RN MENTAL HEALTH ONLINE
PRACTICE 2023 B QUESTIONS
AND CORRECT SOLUTIONS
A_nurse_in_an_outpatient_clinic_is_reviewing_the_medical_record_of_a_client_who_has_
anorexia_nervosa.
Click_to_highlight_the_information_in_the_client's_medical_record_that_indicate_the_clie
nt's_condition_is_deteriorating._To_deselect_information,_click_on_the_information_again
.
-QT_prolongation
-Exercise_regimen
-Hematemesis
-Temperature
-Laxative_use
-BMI_-
_Correct_answer~_QT_prolongation_is_correct._The_finding_of_QT_prolongation_in_the_c
lient's_ECG_during_the_second_visit_reveals_cardiac_complications_of_anorexia_nervosa.
_Changes_in_electrolyte_levels_can_shorten_or_prolong_the_QT_interval._This_is_an_indi
cation_that_the_client's_condition_is_deteriorating.
Exercise_regimen_is_correct._The_client's_purchase_of_exercise_equipment_and_working
_out_twice_a_day_is_a_new_manifestation_of_anorexia_nervosa._This_is_an_indication_t
hat_the_client's_condition_is_deteriorating.
,Hematemesis_is_correct._New_onset_of_hematemesis_might_be_caused_by_esophageal_
irritation_or_ulceration_due_to_the_increase_in_the_frequency_of_induction_of_vomiting
._Continued_induction_of_vomiting_can_cause_esophageal_rupture._Therefore,_hematem
esis_is_an_indication_that_the_client's_condition_is_deteriorating.
Temperature_is_incorrect._The_client's_temperature_has_remained_within_the_expected_
reference_range._A_decrease_in_body_temperature_with_cool_skin_is_an_indication_that
_the_client's_condition_is_deteriorating.
Laxative_use_is_incorrect._The_client's_cessation_of_the_use_of_laxatives_is_an_indicatio
n_that_the_client's_condition_is_improving.
BMI_is_correct._The_client's_BMI_decreased_between_visits,_which_indicates_the_client_
is_continuing_to_lose_weight._This_is_an_indication_that_the_client's_condition_is_deteri
orating.
A_nurse_is_caring_for_an_older_adult_client_who_has_dementia_and_has_wandered_int
o_the_day_room_looking_for_their_deceased_partner._Which_of_the_following_actions_s
hould_the_nurse_take?
a._Move_the_client_to_a_room_near_the_nurses'_station.
b._Limit_visitors_until_the_client_is_oriented_to_the_environment.
c._Tell_the_client_that_their_partner_is_deceased.
d._Talk_with_the_client_about_activities_they_enjoyed_with_their_partner._-
_Correct_answer~_d._Talk_with_the_client_about_activities_they_enjoyed_with_their_par
tner.
Talking_about_positive_experiences_can_help_distract_the_client_from_their_disorientatio
n
,A_nurse_is_caring_for_a_client_who_has_alcohol_use_disorder.
Complete_the_following_sentence_by_using_the_list_of_options.
The_client_is_at_greatest_risk_for________as_evidenced_by_the_client's_______.
Dropdown_1:
-Ineffective_coping
-Dehydration
-Violent_behavior_
Dropdown_2:
-Agitation
-Loss_of_appetite
-Inability_to_perform_simple_tasks_-_Correct_answer~_Drop_down_1:
Ineffective_coping_is_incorrect._The_nurse_should_continue_to_monitor_the_client_for_i
neffective_coping_and_encourage_the_client_to_use_coping_techniques._However,_this_i
s_not_the_greatest_risk_for_this_client.
Dehydration_is_incorrect._The_nurse_should_monitor_the_client's_intake_and_encourage
_the_client_to_eat_and_drink._However,_this_is_not_the_greatest_risk_for_this_client.
Violent_behavior_is_correct._The_greatest_risk_for_the_client_is_engaging_in_violent_beh
avior_due_to_the_withdrawal_of_alcohol,_which_is_causing_them_increasing_agitation._T
he_nurse_should_closely_monitor_the_client_and_be_prepared_to_intervene_to_protect_
the_client_and_others_from_injury.
