SAUNDERS MENTAL HEALTH 2024
EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
The mental health nurse notes that a client diagnosed with schizophrenia is
exhibiting flat affect. Which situation supports this documentation? - ANSWERS-
During the entire family visit, the client presented with an expressionless, blank
look.
QUESTION 2
The nurse creating a plan of care for the client demonstrating paranoia should
include which interventions in the plan of care? Select all that apply. - ANSWERS-
- Ask permission before touching the client.
- Eliminate all unnecessary physical contact with the client.
- Defuse any anger or verbal attacks with a nondefensive stance.
- Use simple and clear language when communicating with the client.
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, SAUNDERS MENTAL HEALTH 2024
EXAM
QUESTION 3
The nurse is preparing a client for electroconvulsive therapy, which is scheduled
for the next morning. Which interventions would be included in the preprocedural
plan? Select all that apply. - ANSWERS-- Have the client void.
- Obtain an informed consent.
- Remove dentures and contact lenses.
- Withhold food and fluids for 6 hours.
QUESTION 4
A hospitalized client is receiving clozapine for the treatment of a schizophrenic
disorder. The nurse determines that the client may be having an adverse reaction to
the medication if abnormalities are noted on which laboratory study? -
ANSWERS-- White blood cell count
QUESTION 5
Before giving the client the initial dose of disulfiram, what should the psychiatric
home health nurse determine? - ANSWERS-When the last alcoholic drink was
consumed
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, SAUNDERS MENTAL HEALTH 2024
EXAM
QUESTION 6
The nurse determines that a history of which mental health disorder would support
the prescription of taking donepezil hydrochloride? - ANSWERS-Dementia
QUESTION 7
The nurse is caring for a client with a diagnosis of agoraphobia. Which statement
made by the client would support this diagnosis? - ANSWERS-"I'd be sure to have
a panic attack if I left my house."
QUESTION 8
Agoraphobia - ANSWERS-a fear of leaving the house and experiencing panic
attacks when doing so.
QUESTION 9
A client recently admitted to the hospital in the manic phase of bipolar disorder is
unkempt, taking antipsychotic medications, and complaining of abdominal fullness
and discomfort. Which intervention addresses the priority sign/symptom? -
ANSWERS-Encourage frequent fluid intake and a high-fiber diet.
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, SAUNDERS MENTAL HEALTH 2024
EXAM
QUESTION 10
A homebound client confidentially discusses suicidal plans with the visiting nurse.
Based on professional duty to observe confidentiality, which statement describes
the nurse's obligation to the client? - ANSWERS-Share that the risk to their safety
requires that the client's HCP be notified.
QUESTION 11
Which situation will present the most prominent problem when attempting to
manage the outpatient care of a client diagnosed with schizophrenia? -
ANSWERS-The client's noncompliance with medication therapy
QUESTION 12
During a home visit, the nurse suspects that a young daughter of the client is
bulimic. The nurse bases this suspicion on which primarycharacteristics of
bulimia? - ANSWERS-Eating a lot of food in a short period of time and misuse of
laxatives
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