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Mental and Behavioral Health Nursing Exam
Total Questions : 78
Showing 78 questions, Sign in for moreA nurse is teaching a group of clients regarding the use of naltrexone in treating alcoholism. What would the nurse teach about the effectiveness of this drug?
A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen. Which of the following would be an essential teaching point to include regarding the medication?
When a client diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The client now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the client?
The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion. Which thought disturbance is the client demonstrating?
The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?
A client diagnosed with bipolar I disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. What information should be included in the teaching? (Select all that apply.)
The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion.
Which thought disturbance is the client demonstrating?
A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?
The client is experiencing a manic episode. Which of the following activities will be included in the plan of care?
An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. What is the most critical question for the nurse to ask?
A female client staggers to day treatment smelling strongly of alcohol. She uses the defense mechanism "rationalization" when approached by the nurse and questioned about her recent alcohol consumption. How is this expressed?
A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?
A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline?
A client receiving risperidone reports severe muscle stiffness at 1030. By 1200, the client has difficulty swallowing food and is drooling. The client is diaphoretic. By 1600, vital signs are as follows Temperature 102.8 F pulse 110 beats/minute, respirations 26 breaths/minute, and blood pressure 150/90 mmHg.
What is the nurse's best analysis and action?
A newly admitted client has a diagnosis of schizoaffective disorder. Based on this diagnosis, the nurse would expect to find which of the following symptoms?
A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?
A physician has prescribed an antidepressant medication for a 15yearold client. Which statement would be appropriate for inclusion in medication teaching?
The nurse receives report on a male client diagnosed with schizoaffective disorder and is informed that the client's verbal communication includes "circumstantiality." What intervention is most therapeutic when caring for this client?
A client is prescribed risperidone 4 mg PO twice daily. After the client is caught cheeking medications, liquid medication is prescribed. Available is risperidone 0.5 mg/mL. How many milliliters would be administered daily?
(Write the number only, do not include the label Record the answer to the nearest whole number. Do not use a trailing zero.)
Explanation
- The client needs to take 8 mg of risperidone per day in liquid form.
- The concentration of the liquid medication is 0.5 mg/mL.
- To calculate the daily dose in milliliters, divide the total milligrams by the concentration.
- 8 mg / 0.5 mg/mL = 16 mL
- The answer is 16. This is the number of milliliters that would be administered daily.
What client population is at risk of developing tardive dyskinesia?
The nurse is caring for a client who is withdrawing from long-term use of opioids. The nurse will monitor using a Clinical Opioid Withdrawal Scale (COWS). Which of the following cluster of symptoms would indicate to the nurse the client was withdrawing from opioids?
An 80 year-old client, together with his daughter, arrived at the medical surgical unit for diagnostic confirmation and management of probable delirium. Which statement by the client's daughter best supports the diagnosis?
A nurse is planning to run a group for clients diagnosed with paranoia and schizophrenia on an acute care mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?
A nurse is preparing to administer fluoxetine 80 mg PO daily. Available is fluoxetine 40 mg/5mL. How many mL should the nurse administer per dose?
(Write the number only, do not include the label. Record the answer to the nearest whole number. Do not use a trailing zero)
Explanation
Dose (mL) = Desired dose (mg) / Available dose (mg/mL) Plugging in the values from the question, we get:
Dose (mL) = 80 mg / (40 mg / 5 mL) Simplifying the fraction, we get:
Dose (mL) = 80 mg / 8 mg/mL Dividing both sides by 8, we get:
Dose (mL) = 10 mL
Therefore, the nurse should administer 10 mL of fluoxetine per dose.
A newly admitted client diagnosed with paranoid schizophrenia is super vigilant and constantly scans the environment. The client states, "I saw doctors talking in the hall. They were plotting to kill me." Which of the following does the nurse correctly identify as this behavior?
A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?
A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?
The mother of a 20yearold woman recently diagnosed with paranoid schizophrenia asks the nurse what causes schizophrenia. The nurse recognizes which of the following are implicated in the etiology of schizophrenia?
A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?
A client has been admitted to a psychiatric mental health facility in a manic state. The client's spouse accompanies the client to the facility and informs the nurse that the client has been displaying manic symptoms for the past 2 weeks. The spouse reports that the client has not slept for the past 2 days, and that the client has not eaten anything for at least 3 days.
Which would be the priority nursing diagnosis for this client?
A client was admitted to the intensive care unit after a single car accident in which he struck a cement wall. He is now responsive and wants to be discharged within the next couple of days. Which of the following are priorities for screening? (Select all that apply)
A nurse is caring for a client who exhibits manifestations of major depressive disorder. The provider wants to rule out any other medical conditions that may be contributing or causing the symptoms. Which diagnostic test should the nurse expect to be ordered?
A client is admitted to the emergency department after using ecstasy. The nurse identifies this drug as belonging to what class?
