Mental Health Technician Practice Exam 2024 Graded A+, Exams of Nursing

Download Mental Health Technician Practice Exam 2024 Graded A+ and more Exams Nursing in PDF only on Docsity! Mental Health Technician Practice Exam 2024 To implement the concept of the least restrictive treatment environment, care team members: Select one: a. Monitor the medications schedule. b. Assess the client's ability to live alone. c. Assess available financial resources. d. Assess available community resources. Answer- Assess available community resources. The term "sandwich generation" best describes adults: Select one: a. Caught between adulthood and late adulthood b. Caring for their children and aging parents c. Caring for their children and grandchildren d. Caught between young adulthood and adulthood Answer- Caring for their children and aging parents A male client is in the process of being admitted to a mental health facility. He is sure that the nurse is the administrator of the hospital, despite the nurse's insistence that he is a staff nurse on the unit. This client is experiencing: Select one: a. Acute confusion b. Visual hallucinations c. Delusions d. Auditory hallucinations Answer- Delusions A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors. When developing the care plan, the nurse is aware that one of the most helpful activities in self-control for this client is for the client to: Select one: a. Contact a treatment team member to discuss his thoughts and feelings every time he is confronted with a stressor. b. Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times. c. Recall periods of stressful times in his life during his clinic visit. d. Join an exercise program that will help to decrease his stress level. Answer- Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times. For children older than 4 years, separation anxiety should last for no longer than: Select one: a. A few days b. A few weeks c. A few months d. 1 year Answer- A few months The nurse begins discharge planning measures with a hospitalized client: Select one: a. Near the time of discharge b. At the time of admission c. 3 days into the hospital stay d. On the day before discharge Answer- At the time of admission During a crisis assessment due to the diagnosis of a terminal illness, the nurse is trying to determine what the client's history is with regard to losses. Which question will best assess this area? Select one: a. "How easily do you adapt to new situations?" b. "What is your understanding of the current situation?" c. "Who or what has helped you through crisis situations in the past?" d. "How is this situation affecting your family?" Answer- "Who or what has helped you through crisis situations in the past?" While performing a search of an adult male's home based on suspicion of criminal activity, the police find pictures of him with young children between the ages of 5 and 10. The pictures are sexual in nature. The man is suspected of: Select one: a. Voyeurism b. Sexual sadism c. Pedophilia d. Necrophilia Answer- Pedophilia Toddlers often express their anger through: Select one: a. Crying b. Manipulation c. Temper tantrums d. Direct aggression Answer- Temper tantrums The client was injured in a work accident. He now has a fused spine and moves with difficulty. He wonders if he will ever be able to be intimate with his wife. What is the nurse's most accurate response? Select one: a. "You will not be able to engage in sexual activity." b. "You can enjoy a satisfying sex life with some adaptation." c. "You eventually will return to the preinjury level of functioning." d. "You will become more sexually active after you recover from the injuries." Answer- "You can enjoy a satisfying sex life with some adaptation." A female client with a diagnosis of a dissociative disorder who attends group meetings at a community mental health clinic often voices that her boss at work frequently complains that she is working at a level below her capabilities. The client also states that she feels that she "never gets anything done." Which nursing diagnosis best addresses these issues? Select one: a. Self-esteem, low b. Social isolation c. Body-image, disturbed d. Memory, impaired Answer- Self-esteem, low A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting and is attending group therapy sessions. She is working on controlling the compulsion of touching her head three times every time she talks. To maintain the therapeutic relationship established with the client, by which action can the nurse show acceptance? Select one: a. Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior b. Asking the group to remind the client every time she touches her head to help her consciously stop the compulsion c. Pointing out the compulsion to the group each time the client exhibits the behavior d. Asking the client to stop talking during the group session until she has learned to control her compulsion Answer- Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Which component of the case management system does this demonstrate? Select one: a. Consultation b. Crisis intervention c. Resource linkage d. Psychosocial rehabilitation Answer- Psychosocial rehabilitation A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called: Select one: a. Insomnia b. Narcolepsy c. Hypersomnia d. Nocturnal myoclonus Answer- Nocturnal myoclonus The average time that a person with Alzheimer's disease lives after diagnosis is _____ years. Select one: a. 2 b. 8 c. 10 d. 20 Answer- 8 When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for: Select one: a. Children b. Adolescents c. Young adults d. Middle-aged adults Answer- Adolescents In the early 1900s the first theory of mental illness that showed behavior could be changed is attributed to: Select one: a. Beers b. Dix c. Freud d. Pinel Answer- Freud The nurse knows that the major concept of the systems theory is that individuals are viewed as functioning: Select one: a. Within a set of interacting and related units b. According to activities of attention, language, and imagery c. According to unmet needs d. Within accepted social aspects of behavior Answer- **Not B The nurse is preparing an adult male client, who has been successfully treated for a social phobia, for the termination phase of the therapeutic relationship. During their last meeting, the client told the nurse that he noticed he has developed a nervous habit that started a few days ago of checking his door at home several times a day to be sure it is locked. This client is exhibiting the client response to termination known as: Select one: a. Continuation b. Regression c. Withdrawal d. Confabulation Answer- Continuation When one is developing the care plan for a female adolescent with an eating disorder, the primary issue to consider as the underlying cause is: Select one: a. Control b. Body image c. Self-esteem d. Coping skills Answer- Control A woman has had several episodes where she finds new clothes in her closet that are much more colorful than the style she usually buys. Today, a co-worker approached her to thank her for hosting a dinner party that she had no recollection of hosting. What is the most appropriate nursing diagnosis for this client? Select one: