Mental Health NCLEX Questions

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A client with a diagnosis of major depression who has attempted
suicide says to a nurse, "i should have died. Ive always been a
failure. Nothing ever goes right for me." The therapeutic response
D.
to the client is:
-responding to the feelings expressed by a client is an effective
A. "I dont see you as a failure."
therapeutic communication technique.
B. "You have everything to live for."
C. "Feeling like this is all a part of being ill."
D. "You've been feeling like a failure for a while?"
A community health nurse visits a client at home. The client states,
"I haven't slept at all the last couple of nights." Which response by
the nurse illustrates a therapeutic communication technique for C.
this client: -restatement. That has a prompting component to it, it repeats
A. "Go on." the clients major theme, which assists the nurse to obtain a more
B. "Sleeping?" specific perception of the problems
C. "You're having difficulty sleeping?"
D. "Sometimes, i have trouble sleeping too."
A client admitted to the mental health unit is experiencing dis-
turbed thought processes and believes that the food is being
poisoned. Which communication technique would a nurse plan to
use to encourage the client to eat? A.
A. Use open-ended questions and silence -open ended questions and silence are strategies used to encour-
B. Focusing on self-discourse regarding food preferences age clients to discuss their problems
C. List possible reasons in the care that the client may no want to
eat
D. Offering onion about the necessity of adequate nutrition.
A client is admitted to a mental health unit for treatment of
psychotic behavior. The client is at the locked exit door and is
shouting, "Let me out. there's nothing wrong with me. I dont belong
here." A nurse analyzes this behavior as: A.
A. Denial -Refusal to admit a painful reality
B. Projection
C. Regression
D. Rationalization
A client stays to a nurse, "I'm going to die, and i wish my family
would stop hoping for a use! I get so angry when they carry on like
this. After all, I'm the one who's dying." The therapeutic response
by the nurse is:
C.
A. "Have you shared your feelings with your family?"
-restating, nurse repeats client to show understanding and to
B. "I think we should talk more about your anger with your family."
review what was said.
C. "You're feeling a great that your family continues to hope for you
to be cured?"
D. "Well, it sounds like you're being pretty pessimistic. After all,
years ago, people died of pneumonia."
A nurse employed in a mental health unit is assigned to care
for a client admitted to the unit 2 days ago. On review of the
clients record, the nurse no test that the admission was a voluntary
admission.. Based on this type of admission, the nurse anticipates
which of the following?
D.
A. The client will resist treatment measures
B. The client will be angry and will refuse care
C. The clients family will resist treatment measures
D. The client will participate in the planning of the care and treat-
ment plan
A nurse enters a clients room, and the client is demanding release
form the hospital. The nurse reviews the clients records and notes
that the client was admitted 2 days ago for treatment of an anxiety
disorder and that the admission was a voluntary admission. Which A.
of the following actions would the nurse take?
A. Contact the physician
B. Call the clients family
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C. Persuade the client to stay a few more days
D. Tell the client that discharge is not possible at this time
A client has been admitted to the mental health unit. On admission
assessment, a nurse notes that the client was admitted by invol-
untary status. Based on this type of admission, the nurse would
most likely expect that the client:
A.
A. Present a harm to self
B. Requested the admission
C. Consented to the admission
D. Provided written application to the facility for admission
A nurse is preparing a client for the termination phase of the
nurse-client relationship. The nurse prepares to implement which
nursing task appropriate for this phase?
A. Planning short-term goals B.
B. Making appropriate referrals
C. Developing realistic solutions
D. Identifying expected outcomes
A nurse is providing care to a lie to admitted to the hospital with a
diagnosis of acute anxiety disorder. The client says to the nurse,
"I have a secret that i want to tell you. You wont tell anyone about
it, will you?" The appropriate nursing response would be which of
the following?
B.
A. "No, i wont tell anyone."
B. "I cannot promise to keep a secret."
C. "If you tell me the secret, i will tell it to your doctor."
D. "If you tell me the secret, i will need to document it in your
record."
A nurse employed in a mental health clinic is greeted by a neighbor
at a local grocer store. The neighbor says to the nurse, " How
is Carol doing? She is my est friend and is seen at your clinic
every week." The appropriate nursing response is which of the
following?
A. "I cannot discuss any client situation with you." A.
B. "If you want to know about Carol, you need to ask her yourself."
C. "M not supposed to discuss this, but because you are my
neighbor, i can tell you that she is doing great!"
D. "I'm not supposed to discuss this, but because you are my
neighbor, i can tell you that she really has some problems."
A client was admitted involuntarily to the mental health unit be-
cause of episodes of extremely violent behavior. The client is
demanding to be discharged from the hospital, and a nurse does
not allow the client to leave. Which of the following represents the
legal ramifications associated with the nurses behavior?
D.
A. The nurse will be charged with assault
B. The nurse will be charged with slander
C. The nurse will be charged with imprisonment
D. No charge will be made against the nurse because the nurses
actions are reasonable.
A nurse is working with a client who has sought counseling after
trying to rescue a neighbor I loved in a house fire. Despite the
clients efforts, the neighbor died. Which action does the nurse en-
gage in with the client during the working phase of the nurse-client
relationship?
A. Exploring the clients ability to function D.
B. Exploring the clients potential for self-harm
C. Inquiring about he clients perception or appraisal of the neigh-
bors death
D. Inquiring about and examining he clients feelings tat may block
adaptive coping

