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    Exam Review

    1. During a mental health assessment, a nurse suspects intimate partner violence. What are the crucial steps to support the client? (Select all that apply)
      (SATA)
      A)
      Ignore the situation and proceed with standard treatment
      B)
      Share the client's details with community groups
      C)
      Ensure privacy and confidentiality
      D)
      Conduct a danger assessment
      E)
      Offer resources for safety and support
    2. A 30-year-old woman visits the mental health clinic reporting high levels of anxiety following a traumatic event. Which of the following actions should the nurse prioritize in this scenario? (Select all that apply)
      (SATA)
      A)
      Refer to a psychiatrist for medication management
      B)
      Encourage participation in group therapy
      C)
      Conduct a comprehensive mental health assessment
      D)
      Teach anxiety coping mechanisms
      E)
      Begin cognitive behavioral therapy immediately
    3. A patient recovering from opioid addiction expresses difficulty in managing cravings and anxiety. Which interventions should the nurse consider to support the patient's recovery? (Select all that apply)
      (SATA)
      A)
      Encourage participation in peer support groups
      B)
      Administer naloxone as needed
      C)
      Develop a personalized plan for coping strategies
      D)
      Incorporate motivational interviewing techniques
      E)
      Introduce mindfulness and relaxation techniques
    4. A nursing student observes a client with substance use disorder who is resistant to the prescribed treatment plan. Which strategy should the nurse use to enhance the client's adherence to the plan?
      A)
      Explore the client's beliefs and concerns about the treatment
      B)
      Insist on following the treatment plan strictly as prescribed
      C)
      Schedule more frequent follow-up appointments
      D)
      Provide additional educational sessions about the benefits of the treatment
    Page 1 of 15

    Exam Review

    1. An elderly patient with dementia is suspected of being abused by their caregiver. Which sign should alert the nurse to confirm this suspicion?
      A)
      The patient shows a sudden change in behavior, such as increased agitation or withdrawal
      B)
      The patient has a well-kept appearance and clean clothes
      C)
      The caregiver is very attentive and always present
      D)
      The patient frequently expresses gratitude towards the caregiver
    2. A patient is prescribed a total of 15 mg of Lorazepam daily, divided into three doses. If each tablet is 1 mg, how many tablets are needed for each dose?
      A)
      3 tablets
      B)
      6 tablets
      C)
      5 tablets
      D)
      4 tablets
    3. A nurse is assessing a 30-year-old female client who has recently disclosed a history of sexual violence. Which of the following nursing interventions should be prioritized to support this client’s immediate needs?
      A)
      Encourage the client to discuss her feelings in detail to facilitate emotional processing
      B)
      Suggest the client return for weekly therapy sessions to explore her trauma in a safe environment
      C)
      Provide the client with information about support groups for survivors of sexual violence
      D)
      Develop a safety plan that includes coping strategies for anxiety and resources for immediate support
    4. A patient with bipolar disorder is prescribed Lithium carbonate 300 mg twice daily. If the pharmacy provides 150 mg tablets, how many tablets will the patient need for one day?
      A)
      4 tablets
      B)
      2 tablets
      C)
      6 tablets
      D)
      8 tablets
    Page 2 of 15

    Exam Review

    1. A client with a history of substance use disorder is admitted for detoxification. Which component is essential for identifying outcomes in the client's care plan?
      A)
      Collaborate with the healthcare team to set realistic goals
      B)
      Implement interventions immediately to stabilize the client
      C)
      Focus solely on the client's physical health needs
      D)
      Document the client's current condition and medical history
    2. A patient with a history of panic attacks experiences a crisis after a natural disaster. What should the nurse prioritize in the patient's care plan?
      A)
      Focus solely on physical recovery post-disaster
      B)
      Encourage the patient to face fears directly
      C)
      Implement relaxation techniques to manage acute symptoms
      D)
      Guide the patient through detailed planning for future disasters
    3. During a follow-up visit, a patient reports worsening symptoms of PTSD after experiencing sexual violence. What steps should the nurse take next? (Select all that apply)
      A)
      Re-evaluate the patient's current treatment plan
      B)
      Increase the dosage of current medication
      C)
      Schedule more frequent follow-up visits
      D)
      Refer to a specialized trauma therapist
      E)
      Encourage the patient to avoid triggers
    4. A nurse is assessing an elderly patient who exhibits signs of physical and emotional abuse. What are the appropriate steps the nurse should take? (Select all that apply)
      A)
      Ignore the patient's complaints
      B)
      Ask family members to leave without explanation
      C)
      Conduct a thorough assessment and document findings
      D)
      Provide emotional support and reassurance
      E)
      Collaborate with social services to create a safety plan
    Page 3 of 15

