Mental Health Proctored Practice Exam A with Answers (60 Solved Questions)

Preview (7 of 22 Pages)

100%

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 1 preview image

Loading page ...

Mental Health Proctored Practice A1.14 mL110 lb x (1 kg/2.2 lb) = 50kg50 kg x 0.55 mg = 27.5 mg27.5 mg x(5 mL/10 mg) =14 mLA nurse is preparing to administer chlorpro-mazine 0.55 mg/kg PO to an adolescent whoweighs 110 lb. Available is chlorpromazine syrup10 mg/5 mL. How many mL should the nurseadminister? (Round the answer to the nearestwhole number)2.B. "She won't let metake the trash fromher room. I'm concernedabout what she has inthere."The client might be bingeeating and attempting tohide her food contain-ers, which is a commonbehavior among clientswho have bulimia ner-vosa. The mother's state-ment indicates aware-ness of her daughter'sbehavior.A nurse in an emergency department is caringfor a female adolescent who has a diagnosis ofbulimia nervosa and had a fainting episode duringa ballet performance. Which of the following state-ments by the mother acknowledges her daugh-ter's diagnosis?A. "She works so hard at ballet. Will she still beable to perform?"B. "She won't let me take the trash from her room.I'm concerned about what she has in there."C. "She told me she was tired, so I did her choresfor her today."D. "She is happier with her appearance now thatshe's lost some weight."3.A. The client needs ex-cessive external inputto make everyday deci-sions.Clients who have depen-dent personality disor-der need excessive in-put from others to makeeveryday decisions.While observing group therapy, a nurse recog-nizes that a client is behaving in a way suggestiveof dependent personality disorder. Which of thefollowing behaviors is consistent with this condi-tion?A. The client needs excessive external input tomake everyday decisions.B. The client demonstrates a dedication to his jobthat excludes time for leisure activities.C. The client adheres to a rigid set of rules.D. The client has difficulty starting new relation-ships unless he feels accepted.1 / 22

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 2 preview image

Loading page ...

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 3 preview image

Loading page ...

Mental Health Proctored Practice A4.C. TachycardiaThe nurse should mon-itor the child fortachycardia, which isan adverse effect ofmethylphenidate.A nurse is caring for a child who is takingmethylphenidate. The nurse should monitor thechild for which of the following findings as anadverse effect of methylphenidate?A. Weight gainB. TinnitusC. TachycardiaD. Increased salivation5.B. "To whom do youtalk when you feel over-whelmed?"By asking this question,the nurse is assessingthe client's support sys-tems, which is an impor-tant factor in the client'sability to cope with thesituation.A nurse is interviewing a client at a temporaryshelter after surviving the destruction of her homeby a tornado. When assessing the client, thenurse should ask which of the following questionsto determine the client's ability to cope with thissituation?A. "Don't you think you'll get through this in time?"B. "To whom do you talk when you feel over-whelmed?"C. "Have you thought about rebuilding your homeon the same site?"D. "Would you like me to find a therapist for youto speak with?"6.A. Shuffling gaitBenztropine is used totreat parkinsonism mani-festations, such as shuf-fling gait.A nurse is caring for a client who has schizophre-nia and was prescribed a conventional antipsy-chotic medication yesterday. Which of the follow-ing findings indicates the nurse should administerbenztropine 2 mg IM?A. Shuffling gaitB. HypotensionC. Decreased WBC countD. Blurred vision7.B. A client who hasa sodium level of 128mEq/LA nurse is reviewing routine laboratory values forseveral clients who are taking lithium carbonate.Which of the following clients should the nurse as-2 / 22

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 4 preview image

Loading page ...

Mental Health Proctored Practice AA sodium level of 128mEq/L should alert thenurse that the client isat risk for lithium toxicitybecause renal excretionof lithium is decreasedin the presence of a lowsodium level.sess further for findings indicating lithium toxicity?A. A client who has a fasting blood sugar of 80mg/dLB. A client who has a sodium level of 128 mEq/LC. A client who has a BUN of 18 mg/dLD. A client who has a potassium level of 3.6mEq/L.8.B. "You're saying that youthink you are fat and areusing laxatives becauseyou are afraid of gainingweight."The nurse is using thetherapeutic technique ofsummarizing to reviewthe key points of the dis-cussion.A nurse is counseling an adolescent who hasanorexia nervosa and reports excessive laxativeuse and a fear of gaining weight. The client states,"I'm so fat I can't even stand to look at my-self." Which of the following therapeutic respons-es demonstrates the nurse's use of summariz-ing?A. "You've discussed several concerns about yourweight. Let's go back and talk about your beliefthat you are fat."B. "You're saying that you think you are fat and areusing laxatives because you are afraid of gainingweight."C. "You don't want to look at yourself because youthink you are fat."D. "You and I can work together to overcome yourfears of gaining weight."9.D. MildThe nurse should planto teach the client relax-ation techniques duringthe mild level of anxiety,The is when the clientwill be able to concen-trate and process infor-mation.A nurse is planning care for a client who has gen-eralized anxiety disorder. At which of the followinglevels of anxiety should the nurse plan to teachthe client relaxation techniques?A. PanicB. ModerateC. SevereD. Mild3 / 22

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 5 preview image

Loading page ...

