Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE

Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE When short-term outcome should the nurse include in the initial treatment plan for a client with dementia? A. Verbalizes no hallucinations and delusions for 48 hours B. Expresses no paranoid ideation for at least 1 week C. Remembers family members names at their next visit D. Performs activities of daily living for 3 sequential days A male client with a long history of alcohol dependency arrives in the emergency department describing the feelings of bugs crawling on his body. His blood pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohol level is 0mg/dL. Which prescription should the RN administer? A. Haloperidol (Haldol). B. Thiamine (Vitamin B1). C. Diphenhydramine (Benadryl). D. Lorazepam (Ativan). A client who is a veteran, comes to the emergency department appearing tense, anxious and has difficulty concentrating on the questions the nurse asks during the health history. Which client statement is most important for the nurse to document? A. “I can’t seem to shake out of these helpless feelings.” B. “I can’t forgive myself for leaving my buddy behind.” C. “I worry I’ll get fired because I call in sick so often.” D. “I am having a lot of trouble sleeping most nights.” Following surgery, a male client with antisocial personality disorder frequently requests that a specific RN be assigned to his care and is belligerent when another RN is assigned. What action should the charge RN implement? A. Reassure the client that his request will be met whenever possible. B. Advise the client that assignments are not based on the client’s request. C. Ask the client to explain why he constantly requests the RN. D. Encourage the client to verbalize his feelings about the RN. A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN? A. Is attempting the physically restrain the patient. B. Remains at a distance of 4 feet from the client. C. Tells the client to go to the . D. Is using a load voice to talk to the client. When preparing to administer a prescribed medication to a homeless male at a community clinic, the client tells the RN that he usually takes a different dosage. What action should the RN take? A. Tell him to take the medication then verify the dosage at the next healthcare team meeting. Downloaded by charity nimo () Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE B. Withhold the medication until the dosage can be confirmed. C. Inform him that he may refuse the medication and document whether or not he takes it. D. Explain to the client that the dosage has been changed. An adolescent make receives a prescription for an antidepressant drug because he is exhibiting a depressed affect. While the client is taking the antidepressant, which comparison of the client’s behavior before and after taking the drug is most important for the nurse to obtain? A. His appetite. B. The emotional quality of his attitude C. His level of activity. D. The interactions he has with others. A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. That intervention is best for the nurse to implement? A. avoid recognizing the behavior. B. Isolate the client from other clients. C. Administer a PRN sedative. D. Escort the client to his room. A young adult male is hospitalized due to depression and an attempted suicide attempt. The client reports that he lost his job and was angry with his employer for firing him when he took an overdose of pain medications. Which behavior best indicates to the nurse that his condition is improving? A. Initiates interactions with other clients. B. Describes verbally when he is angry C. Participates in a job search with a social worker. D. Denies plans to harm himself or others. A male client with known auditory hallucinations begins talking loudly and gesturing wildly while in the unit’s day room. What action should the nurse implement first? A. Administer a PRN sedative. B. Sit in the chair next to the client. C. Escort the client to his room. D. Listen to what the client is saying. A male veteran who recently returned from a war zone has post traumatic stress disorder (PTSD) and is admitted to the psychiatric ward because of admitted suicidal ideation. On admission, the client’s family informed the HCP that therapy sessions did not seem to be helping. Select only one intervention that as the highest priority? A. Administer paraxeitne 40 mg as prescribed. B. Develop a list of therapy programs. C. Remove all shaving equipment. D. Determine if client has a suicide plan. Downloaded by charity nimo () Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE A client who is known to abuse drugs is admitted to the psychiatric unit. Which medication should the nurse anticipate administering to a client who is exhibiting benzodiazepine withdrawal symptoms? a. Perphenazine (Trilafon). b. Diphenylhydramine (Benadryl). c. Chlordiazepoxide (Librium). d. Isocarboxazid (Marplan). A male adolescent was admitted to the unit two days ago for depression. When the mental health RN tries to interview the client to establish rapport, he becomes very irritated and sarcastic. Which action is best for the RN to take? A. Report the behavior to the next shift. B. Offer to play a game of cards with the client. C. Document the behavior in the chart. D. Plan to talk with the client the next day. The Rn accepts a transfer to the metal health unit and understands that the client is distractible and is exhibiting a decreased ability to concentrate. The RN only has 15 minutes to talk to the client. To develop treatment plan for this client, which assessment is most important for the RN to obtain? A. Motivation of treatment. B. History of substance use. C. Medication compliance. D. Mental status examination. During an annual physical by the occupational RN working in a corporate clinic, a male employee tells the RN that is high-stress job is causing trouble in his personal life. He further explains that he often gets so angry while driving to and from work that he has considered “getting even” with other drivers. How should the RN respond? A. “Anger is contagious and could result in major confrontation.” B. “Try not to let your anger cause you to act impulsively.” C. “Expressing your anger to a stranger could result in an unsafe situation.” D. “It sounds as if there are many situations that make you feel angry.” Which nursing actions are likely to help promote the self-esteem of a male client with modern depression? SATA A. Ask the client what his long term goals are. B. Discuss the challenges of his medical condition. C. Include the client in determining treatment protocol. D. Encourage the client to engage in recreational therapy. E. Provide opportunities for the client to discuss his concerns. Downloaded by charity nimo () Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE A client is admitted to the mental health unit and reports taking extra antianxiety medication because, “I’m so stressed out. I just want to go to sleep.” The RN should plan one-on-one observation of the client based on which statement? A. “What should I do? Nothing seems to help.” B. “I have been so tired lately and needed to sleep.” C. “I really think that I don’t need to be here.” D. “I don’t want to walk. Nothing matters anymore.” A male hospital employee is pushed out the way by a female employee because of an oncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric RN. Which factor in the pushed employee’s history is most related to the reaction that occurred? A. Is worried about losing his job to a woman. B. Tortured animals as a child. C. Was physically abused by his mother. D. Hates to be touched by anyone. A client admitted with a closed head injury after a fall has a blood alcohol level of 0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours following admission should the RN identify as the priority? A. Give lorazepam (Ativan) PRN for signs of withdrawal. B. Administer disulfiram (Antabuse) immediately. C. Place in a side lying position with head of bed elevated. D. Provide thiamine and folate supplements as prescribed. A teenager who has lost 20 pounds in the last three months is admitted to the hospital with hypotension and tachycardia. The client reports irregular menses and hair loss. Which intervention is most important for the RN to include in the client's plan of care? A. Implement behavioral modification therapy. B. Initiate caloric and nutritional therapy. C. Evaluate the client for low self-esteem. D. Record daily weights and graft trend. While interviewing a client, the nurse takes notes to assist with accurate documentation later. Which statement is most accurate regarding note taking during an interview? A. The client’s comfort level is increased when the RN breaks eye contact to take notes. B. The interview process is enhanced with note taking and allows the client to speak at a normal pace. C. Taking notes during an interview is a legal obligation of examining RN. D. The RN’s ability to directly observe the client’s non-verbal communication is limited with note taking. Downloaded by charity nimo () Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE During the admission assessment to the mental health unit, a client reports that the people at the office, when the client works, are antagonistic and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anybody else. The nurse immediately notifies the client’s therapist and other team members of the client’s thoughts. The therapist then calls the client’s supervisor and shares the client’s thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse? A.Both the nurse and the therapist are reprimanded for divulging confidential patient information to others B.The therapist is reprimanded for divulging confidential patient information without obtaining consent. C. The nurse and therapist will be asked to educate the other team members on appropriate sharing of client information D.The nurse is reprimanded for divulging confidential patient information without obtaining informed consent 10. Two days after his last drink, a male client with a history of heavy and prolonged alcoholism becomes agitated, and yells at his wife and children, “Stay away from me!” His vital signs are elevated. What nursing problem has the highest priority? A. Impaired parenting B. Social isolation C. Risk for injury D. Ineffective coping 20) The nurse is providing care for client with schizophrenia who receives haloperidol decanoate 75 mg intramuscularly every four weeks. The client begins developing puckering and smacking of the lips and facial grimacing. Which intervention should the nurse implement? A. Observe the client for delusions and hallucinations B. Obtain the client’s fingerstick glucose levels C. Determine the client’s abnormal involuntary movement scale (AIMS) D. Measure the client’s lying and standing blood pressure Downloaded by charity nimo () Psychiatric Mental Health Test Bank Final Exam/Real Exam / Version/A GRADE The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective findings should the nurse identify that are considered with post partum depression? (SATA) A. Grandiosity B. Sadness C.Poor concentration D. Disrupted sleep E. Compulsive behavior 21. The nurse is admitting a client who has not slept in three days to the inpatient care facility. The client has pressured speech and describes an increase in sexual … Which problem should the nurse include in the client’s plan of care? A. Ineffective coping B. Risk for injury C. Anxiety panic D. Disturbed personal identity 29. An adolescent male who was arrested a month ago for gang-related activities has a court order to attend weekly group therapy sessions at the mental health clinic. Today the mother calls the clinic nurse to report that her son became angry last night and put his fist through a window. Which intervention is most important for the nurse to implement? A. Refer the mother for psychiatric evaluation for anxiety and depression B. Tell the mother to describe her feelings of helplessness to her son C. Reinforce the need for the adolescent to attend group therapy sessions D. Advise the mother to call the police if the violent behavior occurs again