SMT.

NAGARATHNAMMA COLLEGE OF NURSING

subject:

MENTAL HEALTH NURSING

MULTIPLE CHOICE QUESTIONS 1. A client is admitted to the mental health unit with a diagnosis of depression. The nurse develops a plan of care for the client and includes which most appropriate activity in the plan? a. Reading and writing most of the day. b. Several activities that the client can choose from c. Nothing until the client asks to participate in milieu d. A structured program of activities for the client to participate in 2. A women come comes into the emergency room in a severe state of anxiety following a car accident. The most appropriate nursing intervention is to a. Remain with the client b. Put the client in a quiet room c. Teach the client deep breathing d. Encourage the client to talk about their feelings and concerns. 3. The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment would indicate a manifestation associated with dementia? a. Presence of personal hygiene care. b. Improvement in sleeping c. Absence of sundown syndrome d. Confabulation. 4. The nurse reviews the activity schedule for the day and plans which activities for the activity for the manic client? a. Brown-bag luncheon and a book review b. Tetherball c. Paint-by-number activity d. Deep breathing and progressive relaxation group.

5. The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client? a. Ping pong b. Writing c. Chess d. Basketball 6. An 18 year old woman is admitted to an inpatient unit with the diagnosis of anorexia nervosa. A cognitive behavior approach is used as part of her treatment treatment plan. The nurse understands that the purpose of this approach is to a. Help the client and to identify and examine dysfunctional thoughts and belief b. Emphasize social interaction with clients who withdraws c. Provide a supportive environment d. Examine intrapsychic conflicts and past issues 7. A client with major depression is considering cognitive therapy. The client says to the nurse how does this treatment works? the nurse responds and tells the client that a. The type of the treatment helps you to examine how your thoughts and feelings contribute to your difficulties b. This type of treatment helps you examine hoe your past life has contributed to your problems c. This type of treatment helps you confront your fears by gradually exposing you to them. d. This type of treatment will help you relax and develop new coping skills. 8. The nurse is caring for a client with a phobia who is being treated for the condition. The client is introduced to short periods of exposure to the phobic objects while in a relaxed state. The nurse understands that this form of behavior modification can best be described as a. Systematic desensitization b. Self-control therapy c. Milieu therapy

d. Aversion therapy 9. The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment would indicate a manifestation associated with dementia? a. Presence of personal hygienic care b. Improvement in sleeping c. Absence of sundown syndrome d. Confabulation 10.The client is admitted to the mental health unit with a diagnosis of schizophrenia. A nursing diagnosis formulated for the client is disturbed thought process, related to paranoia. In formulating nursing interventions with the members of the health care team, the nurse provides instruction too a. Avoid laughing or whispering in front of the client b. Increased socialization of the client with the peers c. Have the client sign a release of information to appropriate parties so that adequate data can be obtained for assessment purposes. d. Begin to educate the client about social supports in the community.