, Dropdown_2:_Agitation_is_correct._The_client_is_at_greatest_risk_of_engaging_in_violent
_behavior_as_evidenced_by_the_client's_agitation,_which_can_be_indicated_by_pacing,_r
estlessness,_staring,_silence,_rigid_posture,_and_clenched_jaw._The_nurse_should_closely
_monitor_the_client_and_be_prepared_to_intervene_to_protect_the_client_and_others_fr
om_injury.
Loss_of_appetite_is_incorrect._The_nurse_should_monitor_the_client's_intake_and_encou
rage_the_client_to_eat_and_drink._However,_this_is_not_the_greatest_risk_for_the_client
._Loss_of_appetite_is_an_expected_finding_for_a_client_who_is_experiencing_alcohol_wit
hdrawal.
Inability_to_perform_simple_tasks_is_incorrect._The_nurse_should_monitor_the_client's_a
bility_to_perform_simple_tasks_and_encourage_use_of_coping_strategies._However,_this_
is_not_the_greatest_risk_for_the_client.
A_nurse_on_a_mental_health_unit_is_admitting_a_client_who_has_bipolar_disorder.
Complete_the_following_sentence_by_using_the_list_of_options.
The_first_action_the_nurse_should_take_is_to_address_the_client's________due_to_the_
client's_______._-
_Correct_answer~_When_prioritizing_hypotheses,_the_nurse_should_identify_the_greates
t_risk_to_the_client_is_cardiovascular_injury_due_to_constant_psychomotor_activity._The
_client_is_pacing,_moving_arms_and_hands_around_dramatically,_and_is_unable_to_sit_s
till._This_can_increase_the_client's_blood_pressure_and_heart_rate,_which_can_indicate_
unexpected_cardiovascular_findings.
A_nurse_is_teaching_a_group_of_newly_licensed_nurses_about_the_use_of_mechanical_r
estraints._Which_of_the_following_information_should_the_nurse_include_in_the_teachin
g?
a._Complete_documentation_about_the_client's_status_every_hour_while_they_are_in_re
straints.
PRACTICE 2023 B QUESTIONS
AND CORRECT SOLUTIONS
A_nurse_in_an_outpatient_clinic_is_reviewing_the_medical_record_of_a_client_who_has_
anorexia_nervosa.
Click_to_highlight_the_information_in_the_client's_medical_record_that_indicate_the_clie
nt's_condition_is_deteriorating._To_deselect_information,_click_on_the_information_again
.
-QT_prolongation
-Exercise_regimen
-Hematemesis
-Temperature
-Laxative_use
-BMI_-
_Correct_answer~_QT_prolongation_is_correct._The_finding_of_QT_prolongation_in_the_c
lient's_ECG_during_the_second_visit_reveals_cardiac_complications_of_anorexia_nervosa.
_Changes_in_electrolyte_levels_can_shorten_or_prolong_the_QT_interval._This_is_an_indi
cation_that_the_client's_condition_is_deteriorating.
Exercise_regimen_is_correct._The_client's_purchase_of_exercise_equipment_and_working
_out_twice_a_day_is_a_new_manifestation_of_anorexia_nervosa._This_is_an_indication_t
hat_the_client's_condition_is_deteriorating.
,Hematemesis_is_correct._New_onset_of_hematemesis_might_be_caused_by_esophageal_
irritation_or_ulceration_due_to_the_increase_in_the_frequency_of_induction_of_vomiting
._Continued_induction_of_vomiting_can_cause_esophageal_rupture._Therefore,_hematem
esis_is_an_indication_that_the_client's_condition_is_deteriorating.
Temperature_is_incorrect._The_client's_temperature_has_remained_within_the_expected_
reference_range._A_decrease_in_body_temperature_with_cool_skin_is_an_indication_that
_the_client's_condition_is_deteriorating.
Laxative_use_is_incorrect._The_client's_cessation_of_the_use_of_laxatives_is_an_indicatio
n_that_the_client's_condition_is_improving.
BMI_is_correct._The_client's_BMI_decreased_between_visits,_which_indicates_the_client_
is_continuing_to_lose_weight._This_is_an_indication_that_the_client's_condition_is_deteri
orating.
