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Mental Health Technician Practice Exam

question

b
answer

The term “sandwich generation” best describes adults: Select one: a. Caught between adulthood and late adulthood b. Caring for their children and aging parents c. Caring for their children and grandchildren d. Caught between young adulthood and adulthood
question

c
answer

A male client is in the process of being admitted to a mental health facility. He is sure that the nurse is the administrator of the hospital, despite the nurse’s insistence that he is a staff nurse on the unit. This client is experiencing: Select one: a. Acute confusion b. Visual hallucinations c. Delusions d. Auditory hallucinations
question

b
answer

A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors. When developing the care plan, the nurse is aware that one of the most helpful activities in self-control for this client is for the client to: Select one: a. Contact a treatment team member to discuss his thoughts and feelings every time he is confronted with a stressor. b. Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times. c. Recall periods of stressful times in his life during his clinic visit. d. Join an exercise program that will help to decrease his stress level.
question

c
answer

For children older than 4 years, separation anxiety should last for no longer than: Select one: a. A few days b. A few weeks c. A few months d. 1 year
question

b
answer

The nurse begins discharge planning measures with a hospitalized client: Select one: a. Near the time of discharge b. At the time of admission c. 3 days into the hospital stay d. On the day before discharge
question

c
answer

During a crisis assessment due to the diagnosis of a terminal illness, the nurse is trying to determine what the client’s history is with regard to losses. Which question will best assess this area? Select one: a. “How easily do you adapt to new situations?” b. “What is your understanding of the current situation?” c. “Who or what has helped you through crisis situations in the past?” d. “How is this situation affecting your family?”
question

c
answer

While performing a search of an adult male’s home based on suspicion of criminal activity, the police find pictures of him with young children between the ages of 5 and 10. The pictures are sexual in nature. The man is suspected of: Select one: a. Voyeurism b. Sexual sadism c. Pedophilia d. Necrophilia
question

c
answer

Toddlers often express their anger through: Select one: a. Crying b. Manipulation c. Temper tantrums d. Direct aggression
question

b
answer

The client was injured in a work accident. He now has a fused spine and moves with difficulty. He wonders if he will ever be able to be intimate with his wife. What is the nurse’s most accurate response? Select one: a. “You will not be able to engage in sexual activity.” b. “You can enjoy a satisfying sex life with some adaptation.” c. “You eventually will return to the preinjury level of functioning.” d. “You will become more sexually active after you recover from the injuries.”
question

a
answer

The CMA is administering an antianxiety medication to a client. Monitoring side effects is the responsibility of which member of the health care team? Select one: a. Nurse b. CMA c. Physician d. Therapist
question

b
answer

A client response to the termination phase of the therapeutic relationship is withdrawal. This response most often is manifested by client behaviors such as: Select one: a. Bringing up new problems b. Being absent from appointments c. Returning to maladaptive behavior d. Having increased anxiety
question

A
answer

When reviewing the nursing notes from the previous shift, the nurse notices notations indicating that the client was experiencing a somnolent level of consciousness. The client’s behavior would be described as: Select one: a. Falling asleep easily and only awakening with strong verbal stimuli b. Frequently sleeping and awakening only to strong physical stimuli c. Unresponsive to any verbal or painful stimuli d. Having alternating periods of excitability and drowsiness
question

***Not C
answer

When care is provided for a dying client in pain, addiction to analgesics is: Select one: a. Not an issue b. To be evaluated daily c. To be carefully avoided d. To be prevented with pain management techniques
question

a
answer

A client in an inpatient mental health setting is scheduled to be discharged, with follow-up at a community mental health center. His family is concerned that his inpatient stay was not long enough, and he will be re-admitted in the near future. The nurse knows that the average length of inpatient stay is: Select one: a. 5 days b. 10 days c. 25 days d. 1 month
question

C
answer

The new nurse confides to his supervisor, “I am feeling frustrated. Mr. J has been doing so well in dealing with his issues over the last month, and today he refused to discuss anything productive in our session.” What is the most appropriate response? Select one: a. “You are still in the preparation phase and need to check the medical record for information.” b. “The orientation phase is a time in which the client is building trust and testing you.” c. “During the working phase the client may experience growth and resistance.” d. “The termination phase is a difficult one for both nurse and client.”
question

C
answer

A client has constant thoughts about locking his front door every time he leaves his house. This client is experiencing a(n): Select one: a. Compulsion b. Phobia c. Obsession d. Anxiety reaction
question

C
answer

A physically or mentally impaired older woman who is living with a relative and has a history of unexplained bruises or injuries, burns in unusual places, or poor personal hygiene is likely a victim of: Select one: a. Neglect b. Child abuse c. Elder abuse d. Adolescent abuse
question

A
answer

What is the main function of the National Center for Complementary and Alternative Medicine (NCCAM)? Select one: a. To seek scientific validation of CAM and also be a resource for the public for CAM therapies b. To investigate and develop new CAM therapies c. To produce a monthly newsletter on new CAM therapies d. To monitor the production of dietary and herbal supplements used in CAM therapies
question

B
answer

The theory that cites poverty, unemployment, and crime as sources of violence is known as the ____ theory. Select one: a. Feminist b. Sociological c. Anthropological d. Psychiatric/mental illness
question

c
answer

Which nurse response is the best example of the therapeutic principle of respect? Select one: a. “I’m interested in what you have to say.” b. “Describe how you are feeling for me.” c. “I hear how worried you are about your future and can imagine how you feel.” d. “You signed a contract stating that you would let me know when you have those thoughts.”
question

A
answer

A female client with a diagnosis of a dissociative disorder who attends group meetings at a community mental health clinic often voices that her boss at work frequently complains that she is working at a level below her capabilities. The client also states that she feels that she “never gets anything done.” Which nursing diagnosis best addresses these issues? Select one: a. Self-esteem, low b. Social isolation c. Body-image, disturbed d. Memory, impaired
question

A
answer

A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting and is attending group therapy sessions. She is working on controlling the compulsion of touching her head three times every time she talks. To maintain the therapeutic relationship established with the client, by which action can the nurse show acceptance? Select one: a. Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior b. Asking the group to remind the client every time she touches her head to help her consciously stop the compulsion c. Pointing out the compulsion to the group each time the client exhibits the behavior d. Asking the client to stop talking during the group session until she has learned to control her compulsion
question

d
answer

The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Which component of the case management system does this demonstrate? Select one: a. Consultation b. Crisis intervention c. Resource linkage d. Psychosocial rehabilitation
question

D
answer

A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called: Select one: a. Insomnia b. Narcolepsy c. Hypersomnia d. Nocturnal myoclonus
question

b
answer

The average time that a person with Alzheimer’s disease lives after diagnosis is _____ years. Select one: a. 2 b. 8 c. 10 d. 20
question

B
answer

When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for: Select one: a. Children b. Adolescents c. Young adults d. Middle-aged adults
question

C
answer

In the early 1900s the first theory of mental illness that showed behavior could be changed is attributed to: Select one: a. Beers b. Dix c. Freud d. Pinel
question

***Not B
answer

The nurse knows that the major concept of the systems theory is that individuals are viewed as functioning: Select one: a. Within a set of interacting and related units b. According to activities of attention, language, and imagery c. According to unmet needs d. Within accepted social aspects of behavior
question

A
answer

The nurse is preparing an adult male client, who has been successfully treated for a social phobia, for the termination phase of the therapeutic relationship. During their last meeting, the client told the nurse that he noticed he has developed a nervous habit that started a few days ago of checking his door at home several times a day to be sure it is locked. This client is exhibiting the client response to termination known as: Select one: a. Continuation b. Regression c. Withdrawal d. Confabulation
question

a
answer

When one is developing the care plan for a female adolescent with an eating disorder, the primary issue to consider as the underlying cause is: Select one: a. Control b. Body image c. Self-esteem d. Coping skills
question

b
answer

A woman has had several episodes where she finds new clothes in her closet that are much more colorful than the style she usually buys. Today, a co-worker approached her to thank her for hosting a dinner party that she had no recollection of hosting. What is the most appropriate nursing diagnosis for this client? Select one: a. Self-esteem, low b. Personal identity, disturbed c. Body image, disturbed d. Anxiety
question

c
answer

Which of the following persons has the greatest risk for developing ineffective coping behaviors? Select one: a. The middle-aged man whose diet is high in saturated fat and has a 20-year history of tobacco use b. The single 30-year-old female facing the death of her father c. The 19-year-old college student with a family history of schizophrenia d. The 9-year-old child whose parents are nurturing but provide chores and responsibilities
question

d
answer

By the ages of 14 to 17, teens may demonstrate problem solving skills using concepts, generalizations and flexibility in planning actions and goals. What is this an example of? Select one: a. Concrete operations b. Pre-operational thinking c. Operational thinking d. Abstract thinking
question

