PN Mental Health Nursing Review
. A charge nurse is discussing
manifestations of schizophrenia with
a newly licensed nurse. Which of
the following manifestations should
the charge nurse identify as being
effectively treated by first-generation
antipsychotics? (Select all that apply.)
A. Auditory hallucinations
B. Withdrawal from
social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia - ANS - A. Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation
\. A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine Which of the
following findings should the nurse report to the provider as indications of serotonin
syndrome? (Select all that apply.)
A. Hypothermia
B. Hallucinations
C. Muscular flaccidity
D. Diaphoresis
E. Agitation - ANS - B. Hallucinations
D. Diaphoresis
E. Agitation
\. A nurse is caring for a client
who is experiencing a panic
attack. Which of the following
actions should the nurse take?
A. Discuss new
relaxationtechniques.
B. Show the client how to
change his behavior.
C. Distract the client with
a television show.
D. Stay with the client
and remain quiet - ANS - D. Stay with the client
and remain quiet
\. A nurse is caring for a client on
an acute mental health unit. The
,client reports hearing voices that
are telling her to "kill your doctor."
Which of the following actions
should the nurse take first?
A. Use therapeutic
communication to discuss the
hallucination with the client.
B. Initiate one-to-one
observation of the client.
C. Focus the client on reality.
D. Notify the provider of
the client's statement - ANS - B. Initiate one-to-one
observation of the client
\. A nurse is caring for a client who
has acute stress disorder and
is experiencing severe anxiety.
Which of the following statements
actions should the nurse make?
A. "Tell me about how you
are feeling right now."
B. "You should focus on the
positive things in your life
to decrease your anxiety."
C. "Why do you believe you are
experiencing this anxiety?"
D. "Let's discuss the medications
your provider is prescribing
to decrease your anxiety. - ANS - A. "Tell me about how you
are feeling right now."
\. A nurse is discussing silent rape
reaction with a newly licensed
nurse. The nurse should identify
which of the following characteristics
as expected for this type of
reaction? (Select all that apply.)
A. Sudden development
of phobias
B. Development of
substance use disorder
C. Increased level of anxiety
during interview
D. Reactivation of a prior
physical disorder
E. Unwillingness to discuss
,the sexual assault - ANS - A. Sudden development
of phobia
C. Increased level of anxiety
during interview
E. Unwillingness to discuss
the sexual assault
\. A nurse is making a home visit
to a client who is in the late
stage of Alzheimer's disease.
The client's partner, who is the
primary caregiver, wishes to
discuss concerns about the client's
nutrition and the stress of providing
care. Which of the following
actions should the nurse take?
A. Verify that a current power of
attorney document is on file.
B. Instruct the client's partner
to offer finger foods to
increase oral intake.
C. Provide information on
resources for respite care.
D. Schedule the client
for placement of an
enteral feeding tube - ANS - C. Provide information on resources for respite care.
\. A nurse is preparing to obtain a
nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the
following questions should the nurse to include in the assessment? (Select all that apply.)
A. "What is your relationship
like with your family?"
B. "Why do you want to
lose weight?"
C. "Would you describe your
current eating habits?"
D. "At what weight do you
believe you will look better?"
E. "Can you discuss your feelings
about your appearance? - ANS - A. "What is your relationship like with your family?
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings
about your appearance?
\. A nurse is providing teaching to a
client who has a new prescription for
amitriptyline. Which of the following
, statements by the client indicates
an understanding of the teaching?
A. "While taking this medication,
I'll need to stay out of the
sun to avoid a skin rash."
B. "I may feel drowsy for a
few weeks after starting
this medication."
C. "I cannot eat my favorite
pizza with pepperoni while
taking this medication."
D. "This medication will help me
lose the weight that I have
gained over the last year." - ANS - B. "I may feel drowsy for a few weeks after starting this
medication."
\. A nurse manager is discussing the
care of a client who has a personality
disorder with a newly licensed nurse.
Which of the following statements
by the newly licensed nurse indicates
an understanding of the teaching?
A. "I can promote my client's
sense of control by
establishing a schedule."
B. "I should encourage clients
who have a schizoid
personality disorder to
increase socialization."
C. "I should practice
limit-setting to help prevent
client manipulation."
D. "I should implement
assertiveness training with
clients who have antisocial
personality disorder - ANS - C. "I should practice
limit-setting to help prevent
client manipulation."
\1. A charge nurse is conducting a class
on therapeutic communication to
a group of newly licensed nurses.
Which of the following aspects
of communication should the
nurse identify as a component
of verbal communication?
