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Mental Health Test 1 - Test 1 221
Test 1 221
Course
Mental Health Nursing (NSG221)
210 Documents
Students shared 210 documents in this course
University
Herzing University
Academic year: 2024/2025
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The nurse is talking with a client who is a victim of assault and the client begins to
remember details that were repressed. The nurse has assisted the client with
discovering which of the following?
Reaction formation
Regression
Countertransference
Unconscious awareness
I don't know
Question number 2
The nurse is having one-on-one conversations with assigned clients. Which of the
following information would the nurse be legally required to report?
The client who states, “Sometimes I wish I was never born.”
The client who reports having to settle a score with the co-worker who got the client
fired.
The client who reports sleeping with a gun under their pillow at home for protection.
The client who states, “As soon as I am discharged, I am going to make things right
with my spouse.”
I don't know
Question number 3
The nurse is caring for a client with severe anxiety. The nurse should expect that the
client has an excess of which neurotransmitter?
Norepinephrine
Histamine
Glutamate
Dopamine
I don't know
Question number 4
The nurse is explaining the goal of psychiatric rehabilitation to a client who is
scheduled for discharge in one week after a long-term hospitalization. The nurse
should explain which of the following?
“The goal is to assist you with becoming financially independent.”
“The goal is to help you live in the community successfully.”
“The goal is to decrease the number of prescribed medications needed.”
“The goal is to reduce the costs involved in mental health care.”
I don't know
Question number 5
The nurse is caring for clients on the mental health unit. Which action by the nurse
would demonstrate inappropriate boundaries between the nurse and a client?
The nurse accepted a thank you card from a client and posts it on the unit bulletin
board.
The nurse provides the phone number for the unit to a client who is being discharged.
The nurse has been seen talking with the same client at the end of each shift for over
an hour each time.
The nurse is hugged by a client and the nurse gently pulls away while reminding the
client about the no-touch policy.
I don't know
Question number 6
A client on an Inpatient Behavioral Unit asks the nurse, “Why do we have to stay in the
day room all the time?” The nurse explains that by using Sullivan`s theory related to
milieu, there is an opportunity for clients to interact with one another, give one another
feedback, and perform which of the following?
Practice the phases of the nurse-patient relationship.
A nurse observes an acutely psychotic client scratching at his
arms with his fingernails until his arms bleed. When asked what
is happening, the client states he is trying to let the evil spirits out
of his body. He is easily redirected by the nurse, but resumes
scratching when the nurse leaves his side. The nurse orders 1:
supervision of the client to keep him from harming himself. Which
ethical principle was applied in this situation?
Beneficence
Veracity
Justice
Fidelity
I don't know
Question number 10
The nurse is evaluating the effects of a prescribed monoamine oxidase inhibitor (MAOI)
for a client who states, “I am feeling so much better since taking the medication, so I
have been going out with friends and enjoying a glass of wine.” Which response should
the nurse make?
“Have you noticed the whites of your eyes turning yellow?”
“I am going to check your arms and legs for any signs of a rash.”
“I will need to monitor your blood pressure for signs of hypertension.”
“Are you having suicidal ideations?”
I don't know
Question number 11
The nurse is caring for a client who experienced a situational crisis. The nurse should
expect the client to describe which type of event?
Divorce
School shooting
Assault
Intimate partner violence
I don't know
Question number 12
The nurse is interviewing a client that is struggling with several problems linked to
developmental, biological, and psychological disturbances in mental functioning.
Which of the following terms correctly defines the nature of these problems?
Mental illness
Mental health attributes
Mental health continuum
Mental health
I don't know
Question number 13
The nurse at the community center is talking with a client and notes the client
discusses many feelings that are consistent with manifestations of depression. Which
of the following would be the best action for the nurse to take?
Ask if the client has a history of mental illness.
Encourage the client to continue coming to the community center.
Continue talking with the client and listen for covert cues of suicidal ideation.
Assess the client’s living situation.
I don't know
Question number 14
The nurse is caring for a client that reminds the nurse of the nurse’s child who
committed suicide. The client is admitted with severe depression after a suicide
I don't know
Question number 17
The nurse is learning about ways to avoid violating professional boundaries with
clients during an in-service. Which of the following would have the highest risk for
violation?
The nurse who asks permission to hug clients when a client expresses feeling lonely or
sad.
The nurse who feels empathetic towards a client and provides disclosure of self to
assist the client with perspective.