***not b
answer

Individuals with mental illness live an average of _____ years less than the general population. Select one: a. 2 to 4 b. 5 to 8 c. 10 to 15 d. 18 to 25
question

b
answer

A male client who has a diagnosis of generalized anxiety disorder (GAD) is seen in the emergency room with complaints of chest pain, shortness of breath, and inability to concentrate, along with feelings of overwhelming anxiety. The nurse uses Maslow’s theory to triage the client’s complaints, knowing that which complaint must be addressed first? Select one: a. Inability to concentrate b. Shortness of breath c. Overwhelming anxiety d. Chest pain
question

d
answer

During the recoil stage of recovery from violence, the major characteristic is: Select one: a. Fear b. Disorganization c. Reconstruction d. Struggle to adapt
question

d
answer

The nurse who advocates for a health-oriented approach to clients is likely to encourage the development of which outcome? Select one: a. The client will maintain compliance in medication administration. b. The client will adjust to the limitations of chronic illness. c. The client will keep in mind his limitations as a barrier to achievement of goals. d. The client will focus on continued progress and improvements in planning goals.
question

a
answer

Which of the following circumstances, when it occurs on an inpatient mental health unit, would be considered false imprisonment? Select one: a. An alert and oriented client is confined to his room after being loud and argumentative with another client in the recreation area. b. Restraints are placed on a client who has been admitted in a lethargic state because of misuse of medications and who has fallen three times since admission. c. A client is housed in a private room with visual monitors after attempting suicide at home on the previous day. d. An alert and oriented client who was admitted for a 72-hour involuntary commitment is prevented from leaving the facility 2 days after admission.
question

b
answer

Persons may refuse to acknowledge that a loss has occurred during the first stage of: Select one: a. Crisis b. The grieving process c. The rage reaction d. The denial process
question

a
answer

When the nursing care plan for a client with a mental health disorder is developed, what is the most likely reason that interventions are ineffective and goals are not met? Select one: a. The client sees his goals as less important. b. The client’s family is not supportive. c. The client’s disorder is difficult to treat. d. The client’s medications are being adjusted.
question

c
answer

According to the theorist Erik Erikson, an individual strives to actualize his identity, is most productive, and demonstrates guidance of and concern for others with a core task of caring during which stage of psychosocial development? Select one: a. Young adulthood (18 to 25 years) b. Maturity (65 years to death) c. Middle adulthood (25 to 65 years) d. Puberty (12 to 18 years)
question

d
answer

A male client is transsexual and decides to become a female through major surgery and hormonal therapy. The nurse informs the client that this process may be delayed for as long as _____ years. Select one: a. 2 b. 5 c. 8 d. 10
question

a
answer

Which client exhibits signs and symptoms of delirium and not dementia or depression? Select one: a. The onset is sudden and acute. b. The cognitive changes are hidden by client. c. The client demonstrates apathetic demeanor or flat affect. d. The client’s ability to perform ADLs is intact.
question

c
answer

The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Erikson’s theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable: Select one: a. Body image b. Self-ideal c. Self-concept d. Role performance
question

d
answer

The client being transferred to a rehabilitation center following hospitalization for surgical repair of a fractured hip is portrayed by the nurse in the hospital setting as being very involved and making good progress in his physical therapy sessions. However, the nurse in the rehabilitation facility observes that the client is withdrawn, and often asks to defer his physical therapy sessions. Which statement best describes the change in patient behavior? Select one: a. The patient is suffering from delirium due to the unfamiliar surroundings. b. The patient has adapted to the recovery role and does not need rehabilitation. c. The patient enjoyed the dependency role in the hospital setting. d. The patient is adjusting to a new environment and is in a vulnerable position.
question

c
answer

The mother of a 20-year-old man diagnosed with paranoid schizophrenia is upset by the fact that her child tried to attack her during her daily visit. What is the most appropriate support the nurse can give her after this incident? Select one: a. “Your child is working through relationship issues with you and does not know how to express them.” b. “You should stop coming for a while, as your visits upset your child.” c. “Your child’s illness is due to a loss of contact with reality, and not directed to you as his mother.” d. “You must make him realize that his behavior toward you is inappropriate.”
question

d
answer

Internal developmental problems are seen as a causative factor for some behavioral and family problems during adolescence. Psychological developmental issues that can lead to problems during late adolescence (17 to 20 years old) include: Select one: a. Wide mood swings b. Tendency to withdraw when upset c. Concealing of anger d. All of these
question

b
answer

The moods of adolescents: Select one: a. Are stable b. Vary widely c. Develop slowly d. Are not related to growth and development
question

c
answer

A client has difficulty in communicating as a result of his illness. He displays a rapid, confusing delivery of speech patterns. Which term best describes this difficulty in communicating? Select one: a. Aphasia b. Dyslexia c. Speech cluttering d. Incongruent communications
question

d
answer

A male client is experiencing hallucinations. The intervention that would be most helpful in controlling the hallucinations is: Select one: a. Actively listening to his concerns b. Establishing a trusting relationship c. Encouraging appropriate behaviors d. Teaching him to use distraction techniques when experiencing hallucinations
question

d
answer

An important responsibility of the nurse in a mental health facility is to ensure that clients do not __________ from the facility without a discharge order, by carefully supervising and accurately documenting client behaviors and therapeutic actions. Select one: a. Escape b. Abandon c. Flee d. Elope
question

***not a try c
answer

The nurse is aware that he or she may be administering the new antianxiety medication pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating: Select one: a. Depression b. Psychotic episodes c. Neuropathic pain d. Bipolar disorder
question

a
answer

The nurse is working with a teen in whom conduct disorder was diagnosed and his family on developing a plan of care for treatment. What is the nurse’s first intervention? Select one: a. Assessing and/or stabilizing the home environment b. Teaching effective communication skills to the client and family members c. Advocating behavior modification for the client to gain self-control d. Teaching effective discipline techniques
question

b
answer

Which client is suffering from a major depressive episode? Select one: a. An adolescent who expresses feeling lost after the death of his mother last week b. A 50-year-old male who has been depressed for a month and is contemplating suicide c. A 30-year-old female who is being treated for episodes of depression she has suffered since the age of 21 d. An elderly adult who feels like she is in a fog after the diagnosis of terminal cancer given to her 8 days ago
question

a
answer

The nurse is caring for a client who is a single mother of two young children, has no financial or parental support from her ex-husband, is troubled by her financial circumstances and future, and works at a local fast-food restaurant. She is seeking help for depression. What is the nurse’s best action? Select one: a. Assist the client in seeking educational and/or vocational programs for single parents. b. Encourage the client to explore her feelings related to the reasons for her divorce. c. Persuade the client to contact her ex-husband for financial and parental support. d. Share information with the client regarding support groups for single mothers.
question

c
answer

When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the ____ continuum. Select one: a. Emotional b. Self-protective c. Neurobiological d. Psychobiological
question

c
answer

The 39-year-old daughter of a client with a terminal illness tells the nurse that she thinks something is wrong with her because she frequently cries, is often sad, and can’t imagine losing her mother. The nurse assures the daughter that these are normal feelings associated with: Select one: a. Bereavement-related depression b. Complicated grief c. Anticipatory grief d. Caregiver grief
question

d
answer

AFRAIDS is a condition that most likely would be seen in: Select one: a. The homosexual population b. Sexually promiscuous heterosexuals c. Individuals in a heterosexual monogamous relationship d. Persons who have a chemical dependency on illegal intravenous drugs
question

b
answer

An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client. The nurse who is working on an inpatient unit can show signs of caring by: Select one: a. Telling a client several times a day that he or she cares about him or her b. Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit c. Giving a client a card that has a sentiment that says the nurse cares about him or her d. Telling a client that he or she is the favorite client
question

a
answer

An aging population, an overburdened welfare system, and a cost conscious U.S. Congress exerting its influence on the health care system are all examples of ____ changes. Select one: a. Social b. Cultural c. Environmental d. Technological
question

***not b try c or d
answer

Families without a home now make up _____% of the homeless population in the United States. Select one: a. 14 b. 28 c. 38 d. 44
question

a
answer

The client is feeling very anxious and has requested that a p.r.n. antianxiety medication be ordered. The nurse informs the client that the medication can be administered only every 4 hours and was given 3 hours ago. The nurse promises to give the client the medication as soon as it is due, but the nurse goes to lunch 1 hour later without giving the client the medication. Which ethical principle did the nurse violate? Select one: a. Fidelity b. Veracity c. Confidentiality d. Justice
question

b
answer

The theorist Eric Berne theorized that an individual’s three ego states of parent, child, and adult make up one’s: Select one: a. Conscience b. Personality c. Thought processes d. Ability to communicate
question

c
answer

In assessing a client for suicide, which finding presents the greatest risk for the client? Select one: a. “If I had AIDS or cancer and died, then my family would be sorry.” b. “I just don’t see any other way out of this situation.” c. “I tried to kill myself 6 months ago, but my friend stopped me. The next time, no one will know.” d. “I have thought about planning it, but I haven’t done it.”
question

d
answer

The goal of treatment during the first phase of depression is to: Select one: a. Develop a plan for treatment. b. Reduce uncooperative behaviors. c. Help the client to adjust to antidepressants. d. Reduce symptoms and inappropriate behaviors.
question

d
answer

The nurse can assist a client best in meeting his or her needs for self-esteem and/or self-actualization by: Select one: a. Setting rules and regulations b. Allowing the client to set rules and regulations for the inpatient unit c. Informing the client of what the treatment team has decided regarding the plan of care d. Allowing the client to make choices involving his or her care when appropriate
question

b
answer

The nurse is implementing validation therapy with an elderly male client to assist him in resolving old conflicts and making peace with himself. Which is one of the techniques used? Select one: a. Sympathy b. Empathy c. Helping the client write a paragraph about his life d. Contacting old acquaintances for their interpretation of the client’s life
question

d
answer

The nurse is caring for a male client with a major depressive disorder who has not responded well to various treatments in the past. The latest treatment method has resulted in slight improvement in the client’s symptoms. On this particular day, the client has a very positive affect and says he feels “amazingly better.” The nurse should: Select one: a. Congratulate him on his recovery. b. Document the client’s improvement. c. Ask him what he feels has helped him feel better so suddenly. d. Assess the client for signs and symptoms of suicidal thoughts.
question

b
answer

A woman whose culture believes her depression is the result of being possessed by the spirit of a deceased relative is considered to have a(n): Select one: a. Impaired coping mechanism b. Culture-bound disorder c. Medically diagnosed disorder d. Projection-based disorder
question

b
answer

During the preparation phase of a therapeutic relationship with a client, what is the main task to be completed by the nurse? Select one: a. To establish with the client the purpose of the relationship b. To gather and review all possible information regarding the client c. To build trust with the client d. To obtain agreement from the client to work in conjunction with the nurse
question

