1.A charge nurse is preparing an educational session for a
group of newly licensed nurses to review client rights
under the law. Which of the following statements should the
nurse make?: "In the event a client threatens to harm others,
medications can be administered without consent"
2.A client who has a diagnosis of depression is attending group
therapy. During the group meeting, the nurse asks each
member to identify one goal for the day. When it is the
client's turn they do not respond. Which of the following
actions should the nurse take before repeating the request
to the client?: Allow the client time to formulate an answer
3. A client who has paranoid schizophrenia is attending a
treatment planning conference with a family member.
During the discussion of the medication adherence portion
of the plan, a nurse notices that the family member seems
distracted. which of the following actions should the nurse
take?: Ask the family member is they have any thoughts or
questions about the treatment plan
4.A community health nurse is planning an education program
about depressive disorders. Which of the following factors
should the nurse include as increasing the risk for
depression?: Substance use disorder
5.During a client's initial interview in a mental health inpatient
setting, a nurse identifies that the client is maintaining eye
contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's
nonverbal behaviors?: The client is interested in what the
nurse is saying
6.During morning rounds, a nurse finds a client who has
schizophrenia trembling and tearful in their bed. The client
reports that a bomb was placed in their room by a family
member during visiting hours. which of the following actions
should the nurse take?: Assess the client for evidence of a
perceptual disturbance
7.A home health nurse is assessing an older adult client whose
sibling is the primary caregiver. Which of the following
findings should the nurse identify as a possible indicator of
neglect?: Inappropriate dress
8.A nurse in a clinic is assessing a client whose partner died 4
months ago. Which of the following statements indicates
that the client is at risk or complicated grief?: "I feel so
empty without my wife that it's hard to get p every morning."
9. A nurse in a community health center is counseling a family
of two parents and two children. Which of the following
statements by a family member indicates manipulative
behavior?: "If you do my homework for me, I won't bother to
for the rest of the day."
10.A nurse in a mental health clinic is caring for a client who
has bipolar disorder and reports that they stopped taking
lithium 2 weeks ago. he nurse should recognize which of the
following as an expected adverse effect that might have
caused the client to stop taking the medication?: Hand
tremors
11.A nurse in a mental health clinic is planning car for a client
who has a new prescription for olanzapine. Which of the
following interventions should the nurse identify as the
priority?: Instruct the client to avoid driving during initial
therapy
12.A nurse in a mental health facility is planning discharge for a
client who has a history of alcohol use disorder. Which of
the following post discharge activities should the nurse plan
to include?: Attending a relapse prevention group several
times each week
13.A nurse in an emergency department is admitting a client
who reports experiencing a headache and heart palpitations
after having a glass of wine 1 hr ago. The client has a history
of depresion and a blood pressure of 210/105 mm Hg and a
temperature of 39.9 C (103.8 F). Which of the following
actions should the nurse take first?: Determine the clients
prescribed medication regimen
14.A nurse in a n outpatient mental health setting is collecting
a health history from a client who is taking paroxetine for
depression. the client reports to the nurse that he also
takes herbal supplements. The nurse should advise the
client that which of the following supplements interacts
adversely with paroxetine?: St. John's wort
15.A nurse in a provider's office is collecting a health history
from the guardian of a school-age child who has been
taking atomoxetine. Which of the following adverse effects
reported by the guardian is the priority for the nurse to
report to the provider?: Dark urine
16.A nurse in the emergency department is caring for a client
who has alcohol toxicity and is unresponsive. which of the
following interventions should the nurse take?: Gather
supplies for endotracheal intubation
17.A nurse is admitting a client who has alcohol use disorder.
Which of the following statements by the client indicates
that the client is using denial as a defense mechanism'?: "I
am able to go to work every day, so I don't have a problem."
18.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?:
Encourage the client to drink 125 mL of fluid each hour while
awake
19.A nurse is admitting a client who has schizophrenia to an
acute care setting. When the nurse questions the client
regarding their admission, the client states, "I'm red, in the
head, and I'm going to bed!" The nurse should document
the client's speech pattern as which of the following?:
Clang association
20.a nurse is admitting a female client who has anorexia
nervosa. Which of the following manifestations should the
nurse expect during the admission assessment?: Orthostatic
hypotension
RN Mental Health Online Practice 2019 A
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