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A client who has just been sexually assaulted is calm and quiet.
A nurse analyzes this behavior as indications which defense
mechanism?
A. Denial A. Denial
B. Projection
C. Rationalization
D. Intellectualization
Unresolved feeling related to loss most likely may be recognized
during which phase of the therapeutic nurse-client relationship?
A. Working
D. Termination
B. Trusting
C. Orientation
D. Termination
A ruse in the mental health unit reviews therapeutic and non ther-
apeutic communication techies with a nursing student. Which of
the following are therapeutic communication techniques? (Select
all that apply)
A. Restating
A,B,D&F
B. Listening
C. Asking the client "why?"
D. Maintaining neutral responses
E. Giving advice or approval or disapproval
F. Proving acknowledgement and feedback
A nurse employed in a mental health unit of a hospital is the
leader of a group psychotherapy session. The nurses role in the
termination stage of group development is to:
A. Encourage problem solving C.
B. Encourage accomplishment of the groups work
C. Acknowledge the contributions of each group member
D. Encourage members to become acquainted with one another.
All treatment team members are seen as equally important in
helping clients meet their treatment goals. This type of therapy
approach is?
A. Milieu therapy A.
B. Interpersonal therapy
C. Behavior modification
D. Rational emotive therapy
An 18-year-old woman is admitted to an inpatient mental health
unit with the diagnosis of anorexia nervosa. A cognitive behavioral
approach is used as part of her treatment plan. A nurse under-
stands that the purpose of this approach is to?
A. Provide a supportive environment D.
B. Examine intrapsychic conflicts and past issues
C. Emphasize social interaction with clients who withdraw
D. Help the client identity and examine dysfunctional thoughts and
beliefs
A client with major depression is considering cognitive therapy.
The client asks a nurse, "How does the treatment work?" The
nurse tells the client that:
A. " This type of treatment will help you relax and develop new
coping skills."
B. "This type of treatment helps you confront your fears by grad- D.
ually exposing you to them."
C. "This type of treatment helps you examine how your past life
has contributed to your problems."
D. "This type of treatment elks you examine how your thoughts
and feelings contribute to your difficulties."
A client is preparing to attend a Gamblers Anonymous meeting
for the first time. The prototype used by this group is a 12-step
program developed by AA. A nurse tells the client that the first
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step in the 12-step program is which of the following?
A. Admitting to having a problem
B. Substituting other activities for gambling A.
C. Stating that the gambling will be stopped
D. Discontinuing relationships with friends who are gamblers
A client asks a nurse about milieu therapy. The nurse responds,
knowing that the primary focus of milieu therapy can best be
described as which of the following?
A. A form of behavior modification therapy C
B. A cognitive approach to changing behavior
C. A living, learning or working environment
D. A behavioral approach to changing behavior
A nurse is caring for a client with a phobia who is being treated
for the condition. The client is introduced to short periods of
exposure to the phobic object while in a relaxed state. The nurse
understands that this form of behavior modification can best be
described as: D.
A. Milieu therapy
B. Aversion therapy
C. Self-control therapy
D. Systematic desensitization
A client with an eating disorder is planning to attend group meeting
with OverEaters Anonymous, and a nurse describes this group to
the client. The nurse determines that the client needs additional
information if the client states which of the following about the
self-help group? A.
A. "The leader is a nurse or psychiatrist."
B. "The members provide support to each other."
C. "People who have a similar problem are able to help others."
D. "It is designed to serve people who have a common problem."
A nurse is conducting a group therapy session and a client with a
manic disorder is monopolizing the group. The appropriate nursing
action is which of the following?
A. Ask the client to leave
D.
B. Refer the client to another group
C. Tell the client to stop monopolizing
D. Thank the client for contributing and tell them or her to allow
others a change to contribute
Select the characteristics of the termination stage of group devel-
opment. Select all that apply.
A. The group evaluates the experience
B. The real work of the group is accomplished
C. Group interactions involves superficial conversation
A&F
D. Group members become acquainted with each other
E. Some strutting of group norms, roles and responsibilities takes
place
F. The group explores members feelings about the group and
impending separation
A client ho is delusional says to a nurse, "The federal guards were
sent to kill me." The nurses best response is:
A. "I don't believe this to be true."
B. "The guards are not out to kill you." D.
C. "What makes you think the guards were sent to hurt you?"
D. "I don't know anything about the guards. Do you feel afraid that
people are tying to hurt you?"

A male client with delirium becomes disoriented and confused in

his room at night. The best initial nursing intervention is to:
B.
A. Move the client next to the nurses station
B. Use an indirect light source and turn off the television

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C. Keep the television and a soft light on during the night
D. Pay soft music during the night and maintain a well light room.
A client is admitted to the mental health unit with a diagnosis of
depression. A nurse develops a plan of care for the client and
includes which appropriate activity in the plan?
A. Reading and writing most of the day
D.
B. Several activities for which the client can choose
C. Nothing, until the client asks to participate in milieu
D. A structured program of actives in which the client can partici-
pate
When planning the discharge of a client with chronic anxiety, a
nurse directs the goals at promoting a safe environment at home.
The appropriate maintenance goal should focus on which of the
following?
B
A. Ignoring feelings of anxiety
B. Identifying anxiety-producing situations
C. Continued contact with a crisis counselor
D. Elimination all anxiety from daily living
A client is unwilling to go out of the house for fear of "doing some-
thing crazy in public" because of this fear, the client remains home
bound except when accompanied outside by the spouse. Based
on these data, a nurse determines that the client is experiencing?
A.
A. Agoraphobia
B. Social phobia
C. Claustrophobia
D. Hypochondriasis
A nurse is conducting a group therapy session. During the ses-
sion, a client with mania consistently talks and dominates the
group session, and this behavior is disrupting group interactions.
The nurse would initially:
A. Ask the client to leave the group session
D.
B. Ask another nurse to escort the client out of the group session
C. Tell the client that she will not be able to attend any further group
sessions
D. Tell the client that she needs to allow other clients in the group
time to talk
A client is admitted to a medical nursing unit with a diagnosis
of acute blindness. Many test are performed and there seems
to be no organic reason why this client cannot see. The client
became blind after witnessing a hit-and-run car accident, when
a family of three was killed. A nurse suspects that the client may
C.
be experience a:
A. Psychosis
B. Repression
C. Conversion disorder
D. Dissociative disorder
A manic client announces to everyone in the day room that a
stripper is coming to perform this evening. When a nurse firmly
states that this is inappropriate and will not happen, the client
becomes verbally abusive and threatens physical violence to the
nurse. Based on the analysis of this situation, the nurse deter-
C.
mines that the appropriate action would be to:
A. Orient the client to time, person and place
B. Tell the client that the behavior is inappropriate
C. Escort the manic client to her room with assistance
D. Tell the client that smoking privileges are revoked for 24 hours
A nurse is planning activities for a client who has bipolar disorder
with aggressive social behavior. Which of the following activities
B.
would be most appropriate for this client?
A. Chess
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B. Writing
C. Ping pong
D. Basketball.
A nurse observes that a client is pacing, agitated, and presenting
aggressive gestures. The clients speech pattern is rapid, and
affect is belligerent. Based on these observations, the nurse im-
mediate priority of care is to:
A. Provide safety for the client and other clients on the unit.
A.
B. Provide the clients on the unit with a sense of comfort and safety
C. Assist the staff in caring for the client in a controlled environ-
ment
D. Offer the client a less stimulated are to calm down and gain
control.
A nurse is discharging a client with a history of command hallu-
cinations to harm self or others. The nurse provides instruction to
the client about interventions for hallucinations and anxiety and
determines that the client understands the instruction if the client
states:
A. "My medication wont make me anxious." D.
B. "ill go to support group and talk so that i don't hurt anyone."
C. "I wont get anxious or hear things if i get enough sleep and eat
will."
D. "I can call my therapist when I'm hallucinating so that i can talk
about my feelings and plans and not hurt anyone."
A nurse is caring for a male client diagnosed with catatonic stupor.
The client is lying on the bed with his body pulled into a fetal
position. The appropriate nursing intervention is which of the fol-
lowing?
A. Ask direct questions to encourage talking
C.
B. leave the client alone and intermittently check on him
C. Sit beside the client in silence with occasional open-ended
questions
D. Take the client into the day room with other clients so that they
can help watch him.
A client is admitted to the mental health unit with a diagnosis
of schizophrenia. A nursing diagnosis formulated for the client is
disturbed thought process R/T paranoia. In formulating nursing
interventions with the members of the health care team, a nurse
provides instructions to:
A. Increase socialization of the client with peers
B.
B. Avoid laughing or whispering in front of the client
C. Being to educative the client about social support in the com-
munity
D. Have the client signs. Release f information to appropriate
parties so that adequate data can be obtained for assessment
purpose
Select the nursing interventions for a hospitalized client with ma-
nia who is exhibiting manipulative behavior. Select all that apply.
A. Communicate expected behaviors to the client.
B. Ensure that the client knows that he/she is not in charge of the
nursing unit
C. Assist the client in identifying ways of setting limits on personal
behaviors A,C,D&F
D. Follow through about the consequences of behavior in a non
punitive manner
E. Enforce rules and inform the client that he/she will not be
allowed to attend therapy group
F. Be clear with the client regarding the consequences of exceed-
ing limits that have been set regarding behavior.

