Mental Health Proctored Exam

A nurse is assessing a client who has bipolar disorder and is taking lamtropine. Which of the following findings is the nurses priority? a. Thyroid-stimulating hormone (TSH) 4.0 microunits per mL b. Alanine transaminase (ALT) 20 IU per L c. Skin rash d. Epistaxis

c. Skin rash

A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following findings indicates the need for hospitalization? a. Potassium 3.8mEq per L b. Heart Rate 56 per min c. Temperature 35.6C (96.1F) d. Weight 10% below ideal weight

c. Temperature 35.6C (96.1F)

A nurse in an acute care mental health facility is planning discharge care for a client who sustained a traumatic brain injury. For which of the following needs should the nurse collaborate with a clinical psychologist? a. The client needs a prescription for medication to promote nighttime sleep while in the facility b. The client needs to find a place to live after discharge c. The client needs to begin a group therapy program prior to discharge d. The client needs to relearn how to perform skill that require fine motor coordination 61.

c. The client needs to begin a group therapy program prior to discharge

A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan? a. The client will report a decrease in hallucinations. b. The client will communicate needs c. The client will verbalize improved mood d. The client will attend to personal hygiene.

c. The client will verbalize improved mood

A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicate the nurse is practicing the ethical principle of nonmaleficence? a. Provide the client with quality care regardless of their ability to pay for treatment. b. Educating the client about legal rights concerning treatment. c. Withholding the prescribed medication that is causing adverse effects for the client. d. Being truthful with the client about the manifestations of withdrawal

c. Withholding the prescribed medication that is causing adverse effects for the client.

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan? a. give detailed instructions for completion of self-care activities b. confront the client when he exhibits inappropriate behavior c. provide finger foods to enhance caloric intake d. remove clocks from the client's room

c. provide finger foods to enhance caloric intake

A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse's priority? a. High fever b. Urinary hesitancy c. Insomnia d. Headache

a. High fever

A nurse is teaching a client who has a new prescription for phenelzine to treat depression. The nurse instructs the client to avoid foods with tyramine to prevent which of the following? a. Hypertensive crisis b. Cardiac toxicity c. Serotonin Syndrome d. Urinary retention

a. Hypertensive crisis

Dosage Calculation: A nurse is preparing to administer Haloperidol 7mg IM to a client who is severely agitated. Available is Haloperidol injection 5mg/mL. How many mL should the nurse administer?

1.4 mL

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference? a. "The client is just like my brother who finally overcame his habit" b. "The client needs to accept responsibility for his substance use" c. "The client generally shares his feelings during group therapy session" d. "The client asked me to go on a date with him, but I refuse"

a. "The client is just like my brother who finally overcame his habit"

A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. "You should discontinue this medication if you develop muscle rigidity". b. "You will experience weight loss while taking this medication." c. "You will notice your symptoms improve within 24 hours of taking this medication." d. "You should increase your consumption of complex carbohydrates.

a. "You should discontinue this medication if you develop muscle rigidity".

A nurse is providing teaching about disulfiram to a client who has a history of alcohol use. Which of the following instructions should the nurse include in the teaching? (Select all that apply) a. "You will need to take the medication once daily" b. "you will receive treatment in an inpatient setting" c. "You should avoid using mouthwash that contains alcohol" d. "you should avoid drinking carbonated beverages while taking the medication" e. "you can expect to develop a physical dependence to the medication"

a. "You will need to take the medication once daily" c. "You should avoid using mouthwash that contains alcohol"

A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? a. +2 edema of the lower extremities b. BUN 21 mg dL c. Lanugo covering the body d. Blood pH 7.60

a. +2 edema of the lower extremities

A nurse in a mental health facility is caring for a newly admitted client. Which of the following resources should the nurse recommend to help the client adapt to the health care setting? a. A community meeting b. A medication group c. A self-help meeting d. A symptom-management group

a. A community meeting

A nurse is providing teaching for a newly licensed nurse about the constructive use of defense mechanism. Which of the following examples should the nurse include in the teaching? a. A student who is upset with her teacher writes a story about an excellent student b. A school-age child whose mother died 2 years ago talks about her in present tense. c. A woman who has health concern postpones a medical appointment until after a vacation. d. An adult who was sexually abused as a child is unable to remember the inciden

a. A student who is upset with her teacher writes a story about an excellent student

A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take? a. Avoid power struggles by remaining neutral b. Allow the client to set limits for his behavior c. Provide in-depth explanation of nursing expectations d. Encourage the client to participate in group activities

a. Avoid power struggles by remaining neutral

A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Encourage physical activity for the client during the day b. Discourage the client from expressing feelings of anger c. Keep a bright light on in the clients room at night. d. Identify and schedule alternative group activities for the client.

