mental health practice test 1,2,6,7
nurses attending an in-service about incivility are discussing characteristics of perpetrators of incivility. which of the following characteristics is associated with a nurse who acts uncivil to others?
they have feelings of incompetence and low self-esteem
A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
upon admission
a nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice RN with a peer. which of the following responsibilities is within the nurse's scope of practice?
providing case management
A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the client's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?
psychiatric pharmacist
A nurse in a substance use rehabilitation facility is preparing a client for discharge. The client states, "My landlord will not allow me to continue staying in my apartment because of my prior drug use. I have no place to live after I leave here." Which of the following statements should the nurse make?
"I will contact a social worker to set up housing for you."
a nurse is caring for a client who is angry and demands to be transferred to a different psychiatrist. which of the following statements should the nurse make?
"I will contact your primary care provider to assist you with finding a different psychiatrist."
A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station? (Select all that apply.)
-a client who has engaged in cutting behaviors -a client who was admitted for threatening to kill themselves -a client who has frequent anger outbursts
a client admitted to antepartum clinic for management of preeclampsia. client has been on bed rest for 2 weeks and labetalol PO 100 mg twice daily. which of the following provider prescriptions should the nurse plan to implement?
-administer mag sulfate 4 g IV bolus -monitor BP and resp status every 15 min -collecting a urine specimen of culture and sensitivity is nonessential -tell the client to lie in a supine position is contraindicated
a nurse in the ED is caring for a 14 year old who has anorexia nervosa. which of the following 5 assessment findings require immediate follow-up?
-capillary refill -magnesium level -sodium level -glucose level -BP
a nurse caring for a client who has bipolar disorder and asks the nurse, "who should get a copy of my advance directives?" which of the following statements should the nurse make?
"You should provide a copy to your providers, family members, and lawyers."
A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit which has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?
"a mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment."
a newly licensed nurse asks a charge nurse, "what is the difference between a suicide attempt and self-harm?" which of the following responses should the charge nurse give?
"a suicide attempt is when a person harms themselves with the intent to die but does not. self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves."
a nurse is preparing to administer ampicillin 500 mg via intermittent IV bolus over 30 min. available is 500 mg ampicillin is 50 mL dextrose 5% in water (D5W). the nurse should set the pump to deliver how many mL/hr?
100 mL/hr
a nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. the nurse should set the infusion pump to deliver how many mL/hr?
35 mL/hr
A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?
a client who is giving away their possessions
A nurse is working with another nurse who engages in incivility and bullying toward another team member. The nurse should recognize that units with increased incivility and bullying most likely have which of the following?
a high staff turnover rate
a nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. the nurse should anticipate that the client will require teaching about which of the following medications?
acetaminophen
Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?
an intraprofessional team
A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?
burnout
A nurse is caring for an adolescent who had an adverse childhood experience and was admitted to the inpatient unit with behavioral problems. The nurse should anticipate the provider prescribing which of the following types of treatment?
cognitive therapy
A nurse is explaining to a newly hired nurse how mental health promotion can be used for clients. Which of the following examples should the nurse use in the explanation? (Select all that apply.)
-following suicide precautions for a client -assisting the client in using adaptive coping skills -allowing the client to use exercise equipment when becoming anxious in group therapy
A nurse is caring for a client who has been admitted for thoughts to harm self and others. Which of the following actions by the nurse demonstrates the taking action step of the Clinical Judgment Action Model (CJAM)?
-forming a therapeutic relationship -focusing on holistic care -determining nursing actions accurately -collaborating with other caregivers on the unit is correct
a nurse is caring for a client who is at 36 weeks of gestation. for each day 2 assessment finding describe if it improved, no change, or declines
-headache indicates that the client's condition improved -epigastric discomfort indicates that the client's condition has improved -edema is an indicator that the client's condition is improving -fetal HR and variability indicates that the client's condition has declined -patellar reflexes are an indication that the client's condition is worsening -liver fxn tests are an indicator that the client's condition has declined -urine dipstick indicates no change in the client's condition
a nurse is caring for a client who has acute pancreatitis. which vital signs indicate the client is progressing on day 2
-heart rate 92/min, resp rate 20/min and o2 sat 96% on room air -client reports pain as a 3 on a 0 to 10 pain scale following administration of pain med 30 min ago -resp even, unlabored and chest clear on auscultation -reports passing flatus
a nurse is preparing to administer lidocaine 50 mg IV bolus. available is lidocaine 200mg/mL. how many mL should the nurse administer per dose?
