Mental Health Technician Practice Exam Questions and Answers, Exams of Nursing

Download Mental Health Technician Practice Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! MENTAL HEALTH TECHNICIAN PRACTICE EXAM QUESTIONS AND ANSWERS VERIFIED 100% CORRECT!! The medication donepezil (Aricept) frequently is used to treat the early-stage symptoms of Alzheimer's disease. When administering this particular medication, the nurse should be especially alert to assess the client for: a. Weight changes b. Tremors c. Increased sweating d. Alterations in blood pressure Answer- d The mother of a 20-year-old man diagnosed with paranoid schizophrenia is upset by the fact that her child tried to attack her during her daily visit. What is the most appropriate support the nurse can give her after this incident? 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- c Suicide is attempted three times more frequently by ____ but is more often successfully completed by ____. a. Adult men, women b. Adult women, men c. Adult fathers, mothers d. Adolescent mothers, fathers Answer- b Color therapy has been found to be especially effective in the treatment of: a. Seasonal affective disorder b. Bipolar disorder c. Drug addiction d. Generalized anxiety disorder Answer- a During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client? a. Abstract thinking b. Reading c. General knowledge d. Memory Answer- b During the preparation phase of a therapeutic relationship with a client, what is the main task to be completed by the nurse? a. To establish with the client the purpose of the relationship b. To gather and review all possible information regarding the client c. To build trust with the client d. To obtain agreement from the client to work in conjunction with the nurse Answer- b Without assessment of six specific aspects of an individual's being, the mental health nurse's scope of care is narrow and limited in effectiveness. These aspects include social, physical, cultural, intellectual, emotional, and spiritual areas of a person's life, known as a(n) __________ assessment. a. Complete b. Accurate c. Holistic d. Psychiatric Answer- c Which of the following persons is most likely a candidate for primary hypersomnia? a. A 50-year-old who has wakeful periods during the night and naps during the day following the death of her husband b. A 6-year-old who wakes up in the middle of the night after having a nightmare and is tired the next day c. An obese 40-year-old who has snoring and periods of apnea at night and is tired the next day d. An 18-year-old college student whose mother complains he sleeps all night and still naps during the day Answer- d In the early twentieth century, a frontal lobotomy was a common treatment for violent behaviors. Which description of this procedure is accurate? 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- c According to Freud's theory, a baby who is crying in response to wanting to be held by his mother is an example of which part of the personality's control over behavior? a. Id b. Ego c. Superego d. Self-control Answer- a 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: 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? a. Denial b. Depression and identification c. Acceptance and recovery d. Yearning Answer- d The nurse asks a client how she is feeling, and the client provides a detailed description of everything she is experiencing. This is an example of: a. Echolalia b. Circumstantiality c. Neologism d. Perseveration Answer- b A 19-year-old male client is being treated for a drug addiction. He continually voices his dread of being discharged because he knows he will have to live with his parents and follow their rules until he can earn enough money to live on his own. He is showing increasing resistance to treatment measures, such as attending group sessions, but is refusing to acknowledge that he has an addiction or that he needs treatment. Which behavior is the client demonstrating? a. Transference b. Primary resistance c. Secondary resistance d. Tertiary resistance Answer- c An adult female client has been diagnosed recently with mild depression but opts not to take the medication prescribed by her physician after talking with the physician about the benefits, risks, possible outcomes, and side effects. She decides to investigate alternative treatments. This client is making this decision based on the premise of: a. Informed consent b. Noncompliance c. Client education d. Right to privacy Answer- a A drug that is taken daily to help reduce the desire for alcohol is: a. Hydroxyzine (Atarax) b. Disulfiram (Antabuse) c. Methadone (Dolophine) d. Meclizine (Antivert) Answer- b The client lives so completely in a world of his own that they he is unable to recognize reality, relate to others, or cope with life's demands. This client is considered: a. Exotic b. Anorectic c. Neurotic d. Psychotic Answer- d The nurse can assist a client best in meeting his or her needs for self-esteem and/or self-actualization by: a. Setting rules and regulations b. Allowing the client to set rules and regulations for the inpatient unit c. Informing