Mental Health Nursing Test II - Set A

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  • 1. 
    Annie is extremely underweight and disappears into the bathroom after meals, angrily says to the nurse, “I don’t need to be here. I don’t have any problems. Stop watching me.” To reduce her feeling of being threatened, the nurse would be most therapeutic by responding:
    • A. 

      "Your feelings are part of your illness; later you will feel better."

    • B. 

      “I’ll get your medication your physician ordered for anxiety.”

    • C. 

      “If you do not follow the rules, you will lose your privileges.”

    • D. 

      “I hear how frustrated you are to be here.”


  • 2. 
    The nurse recognizes that the most specific signs and symptoms for diagnosing anorexia nervosa are:
    • A. 

      Excessive weight loss, amenorrhea, and abdominal distention

    • B. 

      Excessive activity, memory lapses, and an increase pulse

    • C. 

      Compulsive behaviors, excessive fears, and nausea

    • D. 

      Slow pulse, mild weight loss, and alopecia


  • 3. 
    Katrina is a 15 year-old client who stands 5-foot, 5-inch-tall, and weighs 80 pounds. She is admitted to a mental health facility with a diagnosis of anorexia nervosa. The nurse recognizes that her problem most likely is caused by:
    • A. 

      A delusion in which she believes she must be think

    • B. 

      The media’s emphasis on the beauty of thinness

    • C. 

      The wish to be accepted by her peers

    • D. 

      A desire to control her life


  • 4. 
    Which characteristic suggests to the nurse that an adolescent may have bulimia?
    • A. 

      Frequent regurgitation and reswallowing of food

    • B. 

      A positive body image and self-concept

    • C. 

      Previous history of gastritis

    • D. 

      Excessive stained teeth


  • 5. 
    Clients with eating disorders often exhibit similar symptoms. The nurse would expect an adolescent client with anorexia to exhibit:
    • A. 

      Disheveled and unkempt physician appearance

    • B. 

      Depersonalization and derealization

    • C. 

      Repetitive motor mechanism

    • D. 

      Affective instability


  • 6. 
    Mr. dela Cruz is admitted to the psychiatric unit because of a major depressive disorder. He is exhibiting increasingly withdrawn behaviors. The nurse understands that eventually the client will experience feelings of:
    • A. 

      Ambivalence

    • B. 

      Isolation

    • C. 

      Paranoia

    • D. 

      Anger


  • 7. 
    Which can minimize agitation in a disturbed client?
    • A. 

      Limiting unnecessary interactions with the client

    • B. 

      Increasing environmental sensory stimulation

    • C. 

      Discussing the reasons for suspicious beliefs

    • D. 

      Ensuring constant staff contact


  • 8. 
    Aside from feeling sad and having difficulty concentrating and sleeping, what other common signs of depression?
    • A. 

      Diminished pleasure in activities and alteration in appetite

    • B. 

      Excessive socialization and interest in activities of daily living

    • C. 

      Alternating episodes of fatigue and high energy

    • D. 

      Rigidity and a narrowing of perception


  • 9. 
    Which of the following settings an extremely depressed client can do best?.
    • A. 

      Opportunities for decision making

    • B. 

      Simple daily routines

    • C. 

      Varied activities

    • D. 

      Multiple stimuli


  • 10. 
    The nurse usually has the most difficulty dealing with which type of client with major depression?
    • A. 

      Pervasive quality of depression

    • B. 

      Client’s psychomotor retardation

    • C. 

      Negative nonverbal responses

    • D. 

      Client’s lack of energy


  • 11. 
    In caring a depressed client, the nurse should initially:
    • A. 

      Keep the client’s surroundings bright and cheery

    • B. 

      Try to keep the client from talking too much

    • C. 

      Attempt to keep the client occupied

    • D. 

      Accept what the client says


  • 12. 
    The nurse should include which of the following plan of continuing care for a moderately depressed client?
    • A. 

      Allowing the client time to be alone to decide in which activities to engage

    • B. 

      Offering the client an opportunity to make some decisions

    • C. 

      Making all decisions to relieve the client of this responsibility

    • D. 

      Encouraging the client to decide how to spend leisure time


  • 13. 
    Establishing trust is a major nursing goal for a depressed client and can best be accomplished by which of the following nursing considerations?
    • A. 

      Spending short periods of time with the client every day

    • B. 

      Waiting for the client to initiate conversation

    • C. 

      Asking the client at least one question daily

    • D. 