The nurse who states that inappropriate relationships would not be a problem while
working with clients at any time.
The nurse who feels the client’s behavior is distasteful but avoids letting the client
know.
I don't know
Question number 18
The nurse and client agreed the client would receive a reward if the client could
participate in group therapy without interrupting other clients. The nurse is using which
of the following types of theory?
Interpersonal
Existential
Humanistic
Behavioral
I don't know
Question number 19
The nurse is implementing psychiatric-mental health nursing at the basic level. Which
of the following interventions should be included? Select all that apply.
Client education
Psychotherapy
Maintain safety
Medication administration
Problem-solving
I don't know
Question number 20
The nurse enters a client’s room and the client states, “You cannot keep me here
against my will. I want to go home.” Which of the following responses should the nurse
make?
“You are right, but you have to talk to the doctor first.”
“We are not keeping you here against your will”
“Do you not want to get better first?”
“Did someone tell you that you could not leave?”
I don't know
Question number 21
A client presents to the Emergency Department reporting sleep disturbances,
polydipsia, and polyphagia. The nurse anticipates which portion of the client’s limbic
system is most likely dysfunctional?
Medulla
Parietal lobe
Hippocampus
Hypothalamus
I don't know
Question number 22
The client with severe dementia whose adult child states the client is refusing to attend
adult day care.
I don't know
Question number 25
A nurse is working with a client diagnosed with schizophrenia. The unlicensed assistive
personnel (UAP) reports the client refuses to eat the food because it is poisoned. The
nurse documents this delusion in which area of the Mental State Examination?
Judgement and insight
Thought process and content
Motor behavior
Intellectual processes
I don't know
Question number 26
The nurse admitting a client to a mental health care unit explains the roles of both the
client and the nurse. Which phase of the nurse-client relationship is the nurse
demonstrating according to Peplau's theory?
Termination
Pre-Interaction
Working
Orientation
I don't know
Question number 27
The nurse is caring for a client who is to receive prescribed antipsychotic medication.
Which of the following information is correct about the medication?
Antipsychotic medications are agonists that will increase GABA.
Antipsychotic medications are antagonists that will block dopamine.
Antipsychotic medications are antagonists that will increase serotonin.
Antipsychotic medications are agonists that will block norepinephrine.
I don't know
Question number 28
The nurse is practicing active listening while obtaining a health history from a newly
admitted client. Which of the following responses would demonstrate that active
listening occurred?
“I feel so bad that you are going through all these issues at the same time.”
“I hear that you are scared, but I would do the treatment because it has worked so well
for other clients.”
“It sounds like you have been through a lot, but things will be better now that you are
here.”
“It sounds like your biggest concern about being hospitalized is how it will affect your
family.”
I don't know
Question number 29
The nurse is providing care for a client based on Maslow’s hierarchy of needs. Which of
the following actions should the nurse take next to meet the self-esteem need?
Discuss how the client can increase independent care.
Allow the client’s family to visit.
Encourage the client to establish goals for after discharge.
Engage the client in discussion focusing on successes achieved during therapy.
I don't know
Question number 30
Using the label shown below, how many milligrams (mg) of duloxetine hydrochloride
does each capsule contain? Enter numeric value only.
l
I don't know
Question number 34
The nurse is talking with a male client who states, “I love your hair, outfit, and makeup.
You are looking super sexy. You must be going out for some hot date tonight after
work?” Which response by the nurse would demonstrate acceptance in
a therapeutic relationship? Select all that apply.
“Your comment is inappropriate and you should refrain from making personal
comments regarding others` physical appearance.”
“Let's review some of the problem-solving techniques that have been working for
you.”
“Thank you for noticing. I am in fact going on a blind date tonight.”
“My friend did my make-up and hair do you like it?”
“No, I like to go directly to the gym after work to try to stay healthy.”
I don't know
Question number 35
The nurse is planning care for an adolescent client who is struggling with
accomplishing a sense of identity. The nurse should be familiar with which of the
following theories when choosing interventions for the client’s plan of care?
Cognitive
Behavioral
Humanistic
Developmental
I don't know
Question number 36
The nurse is calculating the intake of an assigned client for a 12-hour shift. Using the
intake listed below, calculate the total intake, in milliliters, the nurse should document
for the client. Do not round your answer. Enter numeric value only.
