NGN RN Mental Health 2019 Online Practice Exam A & B All Questions and 100% Correct Answers
A nurse is caring for a group of clients. Which of the following findings should the nurse report? --------- Correct Answer --------- A client who is taking lamotrigine and has developed a rash
A nurse is planning care for a client who is experiencing acute mania. Which of the following interventions should the nurse include in the plan to promote sleep? --------- Correct Answer --------- Encourage frequent rest periods throughout the day.
nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? --------- Correct Answer --------- The client reports command hallucinations.
A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? --------- Correct Answer --------- Allow the client time to formulate an answer.
A nurse is caring for a client who has a recent diagnosis of mild Alzheimer's disease.The client's partner asks the nurse about expected manifestations. The nurse should teach the partner to expect which of the following manifestations to occur first? --------- Correct Answer --------- Frequently misplaces objects
A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan?--------- Correct Answer --------- Promote the use of music to compete with the client's auditory hallucinations.
A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? --------- Correct Answer --------- emotional lability
A charge nurse is preparing an educational session for a group of newly licensed nurses to review client rights under the law. Which of the following statements should the nurse make? --------- Correct Answer --------- "In the event a client threatens harm to others, medications can be administered without consent."
For each potential assessment finding, click to specify if it is a positive or negative symptom of schizophrenia. --------- Correct Answer --------- Delusions of grandeur, clang associations, and catatonia are consistent with positive symptoms of schizophrenia
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Absence of intonation in speech, alogia, and withdrawal from social activities are consistent with negative symptoms of schizophrenia.
A nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide attempt. Which of the following interventions should the nurse identify as the priority? --------- Correct Answer --------- Arrange one-to-one observation of the client.
A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? --------- Correct Answer --------- Interview the client in a private setting.
A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? --------- Correct Answer --------- St.John's wort
A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression? --------- Correct Answer --------- Substance use disorder
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder? --------- Correct Answer --------- anhedonia
A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Which of the following client statements indicates understanding of the teaching about the medication? --------- Correct Answer --------- "I should eat a regular diet with normal amounts of salt and fluids."
A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? --------- Correct Answer --------- respite care
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices telling me what to do." Which of the following actions should the nurse take? --------- Correct Answer --------- ask the client what the voices are saying
A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? --------- Correct Answer --------- If you do my homework for me, I won't bother you for the rest of the day."
MY ANSWER
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A nurse in the emergency department (ED) is admitting a client who was dropped off at the front door.The nurse is assessing the client. Select the 5 findings that require follow-up. --------- Correct Answer --------- Level of consciousness (LOC)
Nausea and vomiting
Respiratory rate
BAC
Temperature
For each of the client assessment findings below, click to specify if the finding is consistent with alcohol toxicity or major depressive disorder. Each finding may support more than one disease process. --------- Correct Answer --------- Weight change is consistent with major depressive disorder
Level of consciousness (LOC) is consistent with alcohol toxicity.
Nausea and vomiting is consistent with alcohol toxicity
Mental status is consistent with alcohol toxicity and major depressive disorder.
Respiratory rate is consistent with alcohol toxicity.
A nurse in the emergency department (ED) is caring for a client who has alcohol toxicity. --------- Correct Answer --------- The client is at risk for developing alcohol withdrawal syndrome as evidenced by the client's mental status
For each of the provider's potential prescriptions, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. --------- Correct Answer --------- CT scan of brain is nonessential
Monitor vital signs every 30 min is anticipated.
Obtain an Alcohol Use Disorders Identification Test (AUDIT) is nonessential.
Initiate IV access is anticipated
Administer an anti-anxiety medication is anticipated.
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