a. Self-esteem, low b. Personal identity, disturbed c. Body image, disturbed d. Anxiety Answer- Personal identity, disturbed Which of the following persons has the greatest risk for developing ineffective coping behaviors? Select one: a. The middle-aged man whose diet is high in saturated fat and has a 20-year history of tobacco use b. The single 30-year-old female facing the death of her father c. The 19-year-old college student with a family history of schizophrenia d. The 9-year-old child whose parents are nurturing but provide chores and responsibilities Answer- The 19-year-old college student with a family history of schizophrenia By the ages of 14 to 17, teens may demonstrate problem solving skills using concepts, generalizations and flexibility in planning actions and goals. What is this an example of? Select one: a. Concrete operations b. Pre-operational thinking c. Operational thinking d. Abstract thinking Answer- Abstract thinking Individuals with mental illness live an average of _____ years less than the general population. Select one: a. 2 to 4 b. 5 to 8 c. 10 to 15 d. 18 to 25 Answer- **Not B A male client who has a diagnosis of generalized anxiety disorder (GAD) is seen in the emergency room with complaints of chest pain, shortness of breath, and inability to concentrate, along with feelings of overwhelming anxiety. The nurse uses Maslow's theory to triage the client's complaints, knowing that which complaint must be addressed first? Select one: a. Inability to concentrate b. Shortness of breath c. Overwhelming anxiety d. Chest pain Answer- Shortness of breath During the recoil stage of recovery from violence, the major characteristic is: Select one: a. Fear a. "Your child is working through relationship issues with you and does not know how to express them." b. "You should stop coming for a while, as your visits upset your child." c. "Your child's illness is due to a loss of contact with reality, and not directed to you as his mother." d. "You must make him realize that his behavior toward you is inappropriate." Answer- "Your child's illness is due to a loss of contact with reality, and not directed to you as his mother." Internal developmental problems are seen as a causative factor for some behavioral and family problems during adolescence. Psychological developmental issues that can lead to problems during late adolescence (17 to 20 years old) include: Select one: a. Wide mood swings b. Tendency to withdraw when upset c. Concealing of anger d. All of these Answer- All of these The moods of adolescents: Select one: a. Are stable b. Vary widely c. Develop slowly d. Are not related to growth and development Answer- Vary widely A client has difficulty in communicating as a result of his illness. He displays a rapid, confusing delivery of speech patterns. Which term best describes this difficulty in communicating? Select one: a. Aphasia b. Dyslexia c. Speech cluttering d. Incongruent communications Answer- Speech cluttering A male client is experiencing hallucinations. The intervention that would be most helpful in controlling the hallucinations is: Select one: a. Actively listening to his concerns b. Establishing a trusting relationship c. Encouraging appropriate behaviors d. Teaching him to use distraction techniques when experiencing hallucinations Answer- Teaching him to use distraction techniques when experiencing hallucinations An important responsibility of the nurse in a mental health facility is to ensure that clients do not __________ from the facility without a discharge order, by carefully supervising and accurately documenting client behaviors and therapeutic actions. Select one: a. Escape b. Abandon c. Flee d. Elope Answer- Elope The nurse is aware that he or she may be administering the new antianxiety medication pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating: Select one: a. Depression b. Psychotic episodes c. Neuropathic pain d. Bipolar disorder Answer- **Not A The nurse is working with a teen in whom conduct disorder was diagnosed and his family on developing a plan of care for treatment. What is the nurse's first intervention? Select one: a. Assessing and/or stabilizing the home environment b. Teaching effective communication skills to the client and family members c. Advocating behavior modification for the client to gain self-control d. Teaching effective discipline techniques Answer- Assessing and/or stabilizing the home environment Which client is suffering from a major depressive episode? Select one: a. An adolescent who expresses feeling lost after the death of his mother last week b. A 50-year-old male who has been depressed for a month and is contemplating suicide c. A 30-year-old female who is being treated for episodes of depression she has suffered since the age of 21 d. An elderly adult who feels like she is in a fog after the diagnosis of terminal cancer given to her 8 days ago Answer- A 50-year-old male who has been depressed for a month and is contemplating suicide The nurse is caring for a client who is a single mother of two young children, has no financial or parental support from her ex-husband, is troubled by her financial circumstances and future, and works at a local fast-food restaurant. She is seeking help for depression. What is the nurse's best action? Select one: a. Assist the client in seeking educational and/or vocational programs for single parents. b. Encourage the client to explore her feelings related to the reasons for her divorce. c. Persuade the client to contact her ex-husband for financial and parental support. d. Share information with the client regarding support groups for single mothers. Answer- Assist the client in seeking educational and/or vocational programs for single parents. When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the ____ continuum. Select one: a. Emotional b. Self-protective c. Neurobiological d. Psychobiological Answer- Neurobiological The 39-year-old daughter of a client with a terminal illness tells the nurse that she thinks something is wrong with her because she frequently cries, is often sad, and can't imagine losing her mother. The nurse assures the daughter that these are normal feelings associated with: Select one: a. Bereavement-related depression b. Complicated grief c. Anticipatory grief d. Caregiver grief Answer- Anticipatory grief AFRAIDS is a condition that most likely would be seen in: Select one: a. The homosexual population b. Sexually promiscuous heterosexuals c. Individuals in a heterosexual monogamous relationship d. Persons who have a chemical dependency on illegal intravenous drugs Answer- Persons who have a chemical dependency on illegal intravenous drugs An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client. The nurse who is working on an inpatient unit can show signs of caring by: Select one: a. Telling a client several times a day that he or she cares about him or her b. Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit c. Giving a client a card that has a sentiment that says the nurse cares about him or her d. Telling a client that he or she is the favorite client Answer- Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit An aging population, an overburdened welfare system, and a cost conscious U.S. Congress exerting its influence on the health care system are all examples of ____ changes. Select one: a. Social b. Cultural c. Environmental d. Technological Answer- Social Families without a home now make up _____% of the homeless population in the United States. Select one: a. 14 b. 28 c. 38 court order. When arriving at the clinic, the client had been on a drinking binge for 2 days. What is the most appropriate nursing diagnosis for this client? Select one: a. Health-seeking behaviors b. Family processes, readiness for enhanced c. Coping, ineffective d. Hopelessness Answer- Coping, ineffective _____% of older adults are living at the poverty level. Select one: a. Twelve b. Eighteen c. Twenty six d. Twenty three Answer- **Not D A female client is admitted with suicidal tendencies. The client is placed in suicide precautions for the first 24 hours of her stay. Ensuring client safety is included in the therapeutic role of: Select one: a. Change agent b. Teacher c. Therapist d. Technician Answer- Technician A 12-year-old female client with a normal IQ has difficulty with math at school. She performs well in all subjects except math, for which she is unable to earn above a grade of "D," no matter how much she studies. What is this client most likely suffering from? Select one: a. Mental retardation b. A learning disorder c. Pervasive developmental disorder d. An anxiety disorder Answer- A learning disorder The abnormal process in which aspects of the social, physical, emotional, or intellectual function of a person are diminished or impaired is called: Select one: a. Health b. Illness c. Recovery d. Homeostasis Answer- Illness What concept do feminist theories use to explain violence against women? Select one: a. Machismo b. Femininity c. Masculinity d. Muscularity Answer- Machismo An elderly male client's wife of 50 years recently died from cancer. He suffers from a chronic debilitating illness and has been refusing to eat, drink, or take his medications. This client is displaying behavior characteristic of: Select one: a. Suicidal threats b. Suicidal attempts c. Suicidal ideation d. Passive suicide Answer- Passive suicide A 49-year-old woman who has been the owner of a successful large business for several years decides to sell her business and move to a remote island to open a small dress shop. She most likely has made this decision based on her need to: Select one: a. Avoid becoming stagnant in her life. b. Earn more money. c. Prevent another company from taking over her business. d. Improve her social development. Answer- Avoid becoming stagnant in her life. The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person's expense. He is referred to as: Select one: a. A nerd b. A psychotic c. A psychopath d. Narcissistic Answer- A psychopath Each complaint of people with HIV/AIDS must be investigated carefully because CNS problems can be mistaken for: Select one: a. Anxiety b. Delusions c. Compulsions d. Psychiatric problems Answer- **Not B Selective serotonin reuptake inhibitors (SSRIs) are most health care providers' drug of choice for the treatment of depression because: Select one: a. Side effects are more manageable than with most antidepressants. b. They are the only class safe for long-term therapy. c. This is the oldest class of antidepressants. d. They are fast-acting medications. Answer- Side effects are more manageable than with most antidepressants. The nurse is caring for a female client with a diagnosis of severe bipolar disorder. Out of many treatment methods, the one treatment that the client and the team have found to be most effective is the medication lithium. The client voices concern about her future with this diagnosis. Which nurse response best represents the concept of hope? Select one: a. "You need to take your lithium unless you want to relapse." b. "You are doing so well that there is nothing you can't do if you put your mind to it." c. "You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication." d. "A lot of people are much worse off than you are, so you should be thankful that you are doing as well as you are." Answer- "You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication." If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every _____ months. Select one: a. 3 b. 6 c. 12 d. 15 Answer- 12 A female client with low self-esteem tries to dress and act like the nurse who cares for her in an outpatient clinic setting. This behavior is an example of which defense mechanism? Select one: a. Identification b. Symbolization c. Displacement d. Projection Answer- Identification A drug that is taken daily to help reduce the desire for alcohol is: Select one: a. Hydroxyzine (Atarax) b. Disulfiram (Antabuse) c. Methadone (Dolophine) d. Meclizine (Antivert) Answer- Disulfiram (Antabuse) A female client admitted to a mental health facility for depression is frequently asking for help in deciding on what foods to choose for her meals, as well as which activities she should participate in. Which stage of illness is she experiencing? Select one: a. Dependency b. Symptoms c. Recovery and rehabilitation d. Sick role Answer- Dependency The client has been admitted to the medical unit for unexplained weight loss and fatigue. He does not speak except to answer questions, and he refuses to interact with other people except when necessary. Which coping mechanism is he using to deal with his hospitalization? Select one: a. Anger b. Shock c. Anxiety The night before her final exam, the nursing student cannot sleep, and is convinced she will fail. Which of the following actions will help to promote a more positive outlook? Select one: a. Continue to study rather than continue attempting to sleep. b. Accept the possibility of failure and plan to repeat the course. c. Use the negative thoughts as motivation. d. Visualize staying relaxed during the exam and successfully passing. Answer- Visualize staying relaxed during the exam and successfully passing. An adolescent caught stealing a classmate's laptop says that he needed it to write his paper and the classmate "has enough money to buy another one anyway" is demonstrating which of the following defense mechanisms? Select one: a. Denial b. Restitution c. Rationalization d. Conversion Answer- Rationalization An elderly man has serious vision problems and is no longer allowed to obtain a driver's license. He has been very independent until this time. Which nursing diagnosis is most appropriate for this situation? Select one: a. Confusion, chronic b. Coping, ineffective c. Self-esteem, risk for situational low d. Grieving, dysfunctional Answer- Self-esteem, risk for situational low Her speech is very pressured, and she is telling everyone in the waiting room about a date she had the previous evening. The next visit she is dressed in old, drab clothes and has no makeup on. She has a flat affect and is not making eye contact. The most probable cause of her behaviors is which of the following conditions? Select one: a. Bipolar I disorder b. Psychosis c. Bipolar II disorder d. Major depressive episode Answer- Bipolar I disorder Self-protective responses are seen in behaviors that meet basic: Select one: a. Goals b. Needs c. Wants