Mental Health Nursing Exam 1 - Jersey College STUDY GUIDE EXAM 1
2025-2026 \NEWEST VERSION WITH UPDATED QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED ANSWERS ALREADY
GRADE A+\\LATEST UPDATE
A client who has been taking rapid heartbeat or anxiety
busprione for 1 month
returns to the clinic for a
follow up assessment. The
nurse determines that the
medication is effective if
the absence of which
manifestation has
occurred?
A client taking lithium toxic
reports vomiting,
abdominal pain, diarrhea,
blurred vision, tinnitus, and
tremors. The lithium level is
2.5 mEq/L. The nurse plans
the care based on which
representation of this
level?
Therapeutic level of lithium? < 0.4 to 1 mEq/L
A client gives the home frequent hand washing with hot,
health nurse a bottle of soapy water. TCA used to
clomipramine. The nurse treat OCD
notes that the medication
has not been taken by the
client in 2 months. Which
behavior observed in the
client would validate
noncompliance with this
medication?
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,8/16/25, 3:00 AM Mental Health Nursing Exam 1 - Jersey College
Excessive amounts of seizures
bupropion
(Wellbutrin) can
cause ___________ ?
Example of a situational crisis? the death of a loved one
-witnessing a murder
-the death of a loved one
-a fire that destroyed the
client's home
-a recent rape episode
experienced by the client
The nurse is creating a plan A client's response to a crisis is individualized and what
of care for a client in a crisis constitutes a crisis for one client may not constitute a
state. When developing the crisis for another client.
plan, the nurse should
consider which factor?
Difference between overt overt - obvious and direct
and covert statements? statements covert -
indirect statements
SAD PERSONS Scale
Commonly used in
0-5 may be safe to discharge
emergency departments
6-8 probably requires psychiatric consultation
and helps staff to quickly
>8 probably requires hospital admission, voluntary or
evaluate the urgency of
involuntary (need 2 psychiatrists)
referral to mental health
sources or protective
care?
The emergency department information regarding shelters
nurse is caring for an adult
client who is a victim of
family violence. Which
priority instruction should be
included in the discharge
instructions?
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, 8/16/25, 3:00 AM Mental Health Nursing Exam 1 - Jersey College
A female victim of sexual "Tell me more about the incident that causes you to feel like the
assault is being seen in the rape just occurred."
crisis center. The client
states that she feels "as
though the rape just
happened yesterday", even
though it has been a few
months since the
incident.
Which is the most
appropriate nursing
response?
Which interventions are -monitor vital signs
most appropriate for -provide a safe environment
-address hallucinations therapeutically
caring for a client in
-provide reality orientation as appropriate
alcohol withdrawal? SATA
-monitor vital signs
-provide a safe
environment
-address hallucinations
therapeutically
-provide stimulation in the
environment
-provide reality orientation
as appropriate
-maintain NPO status
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