A charge nurse is discussing mental status exams with a newly licensed nurse. Which

of the following statements by the newly licensed nurse indicates an understanding of

the teaching? (Select all that apply). - Correct Answer -To assess cognitive ability, I

should ask the client to count backward by sevens."

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

-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? - Correct

Answer Monitor the client for adverse effects of the 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? - Correct Answer Identify the client's perception 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? - Correct Answer

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) - Correct

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

-The DSM-5 assists nurses in planning care for client's who have mental health

disorders.

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

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? - Correct Answer A client who has borderline personality disorder and

assaulted a homeless man with a metal rod

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? - Correct Answer

False imprisonment

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? - Correct Answer Report the

incident to the health care team, but do not inform the client of the intention to do so.