d. Demands Answer- Needs A female client is 3 days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression. The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications? Select one: a. Increased pulse and respirations b. Hyperactivity and difficulty concentrating c. Increased tearing and increased urinary output d. Sedation, disorientation, and hallucinations Answer- Sedation, disorientation, and hallucinations It is important for the nurse to be familiar with the religious practices of clients cared for most often in a particular region because attitudes toward health and illness, death and burial, food, and procreation have a strong impact on a client's beliefs and practices. The nurse knows that the religion practiced most often around the world is: Select one: a. Buddhism b. Jehovah's Witness c. Christianity d. Ahmadiyya Answer- Christianity The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process? Select one: a. Evaluation b. Assessment c. Intervention d. Planning Answer- Assessment As the caregiver for a male client whose mental retardation level is classified at a moderate level, the nurse's most appropriate action is to: Select one: a. Encourage him to work in a supervised setting at a fast food restaurant. b. Persuade him to look for an apartment in which he can live on his own. c. Find a group home that he would adjust well to. d. Seek placement for him in a long-term setting for clients with cognitive disabilities. Answer- Encourage him to work in a supervised setting at a fast food restaurant. During the continuation phase of therapy, a client with a diagnosis of depression asks, "What is the goal of therapy during this 4- to 9-month period?" What is the nurse's best response? Select one: a. "We are going to work together to try to reduce your symptoms." b. "Our goal is to determine the cause of your depression and cure it." c. "We want to prevent you from ever having any depressive episodes in the future." d. "Our goal is to prevent you from relapsing and experiencing distressing emotional states. Answer- "Our goal is to prevent you from relapsing and experiencing distressing emotional states. Paranoid personality disorders are diagnosed more often in: Select one: a. Men b. Women c. Children d. Adolescents Answer- Men During the interview process with a homeless client, which is an appropriate nursing action? Select one: a. Wait until later in the interview to ask questions such as address or nearest relative. b. Ask the client early in the interview what is his or her highest education level. c. Ask the client where he or she planned to sleep that night. d. Encourage the client to bathe as soon as possible. Answer- Wait until later in the interview to ask questions such as address or nearest relative. The nurse assessing the newborn shortly after delivery notes that the infant is very jittery, irritable, and has a high- pitched cry. The nurse suspects that the mother took which substance during pregnancy? Select one: a. Alcohol b. Heroin c. Cocaine d. Analgesics Answer- Cocaine Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently? Select one: a. Use simple, familiar words, along with short and simple sentences. b. If the client tends to pace a lot, be sure to encourage her to sit during interactions. c. If she doesn't understand the communication, change key words. d. Use hand gestures when speaking to try to explain what is being said. Answer- Use simple, familiar words, along with short and simple sentences. The drug most often abused by adolescents is: Select one: a. Alcohol b. Cocaine c. Tobacco d. Marijuana Answer- Alcohol Child prostitution in Thailand is widespread, and it is estimated that _____% of these children have AIDS. Select one: a. 10 b. 25 c. 50 d. 75 Answer- **Not B The concerns of children in whom terminal conditions have been diagnosed focus on how the illness affects the child's: Select one: a. Loss of a future a. Love b. Batter c. Belittle d. Order around Answer- Batter A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six 6 months ago. Which nursing diagnosis is a priority for this client? Select one: a. Behavior, risk-prone health b. Spiritual distress c. Social interaction, impaired d. Family processes, interrupted Answer- Behavior, risk-prone health The use of inappropriate, harmful, or destructive behaviors to express current or past emotions is defined as: Select one: a. Anger b. Assault c. Acting out d. Aggression Answer- Acting out The nurse encounters a client crying in her room. Upon talking to the client, it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle? Select one: a. Beneficence b. Autonomy c. Confidentiality d. Nonmaleficence Answer- Autonomy Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called: Select one: a. Insomnia b. Dyssomnias c. Hypersomnia d. Parasomnias Answer- Parasomnias By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect? Select one: a. Inspect b. Investigate c. Report to the authorities d. Report to the client's family Answer- Report to the authorities The 40-year-old woman who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder? Select one: a. Histrionic b. Paranoid c. Schizoid d. Avoidant Answer- Avoidant The need for mental health applies to: Select one: a. All persons b. People with illnesses c. All married persons d. People with mental problems Answer- All persons The client can acknowledge the possibility that she exaggerates her symptoms, but she continues to hold on to the belief that something is physically wrong, in the face of evidence to the contrary. What is the client's diagnosis most likely to be? Select one: a. Malingering b. Hypochondriasis c. A conversion reaction d. Body dysmorphic disorder Answer- Hypochondriasis Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care? Select one: a. Wealthy b. Homeless c. Disabled d. Low-income Answer- Wealthy A family adopts a 7-year-old boy from an international adoption agency with little information on the child's history. They bring the child to a therapist because the child is withdrawn, destroys things in the house, and hits his adoptive siblings without provocation. As the therapist develops a trusting relationship with the child, what type of intervention would be initially used to gain input from the child? Select one: a. Psychoeducation b. Art therapy c. Joint stabilization plan d. Development of coping strategies Answer- Art therapy Schizophrenia affects approximately ____% of the world's population. Select one: a. 1 b. 5 c. 9 d. 13 Answer- 1 The child in early adolescence experiences developmental issues with his or her identity as evidenced by: Select one: a. Feeling stable with his or her self-esteem b. Conforming to group norms c. Being very self-centered d. Being idealistic Answer- **Not C Most psychosomatic problems and somatoform disorders begin in: Select one: a. Puberty b. Adulthood c. Childhood d. Adolescence Answer- Childhood Suicide is attempted three times more frequently by ____ but is more often successfully completed by ____. Select one: a. Adult men, women b. Adult women, men c. Adult fathers, mothers d. Adolescent mothers, fathers Answer- Adult women, men The client confides in the nurse that intercourse has been painful