NURSING 278 Mental Health Exam 2022 | Latest Questions With Verified Answers

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1. A nurse is preparing to meet with a client who was recently admitted to an outpatient mental health facility…. Should the nurse plan to take during the working phase of the nurse client relatio... nship? a. Inform the client about the confidentiality issues b. Assist the client to make changes in her behavior c. Identify the goals that the client achieved during the relationship d. Discuss the clients’ responsibilities for the relationship 2. Medical record of 4 clients, which should the nurse identify as a risk factor for violent behavior? a. Schizoid personality disorder b. Alcohol intoxication c. Dysrhythmic behavior d. Long term isolation 3. A nurse is caring for a group of clients on a mental health unit. For which of the…. Appropriate agency? a. A client who reports lying to his provider about having suicidialdeation b. A client who reports that her partner ties their child to a bed as punishment c. A client who reports that she took $20 from the cash register where she works d. A client who reports that he enjoys smoking marijuana on weekends 4. A nurse in a mental health clinic is reviewing laboratory results for a client who is prescribed risperidone. The nurse should notify the provider of which of the following findings? a. Blood glucose 175 mg/dL b. Serum sodium 140 mEq/L c. Platelets 250,000/mm3 d. Aspartate aminotransferase 20 units/L 5. A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states “I can’t think about that until after my first grandchild is born next week”. The nurse should identify the client’s statement as indicating the maladaptive use of which of the following defense mechanisms? a. Compensation b. Suppression c. Regression d. Sublimation 6. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the…. Plan of care? a. Changes behavior as a result of peer pressure b. Acknowledges that his delusions are not real c. Meets own needs without manipulating others d. Initiates social interactions with caregivers 7. A nurse is caring for a client who has alcohol use disorder and is experiencing…nurse expect to administer first? a. Naltrexone b. Disulfiram c. Acamprosate d. Lorazepam 8. A nurse is caring for a client who has major depression disorder. After discussing the treatment with his partner. The client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take? a. Request that the clients partner sign the consent form b. Cancel the scheduled ECT c. Proceed with preparation for ECT based on implied consent d. Inform the client about the risks of refusing ECT 9. A nurse is assessing a client during a follow up visit at a behavioral health clinic. The client reports that they have not been… ... antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence? a. Tell the client they will be admitted to an impatient care facility if they do not take the medication b. Request the provider prescribe a second antipsychotic medication to the client c. Discuss the providers goals for the client’s care d. Ask the client if the medication is causing adverse effects 10. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which…. a. Provide detailed explanations to the client b. Administer methylphenidate to the client c. Dim the lights in the client’s room d. Encourage the client to join activities 11. A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first? a. Discuss the purpose of the medication with the client b. Stop the newly licensed nurse from administrating the medication c. Assess the need for physical restraints d. Demonstrate how to verbally de-escalate a situation 12. A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines? a. Markedly neglected hygiene b. Poor problem-solving plans c. Significant weight loss d. Psychomotor retardation 13. A nurse is caring for a client who is prescribed message therapy to treat panic disorder. The client states “I can’t stand to be touched by another person” which of the following responses should the nurse make? a. “I will tell your provider that you would like a treatment other than massage” b. “Why don’t you like to be touched by others?” c. “don’t worry about it, your anxiety will lessen once the massage begins” d. “I will request that the massage therapist wear gloves during treatment” 14. A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take? a. Request that the provider renew the prescription for restraints every 8 hrs b. Obtain a prescription for restraints on an as needed basis c. Have the provider assess the client within 1 hour after applying restraints d. Evaluate the client hourly while the restraints are applied 15. A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings…. adherence to the treatment plan? a. The client reports following various cooking blogs b. The client states that she knows she can’t be perfect c. The client’s potassium level is 3.2 d. The clients current BMI is 14 [Show More]

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