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Nursing: NUR 3525 Mental Health Real Exam
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Study Guide for Exam 1Nursing: NUR 3525 Mental Health Concepts
Study Guide for Exam 1
There are 50 questions only.
Textbook (Townsend)
Chapters: 1, 5, 25,
ATI RN Mental Health Nursing Ed. 11.0 Chapter 4
Standardized Screening Tools MMSE Mini-
mental State Examination Chapter 2, 4, 22
A Charge nurse is discussing mental status examinations with a newly licensed nurse.
Which of the following statements by the nurse indicates an understanding of the teaching
(SATA)
To assess cognitive ability, I should ask the client to count backwards by sevens
To assess affect, I should observe the clients facial expression.
To assess language ability, I should instruct the client to write a sentence.
To assess remote memory, I should have the client repeat a list of objects.
To assess the clients abstract thinking, I should ask the client to identify our most recent
presidents.
A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental
Disorders, 5th edition. Which of the following information is appropriate to include in the
discussion?
A) The DSM-5 includes client education handouts for mental health disorders
B) The DSM-5 establishes diagnostic criteria for individual mental health disorders
C) The DSM-5 indicates recommended pharmacological treatment for mental health disorders
D) The DSM-5 assists nurses in planning care for client's who have mental health disorders
E) The DSM-5 indicates expected assessment findings of mental health disorders
A nurse is told during change-of-shift report that a client is stuporous. When assessing the client,
which of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal rub
B) The client has a Glascow Coma Scale less than 7
C) The client exhibits decorticate rigidity
D) The client is alert but disoriented to time and place
A nurse in an outpatient mental health clinic is preparing to conduct an initial interview. When
conducting the interview, which of the following actions should the nurse identify as the priority?
A) Coordinate holistic care with social services
B) Identify the client's perception of her mental health status
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C) Include the client's family in the interview
D) Teach the client about her current mental health disorder
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention.
A) Assist the client with systematic desensitization therapy
B) Teach the client appropriate coping mechanisms
C) Assess the client for comorbid health conditions
D) Monitor the client for adverse effects of medications
ATI Chapter 2
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
A) A client who has schizophrenia with delusions of grandeur
B) A client who has manifestations of depression and attempted suicide a year ago
C) A client who has borderline personality disorder and assaulted a homeless man with a metal
rod
D) A client who has bipolar disorder and paces quickly around the room while talking to himself
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are
an example of which of the following torts?
A) Invasion of privacy
B) False Imprisonment
C) Assault
D) Battery
A client tells a nurse "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always yelling at me and threatening me." Which of the
following actions should the nurse take?
A) Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife
B) Keep the client's communication confidential, but watch the client and his roommate
closely
C) Tell the client that this must be reported to the healthcare team because it concerns the
health and safety of others
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D) Report the incident to the health care team, but do not inform the client of the intent to do so.
A Nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation?
A) "Client ate most of his breakfast"
B) "Client was offered 8oz of water every hour"
C) "Client shouted obscenities at assistive personnel"
D) "Client received chlorpromazine 15 mg by mouth at 1000."
E) "Client acted out after lunch"
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A) Notify the nurse manager
B) Tell the nurse to stop discussing the behavior
C) Provide an in-service program about confidentiality
D) Complete and incident report
ATI Chapter 4
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing
because I have that cold that everyone has been getting." The nurse should identify that the client
is using which of the following defense mechanisms?
A. Reaction formation
B. Denial
C. Displacement
D. Sublimation
A nurse is providing preoperative teaching for a client who was just informed that she requires
emergency surgery. The client, has a respiratory rate 30/min, and says, "This is difficult to
comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing
which of the following levels of anxiety?
A. Mild
B. Moderate
C. Severe
D. Panic
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