When assessing a client immediately following electroconvulsive therapy (ECT), the nurse expects what side effect in a client?
A client is admitted to the hospital for alcohol intoxication. The family reports that he is a heavy drinker and has been admitted several times for alcohol detoxification. When can the nurse expect to observe the first symptoms of withdrawal?
The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?
A client diagnosed with bipolar II disorder has a problem statement of impaired social
interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?
The nurse states in report that the client is experiencing positive symptoms of schizophrenia. What symptoms would the nurse receiving report expect to observe?
What intervention is a priority when the client is experiencing auditory hallucinations?
A client with schizophrenia has received standard antipsychotics for a year. His hallucinations are less intrusive, but the client remains apathetic, has poverty of thought, cannot work, and is socially isolated.
To address these symptoms, the nurse might expect the psychiatrist to prescribe which medication?
What intervention is a priority when the client is experiencing auditory hallucinations?
What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)
A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?
A client asks the nurse to give her information regarding the detoxification process of alprazolam. What is the best response by the nurse?
The nurse observes a client drooling during mealtime. The client complains that his tongue feels swollen, and his jaw feels tight. What is the first action by the nurse?
Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?
A client with chronic alcoholism has been found to have Wernicke encephalopathy. What is this irreversible complication characterized by?
The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?
A 70yearold client is admitted to the locked psychiatric unit, diagnosed with delirium. Later in the day, he tries to get out of the locked unit several times. He yells, "I have to leave and get to my barber. I see him every Wednesday. Let me out!"
Which of the following would be the most therapeutic response by the nurse?
Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder.
Which of the following assessments by the nurse would indicate a need for this medication?
During the admission interview for a client with schizophrenia, the nurse asks the client "tell me the names of the medications you are currently taking. The client responds, medications, abbreviations, deviations, mediations." The nurse will document which form of speech pattern the client is demonstrating?
While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?
A client on the mental health unit has disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another client a "jerk" without provocation. The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They frobitz me."
The client's communication exhibits
Explanation
A. Neologisms are new words or expressions created by the individual, often with personal meaning only they understand. "Frobitz" is an example of a neologism.
B. Loose associations involve a lack of logical connection between thoughts and ideas, leading to disjointed or incoherent speech.
C. Delusional thinking involves holding false beliefs that are resistant to reason or contradictory to evidence.
D. Circumstantial speech involves excessive and unnecessary detail before getting to the point of a conversation.
The nurse is caring for a client who has become increasingly agitated. He is pacing in the hallway and shouting at other clients. What is the priority action of the nurse?
While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?
The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?
Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?
A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?
An older adult in the middle and late stages of Alzheimer's forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the client's family?
An older adult in the middle and late stages of Alzheimer's forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the client's family?
Which nursing documentation entry accurately describes a client's use of confabulation?
A client is hospitalized following a suicide attempt after breaking up with her significant other.
The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll get it right?" Which is the best response by the nurse?
A nurse suspects the client is experiencing delirium. Which of the following assessment findings would support the nurse's suspicion?
A client with schizophrenia has begun a new prescription of clozapine. The nurse should assess the result of which laboratory study to monitor for adverse effects?
A 28-year old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority?
A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?
A client diagnosed with major depressive disorder with psychotic features hears voices commanding self harm. The client refuses to commit to developing a plan for safety. What should be the nurse's priority intervention at this time?
An adult in the emergency department states, "Everything I see appears to be waving. I am outside my body looking at myself. I think I'm losing my mind." Vital signs are slightly elevated. What does the nurse suspect?
A client is admitted with tachycardia, hypertension, restlessness, agitation, and admits substance use. Which substance would be most likely to cause these symptoms?
The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?
A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?
During the admission process, an elderly client is asked to present their license for identification purposes. The client gives the admission personnel their glasses. This is an example of which of the following symptoms of dementia?
A client has been prescribed lithium for long-term maintenance of bipolar disorder diagnosis. Which statement by the client shows an understanding of the medication?
The spouse of a client diagnosed recently with a mood disorder calls the nurse therapist to report a change in the client's mood. The spouse states, "My spouse is clearly in a better mood than usual. I would say my spouse seems mildly elated. They are functioning fine at work and home. My spouse is energetic, up and doing things at 500 a.m. and really confident again. It seems fantastic, but unusual. Is this something to worry about?"
Which potential response by the nurse accurately assesses the situation?
The nurse is teaching about obstacles to maintaining recovery. Which of the following statements would indicate to the nurse a greater risk for relapse? (Select all that apply.)
Which statement provides the best rationale for why a nurse should closely monitor a severely depressed client during antidepressant therapy?
The nurse is building a discharge teaching plan with a client diagnosed with substance use disorder. Which of the following relapse prevention strategies will be included in the teaching? (Select all that apply)
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