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CHAMBERLAIN COLLEGE MENTAL HEALTH RN QUESTIONS AND ANSWERS (LATEST UPDATE 2023) RATED A+,D, Exams of Nursing

American InterContinental University (AIU) - AtlantaNursing

CHAMBERLAIN COLLEGE MENTAL HEALTH RN QUESTIONS AND ANSWERS (LATEST UPDATE 2023) RATED A+,Download to score A

Typology: Exams

2022/2023

Available from 09/28/2023

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CHAMBERLAIN COLLEGE MENTAL HEALTH RN
QUESTIONS AND ANSWERS (LATEST UPDATE 2023)
RATED A+ ,Download to score A
1) An older ale client with schizophrenia is found smearing feces n the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the
bathroom.
D. Assist the client to clean the walls.
2) A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a
year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
3) During admission to the psychiatric unit, a female client is extremely anxious and states that
she is worried about the sun coming up the next day. What intervention is most important for
the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
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Download CHAMBERLAIN COLLEGE MENTAL HEALTH RN QUESTIONS AND ANSWERS (LATEST UPDATE 2023) RATED A+,D and more Exams Nursing in PDF only on Docsity!

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

  1. An older ale client with schizophrenia is found smearing feces n the bathroom walls of the chronic mental health unit where he resides. What action should the RN implement? A. Explain that the feces belong in the toilet. B. Show the client how to clean the walls. C. Escort the client out of the bathroom. D. Assist the client to clean the walls.
  2. A male client tells the RN that he does not want to take the atypical antipsychotic drug, olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine? A. Weight gain of 75 lbs. B. Thoughts of wanting to hurt himself. C. Frequent days with diarrhea. D. Alerted liver function test.
  3. During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process? A. Assist the client in developing alternative coping skills.

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

B. Remain calm and use a matter of fact approach. C. Ask the client why she is so anxious D. Administer a PRN sedative to help relieve her anxiety.

  1. A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem? A. Acute confusion. B. Ineffective community coping C. Disturbed sensory perception. D. Self-care deficit.
  2. The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis? A. Tell me what you think should happen. B. How serious was the collision? C. What do you think you should do? D. Call for transportation to the hospital.
  3. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

A. Ineffective sexual patterns. B. Impaired environmental interpretation. C. Disturbed sensory perception. D. Compromised family coping.

  1. The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client’s dressing? A. Provide detailed thorough explanations when cleansing wound. B. Perform the dressing change in a non-judgmental manner. C. Ask in a non-threatening manner why the client cut own abdomen. D. Request another staff member assist with the dressing change.
  2. While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this therapeutic technique? A. Initiate a non-threatening conversation with the client. B. Dialog about the ineffectiveness of his interactions. C. Allow the client to identify the way he interacts. D. Discuss the client’s feelings when he responds.

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

  1. An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment? A. Meet scheduled appointment with dietitian. B. Sleep at least 6 hours a night. C. Understands the purpose of the medication regimen. D. Describes the reasons for hospitalization.
  2. When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide?

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

13)A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement? A. Isolate the client from the other clients. B. Administer PRN sedative. C. Avoid recognizing the behavior. D. Escort the client to his room.

  1. A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg. B. Pulse rate of 68-78 BPM. C. Temperature of 99.5-99.7 F. D. Respiration rate of 24 breaths per minute.

  1. The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the Rn implement the evening before the scheduled ECT? A. Hold all bedtime medications. B. Keep the client NPO after mid-night. C. Implement elopement precautions. D. Give the client an enema at bedtime.
  2. A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid? A. Pan-seared catfish. B. Peperoni pizza. C. Deep fried shrimp. D. Beef trips with gravy.

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

  1. A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the decreased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time? A. Not sleeping for several days. B. Wishing to be with spouse. C. Lack of interest in usual activities. D. Eating very little.
  2. A middle aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning? A. Provide education on methods to enhance sleep. B. Teach the client to develop a plan for daily structured activities. C. Suggest that the client develop a list of pleasurable activities. D. Encourage the client to exercise.
  3. When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority? A. Impaired comfort.

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

B. Risk for injury. C. Ineffective breathing pattern. D. Ineffective coping.

  1. A female client on a psychiatric unit is sweating profusely while she vigorously does push- ups and then runs the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the disturbance, the client shouts, “I am the boss here. I do what I want.” Which nursing problem best supports these observations?

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

  1. The mother of an 8-month-old infant with profound mental and physical disabilities tells he RN how depressed she is because she realized that her child will never achieve normal growth and development milestones. How should the RN respond to the mother? A. Ask the mother if she has ever thought about harming herself or her child. B. Reassure the mother that her child will achieve some growth and development milestones. C. Determine if the mother has other children who do not have developmental disabilities. D. Encourage the mother to write thoughts and feelings in journal.
  2. Several clients with chronic mental illness and multiple substance abuse histories live in a group residential home and attend daycare mental health facility where group and individual therapies are provided. The RN finds the common bathroom at the facility with sputum on the

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

walls, urine in the sink and on the floors, and the toilet stopped up with tissue, paper towels, and feces. What is the priority issue that the RN should address? A. Medication non-compliance. B. Number of bathroom facilities. C. Infection control. D. Acting out behaviors.

  1. A client with schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for safe harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. What intervention should the RN implement? A. Assure the client that all food served in the hospital is safe to eat. B. Tell the client that irrational thinking is a symptom of schizophrenia. C. Obtain an order for a tube feeding for the client. D. Provide the client with food in unopened containers.
  2. The RN is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (SOA) A. Purchase a gun to use for protection. B. Establish a code with family and friends to signify violence.

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

D. Nausea and vomiting.

  1. A male client who is admitted with delirium tremens is dehydrated and experiencing auditory hallucinations. He has a bruised, swollen tongue and is confused. In developing a plan of care, which action should the RN include to ensure the client is physiologically stable? A. Encourage oral fluids. B. Monitor vital signs. C. Keep the room dark. D. Apply ice to his tongue.
  2. A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram (Antabuse). What information should the client acknowledge understanding? A. Admit to others that he is a substance abuser. B. Remain alcohol free for 12 hours prior to first dose. C. Attend monthly meetings of alcoholics anonymous. D. Completely sustain from heroin or cocaine use.
  3. The RN is working with a male client at a community mental health center when the client reports hearing voices that tell him to get a knife from the kitchen and hurt himself. What intervention is most important for the RN to implement?

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

A. Don’t allow the client to go into the kitchen until the hallucination has subsided. B. Report the behavior to the client’s case workers so that the family can be notified. C. Assign the UAP to remain with the client at all times. D. Document the behavior in the client’s record and notify the HCP.

  1. A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to implement within the first 24 hours after treatment is initiated? A. Allow the client to rest and sleep. B. Ensure client attend groups addressing coping skills for dealing with depression.

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

  1. A college student who is a victim of a car-jacking presents to the community health center and report increased anxiety. During the interview, what nursing intervention should take the highest priority? A. Identify support systems in the community that may be helpful. B. Help the client feel safe to decrease anxiety. C. Ask the client to describe coping strategies that were helpful in the past. D. Encourage the client to verbalize anxiety related to event.
  2. The RN completes an assessment of a client who is experiencing intimate partner violence (IPV). Which finding of the injuries should the RN include in the documentation? A. A summary of the client’s feelings. B. Photographs. C. A general description. D. A client’s significant other’s statement.
  3. Following involvement in a MVC, a middle aged adult client is admitted to the hospital with multiple facial fractures. The client’s blood alcohol level is high on admission. Which PRN

QUESTIONS AND ANSWERS (LATEST UPDATE 2023)

RATED A+,Download to score A

prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)? A. Prochlorperazine (Compazine) 5 mg IM. B. Hydromorphone (Dialuadid) 2 mg IM. C. Chlorpromazine (Thorazine) 50 mg IM. D. Lorazepam (Ativan) 2 mg IM.