***not b try c
answer

Neuroleptic drugs are prescribed to treat _____ disorders. Select one: a. Anxiety b. Personality c. Psychotic d. Somatoform
question

c
answer

A 37-year-old client who has been divorced for several years recently lost joint custody of a 10-year-old daughter because of drug and alcohol use, along with nonpayment of child support. The client is referred to the clinic as the result of a court order. When arriving at the clinic, the client had been on a drinking binge for 2 days. What is the most appropriate nursing diagnosis for this client? Select one: a. Health-seeking behaviors b. Family processes, readiness for enhanced c. Coping, ineffective d. Hopelessness
question

***not d
answer

_____% of older adults are living at the poverty level. Select one: a. Twelve b. Eighteen c. Twenty six d. Twenty three
question

d
answer

A female client is admitted with suicidal tendencies. The client is placed in suicide precautions for the first 24 hours of her stay. Ensuring client safety is included in the therapeutic role of: Select one: a. Change agent b. Teacher c. Therapist d. Technician
question

b
answer

A 12-year-old female client with a normal IQ has difficulty with math at school. She performs well in all subjects except math, for which she is unable to earn above a grade of “D,” no matter how much she studies. What is this client most likely suffering from? Select one: a. Mental retardation b. A learning disorder c. Pervasive developmental disorder d. An anxiety disorder
question

b
answer

The abnormal process in which aspects of the social, physical, emotional, or intellectual function of a person are diminished or impaired is called: Select one: a. Health b. Illness c. Recovery d. Homeostasis
question

***not c try a
answer

What concept do feminist theories use to explain violence against women? Select one: a. Machismo b. Femininity c. Masculinity d. Muscularity
question

d
answer

An elderly male client’s wife of 50 years recently died from cancer. He suffers from a chronic debilitating illness and has been refusing to eat, drink, or take his medications. This client is displaying behavior characteristic of: Select one: a. Suicidal threats b. Suicidal attempts c. Suicidal ideation d. Passive suicide
question

a
answer

A 49-year-old woman who has been the owner of a successful large business for several years decides to sell her business and move to a remote island to open a small dress shop. She most likely has made this decision based on her need to: Select one: a. Avoid becoming stagnant in her life. b. Earn more money. c. Prevent another company from taking over her business. d. Improve her social development.
question

c
answer

The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person’s expense. He is referred to as: Select one: a. A nerd b. A psychotic c. A psychopath d. Narcissistic
question

***not b
answer

Each complaint of people with HIV/AIDS must be investigated carefully because CNS problems can be mistaken for: Select one: a. Anxiety b. Delusions c. Compulsions d. Psychiatric problems
question

a
answer

Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice for the treatment of depression because: Select one: a. Side effects are more manageable than with most antidepressants. b. They are the only class safe for long-term therapy. c. This is the oldest class of antidepressants. d. They are fast-acting medications.
question

c
answer

The nurse is caring for a female client with a diagnosis of severe bipolar disorder. Out of many treatment methods, the one treatment that the client and the team have found to be most effective is the medication lithium. The client voices concern about her future with this diagnosis. Which nurse response best represents the concept of hope? Select one: a. “You need to take your lithium unless you want to relapse.” b. “You are doing so well that there is nothing you can’t do if you put your mind to it.” c. “You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication.” d. “A lot of people are much worse off than you are, so you should be thankful that you are doing as well as you are.”
question

c
answer

If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every _____ months. Select one: a. 3 b. 6 c. 12 d. 15
question

a
answer

A female client with low self-esteem tries to dress and act like the nurse who cares for her in an outpatient clinic setting. This behavior is an example of which defense mechanism? Select one: a. Identification b. Symbolization c. Displacement d. Projection
question

b
answer

A drug that is taken daily to help reduce the desire for alcohol is: Select one: a. Hydroxyzine (Atarax) b. Disulfiram (Antabuse) c. Methadone (Dolophine) d. Meclizine (Antivert)
question

a
answer

A female client admitted to a mental health facility for depression is frequently asking for help in deciding on what foods to choose for her meals, as well as which activities she should participate in. Which stage of illness is she experiencing? Select one: a. Dependency b. Symptoms c. Recovery and rehabilitation d. Sick role
question

d
answer

The client has been admitted to the medical unit for unexplained weight loss and fatigue. He does not speak except to answer questions, and he refuses to interact with other people except when necessary. Which coping mechanism is he using to deal with his hospitalization? Select one: a. Anger b. Shock c. Anxiety d. Withdrawal
question

c
answer

For a substance-related disorder to be diagnosed, the pattern of substance use must lead to: Select one: a. Significant costs involved with the habit b. Significant disturbances in social functioning c. Significantly impaired functioning and distress d. Significant physical changes related to the abused substance
question

b
answer

Suicide in the United States is: Select one: a. Not a problem b. The tenth leading cause of death c. Most prevalent among the middle-aged d. Controlled by the use of antidepressants
question

c
answer

It is important for the nurse to be aware that ____% of individuals over 45 years old take prescription, over-the-counter, or a combination of these medications. Select one: a. 35 b. 55 c. 75 d. 95
question

***not b
answer

An adult male client is admitted to a mental health facility with the diagnosis of depression following the breakup of a long-term engagement. He states that he couldn’t “commit to marriage.” In conducting his admission assessment, the nurse learns that during his childhood he did not feel guided, nurtured, or accepted by his parents. One of the goals for this client is to help him develop a positive personal identity. Which intervention should the nurse implement to meet this goal? Select one: a. Improve his strength in the ability to adapt to new situations. b. Develop the ability to establish and maintain an intimate relationship. c. Discern his feelings about relationship choices and level of commitment. d. Outline his life’s dream.
question

b
answer

Theories that view depression as a group of learned responses are called ____ theories. Select one: a. Social b. Behavioral c. Biological d. Psychoanalytical
question

b
answer

Emotional or behavioral problems that develop in response to an identifiable source and last no longer than 6 months are called ____ disorders. Select one: a. Conduct b. Adjustment c. Impulse-control d. Oppositional defiant
question

a
answer

The affective losses of Alzheimer’s disease refer to losses noticed in the individual’s: Select one: a. Personality b. Thought processes c. Ability to make and carry out plans d. Self-care
question

c
answer

In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded: Select one: a. Research on drugs for the treatment of mental health disorders b. Training of mental health professionals c. Construction of psychiatric units in facilities throughout North America d. Development of community mental health clinics
question

a
answer

A person with terminal cancer makes a call to a family member she has not spoken to in 30 years in order to make amends. According to Kübler-Ross, what stage of dying is this person in? Select one: a. Denial b. Working c. Resistance d. Acceptance
question

b
answer

The National Mental Health Act of 1946 provided a means for funding of programs that promote research on mental health and: Select one: a. Development of mental health clinics in the community b. Training of mental health professionals c. Treatment for veterans suffering from mental health disorders d. Educating the public about mental illness
question

b
answer

The daughter of an elderly nursing home resident is crying outside her father’s room. When the nurse comforts her, she states, “It is so hard to come here to visit when my mother doesn’t even know who I am.” The nurse knows the client is in which stage of Alzheimer’s disease? Select one: a. Early stage b. Intermediate stage c. Severe stage d. End stage
question

d
answer

The night before her final exam, the nursing student cannot sleep, and is convinced she will fail. Which of the following actions will help to promote a more positive outlook? Select one: a. Continue to study rather than continue attempting to sleep. b. Accept the possibility of failure and plan to repeat the course. c. Use the negative thoughts as motivation. d. Visualize staying relaxed during the exam and successfully passing.
question

c
answer

An adolescent caught stealing a classmate’s laptop says that he needed it to write his paper and the classmate “has enough money to buy another one anyway” is demonstrating which of the following defense mechanisms? Select one: a. Denial b. Restitution c. Rationalization d. Conversion
question

c
answer

An elderly man has serious vision problems and is no longer allowed to obtain a driver’s license. He has been very independent until this time. Which nursing diagnosis is most appropriate for this situation? Select one: a. Confusion, chronic b. Coping, ineffective c. Self-esteem, risk for situational low d. Grieving, dysfunctional
question

a
answer

Her speech is very pressured, and she is telling everyone in the waiting room about a date she had the previous evening. The next visit she is dressed in old, drab clothes and has no makeup on. She has a flat affect and is not making eye contact. The most probable cause of her behaviors is which of the following conditions? Select one: a. Bipolar I disorder b. Psychosis c. Bipolar II disorder d. Major depressive episode
question

b
answer

Self-protective responses are seen in behaviors that meet basic: Select one: a. Goals b. Needs c. Wants d. Demands
question

d
answer

A female client is 3 days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression. The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications? Select one: a. Increased pulse and respirations b. Hyperactivity and difficulty concentrating c. Increased tearing and increased urinary output d. Sedation, disorientation, and hallucinations
question

c
answer

It is important for the nurse to be familiar with the religious practices of clients cared for most often in a particular region because attitudes toward health and illness, death and burial, food, and procreation have a strong impact on a client’s beliefs and practices. The nurse knows that the religion practiced most often around the world is: Select one: a. Buddhism b. Jehovah’s Witness c. Christianity d. Ahmadiyya
question

b
answer

The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process? Select one: a. Evaluation b. Assessment c. Intervention d. Planning
question

a
answer

As the caregiver for a male client whose mental retardation level is classified at a moderate level, the nurse’s most appropriate action is to: Select one: a. Encourage him to work in a supervised setting at a fast food restaurant. b. Persuade him to look for an apartment in which he can live on his own. c. Find a group home that he would adjust well to. d. Seek placement for him in a long-term setting for clients with cognitive disabilities.
question

d
answer

During the continuation phase of therapy, a client with a diagnosis of depression asks, “What is the goal of therapy during this 4- to 9-month period?” What is the nurse’s best response? Select one: a. “We are going to work together to try to reduce your symptoms.” b. “Our goal is to determine the cause of your depression and cure it.” c. “We want to prevent you from ever having any depressive episodes in the future.” d. “Our goal is to prevent you from relapsing and experiencing distressing emotional states.
question

a
answer

Paranoid personality disorders are diagnosed more often in: Select one: a. Men b. Women c. Children d. Adolescents
question

a
answer

During the interview process with a homeless client, which is an appropriate nursing action? Select one: a. Wait until later in the interview to ask questions such as address or nearest relative. b. Ask the client early in the interview what is his or her highest education level. c. Ask the client where he or she planned to sleep that night. d. Encourage the client to bathe as soon as possible.
question

c
answer

The nurse assessing the newborn shortly after delivery notes that the infant is very jittery, irritable, and has a high- pitched cry. The nurse suspects that the mother took which substance during pregnancy? Select one: a. Alcohol b. Heroin c. Cocaine d. Analgesics
question

a
answer

Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer’s disease has been diagnosed recently? Select one: a. Use simple, familiar words, along with short and simple sentences. b. If the client tends to pace a lot, be sure to encourage her to sit during interactions. c. If she doesn’t understand the communication, change key words. d. Use hand gestures when speaking to try to explain what is being said.
question

a
answer

The drug most often abused by adolescents is: Select one: a. Alcohol b. Cocaine c. Tobacco d. Marijuana
question

not b
answer

Child prostitution in Thailand is widespread, and it is estimated that _____% of these children have AIDS. Select one: a. 10 b. 25 c. 50 d. 75
question

d
answer

The concerns of children in whom terminal conditions have been diagnosed focus on how the illness affects the child’s: Select one: a. Loss of a future b. Family and friends c. Social activities d. Activities of daily living
question

c
answer

Approximately _____% of individuals with chronic mental illness use or abuse drugs. Select one: a. 25 b. 50 c. 75 d. 100
question

b
answer

A male client with schizophrenia lives in an assisted-living complex for individuals with mental health disorders. He is tired of the Parkinson-like symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team. He is progressively withdrawing from reality but is not a safety risk at this point to himself or others. What is the best response of the nurse and treatment team? Select one: a. Try to coerce him into taking his medication. b. Ensure that the client and those around him are safe, and monitor for additional symptoms of his schizophrenia while maintaining trust with the client. c. Crush his antipsychotic medications and put them in his food to stop the process of his withdrawal from reality. d. Speak to his family about seeking an involuntary emergency hold in a mental health facility to get him back on his medications.
question

b
answer

Vascular dementia is more common in individuals living in: Select one: a. The United States b. Japan c. France d. Australia
question

c
answer

The last stage of growth and development is called: Select one: a. Dying b. Old age c. Wisdom d. Maturity
question

a
answer

A male client is being argumentative during a group therapy session. The male psychiatric technician warns the client that if he does not cooperate with the nurse, he will physically restrain him and take the client to his room for the remainder of the day. For which action could the technician be held liable? Select one: a. Assault b. Battery c. Privacy d. Fraud
question

not a
answer

The parents of a 2-year-old boy seek assistance at a family therapy clinic because their son throws a temper tantrum every time he is not allowed to throw his food on the floor during meals. Which therapeutic intervention does the nurse suggest? Select one: a. Leave him during the tantrum, so that he feels isolated from others as a result of his behavior. b. Try to distract him when he becomes frustrated, and reward him for positive behavior. c. Hold the child down until the tantrum stops. d. Put him in the corner for punishment while he is having the tantrum.
question

d
answer

Level one interventions for potentially assaultive clients should be practiced as: Select one: a. Therapy b. Control methods c. Assessment measures d. Preventive measures
question

b
answer

A male client has schizotypal personality disorder. A female client compliments him on his style of dressing, and he interprets this as her caring deeply for him and desiring to date him. What is the client experiencing? Select one: a. Paranoia b. Ideas of reference c. Inappropriate affect d. Delusions of grandeur
question

c
answer

A newly admitted elderly client seems to become confused and agitated every evening after dinner. This client most likely is suffering from: Select one: a. Alzheimer’s disease b. Acute dementia c. Sundown syndrome d. Delirium
question

c
answer

Twenty-three states have enacted mental health parity laws. The most accurate description of these laws is that they require insurance companies to include coverage for: Select one: a. Mental illness b. Substance abuse treatment c. Mental illness that is equal to coverage for physical illness d. Outpatient therapy for individuals with substance abuse
question

b
answer

A male who, as a child, observed the women in his family being dominated is, in his own life, more likely to: Select one: a. Love b. Batter c. Belittle d. Order around
question

a
answer

A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six 6 months ago. Which nursing diagnosis is a priority for this client? Select one: a. Behavior, risk-prone health b. Spiritual distress c. Social interaction, impaired d. Family processes, interrupted
question

c
answer

The use of inappropriate, harmful, or destructive behaviors to express current or past emotions is defined as: Select one: a. Anger b. Assault c. Acting out d. Aggression
question

b
answer

The nurse encounters a client crying in her room. Upon talking to the client, it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle?Select one: a. Beneficence b. Autonomy c. Confidentiality d. Nonmaleficence
question

d
answer

Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called: Select one: a. Insomnia b. Dyssomnias c. Hypersomnia d. Parasomnias
question

c
answer

By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect? Select one: a. Inspect b. Investigate c. Report to the authorities d. Report to the client’s family
question

d
answer

The 40-year-old woman who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder? Select one: a. Histrionic b. Paranoid c. Schizoid d. Avoidant
question

a
answer

The need for mental health applies to: Select one: a. All persons b. People with illnesses c. All married persons d. People with mental problems
question

b
answer

The client can acknowledge the possibility that she exaggerates her symptoms, but she continues to hold on to the belief that something is physically wrong, in the face of evidence to the contrary. What is the client’s diagnosis most likely to be? Select one: a. Malingering b. Hypochondriasis c. A conversion reaction d. Body dysmorphic disorder
question

a
answer

Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care? Select one: a. Wealthy b. Homeless c. Disabled d. Low-income
question

b
answer

A family adopts a 7-year-old boy from an international adoption agency with little information on the child’s history. They bring the child to a therapist because the child is withdrawn, destroys things in the house, and hits his adoptive siblings without provocation. As the therapist develops a trusting relationship with the child, what type of intervention would be initially used to gain input from the child? Select one: a. Psychoeducation b. Art therapy c. Joint stabilization plan d. Development of coping strategies
question

a
answer

Schizophrenia affects approximately ____% of the world’s population. Select one: a. 1 b. 5 c. 9 d. 13
question

not c
answer

The child in early adolescence experiences developmental issues with his or her identity as evidenced by: Select one: a. Feeling stable with his or her self-esteem b. Conforming to group norms c. Being very self-centered d. Being idealistic
question

c
answer

Most psychosomatic problems and somatoform disorders begin in: Select one: a. Puberty b. Adulthood c. Childhood d. Adolescence
question

b
answer

Suicide is attempted three times more frequently by ____ but is more often successfully completed by ____. Select one: a. Adult men, women b. Adult women, men c. Adult fathers, mothers d. Adolescent mothers, fathers
question

c
answer

The client confides in the nurse that intercourse has been painful since she became menopausal. What is the nurse’s most therapeutic response? Select one: a. “Don’t worry; it will pass.” b. “Are you still sexually active?” c. “Perhaps we can discuss this with your doctor.” d. “I understand how difficult it is to discuss sex.”
question

b
answer

A busy community mental health center treats a client who is in crisis. The client is provided with instruction on relaxation exercises, but throws them away. Two weeks later the staff is dismayed when the client returns with her condition worsened. This lack of success after the previous visit is due to which of the following factors? Select one: a. Disorganization b. Pseudoresolution c. Self-awareness d. Lack of commitment
question

d
answer

Medications are used with extreme caution in clients with personality disorders because of their questionable effectiveness. If a client is receiving an antipsychotic medication, it is especially important for the nurse to monitor the client for side effects of: Select one: a. Increased thirst and urination, nausea, and anorexia b. Dry mouth, altered taste, sexual dysfunction, and dizziness c. Bone marrow depression, gastrointestinal symptoms, and confusion d. Extrapyramidal movements, dry mouth, blurred vision, and photophobia
question

