The nurse is asked to provide traits of a mentally healthy individual at a hospital
in-service. The nurse knows that mentally healthy individuals are:
1. Physically healthy and dependent.
2. Middle-aged and physically ill.
3. Dependent and needy.
4. Independent and autonomous.
Answer:
The school nurse, who must be familiar with mental health issues, will find child
clinical disorders classified under:
1. Axis II.
2. Axis I.
3. Axis X.
4. Axis VII.
Answer:
A nursing student attempting to use a behavioral modification contract found in the
textbook is having trouble getting the client to follow through with everything in the
contract. The nursing instructor knows to tell the student that behavioral contracts must
be:
1. Affected by the functionality of the client.
2. Reflective of the client’s mental illness.
3. Tailored for the individual.
4. Reflective of the characteristics within the client’s family.
Answer:
A client states, “I just know my brother will not come back from the war.” Which of the
following examples would be used to encourage the client to explore this concern?
1. “Maybe he will be one of the lucky ones.”
2. “How do you know this?”
3. “Where is your brother going?”
4. “What do you feel will happen to him?”
Answer:
A nurse in the inpatient unit says to the client, “I want to speak to you about the drugs
you are taking, particularly the antipsychotic ones.” After the client walks away without
interacting, the nurse asks another nurse for suggestions. Which of the following would
help the nurse improve this interaction?
Standard Text: Select all that apply.
1. Use the word medication instead of drugs.
2. Explain that you want to talk “with” the client not “to” the client.
3. Set up an appointment with the client at least a day in advance of the discussion.
4. State the name of the medication instead of the word antipsychotic.
5. Have the psychiatrist speak with the client about medications since this is not a
nursing role.
Answer:
The client is concerned that the information given to the nurse remains confidential.
Which is the nurse’s best response?
1. “If the information is important to your care, I will need to share it with the staff.”
2. “We can keep the information just between the two of us if you prefer.”
3. “I will share the information with staff members only with your approval.”
4. “You can make the decision concerning whether your physician needs this
information for your care.”
Answer:
A parent asks the school nurse, “How did my child get OCD?” Which theory supports
the hypothesis that there is an alteration in serotonin synthesis in the brain of a child
with OCD?
1. Genetic
2. Humanistic
3. Psychosocial
4. Behavioral
Answer:
The interdisciplinary treatment team is discussing appropriate strategies for a
homebound client who has a history of medication nonadherence. Which of the
following rationales should the nurse case manager use when a treatment team member
suggests that the nurse case manager make daily home visits to administer medications?
1. “My job description does not include medication administration to clients in the
home.”
2. “My role as case manager is to remain objective and look at the whole picture. If I
deliver direct care, I may lose this perspective.”
3. “My time is more importantly spent supervising others to provide this type of direct
care.”
4. “My daily schedule is too full to commit this amount of time to administering
medications.”
Answer:
A nurse is taking the history of a client and suspects that the client has been sexually
abused. Which question will prompt a response that will aid the nurse in making an
accurate assessment?
1. “Do you like to dress in provocative outfits?”
2. “Has anyone touched you in a way that made you feel uneasy or uncomfortable?”
3. “Do you have any bruises anywhere on your body?”
4. “How is your relationship with your parents and older siblings?”
Answer:
A nurse skillful in the writing process knows that this talent may benefit the client
because a well-written behavioral contract:
1. Teaches the client about past mistakes to lead to a successful outcome.
2. Provides everything needed for a cure.
3. Teaches the client to embrace the future helps overcome past misdeeds.
4. Can promote successful outcomes.
Answer:
A client is being seen in the clinic for right-hand paresthesia that the client does not
seem to be overly concerned about. The condition developed abruptly after being
caught cheating on an exam by the teacher. The paresthesia also ended abruptly as well.
Which symptom most clearly relates to la belle indiffrence?
1. Being caught cheating on the exam
2. Right-hand paresthesia
3. Lack of concern over the paresthesia
4. Paresthesia beginning and ending abruptly
Answer:
The nurse student taking care of a client with schizophrenia has difficulty keeping up
with the client’s music therapy and individual therapy times. The nurse knows, however,
that the case manager is helpful in maintaining the routines and schedules of:
1. Self-study.
2. All clients on the unit.
3. Cognitive behavioral interventions..
4. Clients in music therapy.
Answer:
When taking the admission history of a client with bipolar disorder, which information
would be most significant to determine circadian rhythm dysfunction?
1. Negative thought patterns
2. Sleep and appetite patterns
3. Psychiatric diagnosis
4. Personality patterns
Answer:
A female client comes to the nursing clinic for a routine physical. When asked how she
has been doing, she reports that she has been feeling very low since her youngest child
left to attend dental school. She indicates that she has told herself to “just get over it”
and find something to do. She has been telling herself that feeling so low is foolish
since she is happy her daughter got into a good school. Which coping methods does the
nurse recognize in the client’s statements?
Standard Text: Select all that apply.
1. Talking it out
2. Privately thinking it through
3. Seeking comfort
4. Using symbolic substitutes
5. Relying on self-discipline
Answer:
The nurse plans to use a group approach when conducting a teaching session for
adolescents about dealing with stress. A group approach works well with adolescents
because:
1. Problem-solving is less focused in groups.
2. Peer support and values are important elements to an adolescent.
3. Confidentiality is not an issue.
4. The nurse therapist is the authority figure for the group.
Answer:
According to biologic theory, there is considerable evidence that what system, partly
under genetic control, may influence the risk for suicidal behavior?
1. HPA-axis system
2. Serotonergic system
3. Neurotransmitter system
4. System of PET
Answer: