Mental Health CMS 1 questions with verified answers
A client who has rheumatoid arthritis shows the nurse at her provider's office her
magnetic copper bracelet and says that it helps alleviate her pain when she wears
it. Which of the following responses should the nurse make?
A. "Why do you think the copper helps with your arthritis?"
B. "I think you should rely more on your medication therapy than on your
bracelet."
C. "Yes, I understand that you feel better wearing your bracelet."
D. "Believing objects have powers to make you feel better has no scientific basis."
Ans✓✓✓ C. "Yes, I understand that you feel better wearing your bracelet."
A home care nurse is visiting an older adult client who tells the nurse that she is
feeling tired, is unable to shop for groceries, and would like the nurse to shop for
her. Shopping and performing personal errands for the client is prohibited in the
nurse's job description. Which of the following is an appropriate nursing
response?
A. "I won't be able to shop for you today because I have to get home to my
family."
B. "What I think you should do is wait for the days when you feel better and do
your grocery shopping then."
C. "Let's look at some other resources to solve this problem."
D. "I would be happy to do whatever I can to help you." Ans✓✓✓ C. "Let's look at
some other resources to solve this problem."
A home care nurse is visiting an older adult client who tells the nurse that she is
feeling tired, is unable to shop for groceries, and would like the nurse to shop for
her. Shopping and performing personal errands for the client is prohibited in the
nurse's job description. Which of the following is an appropriate nursing
response?
,A. "I won't be able to shop for you today because I have to get home to my
family."
B. "What I think you should do is wait for the days when you feel better and do
your grocery shopping then."
C. "Let's look at some other resources to solve this problem."
D. "I would be happy to do whatever I can to help you." Ans✓✓✓ C. "Let's look at
some other resources to solve this problem."
A nurse at an urgent care center is caring for a client who sustained minor injuries
during a street fight in which two of the client's friends were stabbing victims. The
client tells the nurse that he doesn't remember anything that happened after he
and his friends first saw the suspects in the stabbing. Which of the following
defense mechanisms is the client demonstrating?
A. Projection
B. Dissociation
C. Repression
D. Sublimation Ans✓✓✓ B. Dissociation
A nurse in a long-term care facility is caring for an older adult client who is
anxious and has trouble sleeping at night. Which of the following nursing
measures should the nurse implement?
A. Get the client ready for sleep at the same time each night.
B. Move the client to a room next to the open nurses' station.
C. Encourage client to take a 1-hr nap each afternoon.
D. Play the client's favorite music in the room while the client is sleeping.
Ans✓✓✓ A. Get the client ready for sleep at the same time each night.
, A nurse in an acute care mental health unit is speaking with a client who reports
that other clients leave trash in the lounge. Which of the following actions should
the nurse take?
A. Call housekeeping to clean up the lounge.
B. Promise the client that the issue will be discussed at the next community
meeting.
C. Help the client clean up the dayroom.
D. Encourage the client to discuss the problem with other clients. Ans✓✓✓ C.
Help the client clean up the dayroom.
A nurse is assessing a client who has multiple injuries from a motor vehicle crash
as a result of driving while under the influence of alcohol. The client tells the
nurse," I had a few drinks after my boss fired me, but it's okay. Everything will
work out somehow next week." Which of the following defense mechanisms is
the client demonstrating?
A. Dissociation
B. Projection
C. Intellectualization
D. Suppression Ans✓✓✓ C. Intellectualization
A nurse is assessing a young adult client who has a new diagnosis of Idiopathic
Juvenile arthritis. The client states. "The pain in my joints is just a temporary
thing. If I keep eating right and exercising, it'll go away." The nurse should identify
that the client is using which of the following defense mechanisms?
A. Displacement
B. Reaction formation
C. Denial
D. Rationalization Ans✓✓✓ D. Rationalization
A client who has rheumatoid arthritis shows the nurse at her provider's office her
magnetic copper bracelet and says that it helps alleviate her pain when she wears
it. Which of the following responses should the nurse make?
A. "Why do you think the copper helps with your arthritis?"
B. "I think you should rely more on your medication therapy than on your
bracelet."
C. "Yes, I understand that you feel better wearing your bracelet."
D. "Believing objects have powers to make you feel better has no scientific basis."
Ans✓✓✓ C. "Yes, I understand that you feel better wearing your bracelet."
A home care nurse is visiting an older adult client who tells the nurse that she is
feeling tired, is unable to shop for groceries, and would like the nurse to shop for
her. Shopping and performing personal errands for the client is prohibited in the
nurse's job description. Which of the following is an appropriate nursing
response?
A. "I won't be able to shop for you today because I have to get home to my
family."
B. "What I think you should do is wait for the days when you feel better and do
your grocery shopping then."
C. "Let's look at some other resources to solve this problem."
D. "I would be happy to do whatever I can to help you." Ans✓✓✓ C. "Let's look at
some other resources to solve this problem."
A home care nurse is visiting an older adult client who tells the nurse that she is
feeling tired, is unable to shop for groceries, and would like the nurse to shop for
her. Shopping and performing personal errands for the client is prohibited in the
nurse's job description. Which of the following is an appropriate nursing
response?
,A. "I won't be able to shop for you today because I have to get home to my
family."
B. "What I think you should do is wait for the days when you feel better and do
your grocery shopping then."
C. "Let's look at some other resources to solve this problem."
D. "I would be happy to do whatever I can to help you." Ans✓✓✓ C. "Let's look at
some other resources to solve this problem."
A nurse at an urgent care center is caring for a client who sustained minor injuries
during a street fight in which two of the client's friends were stabbing victims. The
client tells the nurse that he doesn't remember anything that happened after he
and his friends first saw the suspects in the stabbing. Which of the following
defense mechanisms is the client demonstrating?
A. Projection
B. Dissociation
C. Repression
D. Sublimation Ans✓✓✓ B. Dissociation
A nurse in a long-term care facility is caring for an older adult client who is
anxious and has trouble sleeping at night. Which of the following nursing
measures should the nurse implement?
A. Get the client ready for sleep at the same time each night.
B. Move the client to a room next to the open nurses' station.
C. Encourage client to take a 1-hr nap each afternoon.
D. Play the client's favorite music in the room while the client is sleeping.
Ans✓✓✓ A. Get the client ready for sleep at the same time each night.
, A nurse in an acute care mental health unit is speaking with a client who reports
that other clients leave trash in the lounge. Which of the following actions should
the nurse take?
A. Call housekeeping to clean up the lounge.
B. Promise the client that the issue will be discussed at the next community
meeting.
C. Help the client clean up the dayroom.
D. Encourage the client to discuss the problem with other clients. Ans✓✓✓ C.
Help the client clean up the dayroom.
A nurse is assessing a client who has multiple injuries from a motor vehicle crash
as a result of driving while under the influence of alcohol. The client tells the
nurse," I had a few drinks after my boss fired me, but it's okay. Everything will
work out somehow next week." Which of the following defense mechanisms is
the client demonstrating?
A. Dissociation
B. Projection
C. Intellectualization
D. Suppression Ans✓✓✓ C. Intellectualization
A nurse is assessing a young adult client who has a new diagnosis of Idiopathic
Juvenile arthritis. The client states. "The pain in my joints is just a temporary
thing. If I keep eating right and exercising, it'll go away." The nurse should identify
that the client is using which of the following defense mechanisms?
A. Displacement
B. Reaction formation
C. Denial
D. Rationalization Ans✓✓✓ D. Rationalization
