MENTAL HEALTH EXAM PRACTICE QUESTIONS WITH CORRECT
SOLUTIONS #27
The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm
sitting here crying like a baby." The nurse's best response is:
A. "I think you are a fine man".
B. "Why don't you get involved in the activity group?"
C. "It's a gray rainy day. That's why you feel down. Everyone is down today."
D. "Are you embarrassed because you're crying?" - correct answer d. "Are you
embarrassed because you're crying?"
A withdrawn client is assessed as having distorted thinking that is not reality based. A
nursing diagnosis that should be considered for her would be
A. Impaired verbal communication.
B. Disturbed thought processes.
C. Disturbed self-esteem.
D. Defensive coping. - correct answer b. Disturbed thought processes
Jim is sometimes seen moving his lips silently or murmuring to himself when he does
not realize others are watching. Sometimes when he is conversing with others, he
suddenly stops, appears distracted for a moment, and then resumes. Based on these
observations, Jim most likely is experiencing which symptom(s)? Select all that apply:
A. Illusions.
B. Paranoia.
C. Delusional thinking.
D. Auditory hallucinations.
E. Impaired reality testing.
F. Stereotyped behaviors. - correct answer d. Auditory hallucinations.
E. Impaired reality testing.
Looseness of associations in a person with schizophrenia indicate
A. Paranoia.
B. Mood instability.
C. Depersonalization.
D. Poorly organized thinking. - correct answer d. Poorly organized thinking.
Which assessment finding represents a negative symptom of schizophrenia?
A. Apathy
B. Delusion
C. Motor tic
,D. Hallucination - correct answer a. Apathy
In general, when a nurse admitting a client experiencing an acute schizophrenia
episode, she would most likely assess which of the following?
A. Open and outgoing personality
B. Loss of contact with reality
C. Feelings of guilt and worthlessness
D. Logical and precise thinking - correct answer b. Loss of contact with reality
While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if
someone was sitting there. The nurse was unable to understand what he was
mumbling. This, in fact, indicates that the patient has:
A. Delusions.
B. Hallucinations.
C. Illusions.
D. Flight of ideas. - correct answer b. Hallucinations.
According to the previous scenario, which of the following symptoms is considered a
negative symptom of schizophrenia?
A. The patient was mumbling.
B. The patient shouted; "They're coming! They're coming!"
C. The patient has anergia.
D. The patient believes that everything in the environment refer to him - correct answer
c. The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge
teaching by the nurse should include contacting the health provider if which of the
following occurs?
A. Elevated temperature
B. Blurred vision
C. Difficulty concentrating
D. Inability to remain seated for long period of time - correct answer a. Elevated
temperature
-Neuroleptic malignant syndrome
The client has been on Haldol since admission. Which assessment by the nurse would
best determine the effectiveness of a client's antipsychotic medication?
, A. The client no longer has hallucinations
B. The client is no longer depressed
C. The client has made a friend on the unit
D. The client requested discharge - correct answer a. The client no longer has
hallucinations
-first generation antipsychotic
A client has developed neuroleptic malignant syndrome. A priority nursing intervention
would be which of the following?
A. Provide comfort and rest
B. Measure intake and output
C. Encourage client to remain active
D. Monitor vital signs and blood pressure - correct answer d. Monitor vital signs and
blood pressure
1A client is admitted to the emergency room with complains of sore throat and fever.
The client's mother informs the nurse that the client has been taking Clozaril. Which of
the following laboratory tests is a priority at this time?
A. Fasting blood sugar
B. Cholesterol level
C. Blood urea nitrogen
D. White blood cell count - correct answer d. White blood cell count
8. A new graduate has been assigned four patients whom she must perform an
assessment on. Her assessment reveals several clients complain. Which client
complains should receive priority?
A. A client receiving Cogentin who states, "I can't read my book, everything seems
blurred."
B. The client receiving Clozapine who states, "I think I might be getting the flu, my throat
is sore and I feel very tired."
C. A client who was admitted for alcoholism and states, " I took my valium but I still feel
nervous.
D. A client receiving Prozac who states "This medicine makes me sleepy. Is that that
normal?" - correct answer b. The client receiving Clozapine who states, "I think I might
be getting the flu, my throat is sore and I feel very tired."
During a one-to-one session with a client, the nurse notes that the client is unable to
stop moving. He frequently stands-up and begins pacing while answering the nurse's
questions. The nurse assesses the client's need to be in constant motion as which of
the following?