a. Encourage physical activity for the client during the day

A nurse is assessing a young adult female client for schizophrenia. Which of the following findings should the nurse identify as a risk factor for this condition? a. Environmental stress b. Gender c. Depression d. Birth order

a. Environmental stress

A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? a. Provide the client with a quiet environment b. Determine how the client handles stress. c. Teach the client to use guided imagery. d. Ask the client to identify her strengths

a. Provide the client with a quiet environment

A nurse in the community health facility is interviewing a client who recently lost his job. The client states "I was fired because my boss doesn't like me" Which of the following defense mechanisms is the client displaying? a. Rationalization b. Displacement c. Dissociation d. Repression

a. Rationalization

The nurse is caring for a client following a physical assault. The client states "I don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms? a. Repression b. Displacement c. Rationalization d. Denial

a. Repression

A nurse in the emergency department is counseling a client who reports experiencing intimate partner violence. Which of the following actions should the nurse take? a. Request permission from the client to take photographs of the injuries b. Offer to help the client escape form the partner the next time violence occurs c. Determine what the client did to trigger the violent incident d. Tell the client that staying with the partner shows a lack of judgment

a. Request permission from the client to take photographs of the injuries

A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? a. Request that the client's guardian sign the consent b. Ask the charge nurse to obtain informed consent c. Contact the facility social worker to obtain the consent d. Explain implied consent to the client's family

a. Request that the client's guardian sign the consent

A nurse is providing behavior therapy for a client who has obsessive- compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? a. Snap a rubber band on your wrist when you think about checking the locks. b. Ask a family member to check the locks for you at night. c. Focus on abdominal breathing whenever you go to check the locks. d. Keep a journal of how often you check the locks each night.

a. Snap a rubber band on your wrist when you think about checking the locks.

A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranial magnetic stimulation. Which of the following information should the nurse include in the teaching plan? a. The client might have a headache after treatment. b. The client will experience seizure during treatment. c. The client will require intubation after treatment. d. The client is at risk for aspiration during treatment.

a. The client might have a headache after treatment.

A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? a. WBC count b. Blood glucose level c. Report of photosensitivity d. Heart Rate

a. WBC count

A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching? a. sit on the side of the bed for a few minutes before standing b. decrease the prescribed dose by half when mood improves c. avoid over the counter magnesium when taking this medication d. eat a snack before going to bed

a. sit on the side of the bed for a few minutes before standing

A nurse is providing teaching to the daughter of an older client who has obsessive compulsive disorder. Which of the following statements by the daughter indicated an understanding of the teaching? a. "I will provide my mother with detailed instructions about how to perform self-care." b. "I will limit my mother's clothing choices when she is getting dressed." c. "I will wake my mother up a couple of times in the night to check on her." d. "I will discourage my mother from talking about her physical complaints."

b. "I will limit my mother's clothing choices when she is getting dressed."

A nurse is providing teaching about disorder management for a client who has posttraumatic stress disorder (PTSD). Which of the following statements should the nurse include in the teaching? a. "Avoiding stimuli that trigger memories of the trauma can help you overcome your PTSD" b. "Talking about the traumatic experience is recommended" c. "Response prevention is an effective treatment for PTSD" d. "You should try to limit the number of hours that you sleep each day"

b. "Talking about the traumatic experience is recommended"

A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make? a. "I think you should ignore the comment" b. "You sound upset about today's session" c. "Why do you think that he said that to you?" d. "I agree that the comment was inappropriate"

b. "You sound upset about today's session"

A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? a. Request a mental health consult for the client. b. Ask the client if she has thought about harming herself. c. Encourage the client to attend a grief support group. d. Discuss the clients coping skills.

b. Ask the client if she has thought about harming herself.

A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? a. Crisis intervention to decrease anxiety. b. Aversion therapy to provide distraction c. Positive reinforcement to increase desired behavior. d. Systematic desensitization to extinguish the behavior.

b. Aversion therapy to provide distraction

A nurse is caring for a client who has borderline personality disorder and has been engaging in self- mutilation. The nurse should encourage the client to participate in which of the following groups. a. Dual diagnosis treatment group b. Dialectical Behavior treatment group c. Desensitization therapy

b. Dialectical Behavior treatment group

A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Encourage the client to join group activities b. Dim the lights in the client's room c. Provide detailed explanations to the client d. Administer methylphenidate 6

b. Dim the lights in the client's room

A nurse is caring for a client who has schizophrenia and displays severe negative symptoms of the disorder. Which of the following actions should the nurse take? a. Manage the client's loud, rambling, and incoherent communication patterns b. Direct the client to perform her own daily hygiene and grooming tasks c. Assist the client to identify somatic and thought-broadcasting delusions d. Use medication to decrease frequency of auditory and visual hallucination.