Mental Health Proctored Practice A10.C. Hand tremorsFine hand tremors arean expected adverse ef-fect of lithium and caninterfere with the client'sADLs, causing the clientto stop taking the med-ication.A nurse in a mental health clinic is caring for aclient with bipolar disorder and reports that shestopped taking lithium 2 weeks ago. The nurseshould recognize which of the following as anexpected adverse effect that might have causedthe client to stop taking the medication?A. Sore throatB. PhotophobiaC. Hand tremorsD. Constipation11.D. Easily distractedExtreme distractibility isa hallmark manifestationof delirium.A nurse is performing a cognitive assessmentto distinguish delirium from dementia in a clientwhose family reports episodes of confusion.Which of the following assessment findings sup-ports the nurse's suspicion of delirium?A. Slow onsetB. AphasiaC. ConfabulationD. Easily distracted12.A. "Take this medicationin the evening at bed-time."The client should takethis medication in theevening at bedtime foroptimal effectiveness.A nurse is teaching a family member and a clientwho has a new diagnosis of Alzheimer's diseaseand is to start taking donepezil. Which of thefollowing statements should the nurse include inthe teaching?A. "Take this medication in the evening at bed-time."B. "Expect this medication to reverse the effectsof Alzheimer's disease."C. "If you miss a dose, double the next dose."D. "You can crush this medication in applesauce."13.A. Move the client whohas bipolar disorder to aprivate room.A client who has a recent diagnosis of bipolardisorder is placed in a room with a client who hassevere depression. The client who has depres-4 / 22

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 6 preview image

Loading page ...

Mental Health Proctored Practice AClients who have bipo-lar disorder can disruptthe therapeutic milieu forother clients. Therefore,the nurse should movethis client to a privateroom.sion reports to the nurse, "That man in my roomnever sleeps and he keeps me up too." Which ofthe following is an appropriate action for the nurseto take?A. Move the client who has bipolar disorder to aprivate room.B. Administer sleep medication to the client whohas bipolar disorder.C. Move the client who has severe depression toa private room.D. Administer sleep medication to the client whohas severe depression.14.A. "I should eat a regulardiet with normal amountsof salt and fluids."This statement indicatesthat the client under-stands the teaching be-cause normal levels ofsodium and fluid needto be maintained to en-sure adequate excretionof lithium. If sodium lev-els are low, the body com-pensates by decreasinglithium excretion, whichcan lead to toxicity.A client who has bipolar disorder is to be dis-charged home with a prescription for lithium.Which of the following statements indicates thatclient teaching regarding the medication hasbeen effective?A. "I should eat a regular diet with normalamounts of salt and fluids."B. "I should discontinue the lithium when I beginto feel better."C. "I need to be careful to avoid becoming addict-ed to the lithium."D. "I can skip a dose of medication if my stomachis upset."15.D. "I will attend dai-ly group therapy ses-sions to practice relax-ation techniques."Relaxation techniquesdecrease the risk forself-harm by decreasingA nurse is caring for a client who has attemptedsuicide and has alcohol use disorder. Which ofthe following statements indicates that the clientis using a positive coping mechanism?A. "I will limit my drinking to the weekends."B. "I will stay in my room and avoid others whenI'm feeling down."5 / 22

Mental Health Proctored Practice Exam A with Answers (60 Solved Questions) - Page 7 preview image

Loading page ...

Mental Health Proctored Practice Astress, anxiety, and de-pressionC. "I will be dependent on others for the timebeing."D. "I will attend daily group therapy sessions topractice relaxation techniques."16.C. Temperature 35.6 de-grees Celsius (96.1 de-grees Fahrenheit)Severe hypothermia, atemperature lower than36 degrees Celsius (96.8degrees Fahrenheit) dueto loss of subcutaneoustissue or dehydration, re-quires hospitalization.A nurse is caring for a client who has anorexianervosa. Which of the following criteria requireshospitalization?A. Weight loss 10% of total body weight in 3months.B. Potassium 3.8 mEq/LC. Temperature 35.6 degrees celsius (96.1 de-grees Fahrenheit)D. Heart rate 54/minute17.C. Suggest forming aweekly support group forparents who have experi-enced the loss of a child.Support groups are apositive resource in theprocess of recovery forparents who have lost achild.A nurse is working with a group of parents whorecently lost a child. Which of the following actionsshould the nurse take?A. Encourage the parent to avoid discussing thedeath with other children in order to protect theirfeelings.B. Recommend each parent grieve in private toavoid hindering each other's healing.C. Suggest forming a weekly support group forparents who have experienced the loss of a child.D. Advise the parents to begin counseling if theyare still grieving in a few months.18.D. Spending adequatetime with a client who isverbally abusiveBy spending adequatetime with a client whois verbally abusive, thenurse is demonstratingA nurse on a mental health unit is caring for agroup of clients. Which of the following actions bythe nurse is an example of the ethical principle ofjustice?A. Allowing a client to choose which unit activitiesto attendB. Attempting alternative therapies instead of re-6 / 22

Preview Mode

This document has 22 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

Psychology - Social Psychology

Psychology - Research Methods in Psychology

Psychology - Psychology Treatments

Psychology - Psychology Stress and Health

Psychology - Psychology Sensation

Psychology - Psychology Personality

Psychology - Psychology Perception

Psychology - Psychology Motivation

Psychology - Psychology Memory

Psychology - Psychology Measurement and Statistics

Company

Explore

Study Tools