1. A client with paranoia is admitted to the mental health unit and immediately

goes to the corner of the room and sits quietly without communicating. In

approaching the client, what intervention should the nurse implement first?

• Explain the nurse's role to the client.

2. Client treated with lithium for bipolar develops diarrhea, vomiting and

drowsiness, what action should the nurse do

• Notify HCP of the symptoms prior to the next admin of the drug

3. A mental health worker (MHW) is caring for a client with escalating aggressive

behavior, which action by the MHW warrants immediate intervention by the

nurse?

• Is attempting to physically restrain the client.

4. A woman who is bipolar is wearing low cut blouse, and skirt with no underwear,

what does nurse do?

• Walk her to room and help her pick out something more appropriate

5. An older man who recently got divorced and is 2 years sober, and an alcoholic

loves God. He loves kids also. What should nurse ask at his initial interaction?

• What is your biggest concern?

6. A woman who is diagnosed with breast cancer becomes dependent and asks

family members if they can do ADL's that she is fully capable of doing. What is

the reason for this behavior?

• Its expected; regression is a natural start for recovery

7. Patient having to get treated for benzo diazepam and methadone overdose.

What do you use?

• Narcan

8. Patient watching TV starts talking loud to himself. The nurse comes in and can't