SAUNDERS BOOK QUESTIONS FOR
MENTAL HEALTH EXAM #1 WITH
ACCURATE SOLUTIONS
A dclient dwith da ddiagnosis dof ddepression dwho dhas dattempted dsuicide dsays dto dthe
dnurse, d"I dshould dhave ddied. dI've dalways dbeen da dfailure. dNothing dever dgoes
dright dfor dme." dWhich dtherapeutic dresponse dwould dthe dnurse dmake?
1. d"You dhave deverything dto dlive dfor."
2. d"Why ddo dyou dsee dyourself das da dfailure?"
3. d"Feeling dlike dthis dis dall dpart dof dbeing ddepressed."
4. d"It dsounds das dif dyou've dbeen dfeeling dlike da dfailure dfor da dwhile." d- dcorrect
danswers d-Answer: d4
Rationale: dResponding dto dthe dfeelings dexpressed dby da dclient dis dan deffective
dtherapeutic dcommunication dtechnique. dThe dcorrect doption dis dan dexample dof dthe
duse dof drestating. dThe dremaining doptions dblock dcommunication dbecause dthey
dminimize dthe dclient's dexperience dand ddo dnot dfacilitate dexploration dof dthe dclient's
dexpressed dfeelings. dIn daddition, duse dof dthe dword dwhy dis dnontherapeutic
,dbecause dclients dfrequently dinterpret dwhy dquestions das daccusations. dWhy
dquestions dcan dcause dresentment, dinsecurity dand dmistrust.
The dnurse dvisits da dclient dat dhome. dThe dclient dstates, d"I dhaven't dslept dat dall dthe
dlast dcouple dof dnights." dWhich dtherapeutic dresponse dwould dthe dnurse dmake?
1. d"Really?"
2. d"Why dhaven't dyou dbeen dable dto dsleep?"
3. d"Sometimes dI dhave dtrouble dsleeping dtoo."
4. d"Tell dme dmore dabout dyour dsleep dover dthe dpast dfew dnights." d- dcorrect
danswers d-Answer: d4
Rationale: dThe dcorrect doption duses dthe dtherapeutic dcommunication dtechnique dof
dexploring. dExploring dis dan dimportant dtechnique dto duse din dexamining dexperiences
dthat dare dimportant dto dthe dclient. dThe dremaining doptions dare dnontherapeutic
dresponses dand dare dblocks dto dcommunication. dAdditionally, dthey ddo dnot
dencourage dthe dclient dto dexpand don dthe dproblem. dThe dresponse d"Really?" dcan
dbe dinterpreted dby dthe dclient dthat dthe dnurse dis ddoubtful dof dwhat dthe dclient dhas
dexpressed. dUse dof dthe dword dwhy dis dnontherapeutic dbecause dit dmay dbe
dinterpreted das daccusatory dand dcan dcause dinsecurity dand dmistrust. dOffering
dpersonal dexperiences dmoves dthe dfocus daway dfrom dthe dclient dand donto dthe
dnurse.
A dclient dexperiencing ddisturbed dthought dprocesses dbelieves dthat dthe dfood dis
dbeing dpoisoned. dWhich dcommunication dtechnique dwould dthe dnurse duse dto
dencourage dthe dclient dto deat?
1. dUsing dopen-ended dquestions dand dsilence
2. dSharing dpersonal dpreference dregarding dfood dchoices
3. dDocumenting dreasons dwhy dthe dclient ddoes dnot dwant dto deat
4. dOffering dopinions dabout dthe dnecessity dof dadequate dnutrition d- dcorrect danswers
d-Answer: d1
Rationale: dOpen-ended dquestions dand dsilence dare dstrategies dused dto dencourage
dclients dto ddiscuss dtheir dproblems. dSharing dpersonal dfood dpreferences dis dnot da
dclient-centered dintervention. dThe dremaining doptions dare dnot dhelpful dto dthe dclient
dbecause dthey ddo dnot dencourage dthe dclient dto dexpress dfeelings. dThe dnurse
dwould dnot doffer dopinions dand dshould dencourage dthe dclient dto didentify dthe
dreasons dfor dthe dbehavior
On dreview dof dthe dclient's drecord, dthe dnurse dnotes dthat dthe dadmission dwas
dvoluntary. dBased don dthis dinformation, dthe dnurse dplans dcare, danticipating dwhich
dclient dbehavior?
1. dFearfulness dregarding dtreatment dmeasures
2. dAnger dand daggressiveness ddirected dtoward dothers
3. dAn dunderstanding dof dthe dpathology dand dsymptoms dof dthe ddiagnosis
4. dA dwillingness dto dparticipate din dthe dplanning dof dthe dcare dand dtreatment dplan d-
dcorrect danswers d-Answer: d4
Rationale: dIn dgeneral, dclients dseek dvoluntary dadmission. dIf da dclient dseeks
dvoluntary dadmission, dthe dmost dlikely dexpectation dis dthat dthe dclient dwill
, dparticipate din dthe dtreatment dprogram dsince dthe dclient dis dactively dseeking dhelp.
dThe dremaining doptions dare dnot dcharacteristics dof dthis dtype dof dadmission.
dFearfulness, danger, dand daggressiveness dare dmore dcharacteristic dof dan
dinvoluntary dadmission. dVoluntary dadmission ddoes dnot dguarantee dthat dclients
dunderstand dtheir dmental dhealth dproblems; dit donly dindicates dthe dclient's ddesire dfor
dhelp.
A dclient dadmitted dvoluntarily dfor dtreatment dof dan danxiety dproblem ddemands dto
dbe dreleased dfrom dthe dhospital. dWhich daction dwould dthe dnurse dtake dinitially?
1. dContact dthe dclient's dprimary dhealth dcare dprovider.
2. dCall dthe dclient's dfamily dto darrange dfor dtransportation.
3. dAttempt dto dpersuade dthe dclient dto dstay d"for donly da dfew dmore ddays."
4. dTell dthe dclient dthat dleaving dwould dlikely dresult din dan dinvoluntary dcommitment.
d- dcorrect danswers d-Answer: d1
Rationale: dIn dgeneral, dclients dseek dvoluntary dadmission. dVoluntary dclients dhave
dthe dright dto ddemand dand dobtain drelease, dunless dthey dpose dan dimmediate
ddanger dto dthemselves dor dothers, din dwhich dcase dthe dadmission dcould dbecome
dinvoluntary, ddepending don dthe dcircumstances dand dregulations din dthat darea dand
dfacility. dThe dnurse dneeds dto dbe dfamiliar dwith dthe dstate dand dfacility dpolicies dand
dprocedures. dThe dinitial dnursing daction dis dto dcontact dthe dPHCP, dwho dhas dthe
dauthority dto ddiscuss ddischarge dwith dthe dclient. dWhile darranging dfor dsafe
dtransportation dis dappropriate, dit dis dpremature din dthis dsituation dand dwould dbe
ddone donly dwith dthe dclient's dpermission. dWhile dit dis dappropriate dto ddiscuss dwhy
dthe dclient dfeels dthe dneed dto dleave dand dthe dpossible doutcomes dof dleaving
dagainst dmedical dadvice, dattempting dto dget dthe dclient dto dagree dto dstaying d"for
donly da dfew dmore ddays" dhas dlittle dvalue dand dis dunlikely dto dbe dsuccessful. dMany
dstates drequire dthat dthe dclient dsubmit da dwritten drelease dnotice dto dthe dfacility
dpsychiatrist, dwho dreevaluates dthe dclient's dcondition dfor dpossible dconversion dto
dinvoluntary dstatus dif dnecessary, daccording dto dcriteria destablished dby dlaw. dWhile
dthis dis da dpossibility, dit dwould dnot dbe dused das da dthreat dwith dthe dclient.
When da dclient dis dadmitted dto dan dinpatient dmental dhealth dunit dwith dthe ddiagnosis
dof danorexia dnervosa, da dcognitive dbehavioral dapproach dis dused das dpart dof dthe
dtreatment dplan. dThe dnurse dplans dcare dbased don dwhich dpurpose dof dthis
dapproach?
1. dProviding da dsupportive denvironment
2. dExamining dintrapsychic dconflicts dand dpast dissues
3. dEmphasizing dsocial dinteraction dwith dclients dwho dwithdraw
4. dHelping dthe dclient dto dexamine ddysfunctional dthoughts dand dbeliefs d- dcorrect
danswers d-Answer: d4
Rationale: dCognitive dbehavioral dtherapy dis dused dto dhelp dthe dclient didentify dand
dexamine ddysfunctional dthoughts dand dto didentify dand dexamine dvalues dand dbeliefs
dthat dmaintain dthese dthoughts. dThe dremaining doptions, dwhile dtherapeutic din
dcertain dsituations, dare dnot dthe dfocus dof dcognitive dbehavioral dtherapy.
MENTAL HEALTH EXAM #1 WITH
ACCURATE SOLUTIONS
A dclient dwith da ddiagnosis dof ddepression dwho dhas dattempted dsuicide dsays dto dthe
dnurse, d"I dshould dhave ddied. dI've dalways dbeen da dfailure. dNothing dever dgoes
dright dfor dme." dWhich dtherapeutic dresponse dwould dthe dnurse dmake?
1. d"You dhave deverything dto dlive dfor."
2. d"Why ddo dyou dsee dyourself das da dfailure?"
3. d"Feeling dlike dthis dis dall dpart dof dbeing ddepressed."
4. d"It dsounds das dif dyou've dbeen dfeeling dlike da dfailure dfor da dwhile." d- dcorrect
danswers d-Answer: d4
Rationale: dResponding dto dthe dfeelings dexpressed dby da dclient dis dan deffective
dtherapeutic dcommunication dtechnique. dThe dcorrect doption dis dan dexample dof dthe
duse dof drestating. dThe dremaining doptions dblock dcommunication dbecause dthey
dminimize dthe dclient's dexperience dand ddo dnot dfacilitate dexploration dof dthe dclient's
dexpressed dfeelings. dIn daddition, duse dof dthe dword dwhy dis dnontherapeutic
,dbecause dclients dfrequently dinterpret dwhy dquestions das daccusations. dWhy
dquestions dcan dcause dresentment, dinsecurity dand dmistrust.
The dnurse dvisits da dclient dat dhome. dThe dclient dstates, d"I dhaven't dslept dat dall dthe
dlast dcouple dof dnights." dWhich dtherapeutic dresponse dwould dthe dnurse dmake?
1. d"Really?"
2. d"Why dhaven't dyou dbeen dable dto dsleep?"
3. d"Sometimes dI dhave dtrouble dsleeping dtoo."
4. d"Tell dme dmore dabout dyour dsleep dover dthe dpast dfew dnights." d- dcorrect
danswers d-Answer: d4
Rationale: dThe dcorrect doption duses dthe dtherapeutic dcommunication dtechnique dof
dexploring. dExploring dis dan dimportant dtechnique dto duse din dexamining dexperiences
dthat dare dimportant dto dthe dclient. dThe dremaining doptions dare dnontherapeutic
dresponses dand dare dblocks dto dcommunication. dAdditionally, dthey ddo dnot
dencourage dthe dclient dto dexpand don dthe dproblem. dThe dresponse d"Really?" dcan
dbe dinterpreted dby dthe dclient dthat dthe dnurse dis ddoubtful dof dwhat dthe dclient dhas
dexpressed. dUse dof dthe dword dwhy dis dnontherapeutic dbecause dit dmay dbe
dinterpreted das daccusatory dand dcan dcause dinsecurity dand dmistrust. dOffering
dpersonal dexperiences dmoves dthe dfocus daway dfrom dthe dclient dand donto dthe
dnurse.
A dclient dexperiencing ddisturbed dthought dprocesses dbelieves dthat dthe dfood dis
dbeing dpoisoned. dWhich dcommunication dtechnique dwould dthe dnurse duse dto
dencourage dthe dclient dto deat?
1. dUsing dopen-ended dquestions dand dsilence
2. dSharing dpersonal dpreference dregarding dfood dchoices
3. dDocumenting dreasons dwhy dthe dclient ddoes dnot dwant dto deat
4. dOffering dopinions dabout dthe dnecessity dof dadequate dnutrition d- dcorrect danswers
d-Answer: d1
Rationale: dOpen-ended dquestions dand dsilence dare dstrategies dused dto dencourage
dclients dto ddiscuss dtheir dproblems. dSharing dpersonal dfood dpreferences dis dnot da
dclient-centered dintervention. dThe dremaining doptions dare dnot dhelpful dto dthe dclient
dbecause dthey ddo dnot dencourage dthe dclient dto dexpress dfeelings. dThe dnurse
dwould dnot doffer dopinions dand dshould dencourage dthe dclient dto didentify dthe
dreasons dfor dthe dbehavior
On dreview dof dthe dclient's drecord, dthe dnurse dnotes dthat dthe dadmission dwas
dvoluntary. dBased don dthis dinformation, dthe dnurse dplans dcare, danticipating dwhich
dclient dbehavior?
