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Mental Health Practice Exam Questions With Complete Solutions Latest Update 2024
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Mental Health Practice Exam Questions With Complete Solutions Latest Update 2024
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Mental Health Practice Exam Questions WithComplete Solutions Latest Update 2024
The nurse is conducting discharge teaching for a client with schizophrenia who
plans to live in a group home. Which statement is most indicative of the need for
careful follow-up after discharge?
a. Crickets are a good source of protein.
b. I have not heard any voices for a week.
c. Only my belief in God can help me.
d. Sometimes I have a hard time sitting still - correct answers *C. Only my belief in
God can help me.*
The most frequent cause of increased symptoms in psychotic clients is non-
compliance with the medication regimen. If clients believe that "God alone" is
going to heal them (C) then they may discontinue their medication, so (C) would
pose the greatest threat to this client's prognosis. (A) would require further
teaching, but is not as significant a statement as (C). (B) indicates an improvement
in the client's condition. (D) may be a sign of anxiety that could improve with tx,
but does not have the priority of (C).
A child is brought to the ER with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child
an injection, the child's 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 statements? The mother is
,a. regressing to an earlier behavior pattern.
b. sublimating her anger.
c. projecting her feelings onto the nurse.
d. suppressing her fear. - correct answers *C. projecting her feelings onto the
nurse.*
Projection is attributing one's own thoughts, impulses, or behaviors onto another--
it is the mother who is probably harming the child and she is attributing her
actions to the nurse (C). The mother may be immature, but (A) is not the best
description of her behavior. (B) is substituting a socially acceptable feeling for an
unacceptable one. These are not socially acceptable feelings. The mother may be
suppressing her fear (D) by displaying anger, but such an interpretation cannot be
concluded from the data presented.
An elderly female client with advanced dementia is admitted to the hospital with a
fractured hip. The client repeatedly tells the staff, "Take me home. I want my
Mommy." Which response is best for the nurse to provide?
a. Orient the client to the time, place, and person.
b. Tell the client that the nurse is there and will help her.
c. Remind the client that her mother is no longer living.
d. Explain the seriousness of her injury and need for hospitalization. - correct
answers *B. Tell the client that the nurse is there and will help her.*
,Those with dementia often refer to home or parents when seeking security and
comfort. The nurse should use the techniques of "offering self" and "talking to the
feelings" to provide reassurance (B). Clients with advanced dementia have
permanent physiological changes in the brain (plaques and tangles) that prevent
them from comprehending and retaining new information, so (A, C, and D) are
likely to be of little use to this client and do not help the clients emotional needs.
A 27 y/o F client is admitted to the psychiatric hospital with a dx of bipolar
disorder, manic phase. She is demanding and active. Which intervention should
the nurse include in this client's plan of care?
a. Schedule her to attend various group activities.
b. Reinforce her ability to make her own decisions.
c. Encourage her to identify feelings of anger.
d. Provide a structured environment with little stimuli. - correct answers *D.
Provide a structured environment with little stimuli.*
Clients in the manic phase of bipolar disorder require decreased stimuli and a
structured environment (D). Plan noncompetitive activities that can be carried out
alone. (A) is contraindicated; stimuli should be reduced as much as possible.
Impulsive decision-making is characteristic of clients with bipolar disorder. To
prevent future complications, the nurse should monitor these clients' decisions
and assist them in decision-making process (B). (C) is more often associated with
depression than with bipolar disorder.
, An adult male client who was admitted to the mental hospital unit yesterday tells
the nurse that microchips were planted in his head for military surveillance of his
every move. Which response is best for the nurse to provide?
a. You are in the hospital, and I am the nurse caring for you.
b. It must be difficult for you to control your anxious feelings.
c. Go to occupational therapy and start a project.
d. You are not in a war area now; this is the United States. - correct answers * C.
Go to occupational therapy and start a project.*
Delusions often generate fear and isolation, so the nurse should help the client
participate in activities that avoid focusing on the false belief and encourage
interaction with others (C). Delusions are often well-fixed, and though (A)
reinforces reality, it is argumentative and dismisses the clients fears. It is often
difficult for the client to recognize the relationship between delusions and anxiety
(B), and the nurse should reassure the client that he is in a safe place. Dismissing
delusional thinking (D) is unrealistic because neurochemical imbalances that cause
positive symptoms of schizophrenia require antipsychotic drug therapy.
A 38 y/o F client is admitted with a dx of paranoid schizophrenia. When her tray is
brought to her, she refuses to eat and tells the nurse, "I know you're trying to
poison me with that food." Which response is most appropriate for the nurse to
make?
a. I'll leave your tray here. I am available if you need anything else.
b. You're not being poisoned. Why do you think someone is trying to poison you?
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