PMH Practice Test 1 with Complete
Solutions
. A client admitted voluntarily for treatment of an anxiety problem demands to be
released from the hospital. Which action
should the nurse take initially?
a. Contact the client's health care provider
b. Call the client's family to arrange for transportation
c. Attempt to persuade the client to stay "for only a few more days."
d. Tell the client that leaving would likely result in an involuntary commitment - ANS-a;.
A client receiving tricyclic antidepressant arrives at the mental health clinic. Which
observation would indicate that the client is
following the medication plan correctly?
a. Client reports not going to work for the past week
b. Client complains of not being able to "do anything" anymore.
c. Client arrives at the clinic neat and appropriate in appearance
d. Client reports sleeping 12 hours per night and 3 to 4 hours during the day - ANS-c;. A
client taking lithium reports vomiting, abdominal pain, diarrhea. Blurred vision, tinnitus,
and tremors. The lithium level is 2.5
mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this level?
a. Toxic
b. Normal
c. Slightly above normal
d. Excessively above normal - ANS-a;. A client with schizophrenia has been started on
medication therapy with clozapine. The nurse should assess the results of
which laboratory study to monitor for adverse effects of this medication?
a. Platelet count
b. Blood glucose level
c. Liver function studies
d. White blood cell count - ANS-d;. A hospitalized client is started on a monoamine
oxidase inhibitor (MAOI) for the treatment of depression. The nurse should
instruct the client that which foods are acceptable to consume while taking this
medication? Select all that apply
a. Figs
b. Yogurt
c. Crackers
d. Aged cheese
e. Tossed salad
f. Oatmeal raisin cookies - ANS-c,e;. According to Maslow's hierarchy of needs, which
situation on an inpatient psychiatric unit would require priority intervention?
a. A client is disturbed that family can be seen only during visiting hours
, b. A client exhibits hostile and angry behaviors toward another client
c. A client states, "I have no one who cares about me."
d. A client states, "I have never my career goals." - ANS-b;. An inpatient psychiatric
client recently diagnosed with bipolar disorder has been prescribed lithium carbonate.
When the
nurse is functioning in the role of teacher, which of the following nursing interventions
are appropriate? Select all that apply
a. Teaching the neurochemical action of this medication
b. Teaching the benefits of taking this medication as prescribed
c. Teaching signs and symptoms of lithium toxicity
d. Teaching dietary and fluid intake consideration
e. Teaching reportable side effects - ANS-b,c,d,e;. During a recent counseling session
with a depressed client, the psychiatric nurse observes signs of transference. Which
statement by the client would indicate that the nurse is correct?
a. "Thanks for taking my side against the staff."
b. "You sure do remind me of my mom."
c. "Working on problem-solving together makes sense"
d. "I won't stop drinking just to please my whole family." - ANS-b;. On an inpatient
psychiatric unit, a client who is anxious and distressed states "God has abandoned me."
Which nursing action
would initiate collaboration with the member of the mental health-care team who can
assist this client with the assessed
problem?
a. Notify the psychiatrist to get an order for an anxiety medication prn
b. Consult the social worker to provide community resources
c. Notify the psychologist that testing is necessary
d. Consult with the chaplain and describe the client's concerns - ANS-d;. On an inpatient
unit, a client diagnosed with borderline personality disorder is challenging other clients
and splitting staff.
Which response by the nurse reflects the nurse's role of milieu manager?
1. Setting strict limits and communicating these limits to all staff members
2. Using role-play to demonstrate ways of dealing with frustration
3. Seeking orders from the physician to force medications
4. Holding a group session on relationship skills - ANS-1;. The nurse is administering
risperidone to a client with schizophrenia who is scheduled to be discharged. Before
discharge,
which instruction should the nurse provide to the client?
a. Get adequate sunlight
b. Continue driving as usual
c. Avoid foods rich in potassium
d. Get up slowly when changing positions - ANS-d;. The nurse visits a client at home.
The client states. "I haven't slept at all the last couple of nights." Which response by the
nurse demonstrates therapeutic communication?
a. "I see."
b. "Really?"
c. "You're having difficulty sleeping?"