the client of what the treatment team has decided regarding the plan of care d. Allowing the client to make choices involving his or her care when appropriate Answer- d A 72-year-old woman from the Dominican Republic is hospitalized after fainting while visiting her daughter. The staff has voiced complaints regarding the family ignoring hospital rules regarding visiting hours and number of visitors allowed in the room. In addition, the daughter brings food to the mother from home that is not a part of the client's prescribed diet. How can the staff deal with these issues in a professional manner? Select one: a. Meet with the patient and family to determine how to provide support for cultural practices. b. Have security remove the family and focus on the client's care and needs. c. Accept the food from the family and throw it out without informing them. d. Allow family presence to take priority over treatments and therapies. Answer- a 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? 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- c 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- b By the time they enter school, it is thought that most children identify with: a. Same-sex peers b. Opposite-sex peers c. The same-sex parent d. The opposite-sex parent Answer- c 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? 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- d Nearly __________ of all countries in the world have no clear governmental policy that addresses mental health issues. a. 7% b. 26% c. 50% d. 75% Answer- c Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions. Select one: a. One b. Two c. Three d. Four Answer- b A client does not participate in group sessions due to feeling inferior to others in the group. Based on cognitive behavioral theory, he would be directed to: a. Review his previous relationship with his parents. b. Participate in group to receive extra privileges. c. Suppress negative thoughts about the group. d. Recognize and change his negative thoughts. Answer- d The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to: a. Feel in control b. Feel self-worth c. Talk about themselves d. Feel foolish for thinking about suicide Answer- b During a session with a female client with a diagnosis of social phobia, she talks about how proud she is of herself because she was finally able to shop at the grocery store. The nurse documents the events and knows that this would be considered which phase of the nursing process? a. Assessment b. Planning c. Intervention d. Evaluation Answer- d In 2006, the National Alliance on Mental Illness (NAMI) conducted a comprehensive survey and grading of state mental health care for adults and learned that the overall grade for care was: a. Schizophrenia b. Bipolar disorder c. PTSD and OCD d. Depression and anxiety Answer- d 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? a. Pica b. Rumination disorder c. Enuresis d. Encopresis Answer- a A 7-year-old male client displays behaviors such as an inability to make eye contact with others, inappropriate facial expressions, difficulty in making friends, and showing little emotion with family members. He talks with adults but is awkward in his conversation. Given these behaviors, what is this client most likely experiencing? a. Childhood disintegrative disorder b. Asperger's syndrome c. Dyslexia d. Rett syndrome Answer- b Self-protective responses are seen in behaviors that meet basic: a. Goals b. Needs c. Wants d. Demands Answer- b The client feels unwell. She knows that she would be better off if she rested today, but important matters at work are waiting. She stops at the drugstore on her way to work and purchases several over-the-counter cold remedies. Her behaviors are related to the stage of illness experience called: a. Symptom experience b. Medical care contact c. Assuming the sick role d. Dependent patient role Answer- a A mother of a 9-year-old is concerned because her child complains of frequent stomachaches in the morning before leaving for school. No medical reason has been found for this condition. The family has recently moved to the area after the woman and her husband divorced and the child is attending a new school. What is the most appropriate response the nurse can give to this mother? a. Ignore the child's complaints and send the child to school. b. Allow the child to stay home from school when this occurs. c. Provide support and reassurance to the child as he adjusts. d. Take away computer privileges to stop this behavior. Answer- c Level one interventions for potentially assaultive clients should be practiced as: a. Therapy b. Control methods c. Assessment measures d. Preventive measures Answer- d One of the developmental tasks of adolescence is to establish intimacy and relationships. By the age of 14, what percentage of teens have experienced sexual intercourse? a. 10% b. 25% c. 50% d. 85% Answer- c Personality disorders in the adolescent are characterized by: a. Onset usually in middle childhood b. Impulsivity c. Flexibility d. High self-esteem Answer- b The term "sandwich generation" best describes adults: 