Mental Health Adaptive Quiz

A nurse is admitting a client who has alcohol use disorder. Which of the following statements indicates that the client is using denial as a coping mechanism?

"I am able to go to work every day so I don't have a problem"

A nurse is assessing a client who has major depressive disorder for suicide risk factors and protective factors. Which of the following clients statements should the nurse identify as a protective factor that decreases the clients risk for suicide?

"I consider myself a good problem solver"

A nurse is caring for a client who has major depressive disorder and recently started taking an antidepressant. The nurse should identify which of the following client statements as the priority?

"I have it all figured out. Everything is going to be OK now".

A nurse is assessing a client who has major depressive disorder. Which of the following question should the nurse to prioritize when speaking with the client?

"have you thought about hurting yourself?"

A nurse is caring for a client who has obsessive compulsive disorder and feels compelled to paste the floor for a specific number of times each day or "something bad will happen". Which of the following responses to the nurse make?

"it may help if we talked about why you find it necessary to paste the floor"

A nurse and a mental health unit is caring for a client who asked the nurse out to dinner. Which of the following responses to the nurse make?

"we have a professional relationship not a personal relationship"

A nurse is caring for a client who has dementia. The client states to the nurse, everyone wants to kill me. Which of the following responses to the nurse make?

"you must feel very frightened to think someone wants to hurt you"

A nurse is caring for a client who has schizophrenia and started taking a first generation antipsychotic medication three weeks ago. The client reported feeling of inner restlessness, rocks back-and-forth when sitting down, and peace as frequently. The nurse should identify that the client is experiencing which of the following adverse affects of antipsychotic medications?

Akathisia

A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted under a court order following the death and destruction of the car. Which of the following behaviors should the nurse expect the client to display?

Anger with the nursing staff are hospitalizing him against his will

A nurse is caring for a client who has schizophrenia. Which of the following client statement indicates clang associations?

Basketball in the hall very tall

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following statements to the nurse include in the teaching?

Buspirone causes nausea in some people

A nurse admits a client to the emergency department with a fractured arm and periorbital ecchymosis. The nurse suspects intimate partner violence. Which of the following nursing intervention should the nurse take first?

Check the clients injuries

A nurse is assessing a client who has schizophrenia. The client suddenly states, I am blue, so are you, and I'm leaving on a chew chew chew. The nurse should identify the clients statement as which of the following patterns

Clang association

The school nurse is caring for an adolescent client with a history of a depressive episode one year ago. He appears withdrawn from social activities, and the school performance is declining. Which of the following actions should the nurse take first?

Conduct a suicide risk assessment

A nurse asked another adult client, "did you have any visitors yesterday?" The client response, yes I had several members of my church choir come to see me. The nurse knows that only the clients daughter visited on the day in question. Which of the following cognitive impairments is the client demonstrating?

Confabulation This involves filling in gaps in memory by fabrication

A nurse is caring for a client who reminds her of a negative person in her past. These memories cause the nurse to unconsciously displace negative feelings onto the client. The nurse should recognize that she is demonstrating which of the following behaviors?

Countertransference

A nurse is caring for a client who has chronic alcohol use disorder in claims that her family is exaggerating the problem. The nurse should identify this behavior as which of the following defense mechanisms?

Denial

A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client?

Denial

A nurse on a rehabilitation unit is providing teaching to the partner of a client who is experiencing stimulant withdrawal. Which of the following statements by the partner indicates an understanding of the teaching?

Depression is a manifestation of withdrawal

A nurse in an emergency department is teaching newly licensed nurses about planning interventions for client who experience sexual assault. Which of the following actions should be included in the teaching?

Determine if the client is experiencing thoughts of self harm

A nurse is caring for a client who has obsessive compulsive disorder. Which of the following actions should the nurse take first?

Determine the clients anxiety level

A nurse is caring for a client with schizophrenia who is having command hallucinations. Which of the following actions is the priority for the nurse to take?

Determine what the voices are saying

A nurse is providing teaching for a client who has generalized anxiety disorder in a new prescription for lorazepam. Which of the following statements to the nurse include?

Drinking caffeinated beverages will decrease the effectiveness of the medication

A nurse is caring for a client with borderline personality disorder who exhibits a pattern of behavior of playing a staff member against another. Which of the following actions should the nurse take?

