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    Exam Review

    1. The personality structures of id, ego and supergo were described by
      A)
      Harry Stack Sullivan
      B)
      Hildegard Peplau
      C)
      Frederick Perls
      D)
      Sigmund Freud
    2. A nurse is preparing to administer fluoxetine 30 mg PO daily. The amount available is fluoxetine 10 mg/ tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:3 tablets
    3. In the movie, Marcus, a 17-year-old teenager at the group home demonstrates the he is experiencing a maturational crisis. Which of the following best describes a maturational crisis in mental health for a teen?
      A)
      A condition caused by genetic factors that affects mental health stability
      B)
      A severe mental illness that requires long-term psychiatric treatment
      C)
      A temporary state of emotional turmoil and confusion that arises during a predictable event and or significant li transitions
      D)
      A chronic condition characterized by persistent mental health issues throughout the lifespan
    4. A nurse is preparing to administer fosamprenavir 1400 mg PO. Available is fosamprenavir 700 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:2 tablets
    Page 1 of 12

    Exam Review

    1. A client shows no facial expression when engaging in a game with peers during an outing in the park. The nurse uses which of the following terms when documenting the client's affect?
      A)
      Restricted affect
      B)
      Broad affect
      C)
      Blunt affect
      D)
      Flat affect
    2. The nurse is working with a client who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurses values concerning responsible parenting. When discussing family roles with the client, the nurse shows positive regard through which statement?
      A)
      "Can the children's mother get by for a while until you get better?
      B)
      "How is not working right now affecting you?"
      C)
      "You need to somehow support your children."
      D)
      "How do you expect your kids to be provided for?"
    3. Which of the following statements about nonverbal communication skills is accurate?
      A)
      A nurse should only assess one type of communication when talking to a client
      B)
      Verbal communication is the most important because its what the patient says
      C)
      Nonverbal communication is not important when dealing with mental health illness
      D)
      Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact, facial expression, tone of voice. speed and hesitations in speech, grunts and groans and distance from the speakers.
    4. A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?
      A)
      Identifying if friends or family are available to help
      B)
      Identifying the client's coping skills
      C)
      Determining if the client has thoughts of self-harm
      D)
      Asking the client to identify the cause of the crisis
    Page 2 of 12

    Exam Review

    1. A basic assumption of Freud's psychoanalytic theory is that:
      A)
      free association is the key to understanding
      B)
      sexuality does not relate to behavior
      C)
      all human behavior is caused and can be explained
      D)
      human behavior is entirely unconscious
    2. What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plan to kill a family member?
      A)
      The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member
      B)
      The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff
      C)
      The student must respect the client's privacy and not tell anyone
      D)
      The student nurse must tell the instructor and then ask the instructor to keep it a secret
    3. A nurse is caring for an older adult client who has dementia and is agitated. The client says, "I have to go home and see my mother." The nurse replies, "You miss your mother." Which of the following therapeutic techniques is the nurse using?
      A)
      Guided imagery
      B)
      Orientation to reality
      C)
      Remotivation
      D)
      Validation
    4. Which of the following is true regarding mental health?
      A)
      persons who engage in fantasies are mentally ill
      B)
      it is easy to determine if a person is mentally healthy or mentally ill
      C)
      behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures
      D)
      in most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability
    Page 3 of 12

    Exam Review

    1. The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?
      A)
      Sit quietly until the client responds
      B)
      Tell the client they must express the unpleasant feelings
      C)
      Apologize for asking such a personal question
      D)
      Change the subject to something the client will discuss
    2. Which of the following statements would be an empathetic response in a client interaction?
      A)
      "Why do you think your father chose that time and place to yell at you?"
      B)
      "Well it sounds like your father has difficulty controlling his temper."
      C)
      "You must have been embarrassed when your father yelled at you in the grocery store."
      D)
      "You really should find your own housing and get out of the situation with your father."
    3. A nurse in an acute care mental health facility is talking with a client who is depressed. Which of the following actions should the nurse take?
      A)
      Express sympathy for the client during interaction.
      B)
      Assist the client in decision-making by giving sound advice.
      C)
      Tell the client that he should make direct eye contact when communicating verbally.
      D)
      Watch the client for nonverbal cues.
    4. A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
      A)
      Giving information
      B)
      Listening attentively
      C)
      Reflecting
      D)
      Offering advice
    Page 4 of 12

    Exam Review

    1. A nurse is observing a newly licensed nurse as she assists in providing family therapy for a client regarding relationship concerns with his spouse. Which of the following statements to the client by the newly licensed nurse requires intervention by the nurse?
      A)
      "Tell me about the concerns that you have regarding your relationship."
      B)
      "I think you should try to see your wife's point of view as well as your own."
      C)
      "We should invite your partner to be a part of our discussion."
      D)
      "Relationship difficulties are stressful and require effort to resolve."
    2. Maslow's hierarchy of needs is utilized to help the nurse:
      A)
      Assist the client in addressing a specific problem
      B)
      Change a client's behavior
      C)
      Establish a therapeutic relationship
      D)
      Prioritize care
    3. A nurse in an urgent care clinic is caring for a client who is using loud and rapid speech, and continuously repeats, "I don't know why my wife left me." Which of the following levels of anxiety is the client experiencing?
      A)
      Severe
      B)
      Mild
      C)
      Panic
      D)
      Moderate
    4. The nurse is performing a psychosocial assessment, the nurse will consider which of the following:
      A)
      Client's insurance status
      B)
      Client history
      C)
      Client's culture and spiritual beliefs
      D)
      Client's mood and affect
    Page 5 of 12

    Exam Review

    1. The client tells the nurse "My biggest problem right now is trying to deal with a divorce. I didn't want a divorce and I still don't. But it's happening anyway!" Which of the following responses by the nurse will convey empathy?
      A)
      You must be devastated.
      B)
      Sounds like it has been a difficult time.
      C)
      When one door closes, another door opens.
      D)
      I'm so sorry, no wonder you are upset.
    2. What is meant by "revolving door effect" in mental health care?
      A)
      Shorter and more frequent hospital stays for persons with severe and persistent mental illness
      B)
      Flexible treatment settings for mentally ill
      C)
      Most effective and least expensive treatment settings
      D)
      An overall reduction in incidence of severe mental illness
    3. A nurse is caring for a newly admitted client who is suspicious of the nursing staff and other clients. Which of the following actions should the nurse take to establish a relationship with this client?
      A)
      Disclose some personal information to the client.
      B)
      Wait for the client to initiate interactions with the nurse.
      C)
      Set aside short, frequent times each day to spend with the client.
      D)
      Tell the client he reminds the nurse of her father.
    4. During the working phase of the nurse-client relationship, the nurse directs the client to do which of the following?
      A)
      Abandon old needs
      B)
      Seek assistance
      C)
      Explore feelings
      D)
      Show positive change
    Page 6 of 12