TEST BANK 500+ QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
Question 1
A charge nurse is discussing mental status examinations with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indicates a need for further teaching?
A) "To assess cognitive ability, I should ask the client to count backward by
7."
B) "To assess affect, I should observe 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 repeat a list of
objects."
E) "To assess mood, I should ask the client how they are feeling."
Correct Answer: D) "To assess remote memory, I should have the client
repeat a list of objects."
Rationale: Asking the client to repeat a list of objects is appropriate
to assess immediate, rather than remote, memory. Remote memory
would involve asking about past events (e.g., date of birth, mother's
maiden name).
Question 2
A nurse is planning care for a client who has a mental health disorder. Which
of the following is appropriate to 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.
E) Provide individual counseling sessions.
Correct Answer: D) Monitor the client for adverse effects of
medications.
,Rationale: Monitoring for adverse effects of medications is an
example of a psychobiological intervention, as it involves the
physiological effects of drug therapy on the body and brain.
Assisting with systematic desensitization therapy is a cognitive and
behavioral intervention. Teaching appropriate coping mechanisms is
counseling or health teaching. Assessing for comorbid health
conditions is health promotion and maintenance.
Question 3
A nurse in an outpatient mental health clinic is preparing to conduct an initial
client interview. When conducting the interview, which of the following is the
highest priority action?
A) Respect the client's need for personal space.
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.
E) Gather demographic information.
Correct Answer: B) Identify the client's perception of her mental
health status.
Rationale: Assessment is the priority action when taking a nursing
process approach. Identifying the client's perception of her mental
health status provides important information about the client's
psychosocial history and serves as a starting point for care
planning. While respecting personal space is appropriate, it's not
the highest priority for initial assessment.
Question 4
A nurse is told during change-of-shift report that a client is stuporous. When
assessing the client, which of the following is an expected finding?
A) The client arouses briefly in response to a sternal rub.
B) The client has a Glasgow Coma Scale score less than 7.
C) The client exhibits decorticate rigidity.
, D) The client is alert but disoriented to time and place.
E) The client responds to verbal commands.
Correct Answer: A) The client arouses briefly in response to a sternal
rib.
Rationale: A client who is stuporous requires vigorous or painful
stimuli (such as a sternal rub) to elicit a brief response. A GCS score
less than 7 indicates a comatose level of consciousness, and
abnormal posturing (like decorticate rigidity) is also associated with
coma, not stupor. A stuporous client is not alert.
Question 5
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 is appropriate to include in the discussion? (Select all that apply.)
A) The DSM-5 is used to identify mental health disorders.
B) The DSM-5 establishes diagnostic criteria.
C) The DSM-5 indicates recommended pharmacological treatment.
D) The DSM-5 assists nurses in planning care.
E) The DSM-5 indicates expected assessment findings.
Correct Answer: A) A
B) B
D) D
E) E
Rationale: The DSM-5 is used as a diagnostic tool to identify mental
health disorders, establishes diagnostic criteria, assists nurses in
planning, implementing, and evaluating care, and identifies
expected assessment findings for mental health disorders. It
does not indicate specific pharmacological treatment
recommendations.
Question 6
Which of the following is an example of a client who requires emergency