      Spending the day with the client


  • 14. 
    The nurse attends to a depressed client and states, “I will be spending some time with you today. “ The client blurted back irritably by saying, “Go talk to someone else. They need you more.” Which is the nurse’s most therapeutic response?
    • A. 

      “I will be spending the next 15 minutes with you.”

    • B. 

      “Don’t you think you are important, too?”

    • C. 

      “I’ll go but I will be back tomorrow.”

    • D. 

      “Why are you angry with me?”


  • 15. 
    A client with a diagnosis of acute depression states, “God is punishing me for my past sins.” Which is the nurse’s best response?
    • A. 

      “If you feel this way, you should talk to your clergyman.”

    • B. 

      “Do you believe God is punishing you for your sins?”

    • C. 

      “You sound very upset about this.”

    • D. 

      “Why do you think that?”


  • 16. 
    During assessment, the nurse should expect which behavior of a client with a diagnosis of schizoid personality disorder?
    • A. 

      Superstitious and socially anxious

    • B. 

      Detached and socially distant

    • C. 

      Dependent and submissive

    • D. 

      Rigid


  • 17. 
    Tristan is a psychiatric client with the diagnosis of histrionic personality disorder. He demands a sleeping pill before going to bed. After being refused, Tristan throws a book at the nurse. The nurse recognizes this behavior as:
    • A. 

      Manipulative

    • B. 

      Acting out

    • C. 

      Ego alien

    • D. 

      Exploitive


  • 18. 
    Desensitization method is utilized successfully by clients experiencing phobias. The method focuses on:
    • A. 

      Assertiveness training

    • B. 

      Role playing

    • C. 

      Imagery

    • D. 

      Modeling


  • 19. 
    Juan comes to the psychiatric clinic for treatment of phobia about dogs. The nurse at the clinic should anticipate that this client will demonstrate:
    • A. 

      Distortion of reality when completing daily routines

    • B. 

      Poor impulse control when threatened

    • C. 

      Fear of discussing the phobia

    • D. 

      Anger toward the feared object


  • 20. 
    A 28-year old female client requested for transfer to other room; she expresses hatred on her roommate stating she can’t stand to be in the same room with her. Just as she finishes speaking, her roommate enters, she tells her she missed her and has been looking for her all over the unit. The nurse recognizes that the client is using:
    • A. 

      Reaction formation

    • B. 

      Passive aggressive

    • C. 

      Sublimation

    • D. 

      Projection


  • 21. 
    Aling Tere, a mother of Anton who is hospitalized for extremely disturbed acting-out behavior, leaves a shopping bag at the desk saying, “This is for my son’s birthday. I’m too busy to visit today.” The gift is an unwrapped expensive pocket book with the price tags attached. The daughter becomes upset and tearful after being given the message and opening the package. Aling Tere’s action is an example of:
    • A. 

      Passive-aggressive behavior

    • B. 

      Double-bind message

    • C. 

      Projective behavior

    • D. 

      Maternal rejection


  • 22. 
    A therapeutic relationship has been established by the nurse and acting-out manipulative client in a mental health unit. As the nurse is about to leave, the client says, “Please stay. I’m afraid the evening staff doesn’t like me. They often punish me.” Which is the nurse response to assist the client?
    • A. 

      “You know I leave at this time. We’ll talk about this in the morning.”

    • B. 

      “Don’t worry. I told you everything would be all right.”

    • C. 

      “Tell me more about what you’re feeling now.”

    • D. 

      “I’ll ask the staff not to punish you.”


  • 23. 
    Rosalinda is diagnosed with borderline personality disorder and has been demonstrating manipulative, inappropriate behavior and consistently attempting to the advantage of the other clients. Before confronting the client, which should be the nurse first to consider?
    • A. 

      Amount of self-awareness exhibited by the client

    • B. 

      Client’s ability to be empathetic toward others

    • C. 

      Depth of their working relationship

    • D. 

      Leave the client for a short period and wait until the client regains control


  • 24. 
    Following a conference with psychiatrist, a client with borderline personality disorder cries bitterly, pound the bed in frustration, and threatens suicide. It would be most helpful for the nurse to:
    • A. 

      Sit down and listen attentively if the client wishes to talk about the problem.

    • B. 

      Ask about the client's troubles and point out that other people also have problems.

    • C. 

      Pat the client reassuringly on the back and say, " I know it is hard to bear."

    • D. 

      Leave the client for a short period and wait until the client regains control.


  • 25. 
    The nurse is aware that withdrawn pattern of behavior eventually produces feelings of:
    • A. 

      Loneliness

    • B. 

      Repression

    • C. 

      Paranoia

    • D. 

      Anger


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