MENTAL HEALTH
Question 1:
A nurse is assessing a client who has recently been diagnosed
with generalized anxiety disorder (GAD). Which of the
following symptoms is the nurse most likely to observe?
A. Auditory hallucinations
B. Excessive worry about various events
C. Significant weight loss
D. Compulsive hand washing
Correct Answer: B. Excessive worry about various events
Question 2:
A patient is prescribed fluoxetine (Prozac) for the treatment of
depression. Which of the following side effects should the nurse
monitor for in this patient?
A. Bradycardia
B. Weight gain
C. Sexual dysfunction
D. Increased salivation
Correct Answer: C. Sexual dysfunction
Question 3:
A client with schizophrenia is experiencing delusions of
persecution. Which nursing intervention is most appropriate?
,A. Challenging the client's delusions
B. Asking the client to explain the delusions in detail
C. Agreeing with the client's delusions
D. Focusing on reality-based topics
Correct Answer: D. Focusing on reality-based topics
Question 4:
During a mental health assessment, the nurse notes that a client
is exhibiting pressured speech. This symptom is most commonly
associated with:
A. Major depressive disorder
B. Bipolar disorder, manic phase
C. Generalized anxiety disorder
D. Obsessive-compulsive disorder
Correct Answer: B. Bipolar disorder, manic phase
Question 5:
A nurse is caring for a client with post-traumatic stress disorder
(PTSD). Which intervention is most effective in helping the
client manage flashbacks?
A. Encouraging the client to avoid discussing the traumatic
event
B. Teaching the client deep breathing and relaxation techniques
C. Advising the client to focus on other people's problems
D. Administering antipsychotic medication as prescribed
,Correct Answer: B. Teaching the client deep breathing and
relaxation techniques
Question 6:
Which of the following statements by a client with major
depressive disorder would indicate an increased risk for suicide?
A. "I've been sleeping a lot more lately."
B. "I can't seem to concentrate on anything."
C. "I feel like a burden to everyone."
D. "I'm starting to feel a bit better now."
Correct Answer: C. "I feel like a burden to everyone."
Question 7:
A client with obsessive-compulsive disorder (OCD) spends
hours each day checking and rechecking whether the doors are
locked. Which nursing diagnosis is most appropriate for this
client?
A. Risk for injury
B. Disturbed thought processes
C. Ineffective coping
D. Social isolation
Correct Answer: C. Ineffective coping
Question 8:
A nurse is educating a family about electroconvulsive therapy
(ECT). Which statement by a family member indicates a need
for further teaching?
, A. "ECT can cause memory loss."
B. "The patient will be awake during the procedure."
C. "ECT is used for severe depression."
D. "The procedure involves passing an electrical current through
the brain."
Correct Answer: B. "The patient will be awake during the
procedure."
Question 9:
A client diagnosed with borderline personality disorder is
admitted to the unit. Which characteristic behavior would the
nurse expect?
A. Emotional detachment
B. Avoidance of social interactions
C. Intense and unstable interpersonal relationships
D. Consistent work performance
Correct Answer: C. Intense and unstable interpersonal
relationships
Question 10:
When assessing a client for alcohol withdrawal, which of the
following symptoms should the nurse be alert for?
A. Hypotension
B. Bradycardia
C. Diaphoresis
D. Constipation
Question 1:
A nurse is assessing a client who has recently been diagnosed
with generalized anxiety disorder (GAD). Which of the
following symptoms is the nurse most likely to observe?
A. Auditory hallucinations
B. Excessive worry about various events
C. Significant weight loss
D. Compulsive hand washing
Correct Answer: B. Excessive worry about various events
Question 2:
A patient is prescribed fluoxetine (Prozac) for the treatment of
depression. Which of the following side effects should the nurse
monitor for in this patient?
A. Bradycardia
B. Weight gain
C. Sexual dysfunction
D. Increased salivation
Correct Answer: C. Sexual dysfunction
Question 3:
A client with schizophrenia is experiencing delusions of
persecution. Which nursing intervention is most appropriate?
,A. Challenging the client's delusions
B. Asking the client to explain the delusions in detail
C. Agreeing with the client's delusions
D. Focusing on reality-based topics
Correct Answer: D. Focusing on reality-based topics
Question 4:
During a mental health assessment, the nurse notes that a client
is exhibiting pressured speech. This symptom is most commonly
associated with:
A. Major depressive disorder
B. Bipolar disorder, manic phase
C. Generalized anxiety disorder
D. Obsessive-compulsive disorder
Correct Answer: B. Bipolar disorder, manic phase
Question 5:
A nurse is caring for a client with post-traumatic stress disorder
(PTSD). Which intervention is most effective in helping the
client manage flashbacks?
A. Encouraging the client to avoid discussing the traumatic
event
B. Teaching the client deep breathing and relaxation techniques
C. Advising the client to focus on other people's problems
D. Administering antipsychotic medication as prescribed
,Correct Answer: B. Teaching the client deep breathing and
relaxation techniques
Question 6:
Which of the following statements by a client with major
depressive disorder would indicate an increased risk for suicide?
A. "I've been sleeping a lot more lately."
B. "I can't seem to concentrate on anything."
C. "I feel like a burden to everyone."
D. "I'm starting to feel a bit better now."
Correct Answer: C. "I feel like a burden to everyone."
Question 7:
A client with obsessive-compulsive disorder (OCD) spends
hours each day checking and rechecking whether the doors are
locked. Which nursing diagnosis is most appropriate for this
client?
A. Risk for injury
B. Disturbed thought processes
C. Ineffective coping
D. Social isolation
Correct Answer: C. Ineffective coping
Question 8:
A nurse is educating a family about electroconvulsive therapy
(ECT). Which statement by a family member indicates a need
for further teaching?
, A. "ECT can cause memory loss."
B. "The patient will be awake during the procedure."
C. "ECT is used for severe depression."
D. "The procedure involves passing an electrical current through
the brain."
Correct Answer: B. "The patient will be awake during the
procedure."
Question 9:
A client diagnosed with borderline personality disorder is
admitted to the unit. Which characteristic behavior would the
nurse expect?
A. Emotional detachment
B. Avoidance of social interactions
C. Intense and unstable interpersonal relationships
D. Consistent work performance
Correct Answer: C. Intense and unstable interpersonal
relationships
Question 10:
When assessing a client for alcohol withdrawal, which of the
following symptoms should the nurse be alert for?
A. Hypotension
B. Bradycardia
C. Diaphoresis
D. Constipation