b. Direct the client to perform her own daily hygiene and grooming tasks

A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanism is the client demonstrating? a. Denial b. Displacement c. Compensation d. Rationalization

b. Displacement

A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching? a. I will ensure the bedroom is dark while he is sleeping at night b. I will place a sliding bolt lock just above the doorknob c. I will notify law enforcement within 2 hours if he cannot be found d. I will give his most recent photo to the police

b. I will place a sliding bolt lock just above the doorknob

A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first? a. Establish a rapport to foster trust b. Implement continuous one-to-one observation c. Ask the client to sign a no-suicide contract d. Encourage the client to participate in group therapy

b. Implement continuous one-to-one observation

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care? a. Meets own needs without manipulating others. b. Initiates social interactions with caregivers. c. Changes behavior as a result of peer pressure. d. Acknowledges his delusions are not real

b. Initiates social interactions with caregivers.

A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Hypotension b. Insomnia c. Bradycardia d. Diminished reflexes

b. Insomnia

A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report to the provider? a. Urine specific gravity 1.029 b. Platelets 90,000 per mm3 c. Urine pH 5.6 d. RBC 4.7 per mm3

b. Platelets 90,000 per mm3

A nurse is caring for a client who has prescription for phenelzine. The nurse should instruct the client to avoid which of the following over-the- counter medications? a. Ranitidine b. Pseudoephedrine c. Ibuprofen d. Docusate sodium

b. Pseudoephedrine

A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider? a. States that he hasn't bathed in 2 days b. Reports eating twice in the past two weeks. c. Makes inappropriate sexual comments. d. Speaks in rhyming sentences.

b. Reports eating twice in the past two weeks.

A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the following clinical findings should the nurse expect? a. Heart rate 48 min b. Temperature 40 C (104 F) c. WBC 3,000 mm3 d. Hypotonicity

b. Temperature 40 C (104 F)

A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching? a. The client exhibits an inflated sense of self b. The client develops an inability to concentrate c. The client increases participation in social activities d. The client begins sleeping more than usual

b. The client develops an inability to concentrate

A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium? a. The client is unable to recognize objects. b. The client manifestations developed suddenly c. The client has a flat affect d. The client's speech is slow and repetitious

b. The client manifestations developed suddenly

A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following recommendation should the nurse include in the clients plan of care? a. Validation therapy b. Thought stopping c. Operant conditioning d. Reality orientation therapy

b. Thought stopping

A nurse is providing crisis intervention for a client who was involved in a violent mass causality situation in the community. Which of the following actions should the nurse take during the initial session with the client? a. help the client focus on a wide variety of topics regarding the crisis b. identify the client's usual coping style c. tell the client that his life will soon return to normal d. encourage the client to display anger toward the cause of the crisis

b. identify the client's usual coping style

A nurse is teaching a client who has bipolar disorder and a new prescription for lithium carbonate. Which of the following statements by the client indicates an understanding of the teaching? a. "I should drink at least 6 liters of water per day" b. "I should be on a low-sodium diet" c. "I will call my doctor if I have diarrhea" d. "I will see my doctor to check my lithium levels annually"

c. "I will call my doctor if I have diarrhea"

A nurse is caring for a client who has personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect? a. Talking negatively about other staff members b. Expressing frustration regarding unit rules c. Reacting to the nurse as though she were his mother d. Refusing to participate in group activities

c. Reacting to the nurse as though she were his mother

A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make? a. " You know that's not true, because it is against the law for others to read your mail" b. "All of your letters come sealed, so that seems unlikely" c. "It must be frightened to think that someone is reading your mail" d. "why do you think the government wants to read your mail?"

c. "It must be frightened to think that someone is reading your mail"

A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take? a. Ask the clients family to encourage the client to receive ECT b. Inform the client that ECT does not require a consent. c. Document the clients refusal of the treatment in the medical record. d. Tell the client he cannot refuse the treatment because he was involuntarily committed.

c. Document the clients refusal of the treatment in the medical record.

A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal? a. Hand tremors b. Rapid speech c. Fatigue d. Seizures

c. Fatigue

A nurse is counseling a client following the death of a client's partner 8 months ago. Which of the following client statements indicates maladaptive grieving? a. I am so sorry for the times I was angry with my partner. b. I find myself thinking about my partner often. c. I still don't feel up to returning to work. d. I like looking at his personal items in the closet.

c. I still don't feel up to returning to work.