c
answer

The main active ingredient in coffee, black teas, most cola drinks, and many other bottled beverages that stimulates the nervous system, relieves fatigue, increases alertness, and increases the body’s metabolic rate is: Select one: a. Alcohol b. Cocaine c. Caffeine d. Amphetamines
question

not b
answer

The group best able to accept their losses and grow from their experiences is: Select one: a. Adults b. Toddlers c. Adolescents d. School-age children
question

d
answer

The parents of a 13-year-old girl are concerned that their daughter has a gender identity disorder. Which sign or symptom most indicates that their concern is correct? Select one: a. Their daughter is playing sports typically considered boys’ sports. b. Their daughter has more male friends than female friends. c. Their daughter does not like to change her clothes in front of anyone. d. Their daughter frequently wears clothes designed for males.
question

a
answer

A prolonged emotional state that influences one’s whole personality and life functioning is called: Select one: a. Mood b. Feeling c. Attitude d. Intellectual response
question

c
answer

Which symptom of Alzheimer’s disease is associated with disorientation to time and place? Select one: a. Forgetting in what order to put clothes on b. Forgetting simple words c. Forgetting where he or she lives d. Becoming suspicious of others
question

d
answer

A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy group therapy, and does not show her emotions. The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member. Which team member would be the best choice to assist in this situation? Select one: a. Psychiatric assistant b. Dietitian c. Occupational therapist d. Expressive therapist
question

a
answer

The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental illness in: Select one: a. Nursing homes b. State mental health facilities c. Residential treatment centers d. Homeless shelters
question

c
answer

Somatization disorder is a polysymptomatic disorder, which means that the disorder is associated with ____ symptoms. Select one: a. Few signs and b. Polymorphic c. Many signs and d. Specific signs and
question

d
answer

To implement the concept of the least restrictive treatment environment, care team members: Select one: a. Monitor the medications schedule. b. Assess the client’s ability to live alone. c. Assess available financial resources. d. Assess available community resources.
question

b
answer

Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions. Select one: a. One b. Two c. Three d. Four
question

a
answer

During group therapy, certain group change mechanisms may be observed. When an individual engages in helping others, resulting in improvement in his or her own self-esteem, which group change mechanism has the individual experienced? Select one: a. Altruism b. Feedback c. Expressiveness d. Communion
question

a
answer

A male client has had agoraphobia for several years. In the past 2 years, he has not left his home and only speaks to people on the phone occasionally. Which nursing diagnosis has the highest priority in this situation? Select one: a. Social isolation b. Thought processes, disturbed c. Coping, ineffective individual d. Powerlessness
question

b
answer

When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills? Select one: a. Finishing the client’s sentences to indicate listening b. Not interrupting the client c. Avoiding taking notes to detract from listening d. Changing the environment to decrease distractions
question

a
answer

In the late 1980s, government funding for mental health care dwindled, and most insurance companies __________ coverage for psychiatric care. Select one: a. Withdrew b. Increased c. Decreased d. Added
question

a
answer

A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and: Select one: a. Recovery time b. Legal implications c. Social dysfunction d. Financial difficulty
question

b
answer

The client is describing her trip to town. She tells the nurse, “I cold town yellow water girl outside below ground.” This speech disturbance is called: Select one: a. Neologism b. Word salad c. Flight of ideas d. Verbigeration
question

d
answer

How many stages of the human life cycle did Erik Erikson identify? Select one: a. Two b. Four c. Six d. Eight
question

a
answer

As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, “You never really cared whether I get better! Why not stop this charade?” The nurse recognizes this to be: Select one: a. Transference b. Secondary gain c. Countertransference d. Insecurity
question

c
answer

The school nurse reports that a student who was brought to her appears to be tense, angry, and her speech is rapid. She denies use of illegal substances. What does the nurse suspect the student has ingested? Select one: a. Ibuprofen b. Penicillin c. Ritalin d. Valium
question

c
answer

Humanistic theories are important to health care because these theories serve as the foundation for the concept of: Select one: a. Assertiveness training b. Behaviorism c. Holistic care d. Behavior modification
question

c
answer

A female client is taking a benzodiazepine for her anxiety disorder. She complains of anorexia and nausea since she started taking the medication a few days ago. What is the nurse’s best response? Select one: a. “Be sure to take the medicine on an empty stomach to avoid these symptoms.” b. “It takes a while to get used to the medicine. Give it a couple of weeks.” c. “Try taking the medication with food or milk, and see if the symptoms improve.” d. “Stop taking the medication immediately, and I will notify your doctor.”
question

c
answer

A male client takes ibuprofen twice a day, every day, for his arthritis. He becomes very anxious when he does not take his normal doses. This client is experiencing: Select one: a. Physical tolerance b. Substance dependency c. Psychological tolerance d. Early-stage addiction
question

d
answer

An allopathic mental health practitioner would most likely recommend which treatment for a client suffering from anxiety? Select one: a. Expressive therapy b. Acupuncture c. Antianxiety agents d. Dietary supplements
question

not d
answer

A 70-year-old woman who was recently widowed expresses a desire to go back to school and finish the degree she started before her children were born. What response is most appropriate? Select one: a. “Why would you want to stress yourself at your age?” b. “That may not be possible. As you age, your ability to learn decreases.” c. “Going back to school will keep you engaged and active.” d. “Let’s do a cognitive function test to see if you are eligible.”
question

b
answer

A 22-year-old woman with depression misses her scheduled meeting with the nurse. Although they have established a contract to meet on an agreed upon schedule, the nurse understands that the client is still testing the relationship and working on trusting her care provider. This behavior usually manifests itself during which phase of the therapeutic relationship? Select one: a. Termination b. Orientation c. Working d. Preparation
question

a
answer

Which term best describes an individual’s feelings of anxiety that are broad, long-lasting, and excessive? Select one: a. Generalized anxiety disorder b. Panic attack c. Phobic disorder d. Obsessive-compulsive disorder
question

a
answer

The client finds fault in every success she has. She is afraid to try anything new because she “just knows” that she will fail because she is mentally ill. Her behaviors demonstrate: Select one: a. Low self-esteem b. Suicidal ideation c. Low abstraction abilities d. Altered thought processes
question

c
answer

As many as 75% of people with chronic mental health disorders: Select one: a. Live alone b. Refuse to take their medications c. Use or abuse drugs d. Use or abuse their prescribed medications
question

b
answer

During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma that could last as long as 50 hours? Select one: a. Electroconvulsive therapy Incorrect b. Insulin therapy c. Humoral therapy d. Amphetamine therapy
question

a
answer

The Mental Health Systems Act of 1980 was one of the most progressive mental health bills in the history of the United States, but its enactment was interrupted by the: Select one: a. Election of a new president b. Appointment of a new Surgeon General c. Rapid expansion of community centers d. National Alliance for Mental Illness (NAMI) surveys
question

b
answer

Behavioral theorists see personality disorders as the result of: Select one: a. Social stressors b. Conditioned responses c. Neurophysical problems d. An imbalance among the three forces of the personality
question

b
answer

A male client has been diagnosed recently with a chronic illness. His family tells the nurse that they have noticed that he has not been attending his weekly card game night with his friends and does not return their calls. What reaction is this client most likely experiencing? Select one: a. Anxiety b. Withdrawal c. Shock d. Anger
question

b
answer

Severe, prolonged depression affects a person’s risk for physical illness by ____ the risk. Select one: a. Decreasing b. Increasing c. Not affecting d. Having little effect on
question

a
answer

Encouragement for clients to practice good hygiene habits not only meets basic physiological needs, it also meets the hierarchal need of: Select one: a. Love and belonging b. Safety and security c. Infection control d. Self-care
question

d
answer

The client thinks her nose is so ugly that most people cannot bear to look at her. She often describes herself as ugly. Which condition is the client experiencing? Select one: a. Somatization b. Hypochondriasis c. A conversion reaction d. Body dysmorphic disorder
question

a
answer

A 4-year-old client in a pediatric unit is imitating the actions of the nurse. The nurse knows, according to Erik Erikson’s theory, that this child is displaying a characteristic seen during which developmental stage? Select one: a. Genital-locomotor b. Latency c. Oral-sensory d. Anal-muscular
question

b
answer

The psychiatrist asks the nurse to perform a procedure that she is not familiar with, and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to her question? Select one: a. National nurse practice act b. State nurse practice act c. Regional nurse practice act d. Community nurse practice act
question

a
answer

The criterion that necessitates the need to hospitalize an individual with chronic mental health problems occurs when his or her: Select one: a. Behaviors pose a threat. b. Caregivers need a respite. c. Subsistence benefits expire. d. Medications need readjustment.
question

a
answer

The metabolism of psychotropic medications is most likely to be affected by: Select one: a. Ethnicity b. Religion c. Culture d. Values
question

b
answer

A 7-year-old male client displays behaviors such as an inability to make eye contact with others, inappropriate facial expressions, difficulty in making friends, and showing little emotion with family members. He talks with adults but is awkward in his conversation. Given these behaviors, what is this client most likely experiencing? Select one: a. Childhood disintegrative disorder b. Asperger’s syndrome c. Dyslexia d. Rett syndrome
question

d
answer

Following an argument with his daughter, a father takes away her phone privileges. He later feels guilty about the argument and asks her if she would like to go shopping for new clothes. What is this defense mechanism known as? Select one: a. Compensation b. Displacement c. Rationalization d. Restitution
question

