1. A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse
... [Show More] indicates an understanding of the teaching? (Select all that apply.)
a.) "To assess cognitive ability, I should ask the client to count backwards by sevens."
b.) "To assess affect, I should observe the client's facial expression."
c.) "To assess language ability, I should instruct the client to write a sentence."
d.) "To assess remote memory, I shoulc have the client repeat a list of objects."
e.) "To assess the client's abstract thinking, I should ask the client to idenitfy our most recent presidents."
- CORRECT ANSWERS-a,b,c
2. A nurse is planning care for a client who has mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention?
a.) Assist the client with systematic desensitization therapy.
b.) Teach the client appropriate coping mechanisms
c.) Assess the client for comorbid health conditions
d.) Monitor the client for adverse effects of medications
- CORRECT ANSWERS-d
3. A nurse is an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority?
a.) Coordinate holistic care with social services
b.) Identify the client's perception of their mental health status
c.) Include the client's family in the interview
d.) Teach the client about their current mental health disorder
- CORRECT ANSWERS-b
4. A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following information is appropriate to include in the discussion? (Select all that apply.)
a.) The DSM-5 includes client education handouts for mental health disorders
b.) The DSM-5 extablishes criteria for individual mental health disorders
c.) The DSM-5 indicates recommended pharmacological treatment for mental health disorders
d.) The DSM-5 assists nurses in planning care for client's who have mental health disorders
e.) The DSM-5 indicates expected assessment findings of mental health disorders
- CORRECT ANSWERS-b,c,e
5. A nurse is an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission?
a.) A client who has schizophrenia with delusions of grandeur
b.) A client who has manifestations of depression and attempted suicide a year ago
c.) A client who has borderline personality disorder and assaulted a homeless man with a metal rod
d.) A client who has bipolar disorder and paces quickly around the room while talking to themselves
- CORRECT ANSWERS-c
6. A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts?
a.) Invasion of privacy
b.) False imprisonment
c.) Assualt
d.) Battery
- CORRECT ANSWERS-b
7. A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roomate, who is always treatening me." Which of the following actions should the nurse take?
a.) Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince then to admit to hiding the knife
b.) Keep the client's communication confidential, but watch the client and their roomate closely
c. ) Tell the client that this must be reported to the health care team because it concerns the health and safety of the clients and others
d.) Report incident to the health care team, but do not inform the client of the intention to do so
- CORRECT ANSWERS-c
8. A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all that apply)
a.) "Client ate most of their breakfast." [Show Less]