PN Mental Health Online Practice B 1-50
1.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client
who has anorexia nervosa. Which of the following actions should the nurse include
...
PN Mental Health Online Practice B 1-50
1.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client
who has anorexia nervosa. Which of the following actions should the nurse include in the plan
of care?
Answer: Offer liquid supplements to the client
2. A nurse in a mental health facility is caring for a client who has schizophrenia. The client
becomes violent in the dayroom and begins throwing objects at staff and other clients. After
calling for assistance. Which of the following actions should the nurse take next?
Answer: Tell the client calmly to sit down
3. A nurse caring for a group of clients on a mental health unit. Which of the following client
behaviors should the nurse reports to the charge nurse?
Answer: A client who is manic has been pacing the unit for several hours
4. A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar
disorder. The nurse should identify that which of the following findings is priority to report to
the provider?
Answer: Bleeding gums
5. A nurse is attempting to resolve an ethical dilemma that involves a client’s medical decisions
and his own personal values. After collecting data and identifying the problem, which of the
following actions should the nurse take next?
Answer: Determine the benefits and consequences of respecting the client’s medical
decisions
6. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and
performs hand hygiene to decrease anxiety. Which of the following actions should the nurse
take to demonstrate modeling as a behavioral intervention strategy?
Answer: Demonstrating performing hand hygiene at appropriate times
7. A nurse is caring for a client who has antisocial personality disorder. Which of the following
actions should the nurse take when caring for the client?
Answer: Remind the client of consequences for unacceptable behavior
8. A nurse is assisting with the plan of care for a client who is malnourished due o alcohol use
disorder. Which of the following interventions should the nurse include in the plan?
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Answer: Restrict the client’s sodium intake
9. A nurse is collecting data from a client whose home was destroyed by a fire. Which of the
following responses should the nurse make first?
Answer: Are you experiencing feelings of hopelessness?
10. A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use
disorder. Which of the following statements by the parent should the nurse identify as
indicating an understanding of the teaching?
Answer: Dilated pupils are a sign my child is using amphetamines
11. A nurse is collecting data from a client who has agoraphobia. The nurse should identify that
which of the following situations will increase the client’s anxiety?
Answer: Traveling in an airplane
12. A nurse is monitoring communication between a client who has alcohol use disorder and
her partner. Which of the following communication patters of the client’s partner should the
nurse identify as being effective?
Answer: I become very angry when you get drunk
13. A nurse is preparing to administer lithium 450 mg PO to a client who has bipolar disorder.
Available is lithium 150 mg capsules. How many capsules should the nurse administer?
Answer: 3 capsules
14. A nurse is collecting data from a client who uses alcohol” to cope with stress.’’ Which of the
following questions should the nurse ask?
Answer: What daily activities are disrupted because of your alcohol consumption?
15. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive
behavior. Which of the following statements should the nurse make?
Answer: Have you considered participating in a sport to help control your aggression
16. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s
dayroom. The nurse fails to respond to the escalating, aggressive behavior of a client eventually
becomes violent and injures another client. For which of the following is the nurse liable?
Answer: Negligence
17. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the
following findings should the nurse withhold the client’s medications and notify the provider?
Answer: WBC count
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18. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of
the following clients should the nurse see first?
Answer: The client who is experiencing command hallucinations
19. A nurse is reinforcing teaching about stress management techniques with a client who has
mild anxiety. Which of the following statements should the nurse make?
Answer: You should listen to music when you feel stress
20. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to
treat rapid-cycling bipolar disorder. Following the procedure, which of the following action
should the nurse take?
Answer: Administer oxygen to the client
21. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following
actions should the nurse take?
Answer: Encourage the client to examine how his illness behavior affects his family
22. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is
expressing feelings of hopelessness. Which of the following questions is the most important for
the nurse to ask?
Answer: Have you had any thoughts of harming yourself
23. A nurse is caring for a client who has dementia. Which of the following actions should the
nurse take?
Answer: Stand in front of the client when speaking
24. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the
following medications should the nurse anticipate the provider to prescribe?
Answer: Naloxone
25. A nurse is assisting with the admission of a client who has an eating disorder. During data
collection, which of the following findings should the nurse identify as manifestations of bulimia
nervosa?
Answer:
-Tooth erosion
-Hand calluses
-Hypokalemia
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26. A nurse is caring for a client who is taking lithium and reports persistent nausea and
vomiting for 2 days. Which of the following laboratory values should the nurse report to the
provider?
Answer: Sodium 132mEq/L
27. A nurse is collecting data from a client who has delirium. The nurse should identify which of
the following conditions as a predisposing factor for delirium?
Answer: Hepatic failure
28. A nurse is caring for a client who states,” this has been the worst day of my life.’’ Which of
the following responses should the nurse make?
Answer: Tell me about your day
29. A nurse is assisting with the admission of a client to an acute care mental health facility.
Which of the following activities should the nurse plan for the working phase of the therapeutic
relationship?
Answer: Evaluate the client’s progress toward meeting his goals
30. A nurse is caring for four clients who are displaying the use of defense mechanisms. Which
of the following clients should the nurse identify as using maladaptive defense mechanism?
Answer: A client who has multiple sclerosis stops taking her medication and says her
diagnosis is wrong
31. A nurse is participating in group therapy for clients who have major depressive disorder.
Which of the following topics should the nurse include in the orientation phase of group
therapy?
Answer: Confidentiality
32. A nurse is assisting in the morning hygiene care of a client who is cognitively impaired.
Which of the following statements should the nurse make?
Answer: Let me help you get your toothbrush
33. A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The
nurse should identify that which of the following findings indicates a potential need for a PRN
dose of benztropine?
Answer: Shuffling gait
34. A nurse is caring for a client who states that she does not want to go to physical therapy
after having a below-the-knee amputation. Which of the following responses should the nurse
make?
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Answer: What are your feelings ab
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