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- b The client had recently witnessed a horrific auto accident. Now she is complaining of double vision, loss of balance, and a constant "lump in her throat." She is exhibiting the signs and symptoms of: a. Anxiety reaction b. Behavioral disorder c. Conversion disorder d. Posttraumatic stress reaction Answer- c A female client with a psychotic disorder is experiencing olfactory hallucinations. Most likely, she would be complaining of a _____ that is disturbing to her. a. Vision b. Sound c. Smell d. Sense of touch Answer- c In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health: a. Research on drugs for the treatment of mental health disorders b. Training of mental health professionals c. Construction of psychiatric units in facilities throughout North America d. Development of community mental health clinics Answer- c A 6-year-old is preparing to have a dental procedure. His anxious mother is in the room with him. When the child asks if everything will be okay, she assures him it will, but continues to pace and wring her hands. What is the most appropriate action for the dentist to take? a. Give the mother a seat near the child and continue to assure the mother. b. Request that the mother wait in the waiting room. c. Allow the mother to verbalize what her concerns are. d. Tell the child to ignore his mother. Answer- b _____% of the adult population in the United States has a mental health disorder. a. Five b. Eleven c. Twenty five d. Thirty nine Answer- c Culture includes common beliefs and practices in areas such as religion, economics, diet, health, and: a. Genetics b. Occupations c. Patterns of communication d. Stereotypes Answer- c The childhood trait that increases the risk for developing an antisocial personality disorder is: a. Poor impulse control b. Frequent reading in solitude c. Poor preschool learning practices d. Difficulty controlling others in the environment Answer- a The moods of adolescents: a. Are stable b. Vary widely c. Develop slowly d. Are not related to growth and development Answer- b The physiological stress response has an effect on _____ system(s). a. Many body b. Only the nervous c. The gastrointestinal d. The cardiovascular and respiratory Answer- a Standards of nursing practice for mental health can best be described as helping to ensure: a. That certain clients receive care b. Quality and effectiveness of care c. Proper documentation d. Proper medication administration Answer- b During a session with a female client with a diagnosis of social phobia, she talks about how proud she is of herself because she was finally able to shop at the grocery store. The nurse documents the events and knows that this would be considered which phase of the nursing process? a. Assessment The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. What should he be assessed for? a. Clarity of mind b. Suicidal wishes c. Concurrent substance use d. Using someone else's medications Answer- c Poverty influences the growth and development of children and is often a precursor to mental health disorders in children. Nearly _____ of children in the United States come from families that live at the poverty level. a. 10% b. 20% c. 30% d. 40% Answer- b After establishing a no-harm contract with the client, the nurse should: a. Begin to assess client risk factors. b. Continue to maintain close observation. c. Decrease observation activity to allow client autonomy. d. Begin treatment with antidepressants. Answer- b The rate of attempted suicide in adolescents is _____ times higher with females than with males. a. 3 b. 6 c. 9 d. 12 Answer- a 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? 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- b A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problem, and he is willing to do "whatever it takes" to control his anger. Later in the week, the client's wife also seeks assistance because she is going to divorce her husband. The nurse who is caring for both of these clients tries to decide the correct action to take. The nurse is experiencing: a. A moral dilemma b. Value clarification c. An ethical conflict (or dilemma) d. A breach of confidentiality Answer- c Historically, the homeless population has primarily consisted of: a. Families b. African-American men over 40 years of age c. White male adults with an average age of 50 years d. Individuals in their 30s with mental and physical disabilities Answer- c A client seen in the community mental health clinic appears for one appointment in multiple layers of brightly colored clothing. 