since she became menopausal. What is the nurse's most therapeutic response? Select one: a. "Don't worry; it will pass." b. "Are you still sexually active?" c. "Perhaps we can discuss this with your doctor." d. "I understand how difficult it is to discuss sex." Answer- "Perhaps we can discuss this with your doctor." A busy community mental health center treats a client who is in crisis. The client is provided with instruction on relaxation exercises, but throws them away. Two weeks later the staff is dismayed when the client returns with her condition worsened. This lack of success after the previous visit is due to which of the following factors? Select one: a. Disorganization b. Pseudoresolution c. Self-awareness d. Lack of commitment Answer- Pseudoresolution Medications are used with extreme caution in clients with personality disorders because of their questionable effectiveness. If a client is receiving an antipsychotic medication, it is especially important for the nurse to monitor the client for side effects of: Select one: a. Increased thirst and urination, nausea, and anorexia b. Dry mouth, altered taste, sexual dysfunction, and dizziness Select one: a. Finishing the client's sentences to indicate listening b. Not interrupting the client c. Avoiding taking notes to detract from listening d. Changing the environment to decrease distractions Answer- Not interrupting the client In the late 1980s, government funding for mental health care dwindled, and most insurance companies __________ coverage for psychiatric care. Select one: a. Withdrew b. Increased c. Decreased d. Added Answer- Withdrew A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and: Select one: a. Recovery time b. Legal implications c. Social dysfunction d. Financial difficulty Answer- Recovery time The client is describing her trip to town. She tells the nurse, "I cold town yellow water girl outside below ground." This speech disturbance is called: Select one: a. Neologism b. Word salad c. Flight of ideas d. Verbigeration Answer- Word salad How many stages of the human life cycle did Erik Erikson identify? Select one: a. Two b. Four c. Six d. Eight Answer- Eight As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be: Select one: a. Transference b. Secondary gain c. Countertransference d. Insecurity Answer- Transference The school nurse reports that a student who was brought to her appears to be tense, angry, and her speech is rapid. She denies use of illegal substances. What does the nurse suspect the student has ingested? Select one: a. Ibuprofen b. Penicillin c. Ritalin d. Valium Answer- Ritalin Humanistic theories are important to health care because these theories serve as the foundation for the concept of: Select one: a. Assertiveness training b. Behaviorism c. Holistic care d. Behavior modification Answer- Holistic care A female client is taking a benzodiazepine for her anxiety disorder. She complains of anorexia and nausea since she started taking the medication a few days ago. What is the nurse's best response? Select one: a. "Be sure to take the medicine on an empty stomach to avoid these symptoms." b. "It takes a while to get used to the medicine. Give it a couple of weeks." c. "Try taking the medication with food or milk, and see if the symptoms improve." d. "Stop taking the medication immediately, and I will notify your doctor." Answer- "Try taking the medication with food or milk, and see if the symptoms improve." A male client takes ibuprofen twice a day, every day, for his arthritis. He becomes very anxious when he does not take his normal doses. This client is experiencing: Select one: a. Physical tolerance b. Substance dependency c. Psychological tolerance d. Early-stage addiction Answer- Psychological tolerance An allopathic mental health practitioner would most likely recommend which treatment for a client suffering from anxiety? Select one: a. Expressive therapy b. Acupuncture c. Antianxiety agents d. Dietary supplements Answer- Dietary supplements A 70-year-old woman who was recently widowed expresses a desire to go back to school and finish the degree she started before her children were born. What response is most appropriate? Select one: a. "Why would you want to stress yourself at your age?" b. "That may not be possible. As you age, your ability to learn decreases." c. "Going back to school will keep you engaged and active." d. "Let's do a cognitive function test to see if you are eligible." Answer- **Not D A 22-year-old woman with depression misses her scheduled meeting with the nurse. Although they have established a contract to meet on an agreed upon schedule, the nurse understands that the client is still testing the relationship and working on trusting her care provider. This behavior usually manifests itself during which phase of the therapeutic relationship? Select one: a. Termination b. Orientation c. Working d. Preparation Answer- Orientation Which term best describes an individual's feelings of anxiety that are broad, long- lasting, and excessive? Select one: a. Generalized anxiety disorder b. Panic attack c. Phobic disorder d. Obsessive-compulsive disorder Answer- Generalized anxiety disorder The client finds fault in every success she has. She is afraid to try anything new because she "just knows" that she will fail because she is mentally ill. Her behaviors demonstrate: Select one: a. Low self-esteem b. Suicidal ideation c. Low abstraction abilities d. Altered thought processes Answer- Low self-esteem As many as 75% of people with chronic mental health disorders: Select one: a. Live alone b. Refuse to take their medications c. Use or abuse drugs d. Use or abuse their prescribed medications Answer- Use or abuse drugs During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma that could last as long as 50 hours? Select one: a. Electroconvulsive therapy Incorrect b. Insulin therapy c. Humoral therapy d. Amphetamine therapy Answer- Insulin therapy The Mental Health Systems Act of 1980 was one of the most progressive mental health bills in the history of the United States, but its enactment was interrupted by the: Select one: a. Election of a new president b. Appointment of a new Surgeon General c. Rapid expansion of community centers Select one: a. Ask the client to "Please eat one meal for me." b. Leave food with him at mealtime and offer snacks frequently. c. Give the client information on the benefits of good nutrition. d. Remove client privileges every time he doesn't eat. Answer- Leave food with him at mealtime and offer snacks frequently. A client suffering from chronic mental illness often forgets to take her medication and needs to be reminded to take care of daily hygiene. She does not have family or other support persons living in the area. The care delivery provider facility that would be most beneficial for this client is: Select one: a. Emergency departments b. Residential program c. Community mental health center d. Psychiatric home care Answer- Residential program A nurse and an adolescent female client develop a plan of care together that addresses the client's difficult relationship with her parents. The client says that her parents just don't understand her, and she is always getting privileges taken away for not doing things that she is supposed to do. What is the nurse's best action? Select one: a. Talk with the client about how important it is that she carry through with actions that her parents feel are important. b. Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. c. Discuss with the parents what responsibilities they feel are important, to determine what actions should be planned with the client. d. Identify what the client feels are reasonable responsibilities. Answer- Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? Select one: a. Biological model b. Psychodynamic model c. Interpersonal model d. Behavioral model Answer- Interpersonal model A 68-year-old woman tells the nurse that since she retired a few months ago, she has been "taking it easy" by sleeping later and staying around the house to rest. She has recently noticed that she is having a little trouble with remembering things. The nurse is aware that intellectual development is continuous and suggests to the client: Select one: a. "You might think about volunteering somewhere to keep your mind sharp." b. "You are probably just tired from all those years at work." c. "After you have gotten used to being at home, I am sure your memory will improve." d. "Sometimes we must accept the fact that as we get older, we sometimes become more forgetful." Answer- "You might think about volunteering somewhere to keep your mind sharp." A newly married couple residing in a large city is expecting the birth of their first child in 3 months. The wife wishes to maintain her career and remain in their apartment. The husband has expressed the desire to relocate to a more suburban setting to raise their child. Their ability to successfully face this challenge depends upon their ability to: Select one: a. Negotiate a mutually satisfying solution. b. Employ appropriate coping mechanisms. c. Avoid conflict by dealing with the issue at a later time. d. Maintain a firm sense of individuality. Answer- Negotiate a mutually satisfying solution. The nurse who is caring for a client begins to have very protective feelings toward the client that are interfering with the therapeutic relationship between the nurse, the client, and the client's family. This is an example of a problem that is encountered in some therapeutic relationships and is known as: Select one: a. An environmental problem b. Resistance c. Transference d. Countertransference Answer- Countertransference __________ is a side effect that can occur while a client is taking an antipsychotic medication, causing muscle rigidity, high fever, unstable vital signs, confusion, and agitation. Select one: a. Drug-induced parkinsonism b. Neuroleptic malignant syndrome (NMS) c. Tardive dyskinesia d. Dystonia Answer- Neuroleptic malignant syndrome (NMS) For a client with a sleep disorder, which CAM therapy could be used safely without interference with any allopathic methods of treatment? Select one: a. Progressive relaxation b. Dietary supplements c. Herbal supplements d. Aromatherapy Answer- Progressive relaxation Which signs and/or symptoms should alert the caregiver to a child who is suffering from neglect? Select one: a. Bruises and welts at various stages of healing b. Consistently dirty, hungry, and inappropriately dressed c. Child has torn, stained, or bloody underclothing d. Any fracture in a child younger than 2 years of age or fractures at various stages of healing in a child of any age Answer- Consistently dirty, hungry, and inappropriately dressed The client is a 38-year-old woman with a diagnosis of narcissistic personality disorder. Behaviors associated with this diagnosis are: Select one: a. Avoidant b. Odd or eccentric c. Attention seeking d. Reflective of lack of trust in others Answer- Attention seeking Whenever there is a history of unexplained lethargy, fussiness, or irritability in an infant, caregivers should suspect ____ syndrome. Select one: a. Shaken baby b. Drugged baby c. Depressed infant d. Feeding disorder Answer- Shaken baby The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's: Select one: a. Level of consciousness b. Ability to perform activities of daily living c. Degree of reasoning, judgment, and thought processes d. Level of functioning memory Answer- Ability to perform activities of daily living In the early twentieth century, a frontal lobotomy was a common treatment for violent behaviors. Which description of this procedure is accurate? Select one: a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain b. A surgical procedure that drills holes in the front of the skull to drain fluid c. A surgical procedure that severs the frontal lobes of the brain from the thalamus d. A surgical procedure that inserts implants into the frontal lobes of the brain Answer- A surgical procedure that severs the frontal lobes of the brain from the thalamus The nurse is caring for an adult male client who lacks a strong sense of personal identity. With which area of development will this client most likely struggle the most? Select one: a. Social b. Intellectual c. Emotional d. Vocational Answer- Social Carl Jung was the founder of analytical psychotherapy; he differed from Freud in that he believed that the mind was divided into three levels: the conscious ego, the personal unconscious, and the: Select one: The __________ constitute a class of drugs that are commonly prescribed for cardiac arrhythmias but also have been found to be effective treatment for social phobias. Select one: a. Benzodiazepines b. Tricyclics c. Azaspirones d. Beta-blockers Answer- Beta-blockers The characteristic of genuineness helps in establishing a therapeutic relationship with a client. Which nurse response is the best example of a display of genuineness to a client who is going through a difficult divorce? Select one: a. "I know exactly how you feel. My husband and I divorced 2 years ago because of his infidelity." b. "Divorcing my husband was the best thing I ever did." c. "I have friends who have gone through a divorce. It must be difficult for you." d. "I am sorry that you have to go through this difficult time." Answer- "I have friends who have gone through a divorce. It must be difficult for you." A Navajo Native American is traveling across the country and becomes ill. He visits a hospital emergency room and appears very uncomfortable in the surroundings. The nurse knows that traditional Navajo Native Americans typically receive health care in: Select one: a. Homes b. Small hospitals c. Physicians' offices d. Outpatient clinics Answer- Homes Massage therapy manipulates muscles and connective tissue and has been found to be very successful as a CAM method in the treatment of which disorder(s)? Select one: a. Schizophrenia b. Bipolar disorder c. PTSD and OCD d. Depression and anxiety Answer- Depression and anxiety An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job "in a big city." She is crying and says that she doesn't think she can stand being so lonely anymore but doesn't want to move back to her small home town and face her family and friends as a "failure." What is the nurse's first response? Select one: a. "Would you like me to call your family to assist you in deciding what is best for