A. Akathesia
SOLUTIONS #27
The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm
sitting here crying like a baby." The nurse's best response is:
A. "I think you are a fine man".
B. "Why don't you get involved in the activity group?"
C. "It's a gray rainy day. That's why you feel down. Everyone is down today."
D. "Are you embarrassed because you're crying?" - correct answer d. "Are you
embarrassed because you're crying?"
A withdrawn client is assessed as having distorted thinking that is not reality based. A
nursing diagnosis that should be considered for her would be
A. Impaired verbal communication.
B. Disturbed thought processes.
C. Disturbed self-esteem.
D. Defensive coping. - correct answer b. Disturbed thought processes
Jim is sometimes seen moving his lips silently or murmuring to himself when he does
not realize others are watching. Sometimes when he is conversing with others, he
suddenly stops, appears distracted for a moment, and then resumes. Based on these
observations, Jim most likely is experiencing which symptom(s)? Select all that apply:
A. Illusions.
B. Paranoia.
C. Delusional thinking.
D. Auditory hallucinations.
E. Impaired reality testing.
F. Stereotyped behaviors. - correct answer d. Auditory hallucinations.
E. Impaired reality testing.
Looseness of associations in a person with schizophrenia indicate
A. Paranoia.
B. Mood instability.
C. Depersonalization.
D. Poorly organized thinking. - correct answer d. Poorly organized thinking.
Which assessment finding represents a negative symptom of schizophrenia?
A. Apathy
B. Delusion
C. Motor tic
,D. Hallucination - correct answer a. Apathy
In general, when a nurse admitting a client experiencing an acute schizophrenia
episode, she would most likely assess which of the following?
A. Open and outgoing personality
B. Loss of contact with reality
C. Feelings of guilt and worthlessness
D. Logical and precise thinking - correct answer b. Loss of contact with reality
While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if
someone was sitting there. The nurse was unable to understand what he was
mumbling. This, in fact, indicates that the patient has:
A. Delusions.
B. Hallucinations.
C. Illusions.
D. Flight of ideas. - correct answer b. Hallucinations.
According to the previous scenario, which of the following symptoms is considered a
negative symptom of schizophrenia?
A. The patient was mumbling.
B. The patient shouted; "They're coming! They're coming!"
C. The patient has anergia.
D. The patient believes that everything in the environment refer to him - correct answer
c. The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge
teaching by the nurse should include contacting the health provider if which of the
following occurs?
A. Elevated temperature
B. Blurred vision
C. Difficulty concentrating
D. Inability to remain seated for long period of time - correct answer a. Elevated
temperature
-Neuroleptic malignant syndrome
The client has been on Haldol since admission. Which assessment by the nurse would
best determine the effectiveness of a client's antipsychotic medication?
, A. The client no longer has hallucinations
B. The client is no longer depressed
C. The client has made a friend on the unit
D. The client requested discharge - correct answer a. The client no longer has
hallucinations
-first generation antipsychotic
A client has developed neuroleptic malignant syndrome. A priority nursing intervention
would be which of the following?
A. Provide comfort and rest
B. Measure intake and output
C. Encourage client to remain active
D. Monitor vital signs and blood pressure - correct answer d. Monitor vital signs and
blood pressure
1A client is admitted to the emergency room with complains of sore throat and fever.
The client's mother informs the nurse that the client has been taking Clozaril. Which of
the following laboratory tests is a priority at this time?
A. Fasting blood sugar
B. Cholesterol level
C. Blood urea nitrogen
D. White blood cell count - correct answer d. White blood cell count
8. A new graduate has been assigned four patients whom she must perform an
assessment on. Her assessment reveals several clients complain. Which client
complains should receive priority?
A. A client receiving Cogentin who states, "I can't read my book, everything seems
blurred."
B. The client receiving Clozapine who states, "I think I might be getting the flu, my throat
is sore and I feel very tired."
C. A client who was admitted for alcoholism and states, " I took my valium but I still feel
nervous.
D. A client receiving Prozac who states "This medicine makes me sleepy. Is that that
normal?" - correct answer b. The client receiving Clozapine who states, "I think I might
be getting the flu, my throat is sore and I feel very tired."
During a one-to-one session with a client, the nurse notes that the client is unable to
stop moving. He frequently stands-up and begins pacing while answering the nurse's
questions. The nurse assesses the client's need to be in constant motion as which of
the following?
A. Akathesia