    Exam Review

    1. A patient is prescribed 20 mg of Paroxetine daily. The available tablet strength is 10 mg. How many tablets should be administered?
      A)
      3 tablets
      B)
      4 tablets
      C)
      1 tablet
      D)
      2 tablets
    2. A nurse is assessing a 10-year-old child who presents with unexplained bruises and has difficulty sitting. What should the nurse's priority action be?
      A)
      Reassure the child and schedule a follow-up appointment
      B)
      Document the child's statement and discharge the child
      C)
      Contact child protective services and conduct further assessments
      D)
      Confront the child about the possibility of abuse
    3. A patient is prescribed Risperidone 2 mg every morning. If Risperidone 0.5 mg tablets are available, how many tablets should be administered each morning?
      A)
      2 tablets
      B)
      1 tablet
      C)
      4 tablets
      D)
      3 tablets
    4. A patient is prescribed 150 mg of Sertraline once daily. The available tablet is 50 mg. How many tablets should the nurse administer?
      A)
      5 tablets
      B)
      4 tablets
      C)
      3 tablets
      D)
      2 tablets
    Page 4 of 15

    Exam Review

    1. A patient is prescribed 75 mg of Venlafaxine once daily. The available tablet strength is 37.5 mg. How many tablets should be administered?
      A)
      1 tablet
      B)
      3 tablets
      C)
      4 tablets
      D)
      2 tablets
    2. A 35-year-old female patient who has survived sexual violence is admitted to your mental health unit. What is the first step you should take as part of the clinical judgment model in addressing her care?
      A)
      Immediately prescribe medication to help with her anxiety
      B)
      Conduct a thorough assessment to recognize cues related to her condition
      C)
      Begin discussing potential therapy options with her
      D)
      Arrange for a family meeting to discuss her situation
    3. During a routine check-up, a teenager reveals to the nurse that they are experiencing emotional abuse from their partner. What should the nurse do first?
      A)
      Ignore the statement as the teenager might be exaggerating
      B)
      Provide the teenager with resources and support for dealing with emotional abuse
      C)
      Contact the teenager's parents immediately
      D)
      Advise the teenager to break up with their partner immediately
    4. Mrs. Johnson, who has a diagnosis of dementia, has been admitted for acute confusion and agitation. What is the nurse's priority assessment?
      A)
      Evaluate the patient's sleep patterns
      B)
      Monitor the patient's blood pressure
      C)
      Assess the patient's nutritional status
      D)
      Assess for signs of infection
    Page 5 of 15

    Exam Review

    1. A patient with delirium frequently experiences vivid hallucinations. Which nursing action is most appropriate?
      A)
      Encourage the patient to focus on the hallucinations
      B)
      Reassure the patient and provide a safe environment
      C)
      Challenge the patient's hallucinations to bring them to reality
      D)
      Ignore the hallucinations to prevent reinforcing them
    2. A nurse is caring for a client who has recently experienced a traumatic event and is showing signs of acute stress disorder. Which of the following nursing actions should the nurse prioritize to promote recovery?
      A)
      Conduct a comprehensive mental status exam to assess the client's cognitive and emotional functioning
      B)
      Encourage the client to discuss the traumatic event in detail to facilitate emotional release
      C)
      Administer prescribed medication immediately to manage the client's anxiety symptoms
      D)
      Reassure the client that they will quickly return to their normal routine after the event
    3. A nurse is caring for a 10-year-old child with bruises and signs of neglect. Which actions should the nurse take to ensure the child's safety and well-being? (Select all that apply)
      A)
      Call the child's teacher to discuss the situation
      B)
      Encourage the child to talk about their experiences
      C)
      Provide the child with food and a safe environment
      D)
      Document observations and report to appropriate authorities
    4. A 78-year-old patient with a history of hypertension and diabetes is admitted to the hospital with symptoms of confusion, agitation, and hallucinations. Which of the following nursing interventions are appropriate in this scenario? (Select all that apply)
      A)
      Encourage the patient to engage in strenuous physical activities
      B)
      Reorient the patient frequently to time and place
      C)
      Provide a calm and quiet environment
      D)
      Assign a sitter to ensure patient safety
      E)
      Monitor the patient's vital signs and level of consciousness regularly
    Page 6 of 15