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At home health nurse visits a client at home and determines that
the client is dependent on drugs. Which of the following assess-
ment questions would assist the nurse to provide appropriate
nursing care?
A. "Why did you get started on these drugs?"
B.
B. "How much do you use and what effects does it have on you?"
C. "How long did you think you could take these drugs without
someone finding out?"
D. The nurse does not ask any questions for fear that the client is
in denial and will throw the nurse out of the home.
A female client with anorexia nervosa is a member of a pre-dis-
charge support groups. The client verbalized that she would like
to buy some new clothes, but her Diana cues are limited. Group
members have brought some used clothes to the client to replace
the clients old clothes. The client believes the the new clothes were
much too tight and has reduced her calorie intake to 800 calories B.
daily. The nurse evaluates this behavior as:
A. Normal behavior
B. Evidence of the clients disturbed body image.
C. Regression as the client is moving toward the community.
D. Indicative of the clients ambivalence about hospital discharge
A nurse determines that the wife of an alcoholic client is benefiting
rom attending an Al-Anon group when the nurse hears the wife
say:
A. "I no longer feel that i deserve the beatings my husband inflicts
on me."
B. "My attendance at the meetings has helped me to see that i A.
provoke my husbands violence."
C. "I enjoy attending the meetings because they get me out of the
house away from my husband."
D. "I can tolerate my husband's destructive behaviors now that i
know they are common with alcoholics."
A hospitalized client with a history of alcohol abuse tells a nurse,
"I am leaving now, i have to go. I dont want any more treatment. I
have things that i have to do right away." The client has not been
discharged. The client is scheduled for an important diagnostic
test to be performed in 1 hour. After the nurse discusses the clients
concerns with the client, the client dresses and begins to walk out
A.
of the hospital room. The appropriate nursing action is to:
A. Call the nursing supervisor
B. Call security to block all exit areas
C. Restrain the client until the physician can be reached
D. Tell the client that the client cannot return to this hospital again
if the client leaves now.
A nurse is preparing to perform an admission assessment on a
client with a diagnosis of bulimia nervosa, and a nursing student
will be observing the nurse. The nurse asks the student about the
expected assessment findings and determines that the student
needs to research the disorder further if the student states that
D.
which of the following is a characteristic finding?
A. Dental decay
B. Loss of tooth enamel
C. Electrolyte imbalances
D. Body weight well below ideal range

A nurse is caring for a female client who was admitted to the

mental health unit recently for anorexia nervosa. The nurse enters
the clients room and notes that the client is engaged in rigorous
B.
push-ups. Which nursing action is appropriate?
A. Interrupt the client and weight her immediately
B. Interrupt the client and offer to take her for a walk

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C. Allow the client to complete her exercise program
D. Tell the client that she is not allowed to exercise rigorously
A client with a diagnosis of anorexia nervosa, who is in a state of
starvation, is in a two-bed room. A newly admitted client will be
assigned to this clients room. Which of the following clients would
be an appropriate choice as this clients roommate?
A. A client with pneumonia B.
B. A client receiving diagnostic tests
C. A client who thrive on managing others
D. A client who could benefit from the clients assistance at meal-
time.
A nurse is monitoring a client who abuses alcohol for signs of
alcohol withdrawal. Which of the following would alert the nurse to
the potential for withdrawal delirium?
A. Hypotension, ataxia hunger
D.
B. Stupor, agitation, muscular rigidity
C. Hypotension, coarse hand tremors, agitiaton
D. Hypertension, changes in level of consciousness, hallucina-
tions.
The spouse of a client admitted to the mental health unit for
alcohol withdrawal says to a nurse, "I should get out of this bad
situation." The most helpful response by the nurse would be:
A. "Why dont you tell your husband about this?" B.
B. "What do you find difficult about this situation?"
C. "This is not the best time to make that decision."
D. "I agree with you. You should get out of this situation."
Select the appropriate interventions for caring for a client in alco-
hol withdrawal. Select all that apply.
A. Monitor vital signs
B. Maintain NPO status
A, C, D, F
C. Provide a safe environment
D. Address hallucination therapeutically
E. Provide stimulation in the environment
F. Provide reality orientation as appropriate
A nurse in the emergency department is caring for a young female
victim of sexual assault. The clients physical assessment is com-
plete, and physical evidence has been collected. The nurse notes
that the client is withdrawn. These behaviors are interpreted by
the nurse as: B.
A. Signs of depression
B. Normal reactions to a devastating event.
C. Evidence that the client is a high suicide risk
D. Indicative of the need for hospital admission
A nurse is reviewing the assessment data of a client admitted to
the mental health unit. The nurse notes that the admission nurse
documented that the client is experiencing anxiety as a result of
a situational crisis. The nurse determines that this type of crisis
could be caused by: B.
A. Witnessing a murder
B. The death of a loved one
C. A fire that destroyed the clients home
D. A recent rape episode experienced by the client.
A nurse is conducting an initial assessment on a client in crisis.
When assessing the clients perception of the precipitating even
that led to the crisis, the appropriate question to ask is:
A. "With whom do you live?" C.
B. "Who is available to help you?"
C. "What leads you to seek help now?"
D. "What do you usually do to feel better?"