Solutions
. A client admitted voluntarily for treatment of an anxiety problem demands to be
released from the hospital. Which action
should the nurse take initially?
a. Contact the client's health care provider
b. Call the client's family to arrange for transportation
c. Attempt to persuade the client to stay "for only a few more days."
d. Tell the client that leaving would likely result in an involuntary commitment - ANS-a;.
A client receiving tricyclic antidepressant arrives at the mental health clinic. Which
observation would indicate that the client is
following the medication plan correctly?
a. Client reports not going to work for the past week
b. Client complains of not being able to "do anything" anymore.
c. Client arrives at the clinic neat and appropriate in appearance
d. Client reports sleeping 12 hours per night and 3 to 4 hours during the day - ANS-c;. A
client taking lithium reports vomiting, abdominal pain, diarrhea. Blurred vision, tinnitus,
and tremors. The lithium level is 2.5
mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this level?
a. Toxic
b. Normal
c. Slightly above normal
d. Excessively above normal - ANS-a;. A client with schizophrenia has been started on
medication therapy with clozapine. The nurse should assess the results of
which laboratory study to monitor for adverse effects of this medication?
a. Platelet count
b. Blood glucose level
c. Liver function studies
d. White blood cell count - ANS-d;. A hospitalized client is started on a monoamine
oxidase inhibitor (MAOI) for the treatment of depression. The nurse should
instruct the client that which foods are acceptable to consume while taking this
medication? Select all that apply
a. Figs
b. Yogurt
c. Crackers
d. Aged cheese
e. Tossed salad
f. Oatmeal raisin cookies - ANS-c,e;. According to Maslow's hierarchy of needs, which
situation on an inpatient psychiatric unit would require priority intervention?
a. A client is disturbed that family can be seen only during visiting hours
, b. A client exhibits hostile and angry behaviors toward another client
c. A client states, "I have no one who cares about me."
d. A client states, "I have never my career goals." - ANS-b;. An inpatient psychiatric
client recently diagnosed with bipolar disorder has been prescribed lithium carbonate.
When the
nurse is functioning in the role of teacher, which of the following nursing interventions
are appropriate? Select all that apply
a. Teaching the neurochemical action of this medication
b. Teaching the benefits of taking this medication as prescribed
c. Teaching signs and symptoms of lithium toxicity
d. Teaching dietary and fluid intake consideration
e. Teaching reportable side effects - ANS-b,c,d,e;. During a recent counseling session
with a depressed client, the psychiatric nurse observes signs of transference. Which
statement by the client would indicate that the nurse is correct?
a. "Thanks for taking my side against the staff."
b. "You sure do remind me of my mom."
c. "Working on problem-solving together makes sense"
d. "I won't stop drinking just to please my whole family." - ANS-b;. On an inpatient
psychiatric unit, a client who is anxious and distressed states "God has abandoned me."
Which nursing action
would initiate collaboration with the member of the mental health-care team who can
assist this client with the assessed
problem?
a. Notify the psychiatrist to get an order for an anxiety medication prn
b. Consult the social worker to provide community resources
c. Notify the psychologist that testing is necessary
d. Consult with the chaplain and describe the client's concerns - ANS-d;. On an inpatient
unit, a client diagnosed with borderline personality disorder is challenging other clients
and splitting staff.
Which response by the nurse reflects the nurse's role of milieu manager?
1. Setting strict limits and communicating these limits to all staff members
2. Using role-play to demonstrate ways of dealing with frustration
3. Seeking orders from the physician to force medications
4. Holding a group session on relationship skills - ANS-1;. The nurse is administering
risperidone to a client with schizophrenia who is scheduled to be discharged. Before
discharge,
which instruction should the nurse provide to the client?
a. Get adequate sunlight
b. Continue driving as usual
c. Avoid foods rich in potassium
d. Get up slowly when changing positions - ANS-d;. The nurse visits a client at home.
The client states. "I haven't slept at all the last couple of nights." Which response by the
nurse demonstrates therapeutic communication?
a. "I see."
b. "Really?"
c. "You're having difficulty sleeping?"
