Test Bank For Introductory Mental Health

Nursing 2nd Edition, Womble

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Chapter 01
1. When studying mental health and mental illness, the student nurse learns that which of the following is
evidence of our mental health?
A) Our ability to function well with others
B) Our ability to defend what we believe
C) Our ability to perform demanding tasks on the job
D) Our ability to defend those weaker than we are
2. A mental health nurse is teaching a class in anger management. She teaches the patients that recognizing what
triggers their anger response allows them to do which of the following?
A) Manipulate the situation to get what you want
B) Stand up for one’s beliefs against the cultural beliefs of a community
C) Gives them the opportunity to gain control of their anger
D) Control the things that trigger their anger
3. Which of the following are factors that could be part of a person’s cultural identity? (Select all that apply.)
A) Common family customs
B) Common language
C) Common stressors
D) Gender
E) Adaptive resources
4. What would a culturally competent nurse know that some cultural and ethnic groups feel that mental illness is
caused by?
A) Demon possession
B) Pretense
C) The stars
D) Hypnosis
5. A staff educator is discussing stress and its impact on a disease process, whether it is physical or mental. What
would be the best statement about stress that the educator could give?
A) “Stress can be prostress or distress.”
B) “Stress can never enhance the feeling of well-being.”
C) “Stress can be either physically or emotionally exhausting, but not both.”
D) “Distress is actually harmful to one’s health.”
6. A patient comes to the clinic to see the Mental Health Nurse Practitioner. The patient states, “I seem to be
miserable and upset all the time. My marriage is crumbling because my wife refuses to understand how I feel.”
What does the nurse practitioner understand about the factors contributing to the patient’s stress?
A) Internal situations often make us miserable and upset
B) External situations often make us miserable and upset
C) We choose to make ourselves miserable and upset
D) We choose to live with chronic stress
7. As a mental health nurse, you know that when a person feels insulted, mental images of resentment and
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animosity may be formed. These images generate what?
A) The need to fight back
B) The need to change their behavior
C) The need to project blame onto the other person
D) The need to manipulate the situation
8. Mental health nurses know that stress management is an important part of patient care. What is one way a
mental health nurse could help the patient cope with stress?
A) Teach mentalization
B) Teach hypnosis
C) Teach imagination
D) Teach visualization
9. To help patients deal with their stress, nurses must also learn to cope with their own. Which of the following is
an adaptive coping strategy that might be used by the nurse?
A) Reframing
B) Mediation
C) Asset training
D) Mental blocking
10. An 18-year-old college student is very anxious about auditioning for the school’s famous chorale. Which of
the following ways of dealing with this anxiety would the nurse recognize as being maladaptive?
A) Arranging for voice lessons
B) Practicing the songs used in the audition
C) Going to a concert
D) Singing with a group of friends
Chapter 02
1. A nurse researcher is conducting a study on how a mother perceives her infant at the age of 4 months. The
researcher is asking the mother to identify general prominent features, some of which are seen in all the infant’s
behavior patterns and are most often used as descriptors of the infant. What is the best term for these features?
A) Personality traits
B) Secondary traits
C) Central traits
D) Humanistic traits
2. What type of the following personality theories views a person as a whole?
A) Altruistic
B) Humanistic
C) Theistic
D) Allopathic
3. Which of the following are components of an individual’s personality? (Select all that apply.)
A) Pattern of interacting with oneself and the environment
B) Pattern of perceiving oneself and the environment
C) Pattern of relating to oneself and the environment
D) Pattern of thinking about oneself and the environment
E) Pattern of admiring oneself and the environment
4. When caring for patients, the nurse recognizes that each person has a certain disposition. How else could
disposition be described?
A) Personality
B) Core traits
C) Temperament
D) Secondary traits
5. The nurse knows that as persons grow from childhood to adulthood, they respond to the realization that they are

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an autonomous being and therefore capable of controlling themselves. This realization forms what?
A) Patterns of thinking
B) Patterns of behavior
C) Secondary traits
D) Core traits
6. The nurse reads the admission notes in the chart of a new patient. The admitting nurse mentions that the patient
uses humor as a defense mechanism. If this defense mechanism is used short term, how would its use be
described?
A) Maladaptive
B) Predetermined
C) Patterns of conflict
D) Adaptive
7. Erikson’s theory of psychosocial development recognizes that not everyone will be successful at each stage of
development. Erikson’s view emphasizes that failure in one stage of development means what for the person in
later stages of development?
A) The failure can be corrected by successes
B) The failure can never be corrected
C) Repetition of the previous stage until success is achieved
D) Going back to a previous stage to work through more tasks
8. What basic psychologic needs did William Glasser cite that determine a person’s behavioral response in a
given situation? (Select all that apply.)
A) Fun
B) Dependence
C) Love
D) Trust
E) Choice
9. Piaget theorizes that as humans grow and move from one stage to another, they seek cognitive balance. What
term does Piaget’s theory use to describe this process of achieving cognitive balance?
A) Equilibration
B) Trust
C) Assimilation
D) Accommodation
10. A pediatric nurse is caring for a 5-year-old female patient. When giving the child an injection preoperatively,
the patient cries and states, “Now everything will leak out.” The nurse knows that this is an example of what?
A) Impulsivity
B) Fear
C) Magical thinking
D) Egocentrism
Chapter 03
1. Who was the first nurse trained in mental health nursing in the United States?
A) Florence Nightingale
B) Linda Richards
C) Harriet Bailey
D) Dorothea Dix
2. A 19th century school teacher worked to expose the conditions of patients with mental problems. Because of
this person, mental hospitals that had standards of care were constructed. Who was this person?
A) Benjamin Rush
B) Linda Richards
C) Harriet Bailey

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D) Dorothea Dix
3. What act of legislation provided funds for research, advanced nursing degree programs, and improved
community service for individuals with mental illness?
A) Joint Commission on Mental Illness and Health in 1955
B) National League for Nursing 1953
C) National Institute of Mental Health 1949
D) National Mental Health Act of 1946
4. In the mid 1950s, antipsychotic drugs were introduced. As medications made caring for the mentally ill
somewhat easier, what movement gained momentum?
A) The move to deinstitutionalize mentally ill clients
B) The move to use electric shock therapy for depressed clients
C) The move to use antipsychotic drugs instead of restraints
D) The move to improve the conditions in mental health hospitals
5. Research has shown that people in minority groups do not always receive the care they need for mental illness.
The barriers to accessing mental health care include what? (Mark all that apply.)
A) High abuse rate in family
B) Low socioeconomic status
C) Low educational levels
D) Limited income
E) High physical needs of family
6. The nurse is admitting a 36-year-old Arabic female diagnosed with severe postpartum depression to the mental
health unit. The culturally sensitive nurse is aware that cultural incompetence among mental health providers and
professionals is what?
A) The reason minorities do not seek health care
B) Nonexistent in the United States
C) The single most pivotal barrier to equality in delivery of mental health care
D) Rampant in third world countries
7. When admitting a patient to a mental health setting, what does the nurse do to aid in preserving the rights of the
client?
A) Give the client the opportunity to read the Mental Health Systems Act Bill of Rights
B) Send a copy of the Mental Health Systems Act Bill of Rights home with a family member
C) Read the client the Mental Health Systems Act Bill of Rights
D) Tell the client of his or her rights
8. In the child behavioral unit on which you work with the family of a prospective patient, you are having a
discussion with the mother. The mother asks you how she knows her child will not be mistreated when he
misbehaves. What is the best statement in the Patient Bill of Rights to discuss with this mother regarding her
child’s treatment?
A) Be treated with dignity, concern, and respect at all times
B) Expect quality care provided by trained and competent professional providers
C) Be treated in the least restrictive setting
D) Receive explanations of treatment and be involved in the planning of care
9. A client is admitted on an emergent basis to a local mental health facility after being detained by the police
when he was found walking naked down the middle of a four-lane highway. The nurse knows that the client can
be held for what length of time?
A) 72–84 hours
B) 48–72 hours
C) 36–48 hours
D) 24–36 hours
10. You work in a mental health facility and are admitting a client who has been brought to the emergency
department of a local hospital after being picked up while attempting to jump from the rail of a bridge. The

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physician feels that the patient is serious about attempting suicide and so sends the patient to you for admission.
What type of admission would you document this as?
A) Emergent
B) Routine
C) Voluntary
D) Involuntary
Chapter 04
1. A client is admitted to the mental health unit with a diagnosis of bipolar disorder. What is the aim of this
client’s treatment?
A) To allow the client to live and function in society with improved personal and interpersonal skills
B) To allow the client to become successful in society
C) To allow the client to mentally even out
D) To allow the client to become used to the medication
2. The support of the nurse for the client in a therapeutic relationship encourages what from the client?
A) Submission and growth
B) Change and goal setting
C) Growth and change
D) Interpersonal stability
3. The parents of a 10-year-old child being admitted to the children’s behavioral unit ask the nurse what a
therapeutic milieu is. What is the nurse’s best answer?
A) “The dayroom on our unit”
B) “The school room on our unit”
C) “A safe and secure structured environment”
D) “A place where the client and the patients can interact”
4. A mental health nurse on an inpatient unit is often in a position to maintain the milieu as a place where there is
what?
A) Toleration of acting out
B) A place to practice in the pool
C) Laughter and good will
D) Dignity and acceptance
5. A new LVN/LPN is being oriented to the psychiatric unit at a local hospital. At the end of the day, the new
nurse asks the preceptor to explain what the RN is accountable for on the unit. What would be the preceptor’s best
answer?
A) “Both the physical and the mental health care of the clients”
B) “Everything”
C) “The physical care of the client”
D) “The mental health care of the client”
6. An LPN/LVN is working on a closed (locked) mental health unit. What would his or her responsibilities
include?
A) Administering medications and searching client rooms daily
B) Observing behaviors and administering medications
C) Documenting in the client record and preparing meals
D) Interacting with clients and notifying insurance companies
7. As an LVN/LPN on a mental health unit, a basic part of your nursing assessment is what?
A) Performing the admission assessment of each client
B) Reinforcing inappropriate behavior
C) The observation of inappropriate behaviors
D) Teaching the client new skills
8. A client asks the nurse to explain what is wrong with the client. What is the nurse’s responsibility in this

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instance?
A) Copy the diagnosis from the DSM-IV for the client
B) Tell the client that he or she needs to speak with the physician about this
C) Explain the diagnosis in medical terms
D) Provide an explanation at the client’s level of understanding
9. An essential part of the nurse’s role in the therapeutic process is what?
A) Unconditionally accepting the client as a person
B) Explaining to the client why the client’s behavior is inappropriate
C) Unconditionally accepting the client’s behavior
D) Raising the client’s ego
10. As the nurse sees the situation from the client’s perspective and demonstrates an empathetic positive regard
for client needs, what usually improves in the client?
A) Appropriate behaviors
B) Compliance with treatment
C) Regard for the nurse
D) Client’s ego
Chapter 05
1. The nurse has been assigned to a client diagnosed with depression. Which neurotransmitter has been implicated
in depression?
A) Dopamine
B) Acetylcholine
C) Serotonin
D) GABA (gamma-aminobutyric acid)
2. A nurse is completing discharge teaching to a client diagnosed with an anxiety disorder who has been
prescribed diazepam (Valium). Which of the following would be an important component of the discharge
teaching?
A) There is no potential for addiction to the drug.
B) The drug acts to depress the central nervous system, causing sedation.
C) The client should monitor his or her blood pressure for increased values.
D) The drug can cause increased appetite.
3. The nurse is caring for a client who has been recently placed on an antidepressant. Which of the following
would be a correct statement made by the nurse, regarding antidepressant drugs?
A) The drug must be taken several weeks for a therapeutic effect to occur.
B) Antidepressants are curative.
C) There are no risks of suicide when taking this type of medication.
D) The medication should be stopped when the client is feeling better.
4. Which of the following is a priority nursing diagnosis for a client taking an antidepressant?
A) Constipation related to side effects of the medication
B) Self-care deficit related to low self-esteem
C) Risk for self-directed violence related to mood dysphoria
D) Sleep pattern disturbance related to psychologic factors
5. A client has been prescribed lithium for mania. A therapeutic serum level for lithium would include which of
the following?
A) 0.4 mEq/L
B) 0.8 mEq/L
C) 2.0 mEq/L
D) 2.5 mEq/L
6. The nurse is teaching a client receiving a mood-stabilizing agent. Which of the following should be included in
the plan of care?

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A) Limit sodium intake when perspiring heavily.
B) Maintain fluid intake of 1,000 to 1,500 mL daily.
C) Administer the medication with food.
D) Monitor for the side effects of sedation and drooling.
7. Extrapyramidal side effects block which of the following neurotransmitters that coordinate involuntary
movements?
A) Acetylcholine
B) Serotonin
C) Epinephrine
D) Dopamine
8. The nurse is assessing a client receiving antipsychotic medication. She notices that the patient is smacking his
lips and has protruding tongue movements. The nurse would document this side effect as which of the following?
A) Akathisia
B) Tardive dyskinesia
C) Dystonia
D) Parkinsonism
9. Which of the following medications is used to treat drug-induced extrapyramidal side effects associated with
antipsychotic agents?
A) Benztropine (Cogentin)
B) Lithium carbonate (Lithane)
C) Olanzapine (Zyprexa)
D) Fluphenazine (Prolixin)
10. Long-acting benzodiazepines can cause prolonged sedation and increased risk for falls in the elderly
population. Which of the following is considered a long-acting benzodiazepine?
A) Alprazolam (Xanax)
B) Diazepam (Valium)
C) Lorazepam (Ativan)
D) Oxazepam (Serax)
Chapter 06
1. A nurse is teaching nursing students about the nursing process. Which of the following is a true statement
regarding a nursing diagnosis?
A) It is synonymous with a medical diagnosis.
B) It is considered the first step in the nursing process.
C) It only incorporates actual client problems.
D) It is the identification of a client problem based on conclusion from collected data.
2. The nurse is developing appropriate nursing diagnoses for a client diagnosed with major depression. Which of
the following would be inconsistent with the parts of the nursing diagnosis?
A) Actual or potential problem related to the client’s problem
B) Causative or contributing factors
C) Nursing interventions specific to the client
D) Behavior or symptoms that support the problem
3. A nurse is reviewing the care plan for a client diagnosed with schizophrenia and hallucination. Which of the
following would be considered a long-term outcome for this client?
A) The client does not harm self in next 48 hours.
B) The client reports a decrease in anxiety level within 24 hours.
C) The client identifies environmental factors that precipitate hallucinations by discharge.
D) The client identifies feelings associated with hallucinations with each episode.
4. The nurse is completing a psychosocial assessment. Which of the following would be an example of a social
component of the client assessment?

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A) Vital signs
B) Behavior
C) Affect
D) Awareness
5. The nurse is completing an admission physical assessment on a client diagnosed with obsessive-compulsive
disorder. Which of the following would be considered objective data?
A) Medical history
B) Thoughts
C) Present symptoms
D) Client self-report
6. A nurse is completing a psychosocial assessment on a client diagnosed with depression. Which of the following
terms could be used to describe observations of a client’s mood during the psychosocial assessment?
A) Blunted
B) Flat
C) Euphoric
D) Inarticulate
7. A client has been admitted to an inpatient mental health unit following a suicide attempt. Which of the
following would be considered a priority nursing diagnosis for this client?
A) Ineffective individual coping related to life events
B) Self-injury related to a suicide attempt
C) Altered nutrition, less than body requirements, related to depression
D) Body image disturbance related to scar on wrist
8. Which of the following is a measurable and realistic goal that anticipates the improvement or stabilization of
the client?
A) Assessment
B) Nursing diagnosis
C) Expected outcome
D) Evaluation
9. The nurse is reviewing the care plan of a patient diagnosed with bipolar disorder. Which step of the nursing
process focuses on helping clients rechannel their energies in a constructive manner?
A) Assessment
B) Nursing diagnosis
C) Implementation
D) Evaluation
10. A client has been diagnosed with an anxiety disorder. Which of the following would be considered a long-
term outcome?
A) The client reports decreased anxiety within 24 hours.
B) The client demonstrates an understanding of need for continued medication compliance by discharge.
C) The client attends group therapy on day 2.
D) The client reports an increased ability to concentrate within 4 hours.
Chapter 07
1. The nurse states, “You need to take a walk.” The client responds with “walk, walk, walk….” This is an
example of which speech pattern?
A) Flight of ideas
B) Echolalia
C) Neologism
D) Loose association
2. A nurse is initiating a conversation with a client diagnosed with bipolar disorder. Which of the following is an
example of a barrier to therapeutic communication?

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A) Clarification
B) Validation
C) Giving advice
D) Using silence
3. Which of the following would be inconsistent in conveying a sense of openness to the client?
A) A facial expression congruent with other gestures
B) Crossed legs and arms
C) Respecting the physical or personal space between the client and yourself
D) Use of touch
4. The nurse is interviewing a client newly admitted to the inpatient unit. The client states, “I am hungry. Will you
buy me a car? Can we go to the movie?” The nurse understands that this is an example of which of the following
speech pattern?
A) Verbigeration
B) Loose association
C) Neologism
D) Flight of ideas
5. While completing an assessment, the nurse asks a client how he is feeling. The client gives a lengthy and very
detailed history of numerous problems. He states, “My leg is swelling, my eye is drooping, and my cologne is too
strong.” The nurse would document this speech pattern as which of the following?
A) Echolalia
B) Circumstantiality
C) Blocking
D) Verbigeration
6. When interviewing a client regarding his previous health history, the nurse uses hand gestures and facial
expressions when communicating. This is an example of which communication technique?
A) Use of touch
B) Kinesics
C) Blocking
D) Objectivity
7. When interacting with a client in a professional atmosphere, for most people in U.S. culture, personal space is
designated as which of the following?
A) 6 inches
B) 9 inches
C) 1 foot
D) 2 feet
8. Which of the following is true regarding therapeutic communication?
A) The focus is on the client.
B) It is planned by the client.
C) The goal is expression of the nurse’s feelings.
D) It does not encompass values and beliefs.
9. When initiating a therapeutic conversation with a client, the nurse uses which of the following therapeutic
communication techniques?
A) False reassurance
B) Validation
C) Giving advice
D) Minimizing
10. A mental health nurse is teaching a nursing student about the importance of active listening. Which of the
following would be inconsistent with active listening?
A) Giving critical attention to verbal comments
B) Attempting to understand the client’s perception of the situation

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C) Judging the client on his or her perception of the illness
D) Reviewing client comments and behaviors prior to responding
Chapter 08
1. The nurse is explaining roles and boundaries to a newly admitted patient. These actions are part of which phase
of the therapeutic relationship?
A) Preinteraction
B) Orientation
C) Working
D) Termination
2. The nurse is assisting the client to overcome his fear of public places. The nurse and the client are in which of
the following phases of the therapeutic relationship?
A) Preinteraction
B) Orientation
C) Working
D) Termination
3. When the nurse tried to perceive a situation from the client’s perception, which characteristic of the nurse–
client relationship is being utilized?
A) Self-awareness
B) Empathy
C) Genuineness
D) Acceptance
4. Which of the following provides insight into how we respond to our environment and how others react to our
behavior?
A) Empathy
B) Genuineness
C) Self-awareness
D) Acceptance
5. When the nurse shows concern for a patient’s well-being, he or she is exhibiting which characteristic of the
nurse–client relationship?
A) Self-awareness
B) Empathy
C) Acceptance
D) Genuineness
6. Which of the following is vital to the nurse–client relationship?
A) Confidence
B) Trust
C) Sympathy
D) Adaptation
7. The phases of the nurse–client relationship center upon which of the following?
A) Client’s attitude
B) Client’s personality
C) Client’s functional ability
D) Client’s social support
8. To ensure confidentiality, information is shared only with which of the following persons?
A) All persons in contact with the client
B) Members of the treatment team as it applies to the client’s well-being
C) Persons who have known the client for several years
D) Family members who are inquiring about the client
9. Which of the following would be inconsistent with the characteristics of a therapeutic relationship?

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A) It is dependent on the situation and needs of the client.
B) It focuses on identifying client problems.
C) It is considered a social interaction.
D) It promotes a return to independent living within societal norms.
10. An assigned client is escalating and becoming hostile toward the nurse. Which of the following actions should
be completed by the nurse?
A) Use touch to convey a caring demeanor.
B) Threaten the client with action.
C) Enter the client’s room alone to decrease the client’s anxiety level.
D) Offer the client time to regain control and stop the behavior.
Chapter 09
1. A client has been diagnosed with obsessive-compulsive anxiety disorder. The nurse would expect to find which
of the following clinical manifestations?
A) Avoidance
B) Persistent unwanted thoughts
C) Feeling of suffocation
D) Flashbacks
2. A client becomes very anxious when riding in an elevator, which is going to the 12th floor. This would be
documented as which of the following types of phobia?
A) Arachnophobia
B) Acrophobia
C) Microphobia
D) Pyrophobia
3. A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to
complaints of inability to sleep, nightmares, and flashbacks. The nurse would expect the client to be diagnosed
with which of the following?
A) Generalized anxiety disorder
B) Obsessive-compulsive disorder
C) Posttraumatic stress disorder
D) Social phobia
4. A client has been diagnosed with generalized anxiety disorder. In order to establish a nurse–client relationship,
which of the following steps is most important?
A) Identify the problem
B) Begin psychotherapy
C) Determine social support
D) Lower the client’s anxiety level
5. A client diagnosed with obsessive-compulsive disorder is constantly checking the oven to make sure it is off.
This is an example of which type of obsessive thought content?
A) Contamination
B) Repeated doubts
C) Orderliness
D) Aggressive impulses
6. When assessing a client diagnosed with an anxiety disorder, the nurse should use which type of questioning?
A) Open ended
B) Direct
C) Matter of fact
D) Abstract
7. Which of the following treatment approaches has been proven to be the most beneficial for the client diagnosed
with an anxiety disorder?

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A) Antianxiety medications combined with psychotherapy
B) Antianxiety medications only
C) Psychotherapy only
D) Guided imagery
8. A physiologic response to generalized anxiety includes which of the following?
A) Narcolepsy
B) Decreased urinary output
C) Muscle tension
D) Constipation
9. Which of the following would be a sympathetic nervous system response to panic anxiety?
A) Decreased blood pressure
B) Increased heart rate
C) Dry skin
D) Pale extremities
10. A patient diagnosed with obsessive-compulsive disorder avoids touching all doorknobs when entering the
health clinic. This type of obsessive thought content would be documented as which of the following?
A) Orderliness
B) Contamination
C) Repeated doubts
D) Horrific impulses
Chapter 10
1. A client is receiving lithium carbonate. Which of the following is a therapeutic blood level for lithium?
A) 0.2 mEq/L
B) 0.4 mEq/L
C) 1.0 mEq/L
D) 1.4 mEq/L
2. A client diagnosed with bipolar disorder is verbalizing, “The mare, doesn’t care, over there, if you dare,
anywhere.” This is an example of which type of thought pattern?
A) Delusions of grandiosity
B) Auditory hallucination
C) Clang association
D) Flight of ideas
3. A client diagnosed with mania is pacing back and forth. To ensure adequate nutrition for this client, which of
the following would be most appropriate?
A) Foods of client’s choice
B) Finger foods
C) Large meals
D) Liquid meals
4. A nurse is caring for a client diagnosed with severe depression. The nurse understands that which
neurotransmitter deficit has been implicated in depression?
A) Norepinephrine
B) Acetylcholine
C) Serotonin
D) Dopamine
5. The nurse is caring for a client who has just undergone electroconvulsive therapy (ECT). Which of the
following is an expected postprocedure manifestation of ECT?
A) Memory deficits
B) Severe confusion
C) Seizures

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D) Electrolyte imbalances
6. A client is diagnosed with depression. When reviewing the chart of this client, the nurse notes that the client
has anhedonia. The nurse would expect to note which of the following sign or symptom related to anhedonia?
A) Exaggerated self-worth
B) Inability to experience pleasure
C) Anergia
D) Mania
7. A client states to the nurse, “I want to kill myself. I don’t have anything to live for.” The nurse understands that
this statement is an example of which of the following?
A) Suicidal erosion
B) Suicidal gesture
C) Suicidal threat
D) Suicide attempt
8. When assessing a client taking lithium, the nurse should be aware of which of the following electrolyte levels
within the client’s diet?
A) Calcium
B) Magnesium
C) Potassium
D) Sodium
9. Clients taking a monoamine oxidase inhibitor (MAOI) should avoid which of the following in their diet?
A) Vitamin C
B) Tyramine
C) Fats
D) Sodium
10. A client is being discharged on a tricyclic antidepressant (TCA). The nurse should include which of the
following in the discharge teaching?
A) Limit the amount of tyramine in the diet.
B) Avoid consuming alcohol.
C) Stop taking the medication when feeling better.
D) Continue a sodium-restricted diet.
Chapter 11
1. A client is hearing voices telling him to kill himself. The nurse would document this type of perceptual
disturbance as which of the following?
A) Illusion
B) Delusion
C) Thought insertion
D) Hallucination
2. A client has been diagnosed with schizophrenia. The nurse is able to move the client’s arm in a certain position
and it will remain in that position until it is moved again. The nurse would document this behavior alteration as
which of the following?
A) Avolition
B) Waxy flexibility
C) Loose association
D) Dystonia
3. A client states, “Little green men implanting destructive asteroids in my brain.” This statement is reflective of
which type of thinking?
A) Thought broadcasting
B) Thought insertion
C) Thought withdrawal

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D) Delusion of reference
4. Which of the following is considered a negative symptom of schizophrenia?
A) Autism
B) Delusions
C) Agitation
D) Flat affect
5. A client is exhibiting lip smacking, facial grimacing, and protruding tongue movements. This extrapyramidal
side effect would accurately be documented as which of the following?
A) Akathisia
B) Tardive dyskinesia
C) Drug-induced parkinsonism
D) Dystonia
6. Which drug classification is most commonly used to relieve the drug-induced extrapyramidal side effects
associated with antipsychotic agents?
A) Anticonvulsants
B) Antiparkinson
C) Antihypertensives
D) Anxiolytics
7. Water intoxication is associated with schizophrenia. The possible cause is related to the effects of antipsychotic
drugs on which gland of the body?
A) Parathyroid
B) Thyroid
C) Pituitary
D) Pineal
8. Which of the following psychotic disorders is exhibited by a mood episode and active symptoms of
schizophrenia that occur together, which is preceded by delusions and hallucinations?
A) Shared psychotic disorder
B) Brief psychotic disorder
C) Schizophreniform disorder
D) Schizoaffective disorder
9. The nurse is reviewing a care plan for a patient diagnosed with schizophrenia who is receiving antipsychotic
medication. The nurse would expect to find which priority outcome for this client?
A) Decreased delusional thinking
B) Improved communication
C) Complies with therapeutic drug regimen
D) Ability to meet self-care needs
10. A client diagnosed with schizophrenia comes to the outpatient mental health clinic very disheveled, with body
odor and an unkempt beard. The nurse suspects which of the following negative symptoms of schizophrenia?
A) Anhedonia
B) Avolition
C) Alogia
D) Autism
Chapter 12
1. The nurse is caring for a client who is exhibiting manipulative behaviors. The nurse would be correct in
implementing which of the following?
A) Allowing for expression of feelings by the client
B) Negative reinforcement
C) Limit setting
D) Emphasis-guided imagery

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2. The nurse is interviewing a client diagnosed with avoidant personality disorder. The nurse would expect this
client to exhibit which of the following behaviors?
A) Preoccupation with details
B) Extreme shyness
C) Inability to make decisions
D) Manipulation
3. Which of the following would be listed as a cluster A personality disorder according to the DSM-IV-TR?
A) Paranoid
B) Obsessive-compulsive
C) Dependent
D) Avoidant
4. Which of the following would be inconsistent with the diagnosis of obsessive-compulsive personality disorder?
A) Focus on details
B) Stubbornness
C) Insecurity
D) Hoarding of items
5. A client diagnosed with borderline personality disorder who is self-mutilating has been admitted to the
inpatient medical unit. Which of the following interventions would take priority for this client?
A) Identify the triggers of acting-out behaviors.
B) Develop a no-harm contract.
C) Explain the rules of the unit.
D) Encourage the client to participate in unit activities.
6. Which of the following behaviors would the nurse expect to assess in the client diagnosed with narcissistic
personality disorder?
A) Sense of entitlement
B) Attention-seeking behavior
C) Unstable relationships
D) Blood stains on clothing
7. A client is upset with a nurse on the inpatient mental health unit. She states to another client, “That nurse is
mean and hates me. I want to have another nurse take care of me because that nurse is nice all the time.” The
client is exhibiting which manifestation of borderline personality disorder?
A) Dissociation
B) Impulse
C) Manipulation
D) Splitting
8. A client is diagnosed with histrionic personality disorder. The interventions should focus on which of the
following behaviors?
A) Preoccupation with orderliness
B) Fear of disapproval
C) Dependency needs
D) Extreme egocentricity
9. Which of the following behaviors by the client diagnosed with dependent personality disorder would show
progression toward increasing ability to problem solve?
A) Utilizing appropriate manners
B) Asking questions of the nurse
C) Exhibiting a relaxed posture
D) Gaining control over impulses
10. When assessing a client diagnosed with antisocial personality disorder, the nurse would expect to observe
which of the following?
A) Deceit and dishonesty

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B) Grandiose view of self
C) Inability to make self-care decisions
D) Preoccupation with orderliness
Chapter 13
1. The term used to explain physical complaints and symptoms that are expressed because of psychologic stress is
what?
A) Hysteria
B) Somatization
C) Psychophysiologic
D) Somatoform
2. A 36-year-old male comes to the clinic complaining of severe headaches. After assessing the client and
reviewing test results, the physician finds no physical cause for the headaches. The physician believes that the
client has a psychophysiologic syndrome. What is the client getting from the attention of the health care workers?
A) Displacement of anxiety
B) Primary gain
C) Secondary gain
D) Repression of trauma
3. A client is seen in the outpatient clinic for the first time. When reviewing the history, the nurse notes that the
client has a long history of being seen by many different doctors. The client has also had multiple exploratory
surgeries with nothing found to cause the client’s problem. What would the nurse suspect of this patient?
A) A slow growing cancer
B) Hypochondriasis
C) A central nervous system disorder
D) A somatoform disorder
4. What symptoms would a client with a somatoform disorder complain of? (Mark all that apply.)
A) At least two gastrointestinal symptoms
B) Severe headaches and visual problems
C) Pain in at least four different locations
D) A sexual or reproductive problem
E) Flatus and diarrhea
5. A client with somatoform disorder is commonly found to be what?
A) Depressed
B) Delusional
C) Demyelinated
D) Deceptive
6. A client with somatoform disorder has become enraged with his coworker. What would be a common threat for
the client to make in order to manipulate his coworker into meeting his needs?
A) Quitting his job
B) Going on a hunger strike
C) To kill himself
D) To kill someone else
7. You are researching somatoform disorder for your mental health nursing class. What ethnic populations would
you find this disorder is most prevalent in?
A) Greek and Hispanic
B) Spanish and Puerto Rican
C) Hispanic and Arabic
D) Greek and Puerto Rican
8. A client with somatoform disorder has been admitted to the inpatient unit of the local hospital. The nurse would
know to assess for what other personality disorder that is often seen in these clients?

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A) Borderline
B) Paranoid
C) Histrionic
D) Hypochondria
9. A mental health nurse working with somatoform clients knows that primary care physicians are an important
part of these clients’ treatment. Why does a trusting relationship need to be fostered between the client and the
primary care physician?
A) To provide medical input into the care plan
B) To prevent the pattern of repeat medical treatment by a series of physicians
C) To prevent adverse interactions in pharmacotherapy
D) To provide support to the clients and their support system
10. As a mental health nurse practitioner, you are treating a client with a somatoform disorder and a comorbidity
of depression. You know that this patient will most likely benefit from what?
A) Reassurance that there is no serious medical reason for the symptoms
B) Psychotherapy
C) An antidepressant
D) An antianxiety agent
1. A client is brought to the emergency department by her spouse. The spouse tells the nurse that when they woke
up that morning, his wife did not know who she was. The nurse knows that a differential diagnosis for this client
would be what?
A) Dissociative disorder
B) Trauma-induced amnesia
C) Intracranial bleed
D) Conversion disorder
2. When a client has a dissociative disorder, the ordinarily organized functions become disturbed. What are these
functions? (Mark all that apply.)
A) Mobility
B) Memory
C) Identity
D) Conscious awareness
E) Pain awareness
3. After a train accident, a 19-year-old male is admitted to a local hospital unable to remember any personal
information covering the entire scope of his life. What diagnosis would the nurse expect this patient to have?
A) Depersonalization disorder
B) Dissociative amnesia
C) Dissociative identity disorder
D) Dissociative fugue
4. A client presents at the mental health clinic with complaints of experiencing a feeling of being unreal. The
client is a 37-year-old female who lost her husband and two children in an automobile accident 3 months ago. The
client retains insight and is aware that the experience is not real. The nurse knows that this client is displaying
signs and symptoms of what?
A) Dissociative amnesia
B) Dissociative identity disorder
C) Depersonalization disorder
D) Dissociative fugue
5. A female client, aged 27, is being seen at the clinic. The client describes her symptoms as auditory
hallucinations, memory gaps, and sudden breaks in the continuity of her thought process. The nurse recognizes
that the client is describing symptoms for what dissociative disorder?
A) Dissociative amnesia
B) Dissociative identity disorder
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C) Depersonalization disorder
D) Dissociative fugue
6. A 42-year-old male is brought to the emergency department by his brother. The brother tells the nurse that the
client has traveled across the country to attend the funerals of their parents who died in a car accident a week ago.
The brother tells the nurse that the client claims to be someone he is not but otherwise seems quite normal. What
would the nurse suspect that this client has?
A) Dissociative amnesia
B) Dissociative identity disorder
C) Depersonalization disorder
D) Dissociative Fugue
7. A client has a differential diagnosis of dissociative fugue. What signs and symptoms would the nurse know to
assess for? (Mark all that apply.)
A) Inability to recall relevant personal information
B) Mood swings
C) Flashbacks
D) Suicidal behaviors
E) Assumption of a new identity
8. After a tornado flattens her home, a 65-year-old female is brought to the local clinic by her son. He tells the
nurse that his mother cannot remember anything that has happened since the storm hit and has forgotten pieces of
her identity such as having lived in the house she lost for 10 years. What would the nurse know is wrong with this
patient?
A) Localized amnesia
B) Selective amnesia
C) Generalized amnesia
D) Continuous amnesia
9. A client with a dissociative disorder is going through the therapeutic process. What is the ultimate goal of the
therapeutic process for this patient?
A) To identify the traumatic event that caused the dissociation
B) To get the client in touch with his or her negative feelings about the traumatic event
C) To assist in diagnosing which dissociative disorder the client has
D) To integrate the fragmented personalities into one identity
10. A client with a dissociative disorder is undergoing treatment. Why is diagnostic testing done with these
clients?
A) To determine if there are any coexisting mental health conditions
B) To identify which dissociative disorder the client has
C) To identify treatment methods used in integrating fragmented personalities
D) To determine if there are any coexisting physical conditions
Chapter 14
1. A client is brought to the emergency department by her spouse. The spouse tells the nurse that when they woke
up that morning, his wife did not know who she was. The nurse knows that a differential diagnosis for this client
would be what?
A) Dissociative disorder
B) Trauma-induced amnesia
C) Intracranial bleed
D) Conversion disorder
2. When a client has a dissociative disorder, the ordinarily organized functions become disturbed. What are these
functions? (Mark all that apply.)
A) Mobility
B) Memory

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C) Identity
D) Conscious awareness
E) Pain awareness
3. After a train accident, a 19-year-old male is admitted to a local hospital unable to remember any personal
information covering the entire scope of his life. What diagnosis would the nurse expect this patient to have?
A) Depersonalization disorder
B) Dissociative amnesia
C) Dissociative identity disorder
D) Dissociative fugue
4. A client presents at the mental health clinic with complaints of experiencing a feeling of being unreal. The
client is a 37-year-old female who lost her husband and two children in an automobile accident 3 months ago. The
client retains insight and is aware that the experience is not real. The nurse knows that this client is displaying
signs and symptoms of what?
A) Dissociative amnesia
B) Dissociative identity disorder
C) Depersonalization disorder
D) Dissociative fugue
5. A female client, aged 27, is being seen at the clinic. The client describes her symptoms as auditory
hallucinations, memory gaps, and sudden breaks in the continuity of her thought process. The nurse recognizes
that the client is describing symptoms for what dissociative disorder?
A) Dissociative amnesia
B) Dissociative identity disorder
C) Depersonalization disorder
D) Dissociative fugue
6. A 42-year-old male is brought to the emergency department by his brother. The brother tells the nurse that the
client has traveled across the country to attend the funerals of their parents who died in a car accident a week ago.
The brother tells the nurse that the client claims to be someone he is not but otherwise seems quite normal. What
would the nurse suspect that this client has?
A) Dissociative amnesia
B) Dissociative identity disorder
C) Depersonalization disorder
D) Dissociative Fugue
7. A client has a differential diagnosis of dissociative fugue. What signs and symptoms would the nurse know to
assess for? (Mark all that apply.)
A) Inability to recall relevant personal information
B) Mood swings
C) Flashbacks
D) Suicidal behaviors
E) Assumption of a new identity
8. After a tornado flattens her home, a 65-year-old female is brought to the local clinic by her son. He tells the
nurse that his mother cannot remember anything that has happened since the storm hit and has forgotten pieces of
her identity such as having lived in the house she lost for 10 years. What would the nurse know is wrong with this
patient?
A) Localized amnesia
B) Selective amnesia
C) Generalized amnesia
D) Continuous amnesia
9. A client with a dissociative disorder is going through the therapeutic process. What is the ultimate goal of the
therapeutic process for this patient?
A) To identify the traumatic event that caused the dissociation

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B) To get the client in touch with his or her negative feelings about the traumatic event
C) To assist in diagnosing which dissociative disorder the client has
D) To integrate the fragmented personalities into one identity
10. A client with a dissociative disorder is undergoing treatment. Why is diagnostic testing done with these
clients?
A) To determine if there are any coexisting mental health conditions
B) To identify which dissociative disorder the client has
C) To identify treatment methods used in integrating fragmented personalities
D) To determine if there are any coexisting physical conditions
Chapter 15
1. A client calls the mental health clinic and asks to speak with the nurse. The client explains that he or she has
recently been diagnosed with a substance problem and the way it was explained is that it has “dependence.” The
client asks if the nurse can explain what that means. What should be the nurse’s response?
A) “Substance dependence means physiologic and psychologic dependence on alcohol or other drugs that affect
the central nervous system in such a way that withdrawal symptoms are experienced when the substance is
discontinued.”
B) “I am sorry, I can’t give you any information. You will have to ask your physician.”
C) “Substance dependence means the person has a maladaptive pattern of use that shows physiologic, cognitive,
and behavioral indications that the person continues to use the substance despite the resulting negative effects.”
D) “Substance dependence means that you depend on alcohol or drug use to get through your normal daily
activities.”
2. A mental health nurse is providing an educational event for the parent organization of one of the local high
schools. The nurse is speaking on substance abuse. What is one of the topics the nurse knows should be included
in this educational event?
A) The violence associated with the drug cartels in other countries
B) Why marijuana should not be legalized
C) Research results on the medical use of marijuana
D) The burden on society by drug-related criminal behaviors that involve both the participation in usage and the
sale of drugs
3. The staff educator is orienting new nurses at the local substance abuse clinic. Today she is discussing the need
for treatment by the population that abuses alcohol and drugs. What percentage of those requiring treatment
would the staff educator cite who actually receive treatment?
A) 10%
B) 11%
C) 12%
D) 13%
4. During adolescence, what etiologic factor contributing to substance abuse is at its highest?
A) Family history
B) Genetics
C) Peer pressure
D) Gang violence
5. Research has shown that social learning involves imitation, the effects of modeling, and identification
behaviors. What is the best explanation of the results of this research in the etiology of substance abuse?
A) Children of substance-abusing parents are at a greater risk for substance abuse.
B) Social learning begins at an early age.
C) Genetics plays a part in substance abuse.
D) Children of substance-abusing parents have more subsequent problems from their behaviors.
6. Personality characteristics cannot be discounted in the etiology of substance abuse. Which of these personality
characteristics have been identified as part of the etiology of substance abuse? (Mark all that apply.)

