PSYCH EXAM NEWEST VERSION
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A chArge nurse is discussing mentAl stAtus exAminAtions with A newly licensed nurse.
Which of the
following stAtements by the newly licensed nurse indicAtes An understAnding of the
teAching? (SATA)
A) To Assess cognitive Ability I should Ask the client to count bAckwArd by sevens
B) To Assess Affect, I should obscure the client's fAciAl expression
C) To Assess lAnguAge Ability, I should instruct the client to write A sentence
D) To Assess remote memory, I should hAve the client Assess our most recent presidents -
CORRECT ANSWER -A) To Assess cognitive Ability I should Ask the client to count bAckwArd
by sevens
B) To Assess Affect, I should obscure the client's fAciAl expression
C) To Assess lAnguAge Ability, I should instruct the client to write A sentence
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 - CORRECT ANSWER -D) Monitor the
client for Adverse effects of medicAtions
,A nurse in An outpAtient mentAl heAlth clinic is prepAring to conduct An initiAl 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 her mentAl heAlth stAtus
C) Include the client's fAmily in the interview
D) TeAch the client About her current mentAl heAlth disorder - CORRECT ANSWER -B)
Identify the client's perception of her mentAl heAlth stAtus
A nurse is plAnning A peer group discussion About the DiAgnostic And StAtisticAl MAnuAl of
MentAl
Disorders, 5th edition. Which of the following informAtion is AppropriAte to include in the
discussion?
(SATA)
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 nurses in plAnning cAre for client's who hAve mentAl heAlth disorders
E) The DSM-5 indicAtes expected Assessment findings of mentAl heAlth disorders - CORRECT
ANSWER -BDE
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
himself - CORRECT ANSWER -c
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 nurse's Actions
Are An exAmple
of which of the following torts?
A) InvAsion of privAcy
B) FAlse Imprisonment
C) AssAult
D) BAttery - CORRECT ANSWER -B
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 yelling At me And threAtening me." Which of the
following
Actions should the nurse tAke?
A) Keep the client's communicAtion confidentiAl, but tAlk to the client dAily, using
therApeutic
communicAtion to convince him to Admit to hiding the knife
B) Keep the client's communicAtion confidentiAl, but wAtch the client And his roommAte
closely
C) Tell the client thAt this must be reported to the heAlthcAre teAm becAuse it concerns the
heAlth And
sAfety of others
D) Report the incident to the heAlth cAre teAm, but do not inform the client of the intent to
do so - CORRECT ANSWER -C
A Nurse is cAring for A client who is in mechAnicAl restrAints. Which of the following
stAtements should
, the nurse include in the documentAtion? (SATA)
A) "Client Ate most of his breAkfAst"
B) "Client wAs offered 8oz of wAter every hour"
C) "Client shouted obscenities At Assistive personnel"
D) "Client received chlorpromAzine 15 mg by mouth At 1000."
E) "Client Acted out After lunch" - CORRECT ANSWER -BCD
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?
A) Notify the nurse mAnAger
B) Tell the nurse to stop discussing the behAvior
C) Provide An in-service progrAm About confidentiAlity
D) Complete And incident report - CORRECT ANSWER -B
A chArge nurse is conducting A clAss on therApeutic communicAtion to A group of newly
licensed
nurses. Which of the following Aspects of communicAtion should the nurse identify As A
component of
verbAl communicAtion?
A. PersonAl spAce
B. Posture
C. Eye contAct
D. IntonAtion - CORRECT ANSWER -D
A nurse is communicAting with A client on the Acute mentAl heAlth fAcility. The client
stAtes, "I cAn't
sleep. I stAy up All night." The nurse responds, "You Are hAving difficulty sleeping?" Which of
the