The nurse is working with a mentally ill client who has just recently been diagnosed
with HIV. The client lost her job and has been living in different shelters each night.
Which of the following is a priority goal for this client?
Standard Text: Select all that apply.
1. Refer to the client to another physician for medication management
2. Maintain access to support services as needed
3. Avoid exposure to infectious diseases
4. Get adequate amounts of rest
5. Maintain nutritional requirements
Answer:
A client has been placed in seclusion. Which client behavior would have warranted this
intervention?
1. The client is manic, has been flirtatious towards staff and refused morning
medication, and has verbalized a plan to leave
2. The client is psychotic, sits in the corner with hands over ears, and displays increased
suspiciousness of and agitation towards others despite recently receiving 1mg
risperidone (Risperdal) PRN
3. The client is depressed and wants to be left alone to rest
4. The client is suicidal, has been banging head against the table in the day room, and
was unresponsive to staff’s verbal redirection
Answer:
The nursing diagnosis that would not be made for a client having experienced a
situational crisis is:
1. Risk for Loneliness.
2. Risk for Self-directed Violence.
3. Spiritual Distress.
4. Impaired Social Interaction.
Answer:
A working goal for the nurse”client relationship is to achieve:
1. Facilitative intimacy.
2. Self-disclosure.
3. Interdependence.
4. Social superficiality.
Answer:
Who among the following females is at greatest risk of becoming a victim of sexual
abuse?
1. A female who carpools with a male coworker
2. The partner of a man with a strong sex drive
3. An attractive 14-year-old female who dresses in a manner that makes her appear
older
4. A 45-year-old widow who goes to a local club to meet new people
Answer:
The nurse educator is teaching a group of students about the ethical dilemma of
involuntary commitment. Which of the following would the educator use as a situation
that would support the use of an involuntary commitment?
1. The client uses profanity when angry
2. The client self-medicates with marijuana
3. The client has threatened family members
4. The client reports auditory hallucinations
Answer:
The charge nurse has just given a presentation about the importance of practicing
self-care. Which of the following staff behaviors will the nurse find concerning?
1. Giving feedback to a fellow staff member about derogatory comments
2. Requesting to be alone during break time
3. Calling the unit on days off to inquire about clients’ progress
4. Verbalizing feelings about a client’s situation
Answer:
The nurse assesses that the mental health client has problems choosing productive, safe
leisure activities. Which member of the mental health team should the nurse consult
with?
1. Recreational therapist
2. Occupational therapist
3. Attending psychiatrist
4. Clinical psychologist
Answer:
When assessing a client from a culture different from that of the nurse, which of the
following is an effective approach to meet the goal of cultural sensitivity?
1. Ask the client how he or she is alienated from his or her primary cultural group.
2. Determine what aspects of the client’s life should be preserved as they are.
3. Explain to the client that values must be adjusted to reach a healthy state.
4. Teach the client how to assimilate into the dominant culture.
Answer:
A nurse is planning a presentation for psychiatric clients and their families on client
rights. This would be an example of:
1. Maleficence.
2. Duty to warn.
3. Advocacy.
4. Competency.
Answer:
After interviewing a client for admission, the nurse gives the client a score of 50 on the
Global Assessment of Functioning Scale (GAF). The nurse selected this score based on
the client’s level of functioning:
1. Since being given a psychiatric diagnosis.
2. Within the past week.
3. Since beginning the psychotropic medication.
4. Within the past year.
Answer:
During a nurse”client interaction, the client tells the nurse, “I don”t think I can deal with
feeling so sad much longer.” The nurse’s best response is which of the following?
1. “Is there a history of depression in your family?”
2. “We all have times of sadness.”
3. “Are you saying you feel sad?”
4. “Tell me about your feelings of sadness.”
Answer:
During an assessment, the nurse identifies that the client is having problems learning
from the past, difficulty dressing self, and cannot recognize written words. What brain
structure dysfunction is exhibited by the client’s inability to recognize written words?
1. Frontal lobe dysfunction
2. Temporal lobe dysfunction
3. Parietal lobe dysfunction
4. Occipital lobe dysfunction
Answer:
A nurse is admitting a client who is from Japan. What is the first step the nurse should
take?
1. Ask all family members to stay with the client during the admission assessment.
2. Call for a Japanese interpreter.
3. Talk with the client to determine the client’s level of fluency.
4. Follow the admission assessment paperwork carefully.
Answer:
Which of the following interventions provides the most support to assist a client with
schizophrenia in adapting to a new social environment?
1. Accompany the client
2. Encourage the client to make new friends
3. Instruct the client in coping strategies
4. Increase physical activity
Answer:
Which of the following programs are often available to mentally ill clients in
community treatment settings?
Standard Text: Select all that apply.
1. Group homes
2. Halfway houses
3. Sheltered workshops
4. Day treatment centers
5. Adult day care centers
Answer:
A short-term goal that can be identified for a client completing his fourth alcohol
detoxification program in one year is that the client will:
1. Develop a treatment relationship with another client.
2. Identify constructive outlets for stress.
3. State that he sees the need for ongoing treatment.
4. Use denial and rationalization in a healthier way.
Answer:
Clients with mental disorders benefit from therapeutic groups because they provide:
1. Feedback from a number of sources.
2. A monitoring system that helps clients control impulses.
3. The best stimuli for clients.
4. A way for them to feel “normal.”
Answer: