RN Mental Health Online Practice A Questions and Answers
Rated A
A nurse is establishing a therapeutic relationship A nurse in a community health center is working
with a client who has antisocial personality with a group of clients who have post-traumatic
disorder. Which of the following strategies should stress disorder. Which of the following
the nurse use when communicating with this interventions should the nurse include to reduce
client? anxiety among the group members?
Behave in a friendly manner toward the client Response prevention
Set realistic limits on the client's behavior Guided imagery
Show respect for the client's need for isolation Aversion therapy
Act as a role model for assertiveness - - Light therapy - - Guided imagery
Set realistic limits on the clients behavior
Guided imagery involves assisting the client to
Clients who have antisocial personality disorder imagine a restful and safe place. This method is
can seem to be in control of their behavior, but effective in reducing anxiety in clients who have
are manipulative and impulsive and can post-traumatic stress disorder.
suddenly become aggressive and assaultive.
The nurse should establish clear limits on
specific aggressive and demanding behaviors. A nurse is performing a cognitive assessment to
distinguish delirium from dementia in a client
whose family reports episodes of confusion.
A nurse is caring for a child who has conducted Which of the following assessment findings
disorder and is behaving in a destructive manner, supports the nurse's suspicion of delirium?
throwing objects, and kicking others. Which of
the following therapeutic nursing interventions is Slow onset
the priority?
Aphasia
Encourage expression of feelings
Confabulation
Support the child's attendance at an
assertiveness training group Easily distracted - - Easily distracted
Assist the child to perform relaxation breathing Extreme distractibility is a hallmark manifestation
of delirium.
Reduce environmental stimuli - - Reduce
environmental stimuli
A nurse is caring for an older adult client who
The greatest risk to the child and others is harm. begins to cry and states, "I knew God would
Therefore, the nurse's priority intervention is to punish me and I deserve this horrible sickness!"
reduce environmental stimuli in an attempt to de- Which of the following responses should the
escalate the behavior and prevent injury. nurse make?
"Why do you think you deserve this punishment?"
,RN Mental Health Online Practice A Questions and Answers
Rated A
having multiple sexual partners.
"Don't worry about being punished by God."
A client who has depression reports having a lack
"Let's talk about what is upsetting you." of interest in assisting their partner in the care of
their children.
"You shouldn't say things that will upset you so
much." - - "Let's talk about what is A client who has borderline personality disorder
upsetting you." threatened to harm their roommate.
The nurse is acknowledging the client's concerns An adolescent client who has anorexia nervosa
and is showing a desire to understand what the has a BMI of 17. - - A client who has
client is thinking and feeling. borderline personality disorder threatened to
harm their roommate.
A client who has a recent diagnosis of bipolar Manifestations of borderline personality disorder
disorder is placed in a room with a client who has include disturbed interpersonal relationships
severe depression. The client who has accompanied by threats and other-directed
depression reports to the nurse, "My roommate violence. While it is important for the nurse to
never sleeps and keeps me up, too." Which of maintain the client's confidentiality, on occasions
the following actions should the nurse take? when another individual's life might be in danger,
the nurse is required by law to report it to
Move the client who has bipolar disorder to a authorities.
private room
Administer sleep medication to the client who A nurse is planning discharge teaching with a
has bipolar disorder. new family member of a client who has a new
diagnosis of depression. Which of the following
Move the client who has severe depression to a information about relapse should the nurse
private room. include?
Administer sleep medication to the client who Additional acute episodes of depression are
has severe depression. - - Move the client unlikely following inpatient care.
who has bipolar disorder to a private room.
Early identification of changes, such as
Clients who have bipolar disorder can disrupt the decreased social involvement, is important.
therapeutic milieu for other clients. Therefore, the
nurse should move this client to a private room. Medication compliance will prevent further need
for inpatient hospitalization.
A nurse is caring for a group of clients. Which of It is helpful to regularly reinforce to the client that
the following findings is he nurse required to things will get better. - - Early identification
report? of changes, such as decreased social
involvement, is important.
