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    Exam Review

    1. The client says, "My marriage is just great. My spouse and I always agree.”. The nurse observes the client's foot moving continuously as the client twirls a shirt button. What conclusion can the nurse draw about the client's statement?
      A)
      It is inadequate.
      B)
      It is inconsistent.
      C)
      It is clear.
      D)
      It may be distorted.
    2. The client's priority nursing diagnosis has been established as risk for self-directed violence: suicide related to multiple losses. What is the priority outcome for this client?
      A)
      Be placed on suicide precautions.
      B)
      Refrain from attempting suicide.
      C)
      State absence of feelings of powerlessness.
      D)
      Attend a self-help group daily.
    3. A client repeatedly stated, "I'm stupid.”. Which statement by that client would show progress resulting from cognitive behavioral therapy?
      A)
      "I always fail when I try new things.”.
      B)
      "Things always go wrong for me.”.
      C)
      "Sometimes I do stupid things.”.
      D)
      "I'm disappointed in my lack of ability.”.
    4. Which client statement demonstrates the mental health concept of resilience?
      A)
      "Losing my job was hard but my skills will help me get another one.”.
      B)
      "In spite of all the treatment, I know I'll never be really healthy.”.
      C)
      "My mother made decisions about my husband's funeral when I just couldn't do that.”.
      D)
      "My kids' happiness is worth any sacrifice I have to make.”.
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    Exam Review

    1. The nurse meets with the patient to review the patient's treatment goals. Which characteristic involves accurately perceiving the patient's feelings, perspective, and situation?
      A)
      Genuineness.
      B)
      Positive regard.
      C)
      Empathy.
      D)
      Non-judgmental attitude.
    2. A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk.”. What is the correct response from the nurse?
      A)
      Tell the interrupting patient, "I am not available to talk with you at the present time.”.
      B)
      Invite the interrupting patient to join in the session with the current patient.
      C)
      End the unproductive session with the current patient and spend time with the interrupting patient.
      D)
      "This session has 5 more minutes; then I will talk with you.”.
      E)
      "This session has 5 more minutes; then I will talk with you.”.
    3. Which standardized rating scale will the nurse specifically include in the assessment of a newly admitted patient diagnosed with major depressive disorder? (Select all that apply)
      (SATA)
      A)
      Global Assessment of Functioning Scale (GAF).
      B)
      Beck Inventory.
      C)
      Body Attitude Test.
      D)
      Patient Health questoiaire-9 (PHQ-9).
      E)
      Mini-Mental State Examination (MMSE).
    4. A 26-year-old client is brought to the emergency room by a friend. The client is unable to give any coherent history. Which response should the nurse provide when the client's friend offers to provide information regarding the client?
      A)
      There is no need for that as I will call his primary care provider to obtain the information we need.
      B)
      Yes, I will be happy to get any information and history that you can provide.
      C)
      I'm sorry, but I cannot take any information from you as it would violate confidentiality laws.
      D)
      Yes, however, we will have to get a release signed from the client for you to be able to talk with me. . .
    Page 2 of 11

    Exam Review

    1. A registered nurse has accepted a position as staff nurse on a psychiatric unit. Which statement made by the nurse requires additional instructions regarding the therapies provided on the unit?
      A)
      You will attend a psychotherapy group that I lead that will help you care for yourself.
      B)
      You will see your provider daily in a one-to-one session.
      C)
      You will be given a schedule daily of the groups we would like you to attend.
      D)
      You will participate in unit activities and groups daily.
    2. Which federal legislative act helps ensure equality in benefits for both medical/surgical and mental health needs to all insured Americans? Select all that apply.
      (SATA)
      A)
      Patient Protection and Affordable Care Act of 2010.
      B)
      Health Care and Education Reconciliation Act of 2010.
      C)
      The Health Insurance Portability and Accountability Act of 1996.
      D)
      The Wellstone-Domenici Parity Act of 2008.
      E)
      Mental Health Parity Act of 1996.
    3. Which neurotransmitter effect occurs with anxiolytic medication?
      A)
      Facilitates the transmission of glutamate.
      B)
      Decreases excess dopamine from the presynaptic neuron.
      C)
      Increases the release of serotonin.
      D)
      Increases the effectiveness of γ-aminobutyric acid (GABA).
    4. Which potential side effect of Buspirone is important to include when providing patient teaching?
      A)
      Drowsiness.
      B)
      Sleep paralysis.
      C)
      Dizziness.
      D)
      Behavioral changes.
    Page 3 of 11

