QUESTIONS WITH CORRECT ANSWERS
AWchargeWnurseWisWdiscussingWmentalWstatusWexamsWwithWaWnewlyWlicensedWnurse.WWhic
hWofWtheWfollowingWstatementsWbyWtheWnewlyWlicensedWnurseWindicatesWanWunderstanding
W ofW theW teaching?W (SelectW allW thatW apply)
A)WToWassessWcognitiveWability,WIWshouldWaskWtheWclientWtoWcountWbackwardWbyWsevens.
B)WToWassessWaffect,WIWshouldWobserveWtheWclient'sWfacialWexpression
C)WToWassessWlanguageWability,WIWshouldWinstructWtheWclientWtoWwriteWaWsentence.
D)WToWassessWremoteWmemory,WIWshouldWhaveWtheWclientWrepeatWaWlistWofWobjects.
E)WToWassessWtheWclient'sWabstractWthinking,WIWshouldWaskWtheWclientWtoWidentifyWourWmost
W recentW presidents.W -WCORRECTW ANSWERSA,W B,W C
AWnurseWisWplanningWcareWforWaWclientWwhoWhasWaWmentalWhealthWdisorder.WWhichWofWtheW
followingWactionsWshouldWtheWnurseWincludeWasWaWpsychobiologicalWintervention?
A)WAssistWtheWclientWwithWsystematicWdesensitizationWtherapy.
B)WTeachWtheWclientWappropriateWcopingWmechanisms.
C)WAssessWtheWclientWforWcomorbidWhealthWconditions.
D)WMonitorWtheWclientWforWadverseWeffectsWofWtheWmedications.W-
W CORRECTW ANSWERSD
AWnurseWinWanWoutpatientWmentalWhealthWclinicWisWpreparingWtoWconductWanWinitialWclientWi
nterview.WWhenWconductingWtheWinterview,WwhichWofWtheWfollowingWactionsWshouldWtheWn
urseWidentifyWasWtheWpriority?
A)WCoordinateWholisticWcareWwithWsocialWservices.
B)WIdentifyWtheWclient'sWperceptionWofWherWmentalWhealthWstatus.
C)WIncludeWtheWclient'sWfamilyWinWtheWinterview.
D)WTeachWtheWclientWaboutWherWcurrentWmentalWhealthWdisorderW-
W CORRECTW ANSWERSB
AWnurseWisWtoldWduringWchangeWofWshiftWreportWthatWaWclientWisWstuporous.WWhenWassessi
ngWtheWclient,WwhichWofWtheWfollowingWfindingsWshouldWtheWnurseWexpect?
A)WTheWclientWarousesWbrieflyWinWresponseWtoWaWsternalWrub.
B)WTheWclientWhasWaWglasgowWcomaWscaleWscoreWlessWthanW7.
C)WTheWclientWexhibitsWdecorticateWrigidity.
D)WTheWclientWisWalertWbutWdisorientedWtoWtimeWandWplace.W-WCORRECTWANSWERSA
AWnurseWisWplanningWaWpeerWgroupWaboutWtheWDSM-
5.WWhichWofWtheWfollowingWinformationWisWappropriateWtoWincludeWinWtheWdiscussion?W(Sel
ectWallWthatWapply).
A)WTheWDSM-5WincludesWclientWeducationWhandoutsWforWmentalWhealthWdisorders.
B)WTheWDSM-5WestablishesWdiagnosticWcriteriaWforWindividualWmentalWhealthWdisorders.
C)WTheWDSM-
5WindicatesWrecommendedWpharmacologicalWtreatmentWforWmentalWhealthWdisorders.
D)WTheWDSM-
5WassistsWnursesWinWplanningWcareWforWclient'sWwhoWhaveWmentalWhealthWdisorders.
E)WTheWDSM-5WindicatesWexpectedWassessmentWfindingsWofWmentalWhealthWdisorders.W-
W CORRECTW ANSWERSB,W D,W E
, AWnurseWinWanWemergencyWmentalWhealthWfacilityWisWcaringWforWaWgroupWofWclients.WTheWn
urseWshouldWidentifyWthatWwhichWofWtheWfollowingWclientsWrequiresWaWtemporaryWemergen
cyWadmission?
