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A nurse is teaching a group of students about the stigma that is often associated with
mental illness. The nurse tells the group that stigma associated with mental illness is
about which of the following?
1. Disrespect
2. Intelligence
3. Respect
4. Appreciation
Answer:
The nurse and a client talk about healthy ways to meet needs. The client states, "When I
am looking really good, it is not asking too much for people to acknowledge me." The
nurse recognizes that this experience is indicative of:
1. Affective instability.
2. Splitting.
3. Feelings of emptiness.
4. A sense of entitlement.
Answer:
Balancing factors that help clients after a crisis would not include:
1. Degree of threat to life.
2. Realistic perception of the event.
3. Decreased or limited communication.
4. Adequate coping mechanisms.
Answer:
Which of the following is an indication that the client understands the teaching related
to buspirone (BuSpar)?
1. I will not drink grapefruit juice while taking this medication.
2. I should sleep though the night on this medication.
3. I should feel a relief of anxiety within a half hour.
4. I will not hear voices after being on this medication for two weeks.
Answer:
The client has frequently presented to the clinic with multiple physical complaints. The
multiple physical complaints would warrant the nurse to screen the client for:
1. A chronic illness.
2. Deviant behavior.
3. Hospitalization.
4. A mental disorder.
Answer:
The nurse suspects that a male client may become violent. Which verbal cue might have
indicated this? The client:
1. Receives news that his wife is filing for divorce and begins sobbing inconsolably.
2. Demands, "Give me my medicine now or you"ll be sorry."
3. Begins pacing the hall exhibiting clenched jaw and fists.
4. States, "I don"t know why people seem afraid of me."
Answer:
A new nurse feels that it is hopeless to provide sexual and physical abuse victims with
community resources when most of them choose to go back and live with their abusers.
What would be an appropriate response by the counselor?
1. "Some of these clients don"t know any better."
2. "We are mandated by law to give clients information on resources prior to
discharge."
3. "It is important to empower clients and help them see that they can make positive
changes."
4. "Sometimes things do improve at home."
Answer:
In assessing a client, which of the following would indicate that the client is
experiencing mania?
Standard Text: Select all that apply.
1. Pressured speech
2. Feeling worthless
3. Isolating
4. Flight of ideas
5. Constant motor activity
Answer:
Because venlafaxine (Effexor) increases norepinephrine, the nurse assesses for what
symptom in the client, especially when the client is on the higher doses of this
medication?
1. Sedation
2. Hypothermia
3. Bradycardia
4. Elevated blood pressure
Answer:
A nurse is taking a class on providing culturally competent care for clients with severe
mental illnesses. Which response best reflects the nurse's self-awareness of the
sociocultural factors influencing his or her beliefs?
1. "When I was growing up, my parents believed that mental illnesses were the work of
evil spirits."
2. "All that I need to understand about the culture of mental illness is available on the
Internet."
3. "My father was a psychiatrist, so I am very knowledgeable about how to work with
mental illnesses."
4. "I have been through therapy, so I know what to expect from clients with mental
illnesses."
Answer:
Upon arrival on the psychiatric unit this morning, which activity should be the nurse's
focus? The nurse should do which of the following?
1. Review psychological testing results for all clients.
2. Schedule the individual therapy sessions for all clients.
3. Identify community resources for clients to be discharged this morning.
4. Assess each client for whom the nurse will be providing care.
Answer:
A client diagnosed with depression states, "Even in high school I was a failure. It's a
wonder I was associated with successful friends." The nurse knows this client is
making:
1. A hard situation worse.
2. Attributions about his life.
3. Excuses about his present behavior.
4. Assumptions about his friends.
Answer:
Which of the following signs would lead the nurse to suspect elder abuse is occurring?
1. Leaving a competent elder at the doctor's office to wait for an appointment
2. Leaving a confused elder at home alone
3. Complaints of a person poisoning their food or robbing them
4. Skin tears on the arms and hands
Answer:
During the evaluation of the effectiveness of the nurse's discharge teaching, which
client report would indicate to the nurse that the client understands the leading cause of
disability and decrement in health? The client reports a need to incorporate strategies to
prevent:
1. Obesity.
2. Anxiety.
3. Depression.
4. Cancer.
Answer:
The nurse is caring for a client with depression. Which nursing intervention best
demonstrates the nurse's availability to the client?
1. Let the client know that time heals all sorrow.
2. Provide privacy when interviewing the client.
3. Be honest with the client about medication effects.
4. Assist the client with the activities of daily living.
Answer:
The client's treatment plan includes teaching related to possible side effects of
psychotropic medications. Which member of the mental health team should plan to
implement the teaching?
1. The psychosocial rehabilitation worker
2. The primary therapist
3. The psychiatrist
4. The nurse
Answer:
Which of the following would be considered a disadvantage of Assertive Community
Treatment (ACT) programs?
1. They are expensive, sophisticated programs.
2. They include small interdisciplinary teams of staff members.
3. They control access to resources such as housing and money.
4. They reduce stress and burnout of individual case managers.
Answer:
