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NR 326 Mental Health Exam 1 Questions And Answers, Exams of Nursing

California Career SchoolNursing

Mental Health Exam 1 COMBINED Mental Health Exam 1 COMBINED Mental Health Exam 1 COMBINED Mental Health Exam 1 COMBINED Mental Health Exam 1 COMBINED Mental Health Exam 1 COMBINED

Typology: Exams

2021/2022

Available from 04/24/2022

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NR 326 Mental Health Exam 1 COMBINED Questions And
Answers
1. A fully developed outcome for a client goal would include: (SATA)
Attainable for client
measurable terms
time sensitive
2. The nurse understands a client could be at risk for serotonin syndrome when taking which of
the following medications in addition to over-the-counter medications or herbal supplements?
-Sertraline
3. A 4-year-old child grabs toys from siblings, saying “I want that toy now!”. The siblings cry and
the child’s parents become upset with the behavior. Using Freudian theory, a nurse can
interpret the child behavior as a product of impulses originating in the:
-Id
4. Which expected client outcome should a nurse identify as being correctly formulated?
- Client will initiate interaction with one peer during free time within 2 days.
5. A voluntarily hospitalized patient tells the nurse, “Get me the forms for discharge against
medical advice so I can leave now. “Which is the nurse’s best response?
-I will get them for you, but lets talk about your decision to leave treatment
6. The client is being admitted to the inpatient psychiatric unit. The nurse conducts a mental
status examination. Which of the following items are included in this examination?
-Appearance, mood and effect, thought and cognition
7. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which
signs and symptoms of a potentially fatal side effect will the nurse teach the client about?
-blurring vision and muscular weakness
8. Which information suggests that caution is necessary in prescribing a benzodiazepine to an
anxious client?
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Answers

1. A fully developed outcome for a client goal would include: (SATA)

Attainable for client

measurable terms

time sensitive

2. The nurse understands a client could be at risk for serotonin syndrome when taking which of

the following medications in addition to over-the-counter medications or herbal supplements?

-Sertraline

3. A 4-year-old child grabs toys from siblings, saying “I want that toy now!”. The siblings cry and

the child’s parents become upset with the behavior. Using Freudian theory, a nurse can

interpret the child behavior as a product of impulses originating in the:

-Id

4. Which expected client outcome should a nurse identify as being correctly formulated?

  • Client will initiate interaction with one peer during free time within 2 days.

5. A voluntarily hospitalized patient tells the nurse, “Get me the forms for discharge against

medical advice so I can leave now. “Which is the nurse’s best response?

-I will get them for you, but lets talk about your decision to leave treatment

6. The client is being admitted to the inpatient psychiatric unit. The nurse conducts a mental

status examination. Which of the following items are included in this examination?

-Appearance, mood and effect, thought and cognition

7. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which

signs and symptoms of a potentially fatal side effect will the nurse teach the client about?

-blurring vision and muscular weakness

8. Which information suggests that caution is necessary in prescribing a benzodiazepine to an

anxious client?

Answers

-The client has a history of alcohol dependence

9. A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse

connects home to the community phone and the sister is summoned. Later the nurse realizes

that the brother was not on the client’s approved call list. What law has the nurse broken?

-The Health Insurance Portability and Accountability Act (HIPPA)

10. The client attempted suicide by overdosing on pain medication. Once the client ingested the

medication, she decided that she did not want to die and she sought immediate treatment.

Once the client recovered from the physical effects of overdoes, the client voluntarily sought

inpatient mental health treatment. Which of the following statements is true of voluntary

admission?

-The client retains the right to request release

11. A nurse says to the client, “Things will look better tomorrow after a good nights sleep.” This

is an example of which communication technique?

-The nontherapeutic technique of giving reassurance

12. A patient is involuntarily admitted to a psychiatric unit after calling a friend and saying, “I’ve

got a gun and I’m going to shoot myself.” Which of the following rights has the patient lost

temporarily?

