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Mental Health Practice Exam 2024/2025 Questions With Completed & Verified Solution.
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Mental Health Practice Exam 2024/2025 Questions With Completed & Verified Solution.
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Mental Health Practice ExamA nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal.
Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? - ANS
1.5mL
A nurse is planning care for a client who has depression and has made frequent suicide
attempts. Which of the following statements indicates the client has a decreased risk for
suicide? - ANS "It is easier to talk about my feelings now."
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an
acute care facility undergoing detoxification. Which of the following information should the nurse
include in the teaching? - ANS The client should obtain a sponsor before discharge for an
increased chance of recovery.
A nurse on a mental health unit observes a client who has acute mania hit another client. Which
of the following action should the nurse take first? - ANS Call a team of staff members to help
with the situation.
A nurse in a community health center is working with a group of clients who have post-traumatic
stress disorder. Which of the following intervention should the nurse include to reduce anxiety
among the group members? - ANS Guided imagery
A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight.
Which of the following interventions should the nurse include in the plan of care? - ANS
Encourage the client to drink 125 mL of fluid each hour while awake.
For each potential assessment finding, click to specify if the finding is consistent with positive or
negative symptoms of schizophrenia. - ANS Positive:
- Delusions of grandeur
- Clang associations
- Catatonia
Negative:
-Alogia
- Withdrawal from social activities
After reviewing the client's medical record, the nurse should notify the provider of which of the
following findings related to clozapine? - ANS When taking actions, the nurse should identify an
elevated temperature, hypoactive bowel sounds, a decreased ANC level, myalgia along with an
increased heart rate can be adverse effects of the medication clozapine. Therefore, the nurse
should report these findings to the client's provider.
, Click to highlight the findings in the medical record that indicate maladaptive uses of defense
mechanisms. - ANS - Returned from exercise class in agitated state.
- Client tells the nurse, "That exercise instructor was one of my favorite people here. We had so
much in common. But now I know their true nature. She's evil!"
A nurse is caring for a client who has impaired cognitionA nurse is updating the client's plan of
care. For each of the following potential nursing interventions, click to specify if the potential
intervention is anticipated, nonessential, or contraindicated for the client. - ANS Anticipated:
- When addressing the client, approach them from the front when possible.
- Give directions to the client slowly and in a moderate tone of voice.
- Decrease sensory stimulation.
- Assign the client to a room near the nurses' station.
Contraindicated:
- Use a vest restraint to keep the client in a medical recliner.
- Ensure the bed is kept at a working height for the nurse.
- Keep the lights off in the client's bedroom and bathroom at night.
Nonessential:
- Provide the client with high-calorie protein drinks hourly.
A nurse is monitoring a client who began taking sertraline 3 days ago. Which of the following
findings should the nurse report to the provider as potential adverse effects of this new
medication?
Select all that apply. - ANS When taking actions, the nurse should identify that an increased
temperature, decreased sodium level, diaphoresis, insomnia, headache, and elevated blood
pressure can be adverse effects of the medication sertraline. Therefore, the nurse should report
these findings to the provider.
Client diagnosed with major depressive disorder 15 years ago. Visits clinic twice a week for
outpatient group therapy with social worker and follow-up with nurse. Client actively participates
in therapy. Acknowledges that relationship with family members has improved and there are
fewer verbal altercations.
Thursday:
Client presents with irritability, diaphoresis, and severe headache, and states, "I am really
feeling bad. My heart is pounding." Was excited to share they had met a friend for lunch before
coming to the clinic. "Maybe it's something I ate, but we both had the same thing - corned beef
sandwich with Swiss cheese. Do you think it is food poisoning?"
The client is at risk of developing ___________________ due to _____________? - ANS The
client is at risk of developing hypertensive crisis due to
consuming foods high in tyramine.
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