PRACTICE ASSESSMENT: RN Mental Health Online Practice 2019 B 1. A nurse is talking with a group of parents who have recently experienced the death of a child which of the following actions should the nurse take?  Encourage the parents to avoid discussing the death of their other children to protect their feelings  Recommend each parent grieve in a private to avoid hindering each other’s healing  Suggest forming a weekly support group for parents who have experienced the death of a child.  Advise the parents to begin counseling if they are still grieving in a few months 2. A nurse in a community Health Center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members?  Response prevention  Guided imagery  Aversion therapy  Light therapy 3. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan?  Administer phenytoin 30 min prior to procedure  Instruct the client to expect a headache following the procedure  Place the client in a four-point restraint prior to the procedure  Monitor the client’s cardiac rhythm during the procedure 4. A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention?  Provide teaching about the use of positive coping mechanisms  Establish screening programs to identify at risk clients  Refer survivors to intimate partner abuse to a legal advocacy program  Organize rehabilitation therapy for clients who have experienced intimate partner abuse 5. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following findings places the client at a greater risk for self-directed injury or injuring others?  Inability to communicate with others  Feelings of absence of self-worth  Lack of motivation to perform daily tasks  Command hallucinations 6. 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?  Weight gain  Tinnitus  Tachycardia  Increased salivation 7. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make?  “It appears as though you would like to open the door.”  “You will feel more comfortable after you've been here for a while.”  “It is ok to not want to be here.”  “You really shouldn't be pushing on the door.” 8. A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness?  “I am going to order a wheelchair for when I'm unable to walk.”  “I am going to stop paying my bills since I won't be around much longer.”  “I wish you would go take care of somebody who actually needs you.”  “I am sure I'm going to be able to continue to care for myself without help.” 9. A nurse is preparing to participate in an interdisciplinary conference or client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team?  Calling family members  Spending time alone  Giving away possessions  Excessive crying