MENTAL HEALTH EXAM 2 PRACTICE
QUESTIONS ANSWERS
a nurse in an emergency mental health facility is caring for a group of clients. the nurse should
identify that which of the following clients requires a temporary emergency admission? -
ANSWERSA client who has borderline personality disorder and assaulted a homeless man with a
metal rod
A nurse decodes to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurses actions
are an example of which of the following torts? - ANSWERSFalse imprisonment
A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always threatening me". Which of the following
actions should the nurse take? - ANSWERSReport the incident to the healthcare team, but do
not inform the client of the intention to do so.
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? - ANSWERS"Client was offered 8oz of water
every hr."
"Client shouted obscenities at assistive personnel."
"Client acted out after lunch."
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first? - ANSWERSTell the
nurse to stop discussing the behavior
, A nurse is caring for a client who smokes and has lung cancer. the client reports, "I'm coughing
because I have that cold that everyone has been getting". The nurse should identify that the
client is using which of the following defense mechanisms? - ANSWERSDenial
A nurse is providing preoperative teaching for a client who was informed of the need for
emergency surgery. The client has a respiratory rate of 30/min. and says "This is difficult to
comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing
which of the following levels of anxiety? - ANSWERSModerate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client? -
ANSWERSDiscuss prior use of coping mechanisms with the client
A nurse is preparing an educational seminar on stress for other nursing staff. Which of the
following information should the nurse include in the discussion? - ANSWERSExcessive stressors
cause the client to experience distress
A nurse is discussing acute vs. prolonged stress with a client. Which of following effects should
the nurse identify as an acute stress response? - ANSWERSDepressed immune response
Increased blood pressure
Unhappiness
A nurse is teaching a client about stress-reduction techniques. Which of the following client
statements indicates understanding of the teaching? - ANSWERS"Cognitive reframing will help
me change my irrational thoughts to something positive".
A nurse is talking with a client who reports experiencing increased stress because a new partner
s "pressuring me and my kids to live with him, but I'm not ready to do that." Which of the
QUESTIONS ANSWERS
a nurse in an emergency mental health facility is caring for a group of clients. the nurse should
identify that which of the following clients requires a temporary emergency admission? -
ANSWERSA client who has borderline personality disorder and assaulted a homeless man with a
metal rod
A nurse decodes to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurses actions
are an example of which of the following torts? - ANSWERSFalse imprisonment
A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always threatening me". Which of the following
actions should the nurse take? - ANSWERSReport the incident to the healthcare team, but do
not inform the client of the intention to do so.
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? - ANSWERS"Client was offered 8oz of water
every hr."
"Client shouted obscenities at assistive personnel."
"Client acted out after lunch."
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first? - ANSWERSTell the
nurse to stop discussing the behavior
, A nurse is caring for a client who smokes and has lung cancer. the client reports, "I'm coughing
because I have that cold that everyone has been getting". The nurse should identify that the
client is using which of the following defense mechanisms? - ANSWERSDenial
A nurse is providing preoperative teaching for a client who was informed of the need for
emergency surgery. The client has a respiratory rate of 30/min. and says "This is difficult to
comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing
which of the following levels of anxiety? - ANSWERSModerate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client? -
ANSWERSDiscuss prior use of coping mechanisms with the client
A nurse is preparing an educational seminar on stress for other nursing staff. Which of the
following information should the nurse include in the discussion? - ANSWERSExcessive stressors
cause the client to experience distress
A nurse is discussing acute vs. prolonged stress with a client. Which of following effects should
the nurse identify as an acute stress response? - ANSWERSDepressed immune response
Increased blood pressure
Unhappiness
A nurse is teaching a client about stress-reduction techniques. Which of the following client
statements indicates understanding of the teaching? - ANSWERS"Cognitive reframing will help
me change my irrational thoughts to something positive".
A nurse is talking with a client who reports experiencing increased stress because a new partner
s "pressuring me and my kids to live with him, but I'm not ready to do that." Which of the