  • The right to leave the hospital without medical approval

13. A depressed client states, “I have a chemical imbalance in my brain. I have no control over

my behavior. Medications are my only hope to feel normal again. “Which nursing response is

appropriate?”

-Medications are one way to address chemical imbalances. Environmental and interpersonal

factors can also have an impact on biological factors.

14. During an intake interview, which question would assist the nurse in gathering data about

the clients judgement?

  • “If you found a stamped, addressed envelope in the street, what would you do?”

15. A nursing instructor asks a student to described the nursing process when initiating care of a

client. The student nurse understands the nursing process order to be correctly identified as:

-Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation

Answers

24. A nurse is educating a patient about the difference between mental health and mental

illness. Which statement by the patient reflects an accurate understanding of mental health?

-Mental health is a successful adaptation of stressors in the internal and external environment

25. The nurse understands a client taking which medication could place a client at high risk for

life threatening hypertensive crisis if tyramine is ingested?

-A client taking iscocarboxazid

-A client taking tranylcypromine

-A client taking phenelzine

26. A client was recently admitted to the inpatient unit after a suicide attempt and has not

responded to SSRIs or tricyclic antidepressants. The client asks the nurse, “I heard about MAOIs.

Why can’t they be added to what I am on now? Wouldn’t adding one help?” Which is the

appropriate nursing response?

-Combined use can lead to a life-threatening condition called a hypertensive crisis

27. A 29 year old client living with parents has few interpersonal relationships. The client states,

“I have trouble trusting people.” Based on Erikson’s developmental theory, which should the

nurse recognize as true statements about the client?

28. A patient discloses several concerns and associated feelings. If the nurse wishes to seek

clarification, which comment would be most appropriate?

-Am I correct in understanding that...

29. The health care provider prescribes an antidepressant for an elderly client, but the nurse

notices that the dosage is greater than the usual adult dosage. Which of the following best

describes what action the nurse should take?

-Hold the medication until clarified with the health care provider

30. Which interventions by a psychiatric nurse best utilizes the ethical principle of autonomy?

The nurse:

  • Explores alternative solutions with a patient, who then makes a choice

Answers

31. Which of the following should the nurse plan to include in the assessment of an older adult

client?

-Identify physical needs and necessary accommodations for this client

32. A patient is about to be released and tells the staff nurse “I’m glad I’m getting out of here; I

swear the first things I’ll do is kill my ex wife and that stupid boyfriend of hers. “Which of the

following is the staff nurse’s legal duty?

-Report the threat to the treatment team and document the statement

33. A client tells a nurse that he hates his doctor and plans to hurt the doctor, but she did not

report this prior to leaving. When the nurse returns to work the next day, she finds that the

physician has been brutally beaten by the client and the physician is hospitalized. Which of the

following best represents the nurses failure to act by not reporting the client’s intent?

-Negligence

34. A newly admitted patient is hyperactive, restless and disorganized. The patient goes to the

dining room and begins to throw food. Verbal intervention is ineffective. Seclusion is instituted

for the primary purpose of:

-Reducing environmental stimuli that negatively affect the patient

35. A Mexican American patient puts a picture of the Virgin Mary on the bedside table. Under

which section of the assessment should the nurse document this behavior?

-Culture

36. Which one of the following best represents a potential liability issue for the professional

nurse?

-Placing a patient who talks constantly and loudly into a secluded room alone.

37. A researcher tells the nurse that she would like a patient to participate in a study on the

effects of new medications. The nurse’s responsibility in regard to this study is:

-To assess whether the patient has the ability and legal right to give informed consent.

38. A nurse is performing a mental health assessment on an adult client. According to Maslow’s

hierarchy of needs, which client action would demonstrate the highest achievement in terms of

mental health?

-Possessing a feeling of self fulfillment and realizing full potential

Answers

-A description of the patients behavior during the interview

47. Which client action should a nurse expect during the working phase of the nurse-client

relationship?

