Psychiatric-Mental Health Practice Exam
NEWLY FORMATTED DOCUMENT
A male client with Photosensitivity is a side effect of Prolixin and a
schizophrenia who is vacation in the Bahamas (with its tropical island
taking fluphenazine climate) increases the client's chance of experiencing
decanoate (Prolixin this side effect. He should be instructed to avoid
decanoate) is being direct sun (A) and wear sunscreen. (B, C, and D)
discharged in the morning. indicate accurate knowledge. Alcohol acts
A repeat dose of synergistically with Prolixin (B). (C) lists signs of
medication is scheduled agranulocytosis, which is also a side effect of Prolixin.
for 20 days after In order to avoid extrapyramidal symptoms (EPS),
discharge. The client tells anticholinergic drugs, such as Cogentin, are often
the nurse that he is going prescribed prophylactically with Prolixin.
on vacation in the
Bahamas and will return in Correct Answer(s): A
18 days. Which statement
by the client indicates a
need for health teaching?
A) Two weeks after I return
from my tropical island
vacation, I will go to the
clinic to get my Prolixin
injection.
B) While I am on vacation
and when I return, I will
not eat or drink anything
that contains alcohol.
C) I will notify the
healthcare provider if I
have a sore throat or flu-
like symptoms.
D) I will continue to take
my benztropine mesylate
(Cogentin) every day.
,A male client is admitted The most important nursing diagnosis is related to
to the mental health unit alcohol detoxification (B) because the client has
because he was feeling elevated vital signs, a sign of alcohol detoxification.
depressed about the loss Maintaining client safety related to (A) should be
of his wife and job. The addressed after giving the client Ativan for elevated
client has a history of vital signs secondary to alcohol withdrawal. (C and D)
alcohol dependency and can be addressed when immediate needs for safety
admits that he was are met.
drinking alcohol 12 hours
ago. Vital signs are: Correct Answer(s): B
temperature, 100° F, pulse
100, and BP 142/100. The
nurse plans to give the
client lorazepam (Ativan)
based on which priority
nursing diagnosis?
A) Risk for injury related to
suicidal ideation.
B) Risk for injury related to
alcohol detoxification.
C) Knowledge deficit
related to ineffective
coping.
D) Health seeking
behaviors related to
personal crisis.
,The charge nurse is The most important reason for closely observing a
collaborating with the depressed client immediately after admission is to
nursing staff about the maintain safety (B), since suicide is a risk with
plan of care for a client depression. (A, C, and D) are all important
who is very depressed. interventions, but safety is the priority.
What is the most
important intervention to Correct Answer(s): B
implement during the first
48 hours after the client's
admission to the unit?
A) Monitor appetite and
observe intake at meals.
B) Maintain safety in the
client's milieu.
C) Provide ongoing,
supportive contact.
D) Encourage
participation in activities.
, A 38-year-old female (A) is the best choice cited. The nurse does not argue
client is admitted with a with the client nor demand that she eat, but offers
diagnosis of paranoid support by agreeing to "be there if needed", e.g., to
schizophrenia. When her warm the food. (B and C) are arguing with the client's
tray is brought to her, she delusions, and (B) asks "why" which is usually not a
refuses to eat and tells the good question for a psychotic client. (D) has nothing
nurse, "I know you are to do with the actual problem; i.e., the problem is not
trying to poison me with the diet (she thinks any food given to her is poisoned.)
that food." Which
response is most Correct Answer(s): A
appropriate for the nurse
to make?
A) I'll leave your tray here.
I am available if you need
anything else.
B) You're not being
poisoned. Why do you
think someone is trying to
poison you?
C) No one on this unit has
ever died from poisoning.
You're safe here.
D) I will talk to your
healthcare provider about
the possibility of changing
your diet.
NEWLY FORMATTED DOCUMENT
A male client with Photosensitivity is a side effect of Prolixin and a
schizophrenia who is vacation in the Bahamas (with its tropical island
taking fluphenazine climate) increases the client's chance of experiencing
decanoate (Prolixin this side effect. He should be instructed to avoid
decanoate) is being direct sun (A) and wear sunscreen. (B, C, and D)
discharged in the morning. indicate accurate knowledge. Alcohol acts
A repeat dose of synergistically with Prolixin (B). (C) lists signs of
medication is scheduled agranulocytosis, which is also a side effect of Prolixin.
for 20 days after In order to avoid extrapyramidal symptoms (EPS),
discharge. The client tells anticholinergic drugs, such as Cogentin, are often
the nurse that he is going prescribed prophylactically with Prolixin.
on vacation in the
Bahamas and will return in Correct Answer(s): A
18 days. Which statement
by the client indicates a
need for health teaching?
A) Two weeks after I return
from my tropical island
vacation, I will go to the
clinic to get my Prolixin
injection.
B) While I am on vacation
and when I return, I will
not eat or drink anything
that contains alcohol.
C) I will notify the
healthcare provider if I
have a sore throat or flu-
like symptoms.
D) I will continue to take
my benztropine mesylate
(Cogentin) every day.
,A male client is admitted The most important nursing diagnosis is related to
to the mental health unit alcohol detoxification (B) because the client has
because he was feeling elevated vital signs, a sign of alcohol detoxification.
depressed about the loss Maintaining client safety related to (A) should be
of his wife and job. The addressed after giving the client Ativan for elevated
client has a history of vital signs secondary to alcohol withdrawal. (C and D)
alcohol dependency and can be addressed when immediate needs for safety
admits that he was are met.
drinking alcohol 12 hours
ago. Vital signs are: Correct Answer(s): B
temperature, 100° F, pulse
100, and BP 142/100. The
nurse plans to give the
client lorazepam (Ativan)
based on which priority
nursing diagnosis?
A) Risk for injury related to
suicidal ideation.
B) Risk for injury related to
alcohol detoxification.
C) Knowledge deficit
related to ineffective
coping.
D) Health seeking
behaviors related to
personal crisis.
,The charge nurse is The most important reason for closely observing a
collaborating with the depressed client immediately after admission is to
nursing staff about the maintain safety (B), since suicide is a risk with
plan of care for a client depression. (A, C, and D) are all important
who is very depressed. interventions, but safety is the priority.
What is the most
important intervention to Correct Answer(s): B
implement during the first
48 hours after the client's
admission to the unit?
A) Monitor appetite and
observe intake at meals.
B) Maintain safety in the
client's milieu.
C) Provide ongoing,
supportive contact.
D) Encourage
participation in activities.
, A 38-year-old female (A) is the best choice cited. The nurse does not argue
client is admitted with a with the client nor demand that she eat, but offers
diagnosis of paranoid support by agreeing to "be there if needed", e.g., to
schizophrenia. When her warm the food. (B and C) are arguing with the client's
tray is brought to her, she delusions, and (B) asks "why" which is usually not a
refuses to eat and tells the good question for a psychotic client. (D) has nothing
nurse, "I know you are to do with the actual problem; i.e., the problem is not
trying to poison me with the diet (she thinks any food given to her is poisoned.)
that food." Which
response is most Correct Answer(s): A
appropriate for the nurse
to make?
A) I'll leave your tray here.
I am available if you need
anything else.
B) You're not being
poisoned. Why do you
think someone is trying to
poison you?
C) No one on this unit has
ever died from poisoning.
You're safe here.
D) I will talk to your
healthcare provider about
the possibility of changing
your diet.