A_nurse_is_caring_for_an_older_adult_client_who_has_dementia_and_has_wandered_int
o_the_day_room_looking_for_their_deceased_partner._Which_of_the_following_actions_s
hould_the_nurse_take?
a._Move_the_client_to_a_room_near_the_nurses'_station.
b._Limit_visitors_until_the_client_is_oriented_to_the_environment.
c._Tell_the_client_that_their_partner_is_deceased.
d._Talk_with_the_client_about_activities_they_enjoyed_with_their_partner._-
_Correct_answer~_d._Talk_with_the_client_about_activities_they_enjoyed_with_their_par
tner.
Talking_about_positive_experiences_can_help_distract_the_client_from_their_disorientatio
n
,A_nurse_is_caring_for_a_client_who_has_alcohol_use_disorder.
Complete_the_following_sentence_by_using_the_list_of_options.
The_client_is_at_greatest_risk_for________as_evidenced_by_the_client's_______.
Dropdown_1:
-Ineffective_coping
-Dehydration
-Violent_behavior_
Dropdown_2:
-Agitation
-Loss_of_appetite
-Inability_to_perform_simple_tasks_-_Correct_answer~_Drop_down_1:
Ineffective_coping_is_incorrect._The_nurse_should_continue_to_monitor_the_client_for_i
neffective_coping_and_encourage_the_client_to_use_coping_techniques._However,_this_i
s_not_the_greatest_risk_for_this_client.
Dehydration_is_incorrect._The_nurse_should_monitor_the_client's_intake_and_encourage
_the_client_to_eat_and_drink._However,_this_is_not_the_greatest_risk_for_this_client.
Violent_behavior_is_correct._The_greatest_risk_for_the_client_is_engaging_in_violent_beh
avior_due_to_the_withdrawal_of_alcohol,_which_is_causing_them_increasing_agitation._T
he_nurse_should_closely_monitor_the_client_and_be_prepared_to_intervene_to_protect_
the_client_and_others_from_injury.
, Dropdown_2:_Agitation_is_correct._The_client_is_at_greatest_risk_of_engaging_in_violent
_behavior_as_evidenced_by_the_client's_agitation,_which_can_be_indicated_by_pacing,_r
estlessness,_staring,_silence,_rigid_posture,_and_clenched_jaw._The_nurse_should_closely
_monitor_the_client_and_be_prepared_to_intervene_to_protect_the_client_and_others_fr
om_injury.
Loss_of_appetite_is_incorrect._The_nurse_should_monitor_the_client's_intake_and_encou
rage_the_client_to_eat_and_drink._However,_this_is_not_the_greatest_risk_for_the_client
._Loss_of_appetite_is_an_expected_finding_for_a_client_who_is_experiencing_alcohol_wit
hdrawal.
Inability_to_perform_simple_tasks_is_incorrect._The_nurse_should_monitor_the_client's_a
bility_to_perform_simple_tasks_and_encourage_use_of_coping_strategies._However,_this_
is_not_the_greatest_risk_for_the_client.
A_nurse_on_a_mental_health_unit_is_admitting_a_client_who_has_bipolar_disorder.
Complete_the_following_sentence_by_using_the_list_of_options.
The_first_action_the_nurse_should_take_is_to_address_the_client's________due_to_the_
client's_______._-
_Correct_answer~_When_prioritizing_hypotheses,_the_nurse_should_identify_the_greates
t_risk_to_the_client_is_cardiovascular_injury_due_to_constant_psychomotor_activity._The
_client_is_pacing,_moving_arms_and_hands_around_dramatically,_and_is_unable_to_sit_s
till._This_can_increase_the_client's_blood_pressure_and_heart_rate,_which_can_indicate_
unexpected_cardiovascular_findings.
A_nurse_is_teaching_a_group_of_newly_licensed_nurses_about_the_use_of_mechanical_r
estraints._Which_of_the_following_information_should_the_nurse_include_in_the_teachin
g?
a._Complete_documentation_about_the_client's_status_every_hour_while_they_are_in_re
straints.
