Mental Health Pre Post Test

Mental Health pre/post test 1. A nurse is talking with a client who has schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate? a. "What are the voices telling you to do?" 2. A nurse is providing discharge teaching to a client who is taking risperidone. Which of the following instructions should the nurse include in the teaching? a. "Avoid becoming overheated while taking this medication." 3. A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply). a. Delayed language development b. Spinning a toy repetitively c. Ritualistic behavior 4. A charge nurse is providing teaching to a staff nurse about assisting the provider with electroconvulsive therapy (ECT). Which of the following responses by the staff nurse indicates understanding of the teaching? a. "Informed consent should be obtained prior to ECT." 5. A nurse is planning care for a newly admitted client who has major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority? a. The client identifies positive qualities about herself. 6. A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lbs.). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.) a. Amenorrhea b. Altered body image c. Hyperactivity d. Bradycardia 7. A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lbs.) in the past 3 months. The client weighs 40 kg (88 lbs.) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client? a. Identify the client's nutritional status 8. A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client? a. A private room across from the nurse's station 9. A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately? a. A client who is taking clozapine (Clozaril), and has flu symptoms, fever, and aching joints. 10. A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion? a. "Clients who are involuntarily admitted have the right to informed consent." 11. A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first? a. Speak to the client calmly, giving simple directions. 12. A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority? a. Assign a staff member to stay with the client at all times. 13. A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident? a. Identify cues in the client's behavior that might have warned them that he was contemplating suicide. 14. A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address? a. "None of the kids at this school like me, and I don't like them either." 15. A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse's priority response? a. "Are you thinking of harming yourself?" 16. A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity. a. The client runs 4 miles outdoors every afternoon. 17. A nurse is discussing ageism with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concept? a. "Ageism refers to the stereotype that older adults are not able to understand new information." 18. A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated? a. An adult client following a suicide attempt. 19. A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects? a. Dysrhythmias 20. A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority? a. Providing hydration and rest.