PMH practice test 1 Questions 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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." Correct
Answers 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 Correct Answers 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."
Correct Answers 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
Correct Answers d
. 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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." Correct
Answers 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 Correct Answers 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."
Correct Answers 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
Correct Answers d
