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MH FINAL EXAM 2024 NEWEST/ MH FINAL COMPLETE
120 REAL EXAM QUESTIONS AND VERIFIED ANSWERS
(100% CORRECT ANSWERS) AGRADED (NEW!!)
A comprehensive nursing assessment for neuroleptic malignant syndrome (NMS) should include checking for which in a client taking an antipsychotic medication?
- Headache, muscle aches, and paresthesias
- Confusion, giddiness, and hyperalertness
- Muscular rigidity, tremors, and difficulty swallowing
- Dry mouth, flushing, and urinary retention
Correct Answer - C) Muscular rigidity, tremors, and difficulty swallowing
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?
- odd beliefs and magical thinking
- grandiose sense of self-importance
- pattern of intense and chaotic relationships
- submissive and clinging behaviors
Correct Answer - B. grandiose sense of self-importance
A severely and persistently mentally ill patient who lives in a homeless shelter has the nursing diagnosis Powerlessness. Which intervention should be included in the plan of care?
- Reinforce participation in activity.
- Encourage mutual goal setting.
- Verbally communicate empathy.
- Demonstrate an accepting attitude.
Correct Answer - b. Encourage mutual goal setting. 1 / 4
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The highest priority for assessment by nurses caring for older adults who self-administer
medications is:
- use of multiple drugs with anticholinergic effects
- overuse of medications for erectile dysfunction
- misuse of antihypertensive medications
- trading medications with acquaintances
Correct Answer - a. use of multiple drugs with anticholinergic effects
A client has a nursing diagnosis of risk for suicide R/T a past suicide attempt. Which outcome, based on this diagnosis, would the nurse prioritize?
- The client will remain free from injury throughout hospitalization
- The client will set one realistic goal related to relationships by day 3
- The client will verbalize one positive attribute about self by day 4
- The client will be easily redirected when discussion about suicide occurs by day 5
Correct Answer - A. The client will remain free from injury throughout hospitalization
It has been 5 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.
- Supervise the patient 24 hours a day.
- Begin discharge planning for the patient.
- Refer the patient to art and music therapists.
- Consider discontinuation of suicide precautions.
Correct Answer - a. Supervise the patient 24 hours a day.
A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse?
- Perform immediate gastric lavage
- Prepare the client for hemodialysis 2 / 4
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- Administer an additional oral dose of lithium.
- Request a state repeat of the lab test.
Correct Answer - a. Perform immediate gastric lavage
A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder.Which of the following diagnostic tests should the nurse recommend that the client undergo periodically?
- Chest x-ray
- Tonometry
- Thyroid function test
- Endoscopic retrograde cholangiopancreatography (ERCP)
Correct Answer - C. Thyroid function test
A patient says to the nurse , " My life does not have any happiness in it anymore . I once enjoyed holidays, but now they're just another day. " How would the nurse document the patient's statement ?
- Vegetative
- Anhedonia
- Euphoria
- Anergia
Correct Answer - b. Anhedonia
A patient says to the nurse, "I once enjoyed going to parks and museums with my family but that is not fun anymore." How would the nurse document this complaint?
- Anergia
- Euthymia
- Anhedonia
- Self-deprecation
- / 4
Correct Answer - c. Anhedonia
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A woman just received notification that her husband died. She approaches the nurse who cared for him during his last hours and says angrily, "If you had given him your undivided attention, he would still be alive." Which analysis applies?
- The comment warns of a malpractice suit.
- Anger is a phenomenon experienced during grieving.
- The patient had ambivalent feelings about her husband. d. In some cultures, grief is
expressed solely through anger.Correct Answer - b. Anger is a phenomenon experienced during grieving.
After the death of a spouse, an adult repeatedly says, "I should have made him go to the doctor when he said he didn't feel well." This individual is experiencing:
- preoccupation with the image of the deceased.
- sensations of somatic distress.
- anger.
- Guilt.
Correct Answer - d. Guilt.
After being notified that her husband died of heart failure, a wife approaches the nurse who cared for her husband and in the hospital hallway shouts angrily, "He'd still be alive if you'd given him your undivided attention!" Select the nurse's best response.
- "I understand you're feeling upset. Let's go to our conference room, and I'll stay with
- "Your husband's heart was severely damaged and could no longer pump. There's
- "I will call the nursing supervisor to discuss this matter with you."
- "It will be all right if you cry. Crying is a normal grief response."
- / 4
you until your family comes."
nothing anyone could have done."
Correct Answer - a. "I understand you're feeling upset. Let's go to our conference room, and I'll stay with you until your family comes"