Answers
A charge nurse is discussing the mental status examinations with a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding of the
teaching? (Select all that apply)
A. To assess cognitive ability, i should ask the client to count backward by sevens
B. To assess affect, i should observe the clients facial expression
C. To assess language ability, i should instruct client to write a sentence
D. To assess remote memory, i should have the client repeat a list of objects
E. To assess the clients abstract thinking, i should ask the client to identify our most recent
presidents - ANSWERSA, B, C
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy
B. Teach the client appropriate coping mechanisms
C. Assess the client for comorbid health conditions
D. Monitor the client for adverse effects of medications - ANSWERSD
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview.
When conducting the interview, which of the following actions should the nurse identify as the
priority?
A. Coordinate holistic care with social services
B. Identify the client's perception of their mental health status
C. Include the client's family in the interview
D. Teach the client about their current mental health disorder - ANSWERSB
, A nurse is planning a peer group discussion about the diagnostic and statistical manual of
mental disorders 5th edition (DSM-5). Which of the following information is appropriate to
include in the discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.
D. The DSM-5 assists nurse in planning care for clients who have mental health disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders. - ANSWERSB,
D, E
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?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a metal
rod
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - ANSWERSC
A nurse decides 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?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANSWERSB