Download NUR 256/ NUR256 Concepts of Mental Health Nursing - Exam 1 | Latest 2025/ 2026 Update Q&A and more Assignments Nursing in PDF only on Docsity!
NUR 256/ NUR256 Concepts Of Mental Health
Nursing - Exam 1 | Latest 2025/ 2026 Update |
Questions and Answers | 100% Correct |
GRADED A
Question:
A nurse is performing a pre-admission assessment on a client and employs the use of nonverbal and verbal communication which of the following actions demonstrates the use of a nonverbal communication technique by the nurse A. asking the client to clarify a statement B. asking the client open-ended questions C. maintain a fair distance between self and client D. stating the name and providing credentials upon entering the client's room
Answer:
maintain a fair distance between self and client
Question:
A nurse is preparing to irrigate a client's leg wound what PPE should the nurse wear? surgical cap gown goggles gloves N95 mask
Answer:
Goggles, gown, gloves
Question:
A nurse has performed pre-operative care on a client and is transferring the client to the surgical holding area when the client states " I have changed my mind; Ido not want to have this surgery" which of the following ethical principles is the client using? A. Nonmaleficence B. Autonomy C. Justice D. Fidelity
Answer:
Autonomy
Question:
A nurse is preparing to perform a physical examination on a client. Which of the following interventions should the nurse perform to ensure client privacy? A. Close the examination room door but do not pull the curtain in the examination room B. Remain in the client's room while the client is getting undressed C. Ask the client if they would like to empty their bladder or bowels before the physical examination begins D. Do not expose any more of the client's body than required at a time
Answer:
Do not expose any more of the client's body than required at a time
A nurse is caring for a client who is crying and appears upset after receiving news that they will need to have a surgical procedure which of the following actions should the nurse take to display empathy towards the client? A. Tell the client that everything will be fine B. Change the subject while the client is discussing their feelings C. Show interest in the client's feelings by acknowledging that they are upset D. Tell the client that it is wrong to be crying over this situation
Answer:
Show interest in the client's feelings by acknowledging that they are upset
Question:
A nurse is preparing to assess a newly admitted client which of the following pieces of equipment does the nurse need to begin the inspection part of the physical examination? Electrocardiogram monitor Tongue Depressor Doppler Penlight Tape measure
Answer:
Tongue depressor, penlight, tape measure
Question:
A nurse is performing auscultation during a client's physical assessment which of the following tools should the nurse use for this part of the assessment? A. Tongue Depressor B. Penlight
C. Reflex hammer D. Stethoscope
Answer:
Stethoscope
Question:
A nurse in the emergency department has received report on a child who has a laceration to the right calf which of the following steps of the nursing process should the nurse perform first? A. Assessment B. Analysis C. Evaluation D. Planning
Answer:
Assessment
Question:
A nurse is preparing to perform palpation on a client during a physical assessment. Which of the following findings is the nurse assessing during palpation? A. Unexpected sounds made by tapping on the client's skin B. Skin temperature, moisture, or unexpected findings C. Heart sounds, lunch sounds, and bowel sounds D. The client's cleanliness and grooming
Answer:
Skin temperature, moisture, or unexpected findings
C. The client's status is unchanged D. The client appears in pain
Answer:
The client's abdomen is soft and distended
Question:
A nurse has just received report on a newly admitted client who speaks a different language than the nurse. Which of the following actions should the nurse take to assist with effective communication with the client during the initial assessment process? A. Enlist the aid of the client's school-aged child to interpret for the nurse and the client B. Ask the client's best friend to interpret for the nurse and client C. Use jokes and laughter to make the client feel more at ease D. Request assistance from an interpreter during the assessment
Answer:
Request assistance from an interpreter during the assessment
Question:
A nurse is assessing a client's respiration and notes they are shallow and at a rate of 24/min. The nurse should identify this as which of the following unexpected findings? A. Tachypnea B. Bradypnea C. Apnea D. Hypervenilation
Answer:
Tachypnea
Question:
When conducting a general survey of a client, the nurse should assess ___, ___, and ___. Respiratory rate Speech Temperature Gait Pain Pupils Level of consciousness Skin turgor
Answer:
Level of consciousness, speech, and gait
Question:
A nurse is documenting information in a client's medical record during an initial assessment. Which of the following information did the nurse collect during the general survey? Height and weight Use of assistive devices Behavior and mood Past medical history Current medication list
Answer:
Height and weight Use of assistive device Behavior and mood
A nurse is preparing to obtain a client's height during a general survey. Which of the following actions should the nurse take? A. Deduct the client's shoe height from the measurement B. Have the client gently life their chin and look toward the ceiling C. Ensure the client's feet are in contact with the wall or measuring pole D. Pull up the measuring pole and extend the headpiece after the client steps on the scale
Answer:
Ensure the client's feet are in contact with the wall or measuring pole
Question:
A nurse is preparing to conduct an initial survey and assessment on a newly admitted client. Which of the following actions should the nurse plan to take? A. Have an informal conversation with the client before beginning the observation of the client B. Complete all focused assessments prior to formulating thoughts regarding the client's general health status C. Sit on the client's bedside with them to have close contact and maintain eye contact whenever possible D. Engage in active listening with the client and allow the client to express concerns early in the assessment process
Answer:
Engage in active listening with the client and allow the client to express concerns early in the assessment process
Question:
A nurse assess a client's respiratory rate and notes that it is below the expected reference range. The nurse should identify that which of the following findings can cause a decreased respiratory rate? A. The client has been a chronic smoker for 10 years B. The client takes a narcotic pain medication for chronic pain
C. The client reports anxiety due to being in a hospital D. The client has a history of anemia
Answer:
The client takes a narcotic pain medication for chronic pain