0.3 mL
A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?
justice
a nurse on an inpatient mental health unit attends a training session about nurse burnout. the nurse should identify that burnout is most common in nurses who have which of the following traits?
compassion fatigue
a nurse on a med surge unit is admitting a client from the provider's office. which vital signs should the nurse report to the provider?
-changes in pt conditions such as increased temp and HR, and decreased BP -client's report of headache, dizziness, and dry mucous membranes -assessment of the pts abdominal cramping, lethargy, projectile vomiting, and voiding dark and concentrated urine
a nurse is using the clinical judgment action model (CJAM) to guide a client's care. the nurse should identify that which of the following tasks are completed prior to prioritization of client problems?
-clustering information -determining the risk of action or inaction
A nurse on a mental health unit is reviewing the Code of Ethics for Nurses. Which of the following are examples of the provisions that help guide nurses throughout their practice? (Select all that apply.)
-nurses should practice with compassion and respect -a nurse's primary commitment should be the client -nurses are responsible for taking action to support justice -nurses should support and establish an ethical environment
a nurse in a mental health clinic is assessing a client who has manifestations of tardive dyskinesia. what are the anticipated nursing actions
-perform AIMS is anticipated -assess client's ability to speak and swallow is anticipated -instruct client to hold one hand with the other is anticipated -check for bladder is nonessential -hold all medications is contraindicated -inform the client that manifestations will be temporary is contraindicated
a nurse is discussing the different forms of complementary and alternative therapy with another nurse. which of the following treatments would be considered in this list?
-pet therapy -yoga -meditation
A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?
psychosocial therapy
A nurse is speaking with a newly licensed nurse who reports that they fear a client might be dangerous to others due to the client's diagnosis of schizophrenia. Which of the following types of stigma should the nurse identify as being associated with this fear?
public
A nurse is admitting a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?
remain silent after asking the client a question to allow the client a chance to respond
a nurse is caring for a client who has impaired mobility. what is the client at highest risk for developing?
the client is at highest risk for developing pressure injury as evidenced by the client's urinary incontinence
a nurse working in a mental health facility is admitting a client: history - the client has a 5 yr h/o bulimia nervosa; has had 2 prior hospitalizations for treatment of their ED in the past 2 years; physical - client's body weight appears to be within expected range, mild abrasions and bruising on the knuckles of their right hand, swelling of the parotid glands noted upon physical assessment, weak and thready pulse rate of 122/min; nurses notes: the client describes "overwhelming stress at their workplace and exhibits an anxious affect; reports binging and purging 4x daily for the past month. states they self-induce vomiting, tearful and trembling when discussing circumstances leading up to admission
the nurse should first address the client's cardiac status followed by the client's emotional state
a nursing is caring for a client with a h/o of substance use disorder on an acute care mental health unit. the nurse is planning care for the client who is receiving treatment for amphetamine withdrawal. what should the nurse plan to administer?
the nurse should plan to administer diazepam followed by Bupropion once the client has been withdrawn from the amphetamine
a client tells a nurse that they don't think they can get insurance coverage for treatment of their mental illness because it was diagnosed before they got insurance through their new job. which of the following statements should the nurse make?
"congress passed the affordable care act of 2010 to ensure everyone has the right to coverage for preexisting conditions."
a nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. what statement by the nurse accurately describes strategies for building a therapeutic relationship?
"listen attentively to a client and summarize their comments."
a charge nurse is instructing a newly licensed nurse about mental health disorders which of the following statements by the nurse indicates an understanding of mental health disorders?
"mental health disorders are broken down by their manifestations."
A nurse is explaining to a client who has a mental illness why mental health promotion is important. The nurse should inform the client that mental health promotion has a wide variety of benefits including which of the following?
"mental health promotion promotes positive mental health, which in turn helps prevent you from missing work due to mental illness."
a nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding?
"mental illness is when there is a disruption in a person's ability to complete activities of daily living, whereas mental health is when the person can cope with daily stressors."
a nurse is discussing the diathesis-stress model with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of the model?
"the diathesis-stress model assists in identifying risk factors or vulnerabilities for stress."
A nurse is teaching a client about therapy. Which of the following statements should the nurse include?
"therapy can be used in conjunction with your medications to improve your health."
a nurse is discussing bias issues in mental health with a newly licensed nurse. which of the following statements should the nurse include in the discussion?
"there is a negative stigmatization for mental illness."
a nurse is discussing mental health parity and policy with a newly licensed nurse. which of the following statements should the nurse include in the discussion about mental health parity and addiction equity act?
the act requires that there is insurance coverage for mental health conditions