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A) Difficulty expressing feelings
B) Feelings of emotional isolation
C) Gregariousness
D) Timidity
E) Low frustration tolerance
7. When a member of a family has a substance abuse problem, how may this affect family members?
A) They may exhibit fearful behaviors when the drug user is not around.
B) They may display defensive actions to excuse the behavior of the drug user.
C) They may intentionally increase the likelihood that the abusive pattern will continue.
D) They may intentionally provoke physical abuse in an attempt to normalize the behavior of the drug user.
8. The spouse of an alcoholic is attending their first Al-anon meeting. They ask what codependency means. What
would be the best answer they could receive?
A) “A tacit agreement among family members that suppressed anger and emotional pain are a normal way of life”
B) “A set of behaviors that make the family members feel safe and secure”
C) “A multigenerational pattern of coping mechanisms that lead to self-defeating behaviors evolving from family
dynamics that discourage a member from feeling or expressing needs”
D) “An unconscious supporting of the abusers behavior as normal”
9. Codependent people internalize a form of guilt for the behavior of the abuser. What does this result in for
them?
A) Physiologic symptoms such as coronary syndromes
B) The ability to recognize the detrimental effects of their codependency
C) Mental health problems such as dissociative disorders
D) Behaviors aimed at sustaining the relationship
10. The nurse’s efforts in the reaching of treatment goals toward long-term sobriety are directed at what?
A) To assist the client in living a substance-free full and productive life as a member of society
B) To assist the client and family in healing family differences
C) To assist the client in setting long-term life goals
D) To assist the client and family in functioning outside the previous codependent behaviors
Chapter 16
1. A 12-year-old girl is brought to the pediatrician for her annual physical examination. The nurse notes that the
girl has lost 15 pounds over the past 6 months when she was last seen for bronchitis. The nurse asks the child if
she has been dieting and the girl proudly responds “yes.” What would the nurse suspect of this child?
A) She has anorexia nervosa, restricting subtype.
B) She has anorexia nervosa, binge eating/purging subtype.
C) She has bulimia nervosa.
D) She has type I diabetes mellitus
2. How does the DSM-IV-TR define binge eating?
A) “Eating a great deal of food in a short period of time and then returning to normal intake.”
B) “Eating in a discrete period of time (usually less than 2 hours) an amount of food that is definitely larger than
most people would eat under similar circumstances.”
C) “Eating an overabundance of a specific type of food (sweets, fruits, vegetables) in a short period of time.”
D) “Periodically overindulging in a specific type of food (usually sweets or fast food) in a short period of time
and then returning to normal dietary intake.”
3. Binge eating in anorexia nervosa is usually followed by purging. A mental health nurse knows that purging is
defined as what?
A) Use of laxatives on a daily basis
B) Evacuation of the digestive tract by eating until you vomit
C) Overuse of diuretics until fluid volume depletion occurs
D) Evacuation of the digestive tract by self-induced vomiting or excessive use of laxatives and diuretics

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4. A 14-year-old girl is brought to the clinic by her mother. Her mother tells the nurse that on “several” occasions,
she has found her daughter during the night eating things like a whole pizza or a carton of ice cream. The nurse
asks the girl about this behavior and the girl begins to cry. The nurse knows that this behavior is a symptom of
what?
A) Anorexia nervosa, restricting subtype
B) Anorexia nervosa, binge eating/purging subtype
C) Bulimia nervosa
D) Type I diabetes mellitus
5. When learning about bulimia nervosa, what would the student nurse learn is the second primary symptom of
this disease?
A) Daily use of laxatives or diuretics
B) Vomiting until an electrolyte imbalance is induced
C) Shame and guilt over binging
D) Repeated use of inappropriate and risky methods of preventing weight gain
6. The nurse is explaining the etiology of bulimia nervosa to the mother of a preteen newly diagnosed with the
disorder. What would the nurse tell the mother the behaviors center on?
A) A dissatisfaction with body size and shape
B) An outward preoccupation with dieting
C) Limiting food intake with little or no alteration in weight or appearance
D) The shame and guilt of the behaviors
7. A 12-year-old boy is diagnosed with bulimia nervosa. When providing client education to the parents of the
client, the nurse points out that what is common in clients afflicted with bulimia nervosa?
A) Inpatient hospital treatment
B) Physical ailments related to extreme weight loss
C) Substance abuse
D) Aggression and violence
8. A 24-year-old male client presents at the mental health clinic telling the nurse, “I just can’t seem to maintain
any interpersonal relationships.” On assessment, the nurse notes that the client’s social skills appear inadequate.
The client is subsequently diagnosed with bulimia nervosa. Knowing what you do about this disease process, why
would the inadequate social skills and interpersonal relationship problems occur in this patient?
A) Because of the client’s need to control
B) Because of the client’s lying and hidden behaviors
C) Because of the client’s obsession with the weight
D) Because of the client’s binging and purging behaviors
9. A male client in his late 20s is diagnosed with binge-eating disorder. What etiologic factors does the nurse
know most individuals with this disorder have? (Mark all that apply.)
A) The client has maladaptive social skills.
B) The client is generally considered a “loner.”
C) The client is overweight at a young age.
D) The client has low self-image.
E) The client has impulsive behaviors.
10. The etiology of anorexia nervosa begins before adolescence. Evidence usually reveals what in these clients?
A) The child is pushed to be independent.
B) They are raised to believe that “looks are everything.”
C) Unresolved family conflicts with inconsistent patterns of overprotective and rigid parenting.
D) Decisions are usually made with parents.
Chapter 17
1. The definition of sexuality includes the blend of what? (Mark all that apply.)
A) Psychologic functioning

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B) Chemical functioning
C) Interpersonal functioning
D) Genetic functioning
E) Physical functioning
2. The school nurse is presenting a class on “sexual health” for the 8th grade students at the middle school. How
would the nurse explain sexual orientation?
A) The desire for intimacy
B) A sexual attraction
C) A desire to be touched
D) The need for the opposite sex
3. A student asks the school nurse what the term “bisexual” means. What would be the nurse’s best response?
A) “Bisexual means a sexual preference for members of the same sex as you are.”
B) “Bisexual means a sexual preference for members of the opposite sex as you are.”
C) “Bisexual means a sexual attraction for members of both sexes.”
D) “Bisexual means not having a sexual preference.”
4. A 37-year-old male patient presents at the clinic for his annual physical examination. When talking with the
nurse, he mentions that he seems to have lost his interest in sex. The nurse suspects the client may have
hypoactive sexual desire disorder. How would the nurse assess for this sexual disorder?
A) Ask the client how many times he has sex in a month.
B) Ask the client if the lack of desire bothers his sexual partner.
C) Ask the client what his sexual orientation is.
D) Ask the client if he has sexual fantasies.
5. A 42-year-old male patient calls the clinic to speak to the nurse. He tells the nurse that he needs to see a
physician because he cannot complete the sexual act any more. The nurse asks the client if he can explain a little
more. In response to the nurse’s statement, the man says, “I can’t keep an erection long enough to finish.” What
would the nurse know this man suffers from?
A) A sexual arousal disorder
B) A sexual desire disorder
C) An orgasmic disorder
D) A sexual pain disorder
6. A young girl confides to the nurse at the free clinic that she has recently become sexually active but that
“having sex doesn’t feel good.” What would the nurse suspect is involved in this client’s lack of pleasure in the
sexual act?
A) Hypoactive sexual desire disorder
B) A sexual orgasmic disorder
C) A sexual arousal disorder
D) A sexual pain disorder
7. A man diagnosed with premature ejaculation has what kind of sexual disorder?
A) A sexual aversion disorders
B) A hypoactive sexual desire disorder
C) An orgasmic disorder
D) A sexual arousal disorder
8. A 32-year-old woman confides to the nurse at her gynecologist’s office that she does not want any more
children and no longer desires to have sex. The nurse explains to the client that sexual desire is a mind and body
process and that a person’s arousal and response cycle can be sabotaged by what?
A) Unrealistic expectations
B) Deep physiologic fears
C) A low pleasure response
D) Past experiences
9. In what group of people is sexual dysfunction seen more commonly?

