Mental Health Adaptive Quiz

Which response would the nurse make to a client who says, 'I feel so guilty. None of this makes any sense. Everyone must really think I'm crazy,' after performing a complex ritual?

'You're concerned about what other people are thinking about you.'

Which action would the nurse take for a client who is a psychologist and has questioned the authority of the treatment team and advised other clients that their treatment plans are wrong?

Accept that the client is unable to control this behavior while setting appropriate limits

According to Kubler-Ross' theory of death and dying, which stage is a terminally ill client displaying by gradually moving towards resolution of feelings about impending death?

Acceptance

Which action would be required of the client with alcohol use disorder who attends Alcohol Anonymous (AA) meetings?

Acknowledging an inability to control the alcoholism

At which point in the daily routine do clients who experience alterations in perception tend to have more problems with vivid hallucinations?

After going to bed

Which term describes a display of anger that is socially unacceptable?

Aggression

The CAGE questionnaire is used to screen the client's use of which substance?

Alcohol

Which action would the nurse take for a client with an obsessive-compulsive disorder who continually walks up and down the hall, touching every other chair and becomes upset if interrupted?

Allow the behavior to continue for a specified time, letting the client help set the time limits to be imposed

When providing a change-of-shift report, which explanation would the nurse use to describe a schizophrenic client who is experiencing opposing emotions simultaneously?

Ambivalence

Which term would the nurse use to describe a female client that states she no longer enjoys any of the activities that she once found fun and pleasurable?

Anhedonia

Which nursing intervention would help a client who exhibits physical symptoms when stressed?

Assisting the client in developing new coping mechanisms

Which type of hallucination is the most common?

Auditory

According to Erickson's psychosocial stages of development, in which stage would toilet training be achieved?

Autonomy versus shame

According to Erickson's psychosocial stages of development, which stage must a 3-year-old accomplish?

Autonomy versus shame

Which statement is accurate for adolescent suicide behavior?

Boys are more likely to use lethal methods than are girls.

Which condition would be a contraindication to electroconvulsive therapy (ECT)?

Brain tumor

When planning for a client's care during the detoxification phase of early alcohol withdrawal, which action would the nurse take?

Check on the client frequently

Which side effect would the nurse monitor for in a severely depressed client who received electroconvulsive therapy (ECT)?

Confusion immediately after the treatment

Which term would the nurse use to describe the thought processes of a male client who insists that he is the commander of an alien spaceship despite repeated reality orientation?

Delusion

Which characteristic is most essential for the nurse to have in caring for clients with mental health disorders?

Empathy

Which characteristic of clients with antisocial personality disorder would the nurse consider when planning care?

Exhibits lack of empathy for others

Which primary purpose does the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) serve?

Facilitates classification of mental disorders and guides the determination of diagnosis

To keep the client with Alzheimer disease who has hyperorality safe, which parameter would the nurse have the staff closely monitor?

For attempts at eating inedible objects

Which benefit would a client expect from joining a self-help group after being discharged from a mental health facility?

Getting support from group members

Which action would the nurse take to help a female, bipolar client in the manic episode meet personal hygiene needs?

Guide her to dress appropriately in her own clothing

Which reason would be likely for a client's anger and acting out when the nurse interrupts the hand-washing ritual of a client with obsessive-compulsive disorder?

Has overwhelming feelings of anxiety

Which intervention would the nurse add to the plan of care for a client who engages in ritualistic behavior?

Help the client understand that the behavior is caused by maladaptive coping with increased anxiety

According to Erikson's Psychosocial stages of development, which development conflict affects a 4 year old child?

Initiative versus guilt

Based on Erikson's psychosocial stages of development, which task must a 30-year-old client work through?

Intimacy versus isolation

Which description is correct for Alzheimer disease?

Is a slow, relentless deterioration of the mind

For a hyperactive, manic client who exhibits flight of ideas, which rational explains why the client is not eating?

Is too busy to take time to eat

Which term or phrase would the nurse chart about thought processes to describe a client with schizophrenia who says, 'Yes, it's March. March is Little Women. That's literal, you know'?

Loose associations

Which term describes the expected outcomes for a client who is admitted for recurrent mental health problems?

Measurable objectives

Which level of anxiety enhances the client's learning abilities?

Mild

Which term describes the client's use of made-up words that have no meaning to other people?

Neologisms

Which substance would pose the greatest risk of addictions for clients who attending alcohol rehabilitation program?

Nicotine

Which action by the nurse would be a priority for a male client with a history of schizophrenia who comes to the emergency department accompanied by his spouse?

Observing and evaluating his behavior

Which type of delusion would the nurse chart about a client who says, 'I've figured out how foreign agents have infiltrated the news media. Now they want to shut me up'?

Persecution

Which technique would be appropriate for clients who exhibit mild neurocognitive impairment?

Reality orientation

Which characteristic can be observed in abusive parents?

Social isolation Poor coping skills Family Authoritarianism Feeling of no control over life Inability to seek help from others Expects child to satisfy needs for love

According to Erikson's psychosocial stages of development, mastery of which task increases a child's ability to cope with separation or pending separation from significant others?

Trust

Which assessment finding would the nurse observe in a client with bipolar disorder, manic phase?

constant singing

Which term describes the disturbance in mood and affect seen in clients who are depressed?

dysphoric

Which behavior is the client displaying when pretending to be ill?

malingering

Which statement best defines a crisis?

A threat to equilibrium

For a client with an obsessive-compulsive disorder, which rationale explains the function of obsessions and compulsions?

unconscious control of unacceptable feelings

Which type of group is Alcoholics Anonymous (AA)?

Self-help group

Which action would the nurse take when a confused and anxious client voids on the floor in the sitting room of the mental health unit?

Toilet the client more frequently with supervision