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Behavioral Health Practice Tests Questions with Answers
1. Persons with chronic mental health problems have much higher rates of:: -
Suicide
2. A 15-year-old girl is being admitted to an inpatient mental health clinic with the
diagnosis of anorexia nervosa. The nurse knows that the most common personality characteristic of teens affected with this disorder is:: Issue with control
3. A married couple is seeking counseling for domestic abuse issues. The husband
states that he can't control his anger when his wife constantly nags at him. In the assault cycle, the wife's behavior in this situation is the stage known as:: Trigger
4. When establishing a client's level of consciousness, the nurse is aware that this is
determined by assessing the client's:: Level of awareness
5. The nurse is reviewing information regarding a female client that was ob- tained with
the psychiatric assessment tool. The client's ability to provide food and shelter for herself is included in which area of the assessment?: Coping responses, discharge planning needs
6. For those family members who desire to care at home for loved ones who have
been given a diagnosis of Alzheimer's disease, it is important for the nurse to ensure
that the family is aware of which caregiver skills and responsibilities will be necessary. What is one of the responsibilities of the caregiver during the middle stage of the disease?: Adapting to the changing personality and behavior of the loved one
7. A 10-year-old male client is 20 pounds overweight. Which intervention by the nurse
is the most effective in this situation?: Teach the client and his parents about healthy eating habits and choices.
8. A 70-year-old male client tells the nurse that he is using chelation therapy to prevent
Alzheimer's disease. Which adverse effect is the client most likely to experience?: Low potassium levels
9. 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?: "You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication."
10. The theorist Eric Berne theorized that an individual's three ego states of parent,
child, and adult make up one's:: Personality
11. Once the acute feelings of illness are resolved, what is an appropriate
18. 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:: homes
19. A female client with a psychotic disorder is experiencing olfactory hallu- cinations.
Most likely, she would be complaining of a that is disturbing to her.: smell
20. The nurse who is caring for a 23-year-old client with bulimia knows that the most
common method of purging to monitor this client for is:: vomiting
21. In a research study of eating disorders, it was found that the most frequent weight
loss method used by female high school students was:: skipping meals
22. The nurse is completing an admission interview with an older adult on a busy
medical unit. What action is most appropriate for the nurse to take?: Allow the client time to respond to the questions regarding health history.
23. The emotional developmental task of industry vs. inferiority that occurs in
childhood is characteristic of which age group?: School age: 6 to 12 years old
24. Which one of the following are biological causes of mood disorders?: im- balance
of neurotransmitters
25. A "spell" is a culturally defined mental health disorder or a dissociative "state"
seen in African Americans, Europeans, and Americans from southern U.S. cultures. This "state" is characterized by:: Communication with deceased relatives or spirits that occurs during a trancelike state
26. A male adolescent client tells the nurse that he is almost positive that he is
homosexual. This realization most likely has occurred during the develop- mental period of:: Middle adolescence
27. Disease is defined as dysfunction.: Physical
28. A person with terminal cancer makes a call to a family member she has not spoken
to in 30 years in order to make amends. According to Kübler-Ross, what stage of dying is this person in?: working
29. 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?:. "You can enjoy a satisfying sex life with some adaptation."
30. The childhood trait that increases the risk for developing an antisocial
personality disorder is:: poor impulse control
31. The client lives his life by rapidly bouncing from feelings of deep sadness to great
joy. The client's diagnosis is most likely:: Bipolar Disorder
symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team. He is progressively withdrawing from reality but is not a safety risk at this point to himself or others. What is the best response of the nurse and treatment team?: Ensure that the client and those around him are safe, and monitor for additional symptoms of his schizophrenia while maintaining trust with the client.
37. 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?: Assessment
38. One of the major goals of therapy for adolescents with chemical depen- dency
is:: Replacing the use of the chemical with effective coping skills
39. 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?: Meet with the patient and family to determine how to provide support for cultural practices.
40. Studies of families, twins, and relatives with personality disorders have
demonstrated that the developing personality is influenced by:: Genetics
41. The new nurse confides to his supervisor, "I am feeling frustrated. Mr. J has
been doing so well in dealing with his issues over the last month, and today he refused to discuss anything productive in our session." What is the most appropriate response?: "During the working phase the client may experience growth and resistance."