Question:
A nurse is documenting a client's vital signs in the medical record following a general survey. Which of the following entries should the nurse place in the record? A. Fever 101 B. Pulse rate is tachycardic C. Oxygen saturation 96% on oxygen 2 L/min via cannula D. BP 108/65 mm Hg
Answer:
Oxygen saturation 96% on oxygen 2 L/min via cannula
Question:
A nurse is having difficulty obtaining a pulse oximetry reading from a client. The nurse should identify that which of the following factors can interfere with obtaining a pulse ox reading? A. Hypertension B. Fever C. Recent scan with contrast dye D. Thin, brittle nails
Answer:
Recent scan with contrast dye
A nurse is obtaining a client's pulse and notes a regular rhythm with a rate of 110/min. The nurse should identify this as which of the following unexpected findings? A. Bradycardia B. Tachycardia C. Fasciculation D. Tachypnea
Answer:
Tachycardia
Question:
A nurse is conducting a general survey on a client and notes a continuous twitching movement of a muscle in the client's left arm. Which of the following terms should the nurse use to describe the involuntary movement? A. Fasciculation B. Spasticity C. Tic D. Myoclonus
Answer:
Fasciculation
Question:
A nurse is providing teaching to a client who asks, "What are things that can affect my blood pressure?" Which of the following info should the nurse include as factors that affect BP? Smoking Time of day Obesity
Height Diuretic medication
Answer:
Time of day, obesity, diuretic medicine, and Smoking
Question:
A nurse is conducting a health history interview and asks the client to describe the pain that they are experiencing. This is an example of what type of question? A. leading question B. closed ended question C. direct question D. open ended question
Answer:
Open ended question
Question:
A nurse is conducting a review of systems with a client during a health history interview. Which of the following responses by the client requires additional investigation? A. "I had a rash from poison ivy on my arms last week, but it's gone now" B. "I wear a hearing aid" C. "I had a negative tuberculosis screening test last month" D. "I have a cough"
Answer:
"I have a cough"
Question:
Question:
A nurse is collecting information about a client's family history. The nurse should plan to collect information about the health of which of the following client relatives? (select all that apply) A. parents B. siblings C. aunts & uncles D. cousins E. grandparents
Answer:
Parents Siblings Grandparents
Question:
A nurse is collecting biographic data from a client who reports they are seeking health care due to a persistent cough. The client states they identify as transgender. Which of the following questions should the nurse ask? A. "How does your family feel about your gender identity?" B. "What pronouns do you use?" C. "when did you transition?" D. "Are you planning to ever have surgery to change your biological sex?"
Answer:
"What pronouns do you use?"
Question:
A nurse has collected biographic data from a client. Which of the following findings in the client's community is considered a social determinant of health that can negatively impact the client's health?
A. limited access to convenience foods B. a park available within walking distance from a client's residence C. limited access to a pharmacy D. a neighborhood population that has a high rate of obesity & smoking
Answer:
Limited access to a pharmacy
Question:
A nurse is conducting a health history interview with a client. which of the following is accurate about a directive interview technique? A. this technique consists of mostly closed ended questions B. this technique enables the client to control the pace of the interview C. This technique is used to gather general information about a client's condition D. this technique is effective for determining a client's emotional responses
Answer:
This technique consists of mostly closed ended questions
Question:
A nurse is preparing to conduct a health history interview. Which of the following actions should the nurse plan to perform during the closing stage of the interview? A. document client data B. provide an opportunity for client to ask questions C. explain the reason for the insurance D. greet client with an introduction
Answer:
A. prescription medications taken for recreational purposes B. determination of when the client last had an alcoholic drink C. frequency of consumption of over the counter(OTC) medications D. adverse reactions to medications & environmental substances E. highest level of schooling completed
Answer:
Prescription medications taken for recreational purposes Determination of when the client last had an alcoholic drink
Question:
A nurse is collecting information about a client's spirituality using the FICA spiritual History tool. Based on this tool, which of the following information should the nurse gather? (select all that apply) A. does the client identify spiritual or religious beliefs that are of importance to them? B. what impact does the client's spiritual or religious beliefs have on their health care decision making? C. are there any spiritual or religious practices that should be included when planning the clients care? D. what is the address of the client's identified religious or spiritual gathering place? E. is there a spiritual or religious group that the client identifies as having an importance in their life?
Answer:
Does the client identify spiritual or religious beliefs that are of importance to them?
Question:
What impact does the client's spiritual or religious beliefs have on their health care decision making? Are there any spiritual or religious practices that should be included when planning the clients care? Is there a spiritual or religious group that the client identifies as having an importance in their life?
Question:
A nurse is discussing a client's tobacco usage during a health history interview. Which of the following questions should the nurse ask to maintain nurse-client rapport? A. "You are worried about the amount that you smoke, right?" B. "Did you know that smoking can lead to a decreased lung recoil, which results in hyperinflation and dyspnea?" C. "Would you like any information on smoking cessation?" D. "Why do you think that you are smoking so much?"
Answer:
"Would you like any information on smoking cessation?"
Question:
A nurse is conducting a health history interview. Which of the following type of information is the nurse gathering when using the acronym "OLD CARTS"? A. Information about the clients presenting problem B. Information about the client's spirituality C. Information about the client's obstetrical history D. Information about the client's family history
Answer:
Information about the clients presenting problem
Question:
A nurse is performing a head-to-toe assessment of a client. Which of the following findings indicate the client might be experiencing respiratory difficulty? (Select all that apply.)
