PN MENTAL HEALTH PROCTORED EXAM P a g e |
1
PN MENTAL HEALTH PROCTORED EXAM 1
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
A client has been attending weekly outpatient psychotherapy sessions for several months. The nurse
psychotherapist has been working with the client to help lessen obsessive-compulsive behaviors that
have interfered with the client's work performance. What information about the client best validates
the client's improvement?
1
She states that she spends less time on ritualistic behaviors while at work.
2
She discusses techniques she uses to provide distraction from obsessive thoughts.
3
She reports spending an increased amount of time with friends in pleasurable activities.
4
P a g e 1 | 433
, PN MENTAL HEALTH PROCTORED EXAM P a g e |
2
She receives a letter from a supervisor at work stating that her job performance has improved. –
Correct Answer :4The letter provides objective validation that the client's work performance has
improved. Although spending less time at work on compulsive behavior, coming up with techniques
to lessen the need for the behavior, and spending more time with friends in pleasurable activities are
all acceptable outcomes of therapy, they all represent subjective information reported by the client.
When caring for clients with the diagnosis of anorexia nervosa or bulimia nervosa, it is important that
the nurse understand the sociocultural influences related to eating disorders in the United States.
What are these influences? Select all that apply.
1
Diet industry
2
Fashion trends
3
Fast food industry
4
Over-the-counter medications
5
Competitive women's athletics –
Correct Answer :125
Weight management moved into the mainstream in the 1950s and increased its momentum with the
fitness industry in the 1980s and 1990s. In the new century, women are constantly bombarded by the
media with products and programs that are designed to help them attain the perfect body, which for
most women is unrealistic. Since the 1960s the trend in fashion has been toward thinness, with fabrics
that cling and styles that reveal the body. Print and movie media, including advertising, are focused on
a thin, perfect ideal that is unattainable for most women. Several women's sports, such as gymnastics
and figure skating, emphasize low body weights, and so does ballet. These demands may lead to
eating disorders in girls and women who wish to compete. Although some people with bulimia
nervosa may eat fast food, the fast food industry is unrelated to the origin of anorexia nervosa or
bulimia nervosa. Although some people with eating disorders use over-the-counter medications,
particularly laxatives, over-the-counter medications are unrelated to the origin of eating disorders.
P a g e 2 | 433
, PN MENTAL HEALTH PROCTORED EXAM P a g e |
3
The nurse is leading a relapse-prevention group for clients who experience bipolar disorder manic
episodes. Which strategies should the nurse teach to help prevent or identify impending relapse?
Select all that apply.
1
Watch for changes in libido.
2
Keep dietary changes to a minimum.
3
Maintain a regular sleeping schedule.
4
Plan multiple varied activities every day.
5
Monitor yourself for increased irritability or mood instability –
Correct Answer :1235Increased sex drive often indicates the beginning of a manic episode. Changes in
the eating pattern can trigger a manic episode. Changes in the sleeping pattern may increase anxiety
and trigger a manic episode. An elevated, expansive, or irritable mood often indicates the beginning of
a manic episode. Too many activities may be too stimulating and precipitate a manic episode. Simple,
repetitive routines should be followed to limit change or anxiety.
A disturbed male client, unprovoked, attacks another client. A short-term initial plan for this client
should include:
1
Placing the client in restraints or secluding the client
2
Keeping the client actively participating in activities and in contact with reality
3
Getting the client to apologize for the attack to the other client and to show remorse
P a g e 3 | 433
, PN MENTAL HEALTH PROCTORED EXAM P a g e |
4
4
Having the client sit with a staff member in whom he trusts –
Correct Answer :4The client needs someone with whom he has a working and trusting relationship;
this individual must observe, protect, anticipate, and prevent the client from acting out destructive
impulses. Restraints or seclusion may eventually be necessary, but they are too restrictive for an initial
intervention. Although there is a need to keep clients in touch with reality, this client may not be ready
for participation. At this time the client cannot be held responsible for his aggressive behavior.
An older client with the diagnosis of dementia of the Alzheimer type is admitted to a long-term care
facility. When planning care for this client, the nurse recalls that confusion:
1
Will be unchanged despite reality orientation
2
Is a common finding and is expected with aging
3
Results from brain changes that make interventions futile
4
Occurs with a transfer to new surroundings –
Correct Answer :4
A change in environment and introduction of unfamiliar stimuli precipitate confusion in clients with
dementia-type disorders; with appropriate intervention, including frequent reorientation, confusion
can be reduced. Reality orientation can reduce confusion when these clients are confronted with
unfamiliar surroundings. The assertions that reality orientation is ineffective, that confusion is an
expected finding in aging, and that brain changes in dementia make interventions futile are all untrue.
During a nursing team conference, a mental health worker suggests that a client with schizophrenia,
paranoid type, be assigned to group therapy. What should the nurse manager explain about this type
of therapy for this client?
