Mental Health CMS study guide

A nurse is assessing a client who has a new diagnosis of major depressive disorder. Which of the following questions is the priority for the nurse to ask?

"Do you ever think about suicide?"

A nurse is teaching a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

"I am likely to gain weight while taking lithium."

A nurse is collecting data from a client who has major depressive disorder regarding suicide risk factors and protective factors. Which of the following clinIc statements should the nurse identify as a protective factor that decreases the client's risk for suicide?

"I consider myself a good problem-solver."

A nurse in an acute mental health facility is caring for a client who states, "This place is ridiculous. I can't stand spending another day here!" Which of the following responses should the nurse make?

"Let's talk for a while about the events of your day."

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

"Light therapy suppresses the natural nighttime release of melatonin."

A nurse is caring for a client who is confused and wanders at night. The nurse asks the charge nurse if the client can be placed in physical restraints at bedtime.Which of the following responses should the charge nurse provide?

"Restraining the client can increase confusion."

A nurse in a mental health clinic is beginning a counseling session with a client who is having difficulties in a personal relationship. The client states that she does not want to talk at all today. Which of the following responses should the nurse offer?.

"Suppose I just spend some time with you instead. We don't have to talk."

A nurse is caring for a client who has bipolar disorder. The client states, "My family wants me to come home for a visit. What do you think I should do?" Which of the following responses should the nurse make?

"Tell me how you are feeling about their request."

A nurse is caring for a client who has borderline personality disorder and is expressing concern about needing prolonged hospitalization. Which of the following statements should the nurse provide?

"Tell me what concerns you the most about being hospitalized"

A nurse is caring for a client who has bipolar disorder. After the client is prescribed lithium, his adult child states, "I'm upset that my father is taking this medication." Which of the following responses should the nurse make?

"Tell me what worries you have about your father taking this medication."

A nurse in a health clinic is reinforcing teaching with a client about binge eating disorder.Which of the following client statements indicates an understanding?

"The abdominal pain I often have is due to the amount of food that I eat."

A nurse is caring for a client who has schizophrenia which of the following client statements should the nurse identify as a persecutory delusion?

"The government is after me because I know top-secret information."

A nurse is caring for an adolescent male client who has anorexia nervosa. The client asks, "Have I done any permanent damage to my body?" Which of the following responses should the nurse make?

"What concerns do you have about your physical health?"

A nurse is reinforcing teaching with a client who has major depressive disorder and is scheduled to begin electroconvulsive therapy (ECT). Which of the following pieces of information should the nurse include?

"You can expect to wake up about 15 minutes after the procedure."

A nurse is reinforcing teaching with a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching?

"You will slowly be exposed to increasing levels of public spaces."

A nurse is caring for a client who has an alcohol use disorder and is currently undergoing alcohol detoxification. Which of the following interventions should the nurse provide at this time?

Administer substitution therapy medications

A nurse is collecting data from a client who has conduct disorder. Which of the following findings should the nurse expect?

Aggressive behavior toward others

A nurse delegates a newly licensed nurse to provide one-on-one observation for a client who requires suicide precautions. Which of the following actions by the newly licensed nurse indicates the need for further reinforcement of teaching?

Ambulates client to roommate

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

Anger with the nursing staff for hospitalizing him against his will

A nurse in an acute substance disorder unit is collecting data from a client who received treatment in the emergency department for an opioid overdose which of the following findings should the nurse anticipate during opioid withdrawal?

Anxiety

A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder which of the following findings should the nurse expect?

Ascites

A nurse is caring for a client who has schizophrenia and is becoming anxious due to auditory hallucinations. Which of the following actions should the nurse take?

Ask the client what he is hearing

A nurse is caring for a client who has anorexia nervosa. The client states, "If I gain weight, I'll never get a boyfriend." Which of the following cognitive distortions is the client displaying?

Catastrophizing

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 is assisting with the admission of a client who has alcohol use disorder and is experiencing withdrawal which of the following actions is the nurses priority?

Determine the clients level of disorientation.

A school nurse is providing care to a student who is angry and states, "My parents don't know I'm gay, so I can't visit my girlfriend in the hospital while she receives cancer treatment." Which of the following forms of grief is the client experiencing?

Disenfranchised grief

A nurse is preparing to meet with a client who has borderline personality disorder which of the following actions should the nurse plan to take during working phase of the therapeutic relationship?

Facilitate change the clients behavior.

A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider immediately?

Fever

A nurse is reviewing the plan of care for a client who has bipolar disorder which of the following is an effect of using cognitive behavior therapy for a client who has bipolar disorder?

