Saunders PN Mental Health Practical Nursing
Diploma VANCOUVER ISLAND UNIVERSITY
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| NJXDG
EXAM REVIEW (BRAND NEW!!)
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
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 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.
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.
The nurse is assisting with creating a plan of care for the client in a crisis state. When developing
the plan, the nurse should consider which about a crisis response? - answer: A client's response
to a crisis is individualized, and what constitutes a crisis for one person may not constitute a
crisis for another person.
The nurse is monitoring a client who is in seclusion. Which statement would indicate that the
client is safe to come out of seclusion? - answer: "I don't feel like hurting myself anymore."
A visitor brings a suicidal client a brightly packaged gift. The nurse accompanies the visitor to
the client's room and takes which action? - answer: Has the client open the gift with the nurse
present
The nurse is working with a victim of rape in a clinic setting and assists in developing a plan of
care for the client. Which is an inappropriate short-term initial goal? - answer: The client will
resolve feelings of fear and anxiety related to the rape trauma.
A client arrives in the emergency department in a crisis state. The client demonstrates signs of
profound anxiety and is unable to focus on anything but the object of the crisis and the impact
on self. The initial data collection would focus on which information? - answer: The physical
condition of the client
Diploma VANCOUVER ISLAND UNIVERSITY
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| NJXDG
EXAM REVIEW (BRAND NEW!!)
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
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 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.
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.
The nurse is assisting with creating a plan of care for the client in a crisis state. When developing
the plan, the nurse should consider which about a crisis response? - answer: A client's response
to a crisis is individualized, and what constitutes a crisis for one person may not constitute a
crisis for another person.
The nurse is monitoring a client who is in seclusion. Which statement would indicate that the
client is safe to come out of seclusion? - answer: "I don't feel like hurting myself anymore."
A visitor brings a suicidal client a brightly packaged gift. The nurse accompanies the visitor to
the client's room and takes which action? - answer: Has the client open the gift with the nurse
present
The nurse is working with a victim of rape in a clinic setting and assists in developing a plan of
care for the client. Which is an inappropriate short-term initial goal? - answer: The client will
resolve feelings of fear and anxiety related to the rape trauma.
A client arrives in the emergency department in a crisis state. The client demonstrates signs of
profound anxiety and is unable to focus on anything but the object of the crisis and the impact
on self. The initial data collection would focus on which information? - answer: The physical
condition of the client
