Mental Health Nursing Test I - Set A

25 Questions | Total Attempts: 619

SettingsSettingsSettings
Mental Health Nursing Test I - Set A

This test contains 25 items Questions about Mental Health Nursing For Answer Key visit: Mental Health Nursing Test I - Set A: Questions with Answers For more Nursing Review Tests visit: www. NURSETOPIC. Com. Adslot-overlay {position: absolute; font-family: arial, sans-serif; background-color: rgba(0,0,0,0. 65); border: 2px solid rgba(0,0,0,0. 65); color: white !important; margin: 0; z-index: 2147483647; text-decoration: none; box-sizing: border-box; text-align: left;}. Adslot-overlay-iframed {top: 0; left: 0; right: 0; bottom: 0;}. Slotname {position: absolute; top: 0; left: 0; right: 0; font-size: 13px; font-weight: bold; padding: 3px 0 3px 6px; vertical-align: middle; background-color: rgba(0,0,0,0. 45); text-overflow: ellipsis; white-space: now


Questions and Answers
  • 1. 
    The physician and the parents of a child diagnose with acute myelogenous leukemia are discussing on the diagnosis and prognosis of the child. After the parents visit, both parents have a severe argument over something trivial while waiting in the lounge. The nurse understands that they are using which defense mechanism?
    • A. 

      Displacement

    • B. 

      Compensation

    • C. 

      Projection

    • D. 

      Denial

  • 2. 
    A 6 year-old child having a terminal illness is demanding of the staff. The child asks for several privileges that other children on the unit do not have, such as staying up late to watch TV and eating candy. It is known to staff members that the child does not have long to live. Which can best encourage and be of assistance to the staff members in coping with the child’s demands?
    • A. 

      Recognize that the dying has unique needs, and special privileges can provide the necessary security.

    • B. 

      Set reasonable limits to help the child become more secure and content.

    • C. 

      Give the child some extra treats so they will feel less anxiety after the child dies.

    • D. 

      Give as many extra treats as possible, because the child is dying.

  • 3. 
    A child dies after an explosion at the church. The parents arrive at the hospital after being told of what happened. When asked by the parents if they can see their child, which should be the nurse best response?
    • A. 

      “It will be less traumatic if you see your child at the funeral home.

    • B. 

      “You’ll have to wait until the physician can be with you.

    • C. 

      “let’s go see your child now.”

    • D. 

      “It’s best to wait for a while.”

  • 4. 
    Antonia, a 35-year-old woman was brought to a mental health hospital by her husband. She is in a stupor and her husband states that her drinking has increased in the last 3 years since their daughter died. Based on this history, which of the following tentative nursing diagnosis the nurse should make?
    • A. 

      Disturbed Thought Process

    • B. 

      Disturbed personal identity

    • C. 

      Dysfunctional Grieving

    • D. 

      Disabled Family Coping

  • 5. 
    Marissa lost her son in a car accident. She tells the nurse that her son just go well from having flu and is not supposed to attend school, but she insisted that she go. Marissa cries bitterly and blames herself for the death of her son. The nurse should understand that perceiving a death as preventable will often influence the grieving process in that:
    • A. 

      It causes the mourner to experience a pathologic grief reaction.

    • B. 

      Bereavement may be greater intensity and duration.

    • C. 

      The grieving process may progress to a psychiatric illness.

    • D. 

      The loss may be easier to understand and to accept.

  • 6. 
    During shock phase of a grief reaction, which should be the initial nursing intervention for the significant others?
    • A. 

      Presenting full reality of the loss to the individuals.

    • B. 

      Directing the individuals’ activities at this time.

    • C. 

      Mobilizing the individuals’ support systems.

    • D. 

      Staying with the individuals involved.

  • 7. 
    Soon after the death of Linda’s husband following a long illness, She visits the mental health clinic with complains of malaise, lethargy, and insomnia. The nurse, knowing that it is most important to help the wife cope with her husband’s death, should attempt to determine the:
    • A. 

      Compensation

    • B. 

      Displacement

    • C. 

      Projection

    • D. 

      Denial

  • 8. 
    Paris’ stream of consciousness is occupied exclusively with thoughts of Michael Jackson’s death. The nurse should plan to help the client through this stage of grieving, which is known as:
    • A. 

      Restitution and recovery

    • B. 

      Developing awareness

    • C. 

      Resolving the loss

    • D. 

      Shock and disbelief

  • 9. 
    When an individual successfully completes the grieving process after the death of a significant other, the individual will be able to:
    • A. 

      Focus mainly on the good qualities of the person who died.

    • B. 

      Remember the significant other realistically

    • C. 

      Go on with life while forgetting the past

    • D. 

      Accept the inevitability of death

  • 10. 
    A plan of care is discussed by the nurse to a depressed client whose wife has just died. The nurse understands that it would be most helpful to:
    • A. 

      Talk with the client about her husband and the details of his death.

    • B. 

      Motivate the client to interact with male clients and the staff.

    • C. 

      Encourage client to talk about and plan for the future.

    • D. 

      Involve the client in group exercises and games

  • 11. 
    Cristy is diagnosed with dementia (multi-infarct dementia) after a brain attack. Her history reveals a trial fibrillation. When comparing assessments of clients with vascular dementia of the Alzheimer’s type, which factor is distinctive to vascular dementia?
    • A. 

      Inability to use words to communicate

    • B. 