you to do?" b. "I am sure you will make friends once you find a steady job that you like." c. "Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?" d. "Let me give you a list of some social groups that might be of interest to you." Answer- "Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?" A male client with a diagnosis of schizophrenia refuses to take his medication because of his paranoia that the medication may be poisoned. Frequent inpatient readmissions to the facility occur as a result. Which term is given to repeated inpatient admissions? Select one: a. Milieu b. Chronicity c. Noncompliance d. Recidivism Answer- Recidivism A client frequently wanders around the unit, and the staff frequently needs to reorient the client to the environment and remind her not to walk into the rooms of other clients on the unit. Due to short staffing, the decision is made to use a restraint device to prevent this from occurring. This action may constitute: Select one: a. Assault b. Defamation c. False imprisonment d. Negligence Answer- False imprisonment Those who care for individuals with dissociative disorders must be aware that they often will try to __________ the staff members who are caring for them. Select one: a. Manipulate b. Harm c. Date d. Persecute Answer- Manipulate The stage of hospitalization during which the client reestablishes personal identity and becomes self-centered is the time when the client is: Select one: a. Going to be discharged b. Feeling overwhelmed c. Becoming emotionally stabilized d. Adapting to the environment Answer- Becoming emotionally stabilized A client with frequent re-admissions to the inpatient unit refuses to eat or participate in activities. The nurse functions as the client advocate by which of the following actions? Select one: a. Respecting the client's wishes by taking food away and leaving the room door closed b. Scolding the client as a way to motivate a change in behavior c. Providing consistent encouragement to attend activities and having food available d. Ignoring the client and encouraging other health care team members to do the same Answer- Providing consistent encouragement to attend activities and having food available The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children's: Select one: a. Motor skills b. Self-concept c. Body image d. Cognitive skills Answer- Self-concept A female client asks the nurse if the medication risperidone (Risperdal), an antipsychotic medication for schizophrenia, has any side effects. Which response by the nurse would violate the ethical concept of veracity? Select one: a. "I am not sure, but I will find out." b. "Risperdal has no documented side effects." c. "Risperdal does have some side effects." d. "Let's talk to your physician about potential side effects." Answer- "Risperdal has no documented side effects." The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately _____ die from suicide. Select one: a. 5% b. 15% c. 25% d. 35% Answer- 15% A 10-year-old male client is 20 pounds overweight. Which intervention by the nurse is the most effective in this situation? Select one: a. Place the client on a strictly controlled calorie-restricted diet. b. Talk to the client about why he is so overweight. c. Teach the client and his parents about healthy eating habits and choices. d. Make a list of foods that are to be restricted in the client's diet. Answer- Teach the client and his parents about healthy eating habits and choices. The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels "nervous and jittery inside." The nurse is aware that this client most likely is experiencing: Select one: a. Akinesia b. Dystonia c. Dyskinesia The client interprets the proverb "A rolling stone gathers no moss" as "As long as the rock keeps moving, it won't turn green." This is an example of: Select one: a. Mutism b. Flight of ideas c. Concrete thinking d. Loose association Answer- Concrete thinking Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy? Select one: a. Postpartum hemorrhage b. Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section Answer- Preterm delivery The onset of schizophrenia most commonly occurs during the decade of age in the: Select one: a. Teens b. 20s c. 30s d. 40s Answer- 20s Which age group through the life cycle has the most difficult time relating to their own death? Select one: a. Toddler b. Preschool c. Adolescent d. Adult Answer- Adolescent Although all age groups can be affected, sleep disorders occur most frequently in: Select one: a. Adolescence b. Later childhood c. Older adulthood d. Middle adulthood Answer- Older adulthood The father of three young children dies. The wife expresses how worried she is about how to raise the children on her own without the support of her husband. She finds herself crying and living through each day without accomplishing anything. In which grieving stage is this behavior typically experienced? Select one: a. Denial b. Depression and identification c. Acceptance and recovery d. Yearning Answer- Yearning In the early 1960s, a committee appointed by President John F. Kennedy recommended the development of a new approach to the way mental health care was administered, with an emphasis on the introduction of: Select one: a. Psychotherapeutic drugs b. State mental health care systems c. Community mental health centers d. Deinstitutionalization of patients Answer- Community mental health centers A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated. Which action by the nurse would be most appropriate in this situation? Select one: a. Turn up the volume on the television to distract the client. b. Bring him to sit at the nurses' station while the staff is doing shift report. c. Keep him in the lounge and attempt to converse with him. d. Accompany him to a room where soft music is playing. Answer- Accompany him to a room where soft music is playing. A client experiencing symptoms of anxiety would benefit from which therapy? Select one: a. Chelation b. Phototherapy c. Therapeutic touch d. Magnetic therapy Answer- Therapeutic touch Theories based on study of the brain and its activities are called: Select one: a. Social b. Biological c. Psychological d. Psychobiological Answer- Biological Which client communication problem can the nurse most easily correct? Select one: a. Age differences b. Altered cognition c. Cultural differences d. Gender differences Answer- Cultural differences Abused substances are those chemicals that alter the person's perception by affecting the _____ system. Select one: a. Central nervous b. Autonomic nervous c. Cardiorespiratory d. Peripheral nervous Answer- Central nervous Which client would be a candidate for ECT? Select one: a. A client with mild depression b. A severely depressed client with congestive heart failure c. A client with severe, long-lasting depression d. A severely depressed client with history of a brain tumor Answer- A client with severe, long-lasting depression In the assault cycle, people are unable to listen to reason, follow directions, or engage in mental exercises during the stage of: Select one: a. Crisis b. Trigger c. Recovery d. Escalation Answer- Crisis A client with a history of delusions demonstrates which of the following behaviors? Select one: a. Shifts from laughing to crying with no apparent cause b. Insists the government is out to harm them c. Has trouble remembering what he had for breakfast d. Expresses a constant fear of dying Answer- Insists the government is out to harm them A 15-year-old female client is noted to often sit alone in the activity room of the facility while watching television. She often begins to join in activities on the unit but then retreats back to her room. Which intervention is most appropriate in this situation? Select one: a. Encourage her to join in on a group activity and actively participate in the activity with her until she feels more comfortable on her own. b. Keep encouraging her to participate in the group activity. c. Offer her rewards, such as extended television privileges, for joining in a group activity. d. Offer her support as she tries to become more involved in activities. Answer- Encourage her to join in on a group activity and actively participate in the activity with her until she feels more comfortable on her own. Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is most effective in improving symptoms in people who are experiencing: Select one: a. Bipolar disorder b. Moderate depression c. Postpartum depression d. Seasonal affective disorder Answer- Seasonal affective disorder An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client's needs, attends every therapy session, and is active in the planning and implementing of the treatment plan. The granddaughter's valuing of her grandmother is most likely due to her: this treatment is covered by the state's nurse practice act. What is the nurse's best course of action? Select one: a. Call the physician to ask for clarification. b. Check the state's nurse practice act again. c. Contact the nursing supervisor for approval to carry out the treatment. d. Refer to the facility's policy and procedure to determine the course of action. Answer- Refer to the facility's policy and procedure to determine the course of action. A female client is being discharged from an inpatient mental health unit after receiving treatment for bipolar disorder. She has responded well to treatment but voices concern about going home and maintaining balance in her life. The client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of: Select one: a. Permission b. Respect c. Interest d. Protection Answer- Protection During an interview with a 15-year-old female client admitted for depression, the nurse expresses her disappointment when she to learns that the client recently became pregnant and then had an abortion. The nurse is contradicting the effective interview guideline of: Select one: a. Paying close attention to the client's nonverbal communication b. Avoiding making assumptions c. Avoiding one's personal values that may cloud professional judgment d. Setting clear client goals Answer- Avoiding one's personal values that may cloud professional judgment A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street in a confused state and was uncooperative when approached by the police. One of the first assessments that should be performed on this client upon admission is a _____ assessment. Select one: a. Physical b. Sociocultural c. Psychosocial d. Psychiatric Answer- Physical A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress- related disorders. Which characteristic of a successful adult is this client lacking? Select one: a. Acceptance of self b. Finding a balance between giving and taking c. Making sound decisions d. Learning from past decisions Answer- Learning from past decisions A female client would like to use biofield therapy for her addiction to nicotine. Which form of therapy would she most likely choose? Select one: a. Aromatherapy b. Acupuncture c. Nicotine patches d. Group therapy Answer- Acupuncture Which is the best way for the nurse to assist clients in managing their pain? Select one: a. By setting manageable goals b. By focusing on nursing care c. By administering narcotic analgesics d. By telling the client to think of something else Answer- By setting manageable goals Which intervention will be most effective when one is teaching a client about his or her medications and their administration? Select one: a. Pointing out the colors of the medications for easier identification b. Referring to medications by name and providing written instructions c. Quizzing the client on each medication's purpose, side effects, and drug interactions d. Encouraging the client to hold all questions until the end of the discussion so the nurse will not have to repeat information Answer- **Not C Social and emotional development occurs at a more simple level in the child who is _____ years old. Select one: a. 5 b. 8 c. 10 d. 12 Answer- 5 Nearly __________ of all countries in the world have no clear governmental policy that addresses mental health issues. Select one: a. 7% b. 26% c. 50% d. 75% Answer- 50% A married woman, who is the mother of two children, has been in an abusive relationship for 4 years. She decides to leave her husband after suffering an episode of severe physical abuse. She and her children, ages 7 and 9, arrive at a crisis intervention center. What is the nurse's priority intervention? Select one: a. Offer immediate emotional support. b. Refer her to a woman's domestic abuse center. c. Begin to develop a treatment plan for the client and her children. d. Thoroughly assess the situation from most recent to 2 weeks prior to this incident. Answer- Offer immediate emotional support. The parents of a 21-year-old college student who attended church services on a consistent basis are concerned when their child returns home from college and announces she is converting to another religion. This individual is most likely experiencing: Select one: a. A personality disorder b. The need to challenge a value and belief system c. Instability due to dysfunctional parenting d. Regression to an unresolved developmental task Answer- The need to challenge a value and belief system The most important reason for performing a crisis assessment on hospitalized clients is that it allows the care provider to: Select one: a. Implement appropriate care measures. b. Encourage clients to share their concerns. c. Identify the requirements for additional supplies and personnel. d. Identify problems before a crisis develops and plan preventive interventions. Answer- Identify problems before a crisis develops and plan preventive interventions. The parents of a 9-year-old girl with mental retardation voice concerns to the nurse regarding their child's eating insects and leaves. The parents report that this behavior has been occurring for almost 4 months. From what is this child most likely suffering? Select one: a. Pica b. Rumination disorder c. Enuresis d. Encopresis Answer- Pica Breath-holding spells typically occur when a child becomes extremely frustrated, cries, and either intentionally or unintentionally holds his or her breath. This rarely occurs in children younger than the age of ______ months. Select one: a. 6 b. 12 c. 18 d. 24 Answer- 6 The average age for onset of anorexia nervosa is _____ years old. Select one: a. 13 b. 17 c. 33 d. 40 Answer- 17