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? a. Bipolar I disorder b. Psychosis c. Bipolar II disorder d. Major depressive episode Answer- a The client is feeling very anxious and has requested that a p.r.n. antianxiety medication be ordered. The nurse informs the client that the medication can be administered only every 4 hours and was given 3 hours ago. The nurse promises to give the client the medication as soon as it is due, but the nurse goes to lunch 1 hour later without giving the client the medication. Which ethical principle did the nurse violate? a. Fidelity b. Veracity c. Confidentiality d. Justice Answer- a Adult disorders such as chronic anxiety and depression often are associated with childhood: a. Illnesses b. Fears c. Education d. Abuse Answer- d Three years after the loss of her husband of 35 years, the wife has a full-time job but finds that she cannot sleep well at night, has frequent mood changes, and attends the couple's night out with friends that she and her husband attended. Upon seeking counseling, she discovers that she is exhibiting symptoms of: a. Bereavement-related depression b. Complicated grief c. Anticipatory grief d. Caregiver grief Answer- b The child has not developed the ability to respond to others. He cannot communicate his needs. He may remain dependent upon others throughout his life. He is most accurately described as having: a. Autism b. Anxiety c. Mental retardation d. Attention-deficit disorder Answer- a 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. a. 5% b. 15% c. 25% d. 35% Answer- b If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every _____ months. a. 3 b. 6 c. 12 d. 15 Answer- c The concerns of children in whom terminal conditions have been diagnosed focus on how the illness affects the child's: a. Loss of a future b. Family and friends c. Social activities d. Activities of daily living Answer- d The nurse in the Emergency Department finds a woman collapsed on the floor and crying loudly. The woman's husband was in a car accident and is being attended to by the medical staff. Which statement by the nurse best demonstrates acting in a culturally competent manner? a. "You need to control yourself. Your husband was not injured that badly." b. "Let me take you to a room with more privacy so we can talk." c. "I am concerned about how you are acting right now. No one else here is acting like this." d. "We will call the psychiatrist to see if medication can be ordered for you." Answer- b An adolescent female client continually displays a negative attitude toward everyone she comes into contact with and toward life in general. Which action should the nurse implement first that will be helpful in assisting this client to develop a more positive attitude? a. Helping the client recognize negative thoughts, emotions, and attitudes b. Pointing out every negative behavior that the client displays c. Assisting the client to replace negative thoughts by frequently repeating positive statements d. Praising positive behavior exhibited by the client Answer- a Toddlers often express their anger through: a. Crying b. Manipulation c. Temper tantrums d. Direct aggression Answer- c The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist: a. Freud b. Pinel c. Fisher d. Rush Answer- a 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? 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- a A score of 1 to 10 on the global assessment functioning (GAF) scale would indicate that a client was at risk for: a. Mild difficulty in focusing b. Mild difficulty in handling social situations c. Hurting himself or others d. Serious impairment in social and occupational functioning Answer- c Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions. a. One b. Two c. Three d. Four Answer- b A client seen in the mental health clinic feels her depression is the result of being "punished" due to becoming pregnant as an adolescent and giving the infant up for adoption against her family's wishes. This view of her depression is considered: a. Exaggerated b. Naturalistic c. Personalistic d. Induced Answer- c A client is granted permission to watch a favorite television show in the evening because she participated in an occupational therapy activity. Her therapist bases this on ______ theory. a. Psychoanalytic b. Humanistic c. Behavioral d. Developmental Answer- c In the United States, 1 in _____ individuals has a diagnosable mental health disorder. Select one: a. 4 b. 8 c. 12 d. 16 Answer- a 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? 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- a Which client communication problem can the nurse most easily correct? a. Age differences b. Altered cognition c. Cultural differences d. Gender differences Answer- c When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in: Select one: a. Naming all personalities for clarification b. Integrating the personalities into one functional personality c. Realizing when different personalities are about to emerge d. Learning how to move from one personality to another Answer- b Experiencing sexual excitement from wearing the clothing of the opposite sex is defined as: Select one: a. Cross-acting b. Transvestism c. Transsexuality d. Sexual dysfunction Answer- b A nurse is working with a male client in a mental health outpatient clinic. The client voices a desire to become more autonomous. Which goal will assist the client in becoming more autonomous? a. The client will check his calendar each night to plan for commitments scheduled on the following day. b. The nurse will remind the client weekly of his appointment at the clinic for the following week. c. The client will ask the nurse to call him to remind him of his appointment. d. The nurse will complete the client's calendar of daily commitments scheduled for the week. Answer- a The abnormal process in which aspects of the social, physical, emotional, or intellectual function of a person are diminished or impaired is called: a. Health b. Illness c. Recovery d. Homeostasis Answer- b 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? a. Confusion, chronic b. Coping, ineffective c. Self-esteem, risk for situational low d. Grieving, dysfunctional Answer- c While an abused woman cannot be categorized to fit a specific profile, which of the following traits is most commonly identified? a. Trusting nature b. Assertive personality c. Accomplished in non-traditional female career d. Suspicious nature Answer- a 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? 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- a A female client who is undergoing therapy for depression is divorced and has two children, ages 2 and 4. She has just enrolled in a local community college and is worried about providing food and clothes for her family while holding down a minimum wage job and also devoting the time needed to be successful in school. The nurse determines that the best community resource for assisting this client to meet these needs is: a. A shelter for victims of domestic violence b. Women, Infants, and Children (WIC) c. Family-planning agency d. Family recreation center Answer- b The nurse is meeting with a client suffering from agoraphobia who recently moved to the United States from a country where acts of violence and civil unrest are common. The theoretical model that links anxiety to the uncontrollable events the client experienced in his previous country is the ________ model. a. Behavioral b. Encouraging the client to do the best he can in any given situation, while reminding him that failure is a possibility c. Ensuring that the client limits activities to those in which he is sure to be successful d. Allowing the client to set goals that are nearly impossible to achieve but giving him the opportunity to try his best to meet these goals Answer- a 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: a. Transference b. Secondary gain c. Countertransference d. Insecurity Answer- a The nurse is attempting to develop trust with a newly admitted female client for the purpose of establishing a therapeutic relationship. The nurse is currently administering medications to all clients on the unit. The newly admitted client asks the nurse to sit and talk with her for a while. What is the nurse's best response? a. "I am busy right now, but I will come back later." b. "Give me just a few more minutes to finish passing medication to the other clients." c. "I will return in 20 minutes so we can talk." d. "I have to finish giving all the clients their medications, but I will then come back so we can talk." Answer- d The nurse is administering medications to a client with a diagnosis of paranoid schizophrenia. The nurse would expect to see which medication ordered for this client? a. Lithium b. Depakene c. Neurontin d. Risperdal Answer- d The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Erikson's theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable: a. Body image b. Self-ideal c. Self-concept d. Role performance Answer- c The nurse who feels the most beneficial part of the client's inpatient stay is the establishment of an interpersonal relationship with the nurse is an example of which nursing theorist? a. Orem b. Watson c. Peplau d. Roy Answer- c The client has been diagnosed with depression for a long time. He recently started using cocaine to help relieve his depression. The most accurate description of these behaviors is a(n): a. Addiction b. Dual diagnosis c. Fear of failure d. Poor prognosis Answer- b Jean Piaget's theory of cognitive development identifies an interrelationship between the __________ and the __________ functions in the development of one's personality. a. Id; ego b. Intellectual; emotional c. Anxiety; affective d. Personified; cognitive Answer- b Several studies have demonstrated that significant ____ changes occur in people who displayed hostile or negative behaviors. a. Attitudinal b. Behavioral c. Gastrointestinal d. Immune-mediated Answer- d Somatization disorder is a polysymptomatic disorder, which means that the disorder is associated with ____ symptoms. a. Few signs and b. Polymorphic c. Many signs and d. Specific signs and Answer- c How many people in the United States have a severe mental illness? a. 500,000 b. 1.3 million c. 5.4 million d. 10 million Answer- c The main feature of a factitious disorder is that symptoms are purposefully produced to allow the individual to: a. Get out of work. b. Assume the sick role. c. Assume control of treatment. d. Get the attention of health care providers. Answer- b During the recoil stage of recovery from violence, the major characteristic is: a. Fear b. Disorganization c. Reconstruction d. Struggle to adapt Answer- d A male client is being argumentative during