1.A nurse in an outpatient mental health clinic is preparing to conduct an initial
client interview. When conducting the interview, which of the following actions
should the nurse identify as the priority?
A. Coordinate holistic care with social services
B. Identify the client's perception of their mental health status
C. Include the client's family in the interview
D. Teach the client about their current mental health disorder
B
2.A nurse is planning care for a client who has a mental health disorder. Which of
the following actions should the nurse include as a psychobiological
intervention?
A. Assist the client with systematic desensitization therapy
B. Teach the client appropriate coping mechanisms
C. Assess the client for comorbid health conditions
D. Monitor the client for adverse effects of medications
D
3.A charge nurse is discussing the mental status examinations with a newly
licensed nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)
A. To assess cognitive ability, i should ask the client to count backward by
sevens
B. To assess affect, i should observe the clients facial expression
C. To assess language ability, i should instruct client to write a sentence
D. To assess remote memory, i should have the client repeat a list of objects
E. To assess the clients abstract thinking, i should ask the client to identify our
most recent presidents
A, B, C
4
A nurse is planning a peer group discussion about the diagnostic and statistical
manual of mental disorders 5th edition (DSM-5). Which of the following
information is appropriate to include in the discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental
health disorders.
D. The DSM-5 assists nurse in planning care for clients who have mental health
disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders.
, B, D, E
5
A nurse in an emergency mental health facility is caring for a group of clients.
The nurse should identify that which of the following clients requires a temporary
emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year
ago
C. A client who has borderline personality disorder and assaulted a homeless
man with a metal rod
D. A client who has bipolar disorder and paces quickly around the room while
talking to themselves
C
6
A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is very short staffed and the client frequently fights
with other clients. The nurses actions are an example of which of the following
torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery
B
7
A client tells a nurse "don't tell anyone but I hid a sharp knife under my mattress
in order to protect myself from my roommate who is always threatening me."
Which of the following actions should the nurse take?
A. Keep the clients communication confidential but talk to the client daily using
therapeutic communication to convince them to admit to hiding the knife
B. Keep the clients communication confidential but watch the client and their
roommate closely
C. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others
D. Report the incident to the health care team but do not inform the client of the
intention to do so
C
8
A nurse is caring for a client who is in mechanical restraints. Which of the
following statements should the nurse included in the documentation (select all)
A. Client ate most of their breakfast
B. Client was offered 8oz of water every hour
C. Client shouted obscenities at assistive personnel