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ATIPRACTICE
MENTAL HEALTH
ASSESSMENT: B PROCTORED
RN Mental Health Online Practice 2019 B EAXM
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1. A nurse is talking with a group of parents who have recently experienced the death of a child
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which of the following actions should the nurse take?
Encourage the parents to avoid discussing the death of their other children to protect
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Recommend each parent grieve in a private to avoid hindering each other’s healing
Suggest forming a weekly support group for parents who have experienced the death of
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a child.
Advise the parents to begin counseling if they are still grieving in a few months
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2. A nurse in a community Health Center is working with a group of clients who have post-
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traumatic stress disorder. Which of the following interventions should the nurse include to
reduce anxiety among the group members?
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Response prevention
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Guided imagery
Aversion therapy
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Light therapy
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3. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of
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the following actions should the nurse include in the plan?
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Administer phenytoin 30 min prior to procedure
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Instruct the client to expect a headache following the procedure
Place the client in a four-point restraint prior to the procedure
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Monitor the client’s cardiac rhythm during the procedure l
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4. A nurse is planning prevention strategies for partner violence in the community. Which of the
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following strategies should the nurse include as a method of secondary prevention?
Provide teaching about the use of positive coping mechanisms
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Establish screening programs to identify at risk clients
Refer survivors to intimate partner abuse to a legal advocacy program
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Organize rehabilitation therapy for clients who have experienced intimate partner abuse
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5. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the
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following findings places the client at a greater risk for self-directed injury or injuring others?
Inability to communicate with others
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Feelings of absence of self-worth
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Lack of motivation to perform daily tasks
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Command hallucinations
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6. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child
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Weight gain
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Tinnitus
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Tachycardia
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Increased salivation
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7. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the
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following statements should the nurse make?
“It appears as though you would like to open the door.”
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“You will feel more comfortable after you've been here for a while.”
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“It is ok to not want to be here.”
“You really shouldn't be pushing on the door.”
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8. A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence.
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Which of the following statements by the client indicates acceptance of her illness?
“I am going to order a wheelchair for when I'm unable to walk.”
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“I am going to stop paying my bills since I won't be around much longer.”
“I wish you would go take care of somebody who actually needs you.”
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“I am sure I'm going to be able to continue to care for myself without help.”
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9. A nurse is preparing to participate in an interdisciplinary conference or client who has bipolar
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disorder. Which of the following behaviors is the priority for the nurse to report to the treatment
team?
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Calling family members l
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Spending time alone
Giving away possessions
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Excessive crying
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10. A nurse is teaching the partner of a client who has bipolar disorder how to identify
manifestations of acute mania. Which of the following findings should the clients partner report
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to the provider?
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Obsessive attention to detail
Inability to sleep
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Reports of fatigue
Isolation from others
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11. A nurse on an acute mental health facility is receiving change of shift report for four clients
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which of the following clients should the nurse assess first?
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