PO Intake
4 ounces of gelatin
120 mL of milk
750 mL of water
Intravenous Intake
50 mL per hour for 12 hours
100 mL of antibiotic once
I don't know
Question number 37
The nurse is caring for a client who speaks English but is from non-Western parts of
the world. Which of the following statements would demonstrate culturally competent
nursing care?
“How can we create an effective treatment plan for you?”
“Tell me what you know about health care practices since moving here.”
“I researched your cultural background to learn how to best take care of you.”
“Your cultural beliefs are respected, but you will need to be flexible with how
procedures are done in this facility.”
I don't know
Question number 38
Skip to the next question and then come back to the that question later.
Remain quiet, giving the client time to respond.
Inform the client that the information can be obtained from the medical record and ask
a different question.
I don't know
Question number 41
The nurse is participating in group therapy for clients with anxiety to offer direction to
the group. Which of the following roles would the nurse be demonstrating?
Teacher
Resource person
Counselor
Leader
I don't know
Question number 42
The nurse is collaborating with a client on an inpatient unit for discharge planning.
Which of the following components of a discharge plan are essential to reduce the
likelihood of rehospitalization? Select all that apply.
Prioritize the needs the nurse believes are most important.
Use of a standardized discharge plan for all patients with the same mental illness.
Review of the client’s early signs and symptoms of relapse.
Appointments are scheduled with outpatient providers with whom the patient has an
established relationship.
Follow-up phone call is scheduled for after discharge.
I don't know
Question number 43
The nurse is talking with a client with a history of anxiety and asks the client to
describe how they are currently managing their anxiety, so that together they can
develop better coping skills. According to Peplau, gathering data is a key component
of which of the following stages of the nurse-client relationship?
Working
Termination
Orientation
Pre-Interaction
I don't know
Question number 44
The interdisciplinary team is discussing medications for a client who is starting on
newly prescribed medications to treat mental illness. The nurse should suggest which
of the following to assist with enhancing medication compliance?
Start with a higher dose so the medication will begin working faster.
Tell the client that the medication could be tapered down and discontinued eventually.
Explain all of the possible side-effects to the client so the client knows what to expect.
Choose a medication that the client would need to take once per day.
I don't know
Question number 45
The nurse is assessing factors that can influence a client’s mental health. The nurse
should consider which of the following categories when assessing this client’s mental
health? Select all that apply.
Financial factors
Interpersonal factors
Individual factors
Criminal factors
I don't know
Question number 49
The nurse is assessing an older adult client brought into the emergency department
(ED), by the adult child who states, “I cannot get him to eat.” The nurse notes the client
is emaciated, avoids making eye contact, and defers all questions to the adult child.
Which action would be most appropriate by the nurse?
Interview the client in private.
Document how the adult child responds after stating the client looks neglected.
Ask the client to answer the questions without looking at the adult child.
Provide a food tray for the client to see if the client will eat.
I don't know
Question number 50
The nurse is obtaining a health history of an assigned client. The
client is confused from prescribed medication and speaking
incomprehensibly. Which of the following would be the best
action for the nurse to take?
Obtain as much health history as possible, from the client’s family member that is
present.
Use a previous admission health history, found in the medical records, for the current
admission.
Request that a conservator is legally appointed to the client to make decisions and
provide information for the client.
Inform the next shift that the client’s health history was unable to be obtained.
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Mental Health Test 1 - Test 1 221
Course: Mental Health Nursing (NSG221)
210 Documents
Students shared 210 documents in this course
University: Herzing University
Was this document helpful?
The nurse is talking with a client who is a victim of assault and the client begins to
remember details that were repressed. The nurse has assisted the client with
discovering which of the following?!
Reaction formation!
Regression!
Countertransference!
Unconscious awareness!
I don't know!
Question number 2!
The nurse is having one-on-one conversations with assigned clients. Which of the
following information would the nurse be legally required to report?!
The client who states, “Sometimes I wish I was never born.”!
The client who reports having to settle a score with the co-worker who got the client
fired.!
The client who reports sleeping with a gun under their pillow at home for protection.!
The client who states, “As soon as I am discharged, I am going to make things right
with my spouse.”!
I don't know!
Question number 3!
The nurse is caring for a client with severe anxiety. The nurse should expect that the
client has an excess of which neurotransmitter?!
Norepinephrine!
Histamine!
Glutamate!
Dopamine!
I don't know!
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