P a g e 4 | 433
1
PN MENTAL HEALTH PROCTORED EXAM 1
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
A client has been attending weekly outpatient psychotherapy sessions for several months. The nurse
psychotherapist has been working with the client to help lessen obsessive-compulsive behaviors that
have interfered with the client's work performance. What information about the client best validates
the client's improvement?
1
She states that she spends less time on ritualistic behaviors while at work.
2
She discusses techniques she uses to provide distraction from obsessive thoughts.
3
She reports spending an increased amount of time with friends in pleasurable activities.
4
P a g e 1 | 433
, PN MENTAL HEALTH PROCTORED EXAM P a g e |
2
She receives a letter from a supervisor at work stating that her job performance has improved. –
Correct Answer :4The letter provides objective validation that the client's work performance has
improved. Although spending less time at work on compulsive behavior, coming up with techniques
to lessen the need for the behavior, and spending more time with friends in pleasurable activities are
all acceptable outcomes of therapy, they all represent subjective information reported by the client.
When caring for clients with the diagnosis of anorexia nervosa or bulimia nervosa, it is important that
the nurse understand the sociocultural influences related to eating disorders in the United States.
What are these influences? Select all that apply.
1
Diet industry
2
Fashion trends
3
Fast food industry
4
Over-the-counter medications
5
Competitive women's athletics –
Correct Answer :125
Weight management moved into the mainstream in the 1950s and increased its momentum with the
fitness industry in the 1980s and 1990s. In the new century, women are constantly bombarded by the
media with products and programs that are designed to help them attain the perfect body, which for
most women is unrealistic. Since the 1960s the trend in fashion has been toward thinness, with fabrics
that cling and styles that reveal the body. Print and movie media, including advertising, are focused on
a thin, perfect ideal that is unattainable for most women. Several women's sports, such as gymnastics
and figure skating, emphasize low body weights, and so does ballet. These demands may lead to
eating disorders in girls and women who wish to compete. Although some people with bulimia
nervosa may eat fast food, the fast food industry is unrelated to the origin of anorexia nervosa or
bulimia nervosa. Although some people with eating disorders use over-the-counter medications,
particularly laxatives, over-the-counter medications are unrelated to the origin of eating disorders.
P a g e 2 | 433
, PN MENTAL HEALTH PROCTORED EXAM P a g e |
3
The nurse is leading a relapse-prevention group for clients who experience bipolar disorder manic
episodes. Which strategies should the nurse teach to help prevent or identify impending relapse?
Select all that apply.
1
Watch for changes in libido.
2
Keep dietary changes to a minimum.
3
Maintain a regular sleeping schedule.
4
Plan multiple varied activities every day.
5
Monitor yourself for increased irritability or mood instability –
Correct Answer :1235Increased sex drive often indicates the beginning of a manic episode. Changes in
the eating pattern can trigger a manic episode. Changes in the sleeping pattern may increase anxiety
and trigger a manic episode. An elevated, expansive, or irritable mood often indicates the beginning of
a manic episode. Too many activities may be too stimulating and precipitate a manic episode. Simple,
repetitive routines should be followed to limit change or anxiety.
A disturbed male client, unprovoked, attacks another client. A short-term initial plan for this client
should include:
1
Placing the client in restraints or secluding the client
2
Keeping the client actively participating in activities and in contact with reality
3
Getting the client to apologize for the attack to the other client and to show remorse
P a g e 3 | 433
, PN MENTAL HEALTH PROCTORED EXAM P a g e |
4
4
Having the client sit with a staff member in whom he trusts –
Correct Answer :4The client needs someone with whom he has a working and trusting relationship;
this individual must observe, protect, anticipate, and prevent the client from acting out destructive
impulses. Restraints or seclusion may eventually be necessary, but they are too restrictive for an initial
intervention. Although there is a need to keep clients in touch with reality, this client may not be ready
for participation. At this time the client cannot be held responsible for his aggressive behavior.
An older client with the diagnosis of dementia of the Alzheimer type is admitted to a long-term care
facility. When planning care for this client, the nurse recalls that confusion:
1
Will be unchanged despite reality orientation
2
Is a common finding and is expected with aging
3
Results from brain changes that make interventions futile
4
Occurs with a transfer to new surroundings –
Correct Answer :4
A change in environment and introduction of unfamiliar stimuli precipitate confusion in clients with
dementia-type disorders; with appropriate intervention, including frequent reorientation, confusion
can be reduced. Reality orientation can reduce confusion when these clients are confronted with
unfamiliar surroundings. The assertions that reality orientation is ineffective, that confusion is an
expected finding in aging, and that brain changes in dementia make interventions futile are all untrue.
During a nursing team conference, a mental health worker suggests that a client with schizophrenia,
paranoid type, be assigned to group therapy. What should the nurse manager explain about this type
of therapy for this client?
P a g e 4 | 433
