Practice Exam in Mental Health Nursing A patient with a diagnosis…

QuestionPractice Exam in Mental Health Nursing A patient with a diagnosis…Practice Exam in Mental Health Nursing A patient with a diagnosis of major depression who has attempted suicide says to the nurse, “I should have died! I’ve always been a failure. Nothing ever goes right for me.” Which response demonstrates therapeutic communication?”a  .You have everything to live for.”  b. Why do you see yourself as a failure?”c . Feeling like this is all part of being depressed.”d , You’ve been feeling like a failure for a while?” 2. When the community health nurse visits a patient at home, the patient states, “I haven’t slept the last couple of nights.” Which response by the nurse illustrates a therapeutic communication response to this patient?a. “I see.”b. “Really?”c. “You’re having difficulty sleeping?”d. “Sometimes, I have trouble sleeping too.” 3. A patient experiencing disturbed thought processes believes that his food is has been poisoned. Which communication technique should the nurse use to encourage the patient to eat?a. Using open-ended questions and silenceb. Sharing personal preference regarding food choicesc. Documenting reasons why the patient does not want to eatd. Offering opinions about the necessity of adequate nutrition 4 .A patient admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting. “Let me out. There’s nothing wrong with me. I don’t belong here.” What defense mechanism is the patient implementing?a. Denialb. Projectionc. Regressiond. Rationalization 5. A patient diagnosed with terminal cancer says to the nurse “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I’m the one who’s dying.” Which response by the nurse is therapeutic?a. “Have you shared your feelings with your family?”b. “I think we should talk more about your anger with your family.”c. “You’re feeling angry that your family continues to hope for you to be cured?”d. “You are probably very depressed, which is understandable with such a diagnosis.” 6. On review of the patient’s record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient’s behavior?a. Fearfulness regarding treatment measures.b. Anger and aggressiveness directed toward others.c. An understanding of the pathology and symptoms of the diagnosis.d. A willingness to participate in the planning of the care and treatment plan. 7. A patient admitted voluntarily for the treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially?a. Contact the patient’s health care provider (HCP).b. Call the patient’s family to arrange for transportations.c. Attempt to persuade the patient to stay for only a few more days.c. Tell the patient that leaving would likely result in an involuntary commitment. 8. When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient?a. Monitor closely for harm to self or others.b. Assist in completing an application for admissionc. Supply the patient with written information about their mental illness.D. Provide an opportunity for the family to discuss why they felt the admission was needed. 9. The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?a. Planning short-term goalsb. Making appropriate referralsc. Developing realistic solutionsd. Identifying expected outcomes 10. The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbors ask the nurse, “How is Mary doing? She is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response?a. “I can not discuss any patient situation with you.”b. “If you want to know about Mary, you need to ask her yourself.”c. “Only because you’re worried about a friend, I’ll tell you that she is improving.”d. “Being her friend, you know she is having a difficult time and deserves her privacy.” 11. A patient being seen in the emergency department immediately after being sexually assaulted appears calm and controlled. The nurse analyzes this behavior as indicating which defense mechanism?a. Denialb. Projectionc. Rationalizationd. Intellectualization 12. A patient’s unresolved feelings related to loss would be most likely observed during which phase of the therapeutic nurse-patient relationship?a.  Trustingb. Workingc. Orientationd. Termination 13. Which statement demonstrates the best understanding of the nurse’s role regarding ensuring that each client’s rights are respected?a. “Autonomy is the fundamental right of each and every client.”b. “A patient’s rights are guaranteed by both state and federal laws.”c. “Being respectful and concerned will ensure that I’m attentive to my patient’s rights.”d. “Regardless of the patient’s conditions, all nurses have the duty to respect patient rights.” 14. Which therapeutic communication technique is being used in this nurse-client interaction?Client: “When I get angry, I get into a fistfight with my wife, or I take it out of the kids.”Nurse: “I notice that you are smiling as you talk about this physical violence.”a. Encouraging comparisonb. Exploringc. Formulating a plan of actiond. Making observations115. Which therapeutic communication technique is being used in this nurse-client interaction?Client: “My father spanked me often.”Nurse: “Your father was a harsh disciplinarian.”a. Restatementb. Offering general leadsc. Focusingd. Accepting 16. Which therapeutic communication technique is being used in this nurse-client interaction?Client: “When I am anxious, the only thing that calms me down is alcohol.”Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”a. Reflectingb. Making observationsc. Formulating a plan of actiond. Giving recognition 17. Nurse Patrick is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead?a. “Do you know why you are here?”b. “Are you feeling depressed or anxious?”c. “Yes, I see. Go on.”d. “Can you chronologically order the events that led to your admission?”18. A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening?a. “What occurred prior to the rape. and when did you go to the emergency department?”b. “What would you like to talk about?”c. “I notice you seem uncomfortable discussing this.”d. “How can we help you feel safe during your stay here?”  19. A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations?a. “You appear to be talking to someone I do not see.”b. “Please describe what you are seeing.”c. “Why do you continually look in the corner of this room?”d. “If you hum a tune. the voices may not be so distracting.”20. A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?a. Sb. Oc. Ld. E21. An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback?a. “Why did you use the client’s name on your clinical worksheet?”b. “You were very careless to refer to your client by name on your clinical worksheet.”c. “Surely you didn’t do this deliberately. but you breached confidentiality by using the client’s name.”d. “It is disappointing that after being told. you’re still using client names on your worksheet.”21. After assertiveness training. a formerly passive client appropriately confronts a peer in group therapy. The group leader states. “I’m so proud of you for being assertive. You are so good!” Which communication technique has the leader employed?a. The nontherapeutic technique of giving approvalb. The nontherapeutic technique of interpretingc. The therapeutic technique of presenting realityd. The therapeutic technique of making observations22. What is the purpose of a nurse providing appropriate feedback?a. To give the client good adviceb. To advise the client on appropriate behaviorsc. To evaluate the client’s behaviourd. To give the client critical information23. A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst?a. “Why do you continue to alienate your peers by your angry outbursts?”b. “You accomplish nothing when you lose your temper like that.”c. “Showing your anger in that manner is very childish and insensitive.”d. “During group. you raised your voice. yelled at a peer. left. and slammed the door.”24. When reviewing the admission assessment. the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission. the nurse should provide which intervention for this patient?a. Monitor closely for harm to self or others.b. Assist in completing an application for admission.c. Supply the patient with written information about their mental illness.d. Provide an opportunity for the family to discuss why they felt the admission was needed.25. When interviewing a client. which nonverbal behavior should a nurse employ?a. Maintaining indirect eye contact with the clientb. Providing space by leaning back away from the clientc. Sitting squarely. facing the clientd. Maintaining open posture with arms and legs crossed26. A mother rescues two of her four children from a house fire. In the emergency department. she cries. “I should have gone back in to get them. I should have died. not them.” What is the nurse’s best response?a. “The smoke was too thick. You couldn’t have gone back in.”b. “You’re feeling guilty because you weren’t able to save your children.”c. “Focus on the fact that you could have lost all four of your children.”d. “It’s best if you try not to think about what happened. Try to move on.”27. The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:a. Receives adequate nutrition and hydrationb. Will reminisce to decrease isolationc. Remains in a safe and secure environmentd. Independently performs self-care28. She says to the nurse who offers her breakfast. “Oh no. I will wait for my husband. We will eat together” The therapeutic response by the nurse is:a. “Your husband is dead. Let me serve you your breakfast.”b. “I’ve told you several times that he is dead. It’s time to eat.”c. “You’re going to have to wait a long time.”d. “What made you say that your husband is alive?29. Dementia. unlike delirium. is characterized by:a. Slurred speechb. Insidious onsetc. Clouding of consciousnessd. Sensory perceptual change30. Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?a. Altered self-imageb. Fluid volume deficitc. Altered nutrition less than body requirementsd. Altered family process31. What is the best intervention to teach the client when she feels the need to starve?a. Allow her to starve to relieve her anxietyb. Do a short term exercise until the urge passesc. Call her mother on the phone and tell her how she feels32. Situation: An old woman was brought for evaluation due to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:a. Apraxiab. Aphasiac. Agnosiad. Amnesia33. The client with anorexia nervosa is improving if:a. She eats meals in the dining room.b. Weight gainc. She attends ward activities.d. She has a more realistic self-concept.34. She tearfully tells the nurse “I can’t take it when she accuses me of stealing her things.” Which response by the nurse will be most therapeutic?a. “Don’t take it personally. Your mother does not mean it.”b. “Have you tried discussing this with your mother?”c. “This must be difficult for you and your mother.”d. “Next time ask your mother where her things were last seen.”35. The characteristic manifestation that will differentiate bulimia nervosa from anorexia nervosa is that bulimic individuala. Have episodic binge eating and purgingb. Have repeated attempts to stabilize their weightc. Have peculiar food handling patternsd. Have threatened self-esteem36. A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is:a. Patient will learn problem-solving skillsb. Patient will have decreased symptoms of anxiety.c. Patient will perform self-care activities daily.d. Patient will verbalize how to set limits on others.37. Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:a. “I can refer you to a spiritual counselor if you like.”b. “You shouldn’t allow anyone to pressure you into sex.”c. “It sounds like this problem is related to your paralysis.”d. “How do you feel about being pressured into sex by your boyfriend?”38. Malingering is different from somatoform disorder because the former:a. Has evidence of an organic basis.b. It is a deliberate effort to handle upsetting eventsc. Gratification from the environment are obtained.d. Stress is expressed through physical symptoms.39. Unlike psychophysiologic disorder Linda may be best managed with:a. Medical regimenb. Milieu therapyc. Stress management techniquesd. Psychotherapy40. In the management of bulimic patients. the following nursing interventions will promote a therapeutic relationship EXCEPT:a. Establish an atmosphere of trustb. Discuss their eating behavior.c. Help patients identify feelings associated with binge-purge behaviourd. Teach patient about bulimia nervosa41. Situation: A 35-year-old male has an intense fear of riding an elevator. He claims ” As if I will die inside.” This has affected his studies The client is suffering from:a. Agoraphobiab. Social phobiac. Claustrophobiad. Xenophobia42. Initial intervention for the client should be to:a. Encourage to verbalize his fears as much as he wants.b. Assist him to find meaning to his feelings in relation to his past.c. Establish trust through a consistent approach.d. Accept her fears without criticizing.43. The nurse develops a countertransference reaction. This is evidenced by:a. Revealing personal information to the clientb. Focusing on the feelings of the client.c. Confronting the client about discrepancies in verbal or non-verbal behaviourd. The client feels angry towards the nurse who resembles his mother.44. Which is the desired outcome in conducting desensitization:a. The client verbalize his fears about the situationb. The client will voluntarily attend group therapy in the social hall.c. The client will socialize with others willinglyd. The client will be able to overcome his disabling fear.45. Which of the following should be included in the health teachings among clients receiving Valium:a. Avoid taking CNS depressant like alcohol.b. There are no restrictions in activities.c. Limit fluid intake.d. Any beverage like coffee may be taken46. Situation: A 20-year-old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?a. The symptoms are conscious effort to control anxietyb. The client will experience a high level of anxiety in response to the paralysis.c. The conversion symptom has symbolic meaning to the clientd. A confrontational approach will be beneficial for the client.47. A client is experiencing stress after delivering twins 3 weeks ago. The nurse is helping to manage her stress levels and cope with her situation. Which best describes the role of the nurse in crisis intervention?a. The nurse assesses the client’s perception of parenthood during the early stages of crisis therapyb. The nurse helps the client to distract herself from negative feelings while managing a crisisc. The nurse avoids discussing consequences of the client’s behavior during the crisisd. The nurse encourages the client to try any method of coping for the situation48. A 45-year-old client with schizophrenia has been brought to the hospital after trying to commit suicide. The client tells the nurse that the voices he hears told him to do it. He is extremely anxious and upset. Which assessment question would most likely help the nurse to assess the client’s perception of this event?a. What happened that has made you so upset?b. Who do you live with?c. Have you had thoughts of hurting others?d. Do you know what today’s date is?49. A nurse is caring for a client with schizophrenia who tells her he believes that everyone else in the inpatient unit is secretly laughing at him behind his back. Which response by the nurse is best?a. here are some people here who are laughing but I do not think they are laughing at you.b. Did you hear someone say something about you?c. Do you think they do not like you?d. They are probably just laughing about someone else.50. A nurse is caring for a client in crisis who has endured a physical assault. The nurse would expect to see which behavior associated with the integration phase of crisis? Select all that apply.a. The client tries to make sense of what happenedb. The client starts to resolve feelings of blamec. The client tries to control every situationd. The client becomes isolated from otherse. The client gets angry when talking about the event61. A 46-year-old client is experiencing symptoms of post-traumatic stress disorder after being involved in a traumatic accident. The client has symptoms of nightmares and flashbacks about the event. The nurse knows that these symptoms most likely develop because of which of the following?a. The client may have a hyperactive amygdala that leads to an increase in feelings of fearb. The client is no longer able to regulate levels of serotoninc. The client’s pituitary gland works in overdrive and consistently causes flashbacksd. The body secretes too much melatonin, which leads to an increase in nightmares62. Marco approached Nurse Trisha asking for advice on how to deal with his alcohol addiction. Nurse Trisha should tell the client that the only effective treatment for alcoholism is:a. Psychotherapyb. Alcoholics Anonymous (A.A.)c. Total abstinenced. Aversion Therapy63. Nurse Hazel is caring for a male client who experiences false sensory perceptions with no basis in reality. This perception is known as:a. Hallucinationsb. Delusionsc. Loose associationsd. Neologisms64. Nurse Monet is caring for a female client who has suicidal tendencies. When accompanying the client to the restroom, Nurse Monet should…a. Give her privacy.b. Allow her to urinate.c. Open the window and allow her to get some fresh air.d. Observe her.65. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?a. Provide privacy during meals.b. Set-up a strict eating plan for the client.c. Encourage the client to exercise to reduce anxiety.d. Restrict visits with the family.  Health ScienceScienceNursingNURSING 2050Share Question

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