-The client gains insight and incorporates alternative behaviors

48. The nurse is conversing with a client in a locked in patient psychiatric unit. The client states,

“Please don’t tell anyone about my sexual abuse.” Which nursing response clearly outlines the

professional nurses responsibility related to confifentiality?

-All of the health care team is focused on helping you. I will bring information to the team that

can assist them in planning your treatment

49. Within professional scope of practice, which function is exclusive to the advanced nurse

practice specialty?

-Using psychotherapy to improve mental health status

50. A physically healthy, 35 year old single clinet lives with parents who provide total financial

support. According to Erikson’s theory, which developmental task should a nurse assist the

client to accomplish?

-Establishing a career, personal relationships and societal connections

  1. A nurse places a client in a seclusion room until he admits to starting a fight in the day room earlier. What does the nurse’s behavior constitute? 1. Assault 2. Battery 3. False improvement 4. Malpractice
  2. During the orientation phase of the nurse client relationship what takes places?
    1. Rapport is established
    2. Information regarding the client is obtained from the chart
    3. Ones feelings are examined
    4. Identity problem solving skills
  3. What is nursing behavior consistent with therapeutic communication?

Answers

  1. Offering opinions
  2. Active listening
  3. Speaking in period of silence
  4. Approving of behavior
  5. Which statement by the nurse demonstrates an understanding of nonverbal

communication?

  1. Its always easier to understand nonverbal communication
  2. If a client avoids others, I’m sure he is depressed
  3. Most communication is verbal, not nonverbal
  4. It is important to check for congruent verbal and nonverbal responses
  5. Which statement about mental illness is accurate?
  6. Mental illness changes with culture, time, and history and the group defining it
  7. It is the inability to reach the level of love and belonging in Maslow’s hierarchy of needs
  8. Mental illness is demonstrating irrational illogical behavior
  9. It is a matter of individual nonconfirmatory to social norms
  10. What percent of communication is nonverbal? a. 10-

b. 30-40 c. 50-60 d. 70-

  1. What is the primary reason the client should be included in his/her treatment planning, if possible? 1. To be involved in the objectives/goal planning for care 2. To hear what each team member has to say about the prognosis 3. To read the medical record 4. It provides an opportunity to discuss staff roles

  2. What would be criteria for an involuntary mental health admission?

    1. The client reports past suicidal attempts
    2. The client is unable to provide for basic needs
    3. The client is homeless and doesn’t feel safe
    4. The client refuses admission

  3. The nurse is preparing the client for electroconvulsive therapy the following day, the teaching should include what information regarding side effects?

  4. You may experience memory loss and disorientation immediately after treatment

  5. Agitation and confusion are side effects of ECT

  6. Tachycardia and dysrhythmia often occur but you are constantly monitored

  7. There are no side effects that should concern you

  9. The degree of authority the nurse has

  10. The nature of the client’s diagnosis

  11. The similar histories of the nurse and client

  12. The similarities between the client and the nurse’s mother

Answers

settle down or marry b. An individual is afraid of animals and becomes a veterinarian to please her parents. She

presents at a career fair about the satisfaction of her career c.

d. An individual argues and the following day brings her a gift

  1. A client becomes agitated and shouts at the nurse “if you come any closer, I will hit you”

what is the best response by the nurse? a. You need to stay calm you are responsible for your behavior b. I am not planning to come any closer “what is happening now”? c. I am going to get your medication try and relax while I am gone d. I am calling for assistance, you have until then to get it together

  1. A client tries to embarrass a nurse by making a sexually explicit comment. How should the nurse respond to the client?
    1. I am going to leave now
    2. I am no longer going to continue this conversation
    3. That comment was inappropriate
    4. Let’s talk about the weather
  2. Which response by the nurse indicates an understanding of therapeutic communication

technique giving a board opening?

  1. Yes, I see go on...
  2. Please explain what you mean
  3. You seem upset
  4. What would you like to talk about?
  5. The nurse is caring for a client who has difficulty hearing. What should the nurse do to

facilitate therapeutic communication?

