MENTAL HEALTH EXAM WITH ALL POSSIBLE
QUESTIONS AND CORRECT SOLUTIONS
A 60 year old male client has been admitted to the psychiatric unit, with
symptoms ranging from fatigue, an inability to concentrate, an inability to
complete everyday tasks, to refusal to care for himself and preferring to
sleep all day. One of the first interventions should be aimed at:
a. Developing a good nurse care plan
b. Talking to his wife for cues to help him
c. Encouraging him to join activities on the unit
d. Developing a structured routine for him to follow - Ans--D.
Developing a structured routine for him to follow
In working with a depressed client, the nurse should understand that
depression in most directly related to a persons:
a. Experiencing poor interpersonal relationships
b. Remembering a traumatic childhood
c. Having experienced a sense of loss
d. Stage in Life - Ans--C.
Having experienced a sense of loss
When encouraged to join an activity a depressed client on the psychiatric
unit refuses and says, "What's the use?" The approach by the nurse that
would be most effective is to:
a. Sit down bedside her and ask her how is she feeling
b. Tell her it is time for the activity help her out of the chair, and go with her to
the activity
c. Convince her how helpful it will be to engage in the activity
d. Tell her that is a self-defeating attitude and it will only make her feel worse
- Ans--B. Tell her it is time for the activity help her out of the chair, and go with
her to the activity
A client makes a suicide attempt on the evening shift. The staff intervenes in
the time to prevent harm, In assessing the situation, the most important
rationale for the staff to discuss the incident is that:
a. They need to reenact the attempt so that they understand exactly what
happened
,b. The staff needs to file an incident report so that the hospital administration
is kept informed
c. The staff needs to discuss the client's behavior to determine what cues in
his behavior might have warned them that he was contemplating suicide
d. Because the client made one suicide attempt, there is high probability he
will make a second attempt in the immediate future - Ans--C.
The staff needs to discuss the client's behavior to determine what cues in
his behavior might have warned them that he was contemplating suicide
A client has the diagnosis of a manic episode. Her disruptive behavior on
the unit has been increasingly annoying to the other clients. One
intervention by the nurse might be to:
a. Tell the client she is annoying others and confine her to her room
b. ignore the client's behavior, realizing it is consistent with her illness
c. Set limits on the client's behavior and be consistent in approach
d. Make a rigid, structured plan that the client will have to follow - Ans--c. Set
limits on the client's behavior and be consistent in approach
Three days after admission for depression, a 54 year old female client
approaches the nurse and says "I know I have cancer of the uterus. Can't
you let me stay in bed and have some peace before I die?" In responding,
the nurse must keep in mind that:
a. The client must be postmenopausal
b. Thoughts of disease are common in depressed clients
c. Clients suffering from depression can be demanding, making many
requests of the nurse
d. Antidepressant medications frequently cause vaginal spotting - Ans--b.
Thoughts of disease are common in depressed clients
When assessing a client for possible suicide, an important clue would be if
the client:
a. Is hostile or sarcastic to the staff
b. Identifies with problems expressed by other clients
c. Seems satisfied and detached
d.Begins to talk about leaving the hospital - Ans--c. Seems satisfied and
detached
, A depressed client refuses to get out of bed, go to activities, or participate in
any of the unit's programs. The most appropriate nursing action is to:
A. Tell her that the rule of the unit is that no client can remain in bed
B.Suggest she better get out of bed or she will go hungry later
c. Offer to assist her out of bed and help her to dress
d.Allow her to remain in bed until she feels ready to join the other clients -
Ans--c. Offer to assist her out of bed and help her to dress
A client with the diagnosis of a manic episode is racing around the
psychiatric unit trying to organize games with the clients. An appropriate
nursing intervention is to:
a. Have the client play ping-pong
b. Suggest video exercises with the other clients
c. Take the client outside for a walk
d. Do nothing, as organizing a game is considered therapeutic - Ans--c.
Take the client outside for a walk
A 45 year old female client has been in the hospital for 3 days with a
diagnosis of depression. During this time, she has not put on a clean dress,
washed her hair, or participated in any of the unit activities. On this day, the
nurse observes that she is wearing a clean dress and has combed her hair.
The appropriate statement to the client is:
a. Oh, I'm so pleased that you finally put on a clean dress
b. Something is different about you today. What is it?
c. That's good. You have on a clean dress and have combed your hair
d. I see that you have on a clean dress and have combed your hair - Ans--d. I
see that you have on a clean dress and have combed your hair
When a depressed client becomes more active and there is evidence that
her mood has lifted, an appropriate goal to add to the nursing care plan is to:
a. Encourage her to go home for the weekend
b.Move her to a room with three other clients
c. Monitor her whereabouts at all times
d. Begin to explore the reasons she became depressed - Ans--C. Monitor
her whereabouts at all times
The nurse is assigned a client who is potentially suicidal. Of the following
nursing objectives, which one is the most important?
QUESTIONS AND CORRECT SOLUTIONS
A 60 year old male client has been admitted to the psychiatric unit, with
symptoms ranging from fatigue, an inability to concentrate, an inability to
complete everyday tasks, to refusal to care for himself and preferring to
sleep all day. One of the first interventions should be aimed at:
a. Developing a good nurse care plan
b. Talking to his wife for cues to help him
c. Encouraging him to join activities on the unit
d. Developing a structured routine for him to follow - Ans--D.
Developing a structured routine for him to follow
In working with a depressed client, the nurse should understand that
depression in most directly related to a persons:
a. Experiencing poor interpersonal relationships
b. Remembering a traumatic childhood
c. Having experienced a sense of loss
d. Stage in Life - Ans--C.
Having experienced a sense of loss
When encouraged to join an activity a depressed client on the psychiatric
unit refuses and says, "What's the use?" The approach by the nurse that
would be most effective is to:
a. Sit down bedside her and ask her how is she feeling
b. Tell her it is time for the activity help her out of the chair, and go with her to
the activity
c. Convince her how helpful it will be to engage in the activity
d. Tell her that is a self-defeating attitude and it will only make her feel worse
- Ans--B. Tell her it is time for the activity help her out of the chair, and go with
her to the activity
A client makes a suicide attempt on the evening shift. The staff intervenes in
the time to prevent harm, In assessing the situation, the most important
rationale for the staff to discuss the incident is that:
a. They need to reenact the attempt so that they understand exactly what
happened
,b. The staff needs to file an incident report so that the hospital administration
is kept informed
c. The staff needs to discuss the client's behavior to determine what cues in
his behavior might have warned them that he was contemplating suicide
d. Because the client made one suicide attempt, there is high probability he
will make a second attempt in the immediate future - Ans--C.
The staff needs to discuss the client's behavior to determine what cues in
his behavior might have warned them that he was contemplating suicide
A client has the diagnosis of a manic episode. Her disruptive behavior on
the unit has been increasingly annoying to the other clients. One
intervention by the nurse might be to:
a. Tell the client she is annoying others and confine her to her room
b. ignore the client's behavior, realizing it is consistent with her illness
c. Set limits on the client's behavior and be consistent in approach
d. Make a rigid, structured plan that the client will have to follow - Ans--c. Set
limits on the client's behavior and be consistent in approach
Three days after admission for depression, a 54 year old female client
approaches the nurse and says "I know I have cancer of the uterus. Can't
you let me stay in bed and have some peace before I die?" In responding,
the nurse must keep in mind that:
a. The client must be postmenopausal
b. Thoughts of disease are common in depressed clients
c. Clients suffering from depression can be demanding, making many
requests of the nurse
d. Antidepressant medications frequently cause vaginal spotting - Ans--b.
Thoughts of disease are common in depressed clients
When assessing a client for possible suicide, an important clue would be if
the client:
a. Is hostile or sarcastic to the staff
b. Identifies with problems expressed by other clients
c. Seems satisfied and detached
d.Begins to talk about leaving the hospital - Ans--c. Seems satisfied and
detached
, A depressed client refuses to get out of bed, go to activities, or participate in
any of the unit's programs. The most appropriate nursing action is to:
A. Tell her that the rule of the unit is that no client can remain in bed
B.Suggest she better get out of bed or she will go hungry later
c. Offer to assist her out of bed and help her to dress
d.Allow her to remain in bed until she feels ready to join the other clients -
Ans--c. Offer to assist her out of bed and help her to dress
A client with the diagnosis of a manic episode is racing around the
psychiatric unit trying to organize games with the clients. An appropriate
nursing intervention is to:
a. Have the client play ping-pong
b. Suggest video exercises with the other clients
c. Take the client outside for a walk
d. Do nothing, as organizing a game is considered therapeutic - Ans--c.
Take the client outside for a walk
A 45 year old female client has been in the hospital for 3 days with a
diagnosis of depression. During this time, she has not put on a clean dress,
washed her hair, or participated in any of the unit activities. On this day, the
nurse observes that she is wearing a clean dress and has combed her hair.
The appropriate statement to the client is:
a. Oh, I'm so pleased that you finally put on a clean dress
b. Something is different about you today. What is it?
c. That's good. You have on a clean dress and have combed your hair
d. I see that you have on a clean dress and have combed your hair - Ans--d. I
see that you have on a clean dress and have combed your hair
When a depressed client becomes more active and there is evidence that
her mood has lifted, an appropriate goal to add to the nursing care plan is to:
a. Encourage her to go home for the weekend
b.Move her to a room with three other clients
c. Monitor her whereabouts at all times
d. Begin to explore the reasons she became depressed - Ans--C. Monitor
her whereabouts at all times
The nurse is assigned a client who is potentially suicidal. Of the following
nursing objectives, which one is the most important?