42. What is the main issue for adolescents with anorexia?: Control
43. 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?: Learning from past decisions
44. 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:: Exploitation
45. Abused substances are those chemicals that alter the person's perception by
affecting the system.: Central Nervous
46. To make the remainder of a terminally ill person's life as meaningful and
comfortable as possible is the goal of:: Hospice Care
consistent basis?: The client who has an understanding of his or her disease and medication's effect in controlling symptoms
48. Sleep disorders that are characterized by abnormal behavioral or physical events
during sleep are called:: Parasomnias
49. 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?: Behavior, risk-prone health
50. A female client who has had bipolar disorder for several years decides to stop all of
her medications because she is tired of the side effects. She also cancels all appointments with her therapist, stating that it is just too difficult to plan the visits in her hectic schedule. This client is considered:: Noncompliant
51. The nurse witnesses different personalities emerging in the client with
dissociative identity disorder (DID). The primary personality is referred to as the:: Host
52. 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:: Recovery Time
53. In the dimension, an individual who is considering suicide experi- ences
distorted thinking and self-defeating thoughts.: Intellectual
54. In 1937, Congress passed the Hill-Burton Act, which was significant for the
treatment of mental health because it funded:: Construction of psychiatric units in facilities throughout North America
55. The daughter of an elderly nursing home resident is crying outside her father's
room. When the nurse comforts her, she states, "It is so hard to come here to visit when my mother doesn't even know who I am." The nurse knows the client is in which stage of Alzheimer's disease?: Intermediate Stage
56. During an interview with a 15-year-old female client admitted for depres- sion, the
nurse expresses her disappointment when she to learns that the client recently became pregnant and then had an abortion. The nurse is con- tradicting the effective interview guideline of:: Avoiding one's personal values that may cloud professional judgment
57. 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:: Ability to perform activities of daily living
58. 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
for assisting this client to meet these needs is:: Women, Infants, and Children (WIC)
59. The elderly spouse of a 74-year-old male client states that she has noticed that her
husband "doesn't remember as well as he used to." She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of:: Alzheimer's Disease
60. During a therapy session, a client is asked to respond to a word with the first word
or phrase that comes to mind. What term is commonly used to refer to this technique?: Free Association
61. A male client is seeking help in a mental health clinic for anger manage- ment
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:: An ethical conflict (or dilemma)
62. A family experiences the loss of their wife and mother to a car accident. Which
family member reacts by asking "When is mommy coming back?": The 4-year-old son
63. The client tells the nurse that she believes there is no improvement in her manic
episodes. Her clothing matches, and her makeup is more subdued. She sits quietly in the chair during the session. What does this indicate?: Verbal communication is not congruent with nonverbal communication.
64. The abnormal process in which aspects of the social, physical, emotional, or
intellectual function of a person are diminished or impaired is called:: illness
65. 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?: A learning disorder
66. Psychotropic medications can cause a parasympathetic and/or sympa- thetic
response from the autonomic nervous system. Which of the following is considered a sympathetic response?: Pupil dialation
67. 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?: yearning
68. A 35-year-old client with a long history of schizophrenia who often forgets to take
his medication is admitted to an inpatient unit after police found him threatening passengers on a bus. This is his fourth admission in 3 months. This frequent re-
75. The elderly spouse of a female Alzheimer's client states that his wife seems to
wander aimlessly from room to room looking for things in incorrect places, such as kitchen utensils in the bedroom and laundry detergent in the kitchen. He asks the nurse for suggestions of what he can do to help her. What is the nurse's best response?: "Place large signs on doors or entryways that identify the room."
76. Emotional or behavioral problems that develop in response to an identifi- able
source and last no longer than 6 months are called disorders.: Ad- justment
77. Self-protective responses are seen in behaviors that meet basic:: Needs
78. What is the term for physical expression of anxiety by an individual in ways such as
nausea or headaches?: Somatization
79. A male client has been diagnosed recently with a chronic illness. His family tells the
nurse that they have noticed that he has not been attending his weekly card game night with his friends and does not return their calls. What reaction is this client most likely experiencing?: Withdrawal
80. Whenever there is a history of unexplained lethargy, fussiness, or irritabil- ity in an
infant, caregivers should suspect syndrome.: Shaken Baby
81. Interventions for assaultive clients that focus on protecting the client and others
from potential harm are level interventions.: Two
82. A child who is the victim of domestic violence refuses to talk about the
experience. He is doing poorly in school and having trouble sleeping. Which therapy would he benefit from?: Art therapy
83. According to the theorist Erik Erikson, an individual strives to actualize his
identity, is most productive, and demonstrates guidance of and concern for others with a core task of caring during which stage of psychosocial development?: Middle adulthood (25 to 65 years)
84. The end of the continuum that is marked by sexual actions harmful to self or others
in some manner is known as:: Maladaptive
85. One begins to prefer being high to other activities during which stage of
addiction?: The early stage
86. Clients suffering from a personality disorder usually do not seek treatment because
they:: Are unable to recognize their problems
87. The client has frequent drug reactions to, and side effects from, his med- ications.
He is 72 years old and lives alone. What should he be assessed for?: Concurrent substance use
88. During assessment of a client with a dissociative disorder, the nurse notices that
the client has been cutting herself on both arms. After talking with the client, the nurse, along with other members of the treatment team, de- cides that the best intervention at this time to prevent further self-destructive behavior would be:: Establishing a signed
94. The onset of schizophrenia most commonly occurs during the decade of age in
the:: 20s
95. Which intervention will be most effective when one is teaching a client about his
or her medications and their administration?: Referring to medica- tions by name and providing written instructions
96. is a processed stimulant that reaches the brain immediately and
produces an intense but short-lived high.: Crack
97. A learned response to an anticipated event, such as when the person who does not
like to fly experiences nausea and sweaty palms before boarding the airplane, is best described as:: Signal anxiety
98. With children younger than 12 years of age, drug abuse:: Occurs more often than is
suspected
99. When a functional family is faced with a crisis or unexpected situation, which of the
following behaviors do they exhibit to overcome it?: Maintain clear and supportive communication to address the crisis. *
100. After establishing a no-harm contract with the client, the nurse should:: -
Continue to maintain close observation.
101. 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?: "Try taking the medication with food or milk, and see if the symptoms improve."
102. Individuals with mental illness live an average of years less than
the general population.: 10 to 15
103. The client has schizophrenia. He has moved frequently between the com- munity
and mental health facilities for the past 7 years. The client's behavior is an example of:: Recidivism
104. 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?: Pseudoresolution
105. The term that describes repeated physical abuse, usually of a woman, child, or
elder, is:: Battering
106. 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."
