Mental Health Proctored Practice Exam A with Answers (60 Solved Questions)

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Mental Health Proctored Practice A
1. 14 mL
110 lb x (1 kg/2.2 lb) = 50
kg
50 kg x 0.55 mg = 27.5 mg
27.5 mg x(5 mL/10 mg) =
14 mL
A nurse is preparing to administer chlorpro-
mazine 0.55 mg/kg PO to an adolescent who
weighs 110 lb. Available is chlorpromazine syrup
10 mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest
whole number)
2. B. "She won't let me
take the trash from
her room. I'm concerned
about what she has in
there."
The client might be binge
eating and attempting to
hide her food contain-
ers, which is a common
behavior among clients
who have bulimia ner-
vosa. The mother's state-
ment indicates aware-
ness of her daughter's
behavior.
A nurse in an emergency department is caring
for a female adolescent who has a diagnosis of
bulimia nervosa and had a fainting episode during
a ballet performance. Which of the following state-
ments by the mother acknowledges her daugh-
ter's diagnosis?
A. "She works so hard at ballet. Will she still be
able to perform?"
B. "She won't let me take the trash from her room.
I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores
for her today."
D. "She is happier with her appearance now that
she's lost some weight."
3. A. The client needs ex-
cessive external input
to make everyday deci-
sions.
Clients who have depen-
dent personality disor-
der need excessive in-
put from others to make
everyday decisions.
While observing group therapy, a nurse recog-
nizes that a client is behaving in a way suggestive
of dependent personality disorder. Which of the
following behaviors is consistent with this condi-
tion?
A. The client needs excessive external input to
make everyday decisions.
B. The client demonstrates a dedication to his job
that excludes time for leisure activities.
C. The client adheres to a rigid set of rules.
D. The client has difficulty starting new relation-
ships unless he feels accepted.
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Mental Health Proctored Practice A
4. C. Tachycardia
The nurse should mon-
itor the child for
tachycardia, which is
an adverse effect of
methylphenidate.
A nurse is caring for a child who is taking
methylphenidate. The nurse should monitor the
child for which of the following findings as an
adverse effect of methylphenidate?
A. Weight gain
B. Tinnitus
C. Tachycardia
D. Increased salivation
5. B. "To whom do you
talk when you feel over-
whelmed?"
By asking this question,
the nurse is assessing
the client's support sys-
tems, which is an impor-
tant factor in the client's
ability to cope with the
situation.
A nurse is interviewing a client at a temporary
shelter after surviving the destruction of her home
by a tornado. When assessing the client, the
nurse should ask which of the following questions
to determine the client's ability to cope with this
situation?
A. "Don't you think you'll get through this in time?"
B. "To whom do you talk when you feel over-
whelmed?"
C. "Have you thought about rebuilding your home
on the same site?"
D. "Would you like me to find a therapist for you
to speak with?"
6. A. Shuffling gait
Benztropine is used to
treat parkinsonism mani-
festations, such as shuf-
fling gait.
A nurse is caring for a client who has schizophre-
nia and was prescribed a conventional antipsy-
chotic medication yesterday. Which of the follow-
ing findings indicates the nurse should administer
benztropine 2 mg IM?
A. Shuffling gait
B. Hypotension
C. Decreased WBC count
D. Blurred vision
7. B. A client who has
a sodium level of 128
mEq/L
A nurse is reviewing routine laboratory values for
several clients who are taking lithium carbonate.
Which of the following clients should the nurse as-
2 / 22

Mental Health Proctored Practice A
A sodium level of 128
mEq/L should alert the
nurse that the client is
at risk for lithium toxicity
because renal excretion
of lithium is decreased
in the presence of a low
sodium level.
sess further for findings indicating lithium toxicity?
A. A client who has a fasting blood sugar of 80
mg/dL
B. A client who has a sodium level of 128 mEq/L
C. A client who has a BUN of 18 mg/dL
D. A client who has a potassium level of 3.6
mEq/L.
8. B. "You're saying that you
think you are fat and are
using laxatives because
you are afraid of gaining
weight."
The nurse is using the
therapeutic technique of
summarizing to review
the key points of the dis-
cussion.
A nurse is counseling an adolescent who has
anorexia nervosa and reports excessive laxative
use and a fear of gaining weight. The client states,
"I'm so fat I can't even stand to look at my-
self." Which of the following therapeutic respons-
es demonstrates the nurse's use of summariz-
ing?
A. "You've discussed several concerns about your
weight. Let's go back and talk about your belief
that you are fat."
B. "You're saying that you think you are fat and are
using laxatives because you are afraid of gaining
weight."
C. "You don't want to look at yourself because you
think you are fat."
D. "You and I can work together to overcome your
fears of gaining weight."
9. D. Mild
The nurse should plan
to teach the client relax-
ation techniques during
the mild level of anxiety,
The is when the client
will be able to concen-
trate and process infor-
mation.
A nurse is planning care for a client who has gen-
eralized anxiety disorder. At which of the following
levels of anxiety should the nurse plan to teach
the client relaxation techniques?
A. Panic
B. Moderate
C. Severe
D. Mild
3 / 22

