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mental health proctored review 2 with answers
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lOMoARcPSD|11700591Mental Health Proctored Review 2 with Answers
Mental Health (West Coast University)
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1. A nurse is obtaining a medical history from a client who is requesting a prescription for
bupropion for smoking cessation. Which of the following assessment findings in a client's 8. A nurse is assessing a client who has delirium. Which of the following findings requires
history should the nurse report to provider? immediate intervention by the nurse?
a. Recent head injury - risk for seizures a. Rapid mood swings
b. Hypothyroidism b. Inappropriate speech patterns
c. Hippie infection c. Command hallucinations
d. Knee arthroplasty 1 month ago d. Impaired memory
2. A nurse is planning care for a client who has narcissistic personality disorder. Which of the 9. A nurse in an emergency department is assessing a client who recently reported using
following actions is appropriate for the nurse to include in the plan of care? cocaine. Which of the following clinical manifestations should the nurse?
a. Request an anti-psychotic medication from the provider a. Lethargy
b. Ask the client to sign a no suicide contract b. Bradycardia
c. Remain neutral when communicating with the client c. Hypertension
d. Provide the client with high calorie finger foods d. Hypothermia
3. A nurse is preparing for an interprofessional team meeting regarding client who has major 10. A nurse is teaching a client about the use of cognitive reframing for Stress Management.
depressive disorder. Which of the following findings obtained during the initial assessment Which of the following statements been a client indicates an understanding of the
is a priority to report to other disciplines? teaching?
a. Significant weight loss a. I will practice replacing negative thoughts with positive self statements
b. Neglected hygiene b. I will progressively relax each of my muscle groups when feeling stressed
c. Psychomotor retardation c. I will focus on a mental image while concentrating on my breathing
d. Problem solving skills d. I will learn how to voluntarily control my blood pressure and heart rate
4. A nurse in a mental health facility is reviewing a client's medical record. Which of the 11. A nurse in an inpatient mental health facility is assessing a client who has schizophrenia
following actions should the nurse take first? EXHIBIT and is taking haloperidol. Which of the following clinical findings is the nurse’s priority?
a. Initiate 0.9% sodium chloride with 40 mil equivalent potassium chloride a. High fever
b. Encourage the client to attend group therapy sessions b. Urinary hesitancy
c. Teach the client about nutritional needs c. Insomnia
d. Administer acetaminophen 500 mg PO d. Headache
5. A nurse is planning care for a client who demonstrates prolonged depression related to the 12. A nurse is interviewing a client who was recently sexual assaulted. The client cannot recall
loss of her partner 6 months ago. Which of the following actions should the nurse take? the attack. The nurse should identify the the client is using which of the following defense
a. Suggest that the client avoid social interactions that remind her of her partner mechanisms?
b. Discourage the client from reliving the events surrounding her loss a. Suppression
c. Explain that it can take a year or more to learn to live with a loss b. Reaction Formation
d. The client to maintain an unstructured daily routine c. Sublimation
d. Repression
6. A nurse is teaching a client who has a new prescription for disulfiram. Which of the
following statements by the client indicates an understanding of the teaching? 13. A nurse is caring for a client who has Alzheimer's disease. Which of the following findings
a. I can continue to eat age cheese and chocolate should the nurse expect?
b. I can wear my cologne on special occasions a. Excessive motor activity
c. When I bake my favorite cookies, I can use pure vanilla extract for flavoring b. Altered LOC
d. If I cut myself I can clean the wound with isopropyl alcohol c. Failure to recognize familiar objects
i. Avoid everything that has alcohol d. Rapid mood swings
7. A nurse is caring for a client who has schizophrenia and is experiencing auditory 14. A nurse in a mental health facility is caring for a client who is being aggressive toward
hallucinations. Which of the following actions should the nurse take first? other clients. Which of the following actions is a priority for the nurse to take?
a. Focus the client on reality-based topics a. Ask the client if he intends to harm others
b. Monitor the client for indication of anxiety b. Role model healthy ways to express anger
c. Ask the client what she is hearing c. Assist the client to explore techniques to reduce stress
d. Encourage the client to listen to music d. Suggest that the client make a list of things that make him angry
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