Explored with the client his use of clinging and distancing

A nurse is providing teaching to the partner of a client who has alcohol use disorder. Which of the following statements by the Partner indicate an understanding of the teaching?

Having six beers in two hours is considered too much

A nurse in the emergency department is assessing a client who has cocaine intoxication. Which of the following findings should the nurse expect?

Hypervigilance

A nurse is caring for a client who has social anxiety disorder. Which of the following client statements should the nurse expect?

I am embarrassed to eat in public

Nurse is assessing a client who has schizophrenia. Which of the following statements by the client to the nurse recognize as an erotomaniac delusion?

I have only met Jenny twice but I know she loves me

A nurse is caring for a client who has excoriation disorder. Which of the following statements by the client should the nurse expect?

I pick my face when I am nervous

A nurse is caring for a client who has borderline personality disorder. The nearest enters the clients room and find the client cutting into his flash with a paperclip. After providing first aid, which of the following actions should the nurse perform?

Identify the clients feelings that lead to self injury behavior

A nurse is providing teaching to a client who has insomnia. Which of the following statements for the nurse make?

If you aren't able to sleep, you can get out of bed and read a book

A nurse is caring for a client who has antisocial personality disorder. The client uses manipulation to gain access to a smoking area from which his access has been limited as a behavioral intervention. Which of the following statements should the nurse make?

Let's review the consequences of your actions

A nurse is teaching a client who has seasonal affective disorder about the use of light therapy. Which of the following statements to the nurse make?

Light therapy suppresses the natural night time release of melatonin"

A nurse is caring for a client who has anxiety disorder. Which of the following statements by the client should the nurse recognizes demonstrating the defense mechanism of displacement?

My partner yelled at me so I made the cat go outdoors

A nurse in an acute mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following actions is the nurses priority?

Protect the client from impulsive behavior

A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following OTC medications can cause a hypertensive crisis when taking concurrently with phenelzine?

Pseudoephedrine

A nurse is speaking with parents who are at a clinic for a two week follow up visit after the birth of their second child. They report that their five-year-old daughter has started to wet the bed at night after being toilet trained for 2 years. The nurse should tell the parents that this is expected behavior and illustrates which of the following defense mechanisms?

Regression

The client states, "I haven't seen my child for two weeks". The nurse response, "your child has not visited you for two weeks". Which of the following communication techniques is the nurse using?

Restating

A nurse is assessing a school age child who has ADHD and has been taking desipramine. Which of the following adverse effects should the nurse expect a child's parent to report?

Sedation

A nurse is preparing to administer benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects?

Sedation

A nurse is providing teaching to the family of a client who has schizophrenia. Which of the following statements by family member indicates an understanding of the teaching?

She might be having a relapse if she stops attending social events

A nurse is getting very client who has major depressive disorder and is severely withdrawn. Which of the following techniques for the nurses to facilitate communication with the client?

Speak to the client using simple and concrete terminology

A home health nurse is speaking with a caregiver of a client who has Alzheimer's disease. The caregiver asked the nurse why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions should the nurse plan to report to the provider?

Sundowning

A nurse is assessing the lease Valatie of a clients plan for committing suicide. Which of the following plans should the nurse identify as a soft method of suicide?

Swallowing anti-depressant pills This is considered a soft method due to the lower risk of resulting in death

A nurse is caring for a client who has schizophrenia. The client states, aliens came into my room last night and took a sample of my blood. Which of the following responses to the nurse make?

That does not sound real Voicing doubts expresses uncertainty regarding the reality of the clients hallucination

A mental health nurse is reviewing a process recording of a therapy session with a client. Which of the following statements should the nurse identify as an example of the communication technique of reflection?

That statement made by the other client appears to have upset you

A nurse is assessing a client who sister recently died in a motor vehicle crash. The nurse should identify that which of the following factors indicates an increased risk of a complicated grief reaction?

The sudden occurrence of death

This is providing discharge teaching for a female client with anxiety disorder who has a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching?

This medication must be discontinued by gradually tapering overtime

A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the clients provider immediately?

Urinary retention

A nurse is providing teaching to the parent of a school aged child who has ADHD and a new prescription for methylphenidate IR. Which of the following pieces of information should the nurse provide?

Your child's growth might slow while using this medication