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A nurse is developing a plan of care for a client in a crisis state.
When developing the plan, the nurse considers which of the
following?
A. A crisis state indicates that the client has mental issues
B. A crisis state indicates that the client has an emotional illness
D.
C. Presenting symptoms in a crisis situation are similar for all
clients experiencing a crisis.
D. A clients response to a crisis is individualized and what con-
stitutes a crisis for one client may not constitute crisis for another
client.
Mr. Marquez reports of losing his job, not being able to sleep at
night, and feeling upset with his wife. Nurse John responds to the
client, "You may want to talk about your employment situation in
group today." The nurse is using which therapeutic technique?
D.
A. Observation
B. Restating
C. Exploring
D. Focusing
Tony refuses his evening dose of Haloperidol (Haldol), then be-
comes extremely agitated in the day room while other clients
are watching television. He begins cursing and throwing furniture.
Nurse Oliver first action is to:
A. Check the clients medical record for an order for an as-needed D.
I.M. Dose of medication for agitation
B. Place the client in full leather restraints
C. Call the attending physician and report the behavior
D. Remove all other clients from the day room
Tina who is manic, but not yet on medication, comes to the drug
treatment center. The nurse would not let this client join the group
session because:
A. The client is disruptive A.
B. The client is harmful to self.
C. The client is harmful to other
D. The client needs to be on medications first.
David, an adolescent boy was admitted for substance abuse and
hallucinations. The client's mother asks nurse Armando to talk
with his husband when he arrives at the hospital. The mother says
that she is afraid of what the father might say to the boy. The most
appropriate nursing intervention would be to:
C.
A. Inform the mother that she and the father can work through this
problem themselves.
B. Refer the mother to the hospital social worker.
C. Agree to talk with the mother and the father together.
D. Suggest that the father and son work things out.
What is nurse John likely to note in a male client being admitted
for alcohol withdrawal?
A. Perceptual disorders
A.
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism
Aura has taken amitriptyline HCL (Evavil) for 3 days, but now
complains that it "doesn't help" and refuses to take it. What should
the nurse say or do?
A. Withhold the drug D.
B. Record the clients response
C. Encourage the client to tell the doctor
D. Suggest that it take awhile before seeing the results.
David, an adolescent has a history of truancy from school, running
away from home and "borrowing" other peoples things without
their permission. The adolescent denies stealing, rationalizing
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instead that as long as no one was using the item, it was all right
to borrow them. It is important for the nurse to understand the
psychodynamically, this behavior may be largely attributed to a
developmental defect related to the:
C
A. I'd
B. Ego
C. Superego
D. Oedipal complex
Nurse Gina is aware the the dietary implications for clients in the
manic phase of bipolar disorder is:
A. Serve the client a bowl of soup, buttered French bread, & apple
sauce D.
B. Increase calories, decrease fat and protein
C. Give the client pieces of cut-up steak, carrots and an apple
D. Increase calories, carbs & protein
What parental behavior toward a child during an admission pro-
cedure should cause nurse Ron to suspect child abuse?
A. Flat affect
C.
B. Expressing guilt
C. Acting over solicitous toward the child
D. Ignoring the child
Nurse Lynette notices that a female client with OCD washes her
hands for long periods each day. How should the nurse respond
to this compulsive behavior?
A. By designating times during which the client can focus on the
behavior A.
B. By urging the client to reduce the frequency of the behavior as
rapidly as possible
C. By calling attention to or attempting to prevent the behavior
D. Bu discouraging the client from verbalizing anxieties.
After seeking help at an outpatient mental health clinic, Ruby who
was raped while walking her dog is diagnosed with PTSD. Three
months later, Ruby returns to the clinic, complaint of fear, loss of
control and helpless feelings. Which nursing intervention is most
appropriate for Ruby?
D.
A. Recommending a high-protein, low-fat diet
B. Giving sleep medication, as prescribed, to restore a normal
sleep-wake cycle.
C. Allowing the client time to heal
D. Exploring the meaning of the traumatic event with the client
Meryl, age 19, is highly dependent on her parents and fears
leaving home to go away to college. Shortly before the semester
starts, she complains that her legs are paralyzed and is rushed to
the emergency department. When physical examination rules out
a physical cause for her paralysis, the physician admits her to the
psychiatric unit where she is diagnosed with conversion disorder.
Meryl asks the nurse, "Why has this happened to me?" What is
the nurses best response?
C.
A. "You've developed this paralysis so you can stay with your
parents. You must deal with this conflict if you want to walk again."
B. "It must be awful not to be able to move your legs. You may feel
better if you realize the problem is psychological, no physical ."
C. "Your problem is real but there is no physical basis for it. Well
work on what is going on in your life to find out why its happened."
D. "It isn't uncommon for someone with your personality to develop
a conversion disorder during times of stress."

Nurse Krina knows that the following drugs have been known to
be effective in treating OCD:
C.
A. Benztropine (Cogentin) and diphenhydramine (Benadryl)
B. Chlordiazepoxide (Librium) and diazepam (Valium)
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C. Fluvoxamine (Luvox) and clomipramine (Anafranil)
D. divalproex (Depakote) and lithium (Lithobid)
Alfred was newly diagnosed with anxiety disorder. The physician
prescribed buspirone (BuSpar). The nurse is aware that the teach-
ing instructions for newly prescribed buspirone should include
which of the following?
A. A warning about the drugs delayed therapeutic effect, which is
from 14-30 days. A.
B. A warning about the incidence of NMS
C. A reminder of the need to schedule blood work in 1 weeks to
check blood levels of the drug
D. A warning that immediate sedation can occur with a resultant
drop in pulse
Richard with agoraphobia has been symptom-free for 4 months.
Classic signs and symptoms of phobias include:
A. Insomnia and an inability to concentrate
B.
B. Severe anxiety and fear
C. Depression and weight loss
D. Withdrawal and failure to distinguish reality form fantasy
Which medication have been found to help reduce or eliminate
panic attacks?
A. Antidepressants
A.
B. Anticholinergics
C. Antipsychotics
D. Mood stabilizers
A 65 year-old client is in the first stage of Alzheimer's disease.
Nurse Patricia should plan to focus this clients care on:
A. Offering nourishing finger foods to help maintain a the clients
nutritional status
B.
B. Providing emotional support and individual counseling
C. Monitoring the client to prevent minor illnesses form Turing into
major problems
D. Suggesting new activities for the client and family to do together.
The nurse is assessing a client who has just been admitted to the
emergency department. Which signs would suggest an overdose
of Antianxiety agent?
A. Combativeness, sweating and confusion C.
B. Agitation, hyperactivity and grandiose ideation
C. Emotional lability, euphoria and impaired memory
D. Suspiciousness, dilated pupils and increased BP
The nurse is caring for a client diagnosed with antisocial personal-
ity disorder. The client has a history of fighting, cruelty to animals,
and stealing. Which of the following traits would the nurse be most
likely to uncover during assessment?
D.
A. History of gainful employment
B. Frequent expression of guilt regarding antisocial behavior
C. Demonstrated ability to maintain close, stable relationships
D. A low tolerance for frustration
Nurse Amy is providing care for a male client undergoing opiate
withdrawal. Opiate withdrawal causes severe physical discomfort
and can be life-threatening. To minimize these effects, opiate
users are commonly detoxified with?
C.
A. Barbiturates
B. Amphetamines
C. Methadone
D. Benzodiazepines

Nurse Cristina is caring for a client who experiences false sensory

perceptions with no basis in reality. These perceptions are known
as:

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A. Delusions
B. Hallucinations
B.
C. Loose associations
D. Neologisms
Nurse Marco is developing a plan of care for a client with anorexia
nervosa. Which action should the nurse include in the plan?
A. Restricts visits with the family and friends until the client begins
to eat C.
B. Provide privacy during meals
C. Set up a strict eating pan for the client
D. Encourage the client to exercise, which will reduce her anxiety
Tim is admitted with a diagnosis of delusions of grandeur. The
nurse is aware that this diagnosis reflects a belief that one is:
A. Highly important or famous
A.
B. Being persecuted
C. Connected to events unrelated to oneself
D. Responsible for the evil in the world
Nurse Jen is caring for a male client with manic depression. The
plan of care for a client in a manic state would include:
A. Offering a high-calorie meals and strongly encouraging the
client to finish all food
B. Insisting that the client remain active through the day so that
D.
hell sleep at night
C. Allowing the client to exhibit hyperactive, demanding, manipu-
lative behavior without setting limits.
D. Listening attentively with a neutral attitude and avoiding power
struggles.
Ramon is admitted for detoxification after a cocaine overdose..
The client tells the nurse that he frequently uses cocaine but that
he can control his use if he chooses. Which coping mechanism is
he using?
D.
A. Withdrawal
B. Logical thinking
C. Repression
D. Denial
Richard is admitted with a diagnosis of Schizotypal personality
disorder. Which signs would this client exhibit during social situa-
tions?
A. Aggressive behavior B.
B. Paranoid thoughts
C. Emotional affects
D. Independence needs
Nurse Mickey is caring for a client diagnosed with bulimia. The
most appropriate initial goal for a client diagnosed with bulimia is
to:
A. Avoid shopping for large amounts of food. C.
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day
Rudolf is admitted for an overdose of amphetamines. When as-
sessing the client, the ruse should expect to see:
A. Tension and irritability
A.
B. Slow pulse
C. Hypotension
D. Constipation

Nicolas is experiencing hallucinations tells the nurse, "The voices

are telling me I'm no good." The client asks if the nurse hears the
voices. The most appropriate response by the nurse wold be:
A. "It is the voice of your conscience, which only you can control."

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B. "No, i don not hear your voices but I believe you can hear them."
C. "The voices are coming form within you and only you can hear
them." B.
D. :Oh, the voices are a symptom of you illness; dont pay any
attention to them."
The nurse is aware that the side effect of ECT that a client may
experience is:
A. Loss of appetite
C.
B. Postural hypotension
C. Confusion for a time after treatment
D. Complete loss of memory for a time
A dying male client gradually moves toward resolution of feel-
ings regarding impending death. Basing care on the theory of
Kubler-Ross, nurse Trish plans to use non verbal interventions
when assessment reveals that the client is in the:
D.
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage
The outcome that is unrelated to a crisis state is:
A. Learning more constructive coping skills
B. Deco pen station to a lower level of functioning D.
C. Adaptation and a return to a prior level of functioning
D. A higher level of anxiety continuing for more than 3 months.
Miranda a psychiatric client is to be discharged with order for
haloperidol (Haldol) therapy. When developing a teaching plan for
discharge, the nurse should include cautioning the client against:
A. Driving a t night B.
B. Staying in the sun
C. Ingesting wines and cheeses
D. Taking medication containing aspirin
Jen a nursing student is anxious about the upcoming board exam-
ination but is able to study intently and odes not become distracted
by a roommates talking and loud music. The students ability to
ignore distractions and to focus on studying demonstrates: C.
A. Mild level anxiety
B. Severe level anxiety
C. Moderate level anxiety
When assessing a per morbid personality characteristics of a
client with a major depression, it would be unusual for the nurse
to find that this client demonstrated
A. Rigidity C.
B. Stubbornness
C. Diverse interest
D. Over meticulousness
Nurse Krina recognizes that the suicidal risk for depressed client
is greatest:
A. As their depression begins to improve
A.
B. When the rid depression is most severe
C. Before any type of treatment is started
D. As they lose interest in the environment
Josefina is to be discharged on a regimen of lithium carbonate. In
the teaching plan for discharge the nurse should include:
A. Advising the client to watch the diet carefully
D.
B. Suggesting that the client take the pills with milk
C. Reminding the client that the CBC must be done once a month
D. Encouraging the client to have blood levels check as ordered.
The psychiatrist order lithium carbonate 600mg PO tid for a female
client. Nurse Katrina would be are that the teaching about the side
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effects of this drug were understood when the client states, "I will
call my doctor immediately if i notice any":
A. Sensitivity to bright light or sun
B.
B. Fine had tremor or slurred speech
C. Sexual dysfunction or bereft enlargement
D. Inability to urinate or difficultly urinating
Nurse Mylene recognizes that the most important factor neces-
sary for the establishment of trust in a critical care area is:
A. Privacy
D.
B. Respect
C. Empathy
D. Presence
When establishing an initial nurse-client relationship, Nurse Hazel
should explore with the client the:
A. Clients perception of the presenting problems
A.
B. Occurrence of fantasies the client may experience
C. Details of any ritualistic acts carried out by the client
D. Clients feelings when external; controls are instituted
Tranylcypromine sulfate (Parnate) is prescribed for a depressed
client who has not responded to the TCAs. After teaching the client
about the medication, Nurse Marian evaluates the learning has
occurred when the client states, "I will avoid:
B.
A. Citrus fruit, tuna, and yellow vegetables
B. Chocolate milk, aged cheese and yogurt
C. Green leafy vegetables, chicken and milk
D. Whole grains, red meats, and carbonated soda
Nurse John is aware that most Chris is situations should resolve
in about
A. 1-2 weeks
B.
B. 4-6 weeks
C. 4-6 months
D. 6-12 months
Nurse Judy knows that statistics show that in adolescent suicidal
behavior:
A. Females urges more dramatic methods than males
D.
B. Males account for more attempts than do females
C. Families talk more about suicide before attempting it
D. Males are more likely to use lethal methods than are females
David with paranoid schizophrenia repeatedly uses profanity dur-
ing an activity session. Which response by the nurse would be
most appropriate
A. Your behavior wont be tolerated, go to your room immediately
B. You're just doing this to get back at me for making you come to
A.
therapy
C. Your cursing is interrupting the activity. Take time out in your
room for 10 minutes
D. I'm disappointed in you. You cant control yourself even for a few
minutes
Which information is most important for the nurse Tirinity to in-
clude in a teaching plan for a male schizophrenic client taking
clozapine (Clozaril)?
A. Monthly blood test will be necessary B.
B. Report sore throats or fever to the physician immediately
C. Blood pressure must be monitored for hypotension
D. Stop the medication when symptoms subside

Ricky with chronic schizophrenia takes neuroleptic medication

is admitted to the psychiatric unit. Nursing assessment reveals,
C.
rigidity, fever, hypertension and diaphoresis. These finding sug-
gest which life threatening reaction:

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A. TD
B. Dystonia
C. NMS
D. Akathisia
Frantic who is addicted to cocaine withdraws from the drug. Nurse
Ron should expect to observe:
A. Hyperactivity
B.
B. Depression
C. Suspicion
D. Delirium
Nurse John is aware that a serious effect of inhaling cocaine is?
A. Deterioration of nasal septum
B. Acute fluid and electrolyte imbalance A.
C. Extrapyramidal tract symptom
D. Esophageal varices
A tentative diagnosis of opiate addiction, Nurse Candy should
assess a recently hospitalized client for signs of opiate withdrawal.
These signs would include:
A. Rhinorrhea, convulsions, subnormal temperatures. D.
B. Nausea, dilated pupils, consitpation
C. Lacrimation, vomiting drowsiness
D. Muscle aches, papillary constriction, yawning
A 48 year old male client is brought to the psychiatric emergency
room after attempting to jump off a bridge. The clients wife states
that he lost his job several months ago and has been unable to find
another job. The primary nursing intervention at this time would be
to assess for: B.
A. Past history of depression
B. Current plans to commit suicide
C. The presence of marital difficulties
D.feelings of excessive failure
Before helping a male client who has been sexually assaulted,
nurse Maureen should recognize that the rapist is motivated by
feelings of:
A. Hostility A.
B. Inadequacy
C. Incompetence
D. Passion
When working with children's who have been sexually abused by
a family member it is important for the nurse to understand that
these victim s usually are overwhelmed with feelings of:
A. Humiliation C.
B. Confusion
C. Self blame
D. Hatred
Joy who has just experienced her second spontaneous abolition
expresses anger towards her physician, the hospital and the
"rotten nursing care". When assessing the situation, the nurse
recognizes that the client may be using the coping mechanism of:
B.
A. Projection
B. Displacement
C. Denial
D. Reaction formaiton
The most critical factor for nurse Linda to determine during crisis
intervention would be the clients:
A. Available situational supports
A.
B. Willingness to restructure the personality
C. Developmental theory
D. Underlying unconscious conflict.

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Nurse Trish suggests a crisis intervention group to a client ex-
periencing a developmental crisis. These groups are successful
because the:
A. Crisis intervention worker is a psychologist and understands
behavior patterns
D.
B. Crisis group supplies a workable solution to the clients prob-
lems
C. Client is encouraged to talk about personal problems
D. Client is assisted to investigate alternative approaches to solv-
ing the identified problem
Nurse Ronald could evaluate that the staffs approach to setting
limits for a demanding, angry client was effective if the client:
A. Apologizes for disrupting the units routine when something is
needed
B. Understands the reason why frequent calls to the staff were C.
made.
C. Discuss concerns regarding the emotional condition that re-
quired hospitalization
D. No longer calls the nursing staff for assistance.
Nurse John is aware that the therapy that has the highest success
rate for people with phobias would be:
A. Psychotherapy aimed at rearranging maladaptive thought
process
C.
B. Psychoanalytical exploration of repressed conflicts of an earlier
development phase.
C. Systematic desensitization using relaxation technique
D. Insight therapy to determine the origin of the anxiety and fear
When nurse hazel considers a clients placement on the contin-
uum of anxiety, a key in determine the degree of anxiety being
experienced is the clients:
A. Perceptual field A.
B. Delusional system
C. Memory state
D. Creativity level
In the diagnosis of a possible pervasive developmental autistic
disorder. The nurse would find it most unusual for a 3 year old
child to demonstrate:
A. An interest in music D.
B. An attachment to odd objects
C. Ritualistic behaviors
D. Responsiveness to the parents
Malou with schizophrenia tells nurse Melinda, "my intestines are
rotted from worms chewing on them." This statement indicates a:
A. Jealous delusion
B.
B. Somatic delusion
C. Delusion of grandeur
D. Delusion of persecution
Andy is admitted to the psychiatric unit with a diagnosis of bor-
derline personality disorder. Nurse Hilary should expects the as-
sessment to reveal:
A. Coldness, detachment and lack of tender feelings D.
B. Somatic symptoms
C. Inability to function as responsible parent
D. Unpredictable behavior and intense interpersonal relationships
Propranolol (Inderal) is un\sed in the mental health setting to
manage which of the following conditions?
A. Antipsychotic-induced akathisia and anxiety
A.
B. OCD to reduce ritualistic behavior
C. Delusions for clients suffering from schizophrenia
D. The manic phase of bipolar illness as a mood stabilizers
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Which medication can control the extra pyramidal effects associ-
ated with antipsychotic agents?
A. Clonazepam even (Tranxene)
B.
B. Amantadine (Symmetrel)
C. Doxepin (Sinequan)
D. Perphenazine (Trilafon)
Which of the following statements should be included when teach-
ing clients about MAOI antidepressants?
A. Dont take aspirin or NSAIDs
B. Have blood levels screened weekly for leukopenia
D.
C. Avoid strenuous activity because of the cardiac effects of the
drug
D. Dont take prescribed or OTC medications without consulting
the physician
Kris periodically has acute panic attacks. These attacks are un-
predictable and have no apparent association with a specific
object or situation. During an acute panic attack, Kris may expe-
rience:
B.
A. Heightened concentration
B. Decreased perceptual field
C. Decreased cardiac rate
D. Decreased respiratory rate
Initial interventions for Marco with acute anxiety include all except
which of the following?
A. Touching the client in an attempt to comfort him
A.
B. Approaching the client in calm, confident manner
C. Encouraging the client to verbalize feelings and concerns
D. Providing the client with a safe, quiet and private place
Nurse Jessie is assessing a client suffering from stress and anx-
iety. A common physiological response to stress and anxiety is:
A. Urticaria
D.
B. Vertigo
C. Sedation
D. Diarrhea
When performing a physical examination on a female anxious
client, nurse Nelli would expect to find which of the following
effects produced by the parasympathetic system?
A. Muscle tension B.
B. Hyperactive bowel sounds
C. Decreased urine output
D. Constipation
Which of the following drugs has been known to be effective in
treating OCD?
A. Divalproex (Depakote) and lithium (lithobid)
C.
B. Chlordizepoxide (Librium) and diazepam (Valium)
C. Fluvoxamine (Luvox) and clomipramine (anafranil)
D. Benztropine (Cogentin) and diphenhydramine (Benadryl)
Tony with agoraphobia has been symptom free for 4 months.
Classic signs and symptoms of phobia include:
A. Severe anxiety and fear
A.
B. Withdrawal and failure to distinguish reality from fantasy
C. Depression and weight loss
D. Insomnia and inability to concentrate

Which nursing action is most appropriate when trying to diffuse a

clients impending violent behavior?
A. Place the client in seclusion D.
B. Leaving the client alone until he can talk about his feelings
C. Involving the client in a quiet activity to divert attention