1. dFearfulness dregarding dtreatment dmeasures
2. dAnger dand daggressiveness ddirected dtoward dothers
3. dAn dunderstanding dof dthe dpathology dand dsymptoms dof dthe ddiagnosis
4. dA dwillingness dto dparticipate din dthe dplanning dof dthe dcare dand dtreatment dplan d-
dcorrect danswers d-Answer: d4
Rationale: dIn dgeneral, dclients dseek dvoluntary dadmission. dIf da dclient dseeks
dvoluntary dadmission, dthe dmost dlikely dexpectation dis dthat dthe dclient dwill
, dparticipate din dthe dtreatment dprogram dsince dthe dclient dis dactively dseeking dhelp.
dThe dremaining doptions dare dnot dcharacteristics dof dthis dtype dof dadmission.
dFearfulness, danger, dand daggressiveness dare dmore dcharacteristic dof dan
dinvoluntary dadmission. dVoluntary dadmission ddoes dnot dguarantee dthat dclients
dunderstand dtheir dmental dhealth dproblems; dit donly dindicates dthe dclient's ddesire dfor
dhelp.
A dclient dadmitted dvoluntarily dfor dtreatment dof dan danxiety dproblem ddemands dto
dbe dreleased dfrom dthe dhospital. dWhich daction dwould dthe dnurse dtake dinitially?
1. dContact dthe dclient's dprimary dhealth dcare dprovider.
2. dCall dthe dclient's dfamily dto darrange dfor dtransportation.
3. dAttempt dto dpersuade dthe dclient dto dstay d"for donly da dfew dmore ddays."
4. dTell dthe dclient dthat dleaving dwould dlikely dresult din dan dinvoluntary dcommitment.
d- dcorrect danswers d-Answer: d1
Rationale: dIn dgeneral, dclients dseek dvoluntary dadmission. dVoluntary dclients dhave
dthe dright dto ddemand dand dobtain drelease, dunless dthey dpose dan dimmediate
ddanger dto dthemselves dor dothers, din dwhich dcase dthe dadmission dcould dbecome
dinvoluntary, ddepending don dthe dcircumstances dand dregulations din dthat darea dand
dfacility. dThe dnurse dneeds dto dbe dfamiliar dwith dthe dstate dand dfacility dpolicies dand
dprocedures. dThe dinitial dnursing daction dis dto dcontact dthe dPHCP, dwho dhas dthe
dauthority dto ddiscuss ddischarge dwith dthe dclient. dWhile darranging dfor dsafe
dtransportation dis dappropriate, dit dis dpremature din dthis dsituation dand dwould dbe
ddone donly dwith dthe dclient's dpermission. dWhile dit dis dappropriate dto ddiscuss dwhy
dthe dclient dfeels dthe dneed dto dleave dand dthe dpossible doutcomes dof dleaving
dagainst dmedical dadvice, dattempting dto dget dthe dclient dto dagree dto dstaying d"for
donly da dfew dmore ddays" dhas dlittle dvalue dand dis dunlikely dto dbe dsuccessful. dMany
dstates drequire dthat dthe dclient dsubmit da dwritten drelease dnotice dto dthe dfacility
dpsychiatrist, dwho dreevaluates dthe dclient's dcondition dfor dpossible dconversion dto
dinvoluntary dstatus dif dnecessary, daccording dto dcriteria destablished dby dlaw. dWhile
dthis dis da dpossibility, dit dwould dnot dbe dused das da dthreat dwith dthe dclient.
When da dclient dis dadmitted dto dan dinpatient dmental dhealth dunit dwith dthe ddiagnosis
dof danorexia dnervosa, da dcognitive dbehavioral dapproach dis dused das dpart dof dthe
dtreatment dplan. dThe dnurse dplans dcare dbased don dwhich dpurpose dof dthis
dapproach?
1. dProviding da dsupportive denvironment
2. dExamining dintrapsychic dconflicts dand dpast dissues
3. dEmphasizing dsocial dinteraction dwith dclients dwho dwithdraw
4. dHelping dthe dclient dto dexamine ddysfunctional dthoughts dand dbeliefs d- dcorrect
danswers d-Answer: d4
Rationale: dCognitive dbehavioral dtherapy dis dused dto dhelp dthe dclient didentify dand
dexamine ddysfunctional dthoughts dand dto didentify dand dexamine dvalues dand dbeliefs
dthat dmaintain dthese dthoughts. dThe dremaining doptions, dwhile dtherapeutic din
dcertain dsituations, dare dnot dthe dfocus dof dcognitive dbehavioral dtherapy.
