MENTAL HEALTH EXAM 3 EVOLVE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS |ALREADY GRADED A+.
The nurse is developing a plan of care for a 16-year-old client with
bulimia nervosa. Which intervention would be included in the plan of
care? Select all that apply.
1. Allow client to remain on current laxatives
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
4. Do not allow client to keep a food diary during hospitalization
5. Monitor the client for 1-2 hours after each meal in a central area -
ANSWER -2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
5. Monitor the client for 1-2 hours after each meal in a central area
A new client at the sleep disorders clinical tells the nurse, "I have not
slept well in a year, so I never feel good. I do not expect things will
ever improve or be any different." Which of the following
interventions should the nurse consider for this client? 1. Suggest
the use of alcohol as a sedative to promote sleep
2. Provide instruction on relaxation techniques
3. Teach fatigue producing exercises for the client to become
overtired
4. Encourage long daytime naps to compensate for the sleep
deprivation - ANSWER -2. Provide instruction on relaxation
techniques
,Which nursing action should occur first regarding a client who has a
problem of sexual dysfunction or sexual disorder?
1. The nurse should develop an understanding of human sexual
response
2. The nurse should assess the client's sexual functioning and needs
3. The nurse should acquire knowledge of the client's sexual roles
4. The nurse should clarify own personal values about sexuality -
ANSWER -4. The nurse should clarify own personal values about
sexuality
A client diagnosed with schizophrenia has been taking
chlorpromazine daily for several weeks. The nurse observes that the
client's head and neck are contracted and the client's eyes are locked
in an upward position. Which of the following is the nurse's best
analysis and action?
1. The client has tardive dyskinesia. The nurse should teach the
client relaxation exercises.
2. The client is having an acute dystonic reaction. The nurse
should administer benztropine IM per PRN order.
3. The client has akathisia. The nurse should notify the
psychiatrist to discuss a possible change in medication.
4. The client is experiencing auditory hallucinations. The nurse
should administer haloperidol PO per PRN order. - ANSWER -2. The
client is having an acute dystonic reaction. The nurse should
administer benztropine IM per PRN order.
,A client diagnosed with borderline personality disorder and chronic
back pain takes the maximum safe dose of opioid analgesic
medication. The client tells the nurse, "The other nurses don't care
about my pain, but you've always been so good to me. Could you give
me a little extra medication? I won't tell anyone." Which of the
following is the nurse's best response?
1. "I'll check with your doctor and get back to you."
2. "I'm sorry. I wish there was something more we could do to help
you."
3. "No. I think you're trying to manipulate me into giving you more
medication."
4. "I understand that you are in pain, but giving you more medication
would not be safe." - ANSWER -4. "I understand that you are in
pain, but giving you more medication would not be safe."
The nurse is caring for a client with bulimia nervosa. Which is the
most important time for the nurse to monitor the client's behavior?
1. During 1-2 hours after each meal
2. During every meal
3. During the evening meal
4. During the overnight hours - ANSWER -1. During 1-2 hours after
each meal
A client tells the nurse, "Everyone says we should sleep 8 hours a
night. I can only sleep 6 hours no matter how hard I try. Am I doing
harm to my body?" Which of the following would be the most
appropriate response by the nurse?
, 1. Tell me about strategies you have tried to increase your total sleep
hours
2. Lack of sleep acts as a stressor on the body and can cause
physical changes
3. If you have really tried to sleep more, maybe you should consult
your healthcare provider
4. If you function well with 6 hours of sleep, you are a short sleeper.
That's normal for some people - ANSWER -4. If you function well with
6 hours of sleep, you are a short sleeper. That's normal for some
people
A man who frequently experiences premature ejaculation tells the
nurse, "I feel like such a failure. It's so awful for both me and my
partner." Which of the following would be the most appropriate
therapeutic response by the nurse?
1. I sense you are feeling frustrated and upset
2. Tell me more about feeling like a failure
3. You are too hard on yourself
4. What do you mean by awful? - ANSWER -1. I sense you are feeling
frustrated and upset
A client recently diagnosed with schizophrenia is hospitalized. The
client appears distraught and says to the nurse, "The voices are bad
today...they are so angry with me." Which of the following is the best
response by the nurse?
1. Do you need something to help you calm down?
2. Don't pay any attention to the voices. Let's go into the dayroom.
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