  1. Stand within 3 feet when talking to the client
  2. Use monosyllabic words when possible
  3. Ask close ended questions
  4. Make sure the client can visualize lip movement
  5. The nurse is explaining milieu therapy to a new nurse in a psychiatric unit. What would be reviewed with the employee? Select all
  6. We continuously monitor the environment for safety
  7. If a client becomes hostile, we can restrain or seclude
  8. When we admit a client, we orientate and explain the group therapy schedule
  9. You will be taught crisis prevention techniques

An individual learns about the death of a dear friend from college and becomes busy

Answers

planning a reunion with others from school

  1. The nurse is asked to explain informed consent. What is the most accurate explanation? a. It is the right of all voluntary clients to have and be explained the treatment process b.

c. It is the process by which consent is obtained for a procedure to be carried out for an incompetent patient

d. It is solely the nurses responsible to determine if the client is competent to sign the consent for treatment

  1. What communication technique is persistent questioning of a client?
    1. Probing
    2. Focusing
    3. Presenting reality
    4. Offering self
  2. The nurse states “I will stay with you until you go for your ECT treatment” what is the therapeutic communication technique?
    1. Accepting
    2. Giving recognition
    3. Offering self
    4. Formulating a plan
  3. The nurse understands that to assess a client’s spiritual needs the nurse assesses which of

the following first?

  1. Assess the clients need for appropriate clergy
  2. Complete a spiritual assessment questionnaire
  3. Assess the effects of spiritual needs on the clients’ care
  4. Self-assess for their own spiritual beliefs and values
  5. During an intradisciplinary team meeting a short-term outcome is established for a client with depressive symptoms. Which goal is most appropriate?
  6. The client will make statements that he feels less depressed by the end of the first day of

admission

  1. The client will express and demonstrate increased energy by the third day of admission
  2. The client will reduce self-rating on depression scale by 10% by second day of admission
  3. The client will demonstrate increased interaction with other clients by discharge
  4. To address the cultural needs of a client what action will the nurse take?
  5. Provide the same care to all clients to prevent misunderstanding
  6. Read literature of the culture of the client
  7. Ask the other nurses regarding specific culture needs
  8. Ask the client what cultural needs are important to him
  9. The client expresses the loneliness she feels to the nurse. Which response by the nurse

Answers

  1. Initiating care based on documented religion
  2. The client demonstrating symptoms of extreme anxiety and is pacing rapidly about the unit.

What is the best approach by the nurse?

  1. Continue to observe the client for increased agitation
  2. Walk with the client and ask about his feelings
  3. Medicate the client to prevent escalation
  4. Instruct all other clients to avoid the situation
  5. What is the primary preventative technique to ensure client safety?

a. Place the client in a private room

  1. Observe the client every 15 minutes
  2. Explain the safety rules to the client
  3. Search the clients belongings for safety hazards
  4. The client tells you she is going to return to school next semester. What is the most therapeutic response by the nurse?
    1. I think that is a wonderful idea
    2. Your parents will be so proud
    3. Can you afford that
    4. Tell me more about your plan
  5. The client states “who is he? I don’t understand. What is the meaning of all this?” Which

statement would be best to clarify the client’s question?

  1. Did he tell you what he meant?
  2. Who is he?
  3. I don’t understand, please explain what you mean
  4. How you feel about him?
  5. What is the situation in which the HIPAA privacy room can be breached?
  6. A duty to harm a clients potential victim of harm
  7. Informing the clients family when the client is threatening self harm
  8. Informing the spiritual counselor of the clients desire for self harm
  9. After the client harms others this law does not apply
  10. What nontherapeutic techniques may be used if the nurse becomes uncomfortable during a nurse client interaction? a. Silence will be used b. The nurse may change the Subject

c. Probing technique may be used

d. Exploring is a nontherapeutic technique that may be used

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Answers