Saunders PN Mental Health Exam With Complete
Questions And Correct Answers |Already Graded
A+
A client who has terminal cancer has been experiencing a significant increase in pain. However,
today the client is no longer complaining of pain but is quiet and isolative. Which types of
therapeutic communication should the nurse employ? Select all that apply. - answer: -Sit by
client's bed holding his or her hand.
-Reminisce with the client and share a humorous client enjoys
-The nurse asks: "What can I do...
-The nurse asks: "I noticed you grimacing...
-The nurse states: "It must be very frustrating...
The nurse caring for a client with schizophrenia prepares to document which signs/symptoms
exhibited by the client as negative? Select all that apply. - answer: -Avolition
-Anergia
The nurse is assessing a client who takes antipsychotic medication for which signs/symptoms
that might indicate the development of neuroleptic malignant syndrome? Select all that apply. -
answer: -Diaphoretic
-Temperature of 104.8
-Blood pressure of 210/130 mmHg
The nurse is caring for a client with an eating disorder and knows that which signs/symptoms
indicate that the client is dealing with anorexia nervosa? Select all that apply. - answer: -Lanugo
,-Amenorrhea
The nurse caring for a client who has been diagnosed with stage 3 Alzheimer's disease should
expect to observe which behaviors in this client? Select all that apply. - answer: -Misplacing a
valuable object
-Difficulty coming up with the right word
The nurse is educating a community group about risk factors for suicide and knows a member
needs further teaching when which criteria are chosen as risk factors? Select all that apply. -
answer: -Age less than 32 years
-Practicing a religion
-Married over 10 years
The nurse is caring for a client with depression in the mental health unit who is refusing to take
the prescribed oral antidepressant. Which are the nurse's best actions in response to this
client's medication refusal? Select all that apply. - answer: -Document the refusal of medication
-Notify the RN
-Ask the client why he is refusing the medication
Which nursing interventions are most helpful when caring for a client who is displaying
signs/symptoms of panic level anxiety? Select all that apply. - answer: -Speak slowly
-Use simple statements
-Provide the client with high-calorie beverages
The nurse is assessing a client with bipolar disorder who is taking lithium carbonate and who
has a lithium level of 1.7 mEq/L. The nurse would expect to find which sign/symptoms of lithium
toxicity associated with this level? Select all that apply. - answer: -Incoordination
-Mental confusion
-Muscle hyperirritability
,The licensed practical nurse is assisting in the admittance of a client who has been involuntarily
committed to the behavioral health unit. Which actions by the client before hospitalization led
to the commitment? Select all that apply. - answer: -Client threatened to commit suicide
-Client threatened to kidnap his spouse
The nurse is having a therapeutic discussion with a client and knows that which statements by
the client should be immediately reported to the charge nurse? Select all that apply. - answer: -I
hid my silverware from dinner last night
-I know that by this time tomorrow all my troubles will be over
The nurse is caring for a client with a somatic disorder and knows that which interventions
would be most helpful to this client? Select all that apply. - answer: -Reinforce the client's
problem-solving abilities
-Assess "secondary gains" that the somatic illness provides the client.
The nurse is caring for a client who has been diagnosed with a dissociative disorder. Which
interventions should the nurse use in providing care for the client? Select all that apply. -
answer: -Request that the client perform undemanding, self-care tasks
-Reinforce teaching the client techniques to maintain present reality
-Assist the client to reestablish relationships w/ significant others
The nurse is caring for a client who is hospitalized because of severe depression. Which
statements would be most helpful in assisting this client? Select all that apply. - answer: -I
notice you are wearing a blue shirt.
-Do you have any plans of harming yourself?
-I will sit here with you even if you choose not to talk with me.
, The nurse informs a client with an eating disorder about group meetings with Overeaters
Anonymous. Which statement by the client indicates the need for further teaching about this
self-help group? - answer: "The leader of this self-help group is the nurse or psychiatrist."
A client who was hospitalized for depression is being prepared by the nurse for discharge. In
evaluating the coping strategies learned during hospitalization, the nurse should recognize
which statement by the client is an indication that further teaching is needed? - answer: "I
know that I won't become depressed again."
The nurse is reviewing the health care record of a client admitted to the psychiatric unit. The
nurse notes that the admission nurse has documented that the client is experiencing anxiety as
a result of a situational crisis. The nurse should determine that this type of crisis could be
caused by which event? - answer: The death of a loved one
The nurse receives a telephone call from a male client who states that he wants to kill himself
and has a bottle of sleeping pills in front of him. Which would be the best response by the
nurse? - answer: Keep the client talking and signal to another staff member to send help to the
client.
A client with obsessive-compulsive disorder (OCD) who continually cleans the bathroom
becomes enraged with the roommate for using the bar of bathing soap for cleaning the
bathroom. The client begins to yell and slaps the roommate. Which action should the nurse take
first? - answer: Remove both clients to a separate, safe location.
The nurse reviews the treatment prescribed for a client with a mental health disorder. The nurse
understands that a form of psychotherapy in which the client enacts situations that are of
emotional significance is identified by which term? - answer: Psychodrama
A client is scheduled to have electroconvulsive therapy (ECT). Which information should the
nurse tell the client? - answer: Amnesia of events occurring near the period of the therapy is
common.
Questions And Correct Answers |Already Graded
A+
A client who has terminal cancer has been experiencing a significant increase in pain. However,
today the client is no longer complaining of pain but is quiet and isolative. Which types of
therapeutic communication should the nurse employ? Select all that apply. - answer: -Sit by
client's bed holding his or her hand.
-Reminisce with the client and share a humorous client enjoys
-The nurse asks: "What can I do...
-The nurse asks: "I noticed you grimacing...
-The nurse states: "It must be very frustrating...
The nurse caring for a client with schizophrenia prepares to document which signs/symptoms
exhibited by the client as negative? Select all that apply. - answer: -Avolition
-Anergia
The nurse is assessing a client who takes antipsychotic medication for which signs/symptoms
that might indicate the development of neuroleptic malignant syndrome? Select all that apply. -
answer: -Diaphoretic
-Temperature of 104.8
-Blood pressure of 210/130 mmHg
The nurse is caring for a client with an eating disorder and knows that which signs/symptoms
indicate that the client is dealing with anorexia nervosa? Select all that apply. - answer: -Lanugo
,-Amenorrhea
The nurse caring for a client who has been diagnosed with stage 3 Alzheimer's disease should
expect to observe which behaviors in this client? Select all that apply. - answer: -Misplacing a
valuable object
-Difficulty coming up with the right word
The nurse is educating a community group about risk factors for suicide and knows a member
needs further teaching when which criteria are chosen as risk factors? Select all that apply. -
answer: -Age less than 32 years
-Practicing a religion
-Married over 10 years
The nurse is caring for a client with depression in the mental health unit who is refusing to take
the prescribed oral antidepressant. Which are the nurse's best actions in response to this
client's medication refusal? Select all that apply. - answer: -Document the refusal of medication
-Notify the RN
-Ask the client why he is refusing the medication
Which nursing interventions are most helpful when caring for a client who is displaying
signs/symptoms of panic level anxiety? Select all that apply. - answer: -Speak slowly
-Use simple statements
-Provide the client with high-calorie beverages
The nurse is assessing a client with bipolar disorder who is taking lithium carbonate and who
has a lithium level of 1.7 mEq/L. The nurse would expect to find which sign/symptoms of lithium
toxicity associated with this level? Select all that apply. - answer: -Incoordination
-Mental confusion
-Muscle hyperirritability
,The licensed practical nurse is assisting in the admittance of a client who has been involuntarily
committed to the behavioral health unit. Which actions by the client before hospitalization led
to the commitment? Select all that apply. - answer: -Client threatened to commit suicide
-Client threatened to kidnap his spouse
The nurse is having a therapeutic discussion with a client and knows that which statements by
the client should be immediately reported to the charge nurse? Select all that apply. - answer: -I
hid my silverware from dinner last night
-I know that by this time tomorrow all my troubles will be over
The nurse is caring for a client with a somatic disorder and knows that which interventions
would be most helpful to this client? Select all that apply. - answer: -Reinforce the client's
problem-solving abilities
-Assess "secondary gains" that the somatic illness provides the client.
The nurse is caring for a client who has been diagnosed with a dissociative disorder. Which
interventions should the nurse use in providing care for the client? Select all that apply. -
answer: -Request that the client perform undemanding, self-care tasks
-Reinforce teaching the client techniques to maintain present reality
-Assist the client to reestablish relationships w/ significant others
The nurse is caring for a client who is hospitalized because of severe depression. Which
statements would be most helpful in assisting this client? Select all that apply. - answer: -I
notice you are wearing a blue shirt.
-Do you have any plans of harming yourself?
-I will sit here with you even if you choose not to talk with me.
, The nurse informs a client with an eating disorder about group meetings with Overeaters
Anonymous. Which statement by the client indicates the need for further teaching about this
self-help group? - answer: "The leader of this self-help group is the nurse or psychiatrist."
A client who was hospitalized for depression is being prepared by the nurse for discharge. In
evaluating the coping strategies learned during hospitalization, the nurse should recognize
which statement by the client is an indication that further teaching is needed? - answer: "I
know that I won't become depressed again."
The nurse is reviewing the health care record of a client admitted to the psychiatric unit. The
nurse notes that the admission nurse has documented that the client is experiencing anxiety as
a result of a situational crisis. The nurse should determine that this type of crisis could be
caused by which event? - answer: The death of a loved one
The nurse receives a telephone call from a male client who states that he wants to kill himself
and has a bottle of sleeping pills in front of him. Which would be the best response by the
nurse? - answer: Keep the client talking and signal to another staff member to send help to the
client.
A client with obsessive-compulsive disorder (OCD) who continually cleans the bathroom
becomes enraged with the roommate for using the bar of bathing soap for cleaning the
bathroom. The client begins to yell and slaps the roommate. Which action should the nurse take
first? - answer: Remove both clients to a separate, safe location.
The nurse reviews the treatment prescribed for a client with a mental health disorder. The nurse
understands that a form of psychotherapy in which the client enacts situations that are of
emotional significance is identified by which term? - answer: Psychodrama
A client is scheduled to have electroconvulsive therapy (ECT). Which information should the
nurse tell the client? - answer: Amnesia of events occurring near the period of the therapy is
common.