A client who has bipolar disorder and tested
positive for genital herpes simplex virus reports Decreased social involvement is a manifestation
, RN Mental Health Online Practice A Questions and Answers
Rated A
of depression, and early identification of findings
can lead to early intervention.
A nurse is assessing a client who has
schizophrenia. Which of the following findings
A nurse is assessing a client for risk factors for should hte nurse document as a negative
the development of depression. The nurse symptom of this disorder?
should identify that which of the following factors
places the client at an increased risk for Delusions
depression?
Neologisms
The client is married.
Anhedonia
The client has recently been promoted at work.
Echopraxia - - Anhedonia
The client has COPD.
Negative symptoms of schizophrenia affect a
The client was assigned male at birth. - - person's ability to interact with others and are
The client has COPD. less dominant than positive symptoms. These
symptoms develop over time. Examples of
The nurse should identify that clients who have a negative symptoms include flat affect, anergia
chronic medical illness are at an increased risk (lack of energy), anhedonia (inability to enjoy
for the development of depression. otherwise pleasurable activities), and thought
blocking.
A school nurse is assessing a school-age child
who experienced the traumatic loss of a parent 8 A nurse is assessing a client who recently used
months ago. Which of the following findings cocaine. Which of the following findings should
should the nurse identify as an indication that the the nurse expect?
child is experiencing post-traumatic stress
disorder (PTSD)? Polyphagia
Clinging behaviors directed toward a teacher Hypertension
Increased time spent sleeping Decreased temperature
Intense focus on school work Depressed mood - - Hypertension
Lack of interest in an upcoming holiday - - Cocaine is a stimulant that increases blood
Lack of interest in an upcoming holiday pressure.
The child who has PTSD will have negative
moods and difficulty remembering aspects of the A nurse on an acute mental health facility is
traumatic event. The child can also have a loss receiving a change-of-shift reports for four clients.
of interest or lack of participation in significant Which of the following clients should the nurse.
activities and events such as holidays.
Rated A
A nurse is establishing a therapeutic relationship A nurse in a community health center is working
with a client who has antisocial personality with a group of clients who have post-traumatic
disorder. Which of the following strategies should stress disorder. Which of the following
the nurse use when communicating with this interventions should the nurse include to reduce
client? anxiety among the group members?
Behave in a friendly manner toward the client Response prevention
Set realistic limits on the client's behavior Guided imagery
Show respect for the client's need for isolation Aversion therapy
Act as a role model for assertiveness - - Light therapy - - Guided imagery
Set realistic limits on the clients behavior
Guided imagery involves assisting the client to
Clients who have antisocial personality disorder imagine a restful and safe place. This method is
can seem to be in control of their behavior, but effective in reducing anxiety in clients who have
are manipulative and impulsive and can post-traumatic stress disorder.
suddenly become aggressive and assaultive.
The nurse should establish clear limits on
specific aggressive and demanding behaviors. A nurse is performing a cognitive assessment to
distinguish delirium from dementia in a client
whose family reports episodes of confusion.
A nurse is caring for a child who has conducted Which of the following assessment findings
disorder and is behaving in a destructive manner, supports the nurse's suspicion of delirium?
throwing objects, and kicking others. Which of
the following therapeutic nursing interventions is Slow onset
the priority?
Aphasia
Encourage expression of feelings
Confabulation
Support the child's attendance at an
assertiveness training group Easily distracted - - Easily distracted
Assist the child to perform relaxation breathing Extreme distractibility is a hallmark manifestation
of delirium.
Reduce environmental stimuli - - Reduce
environmental stimuli
A nurse is caring for an older adult client who
The greatest risk to the child and others is harm. begins to cry and states, "I knew God would
Therefore, the nurse's priority intervention is to punish me and I deserve this horrible sickness!"
reduce environmental stimuli in an attempt to de- Which of the following responses should the
escalate the behavior and prevent injury. nurse make?
"Why do you think you deserve this punishment?"
