A charge nurse is discussing mental status examination with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates and understanding of the teaching? (Select all that apply).

A. "To assess cognitive ability, I should ask the client to count backwards by seven."

B. "To assess affect, I should observe 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 repeat a list of objects."

E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents."

A. "To assess cognitive ability, I should ask the client to count backwards by seven."

B. "To assess affect, I should observe the client's facial expression."

C. "To assess language ability, I should instruct the client to write a sentence."



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.

D. Monitor the client for adverse effects of medications.



A nurse in an outpatient mental health clinic is preparing to conduct an initial client 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 perceptions of her mental health status.

C. Include the client;s family in the interview.

D. Teach the client about her current mental health disorder.

B. Identify the client's perceptions of her mental health status.



A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect?

The client arouses briefly in response to a sternal rub.



A nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? (Select all that apply).

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.

D. The DSM-5 assists nurses in planning care for clients.

E. The DSM-5 indicates expected assessment findings of mental health disorders.

B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.

C. The DSM-5 indicates recommended pharmacological treatment.

D. The DSM-5 assists nurses in planning care for clients.

E. The DSM-5 indicates expected assessment findings of mental health disorders.




A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the underlying reasons?

A. Narcissistic behavior.

B. Fear of rejjection from staff

C. Attempt to reduce anxiety.

D. Adverse effect of antidepressant medication

C. Attempt to reduce anxiety.



A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Stay with the client and remain quiet.


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