fibrosis
(i. Cystic fibrosis (CF) is a congenital disorder, and cannot be cured, so this child is
compromised and has highest risk of being abuse)
22.Pt has an antisocial personality and says to the nurse "you're so nice. Can I go
to the hospital gift shop just 1 time and then I will answer all questions you ask
Ans✓✓✓ We will finish our therapy now
25.Pt has dependent personality disorder, which of the following finding the
nurse should expect? Ans✓✓✓ Pt is unable to make simple decision
26.A female pt gave birth to a healthy infant 4 months ago by calling into the
clinic and saying that "My husband always works. The baby keeps crying. I cannot
stand it anymore." What is the nurse's highest priority/first action? Ans✓✓✓ Tell
me more about your baby. Where is she now?"
,28.Pt states "My partner died 6 months ago" what should the nurse do? ○
Ans✓✓✓ (open-ended ask about how her feelings i think)
29.Pt has antisocial personality disorder and alcohol dependency, which of the
following support groups should the nurse recommend to pt? Ans✓✓✓
"codependency support"
3. Pt is experiencing a situational crisis, what action should the nurse take first?
Ans✓✓✓ Identify if pt has any thoughts of self-harming
30.Pt is admitted voluntarily, which of the following activities the nurse should
identify that it needs pt's consent? Ans✓✓✓ Taking experimental medication
31.Pt says "I can't find my shoes. Is it lunchtime? I hope it does not rain
tomorrow," what do you call this manifestation? Ans✓✓✓ Flight of ideas
32.Adverse effect of fluphenazine? Ans✓✓✓ Akathisia
33.Pt is prescribed sertraline, what would the nurse include in teaching?
Ans✓✓✓ You should avoid taking St. John's wort while taking this medication
34.Cocaine use manifestation? Ans✓✓✓ tachycardia
35.Pt keep saying "Black. Strack. Lack..." what is this called Ans✓✓✓ Clang
association
36.Alcohol withdrawal manifestation? Q#2 Ans✓✓✓ Increase BP
, 37.Pt is experiencing severe anxiety, and is taught to use relaxing technique,
which of the following findings indicate that the technique is effective? ○
Ans✓✓✓ pt close their eyes for a short period of time
39.Another question about pt with Alzheimer disease, and wandering at night,
what should the nurse recommend Ans✓✓✓ Place the lock at the top of the
doors leading outside
4. Newly admitted pt with obsessive-compulsive disorder (OCD), which action
should the nurse take first? Ans✓✓✓ Calculate pt score on Hamilton Rating Scale
of Anxiety
40.Newly admitted adolescent for overdose of prescribed pain med, pt has new
prescription of anxiolytic and SSRI antidepressants, which of the following
precaution should the nurse take? Ans✓✓✓ Initiate 24 hour one-on-one nursing
observation
41.Pt say "I don't want anybody to know that I am staying in the mental health
facility", which of the following statements should the nurse make. Ans✓✓✓ I
chose that the provider needs to communicate with other allied coworkers (share
info) within the facility.
42.Termination phase of nurse-patient therapeutic relationship? Ans✓✓✓
Evaluate the progress
43.Pt is taking clozapine, what should the nurse monitor for? Ans✓✓✓ Monitor
WBC weekly
with verified answers
1. Pt states "I should be dead. I'm a failure" nurse should respond? Ans✓✓✓
"You are feeling like a failure?"
11.Teaching about ECT (Electroconvulsive therapy) Ans✓✓✓ Pt can experience
memory loss for weeks afterthe procedure
15.Alcohol withdrawal manifestation? Q#2 Ans✓✓✓ Tachycardia
2. Which child has the highest risk of being abused? Ans✓✓✓ A toddler with
cystic fibrosis
(i. Cystic fibrosis (CF) is a congenital disorder, and cannot be cured, so this child is
compromised and has highest risk of being abuse)
22.Pt has an antisocial personality and says to the nurse "you're so nice. Can I go
to the hospital gift shop just 1 time and then I will answer all questions you ask
Ans✓✓✓ We will finish our therapy now
25.Pt has dependent personality disorder, which of the following finding the
nurse should expect? Ans✓✓✓ Pt is unable to make simple decision
26.A female pt gave birth to a healthy infant 4 months ago by calling into the
clinic and saying that "My husband always works. The baby keeps crying. I cannot
stand it anymore." What is the nurse's highest priority/first action? Ans✓✓✓ Tell
me more about your baby. Where is she now?"
,28.Pt states "My partner died 6 months ago" what should the nurse do? ○
Ans✓✓✓ (open-ended ask about how her feelings i think)
29.Pt has antisocial personality disorder and alcohol dependency, which of the
following support groups should the nurse recommend to pt? Ans✓✓✓
"codependency support"
3. Pt is experiencing a situational crisis, what action should the nurse take first?
Ans✓✓✓ Identify if pt has any thoughts of self-harming
30.Pt is admitted voluntarily, which of the following activities the nurse should
identify that it needs pt's consent? Ans✓✓✓ Taking experimental medication
31.Pt says "I can't find my shoes. Is it lunchtime? I hope it does not rain
tomorrow," what do you call this manifestation? Ans✓✓✓ Flight of ideas
32.Adverse effect of fluphenazine? Ans✓✓✓ Akathisia
33.Pt is prescribed sertraline, what would the nurse include in teaching?
Ans✓✓✓ You should avoid taking St. John's wort while taking this medication
34.Cocaine use manifestation? Ans✓✓✓ tachycardia
35.Pt keep saying "Black. Strack. Lack..." what is this called Ans✓✓✓ Clang
association
36.Alcohol withdrawal manifestation? Q#2 Ans✓✓✓ Increase BP
, 37.Pt is experiencing severe anxiety, and is taught to use relaxing technique,
which of the following findings indicate that the technique is effective? ○
Ans✓✓✓ pt close their eyes for a short period of time
39.Another question about pt with Alzheimer disease, and wandering at night,
what should the nurse recommend Ans✓✓✓ Place the lock at the top of the
doors leading outside
4. Newly admitted pt with obsessive-compulsive disorder (OCD), which action
should the nurse take first? Ans✓✓✓ Calculate pt score on Hamilton Rating Scale
of Anxiety
40.Newly admitted adolescent for overdose of prescribed pain med, pt has new
prescription of anxiolytic and SSRI antidepressants, which of the following
precaution should the nurse take? Ans✓✓✓ Initiate 24 hour one-on-one nursing
observation
41.Pt say "I don't want anybody to know that I am staying in the mental health
facility", which of the following statements should the nurse make. Ans✓✓✓ I
chose that the provider needs to communicate with other allied coworkers (share
info) within the facility.
42.Termination phase of nurse-patient therapeutic relationship? Ans✓✓✓
Evaluate the progress
43.Pt is taking clozapine, what should the nurse monitor for? Ans✓✓✓ Monitor
WBC weekly