b
answer

A male inpatient client who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation? Select one: a. Ask the client to “Please eat one meal for me.” b. Leave food with him at mealtime and offer snacks frequently. c. Give the client information on the benefits of good nutrition. d. Remove client privileges every time he doesn’t eat.
question

b
answer

A client suffering from chronic mental illness often forgets to take her medication and needs to be reminded to take care of daily hygiene. She does not have family or other support persons living in the area. The care delivery provider facility that would be most beneficial for this client is: Select one: a. Emergency departments b. Residential program c. Community mental health center d. Psychiatric home care
question

b
answer

A nurse and an adolescent female client develop a plan of care together that addresses the client’s difficult relationship with her parents. The client says that her parents just don’t understand her, and she is always getting privileges taken away for not doing things that she is supposed to do. What is the nurse’s best action? Select one: a. Talk with the client about how important it is that she carry through with actions that her parents feel are important. b. Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. c. Discuss with the parents what responsibilities they feel are important, to determine what actions should be planned with the client. d. Identify what the client feels are reasonable responsibilities.
question

c
answer

The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? Select one: a. Biological model b. Psychodynamic model c. Interpersonal model d. Behavioral model
question

a
answer

A 68-year-old woman tells the nurse that since she retired a few months ago, she has been “taking it easy” by sleeping later and staying around the house to rest. She has recently noticed that she is having a little trouble with remembering things. The nurse is aware that intellectual development is continuous and suggests to the client: Select one: a. “You might think about volunteering somewhere to keep your mind sharp.” b. “You are probably just tired from all those years at work.” c. “After you have gotten used to being at home, I am sure your memory will improve.” d. “Sometimes we must accept the fact that as we get older, we sometimes become more forgetful.”
question

a
answer

A newly married couple residing in a large city is expecting the birth of their first child in 3 months. The wife wishes to maintain her career and remain in their apartment. The husband has expressed the desire to relocate to a more suburban setting to raise their child. Their ability to successfully face this challenge depends upon their ability to: Select one: a. Negotiate a mutually satisfying solution. b. Employ appropriate coping mechanisms. c. Avoid conflict by dealing with the issue at a later time. d. Maintain a firm sense of individuality.
question

d
answer

The nurse who is caring for a client begins to have very protective feelings toward the client that are interfering with the therapeutic relationship between the nurse, the client, and the client’s family. This is an example of a problem that is encountered in some therapeutic relationships and is known as: Select one: a. An environmental problem b. Resistance c. Transference d. Countertransference
question

b
answer

__________ is a side effect that can occur while a client is taking an antipsychotic medication, causing muscle rigidity, high fever, unstable vital signs, confusion, and agitation. Select one: a. Drug-induced parkinsonism b. Neuroleptic malignant syndrome (NMS) c. Tardive dyskinesia d. Dystonia
question

a
answer

For a client with a sleep disorder, which CAM therapy could be used safely without interference with any allopathic methods of treatment? Select one: a. Progressive relaxation b. Dietary supplements c. Herbal supplements d. Aromatherapy
question

b
answer

Which signs and/or symptoms should alert the caregiver to a child who is suffering from neglect? Select one: a. Bruises and welts at various stages of healing b. Consistently dirty, hungry, and inappropriately dressed c. Child has torn, stained, or bloody underclothing d. Any fracture in a child younger than 2 years of age or fractures at various stages of healing in a child of any age
question

c
answer

The client is a 38-year-old woman with a diagnosis of narcissistic personality disorder. Behaviors associated with this diagnosis are: Select one: a. Avoidant b. Odd or eccentric c. Attention seeking d. Reflective of lack of trust in others
question

a
answer

Whenever there is a history of unexplained lethargy, fussiness, or irritability in an infant, caregivers should suspect ____ syndrome. Select one: a. Shaken baby b. Drugged baby c. Depressed infant d. Feeding disorder
question

b
answer

The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client’s: Select one: a. Level of consciousness b. Ability to perform activities of daily living c. Degree of reasoning, judgment, and thought processes d. Level of functioning memory
question

c
answer

In the early twentieth century, a frontal lobotomy was a common treatment for violent behaviors. Which description of this procedure is accurate? Select one: a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain b. A surgical procedure that drills holes in the front of the skull to drain fluid c. A surgical procedure that severs the frontal lobes of the brain from the thalamus d. A surgical procedure that inserts implants into the frontal lobes of the brain
question

a
answer

The nurse is caring for an adult male client who lacks a strong sense of personal identity. With which area of development will this client most likely struggle the most? Select one: a. Social b. Intellectual c. Emotional d. Vocational
question

d
answer

Carl Jung was the founder of analytical psychotherapy; he differed from Freud in that he believed that the mind was divided into three levels: the conscious ego, the personal unconscious, and the: Select one: a. Extroverted personality b. Introverted personality c. Psyche d. Collective unconscious
question

a
answer

A police officer complains of feeling tired and not able to sleep for an extended period of time after being assigned to work the night shift. He is most likely suffering from: Select one: a. Circadian rhythm sleep disorder b. Primary hypersomnia c. Narcolepsy d. Obstructive sleep apnea syndrome
question

d
answer

The caregiver is encouraging a mother to participate in bathing her daughter, who is in traction for a fractured femur. The caregiver is recognizing the family’s: Select one: a. Physical need to work b. Social need to stay with the client c. Intellectual need to control the situation d. Emotional need to be involved in caring for the client
question

c
answer

Significant complications such as sudden death due to cardiac dysrhythmia or respiratory depression are associated with the use of: Select one: a. Alcohol b. Cocaine c. Inhalants d. Hallucinogens
question

c
answer

The treatment team meets with a client for the first time and determines, with the client’s input, a nursing diagnosis, goal, and steps to reach this goal. In addition to a nursing diagnosis, the treatment team has completed which phase of the nursing process? Select one: a. Evaluation b. Intervention c. Planning d. Assessment
question

a
answer

A female client frequently complains of chest pain, has had extensive physiological testing with negative results, and sees several different medical doctors. This client is exhibiting signs and symptoms characteristic of: Select one: a. Hypochondriasis b. Conversion disorder c. Body dysmorphic disorder d. Factitious disorder
question

a
answer

The child has not developed the ability to respond to others. He cannot communicate his needs. He may remain dependent upon others throughout his life. He is most accurately described as having: Select one: a. Autism b. Anxiety c. Mental retardation d. Attention-deficit disorder
question

d
answer

A client is monopolizing a group session, not allowing other members to participate. What is the most appropriate way to address the client? Select one: a. “You are not allowed to speak for the remainder of the session.” b. “You are selfish and must leave now. ” c. “You are very rude when you act this way.” d. “You need to stop this behavior. Let’s see what others have to say.”
question

b
answer

A 70-year-old male client tells the nurse that he is using chelation therapy to prevent Alzheimer’s disease. Which adverse effect is the client most likely to experience? Select one: a. Allergic reactions b. Low potassium levels c. Elevated blood glucose levels d. Interactions with other medications
question

a
answer

An adult female client has been diagnosed recently with mild depression but opts not to take the medication prescribed by her physician after talking with the physician about the benefits, risks, possible outcomes, and side effects. She decides to investigate alternative treatments. This client is making this decision based on the premise of: Select one: a. Informed consent b. Noncompliance c. Client education d. Right to privacy
question

d
answer

An adult female client becomes combative with the nurse during routine medication administration. What is the nurse’s primary responsibility in this situation? Select one: a. To ensure that the client takes her medications b. To ensure that the client is placed in physical restraints to protect the safety of the staff and other clients c. To ensure that chemical restraints are used in the future until the client displays more appropriate and compliant behavior d. To ensure that the client is kept safe while trying to protect staff safety and to reason with the client to try to de-escalate the combative behavior
question

d
answer

The __________ constitute a class of drugs that are commonly prescribed for cardiac arrhythmias but also have been found to be effective treatment for social phobias. Select one: a. Benzodiazepines b. Tricyclics c. Azaspirones d. Beta-blockers
question

c
answer

The characteristic of genuineness helps in establishing a therapeutic relationship with a client. Which nurse response is the best example of a display of genuineness to a client who is going through a difficult divorce? Select one: a. “I know exactly how you feel. My husband and I divorced 2 years ago because of his infidelity.” b. “Divorcing my husband was the best thing I ever did.” c. “I have friends who have gone through a divorce. It must be difficult for you.” d. “I am sorry that you have to go through this difficult time.”
question

a
answer

A Navajo Native American is traveling across the country and becomes ill. He visits a hospital emergency room and appears very uncomfortable in the surroundings. The nurse knows that traditional Navajo Native Americans typically receive health care in: Select one: a. Homes b. Small hospitals c. Physicians’ offices d. Outpatient clinics
question

d
answer

Massage therapy manipulates muscles and connective tissue and has been found to be very successful as a CAM method in the treatment of which disorder(s)? Select one: a. Schizophrenia b. Bipolar disorder c. PTSD and OCD d. Depression and anxiety
question

c
answer

An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job “in a big city.” She is crying and says that she doesn’t think she can stand being so lonely anymore but doesn’t want to move back to her small home town and face her family and friends as a “failure.” What is the nurse’s first response? Select one: a. “Would you like me to call your family to assist you in deciding what is best for you to do?” b. “I am sure you will make friends once you find a steady job that you like.” c. “Can you tell me what you mean by your statement that you don’t think you can stand being lonely anymore?” d. “Let me give you a list of some social groups that might be of interest to you.”
question

