NUR 2459 | NUR2459 (Latest ) Mental Health Exam 1 & 2
Questions and Verified Answers Grade A Guide- Rasmussen
MENTAL HEALTH EXAM 1
1. The nurse assists the physician with ECT on a client that refused to give consent. What possible
legal action may this nurse be charged with?
a. Breach of confidentiality
b. Defamation of character
c. Battery
d. Assault
2. A client was involuntarily admitted after trying to harm himself. Which statement by the client
would indicate further education regarding his rights?
a. “I can understand why you restrained me when I threatened you.”
b. “I can leave anytime I tell you I’m not going to hurt myself.”
c. I may be here, but I still have the right to vote.
d. You can’t tell my boss that I attempted suicide
3. A nurse is working with a client with a history of panic attacks. During group therapy, the nurse
notes the client begins to tap their foot, becomes mildly anxious, and is pushing away, preparing
to leave the group. The nurse instructs the client to remain seated and asks if they would like a
journal to write down some thoughts while the group resumes. What phase of crisis care is the
nurse implementing?
a. Phase two- planning
b. Phase four- evaluation
c. Phase one- assessment
d. Phase three-intervention
4. A victim of violence comes to the crisis center seeking help. The nurse uses crisis intervention
strategies that focus on which of the following?
a. Supporting emotional security
b. Providing legal assistance
c. Offering long-term resolution of issues
d. Promoting growth of the individual
5. A client prescribed venlafaxine 75mg every AM and 150mg every HS. It comes in 37.5 mg tablet.
How many tablets would the nurse administer a day? 4
6. Therapeutic communication is the foundation of a client-centered interaction. Which of the
following could negatively impact communication?
a. Exploring
b. Seeking clarification
c. Advising
d. Restating
7. A nurse is leading a family therapy session for a mother, father, and two siblings. Which of the
following statements should the nurse recognize as manipulation?
a. Please do not raise your voice at the children. I am the one who left the dishes in the
sink.
b. Can you tell me the reason you so upset when I go to the mall?
c. If you keep saying that, I will tell everyone what you did last night.
d. She is always bossing me around. Should she do that?
,8. During the interdisciplinary treatment team meeting, a short-term outcome is established for a
client with depressive symptoms. Which SMART goal is most appropriate?
a. The client will demonstrate increased interaction with other clients by discharge.
b. The client will reduce self-rating on depression scale by 10% by the second day of
admission.
c. The client will express and demonstrate increases in energy by the third day of
admission
d. The client will make statements that he feels less depressed by the end of the first day of
admission.
9. During a nurse client interaction, the nurse becomes uncomfortable. Which of the following
would represent the use of a non-therapeutic response? SAA
a. The nurse falsely reassures the client
b. The nurse uses exploring to understand the clients feelings
c. The nurse uses probing
d. The nurse uses silence to allow the client to gather thoughts
e. The nurse changes the subject
10. A county in florida was just devastated by a major hurricane. Community mental health nurses
have been sent to the area to provide crisis intervention. What type of prevention strategy is
this?
a. Secondary
b. Interventional
c. Primary
d. Tertiary
11. Which of the following behaviors suggest a breach of professional boundaries? SAA
a. The nurse reads a get well card to the client.
b. The nurse allows a client to hold her hand before chemotherapy.
c. The nurse makes plans to have lunch with the client after discharge
d. The nurse shares details about her family problems
e. The nurse agrees to keep a secret with the client
12. A client has a phobia of horses and has been receiving behavioral therapy. During her sessions
over the last few months, she has progressed from looking at a photo of the animal and through
other small steps resulting in petting the real animal. The progression is an example of which
behavioral therapy?
a. Modeling
b. Systematic desensitization
c. Flooding
d. Positive reinforcement
13. A client becomes agitated and shouts at the nurse. “if you come any closer, I will hit you.” What
is the best response?
a. I am not planning to come any closer. What is happening now?
b. You need to stay calm. You are responsible for your behavior.
c. I am going to get your medication. Try to relax while I am gone.
d. I am calling for assistance. You have until then to get it together.