. A charge nurse is discussing
manifestations of schizophrenia with
a newly licensed nurse. Which of
the following manifestations should
the charge nurse identify as being
effectively treated by first-generation
antipsychotics? (Select all that apply.)
A. Auditory hallucinations
B. Withdrawal from
social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia - ANS - A. Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation
\. A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine Which of the
following findings should the nurse report to the provider as indications of serotonin
syndrome? (Select all that apply.)
A. Hypothermia
B. Hallucinations
C. Muscular flaccidity
D. Diaphoresis
E. Agitation - ANS - B. Hallucinations
D. Diaphoresis
E. Agitation
\. A nurse is caring for a client
who is experiencing a panic
attack. Which of the following
actions should the nurse take?
A. Discuss new
relaxationtechniques.
B. Show the client how to
change his behavior.
C. Distract the client with
a television show.
D. Stay with the client
and remain quiet - ANS - D. Stay with the client
and remain quiet
\. A nurse is caring for a client on
an acute mental health unit. The
,client reports hearing voices that
are telling her to "kill your doctor."
Which of the following actions
should the nurse take first?
A. Use therapeutic
communication to discuss the
hallucination with the client.
B. Initiate one-to-one
observation of the client.
C. Focus the client on reality.
D. Notify the provider of
the client's statement - ANS - B. Initiate one-to-one
observation of the client
\. A nurse is caring for a client who
has acute stress disorder and
is experiencing severe anxiety.
Which of the following statements
actions should the nurse make?
A. "Tell me about how you
are feeling right now."
B. "You should focus on the
positive things in your life
to decrease your anxiety."
C. "Why do you believe you are
experiencing this anxiety?"
D. "Let's discuss the medications
your provider is prescribing
to decrease your anxiety. - ANS - A. "Tell me about how you
are feeling right now."
\. A nurse is discussing silent rape
reaction with a newly licensed
nurse. The nurse should identify
which of the following characteristics
as expected for this type of
reaction? (Select all that apply.)
A. Sudden development
of phobias
B. Development of
substance use disorder
C. Increased level of anxiety
during interview
D. Reactivation of a prior
physical disorder
E. Unwillingness to discuss
,the sexual assault - ANS - A. Sudden development
of phobia
C. Increased level of anxiety
during interview
E. Unwillingness to discuss
the sexual assault
\. A nurse is making a home visit
to a client who is in the late
stage of Alzheimer's disease.
The client's partner, who is the
primary caregiver, wishes to
discuss concerns about the client's
nutrition and the stress of providing
care. Which of the following
actions should the nurse take?
A. Verify that a current power of
attorney document is on file.
B. Instruct the client's partner
to offer finger foods to
increase oral intake.
C. Provide information on
resources for respite care.
D. Schedule the client
for placement of an
enteral feeding tube - ANS - C. Provide information on resources for respite care.
\. A nurse is preparing to obtain a
nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the
following questions should the nurse to include in the assessment? (Select all that apply.)
A. "What is your relationship
like with your family?"
B. "Why do you want to
lose weight?"
C. "Would you describe your
current eating habits?"
D. "At what weight do you
believe you will look better?"
E. "Can you discuss your feelings
about your appearance? - ANS - A. "What is your relationship like with your family?
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings
about your appearance?
\. A nurse is providing teaching to a
client who has a new prescription for
amitriptyline. Which of the following
, statements by the client indicates
an understanding of the teaching?
A. "While taking this medication,
I'll need to stay out of the
sun to avoid a skin rash."
B. "I may feel drowsy for a
few weeks after starting
this medication."
C. "I cannot eat my favorite
pizza with pepperoni while
taking this medication."
D. "This medication will help me
lose the weight that I have
gained over the last year." - ANS - B. "I may feel drowsy for a few weeks after starting this
medication."
\. A nurse manager is discussing the
care of a client who has a personality
disorder with a newly licensed nurse.
Which of the following statements
by the newly licensed nurse indicates
an understanding of the teaching?
A. "I can promote my client's
sense of control by
establishing a schedule."
B. "I should encourage clients
who have a schizoid
personality disorder to
increase socialization."
C. "I should practice
limit-setting to help prevent
client manipulation."
D. "I should implement
assertiveness training with
clients who have antisocial
personality disorder - ANS - C. "I should practice
limit-setting to help prevent
client manipulation."
\1. A charge nurse is conducting a class
on therapeutic communication to
a group of newly licensed nurses.
Which of the following aspects
of communication should the
nurse identify as a component
of verbal communication?