a group therapy session. The male psychiatric technician warns the client that if he does not cooperate with the nurse, he will physically restrain him and take the client to his room for the remainder of the day. For which action could the technician be held liable? a. Assault b. Battery c. Privacy d. Fraud Answer- a Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing: a. Abuse b. Neglect c. Violence d. Exploitation Answer- d A nurse is working with a male client in a mental health outpatient clinic. The client voices a desire to become more autonomous. Which goal will assist the client in becoming more autonomous? a. The client will check his calendar each night to plan for commitments scheduled on the following day. b. The nurse will remind the client weekly of his appointment at the clinic for the following week. c. The client will ask the nurse to call him to remind him of his appointment. d. The nurse will complete the client's calendar of daily commitments scheduled for the week. Answer- a The psychiatrist asks the nurse to perform a procedure that she is not familiar with, and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to her question? a. National nurse practice act b. State nurse practice act c. Regional nurse practice act d. Community nurse practice act Answer- b When should the nurse begin preparations for the termination phase of a therapeutic relationship? a. During the orientation phase b. Prior to the last meeting c. During the last meeting d. After all goals have been met Answer- b The parents of a 5-year-old are concerned because he has recently starting wetting himself during the day while at school. They inform their pediatrician about this when they bring their newborn daughter in for her first immunizations. After ruling out any physical cause, the pediatrician informs the parents that this is due to? a. Primary nocturnal enuresis b. Secondary enuresis c. Encopresis d. Disobedience Answer- b c. Has a keen memory in his or her heightened state of awareness d. Frequently has no recollection of what is said by the staff during admission Answer- b 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? 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- a 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: 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- b A male who, as a child, observed the women in his family being dominated is, in his own life, more likely to: a. Love b. Batter c. Belittle d. Order around Answer- b The goal of treatment during the first phase of depression is to: a. Develop a plan for treatment. b. Reduce uncooperative behaviors. c. Help the client to adjust to antidepressants. d. Reduce symptoms and inappropriate behaviors. Answer- d In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United States, Canada, and Scotland and is credited with bringing about public awareness and reform for the care of the mentally ill. a. Sigmund Freud b. John Cade c. Florence Nightingale d. Dorothea Dix Answer- d During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying? a. Delusions b. Perseveration c. Confabulation d. Flight of ideas Answer- d Studies of families, twins, and relatives with personality disorders have demonstrated that the developing personality is influenced by: a. Genetics b. Order of birth c. Financial factors d. Number of siblings Answer- a 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: 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- a During an episode of binge eating, what type of food is usually taken in large amounts? a. Fruits b. Red meat c. Fried or high fat content foods d. Cakes, donuts, or sweets Answer- d An order written by a physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who was recently hired knows that this treatment is covered by the state's nurse practice act. What is the nurse's best course of action? 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- d Bob drives fast everywhere he goes, especially when he is drinking. Last night, he was arrested for gambling and loud behavior. Bob is engaging in ____ behavior. a. Adaptive b. Suicidal c. Direct self-destructive d. Indirect self-destructive Answer- d 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? a. Increased pulse and respirations b. Hyperactivity and difficulty concentrating c. Increased tearing and increased urinary output d. Sedation, disorientation, and hallucinations Answer- d A client is continually late for his appointment at the mental health clinic. What is a likely reason for his lack of punctuality? a. Need for environmental control b. Time orientation c. Space comfort zone d. Territorial needs Answer- b When reviewing the nursing notes from the previous shift, the nurse notices notations indicating that the client was experiencing a somnolent level of consciousness. The client's behavior would be described as: a. Falling asleep easily and only awakening with strong verbal stimuli b. Frequently sleeping and awakening only to strong physical stimuli c. Unresponsive to any verbal or painful stimuli d. Having alternating periods of excitability and drowsiness Answer- a