,14. A nurse is prearing to administer buspirone 15 mg po every 12 hours. Available is busipirone 30
mg/tablet. How many tablets will the nurse administer per dose? 0.5
15. Which statements most clearly reflect the stigma of mental illness?
a. Mental illness is a result of the breakdown of the American family
b. People claim mental illness so they can get disability checks
c. Many mental illnesses are hereditary
d. If people with mental illness went to church, they would be fine.
e. Mental illness can be evidence of a brain disorder
16. Clients are provided opportunities to attend Friday night movie night and tokens for the the
concession area when they have achieved attending and participating in five focused group
sessions. The nurse understands this is which form of therapy?
a. Operant conditioning
b. Validation
c. Response prevention
d. Modeling
17. During the orientation phase of the nurse client relationship. Which of the following will occur?
a. One’s feelings are examined
b. Rapport is established
c. Problem solving skills are identified
d. Information regarding the client is obtained from the chart
18. What is the name of the defense mechanism when a client rechannels drives or impulses that
are unacceptable into constructive activities?
a. Undoing
b. Sublimation
c. Regression
d. Suppression
19. A client states she is returning to school next semester and has some concerns. Which of the
following would be considered the most therapeutic response by the nurse?
a. Tell me more about your plan
b. Can you afford that
c. Your parents will be proud
d. I think that is a wonderful idea
20. A nurse is working with a client who is currently experiencing an escalation in anxiety from mild
to moderate. Which of the following interventions will the nurse include in the plan of care?SAA
a. Sit with the client during meal times to prevent loneliness
b. Ask the client. What thoughts bring you calm and peace
c. Remain calm and allow the client to explore their current feelings
d. Discuss how yoga and meditation support relaxation.
e. Recommend starting medication to help manage anxiety
21. Some cultures are likely to engage in self-treatment using healing processes and may differ from
western medicine. The nurse is caring for a client who uses these healing practices. What it is
the best action by the nurse
a. Tell the client they can continue the healing process at home but not in the hospital
b. Ask the client why they use the healing process
, c. Tell the client to stop the healing practices because it can be harmful to their health
d. Respect and allow the client to continue if the healing practices are not harmful to the
clients health.
22. The primary reason the client should be included in their treatment plan, if possible, would be
for which of the following purposes?
a. It provides an opportunity to discuss staff roles
b. To be involved in the objectives/goal planning for care
c. To read the medical record
d. To hear what each team member says about the prognosis
23. What is the most significant trigger for the development of a nurse focused courtertransferance
situation?
a. The similar histories of the nurse and client
b. The similarities between the client and the nurse’s mother
c. The nature of the clients diagnosis
d. The degree of authority the nurse has
24. When was mental illness determined to be a disability with the americans with disability act?
a. 1975
b. 1999
c. 2005
d. 1989
25. Which statement by the nurse demonstrates an understanding of nonverbal communication
a. Most communication is verbal, not nonverbal
b. If a client avoids others, im sure he is depressed
c. Its always easier to understand nonverbal communication
d. Its important to check for congruence in verbal and non verbal responses
26. The client states his assigned nurse reminds him of his very stern aunt. This statement lis an
example of what type of issue sthat can occur in the nurse-client relationship?
a. Giving recognition
b. Countertransference
c. Making a judgement
d. Transference
27. A nurse is care for a client on a psych unit who has been involuntarily admitted. The nurse
understands, even though given this admission status, the client will still maintain which of the
following rights? SAA
a. The right to leave against medical advice
b. The right to all of their personal belongings
c. The right to informed consent
d. The right to refuse daily medication
e. The right to a least restrictive environment
28. Which of the following are included in Jahoda’s indicators of mental health? SAA
a. Positive self-thought
b. Love and belonging
c. Environmental mastery
d. Perception of reality
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