2023 Mental Health Practice Exam With Answers (60 Solved Questions)

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RN Mental Health Online Practice 2023 B1.A nurse in a mental health clinic is caring for aclient who has bipolar disorder and reports that theystopped taking lithium 2 weeks ago. the nurse shouldrecognize which of the following as an expected ad-verse effect that might have caused the client to stoptaking the medication?Hand tremors2.A nurse is updating the plan of care for a client whohas bulimia nervosa and is 5% above their ideal bodyweight. Which of the following interventions shouldthe nurse include in the plan?identify the client'strigger foods3.A nurse is caring for a client whose child has a termi-nal illness. The client requests information about howto deal with the upcoming loss. Which of the followingstatements should the nurse make?"It is not uncom-mon to feel angrytoward yourself orothers."4.A nurse in a mental health clinic is planning care fora client who has a new prescription for olanzapine.Which of the following interventions should the nurseidentify as the priority?Instruct the clientto avoid drivingduring initial thera-py.5.A nurse is counseling an adolescent who has anorex-ia nervosa and reports excessive laxative use and afear of gaining weight. The client states, "I'm so fatI can't even stand to look at myself." Which of thefollowing therapeutic responses demonstrates thenurse's use of summarizing?"You're saying thatyou think you arefat and are usinglaxatives becauseyou are afraid ofgaining weight."6.A nurse is admitting a client who has schizophreniato an acute care setting. When the nurse questionsthe client regarding their admission, the client states,"I'm red, in the head, and I'm going to bed!" The nurseshould document the client's speech pattern as whichof the following?Clang association7.A nurse is caring for a client who has alcohol usedisorder.violent behavioragitation1 / 11

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RN Mental Health Online Practice 2023 BComplete the following sentence by using the list ofoptions.The client is at greatest risk for _______ as evidencedby the client's ________8.A nurse on a mental health unit is caring for a recentlyadmitted client.For each potential assessment finding, click to spec-ify if it is a positive or negative symptom of schizo-phrenia.Delusions of grandeurAbsence of intonation in speechCatatoniaWithdrawal from social activitiesClang associationsAlogiaPositive symp-toms: Delusionsof grandeur, clangassociations, andcatatoniaNegative symp-toms: Absenceof intonation inspeech, alogia,and withdrawalfrom social activi-ties9.A nurse on a mental health unit is admitting a clientwho has bipolar disorder. Complete the following sen-tence by using the list of options.The first action the nurse should take is to address theclient's _______ due to the client's _________cardiovascular in-juryconstant psy-chomotor activity10.A nurse is caring for a client who is experiencinga situational crisis. Which of the following findingsshould the nurse expect?The client recentlylost a grandparentin a motor vehiclecrash.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 hasdementia and has wandered into the day room look-ing for their deceased partner. Which of the followingactions should the nurse take?Talk with theclient about activ-ities they enjoyedwith their partner.13.2 / 11

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RN Mental Health Online Practice 2023 BA client who has a diagnosis of depression is at-tending group therapy. During the group meeting, thenurse asks each member to identify one goal for theday. When it is the client's turn, they do not respond.Which of the following actions should the nurse takebefore repeating the request to the client?Allow the clienttime to formulatean answer.14.During morning rounds, a nurse finds a client who hasschizophrenia trembling and tearful in their bed. Theclient reports that a bomb was placed in their room bya family member during visiting hours. Which of thefollowing actions should the nurse take?Assess the clientfor evidence of aperceptual distur-bance.15.A nurse is teaching a group of newly licensed nursesabout the use of mechanical restraints. Which of thefollowing information should the nurse include in theteaching?Apply restraintswhen other meansof managing theclient's behaviorhave failed.16.A nurse is admitting a client who has alcohol use dis-order. Which of the following statements by the clientindicates that the client is using denial as a defensemechanism?"I am able to go towork every day, soI don't have a prob-lem."17.A home health nurse is assessing an older adult clientwhose sibling is the primary caregiver. Which of thefollowing findings should the nurse identify as a pos-sible indicator of neglect?Inappropriatedress18.A nurse is assessing a family's dynamics duringa counseling session. The nurse should recognizewhich of the following findings as an indication of aboundary issue?Older children whoare responsible fortheir younger sib-lings19.A nurse is caring for four clients in an emergencydepartment. The nurse should identify that which ofthe following clients can give informed consent?A 35-year-oldclient who has ma-jor depressive dis-order20.3 / 11

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