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A) People who use alcohol and drugs
B) People who smoke
C) People with seizure disorders
D) People with heart disease
10. A 48-year-old female client has come to the clinic for her annual physical examination. She tells the nurse that
she is no longer sexually active, even though she is married. She says, “My husband wonders what is wrong with
me.” The nurse tells the client that at the age she is, studies show that most sexual dysfunction is related to what?
A) Sexual aversion disorder
B) Arousal problems in women
C) Orgasmic dysfunction in women
D) Pain disorders in women
Chapter 18
1. Which of the following signs and symptoms would be inconsistent with the diagnosis of dyslexia?
A) Low self-esteem
B) Adequate social skills
C) Delayed language development
D) Discouragement
2. A parent comes to the health clinic with her child. The mother states, “Emily doesn’t want to be held. She starts
rocking and banging her head when strangers come in the room.” The nurse would suspect which of the following
developmental disorders?
A) Mental retardation
B) Psychosis
C) Autistic disorder
D) Dyslexia
3. The nurse is reviewing a plan of care for a child diagnosed with conduct disorder. When reviewing the care
plan, the nurse would expect to see which nursing diagnosis?
A) Personal identity disturbance, related to inability to recognize self as separate being
B) Sleep pattern disturbance, related to fears of separation
C) Risk for violence, directed at others, related to poor impulse control
D) Impaired verbal communication, related to inability to form words or sentences
4. A child diagnosed with oppositional-defiant disorder refuses to conform to curfew rules set by his parents. The
nurse would be correct to teach the parents which intervention?
A) Enable the child to make his or her own decisions
B) Limit setting
C) Ignore the behavior for awhile
D) Limit praise for positive behavior
5. A 7-year-old child diagnosed with phonologic disorder is being seen in the health clinic. The nurse would
expect this client to exhibit which of the following behaviors?
A) Lack of responsiveness
B) Bullying-type behavior
C) Hyperactivity
D) Stuttering
6. In completing nursing care for a child exhibiting suicidal ideations, which of the following interventions would
take priority for this client?
A) Establish a trusting relationship.
B) Maintain consistency of caregivers.
C) Maintain a safe environment.
D) Establish a consistent pattern of reward for positive behavior.
7. A child is exhibiting signs and symptoms of separation anxiety following his parents’ divorce. Which of the

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following behaviors would the nurse expect to assess in the client diagnosed with separation anxiety?
A) Repetitive routines
B) Truancy
C) Somatic complaints
D) Willful defiance of rules
8. When assessing an adolescent for warning signs of suicide risk, the nurse would expect to observe which of the
following?
A) Improved schoolwork
B) Elevated mood
C) Giving away prized possessions
D) Increased energy level
9. A nurse is caring for a child diagnosed with oppositional-defiant disorder. The nurse would expect which
priority nursing diagnosis in the care plan?
A) Altered growth and development, related to genetic factors
B) Risk for injury, related to neurologic deficits
C) Noncompliance, related to low frustration level
D) Sleep pattern disturbance, related to fear of separation
10. When assessing a client diagnosed with Tourette’s disorder, it would be most important for the nurse to assess
for which of the following?
A) Inattention to detail
B) Verbal outbursts
C) Willful defiance of rules
D) Somatic complaints
Chapter 19
1. A patient diagnosed with Alzheimer’s disease is having difficulty finding the right words when communicating.
This difficulty would be described as which of the following?
A) Agnosia
B) Apraxia
C) Amnesia
D) Anomia
2. Which of the following would be inconsistent as a diagnostic manifestation of Alzheimer’s disease?
A) Neurofibrillary tangles
B) Reduced brain activity
C) Neuritic plaques in the brain
D) Increased synaptic nerve transmission
3. The nurse is reviewing a plan of care for an older person diagnosed with Lewy body dementia. When reviewing
the care plan, the nurse would expect to see which nursing diagnosis specific to Lewy body dementia?
A) Risk for violence, related to agitation
B) Self-esteem disturbance, related to hopelessness
C) Altered mobility, related to shuffling gait
D) Altered thought processes, related to delusions
4. An elderly man diagnosed with Alzheimer’s disease is being seen in the health clinic. The nurse observes the
man brushing his hair with a toothbrush. This inability to process information would be documented as which of
the following?
A) Anomia
B) Agnosia
C) Aphasia
D) Apraxia
5. In completing nursing care for an older person diagnosed with dementia, which of the following interventions

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would take priority for this person?
A) Provide excessive stimuli to keep the person’s attention.
B) Use simple one-step commands.
C) Provide higher level needs.
D) Provide various environments to keep the person engaged in activity.
6. An older adult is exhibiting signs and symptoms of delirium. Which of the following behaviors would the nurse
expect to assess in the client diagnosed with delirium?
A) Confabulation
B) Gait disturbances
C) Decreased level of consciousness with impaired thinking
D) Visual hallucinations of colors
7. When assessing an older adult diagnosed with an amnestic disorder, the nurse would expect to observe which
of the following?
A) Personality changes
B) Disorientation to person
C) Impairment in abstract thinking
D) Difficulty in learning new information
8. The nurse is reviewing a care plan for a patient diagnosed with Alzheimer’s dementia who is receiving
antipsychotic medication. The nurse would expect to find which priority medication outcome for this client?
A) Decrease in muscle rigidity
B) Decrease in hallucinations
C) Increase in the ability to acquire new information
D) Increase in mobility
9. A client is admitted to the inpatient mental health unit with Lewy body dementia. Which of the following
assessment parameters would be most important for the nurse to observe?
A) Hemiplegia
B) Parkinson-like symptoms
C) Increased psychomotor activity
D) Confabulation
10. An older adult diagnosed with dementia is receiving risperidone (Risperdal). This medication is classified as
which of the following?
A) Parkinson’s drug
B) Antipsychotic
C) NMDA receptor antagonist
D) Cholinesterase inhibitor

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