Mental Health Comprehensive Exam Questions And
Accurate Answers A+ Graded
The nurse is running her first meeting from a group of older adults at a daycare centre
catering to the elderly. She asks one of the members, an older woman, what kinds of
things she would like to do with the group. The older woman shrugs her shoulders and
says, "You tell me, you're the leader." What is the best response for the nurse to make?
A. "Yes I am the leader today. Would you like to be the leader tomorrow."
B. "Yes, I will be leading this group. What would you like to accomplish during this time."
C. "Yes, I have been assigned to be the leader of this group. I will be here for the next 6
weeks.
D. "Yes, I am the leader. You seem angry about not being the leader yourself." -
ANSWER B. "Yes. I will be leading this group. What would you like to accomplish during
this time?"
Over a period of several weeks. one male member of an elderly community daycare
center's socialization group dominates the group's time and interrupts others when they
have the floor. Which of the following is the nurse's best response to this situation?
A. Discuss the client's in-group behavior with him privately outside the group.
B. Instruct the client to give others in the group the opportunity to speak
C. Allow the group to handle the problem
D. Invite the client into another group - ANSWER Allow the group to handle the problem
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the
extended care facility and asks the nurse, "Where should I stand for the parade?" Which
response is best for the nurse to provide?
,A. Anywhere you want to stand as long as you don't get hurt by those in the parade
B. You're confused because of all the activity in the hall. There is no parade
C. Lets go back to the activity room and see whats going on in there
D. Remember I told you that this is a nursing home and I am your nurse- ANSWER "Lets
go back to the activity room and see whats going on in there"
Physical examination of a 6 year old reveals multiple bruises and several bite marks in
different parts of his body. X-ray examination revealed healed fractures of the ribs. The
mother states to the nurse that her child has lots of accidents. Which initial response by
the nurse is most significant?
A. I have to notify the health care provider that your child has a problem of being
accident prone.
B. Tell me more specifically about your child's accidents
C. I must report these injuries to the authorities because they do not appear to be
accidental.
D. Boys this age always to require more supervision and can be quite accident prone. -
ANSWER "Tell me more specifically about your child's accidents."
A child is brought to the emergency room with a broken arm. Because of these injuries,
the nurse suspects the child may be a victim of abuse. In the process, when the nurse
tries to give the child an injection, the child mother becomes very loud and shouts."I
won't leave my son! Don't you touch him! You'll hurt my child." What is the best
interpretation of the mother's statement? The mother is
A. Regression to a previous behavior pattern
B. Sublimation of her anger
C. Projection of her feelings onto the nurse
D. Suppression of her fear - ANSWER Projection of her feelings onto the nurse
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia.
When her tray is brought to her, she refuses to eat and tells the nurse. "i know you are
, trying to poison me with food." Which response would be most important for the nurse to
make?
A. I'll leave your tray here. I am available if you need anything else
B. You are not being poisoned. Why do you think someone is trying to poison you
C. No one on this unit has ever died from poisoning. You are safe here.
D. I will talk to your healthcare provider about the possibility of changing your diet -
ANSWER I'll leave your tray here. I am available if you need anything else.
A 25-year-old female client has been particularly restless and the nurse discovers her
trying to leave the psychiatric unit. She informs the nurse "Please let me go I must leave
because the secret police are after me." Which of the following is best for the nurse to
make?
A. No one is after you. You are safe here
B. You will feel better after you have rested
C. I know you must feel lonely and frightened
D. Come with me to your room and I will sit with you - ANSWER Come with me to your
room and I will sit with you
A 45-year-old male client tells the nurse that he used to think that he was Jesus Christ
but now realizes he is not. What is the most appropriate response by the nurse?
A. Did you actually think that you were Jesus Christ?
B. I think you're getting well
C. Others have had similar thoughts when under stress
D. Why did you think you were Jesus Christ? - ANSWER Others have similar thoughts
when under stress
A nurse employed in an emergency room of a children's hospital admits a child whose
injuries may be from abuse. Which statement correctly describes the responsibility of
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