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MENTAL HEALTH EXAM 2 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS 2024
(NEWEST) ALREADY GRADED A+
A client experiencing a manic episode enters the milieu area dressed in a provocative and physically
revealing outfit. Which of the following is the most appropriate intervention by the nurse?
a) Tell the client she cannot wear this outfit while she is in the hospital
b) Do nothing and allow her to learn from the responses of her peers
c) Quietly walk with her back to her room and help her change into something more appropriate
d) Explain to her that, if she wears this outfit, she must remain in her room
c) Quietly walk with her back to her room and help her change into something more appropriate
The nurse is prioritizing nursing diagnoses in the plan of care for a patient experiencing manic episodes.
Number the diagnoses in order the appropriate priority
a) Disturbed sleep pattern evidenced by sleeping only 4 to 5 hours per night
b) Risk for injury related to manic hyperactivity
c) Impaired social interaction evidenced by manipulation of others
d) Imbalanced nutrition: Less than body requirements evidenced by a loss of weight and poor skin turgor
b) Risk for injury related to manic hyperactivity
d) Imbalanced nutrition: Less than body requirements evidenced by a loss of weight and poor skin turgor
a) Disturbed sleep pattern evidenced by sleeping only 4 to 5 hours per night
c) Impaired social interaction evidenced by manipulation of others
A child with bipolar disorder also has attention-deficit/hyperactivity disorder (ADHD). How would these
comorbid conditions most likely be treated?
a) No medication would be given for either condition
b) Medication would be given for both conditions simultaneously
c) The bipolar condition would be stabilized first before medication for the ADHD would be given
d) The ADHD would be treated before consideration of the bipolar disorder
c) The bipolar condition would be stabilized first before medication for the ADHD would be given
Ms. T. has been diagnosed with agoraphobia. Which behavior would be most characteristic of this
disorder?
a) Ms. T. experiences panic anxiety when she encounters snakes
b) Ms. T. refused to fly in an airplane
c) Ms. T. will not eat in a public place
d) Ms. T. stays in her home for fear of being in a place from which she cannot escape
d) Ms. T. stays in her home for fear of being in a place from which she cannot escape
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Which of the following is the most appropriate therapy for a client with agoraphobia?
a) 10 mg Valium qid
b) Group therapy with other agoraphobics
c) Facing her fear in gradual step progression
d) Hypnosis
c) Facing her fear in gradual step progression
With implosion therapy, a client with phobic anxiety would be:
a) Taught relaxation exercises
b) Subjected to graded intensities of the fear
c) Instructed to stop the therapeutic sessions as soon as anxiety is experienced
d) Presented with massive exposure to a variety of stimuli associated with the phobic object
d) Presented with massive exposure to a variety of stimuli associated with the phobic object
A client with OCD spends many hours each day washing her hands. The most likely reason she washes
her hands so much is that it:
a) Relieves her anxiety
b) Reduces the probability of infection
c) Gives her a feeling of control over her life
d) Increases her self-concept
a) Relieves her anxiety
The initial care plan for a client with OCD who washes her hands obsessively would include which of the
the following nursing interventions?
a) Keep the client's bathroom locked so she cannot wash her hands all the time.
b) Structure the client's schedule so that she has plenty of time for washing her hands
c) Place the client in isolation until she promises to stop washing her hands so much
d) Explain the client's behavior to her, since she is probability unaware that it is maladapative
b) Structure the client's schedule so that she has plenty of time for washing her hands
A client with OCD says to the nurse, "I've been here 4 days now, and I'm feeling better. I feel
comfortable on this unit, and I'm not ill-at-ease with the staff or other patients anymore." In light of this
change, which nursing intervention is most appropriate?
a) Give attention to the ritualistic behaviors each time they occur and point out their inappropriateness
b) Ignore the ritualistic behaviors, and they will be eliminated for lack of reinforcement
c) Set limits on the amount of time Sandy may engage in the ritualistic behavior.
d) Continue to allow Sandy all the time she wants to carry out the ritualistic behavior
c) Set limits on the amount of time Sandy may engage in the ritualistic behavior.
