PN MENTAL HEALTH 2020 EXAM

1. A nurse is caring for an adult client who has visible injuries as a result of intimate partner
violence. Which of the following actions should the nurse take?

2. A nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion of
cocaine use. The nurse should identify that which of the following manifestations is an indicator
of the client’s use of this substance?

3. A nurse in a mental health facility is caring for a client who has dementia. The client’s
agitation is increasing. Which of the following actions should the nurse take first?

4. A nurse is caring for a client who has bipolar disorder. The client suddenly appears agitated and
begins pacing at the end of the hallway with clenched fists. Which of the following actions
should the nurse take first?

5. A nurse is reinforcing discharge teaching with a client who has a new prescription for alprazolam.
Which of the following instructions is the priority for the nurse to include?

6. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. When a
news report about military action comes on the television, the client says to the nurse, “My
youngest child died 6 months ago while serving in the military.” Which of the following responses
should the nurse make?

7. A nurse is contributing to the plan of care for a client who has bipolar disorder and is exhibiting mania,
Which of the following interventions should the nurse include to improve the nutritional status of the
client?

8. A nurse is collecting data from a client who has paranoid personality disorder. Which of the
following manifestations should the nurse expect?

9. A nurse on and inpatient unit is assisting with a group therapy session. During the session, a
client begins to shout using aggressive language. Which of the following statements should the
nurse make to the client?

10. A nurse in a mental health facility is caring for a client who has schizophrenia. The
client becomes violent in the dayroom and begins throwing objects at staff and other clients.
After calling for assistance. Which of the following actions should the nurse take next?