RN MENTAL HEALTH ONLINE EXAM
QUESTIONS AND ANSWERS
A nurse in a mental health clinic is caring for a client who has bipolar disorder and
reports that they stopped taking lithium 2 weeks ago. the nurse should recognize
which of the following as an expected adverse effect that might have caused the
client to stop taking the medication? - Answer- Hand tremors
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5%
above their ideal body weight. Which of the following interventions should the nurse
include in the plan? - Answer- identify the client's trigger foods
A nurse is caring for a client whose child has a terminal illness. The client requests
information about how to deal with the upcoming loss. Which of the following
statements should the nurse make? - Answer- "It is not uncommon to feel angry
toward yourself or others."
A nurse in a mental health clinic is planning care for a client who has a new
prescription for olanzapine. Which of the following interventions should the nurse
identify as the priority? - Answer- Instruct the client to avoid driving during initial
therapy.
A nurse is counseling an adolescent who has anorexia nervosa and reports
excessive laxative use and a fear of gaining weight. The client states, "I'm so fat I
can't even stand to look at myself." Which of the following therapeutic responses
demonstrates the nurse's use of summarizing? - Answer- "You're saying that you
think you are fat and are using laxatives because you are afraid of gaining weight."
A nurse is admitting a client who has schizophrenia to an acute care setting. When
the nurse questions the client regarding their admission, the client states, "I'm red, in
the head, and I'm going to bed!" The nurse should document the client's speech
pattern as which of the following? - Answer- Clang association
A nurse is caring for a client who has alcohol use disorder.
Complete the following sentence by using the list of options.
The client is at greatest risk for _______ as evidenced by the client's ________ -
Answer- violent behavior
agitation
A nurse on a mental health unit is caring for a recently admitted client.
For each potential assessment finding, click to specify if it is a positive or negative
symptom of schizophrenia.
Delusions of grandeur
Absence of intonation in speech
Catatonia
, Withdrawal from social activities
Clang associations
Alogia - Answer- Positive symptoms: Delusions of grandeur, clang associations, and
catatonia
Negative symptoms: Absence of intonation in speech, alogia, and withdrawal from
social activities
A nurse on a mental health unit is admitting a client who has bipolar disorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's _______ due to the
client's _________ - Answer- cardiovascular injury
constant psychomotor activity
A nurse is caring for a client who is experiencing a situational crisis. Which of the
following findings should the nurse expect? - Answer- The client recently lost a
grandparent in a motor vehicle crash.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the
following laboratory findings should the nurse expect? - Answer- Increased creatine
phosphokinase (CPK)
A nurse is caring for an older adult client who has dementia and has wandered into
the day room looking for their deceased partner. Which of the following actions
should the nurse take? - Answer- Talk with the client about activities they enjoyed
with their partner.
A client who has a diagnosis of depression is attending group therapy. During the
group meeting, the nurse asks each member to identify one goal for the day. When it
is the client's turn, they do not respond. Which of the following actions should the
nurse take before repeating the request to the client? - Answer- Allow the client time
to formulate an answer.
During morning rounds, a nurse finds a client who has schizophrenia trembling and
tearful in their bed. The client reports that a bomb was placed in their room by a
family member during visiting hours. Which of the following actions should the nurse
take? - Answer- Assess the client for evidence of a perceptual disturbance.
A nurse is teaching a group of newly licensed nurses about the use of mechanical
restraints. Which of the following information should the nurse include in the
teaching? - Answer- Apply restraints when other means of managing the client's
behavior have failed.
A nurse is admitting a client who has alcohol use disorder. Which of the following
statements by the client indicates that the client is using denial as a defense
mechanism? - Answer- "I am able to go to work every day, so I don't have a
problem."
QUESTIONS AND ANSWERS
A nurse in a mental health clinic is caring for a client who has bipolar disorder and
reports that they stopped taking lithium 2 weeks ago. the nurse should recognize
which of the following as an expected adverse effect that might have caused the
client to stop taking the medication? - Answer- Hand tremors
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5%
above their ideal body weight. Which of the following interventions should the nurse
include in the plan? - Answer- identify the client's trigger foods
A nurse is caring for a client whose child has a terminal illness. The client requests
information about how to deal with the upcoming loss. Which of the following
statements should the nurse make? - Answer- "It is not uncommon to feel angry
toward yourself or others."
A nurse in a mental health clinic is planning care for a client who has a new
prescription for olanzapine. Which of the following interventions should the nurse
identify as the priority? - Answer- Instruct the client to avoid driving during initial
therapy.
A nurse is counseling an adolescent who has anorexia nervosa and reports
excessive laxative use and a fear of gaining weight. The client states, "I'm so fat I
can't even stand to look at myself." Which of the following therapeutic responses
demonstrates the nurse's use of summarizing? - Answer- "You're saying that you
think you are fat and are using laxatives because you are afraid of gaining weight."
A nurse is admitting a client who has schizophrenia to an acute care setting. When
the nurse questions the client regarding their admission, the client states, "I'm red, in
the head, and I'm going to bed!" The nurse should document the client's speech
pattern as which of the following? - Answer- Clang association
A nurse is caring for a client who has alcohol use disorder.
Complete the following sentence by using the list of options.
The client is at greatest risk for _______ as evidenced by the client's ________ -
Answer- violent behavior
agitation
A nurse on a mental health unit is caring for a recently admitted client.
For each potential assessment finding, click to specify if it is a positive or negative
symptom of schizophrenia.
Delusions of grandeur
Absence of intonation in speech
Catatonia
, Withdrawal from social activities
Clang associations
Alogia - Answer- Positive symptoms: Delusions of grandeur, clang associations, and
catatonia
Negative symptoms: Absence of intonation in speech, alogia, and withdrawal from
social activities
A nurse on a mental health unit is admitting a client who has bipolar disorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's _______ due to the
client's _________ - Answer- cardiovascular injury
constant psychomotor activity
A nurse is caring for a client who is experiencing a situational crisis. Which of the
following findings should the nurse expect? - Answer- The client recently lost a
grandparent in a motor vehicle crash.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the
following laboratory findings should the nurse expect? - Answer- Increased creatine
phosphokinase (CPK)
A nurse is caring for an older adult client who has dementia and has wandered into
the day room looking for their deceased partner. Which of the following actions
should the nurse take? - Answer- Talk with the client about activities they enjoyed
with their partner.
A client who has a diagnosis of depression is attending group therapy. During the
group meeting, the nurse asks each member to identify one goal for the day. When it
is the client's turn, they do not respond. Which of the following actions should the
nurse take before repeating the request to the client? - Answer- Allow the client time
to formulate an answer.
During morning rounds, a nurse finds a client who has schizophrenia trembling and
tearful in their bed. The client reports that a bomb was placed in their room by a
family member during visiting hours. Which of the following actions should the nurse
take? - Answer- Assess the client for evidence of a perceptual disturbance.
A nurse is teaching a group of newly licensed nurses about the use of mechanical
restraints. Which of the following information should the nurse include in the
teaching? - Answer- Apply restraints when other means of managing the client's
behavior have failed.
A nurse is admitting a client who has alcohol use disorder. Which of the following
statements by the client indicates that the client is using denial as a defense
mechanism? - Answer- "I am able to go to work every day, so I don't have a
problem."