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Annie has a hair pulling disorder. She is receiving treatment at the mental health clinic with habit-
reversal therapy. Which of the following elements would be included in this therapy? Select all that
apply:
a) Awareness training
b) Competing response training
c) Social support
d) Hypnotherapy
e) Aversive therapy
a) Awareness training
b) Competing response training
c) Social support
Joanie is a new patient at the mental health clinic. She has been diagnosed with Body Dysmorphic
Disorder. Which of the following meds is the psychiatric nurse most likely to prescribe for Joanie?
a) Alprazolam
b) Diazepam
c) Fluoxetine
d) Olanazpine
c) Fluoxetine
A client who is experiencing a panic attack has just arrived at the emergency dpt. Which is priority
nursing intervention for this client?
a) Stay with the client and reassure safety
b) Administer a dose of diazepam
c) Leave the client alone in a quiet room so that she can calm down
d) Encourage the client to talk about what triggered the attack
a) Stay with the client and reassure safety
Janet has a diagnosis of Generalized anxiety disorder. Her physician has prescribed buspirone 15 mg
daily. Janet says to the nurse, "Why do I have to take this every day? My friend's doctor prescribed her
Xanax and she only takes it when she feels anxious." Which of the following is most appropriate
response?
a) "Xanax is not effective for GAD"
b) "Buspirone must be taken daily to be effective"
c) "I will ask the doctor to change your dose to prn so you do not have to take it everyday
d) "Your friend should be taking Xanax everyday"
b) "Buspirone must be taken daily to be effective"
Which of the following is most likely to initiate a grief response in an individual?
a) Death of the pet dog
b) Being told by her doctor that she has begun menopause
c) Failing an exam
d) A only
e) All of the above
MENTAL HEALTH EXAM 2 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS 2024
(NEWEST) ALREADY GRADED A+
A client experiencing a manic episode enters the milieu area dressed in a provocative and physically
revealing outfit. Which of the following is the most appropriate intervention by the nurse?
a) Tell the client she cannot wear this outfit while she is in the hospital
b) Do nothing and allow her to learn from the responses of her peers
c) Quietly walk with her back to her room and help her change into something more appropriate
d) Explain to her that, if she wears this outfit, she must remain in her room
c) Quietly walk with her back to her room and help her change into something more appropriate
The nurse is prioritizing nursing diagnoses in the plan of care for a patient experiencing manic episodes.
Number the diagnoses in order the appropriate priority
a) Disturbed sleep pattern evidenced by sleeping only 4 to 5 hours per night
b) Risk for injury related to manic hyperactivity
c) Impaired social interaction evidenced by manipulation of others
d) Imbalanced nutrition: Less than body requirements evidenced by a loss of weight and poor skin turgor
b) Risk for injury related to manic hyperactivity
d) Imbalanced nutrition: Less than body requirements evidenced by a loss of weight and poor skin turgor
a) Disturbed sleep pattern evidenced by sleeping only 4 to 5 hours per night
c) Impaired social interaction evidenced by manipulation of others
A child with bipolar disorder also has attention-deficit/hyperactivity disorder (ADHD). How would these
comorbid conditions most likely be treated?
a) No medication would be given for either condition
b) Medication would be given for both conditions simultaneously
c) The bipolar condition would be stabilized first before medication for the ADHD would be given
d) The ADHD would be treated before consideration of the bipolar disorder
c) The bipolar condition would be stabilized first before medication for the ADHD would be given
Ms. T. has been diagnosed with agoraphobia. Which behavior would be most characteristic of this
disorder?