,RN Mental Health Online Practice A Questions and Answers
Rated A
having multiple sexual partners.
"Don't worry about being punished by God."
A client who has depression reports having a lack
"Let's talk about what is upsetting you." of interest in assisting their partner in the care of
their children.
"You shouldn't say things that will upset you so
much." - - "Let's talk about what is A client who has borderline personality disorder
upsetting you." threatened to harm their roommate.
The nurse is acknowledging the client's concerns An adolescent client who has anorexia nervosa
and is showing a desire to understand what the has a BMI of 17. - - A client who has
client is thinking and feeling. borderline personality disorder threatened to
harm their roommate.
A client who has a recent diagnosis of bipolar Manifestations of borderline personality disorder
disorder is placed in a room with a client who has include disturbed interpersonal relationships
severe depression. The client who has accompanied by threats and other-directed
depression reports to the nurse, "My roommate violence. While it is important for the nurse to
never sleeps and keeps me up, too." Which of maintain the client's confidentiality, on occasions
the following actions should the nurse take? when another individual's life might be in danger,
the nurse is required by law to report it to
Move the client who has bipolar disorder to a authorities.
private room
Administer sleep medication to the client who A nurse is planning discharge teaching with a
has bipolar disorder. new family member of a client who has a new
diagnosis of depression. Which of the following
Move the client who has severe depression to a information about relapse should the nurse
private room. include?
Administer sleep medication to the client who Additional acute episodes of depression are
has severe depression. - - Move the client unlikely following inpatient care.
who has bipolar disorder to a private room.
Early identification of changes, such as
Clients who have bipolar disorder can disrupt the decreased social involvement, is important.
therapeutic milieu for other clients. Therefore, the
nurse should move this client to a private room. Medication compliance will prevent further need
for inpatient hospitalization.
A nurse is caring for a group of clients. Which of It is helpful to regularly reinforce to the client that
the following findings is he nurse required to things will get better. - - Early identification
report? of changes, such as decreased social
involvement, is important.
A client who has bipolar disorder and tested
positive for genital herpes simplex virus reports Decreased social involvement is a manifestation
, RN Mental Health Online Practice A Questions and Answers
Rated A
of depression, and early identification of findings
can lead to early intervention.
A nurse is assessing a client who has
schizophrenia. Which of the following findings
A nurse is assessing a client for risk factors for should hte nurse document as a negative
the development of depression. The nurse symptom of this disorder?
should identify that which of the following factors
places the client at an increased risk for Delusions
depression?
Neologisms
The client is married.
Anhedonia
The client has recently been promoted at work.
Echopraxia - - Anhedonia
The client has COPD.
Negative symptoms of schizophrenia affect a
The client was assigned male at birth. - - person's ability to interact with others and are
The client has COPD. less dominant than positive symptoms. These
symptoms develop over time. Examples of
The nurse should identify that clients who have a negative symptoms include flat affect, anergia
chronic medical illness are at an increased risk (lack of energy), anhedonia (inability to enjoy
for the development of depression. otherwise pleasurable activities), and thought
blocking.
A school nurse is assessing a school-age child
who experienced the traumatic loss of a parent 8 A nurse is assessing a client who recently used
months ago. Which of the following findings cocaine. Which of the following findings should
should the nurse identify as an indication that the the nurse expect?
child is experiencing post-traumatic stress
disorder (PTSD)? Polyphagia
Clinging behaviors directed toward a teacher Hypertension
Increased time spent sleeping Decreased temperature
Intense focus on school work Depressed mood - - Hypertension
Lack of interest in an upcoming holiday - - Cocaine is a stimulant that increases blood
Lack of interest in an upcoming holiday pressure.
The child who has PTSD will have negative
moods and difficulty remembering aspects of the A nurse on an acute mental health facility is
traumatic event. The child can also have a loss receiving a change-of-shift reports for four clients.
of interest or lack of participation in significant Which of the following clients should the nurse.
activities and events such as holidays.