d
answer

A male client with a diagnosis of schizophrenia refuses to take his medication because of his paranoia that the medication may be poisoned. Frequent inpatient readmissions to the facility occur as a result. Which term is given to repeated inpatient admissions? Select one: a. Milieu b. Chronicity c. Noncompliance d. Recidivism
question

c
answer

A client frequently wanders around the unit, and the staff frequently needs to reorient the client to the environment and remind her not to walk into the rooms of other clients on the unit. Due to short staffing, the decision is made to use a restraint device to prevent this from occurring. This action may constitute: Select one: a. Assault b. Defamation c. False imprisonment d. Negligence
question

a
answer

Those who care for individuals with dissociative disorders must be aware that they often will try to __________ the staff members who are caring for them. Select one: a. Manipulate b. Harm c. Date d. Persecute
question

c
answer

The stage of hospitalization during which the client reestablishes personal identity and becomes self-centered is the time when the client is: Select one: a. Going to be discharged b. Feeling overwhelmed c. Becoming emotionally stabilized d. Adapting to the environment
question

c
answer

A client with frequent re-admissions to the inpatient unit refuses to eat or participate in activities. The nurse functions as the client advocate by which of the following actions? Select one: a. Respecting the client’s wishes by taking food away and leaving the room door closed b. Scolding the client as a way to motivate a change in behavior c. Providing consistent encouragement to attend activities and having food available d. Ignoring the client and encouraging other health care team members to do the same
question

b
answer

The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children’s: Select one: a. Motor skills b. Self-concept c. Body image d. Cognitive skills
question

b
answer

A female client asks the nurse if the medication risperidone (Risperdal), an antipsychotic medication for schizophrenia, has any side effects. Which response by the nurse would violate the ethical concept of veracity? Select one: a. “I am not sure, but I will find out.” b. “Risperdal has no documented side effects.” c. “Risperdal does have some side effects.” d. “Let’s talk to your physician about potential side effects.”
question

b
answer

The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately _____ die from suicide. Select one: a. 5% b. 15% c. 25% d. 35%
question

c
answer

A 10-year-old male client is 20 pounds overweight. Which intervention by the nurse is the most effective in this situation? Select one: a. Place the client on a strictly controlled calorie-restricted diet. b. Talk to the client about why he is so overweight. c. Teach the client and his parents about healthy eating habits and choices. d. Make a list of foods that are to be restricted in the client’s diet.
question

d
answer

The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels “nervous and jittery inside.” The nurse is aware that this client most likely is experiencing: Select one: a. Akinesia b. Dystonia c. Dyskinesia d. Akathisia
question

c
answer

Before treatment of an addiction can actually begin, many persons first must go through the process of removing the substance from their bodies under medical supervision. This is known as: Select one: a. Abstinence b. Withdrawal c. Detoxification d. Intoxication
question

b
answer

During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to: Select one: a. 5 days b. 2 to 3 weeks c. 4 to 5 weeks d. 6 weeks
question

b
answer

The term that describes repeated physical abuse, usually of a woman, child, or elder, is: Select one: a. Neglect b. Battering c. Exploitation d. Gender abuse
question

b
answer

The main focus of medical management for anorexia is to: Select one: a. Encourage rapid weight gain. b. Encourage the client to eat voluntarily. c. Teach more appropriate food choices. d. Keep the client from developing additional problems.
question

not a
answer

A client with a diagnosis of anorexia is admitted to an inpatient setting. Which therapeutic intervention is used with caution prior to stabilization and weight gain? Select one: a. Establish rapport and trust b. IV or tube feeding c. Administering antidepressants d. Daily weights
question

d
answer

A man who hit his wife yesterday causing her to fall and break her arm has taken the day off from work today to take care of her and buy her flowers. He repeatedly tells her how horrible he feels and promises this will never happen again. What stage of the assault is he demonstrating? Select one: a. Trigger stage b. Escalation stage c. Recovery stage d. Depression stage
question

a
answer

The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist: Select one: a. Freud b. Pinel c. Fisher d. Rush
question

a
answer

The nurse is caring for a 20-year-old woman from Puerto Rico. The client speaks English, but she is accompanied by her mother who does not. The client has a history of mental illness, and through the interpreter, the nurse learns that the mother, who has traditional Puerto Rican cultural beliefs, believes that the client’s mental illness is caused by: Select one: a. Witchcraft b. Stress c. Chemical imbalances d. A trance
question

d
answer

The home care nurse is providing care to an older adult client with a diagnosis of depression who is caring for his wife who has Alzheimer’s disease. He states that he hardly has enough energy to cook and clean the house. The couple has no children, and no relatives live within a close distance. Which community agency would be of greatest benefit to this client? Select one: a. A recreational club b. An adult education program c. A daycare center for elderly d. Meals on Wheels
question

b
answer

Which of the following is considered a primary nursing diagnosis for a client with a dissociative disorder? Select one: a. Self-esteem, low b. Personal identity, disturbed c. Role performance, ineffective d. Anxiety
question

not d
answer

By the time they enter school, it is thought that most children identify with: Select one: a. Same-sex peers b. Opposite-sex peers c. The same-sex parent d. The opposite-sex parent
question

c
answer

The client interprets the proverb “A rolling stone gathers no moss” as “As long as the rock keeps moving, it won’t turn green.” This is an example of: Select one: a. Mutism b. Flight of ideas c. Concrete thinking d. Loose association
question

b
answer

Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy? Select one: a. Postpartum hemorrhage b. Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section
question

b
answer

The onset of schizophrenia most commonly occurs during the decade of age in the: Select one: a. Teens b. 20s c. 30s d. 40s
question

c
answer

Which age group through the life cycle has the most difficult time relating to their own death? Select one: a. Toddler b. Preschool c. Adolescent d. Adult
question

c
answer

Although all age groups can be affected, sleep disorders occur most frequently in: Select one: a. Adolescence b. Later childhood c. Older adulthood d. Middle adulthood
question

d
answer

The father of three young children dies. The wife expresses how worried she is about how to raise the children on her own without the support of her husband. She finds herself crying and living through each day without accomplishing anything. In which grieving stage is this behavior typically experienced? Select one: a. Denial b. Depression and identification c. Acceptance and recovery d. Yearning
question

c
answer

In the early 1960s, a committee appointed by President John F. Kennedy recommended the development of a new approach to the way mental health care was administered, with an emphasis on the introduction of: Select one: a. Psychotherapeutic drugs b. State mental health care systems c. Community mental health centers d. Deinstitutionalization of patients
question

d
answer

A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated. Which action by the nurse would be most appropriate in this situation? Select one: a. Turn up the volume on the television to distract the client. b. Bring him to sit at the nurses’ station while the staff is doing shift report. c. Keep him in the lounge and attempt to converse with him. d. Accompany him to a room where soft music is playing.
question

c
answer

A client experiencing symptoms of anxiety would benefit from which therapy? Select one: a. Chelation b. Phototherapy c. Therapeutic touch d. Magnetic therapy
question

b
answer

Theories based on study of the brain and its activities are called: Select one: a. Social b. Biological c. Psychological d. Psychobiological
question

c
answer

Which client communication problem can the nurse most easily correct? Select one: a. Age differences b. Altered cognition c. Cultural differences d. Gender differences
question

a
answer

Abused substances are those chemicals that alter the person’s perception by affecting the _____ system. Select one: a. Central nervous b. Autonomic nervous c. Cardiorespiratory d. Peripheral nervous
question

c
answer

Which client would be a candidate for ECT? Select one: a. A client with mild depression b. A severely depressed client with congestive heart failure c. A client with severe, long-lasting depression d. A severely depressed client with history of a brain tumor
question

a
answer

In the assault cycle, people are unable to listen to reason, follow directions, or engage in mental exercises during the stage of: Select one: a. Crisis b. Trigger c. Recovery d. Escalation
question

b
answer

A client with a history of delusions demonstrates which of the following behaviors? Select one: a. Shifts from laughing to crying with no apparent cause b. Insists the government is out to harm them c. Has trouble remembering what he had for breakfast d. Expresses a constant fear of dying
question

a
answer

A 15-year-old female client is noted to often sit alone in the activity room of the facility while watching television. She often begins to join in activities on the unit but then retreats back to her room. Which intervention is most appropriate in this situation? Select one: a. Encourage her to join in on a group activity and actively participate in the activity with her until she feels more comfortable on her own. b. Keep encouraging her to participate in the group activity. c. Offer her rewards, such as extended television privileges, for joining in a group activity. d. Offer her support as she tries to become more involved in activities.
question

d
answer

Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is most effective in improving symptoms in people who are experiencing: Select one: a. Bipolar disorder b. Moderate depression c. Postpartum depression d. Seasonal affective disorder
question

b
answer

An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client’s needs, attends every therapy session, and is active in the planning and implementing of the treatment plan. The granddaughter’s valuing of her grandmother is most likely due to her: Select one: a. Ethnicity b. Cultural beliefs c. Religion d. Stereotype
question

d
answer

An obese woman is seen in the emergency department complaining of headaches. Her blood pressure is 150/92. Also present are her 4-year-old son and 2-year-old daughter. When the nurse offers to call a family member to pick up the children, the woman states that they are living alone in a women’s shelter. What is the most appropriate action for the nurse to take? Select one: a. Instruct the client on proper nutrition and educate her regarding the dangers of hypertension. b. Make a referral for the client to a weight loss center. c. Assist the client to plan better coping strategies. d. Assess the family’s daily living needs and consult social work for community resources.
question