a) Ms. T. experiences panic anxiety when she encounters snakes
b) Ms. T. refused to fly in an airplane
c) Ms. T. will not eat in a public place
d) Ms. T. stays in her home for fear of being in a place from which she cannot escape
d) Ms. T. stays in her home for fear of being in a place from which she cannot escape
,2|Page
Which of the following is the most appropriate therapy for a client with agoraphobia?
a) 10 mg Valium qid
b) Group therapy with other agoraphobics
c) Facing her fear in gradual step progression
d) Hypnosis
c) Facing her fear in gradual step progression
With implosion therapy, a client with phobic anxiety would be:
a) Taught relaxation exercises
b) Subjected to graded intensities of the fear
c) Instructed to stop the therapeutic sessions as soon as anxiety is experienced
d) Presented with massive exposure to a variety of stimuli associated with the phobic object
d) Presented with massive exposure to a variety of stimuli associated with the phobic object
A client with OCD spends many hours each day washing her hands. The most likely reason she washes
her hands so much is that it:
a) Relieves her anxiety
b) Reduces the probability of infection
c) Gives her a feeling of control over her life
d) Increases her self-concept
a) Relieves her anxiety
The initial care plan for a client with OCD who washes her hands obsessively would include which of the
the following nursing interventions?
a) Keep the client's bathroom locked so she cannot wash her hands all the time.
b) Structure the client's schedule so that she has plenty of time for washing her hands
c) Place the client in isolation until she promises to stop washing her hands so much
d) Explain the client's behavior to her, since she is probability unaware that it is maladapative
b) Structure the client's schedule so that she has plenty of time for washing her hands
A client with OCD says to the nurse, "I've been here 4 days now, and I'm feeling better. I feel
comfortable on this unit, and I'm not ill-at-ease with the staff or other patients anymore." In light of this
change, which nursing intervention is most appropriate?
a) Give attention to the ritualistic behaviors each time they occur and point out their inappropriateness
b) Ignore the ritualistic behaviors, and they will be eliminated for lack of reinforcement
c) Set limits on the amount of time Sandy may engage in the ritualistic behavior.
d) Continue to allow Sandy all the time she wants to carry out the ritualistic behavior
c) Set limits on the amount of time Sandy may engage in the ritualistic behavior.
, 3|Page
Annie has a hair pulling disorder. She is receiving treatment at the mental health clinic with habit-
reversal therapy. Which of the following elements would be included in this therapy? Select all that
apply:
a) Awareness training
b) Competing response training
c) Social support
d) Hypnotherapy
e) Aversive therapy
a) Awareness training
b) Competing response training
c) Social support
Joanie is a new patient at the mental health clinic. She has been diagnosed with Body Dysmorphic
Disorder. Which of the following meds is the psychiatric nurse most likely to prescribe for Joanie?
a) Alprazolam
b) Diazepam
c) Fluoxetine
d) Olanazpine
c) Fluoxetine
A client who is experiencing a panic attack has just arrived at the emergency dpt. Which is priority
nursing intervention for this client?
a) Stay with the client and reassure safety
b) Administer a dose of diazepam
c) Leave the client alone in a quiet room so that she can calm down
d) Encourage the client to talk about what triggered the attack
a) Stay with the client and reassure safety
Janet has a diagnosis of Generalized anxiety disorder. Her physician has prescribed buspirone 15 mg
daily. Janet says to the nurse, "Why do I have to take this every day? My friend's doctor prescribed her
Xanax and she only takes it when she feels anxious." Which of the following is most appropriate
response?
a) "Xanax is not effective for GAD"
b) "Buspirone must be taken daily to be effective"
c) "I will ask the doctor to change your dose to prn so you do not have to take it everyday
d) "Your friend should be taking Xanax everyday"
b) "Buspirone must be taken daily to be effective"
Which of the following is most likely to initiate a grief response in an individual?
a) Death of the pet dog
b) Being told by her doctor that she has begun menopause
c) Failing an exam
d) A only
e) All of the above
