Mental health CMS All Possible Questions and Answers with complete solution

A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination? Can you see these spiders crawling all over me?' "Are you planning to kill me?" The aliens are going to abduct me tonight." "The voices told me to quit eating the food here." - ️️"The voices told me to quit eating the food here." A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take? Arrange for the sibling to visit the client in the dayroom. Refer the sibling to the client's provider. Encourage the client to visit with the sibling. Tell the sibling the client does not want visitors. - ️️Tell the sibling the client does not want visitors. A nurse is reviewing the laboratory results of a client who has anorexia nervosa. Which of the following results should the nurse report to the provider?Potassium 2.8 mEg/L WBC count 6,000/mm O HDA1C 4% Sodium 138 mEg/L - ️️Potassium 2.8 mEg/L A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent? Recelving light therapy Participating in a group exercise program Attending a cognitive behavioral therapy class Taking an experimental medication - ️️Taking an experimental medication A nurse is caring for a male client who is to begin therapy with valproic acid. Which of the following diagnostic results should the nurse plan to review before administering the first dose? Prostate specific antigen test Liver function tests Chest x-rayUrine culture - ️️Liver function tests A nurse is caring for a newly admitted client who has schizophrenia and hearing loss. Which of the following actions should the nurse take first when communicating with the client? Face the client when speaking so the client can read lips. Evaluate the client's understanding of the message. Contact a sign-language Interpreter to communicate with the client. Determine how the client prefers to communicate. - ️️Face the client when speaking so the client can read lips A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis? A child leaving for college Divorce Loss of job Motor-vehicle crash - ️️Loss of job A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium? Demonstrates obsessive behaviorsConsistent state of depression Fluctuating level of orientation Family report of gradual memory loss - ️️Fluctuating level of orientation A nurse is collecting data from a new client. Which of the following questions should the nurse include when determining the client's psychosocial status? "How old were you when you started your menses?" "Do you have medical insurance?" Who do you talk to when you are upset?" When did you last have a mammogram?" - ️️When did you last have a mammogram?"