Mental Health Proctored Practice A
10. C. Hand tremors
Fine hand tremors are
an expected adverse ef-
fect of lithium and can
interfere with the client's
ADLs, causing the client
to stop taking the med-
ication.
A nurse in a mental health clinic is caring for a
client with bipolar disorder and reports that she
stopped taking lithium 2 weeks ago. The nurse
should recognize which of the following as an
expected adverse effect that might have caused
the client to stop taking the medication?
A. Sore throat
B. Photophobia
C. Hand tremors
D. Constipation
11. D. Easily distracted
Extreme distractibility is
a hallmark manifestation
of delirium.
A nurse is performing a cognitive assessment
to distinguish delirium from dementia in a client
whose family reports episodes of confusion.
Which of the following assessment findings sup-
ports the nurse's suspicion of delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted
12. A. "Take this medication
in the evening at bed-
time."
The client should take
this medication in the
evening at bedtime for
optimal effectiveness.
A nurse is teaching a family member and a client
who has a new diagnosis of Alzheimer's disease
and is to start taking donepezil. Which of the
following statements should the nurse include in
the teaching?
A. "Take this medication in the evening at bed-
time."
B. "Expect this medication to reverse the effects
of Alzheimer's disease."
C. "If you miss a dose, double the next dose."
D. "You can crush this medication in applesauce."
13. A. Move the client who
has bipolar disorder to a
private room.
A client who has a recent diagnosis of bipolar
disorder is placed in a room with a client who has
severe depression. The client who has depres-
4 / 22

Mental Health Proctored Practice A
Clients who have bipo-
lar disorder can disrupt
the therapeutic milieu for
other clients. Therefore,
the nurse should move
this client to a private
room.
sion reports to the nurse, "That man in my room
never sleeps and he keeps me up too." Which of
the following is an appropriate action for the nurse
to take?
A. Move the client who has bipolar disorder to a
private room.
B. Administer sleep medication to the client who
has bipolar disorder.
C. Move the client who has severe depression to
a private room.
D. Administer sleep medication to the client who
has severe depression.
14. A. "I should eat a regular
diet with normal amounts
of salt and fluids."
This statement indicates
that the client under-
stands the teaching be-
cause normal levels of
sodium and fluid need
to be maintained to en-
sure adequate excretion
of lithium. If sodium lev-
els are low, the body com-
pensates by decreasing
lithium excretion, which
can lead to toxicity.
A client who has bipolar disorder is to be dis-
charged home with a prescription for lithium.
Which of the following statements indicates that
client teaching regarding the medication has
been effective?
A. "I should eat a regular diet with normal
amounts of salt and fluids."
B. "I should discontinue the lithium when I begin
to feel better."
C. "I need to be careful to avoid becoming addict-
ed to the lithium."
D. "I can skip a dose of medication if my stomach
is upset."
15. D. "I will attend dai-
ly group therapy ses-
sions to practice relax-
ation techniques."
Relaxation techniques
decrease the risk for
self-harm by decreasing
A nurse is caring for a client who has attempted
suicide and has alcohol use disorder. Which of
the following statements indicates that the client
is using a positive coping mechanism?
A. "I will limit my drinking to the weekends."
B. "I will stay in my room and avoid others when
I'm feeling down."
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Mental Health Proctored Practice A
stress, anxiety, and de-
pression
C. "I will be dependent on others for the time
being."
D. "I will attend daily group therapy sessions to
practice relaxation techniques."
16. C. Temperature 35.6 de-
grees Celsius (96.1 de-
grees Fahrenheit)
Severe hypothermia, a
temperature lower than
36 degrees Celsius (96.8
degrees Fahrenheit) due
to loss of subcutaneous
tissue or dehydration, re-
quires hospitalization.
A nurse is caring for a client who has anorexia
nervosa. Which of the following criteria requires
hospitalization?
A. Weight loss 10% of total body weight in 3
months.
B. Potassium 3.8 mEq/L
C. Temperature 35.6 degrees celsius (96.1 de-
grees Fahrenheit)
D. Heart rate 54/minute
17. C. Suggest forming a
weekly support group for
parents who have experi-
enced the loss of a child.
Support groups are a
positive resource in the
process of recovery for
parents who have lost a
child.
A nurse is working with a group of parents who
recently lost a child. Which of the following actions
should the nurse take?
A. Encourage the parent to avoid discussing the
death with other children in order to protect their
feelings.
B. Recommend each parent grieve in private to
avoid hindering each other's healing.
C. Suggest forming a weekly support group for
parents who have experienced the loss of a child.
D. Advise the parents to begin counseling if they
are still grieving in a few months.
18. D. Spending adequate
time with a client who is
verbally abusive
By spending adequate
time with a client who
is verbally abusive, the
nurse is demonstrating
A nurse on a mental health unit is caring for a
group of clients. Which of the following actions by
the nurse is an example of the ethical principle of
justice?
A. Allowing a client to choose which unit activities
to attend
B. Attempting alternative therapies instead of re-
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Mental Health Proctored Practice Exam A with Answers (60 Solved Questions)

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