A)WAWclientWwhoWhasWschizophreniaWwithWdelusionsWofWgrandeur
B)WAWclientWwhoWhasWmanifestationsWofWdepressionWandWattemptedWsuicideWaWyearWago.
C)WAWclientWwhoWhasWborderlineWpersonalityWdisorderWandWassaultedWaWhomelessWmanWw
ithWaWmetalWrod.
D)WAWclientWwhoWhasWbipolarWdisorderWandWpacesWquicklyWaroundWtheWroomWwhileWtalking
W toW himself.W -W CORRECTW ANSWERSC
AWnurseWdecidesWtoWputWaWclientWwhoWhasWaWpsychoticWdisorderWinWseclusionWovernightW
becauseWtheWunitWisWveryWshort-
staffed,WandWtheWclientWfrequentlyWfightsWwithWotherWclients.WTheWnurse'sWactionsWareWanW
exampleWofWwhichWofWtheWfollowingWtorts?
A)WInvasionWofWprivacy
B)WFalseWimprisonment
C)WAssault
D)WBatteryW-WCORRECTWANSWERSB
AWclientWtellsWaWnurse,W"Don'tWtellWanyoneWbutWIWhidWaWsharpWknifeWunderWmyWmattressWin
W orderW toW protectW myselfW fromW myW roommate,WwhoW isW alwaysW yellingW atW meW andW threate
ningWme."WWhichWofWtheWfollowingWactionsWshouldWtheWnurseWtake?
A)WKeepWtheWclient'sWcommunicationWconfidential,WbutWtalkWtoWtheWclientWdaily,WusingWther
apeuticWcommunicationWtoWconvinceWhimWtoWadmitWtoWhidingWtheWknife.
B)WKeepWtheWclient'sWcommunicationWconfidential,WbutWwatchWtheWclientWandWhisWroomma
teWclosely.
C)WTellWtheWclientWthatWthisWmustWbeWreportedWtoWtheWhealthcareWteamWbecauseWitWconcer
nsWtheWhealthWandWsafetyWofWtheWclientWandWothers.
D)WReportWtheWincidentWtoWtheWhealthWcareWteam,WbutWdoWnotWinformWtheWclientWofWtheWint
entionWtoWdoWso.W-WCORRECTWANSWERSD
AWnurseWisWcaringWforWaWclientWwhoWisWinWmechanicalWrestraints.WWhichWofWtheWfollowingW
statementsWshouldWtheWnurseWincludeWinWtheWdocumentation?W(SelectWallWthatWapply)
A)WClientWateWmostWofWhisWbreakfast
B)WClientWwasWofferedW8WozWofWwaterWeveryWhr
C)WClientWshoutedWobscenitiesWatWassistiveWpersonnel
D)WClientWreceivedWchlorpromazineW15WmgWbyWmouthWatW1000
E)WClientWactedWoutWafterWlunchW-WCORRECTWANSWERSB,WC,WD
AWnurseWhearsWaWnewlyWlicensedWnurseWdiscussingWaWclient'sWhallucinationsWinWtheWhallw
ayWwithWanotherWnurse.WWhichWofWtheWfollowingWactionsWshouldWtheWnurseWtakeWfirst?
A)WNotifyWtheWnurseWmanager
B)WTellWtheWnurseWtoWstopWdiscussingWtheWbehavior
C)WProvideWanWin-serviceWprogramWaboutWconfidentiality
D)WCompleteWanWincidentWreportW-WCORRECTWANSWERSB
AWnurseWisWcaringWforWtheWparentsWofWaWchildWwhoWhasWdemonstratedWchangesWinWbehavi
orWandWmood.WWhenWtheWmotherWofWtheWchildWasksWtheWnurseWforWreassuranceWaboutWhe
rWson'sWcondition,WwhichWofWtheWfollowingWresponsesWshouldWtheWnurseWmake?
A)WIWthinkWyourWsonWisWgettingWbetter.WWhatWhaveWyouWnoticed
B)WI'mWsureWeverythingWwillWbeWokay.WItWjustWtakesWtimeWtoWheal