PSYCHIATRIC/MENTAL HEALTH NURSING EXAM (3 VERSIONS) 2024/2025
NEWST!! COMPLETE ACTUAL 314 EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+.
A client in the mental health clinic has a phobia about closed spaces.
Which desensitization method should the nurse expect to be used
successfully with this client? - ANSWER-Imagery
What treatment should a nurse anticipate will be prescribed for a
client with severe, persistent, intractable depression and suicidal
ideation? - ANSWER-Electroconvulsive therapy
An older adult, accompanied by family members, is admitted to a
long-term care facility with symptoms of dementia. During the
admission procedure the initial statement by the nurse most helpful
to this client is: - ANSWER-"Don't be afraid. I'm your nurse, and
everyone here in the hospital is here to help you."
An older depressed person at an independent living facility constantly
complains about her health problems to anyone who will listen. One
day the client says, "I'm not going to any more activities. All these old
crabby people do is talk about their problems." What defense
mechanism does the nurse conclude that the client is using? -
ANSWER-Projection
,A client with alcohol dependence problem asks whether the nurse can
see the bugs that are crawling on the bed. What is the nurse's initial
reply? - ANSWER-"No, I don't see any bugs."
A client is responding within an hour of receiving naloxone to combat
respiratory depression from an overdose of heroin. Why should a
nurse continue to closely monitor this client's status? – ANSWER-
Symptoms of the heroin overdose may return after the naloxone is
metabolized.
A client tells the nurse, "The voices say I'll be safe only if I stay in this
room, wear these clothes, and avoid stepping on the cracks between
the floor tiles." What is the best initial response by the nurse? -
ANSWER-"I understand that these voices are real to you, but I want
you to know that I don't hear them."
A parent of a 17-year-old girl who has been hospitalized for extremely
disturbed acting-out behavior leaves a gift for the daughter but says,
"I'm too busy to visit today." The daughter becomes upset and tearful
after being given the message and opening the package. What does
the nurse conclude that the parent's actions represent? - ANSWER-
Double-bind message
A client with schizophrenia is admitted to a psychiatric unit. The client
is talking while walking in the hall, is unkempt, and obviously has not
washed in several days. What should the nurse say when trying to
,help this client shower? - ANSWER-"I'll help you take your shower
now."
When a client is expressing severe anxiety by sobbing in the fetal
position on her bed, the nurse's priority is: - ANSWER-Ensuring a safe
therapeutic milieu
A nurse is caring for several clients who are going through withdrawal
from alcohol. The primary reason for the ingestion of alcohol by
clients with a history of alcohol abuse is that they: -
ANSWER-Are dependent on it
A nurse is caring for a client with the diagnosis of alcohol withdrawal
delirium. Which action is most appropriate for the nurse to
implement? - ANSWER-Assuring the client that the symptoms are part
of the withdrawal syndrome
A 30-year-old woman reports to the mental health clinic on the
recommendation of her primary health care provider. She has been
unable to carry out everyday activities because of increased pain in
her lower back and legs. Numerous neurological and orthopedic
workups indicate that her symptoms seem excessive when compared
with the physical problems shown on physical examination and
repeated MRIs and x-rays. She says that no one understands how
difficult it has been to care for her 32-year-old husband, who has an
, inoperable brain tumor and is undergoing chemotherapy. In light of
the history and symptoms, what disorder should the nurse suspect? -
ANSWER-Conversion
A client is admitted to the hospital because of incapacitating
obsessive-compulsive behavior. The statement that best describes
how clients with obsessive-compulsive behavior view this disorder is:
- ANSWER-"I know there's no reason to do these things, but I can't
help myself."
A client with schizophrenia is demonstrating waxy flexibility. Which
intervention is the best way to manage the possible outcome of this
behavior? - ANSWER-Passive range-of-motion exercises three times a
day for effective joint health
A client has been on the psychiatric unit for several days. The client
arouses anxiety and frustration in the staff and manipulates them so
well that staff members are afraid to approach the client. One morning
the client shouts at the nurse, "You've worked it so I can't go for a
walk with the group today. You're as cunning as a fox. I hate you! Get
out, or I'll hit you!" What is the best response by the nurse? -
ANSWER-"I don't like hearing your threats, but tell me more about
your feelings."
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