b
answer

Which disorder is associated with persons with a body weight that is normal or even slightly above average? Select one: a. Pica b. Bulimia c. Obesity d. Anorexia nervosa
question

d
answer

Your client is a wife and mother who, in addition to doing most of the household tasks, has a difficult time saying no to helping out with functions at school and church. Based on Fromm’s psychodynamic theory, what illness is she more prone to develop? Select one: a. Cardiac problems b. High blood pressure c. Alcoholism d. Gastric ulcer
question

d
answer

The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the client’s therapy? Select one: a. To adjust to his medications b. To learn to get along with others c. To learn to control his environment d. To become aware of how his behavior affects his life
question

d
answer

As a direct result of Clifford Beers’ work and book, A Mind That Found Itself, the Committee for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and: Select one: a. Early detection of symptoms of mental illness b. Education of caregivers c. Current treatment options d. Removing the stigma attached to mental illness
question

b
answer

A female client who has had bipolar disorder for several years decides to stop all of her medications because she is tired of the side effects. She also cancels all appointments with her therapist, stating that it is just too difficult to plan the visits in her hectic schedule. This client is considered: Select one: a. Depressed b. Noncompliant c. Suffering from an anxiety disorder d. Possessing obsessive-compulsive tendencies
question

c
answer

Which of the following best describes the disorder that was first recognized in veterans following the Korean and Vietnam Wars? Select one: a. Depression b. Bipolar disorder c. Posttraumatic stress disorder d. Paranoid schizophrenic disorder
question

a
answer

The childhood trait that increases the risk for developing an antisocial personality disorder is: Select one: a. Poor impulse control b. Frequent reading in solitude c. Poor preschool learning practices d. Difficulty controlling others in the environment
question

b
answer

Signs and symptoms of schizophrenia often are first seen in: Select one: a. Early childhood b. Adolescence c. Early adulthood d. Middle adulthood
question

c
answer

How many people in the United States have a severe mental illness? Select one: a. 500,000 b. 1.3 million c. 5.4 million d. 10 million
question

d
answer

An order written by a physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who was recently hired knows that this treatment is covered by the state’s nurse practice act. What is the nurse’s best course of action? Select one: a. Call the physician to ask for clarification. b. Check the state’s nurse practice act again. c. Contact the nursing supervisor for approval to carry out the treatment. d. Refer to the facility’s policy and procedure to determine the course of action.
question

d
answer

A female client is being discharged from an inpatient mental health unit after receiving treatment for bipolar disorder. She has responded well to treatment but voices concern about going home and maintaining balance in her life. The client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of: Select one: a. Permission b. Respect c. Interest d. Protection
question

c
answer

During an interview with a 15-year-old female client admitted for depression, the nurse expresses her disappointment when she to learns that the client recently became pregnant and then had an abortion. The nurse is contradicting the effective interview guideline of: Select one: a. Paying close attention to the client’s nonverbal communication b. Avoiding making assumptions c. Avoiding one’s personal values that may cloud professional judgment d. Setting clear client goals
question

a
answer

A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street in a confused state and was uncooperative when approached by the police. One of the first assessments that should be performed on this client upon admission is a _____ assessment. Select one: a. Physical b. Sociocultural c. Psychosocial d. Psychiatric
question

d
answer

A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders. Which characteristic of a successful adult is this client lacking? Select one: a. Acceptance of self b. Finding a balance between giving and taking c. Making sound decisions d. Learning from past decisions
question

b
answer

A female client would like to use biofield therapy for her addiction to nicotine. Which form of therapy would she most likely choose? Select one: a. Aromatherapy b. Acupuncture c. Nicotine patches d. Group therapy
question

a
answer

Which is the best way for the nurse to assist clients in managing their pain? Select one: a. By setting manageable goals b. By focusing on nursing care c. By administering narcotic analgesics d. By telling the client to think of something else
question

not c
answer

Which intervention will be most effective when one is teaching a client about his or her medications and their administration? Select one: a. Pointing out the colors of the medications for easier identification b. Referring to medications by name and providing written instructions c. Quizzing the client on each medication’s purpose, side effects, and drug interactions d. Encouraging the client to hold all questions until the end of the discussion so the nurse will not have to repeat information
question

a
answer

Social and emotional development occurs at a more simple level in the child who is _____ years old. Select one: a. 5 b. 8 c. 10 d. 12
question

c
answer

Nearly __________ of all countries in the world have no clear governmental policy that addresses mental health issues. Select one: a. 7% b. 26% c. 50% d. 75%
question

a
answer

A married woman, who is the mother of two children, has been in an abusive relationship for 4 years. She decides to leave her husband after suffering an episode of severe physical abuse. She and her children, ages 7 and 9, arrive at a crisis intervention center. What is the nurse’s priority intervention? Select one: a. Offer immediate emotional support. b. Refer her to a woman’s domestic abuse center. c. Begin to develop a treatment plan for the client and her children. d. Thoroughly assess the situation from most recent to 2 weeks prior to this incident.
question

b
answer

The parents of a 21-year-old college student who attended church services on a consistent basis are concerned when their child returns home from college and announces she is converting to another religion. This individual is most likely experiencing: Select one: a. A personality disorder b. The need to challenge a value and belief system c. Instability due to dysfunctional parenting d. Regression to an unresolved developmental task
question

d
answer

The most important reason for performing a crisis assessment on hospitalized clients is that it allows the care provider to: Select one: a. Implement appropriate care measures. b. Encourage clients to share their concerns. c. Identify the requirements for additional supplies and personnel. d. Identify problems before a crisis develops and plan preventive interventions.
question

a
answer

The parents of a 9-year-old girl with mental retardation voice concerns to the nurse regarding their child’s eating insects and leaves. The parents report that this behavior has been occurring for almost 4 months. From what is this child most likely suffering? Select one: a. Pica b. Rumination disorder c. Enuresis d. Encopresis
question

a
answer

Breath-holding spells typically occur when a child becomes extremely frustrated, cries, and either intentionally or unintentionally holds his or her breath. This rarely occurs in children younger than the age of ______ months. Select one: a. 6 b. 12 c. 18 d. 24
question

b
answer

The average age for onset of anorexia nervosa is _____ years old. Select one: a. 13 b. 17 c. 33 d. 40
question

a
answer

An individual is bisexual. The belief that this individual’s sexual variation is related to genetic influences is the belief held by _____ theorists. Select one: a. Biological b. Behavioral c. Psychosocial d. Psychoanalytical
question

a
answer

The family of a 35-year-old alcoholic who refuses to seek treatment reaches out to the community health center for assistance. Which organization should the nurse refer them to for counseling? Select one: a. Al-Anon b. Alcoholics Anonymous c. Families Anonymous d. Narcotics Anonymous
question

b
answer

A male teenage client tells the nurse that his friends like to drink alcohol occasionally to get drunk. The client’s friends see nothing wrong with their drinking habits. The client states that he was taught by his parents and agrees that underage drinking is not acceptable. Also, he has never seen his parents drunk; therefore, he refuses to drink with his friends. Which mode of transmission best describes how this client’s particular value was formed? Select one: a. Moralizing b. Modeling c. Reward-punishment d. Laissez-faire
question

a
answer

The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique? Select one: a. “I noticed that you pace the halls, and you have a tense look on your face. I sense that you are anxious about something.” b. “Can you tell me more about how you feel when you are arguing with your daughter?” c. “I would like to talk with you about your plan of care.” d. “Tell me if I understand you correctly.”
question

c
answer

One of the ways that nursing care of the elderly is ensured is by the enactment and monitoring of: Select one: a. DSM-IV-TR standards b. State boards of health c. Standards of geriatric nursing practice d. State nurse practice acts
question

c
answer

The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? Select one: a. Biological model b. Psychodynamic model c. Interpersonal model d. Behavioral model
question

b
answer

Crisis interventions are very successful if begun early in the assault cycle, in the ____ stage. Select one: a. Crisis b. Trigger c. Depression d. Escalation
question

a
answer

The introduction of ___________ in the 1950s led to the deinstitutionalization of many mentally ill individuals. Select one: a. Psychotherapeutic drugs b. Community mental health clinics c. Residential treatment centers d. State mental health facilities
question

b
answer

With regard to the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger: Select one: a. Overstimulation b. Hallucinations c. Aggressive behaviors d. Photophobia
question

a
answer

A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. According to Ruesch’s theory of communication, this unsuccessful interaction is called _____ communication. Select one: a. Disturbed b. Nontherapeutic c. Blocked d. Therapeutic
question

b
answer

The experience and suffering of living with mental illness: Select one: a. Decreases as one grows older b. Is unique to each person c. Follows a predictable course d. Is common to all mentally ill persons
question

d
answer

The emotional developmental task of industry vs. inferiority that occurs in childhood is characteristic of which age group? Select one: a. Infancy: birth to 1 year old b. Early childhood: 1 to 3 years old c. Preschool age: 3 to 6 years old d. School age: 6 to 12 years old
question

b
answer

Which is a typical symptom of posttraumatic stress disorder? Select one: a. Constant use of defense mechanisms b. Flashbacks c. Distressing persistent thoughts d. Irrational fear
question

a
answer

For most people, being hospitalized is seen as a(n): Select one: a. Crisis b. Annoyance c. Chance to rest d. Expensive hotel