    Exam Review

    1. Which level of prevention would be most appropriate for a patient suffering from major depression with suicidal tendencies?
      A)
      Quaternary prevention.
      B)
      Secondary prevention.
      C)
      Tertiary prevention.
      D)
      Primary prevention.
    2. The scope of practice for an advanced nurse practitioner would include which intervention?
      A)
      Conducting a mental health assessment.
      B)
      Establishing a therapeutic relationship.
      C)
      Prescribing psychotropic medication.
      D)
      Individualizing a nursing care plan.
    3. Which activity is an example of primary prevention?
      A)
      Teaching school-aged children about drug and alcohol abuse.
      B)
      Assisting a patient with a long history of mental illness learn to manage money.
      C)
      Encouraging a new amputee to talk about feelings associated with body image changes.
      D)
      Providing genetic counseling with a middle-aged couple expecting their first child.
    4. According to Freud's Levels of Awareness, a client experiencing dysfunction of the conscious as part of the mind will have problems with which aspect of memory?
      A)
      Painful memories.
      B)
      Long-term memory.
      C)
      Recent memories.
      D)
      All memories.
    Page 4 of 11

    Exam Review

    1. Which diagnostic test would be ordered to diagnose a middle cerebral artery aneurysm?
      A)
      Functional magnetic resonance imaging (fMRI).
      B)
      Electroencephalography (EEG).
      C)
      Magnetic resonance imaging (MRI).
      D)
      Computed tomography (CT)
    2. Which criteria must the symptoms of hyperactivity, inattention, and impulsivity meet to confirm the diagnosis of attention-deficit/hyperactivity disorder (ADHD)?
      A)
      Are confirmed by a diagnostic testing tool.
      B)
      Worsen in times of severe stress.
      C)
      Occur both at home and at school.
      D)
      Are confirmed by supervised clinical observations.
    3. Which statement by a patient who is taking lamotrigine would receive the nurse's priority attention?
      A)
      I bumped into a table yesterday and got a bruise on my elbow.
      B)
      I have a new rash on my chest and abdomen.
      C)
      I have not had a bowel movement in 2 days.
      D)
      Last night I slept for only 7.5 hours.
    4. Which receptor is blocked as a result of psychotropic drugs when a patient reports dry mouth, constipation, and blurred vision?
      A)
      Serotonin (5-HT_2).
      B)
      Acetylcholine (ACh).
      C)
      Alpha (α_1).
      D)
      Histamine (H_1).
    Page 5 of 11

    Exam Review

    1. A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for treatment of alcohol use disorder. The nurse informs the client the medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of therapy is this method an example of?
      A)
      Aversion therapy.
      B)
      Biofeedback.
      C)
      Flooding.
      D)
      Dialectical behavior therapy.
    2. A nurse is about to interview an older client whose glasses and hearing aid were placed in the bedside drawer for safe keeping. Before beginning the interview, which nursing intervention will best facilitate data collection?
      A)
      Give the client her glasses and hearing aid.
      B)
      Assist the client in putting on glasses and hearing aid.
      C)
      Ask the client if she needs her glasses and hearing aid.
      D)
      Explain the interview process clearly before speaking.
    3. Which component of treatment of mental illness is specifically recognized by Quality and Safety Education for Nurses (QSEN)?
      A)
      Care is centered on the client.
      B)
      Recovery occurs on a continuum from illness to health.
      C)
      All genomes are unique.
      D)
      Healthy development is vital to mental health.
    4. Which imaging technique can provide information about brain function?
      A)
      Skull radiograph.
      B)
      Magnetic resonance imaging (MRI) scan.
      C)
      Positron emission tomography (PET) scan.
      D)
      Computed tomography (CT) scan.
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