NURS 3311 RN evidence-Based Practice in Mental Health Nursing
Assessment Questions and Answers
A nurse is teaching a group of adolescents about client who has schizophrenia
the effects of adverse childhood experiences
(ACEs). Which of the following statements
should the nurse include? A nurse is caring for a client who has a mental
illness. The client also vapes and has a history of
"There can be issues with brain development." tachycardia and high blood pressure. The nurse
should teach health promotion on which of the
"There is concern regarding medication adverse following topics? (Select all that apply.)
effects"
Tobacco/vaping
"There is concern about the ability to understand
the meaning of ACEs" Cardiovascular diet
"There are generally no effects from ACEs" - Medication adherence
- "There can be issues with brain
development." Adverse childhood experiences (ACES)
Regular exercise - - Tobacco/vaping
A nurse is caring for a client who has been Cardiovascular diet
sexually assaulted. Which of the following Medication adherence
actions should the nurse take first to develop a Regular exercise
therapeutic relationship with the client?
Orient the client to the unit schedule A nurse is caring for a client who has a serious
mental illness (SMI) and is recovering from
Maintain a safe milieu. substance use disorder. The client has been
taught that abstinence and looking at recovery as
Review the client's past mental health history. an ongoing process is the most effective way to
vlew recovery. The nurse should identify this
Assist the client in choosing goals for their facility model as which of the following?
stay. - - Maintain a safe milieu.
Harm Reduction model
A nurse in a mental health clinic is reviewing Social Ecological (SE) model
clients' medical records. Which of the following
clients should the nurse recognize as having a Rehabilitation model
serious mental illness (SMI)?
Trauma-informed care model - - Harm
A client who has schizophrenia Reduction model
A client who has anxiety
A nurse is caring for a client who states, "I hate
A client who has a fear of public speaking having to shower at night. At home, I shower in
the morning to start my day." Which of the
A client who was arrested for a DUI - -A following responses should the nurse give to
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, NURS 3311 RN evidence-Based Practice in Mental Health Nursing
Assessment Questions and Answers
focus on client-centered care?
Coordination of care
"We have other clients who are on the morning
shower list at this time, so you will need to Consultation
shower in the evening."
Biological therapies - - Coordination of care
"We can arrange for you to take your showers in
the morning."
A nurse is assessing a client who has
"Does it really make much difference what time schizophrenia with an exacerbation of auditory
you shower?" hallucinations. The client is from a culture that
stigmatizes mental health concerns. Which of the
"You should shower at night, so you can go to following responses should the nurse expect
bed clean." - - "We can arrange for you to when they ask about the nature and frequency of
take your showers in the morning." the hallucinations?
The client will be silent and give no eye contact.
A nurse is asked to evaluate a quantitative study
to help prepare for an in-service about client The client will smile and give a detailed
aggression. Which of the following studies should explanation of the hallucinations.
the nurse evaluate?
The client will give an angry look and yell that
A formal research review of studies on IM they do not have hallucinations.
medications for client aggression
The client will give eye contact and cry out saying
A study surveying the opinions of the nursing they hear voices now. - - The client will be
staff who are administering fewer IM medications silent and give no eye contact.
for client aggression
A study reporting a reduction in the use of IM A nurse on a mental health unit administered an
medication for client aggression. antipsychotic medication to a combative client.
