mental
Capstone Mental health assessment victoria final
1. A nurse is discussing discipline techniques with the parent of a preschooler. Which of the
following statements by the parent indicates an understanding of time-out as a form of
discipline?
"I place my child in time-out for 15 minutes when they misbehave."
"I send my child to their room for the time-out period."
"I make use of time-out after giving three warnings."
"I use a kitchen timer to mark the end of the time-out period."
2. A nurse in a well-child clinic receives a phone call from the parent of an adolescent
client. The parent states, "I think my son might try to kill himself." Which of the
following statements by the parent is the priority for the nurse to investigate further?
"I can hear him crying in the middle of the night."
"He spends most of his time locked in his room."
"He refuses to go to the movies with his friends."
"I noticed several cutting marks on both of his arms."
3. A nurse is caring for an adult client who is receiving treatment for alcohol use disorder.
The client is upset because his partner has refused to visit him in the treatment facility.
Which of the following actions by the client should indicate to the nurse that the client is
using regression as a defense mechanism?
The client states that he has developed sudden hearing loss.
The client states that his partner will not visit because they are too busy with their job.
The client yells obscenities at the nurse.
The client stomps his feet and throws objects o his bedside table
4. A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a
community mental health facility. Which of the following manifestations should the nurse
expect when completing the admission assessment?
Decreased startle response to loud noises
Reports uninterrupted sleep of 10 to 12 hr each night
Reluctance to discuss the event that precipitated the distress
Reports feelings of acute distress that began 1 to 2 weeks ago
, 5. A nurse is conducting a child maltreatment screening of a family who has a toddler.
Which of the following findings should the nurse identify as an indicator of possible child
neglect?
The child has a history of jaw factures.
The child seems frightened of their parent.
The child has had no immunizations since birth.
The child rocks back and forth continually.
6. A nurse in an urgent-care clinic is caring for a school-age child who has several visible
bruises. The child's parent states, "My partner got red today and came home angry. I don't
think this will happen again." Which of the following responses should the nurse make?
"I agree with you. I'm sure this will never happen again."
"This is awful. You should le charges against your partner."
"This is clearly child endangerment. I will have to call the police."
"I'd like to know more about what happened. Let's sit and talk."
7. A nurse is caring for a client who has dementia and insists a doll is her infant child.
Which of the following behavioral management techniques should the nurse use when
interacting with the client?
Cognitive reframing
Thought stopping
Validation therapy
Operant conditioning
8. A nurse is planning care for a client who has major depressive disorder and is being
admitted following a suicide attempt. Which of the following interventions is the nurse's
priority?
Initiate one-to-one observation.
Encourage the client to participate in group activities.
Administer an antidepressant.
Set up a time for individual meetings with the client.
9. A nurse is caring for a client who is aggressive toward other clients and has been placed
in wrist restraints. After obtaining a prescription for restraints from the provider, which of
the following actions should the nurse take?
Document the client's behavior once every hour.
Capstone Mental health assessment victoria final
1. A nurse is discussing discipline techniques with the parent of a preschooler. Which of the
following statements by the parent indicates an understanding of time-out as a form of
discipline?
"I place my child in time-out for 15 minutes when they misbehave."
"I send my child to their room for the time-out period."
"I make use of time-out after giving three warnings."
"I use a kitchen timer to mark the end of the time-out period."
2. A nurse in a well-child clinic receives a phone call from the parent of an adolescent
client. The parent states, "I think my son might try to kill himself." Which of the
following statements by the parent is the priority for the nurse to investigate further?
"I can hear him crying in the middle of the night."
"He spends most of his time locked in his room."
"He refuses to go to the movies with his friends."
"I noticed several cutting marks on both of his arms."
3. A nurse is caring for an adult client who is receiving treatment for alcohol use disorder.
The client is upset because his partner has refused to visit him in the treatment facility.
Which of the following actions by the client should indicate to the nurse that the client is
using regression as a defense mechanism?
The client states that he has developed sudden hearing loss.
The client states that his partner will not visit because they are too busy with their job.
The client yells obscenities at the nurse.
The client stomps his feet and throws objects o his bedside table
4. A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a
community mental health facility. Which of the following manifestations should the nurse
expect when completing the admission assessment?
Decreased startle response to loud noises
Reports uninterrupted sleep of 10 to 12 hr each night
Reluctance to discuss the event that precipitated the distress
Reports feelings of acute distress that began 1 to 2 weeks ago
, 5. A nurse is conducting a child maltreatment screening of a family who has a toddler.
Which of the following findings should the nurse identify as an indicator of possible child
neglect?
The child has a history of jaw factures.
The child seems frightened of their parent.
The child has had no immunizations since birth.
The child rocks back and forth continually.
6. A nurse in an urgent-care clinic is caring for a school-age child who has several visible
bruises. The child's parent states, "My partner got red today and came home angry. I don't
think this will happen again." Which of the following responses should the nurse make?
"I agree with you. I'm sure this will never happen again."
"This is awful. You should le charges against your partner."
"This is clearly child endangerment. I will have to call the police."
"I'd like to know more about what happened. Let's sit and talk."
7. A nurse is caring for a client who has dementia and insists a doll is her infant child.
Which of the following behavioral management techniques should the nurse use when
interacting with the client?
Cognitive reframing
Thought stopping
Validation therapy
Operant conditioning
8. A nurse is planning care for a client who has major depressive disorder and is being
admitted following a suicide attempt. Which of the following interventions is the nurse's
priority?
Initiate one-to-one observation.
Encourage the client to participate in group activities.
Administer an antidepressant.
Set up a time for individual meetings with the client.
9. A nurse is caring for a client who is aggressive toward other clients and has been placed
in wrist restraints. After obtaining a prescription for restraints from the provider, which of
the following actions should the nurse take?
Document the client's behavior once every hour.
