10, 13-15, 17, 22-27, 29-31 WITH
CORRECT QUESTIONS AND
ANSWERS
A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indications an understanding of the teaching? (Select
all that apply)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents."
- ANSWER✔✔✨---A. CORRECT: Counting backward by 7s is an appropriate
technique to assess a client's cognitive ability.
B. CORRECT: Observing a client's facial expression
is appropriate when assessing affect.
C. CORRECT: Writing a sentence is an
indication of language ability.
,Incorrect:
D. Asking the client to repeat a list of objects is appropriate
to assess immediate, rather than remote, memory.
E. Asking the client to identify recent presidents is appropriate
to assess cognitive knowledge rather than abstract thinking.
A nurse is planning care for a client who has a mental health disorder. Which of the following actions
should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy
B. Teach the client appropriate coping mechanisms
C. Assess the client for co-morbid health conditions
D. Monitor the client for adverse effects of medications - ANSWER✔✔✨---D. CORRECT: Monitoring
for adverse effects of medications is an example of a psychobiological intervention.
Incorrect:
A. Assisting with systematic desensitization therapy is a cognitive and behavioral, rather than a
psychobiological intervention.
B. Teaching appropriate coping mechanisms is a counseling or health teaching, rather than a
psychobiological intervention.
C. Assessing for comorbid health conditions is health promotion and maintenance, rather than a
psychobiological, intervention.
,A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When
conducting the interview, which of the following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services
B. Identify the client's perception of her mental health status
C. Include the client's family in the interview
D. Teach the client about her current mental health disorder - ANSWER✔✔✨---B. CORRECT:
Assessment is the priority action when using the nursing process approach to client care. Identifying the
client's perception of their mental health status provides important information about the client's
psychosocial history.
Incorrect:
A. It is appropriate to coordinate holistic care for the client with social services as part of case
management. However, another action is the priority.
C. If the client wishes, it is appropriate to include the client's family in the interview. However,
another action is the priority.
D. It is appropriate to teach the client about their disorder. However, another action is the priority.
A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which
of the following findings should the nurse expect?
A. The client arouses briefly in response to a sternal rub
B. The client has a Glasgow Coma Scale score less than 7
, C. The client exhibits decorticate rigidity
D. The client is alert, but disoriented to time and place - ANSWER✔✔✨---A. The client arouses
briefly in response to a sternal rub
A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (DSM-5). Which of the following information is appropriate to include in the
discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders
C. The DSM-5 indicated recommended pharmacological treatment for mental health disorders
D. The DSM-5 assists nurses in planning care for client's who have mental health disorders
E. The DSM-5 indicates expected assessment findings of mental health disorders - ANSWER✔✔✨---
B. CORRECT: The DSM‑5 establishes diagnostic criteria for mental health disorders.
D. CORRECT: Nurses use the DSM‑5 to plan, implement, and
evaluate care for client's who have mental health disorders.
E. CORRECT: The DSM‑5 identifies expected
findings for mental health disorders.
Incorrect:
A. The DSM‑5 is used by mental health professionals. However,