Helps the client deal with disoriented thought process

A nurse in a mental health clinic is collecting data from a client who recently lost her partner after an extended illness which of the following statements by the client indicates that she might be experiencing major depressive disorder as opposed to typical grief?

I feel no pleasure without my partner in my life.

A nurse is interacting with a client in a substance use disorder program which of the following statements indicates that the client is using intellectualization as a way of coping with the anxiety of admission?

I have read that problems with substances can have a variety of pre-disposing factors

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 end-stage lung cancer which of the following client statements should the nurse identify as an indication that the client is experiencing the bargaining stage of Kubler Ross stages of grief?

I would give anything to live to see my grandchild born.

A nurse is collecting data from a client who has cocaine intoxication which of the following findings should the nurse expect?

Increased mental alertness

A nurse is caring for a client who is receiving care at an inpatient alcohol treatment facility. Which of the following actions should the nurse identify as an example of an intentional tort?

Informing the client that an injection will be administered if the client remains agitated

A nurse is reinforcing teaching about stress management with a client who is experiencing anxiety. Which of the following techniques should the nurse recommend to assist the client in identifying his stressors?

Journaling

A nurse is contributing to the plan of care for a client who has borderline personality disorder and self-mutilates. Which of the following treatment approaches should the nurse recommend?

Maintain close observation of the client

A nurse is caring for a client who has generalized anxiety disorder which of the following goals should the nurse include in the discharge plan of care for this client?

Make independent decisions about daily diet events

A nurse in a provider's office is collecting data for a client who has been taking donepezil for Alzheimer's disease. The data indicate that the client's dis32. progressing and becoming more severe. Which of the following medications should the nurse expect the provider to prescribe?

Memantine

A nurse is collecting data from a client who is experiencing post-traumatic stress disorder (PTSD) following a traumatic event. Which of the following medications should the nurse expect the provider to prescribe?

Paroxetine

A nurse is collecting data from clients who are prescribed medications that can cause orthostatic hypotension. Which of the following medications requires follow-up by the nurse?

Phenelzine

A nurse is caring for a client who has Alzheimer's disease. The client's adult son reports that the client has begun wandering away from home. Which of the following responses should the nurse make?

Place complex lock at the top of each door that leads outside

A nurse is collecting data from a client who has schizophrenia and is experiencing delusions. The nurse should identify that the client is experiencing which of the following types of symptoms?

Postive

A nurse is reviewing laboratory reports of a client who has anorexia and is malnourished. Which of the following results should the nurse report to the provider immediately?

Potassium 2.9 mEg/L

A nurse in a provider's office is collecting data from a client who has obsessive-compulsive disorder (OCD). Which of the following prescriptions should the nurse expect the client to receive?

Sertraline

A home health nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse why the client becomes disoriented, confused, and often combative later in the day. For which of the following conditions should the nurse plan to gather more information?

Sundowning

A nurse on an acute mental health unit is collecting data from a client who has obsessive-compulsive disorder (OCD). Which of the following behaviors should the nurse expect?

Tapping the 4 sides of a light switch

A nurse in an outpatient facility is assessing a 3-month-old infant who has lost weight and has injuries that indicate physical abuse. When preparing to interview the parent, which of the following actions should the nurse plan to take?

Tell the parent that a child protective agency must be notified

A nurse on a pediatric mental health unit is receiving reports on for children which of the following reports to the nurse expect for a child who has an autism spectrum disorder?

The child has a ritualized behavior pattern

A nurse in a provider's office is collecting data on a client who is taking paroxetine for the treatment of social anxiety. Which of the following information from the client should the nurse report to the provider immediately?

The client reports being depressed

A nurse in a provider's office is reviewing the results of a mental status exam for a client who has early manifestations of dementia. Which of the following pieces of information from the examination describes the client's cognitive status?

The client shows a deficit in recent memory.

A nurse is reinforcing teaching with a client who recently completed detoxification from alcohol and has a new prescription for acamprosate. Which of the following?

The medication might cause you to have episodes of diarrhea

A nurse in a mental health facility is meeting with a client who has a diagnosis of major depression. During the conversation, the client stops speaking, and the nurse sits silently next to the client for several minutes. The nurse should identify that the therapeutic communication technique of silence is used for which of the following purposes?

To encourage the client to express feelings or concerns

A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium the nurse can safely administer which of the following medications while the client takes lithium?

Valproic acid

A nurse is collecting data from a client who has panic disorder and has been taking paroxetine. Which of the following assessments should the nurse identify as?

Weight Gain

A nurse is reinforcing teaching with the caregiver of a client who has dementia which of the following instructions should the nurse include in the teaching?

offer finger foods to client