1. A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching? (SATA)
A) To assess cognitive ability I should ask the client to count backward by sevens
B) To assess affect, I should obscure the client's facial expression
C) To assess language ability, I should instruct the client to write a sentence
D) To assess remote memory, I should have the client assess our most recent presidents
2. A nurse is planning care for a client who has a mental health disorder. Which of the following actions
should the nurse include as a psychobiological intervention.
A) Assist the client with systematic desensitization therapy
B) Teach the client appropriate coping mechanisms
C) Assess the client for comorbid health conditions
D) Monitor the client for adverse effects of medications
3. A nurse in an outpatient mental health clinic is preparing to conduct an initial interview. When
conducting the interview, which of the following actions should the nurse identify as the priority?
A) Coordinate holistic care with social services
B) Identify the client's perception of her mental health status
C) Include the client's family in the interview
D) Teach the client about her current mental health disorder
4. A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental
Disorders, 5th edition. Which of the following information is appropriate to include in the discussion?
(SATA)
A) The DSM-5 includes client education handouts for mental health disorders
B) The DSM-5 establishes diagnostic criteria for individual mental health disorders
C) The DSM-5 indicates recommended pharmacological treatment for mental health disorders
D) The DSM-5 assists nurses in planning care for client's who have mental health disorders
E) The DSM-5 indicates expected assessment findings of mental health disorders
5. A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify
that which of the following clients requires a temporary emergency admission?
A) A client who has schizophrenia with delusions of grandeur
B) A client who has manifestations of depression and attempted suicide a year ago
C) A client who has borderline personality disorder and assaulted a homeless man with a metal rod
D) A client who has bipolar disorder and paces quickly around the room while talking to himself
6. A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is
very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example
of which of the following torts?
A) Invasion of privacy
B) False Imprisonment
C) Assault
D) Battery
7. A client tells a nurse "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect
myself from my roommate, who is always yelling at me and threatening me." Which of the following
actions should the nurse take?
A) Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife
B) Keep the client's communication confidential, but watch the client and his roommate closely
C) Tell the client that this must be reported to the healthcare team because it concerns the health and
safety of others
D) Report the incident to the health care team, but do not inform the client of the intent to do so.
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