Mental Health Proctored Exam
1. . A nurse is planning overall strategies to address problems for a client who has
borderline personality disorder. Which of the following strategies is the priority for
the nurse to incorporate in th e plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury Ans: d. implement
measures to prevent intentional self-inflicted injury
2. A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths Ans: a. Provide the client with a quiet
environment
3. A nurse is conducting an admission interview with a client who is experiencing
mania. Which of the following should the nurse report to the provider?
a. States that he hasn't bathed in 2 days
,b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. Ans: b. Reports eating twice in the past two weeks.
4. A nurse is planning care for a client who has obsessive-compulsive disorder. Which
of the following recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy Ans: b. Thought stopping
5. A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6 Ans: b. Dim the lights in the client's room
6. A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first?
,a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality Ans: c. Identify prior coping skills
7. A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an
eye for an eye in the sky. Sky is up high." The nurse should document the client's
statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association Ans: d. Clang association
8. An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which of
the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldnt worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. Ans: d. Tell me the
, reasons you think your mother is depressed.
9. A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real Ans: b. Initiates social interactions with
caregivers.
10. A nurse is providing behavior therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are locked at night.
Which of the following instructions should the nurse give the client when using
thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the
locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. Ans: a. Snap a rubber
1. . A nurse is planning overall strategies to address problems for a client who has
borderline personality disorder. Which of the following strategies is the priority for
the nurse to incorporate in th e plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury Ans: d. implement
measures to prevent intentional self-inflicted injury
2. A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths Ans: a. Provide the client with a quiet
environment
3. A nurse is conducting an admission interview with a client who is experiencing
mania. Which of the following should the nurse report to the provider?
a. States that he hasn't bathed in 2 days
,b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. Ans: b. Reports eating twice in the past two weeks.
4. A nurse is planning care for a client who has obsessive-compulsive disorder. Which
of the following recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy Ans: b. Thought stopping
5. A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6 Ans: b. Dim the lights in the client's room
6. A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first?
,a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality Ans: c. Identify prior coping skills
7. A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an
eye for an eye in the sky. Sky is up high." The nurse should document the client's
statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association Ans: d. Clang association
8. An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which of
the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldnt worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. Ans: d. Tell me the
, reasons you think your mother is depressed.
9. A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real Ans: b. Initiates social interactions with
caregivers.
10. A nurse is providing behavior therapy for a client who has obsessive-
compulsive disorder. The client repeatedly checks that the doors are locked at night.
Which of the following instructions should the nurse give the client when using
thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the
locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. Ans: a. Snap a rubber
