MENTAL HEALTH EXAM 2 PRACTICE
QUESTIONS
a nurse in an emergency mental health facility is caring for a group of clients. the nurse
should identify that which of the following clients requires a temporary emergency
admission?
- A client who has borderline personality disorder and assaulted a homeless man with a
metal rod
A nurse decodes to put a client who has a psychotic disorder in seclusion overnight
because the unit is very short-staffed, and the client frequently fights with other clients.
The nurses actions are an example of which of the following torts?
- False imprisonment
A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always threatening me". Which of the
following actions should the nurse take?
- Report the incident to the healthcare team, but do not inform the client of the intention
to do so.
A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation?
- "Client was offered 8oz of water every hr."
"Client shouted obscenities at assistive personnel."
"Client acted out after lunch."
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
- Tell the nurse to stop discussing the behavior
A nurse is caring for a client who smokes and has lung cancer. the client reports, "I'm
coughing because I have that cold that everyone has been getting". The nurse should
identify that the client is using which of the following defense mechanisms?
- Denial
A nurse is providing preoperative teaching for a client who was informed of the need for
emergency surgery. The client has a respiratory rate of 30/min. and says "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the
client is experiencing which of the following levels of anxiety?
- Moderate
