2023 Mental Health Practice Exam With Answers (60 Solved Questions)
- Psychology
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RN Mental Health Online Practice 2023 B 1. A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they stopped taking lithium 2 weeks ago. the nurse should recognize which of the following as an expected ad- verse effect that might have caused the client to stop taking the medication? Hand tremors 2. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. Which of the following interventions should the nurse include in the plan? identify the client's trigger foods 3. A nurse is caring for a client whose child has a termi- nal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? "It is not uncom- mon to feel angry toward yourself or others." 4. A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? Instruct the client to avoid driving during initial thera- py. 5. A nurse is counseling an adolescent who has anorex- ia nervosa and reports excessive laxative use and a fear of gaining weight. The client states, "I'm so fat I can't even stand to look at myself." Which of the following therapeutic responses demonstrates the nurse's use of summarizing? "You're saying that you think you are fat and are using laxatives because you are afraid of gaining weight." 6. A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following? Clang association 7. A nurse is caring for a client who has alcohol use disorder. violent behavior agitation 1 / 11
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RN Mental Health Online Practice 2023 B Complete the following sentence by using the list of options. The client is at greatest risk for _______ as evidenced by the client's ________ 8. A nurse on a mental health unit is caring for a recently admitted client. For each potential assessment finding, click to spec- ify if it is a positive or negative symptom of schizo- phrenia. Delusions of grandeur Absence of intonation in speech Catatonia Withdrawal from social activities Clang associations Alogia Positive symp- toms: Delusions of grandeur, clang associations, and catatonia Negative symp- toms: Absence of intonation in speech, alogia, and withdrawal from social activi- ties 9. A nurse on a mental health unit is admitting a client who has bipolar disorder. Complete the following sen- tence by using the list of options. The first action the nurse should take is to address the client's _______ due to the client's _________ cardiovascular in- jury constant psy- chomotor activity 10. A nurse is caring for a client who is experiencing a situational crisis. Which of the following findings should the nurse expect? The client recently lost a grandparent in a motor vehicle crash. 11. A nurse is caring for a client who has alcoholic car- diomyopathy. Which of the following laboratory find- ings should the nurse expect? Increased crea- tine phosphoki- nase (CPK) 12. A nurse is caring for an older adult client who has dementia and has wandered into the day room look- ing for their deceased partner. Which of the following actions should the nurse take? Talk with the client about activ- ities they enjoyed with their partner. 13. 2 / 11
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RN Mental Health Online Practice 2023 B A client who has a diagnosis of depression is at- tending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? Allow the client time to formulate an answer. 14. During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in their bed. The client reports that a bomb was placed in their room by a family member during visiting hours. Which of the following actions should the nurse take? Assess the client for evidence of a perceptual distur- bance. 15. A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of the following information should the nurse include in the teaching? Apply restraints when other means of managing the client's behavior have failed. 16. A nurse is admitting a client who has alcohol use dis- order. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? "I am able to go to work every day, so I don't have a prob- lem." 17. A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a pos- sible indicator of neglect? Inappropriate dress 18. A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue? Older children who are responsible for their younger sib- lings 19. A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? A 35-year-old client who has ma- jor depressive dis- order 20. 3 / 11
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