      Abrupt onset of symptoms

    • C. 

      Difficulty making decisions

    • D. 

      Memory impairment

  • 12. 
    Alfredo has had a problem recalling his daily schedule and finding the right words to express himself. He is diagnosed as having dementia of the Alzheimer’s type. The nurse is aware that symptoms of this disorder:
    • A. 

      Frequently begin after a loss of self-esteem

    • B. 

      Develop over a long period

    • C. 

      Have periods of remission

    • D. 

      Usually occur fairly rapidly

  • 13. 
    When Assessing a client with a cognitive disorder, which of the following behavior related to an alteration in the mood the nurse should identify?
    • A. 

      Delusions and hallucinations

    • B. 

      Reverse day and night activities

    • C. 

      Telling sexually explicit jokes

    • D. 

      Hoards food

  • 14. 
    Aling Dionisia has dementia. She is living with Manny before hospitalization. She is discharged with a referral to the visiting nurse. When the nurse visits, Aling Dionisia is bed sleeping at 10 A.M. Manny states that he gives her mother sleeping pills to stop her wandering at night. The nurse should:
    • A. 

      Emphasize with the daughter but suggest the wrist restraints would be better

    • B. 

      Explore the use of a home health aide to sit with the client at night.

    • C. 

      Suggest moving the client among family members on a monthly basis

    • D. 

      Discuss the possibility of placing the client in a nursing home.

  • 15. 
    The nurse had a conversation with a client having substance – induced persisting dementia, the client cannot remember facts and fills in the gaps with imaginary information. The nurse is aware that this is typical of:
    • A. 

      Associative looseness

    • B. 

      Confabulation

    • C. 

      Flight of ideas

    • D. 

      Concretism

  • 16. 
    Which should the nurse expect to note for its presence while taking health history from a client who has moderate level of cognitive impairment due to dementia?
    • A. 

      Accentuated premorbid traits

    • B. 

      Enhanced intelligence

    • C. 

      Increase inhibition

    • D. 

      Hypervigilance

  • 17. 
    Cora is admitted with a diagnosis of dementia of the Alzheimer’s type. The nurse recognizes that this disorder is a :
    • A. 

      Cognitive problem that is slow, relentless, diffuse deterioration of the mind

    • B. 

      Disorder that is easily diagnosed through laboratory and psychologic tests.

    • C. 

      Nonorganic disorder that occurs in the later years of life

    • D. 

      Problem that first emerges in the 3rd decade of life

  • 18. 
    An 80-year-old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The client has all the following signs. Which is unrelated to depressions?
    • A. 

      Apathetic response to the environment

    • B. 

      “I don’t know” answers to questions

    • C. 

      Neglect of personal hygiene

    • D. 

      Loss of memory

  • 19. 
    Which h of the following the nurse should consider when planning activities for an older nursing home client?
    • A. 

      Provide familiar activities that the resident can successfully complete

    • B. 

      Offer challenging activities to maintain the resident’s contact with reality

    • C. 

      Ensure that the resident actively participates in the unit’s daily activities

    • D. 

      Plan varied activities that will keep the resident occupied.

  • 20. 
    Peter has a diagnosis of dementia of the Alzheimer’s type, stage 1. He is living at home with his adult son. To best address the functional and behavioral changes associated with this stage, the nurse should encourage the daughter to:
    • A. 

      Perform care so that the mother does not need to make decisions.

    • B. 

      Post a schedule of mother’s daily activities

    • C. 

      Place the mother in a long term care facility

    • D. 

      Provide the mother’s basic physical needs

  • 21. 
    The interrelationships in the family of an adolescent with anorexia nervosa is assessed. Which of the following the nurse would probably observe?
    • A. 

      Inadequate conflict resolution skills

    • B. 

      Parental disinterest in the adolescent

    • C. 

      Rigid personal boundaries

    • D. 

      Ambivalence about issues

  • 22. 
    An 18-year-old client with anorexia nervosa is admitted by the nurse. During taking of client’s history and physical assessment, it is unlikely tht the client’s condition would reveal:
    • A. 

      Hypertension

    • B. 

      Constipation

    • C. 

      Amenorrhea

    • D. 

      Alopecia

  • 23. 
    A newly admitted client was admitted with bulimia nervosa. The nurse in a mental health facility determines that the priority nursing intervention would be:
    • A. 

      Involve the client in developing a daily meal plan

    • B. 

      Teach the client to measure intake and output

    • C. 

      Monitor the client continually

    • D. 

      Observe the client during meals

  • 24. 
    A Female adolescent client with anorexia nervosa is interviewed. She is malnourished and severely underweight. Which of the following statements made by the client, the nurse identify as a secondary gain behavior?
    • A. 

      “My mother keeps trying to get me to eat.”

    • B. 

      “My hair is beginning to fall out.”

    • C. 

      “I get straight A’s in school.”

    • D. 

      “I am fat as a house.”

  • 25. 
    A major identifiable difference between clients with anorexia nervosa and clients with bulimia nervosa is that clients with anorexia usually:
    • A. 

      Deny the problem, whereas clients with bulimia generally recognize that their eating pattern is abnormal

    • B. 

      Are at greater risk for fluid and electrolyte imbalances than are clients with bulimia

    • C. 

      Seek intimate relationships whereas clients with bulimia avoid them

    • D. 

      Tend to be extroverted than clients with bulimia nervosa