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D. Helping the client identify and express feelings of anxiety and
anger
Rosa a is in the second stage of Alzheimer's disease who appears
to be in pain. Which question by Nurse Jenny would best elicit
information about the pain?
A. "Where is your pain located?" B.
B. "Do you hurt? (Pause) do you hurt?"
C. "Can you describe your pain?"
D. "Where do you hurt?"
Nursing preparation for a client undergoing ECT resemble those
used for:
A. General anesthesia
A.
B. Cardiac stress testing
C. Neurologic examination
D. Physical therapy
Jose I who is receiving MAOI antidepressant should avoid tyra-
mine, a compound found in which of the following foods?
A. Figs and cream cheese
C.
B. Fruits and yellow vegetables
C. Aged cheese and Chianti wine
D. Green leafy vegetables
Erlinda, age 85, with major depression undergoes a sixth ECT
treatment. When assessing the client immediately after ECT, the
nurse expects to find:
A. Permanent short-term memory loss and HTN
D.
B. Permanent long-term memory loss and hypomania
C. Transitory short-term memory loss and permanent long-term
memory loss
D. Transitory short and long-term memory loss and confusion
Barbara with bipolar disorder is being treated with lithium for the
first time. Nurse Clint should observe the client for which common
adverse effect of lithium?
A. Polyuria A.
B. Seizures
C. Constipation
D. Sexual dysfunciton
Nurse Fred is assessing a client who has just been admitted to
the ER department. Which signs would suggest an overdose of
an Antianxiety agent?
A. Suspiciousness, dilated pupils and incomplete BP D.
B. Agitation hyperactivity and grandiose ideation
C. Combativeness, sweating, and confusion
D. Emotional lability, euphoria, and impaired memory
Discharge instructions for a male client receiving TCAs antide-
pressant include which of the following information?
A. Restrict fluids and sodium intake B.
B. Don't consume alcohol
C. Discontinue if dry mouth and blurred vision occur
Important teaching for women in their childbearing years who
are receiving antipsychotic medications includes which of the
following?
A. Increased incidences of dysmenorrhea while taking the drug
B. Occurrence of incomplete libido due to medication adverse C.
effects
C. Confining previous use of contraception during periods of
amenorrhea
D. Instruction that amenorrhea is irreverible
A client refuses to remain on psychotropic medications after
discharge from an inpatient psychiatric unit. Which information
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should the community health nurse assess first during the initial
follow-up with this client?
A. Income level and living arrangements
D.
B. Involvement of family and support systems
C. Reason for inpatient admission
D. Reason for refusal to take medication
The nurse understand that the therapeutic effects of typical an-
tipsychotic medications are associated with thick neurotransmitter
change?
A. Decreased dopamine leveL A.
B. Increased acetylcholine level
C. Stabilization of serotonin
D. Stimulation of GABA
Which of the following best explains why tricyclics antidepressants
are used with caution in elderly patients?
A. CNS effects
B.
B. CV effects
C. GI effects
D. Serotonin syndrome effects
A client with depressive symptoms is given prescribed medica-
tions and talks with his therapist about his belief that he is worth-
less and unable to cope with life. Psychiatric care in this treatment
plan is based on which framework?
B.
A. Behavioral
B. Cognitive
C. Interpersonal
D. Psychodynamic
A nurse who explains that a clients psychotic behavior is un-
consciously motivated understands that the clients disordered
behavior arises form which of the following?
A. Abnormal thinking C.
B. Altered neurotransmitters
C. Internal needs
D. Response to stimuli
A client with depression has been hospitalized for treatment af-
ter taking a leave of absence form work. The clients employers
expects the client to return to work following inpatient treatment.
The client tells the nurse, "I'm no good. I'm a failure." According to
cognitive theory, these statements reflect: C.
A. Learned behavior
B. Punitive superego and decreased self-esteem
C. Faulty thought processes that govern behavior
D. Evidence of difficult relationships in the work environment
The nurse describes a client as anxious. Which of the following
statements s about anxiety is true?
A. Anxiety is usually pathological
D.
B. Anxiety is directly observable
C. Anxiety is usually harmful
D. Anxiety is a response to a threat
A client with a phobic disorder is treated by systematic desensiti-
zation. The nurse understands that this approach will do which of
the following?
A. Help the client execute actions that are feared A.
B. Help the client develop insight into irrational fears
C. Help the client substitutes one fear for another
D. Help the client decrease anxiety

Which client outcome would best indicate successful treatment for

a client with antisocial personality disorder?
A. The client exhibits charming behavior when around authority

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figures
B. The client has decreased episodes of impulsive behaviors
B.
C. The client makes statements of self satisfaction
D. The clients statements indicate no remorse for behaviors
The nurse is caring for a client with an autoimmune disorder at a
medical clinic, where alternative medicine is used as an adjunct
to traditional therapies. Which information should the nurse teach
the client to help foster a sense of control over his symptoms?
D.
A. Pathophysiology of Disease process
B. Principles of good nutrition
C. Side effects of medications
D. Stress management tecniques
Which of the following is the most distinguishing feature of a client
with an antisocial personality disorder?
A. Attention to detail and order
D.
B. Bizarre mannerisms and thoughts
C. Submissive and dependent behavior
D. Disregard for social and legal norms
Which nursing diagnosis is most appropriate for a client with
anorexia nervosa who expresses feelings of guilt about not meet-
ing family expectations?
A. Anxiety D.
B. Disturbed body image
C. Defensive coping
D. Powerlessness
A nurse is evaluating therapy with the family of a client with
anorexia. Which of the following would indicate that the therapy
was successful?
A. The parents reinforced increased decision making by the client A.
B. The parents clearly verbalize their expectations for the client
C. The client verbalizes that family meals are now enjoyable
D. The client tells her parents about feelings of low-self esteem
A client with dysthymia disorder reports to a nurse that his life is
hopeless and will never improve in the future. How can the nurse
best respond using a cognitive approach?
A. Agree with the clients painful feelings B.
B. Challenge the accuracy of the clients beliefs
C. Deny that the situation is hopeless
D. Present a cheerful attitude
A client with major depression has not verbalized problem areas to
staff or peers since admission to a psychiatric unit. Which activity
should the nurse recommend to help this client express himself?
A. Art therapy in a small group A.
B. Basketball game with peers on the unit
D. Reading a se;f-help book on depression
D. Watching movie with the peer group
The home health psychiatric nurse visits a client with chronic
schizophrenia who was recently discharged after a prolong stay
in a state hospital. The client lives in a boarding home, reports no
family involvement, and has little social interaction. The nurse plan
to refer the client to a day treatment program in order to help him
C.
with:
A. Managing his hallucination
B. Medication teaching
C. Social skills training
D. Vocational training

