Mental Health
1. A nurse in the emergency department is assessing a client who has heroin intoxication. Which
of the following findings should the nurse expect? - (Ans) Respiratory depression
1. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the
following initial reactions should the nurse expect from the client? - (Ans) Denial
1. A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The
client is admitted under court order following theft and destruction of a car. Which of the
following behaviors should the nurse expect the client to display? - (Ans) Anger with the nursing
staff for hospitalizing him against his will
1. A nurse on and acute care unit is providing postoperative care to an older adult client who
develops delirium. Which of the following actions should the nurse take? - (Ans) Request a
prescription for an anxiety medication
1. A nurse is caring for a client who has Alzheimer's disease and becomes agitated while
refusing morning hygiene care. Which of the following actions should the nurse take? - (Ans)
Talk to the client from two arm-lengths away
1. A nurse is providing teaching to a client who is to start taking valproic acid. Which of the
following instructions should the nurse include? - (Ans) You should have your liver function
levels monitored regularly while taking valporic acid
1. A nurse is providing teaching to a family of a client who has Alzheimer's disease about
donepezil. Which of the following statements should the nurse include in the teaching? - (Ans)
Donepezil can improve cognitive functioning during the earlier stages of disease.
, 1. A nurse is caring for a client who has Alzheimer's disease and a new prescription of donepezil.
Which of the following actions should the nurse take? - (Ans) Administer the medication at
bedtime
1. A nurse in an acute mental health facility is leading a nursing staff discussion about the legal
aspects of involuntary admissions. Which of the following information should the nurse include?
- (Ans) An involuntary admission is justified if the client is in danger to others.
1. A nurse in a substance use disorder treatment facility is reviewing the medication records for
a group of clients. The nurse should expect to administer methadone for a client who has a
substance use disorder for which of the following substances? - (Ans) Opiates
1. A nurse is assessing a client who takes phenelzine for the treatment of depression. Which of
the following findings is the priority for the nurse to report to the provider? - (Ans) Elevated
blood pressure
1. A nurse is planning care for a newly admitted client who has bipolar disorder and is
experiencing acute mania. Which of the following client goals should the nurse identify as the
priority? - (Ans) Maintaining adequate hydration
1. A nurse in a mental health unit is planning care for a client who is receiving treatment for self-
inflicted injuries. The nurse should identify which of the following interventions is the priority
when planning care for this client? - (Ans) Promoting and maintaining client safety
1. A nurse is assessing a client who has binge-eating disorder. Which of the following findings
should the nurse expect? - (Ans) Abdominal pain
1. A nurse is interviewing a client who has anorexia nervosa. Which of the following findings
should the nurse expect? - (Ans) Strenuous exercise regimen
1. A nurse in the emergency department is assessing a client who has heroin intoxication. Which
of the following findings should the nurse expect? - (Ans) Respiratory depression
1. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the
following initial reactions should the nurse expect from the client? - (Ans) Denial
1. A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The
client is admitted under court order following theft and destruction of a car. Which of the
following behaviors should the nurse expect the client to display? - (Ans) Anger with the nursing
staff for hospitalizing him against his will
1. A nurse on and acute care unit is providing postoperative care to an older adult client who
develops delirium. Which of the following actions should the nurse take? - (Ans) Request a
prescription for an anxiety medication
1. A nurse is caring for a client who has Alzheimer's disease and becomes agitated while
refusing morning hygiene care. Which of the following actions should the nurse take? - (Ans)
Talk to the client from two arm-lengths away
1. A nurse is providing teaching to a client who is to start taking valproic acid. Which of the
following instructions should the nurse include? - (Ans) You should have your liver function
levels monitored regularly while taking valporic acid
1. A nurse is providing teaching to a family of a client who has Alzheimer's disease about
donepezil. Which of the following statements should the nurse include in the teaching? - (Ans)
Donepezil can improve cognitive functioning during the earlier stages of disease.
, 1. A nurse is caring for a client who has Alzheimer's disease and a new prescription of donepezil.
Which of the following actions should the nurse take? - (Ans) Administer the medication at
bedtime
1. A nurse in an acute mental health facility is leading a nursing staff discussion about the legal
aspects of involuntary admissions. Which of the following information should the nurse include?
- (Ans) An involuntary admission is justified if the client is in danger to others.
1. A nurse in a substance use disorder treatment facility is reviewing the medication records for
a group of clients. The nurse should expect to administer methadone for a client who has a
substance use disorder for which of the following substances? - (Ans) Opiates
1. A nurse is assessing a client who takes phenelzine for the treatment of depression. Which of
the following findings is the priority for the nurse to report to the provider? - (Ans) Elevated
blood pressure
1. A nurse is planning care for a newly admitted client who has bipolar disorder and is
experiencing acute mania. Which of the following client goals should the nurse identify as the
priority? - (Ans) Maintaining adequate hydration
1. A nurse in a mental health unit is planning care for a client who is receiving treatment for self-
inflicted injuries. The nurse should identify which of the following interventions is the priority
when planning care for this client? - (Ans) Promoting and maintaining client safety
1. A nurse is assessing a client who has binge-eating disorder. Which of the following findings
should the nurse expect? - (Ans) Abdominal pain
1. A nurse is interviewing a client who has anorexia nervosa. Which of the following findings
should the nurse expect? - (Ans) Strenuous exercise regimen