A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I cant stand to be touched by another person." Which of the following responses should the nurse make? a. Why don't you like to be touched by others b. Don't worry about it. Your anxiety will lessen once the massage begins. c. I will tell your provider you would like a treatment other than a massage. d. I will request that the massage therapist wear gloves during your treatment.

c. I will tell your provider you would like a treatment other than a massage.

A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first? a. Initiate referrals b. Review community resources c. Identify prior coping skills d. Discuss the importance of confidentiality

c. Identify prior coping skills

A nurse in planning care for a client who has anorexia nervosa and is admitted to an inpatient eating disorder unit. Which of the following is an appropriate intervention? a. Use systematic desensitization to address the client's fears regarding weight gain. b. Allow the client to select mealtimes. c. Initiate a relationship built on trust with the client. d. Negotiate with the client the opportunity to reweigh.

c. Initiate a relationship built on trust with the client.

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? a. Ask the client to discuss precipitating events b. Speaks to the client in a high-pitched voice. c. Place the client in seclusion d. Have the client breathe into a paper bag.

c. Place the client in seclusion

A nurse is caring for a client who has just returned to the unit after receiving an electroconvulsive therapy treatment. Which of the following assessments is the nurse's priority? a. First voiding b. Short-term memory c. Presence of gag reflex d. Return of bowel sounds

c. Presence of gag reflex

A nurse in a mental health facility is caring for a client. Which of the following actions should the nurse take during the working phase of the nurse-client relationship? a. Summarize goals and objectives. b. Address confidentiality. c. Promote problem-solving skills. d. Establish a participation contract.

c. Promote problem-solving skills.

A client is fearful of driving and enters a behavioral therapy program to help him overcome his anxiety. Using systematic desensitization, he is able to drive down a familiar street without experience a panic attack. The nurse should recognize that to continue positive results, the client should participate in which of the following? a. Therapist modeling b. Positive reinforcement c. Frequent practice d. Biofeedback

d. Biofeedback

A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the sky. Sky is up high." The nurse should document the client's statement as which of the following speech alterations? a. Echolalia b. Word salad c. Neologism d. Clang association

d. Clang association

A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase? a. Inform the client about confidentiality rights b. Establish boundaries between the nurse and the client c. Set short and long-term objectives for the future d. Evaluate progress toward predetermined goals

d. Evaluate progress toward predetermine

A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take? a. Avoid asking direct questions about the client's experience b. Convey sympathy for the client's experience c. Tell her client her experience is not real d. Focus the client on reality-based activities

d. Focus the client on reality-based activities

The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.? a. Amantadine b. Diphenhydramine c. Benztropine d. Haloperidol

d. Haloperidol

A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? a. Negotiate with the client how much weight she should gain each week. b. Decrease the client's daily intake of fiber c. Weight the client weekly for the first month d. Notify the client about designated time for meals

d. Notify the client about designated time for meals

A nurse us obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment finding in the client's history should the nurse report to the provider? a. Hepatitis B Infection b. Hypothyroidism c. Knee arthroplasty 1 month ago d. Recent head injury

d. Recent head injury

A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? a. Place the client in restraints b. Administer an anti-anxiety medication to the client c. Put the client in seclusion d. Set limits on the clients behavior

d. Set limits on the clients behavior

A nurse in a mental health facility is making plans for a client's discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement? a. Clinical nurse specialist b. Recreational therapist c. Occupational therapist d. Social worker

d. Social worker

An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "Im so worried that my mother is depressed" which of the following responses should the nurse make? a. Everyone gets depressed from time to time. b. You shouldnt worry about this because depressive disorder is easily treated. c. Older adults are usually diagnosed with depressive disorder as they age. d. Tell me the reasons you think your mother is depressed.

d. Tell me the reasons you think your mother is depressed.

A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role as the monopolizer? a. The mother who expresses hostility toward her spouse. b. The adolescent son who refuses to share personal feelings. c. The father who intervenes whenever the siblings argue. d. The adolescent daughter who attempts to dominate the conversation.

d. The adolescent daughter who attempts to dominate the conversation.

A nurse is planning care for a client who has a recent diagnosis of antisocial personality disorder. Which of the following outcomes should the nurse include in the care plan? a. The client recognizes the importance of others b. The client conforms to social norms regarding clothing choices c. The client reduces self-dramatization d. The client treats others with respect

d. The client treats others with respect

. A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in th e plan of care? a. discuss the appropriate use of assertive behavior with the client b. encourage the client to attend weekly support group meetings c. assist the client to maintain awareness of her thoughts and feelings d. implement measures to prevent intentional self-inflicted injury

d. implement measures to prevent intentional self-inflicted injury