Which activity would be most appropriate for a severely withdrawn

client? A.
A. Art activity with a staff member

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B. Board game with a small group of clients
C. Team sport in the gym
D. Watching TV in the dayroom
Which nursing intervention would be most appropriate if a male
client develop orthostatic hypotension while taking amitriptyline
(Evail)?
A. Consulting with the physician about substituting a different type
of antidepressant
B. Advising the client to sit up for 1 minute before getting out of B.
bed
C. Instructing the client to double the dosage until the problem
resolves
D. Informing the client that this adverse reaction should disappear
within 1 week.
What herbal medication for depression, widely used in Europe, is
now being prescribed in the United States?
A. Ginkgo biloba
C.
B. Echinacea
C. St. John's wort
D. Ephedra
Cell with manic episodes is taking lithium. Which electrolyte level
should the nurse check before administering this medication?
A. Calcium
B.
B. Sodium
C. Chloride
D. Potassium
Nurse Josefina is caring for a client who has been diagnosed with
delirium. Which statement about delirium is true?
A. It's characterized by Ana cute onset and last about 1 month
B. It's characterized by slowly evolving onset and last about 1
week. D.
C. It's characterized by a slowly evolving onset and lasts about a
month
D. It's characterized by an acute onset and lasts hours to a number
of days
Edward, a 66-year-old client with slight memory impairment and
poor concentration, is diagnosed with primary degenerative de-
mentia of the Alzheimer's type. Early signs of this dementia
include subtle personality changes and withdrawal form social
interactions. To assess for progression to the middle stage of
B.
Alzheimer's disease, the nurse should observe the client for:
A. Occasional irritable outbursts
B. Impaired communication
C. Lack of spontaneity
D. Inability to perform self-care activities
Isabel with a diagnosis of depression is started on imipramine
(Tofranil), 75 mg by mouth at bedtime. The nurse should tell the
client that:
A. This medication may be habit-forming and will be discontinued
s soon as the client feels better.
D.
B. This medication has no serious adverse effects
C. The client should avoid eating foods as aged cheeses, yogurt,
and chicken livers while taking this medication
D. This medication may initially cause tiredness, which should
become less bothersome over time.
Kathleen is admitted to the psychiatric clinic for treatment of
anorexia. To promote the clients physical health, the nurse should
plan to: C.
A. Severely restrict the clients physical activities
B. weigh the client daily, after the evening meal
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C. Monitor vital signs, serum electrolyte levels, and acid-base
balance
D. Instruct the client to keep an accurate record of food and fluid
intake
Celia with a history of poly substance abuse is admitted to the
facility. She complains of nausea and vomiting 24 hours after
admission. The nurse assess the client and notes piloerection,
pupillary dilation, and lacrimation. The nurse suspects that the
client is going through which of the following withdrawals? D.
A. Alcohol withdrawal
B. Cannabis withdrawal
C. Cocaine withdrawal
D. Opioid withdrawal
Mr. Garcia, an attorney who throws books and furniture around
the office after losing a case is referred to the psychiatric nurse in
the law firm's employee assistance program. Nurse Beatriz knows
that the clients behavior most likely represents the use of which
defense mechanism? A.
A. Regression
B. Projection
C. Reaction-formation
D. Intellectualization
Nurse Anne is caring for a client who has been treated long
term with antipsychotic medication. During the assessment, nurse
Anne checks the client for tardive dyskinesia. If TD is present,
Anne would most likely observe?
A.
A. Abnormal, involuntary movements of the mouth, tongue and
face
B. Severe headache, flushing, tremors and ataxia
C. Severe hypertension, migraine headace
Dennis has a lithium level of 2.4 mEq/L. The nurse immediately
would assess the client for which of the following signs/symp-
toms?
C.
A. Weakness
B. Diarrhea
C. Blurred vision
Nurse Jannah is monitoring a male client who has been placed
in restraints because of violent behavior. Nurse determines that it
will be safe to remove the restraints when:
A. The client verbalizes the reasons for the violent behavior
B. The client apologizes and tells the nurse that it will never happen C.
again.
C. No acts of aggression have been observed within 1 hour after
the release of two of the extreme its restraints
D. The administered medication has taken effect
Nurse Irish is aware that Ritalin is the drug of choice for a child
with ADHD. The side effects of the following may be noted by the
nurse:
A. Increased attention span and concentration A.
B. Increased in appetite
C. Sleepiness and lethargy
D. Bradycardia and diarrhea
The therapeutic approach in the care of Armand an autistic child
include the following except:
A. Engage in diversionary activities when acting out
D.
B. Provide an atmosphere of acceptance
C. Provide safety measures
D. Rearrange the environment to activists the child

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 Mental Health NCLEX Questions
Study online at https://quizlet.com/_8hy5tx
Jeremy is brought to the emergency room by friends who state
that he took something an hour ago. He is actively hallucinating,
agitated, with irritated nasal septum.
A. Heroin B.
B. Cocaine
C. LSD
D. Marijuana
Nurse Pauline is aware that dementia unlike delirium is charac-
tered by:
A. Slurred speech
B.
B. Insidious onset
C. Clouding of consciousness
D. Sensory perceptual change
Tristan is on Lithium has suffered from diarrhea and vomiting.
What should the nurse in-charge do first:
A. Recognize this as a drug interaction
B. Give the client Cogentin
D.
C. Reassure the client that theses are common side effects of
lithium therapy
D. Hold the next dose & obtain an order to a stat serum lithium
level
Nurse Sarah ensures a therapeutic environment for al the clients.
Which of the following best describes a therapeutic milieu?
A. A therapy that rewards adaptive behavior
C.
B. A cognitive approach to change behavior
C. A living, learning or working environment
D. A permissive a congenial environment
Anthony is very hostile toward one of the staff for no apparent
reason. He is manifesting
A. Splitting
B.
B. Transference
C. Countertransference
D. Resistance
Marielle, 17 year old was sexually attacked while on her way home
form school. She is brought to the hospital by her mother. Rape is
an example of which type of crisis:
A. Situational B.
B. Adventitious
C. Developmental
D. Internal
An 83 year old male client is in extended care facility is anxious
most of the time and frequently complains of a number of vague
symptoms that interfere with his ability to eat. These symptoms
indicate which of the following disorders?
B.
A. Conversion disorder
B. Hypochondriasis
C. Severe anxiety
D. Sublimation
Charisma, a college student who frequently visited the health
center during the past year with multiple vague complaints of GI
symptoms before course examinations. Although physical causes
have been eliminated, the student continues to express her belief
that she has a serious illness. The symptoms are typically of which
C.
of the following disorders:
A. Conversion disorder
B. Depersonalization
C. Hypochondriasis
D. Somatization disorder

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 Mental Health NCLEX Questions
Study online at https://quizlet.com/_8hy5tx
Nurse Daisy is aware the the following pharmacological agents
are sedative-hypnotic medication is used to induce sleep for client
expereining a sleep disorder is:
A. Triazolam (Halcoin) A.
B. Paroxetine (Paxil)
C. Fluoxetine (Prozac)
D. Risperidone (Risperdal)

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