The nurse goes to assess the client 30 min later
A study looking at thoughts and feelings from and finds the client sleeping in their room. Which
clients who received IM medications for of the following Standards of Practice is the nurse
aggression - - A study reporting a demonstrating?
reduction in the use of IM medication for client
aggression. Standard 1 Assessment
Standard 3 Outcomes Identification
A nurse on an Inpatient mental health unit is is
providing care to clients. Which of the following Standard 4 Planning
actions by the nurse is within the scope of
practice for an RN on this unit? Standard 6 Evaluation - - Standard 6
Evaluation
Psychotherapy
2/6
Assessment Questions and Answers
A nurse is teaching a group of adolescents about client who has schizophrenia
the effects of adverse childhood experiences
(ACEs). Which of the following statements
should the nurse include? A nurse is caring for a client who has a mental
illness. The client also vapes and has a history of
"There can be issues with brain development." tachycardia and high blood pressure. The nurse
should teach health promotion on which of the
"There is concern regarding medication adverse following topics? (Select all that apply.)
effects"
Tobacco/vaping
"There is concern about the ability to understand
the meaning of ACEs" Cardiovascular diet
"There are generally no effects from ACEs" - Medication adherence
- "There can be issues with brain
development." Adverse childhood experiences (ACES)
Regular exercise - - Tobacco/vaping
A nurse is caring for a client who has been Cardiovascular diet
sexually assaulted. Which of the following Medication adherence
actions should the nurse take first to develop a Regular exercise
therapeutic relationship with the client?
Orient the client to the unit schedule A nurse is caring for a client who has a serious
mental illness (SMI) and is recovering from
Maintain a safe milieu. substance use disorder. The client has been
taught that abstinence and looking at recovery as
Review the client's past mental health history. an ongoing process is the most effective way to
vlew recovery. The nurse should identify this
Assist the client in choosing goals for their facility model as which of the following?
stay. - - Maintain a safe milieu.
Harm Reduction model
A nurse in a mental health clinic is reviewing Social Ecological (SE) model
clients' medical records. Which of the following
clients should the nurse recognize as having a Rehabilitation model
serious mental illness (SMI)?
Trauma-informed care model - - Harm
A client who has schizophrenia Reduction model
A client who has anxiety
A nurse is caring for a client who states, "I hate
A client who has a fear of public speaking having to shower at night. At home, I shower in
the morning to start my day." Which of the
A client who was arrested for a DUI - -A following responses should the nurse give to
1/6
, NURS 3311 RN evidence-Based Practice in Mental Health Nursing
Assessment Questions and Answers
focus on client-centered care?
Coordination of care
"We have other clients who are on the morning
shower list at this time, so you will need to Consultation
shower in the evening."
Biological therapies - - Coordination of care
"We can arrange for you to take your showers in
the morning."
A nurse is assessing a client who has
"Does it really make much difference what time schizophrenia with an exacerbation of auditory
you shower?" hallucinations. The client is from a culture that
stigmatizes mental health concerns. Which of the
"You should shower at night, so you can go to following responses should the nurse expect
bed clean." - - "We can arrange for you to when they ask about the nature and frequency of
take your showers in the morning." the hallucinations?
The client will be silent and give no eye contact.
A nurse is asked to evaluate a quantitative study
to help prepare for an in-service about client The client will smile and give a detailed
aggression. Which of the following studies should explanation of the hallucinations.
the nurse evaluate?
The client will give an angry look and yell that
A formal research review of studies on IM they do not have hallucinations.
medications for client aggression
The client will give eye contact and cry out saying
A study surveying the opinions of the nursing they hear voices now. - - The client will be
staff who are administering fewer IM medications silent and give no eye contact.
for client aggression
A study reporting a reduction in the use of IM A nurse on a mental health unit administered an
medication for client aggression. antipsychotic medication to a combative client.
The nurse goes to assess the client 30 min later
A study looking at thoughts and feelings from and finds the client sleeping in their room. Which
clients who received IM medications for of the following Standards of Practice is the nurse
aggression - - A study reporting a demonstrating?
reduction in the use of IM medication for client
aggression. Standard 1 Assessment
Standard 3 Outcomes Identification
A nurse on an Inpatient mental health unit is is
providing care to clients. Which of the following Standard 4 Planning
actions by the nurse is within the scope of
practice for an RN on this unit? Standard 6 Evaluation - - Standard 6
Evaluation
Psychotherapy
2/6
