Deck 9: Mental Health Assessment Skills

Question 1

During an interview with a 15-year-old female client admitted for depression,the nurse is disappointed to learn that the client recently became pregnant and had an abortion.The nurse is contradicting the effective interview guideline of:

A)Paying close attention to the client's nonverbal communication
B)Avoiding making assumptions
C)Avoiding one's personal values that may cloud professional judgment
D)Setting clear client goals

Answer 1

Avoiding one's personal values that may cloud professional judgment

Question 2

The treatment team meets with a client for the first time and determines,with the client's input,a nursing diagnosis,goal,and steps to reach this goal.In addition to a nursing diagnosis,the treatment team has completed which phase of the nursing process?

A)Evaluation
B)Intervention
C)Planning
D)Assessment

Answer 2

Planning

Question 3

Without assessment of six specific aspects of an individual's being,the mental health nurse's scope of care is narrow and limited in effectiveness.These aspects include social,physical,cultural,intellectual,emotional,and spiritual areas of a person's life,known as a __________ assessment.

A)Complete
B)Accurate
C)Holistic
D)Psychiatric

Answer 3

Holistic

Question 4

Upon entrance into a mental health care system,clients are thoroughly assessed,and this is followed by the development of a mental health treatment plan.Which of the following are purposes of the treatment plan? (Select all that apply. )

A)Proof of care for insurance reimbursement purposes
B)A means of monitoring the client's progress
C)An instrument for communication and coordination of care
D)A guide for planning and implementation of care
E)Evaluating the effectiveness of interventions

Question 5

When reviewing the nursing notes from the previous shift,the nurse notices notations indicating that the client was experiencing a somnolent level of consciousness.The client's behavior would be described as:

A)"Falling asleep easily and only awakening with strong verbal stimuli"
B)"Frequently sleeping and awakening only to strong physical stimuli"
C)"Unresponsive to any verbal or painful stimuli"
D)"Having alternating periods of excitability and drowsiness"

Question 6

A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street confused and uncooperative when approached by the police.One of the first assessments that should be performed on this client upon admission is a:

A)Physical assessment
B)Sociocultural assessment
C)Psychosocial assessment
D)Psychiatric assessment

Question 7

Components of the sociocultural assessment include a history interview for the purpose of obtaining information about a client's background and:

A)Observing the client's appearance,behaviors,and attitudes
B)Eliciting answers related to general health,past illnesses,and hospitalizations
C)Encouraging description of lifestyle and activities of daily living
D)Reviewing physical assessment data and various diagnostic examinations

Question 8

A client seen in the emergency department is noted to be stuporous.Which of the following assessment findings would be of most concern?

A)Elevated blood pressure
B)Elevated cholesterol levels
C)New exercise routine
D)Painting furniture in a windowless room

Question 9

During the mental status assessment,the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command,the nurse has just assessed which ability of the client?

A)Abstract thinking
B)Reading
C)General knowledge
D)Memory

Question 10

The assessment phase of the nursing process refers to the phase when data collection occurs.Which methods does the nurse use to collect data? (Select all that apply. )

A)Interpreting client behaviors
B)Interviewing the client and significant others
C)Observing client behavior
D)Performing physical assessment
E)Reviewing diagnostic testing results

Question 11

A nurse educates a client on medication side effects and verbal feedback of understanding is given by the client.Which phase of the nursing process is being described?

A)Planning
B)Intervention
C)Assessment
D)Evaluation

Question 12

The nurse asks the client a series of questions upon entry into a mental health care system.This action is an example of which phase of the nursing process?

A)Evaluation
B)Assessment
C)Intervention
D)Planning

Question 13

During a session with a female client with a diagnosis of social phobia,she talks about how proud she is of herself because she was finally able to shop at the grocery store.The nurse documents the events and knows that this would be considered which phase of the nursing process?

A)Assessment
B)Planning
C)Intervention
D)Evaluation

Question 14

A client complains to the nurse that he has been fired from his fourth job in 10 months because his bosses and co-workers "didn't understand him." While he once had a few close friends,he no longer associates with them for the same reason.His level of functioning on the Global Assessment of Functioning Scale would be:

A)71-80;transient symptoms
B)61-70;some mild symptoms
C)41-50;serious symptoms
D)1-10;persistent danger of hurting self or others

Question 15

A client with a history of delusions demonstrates which of the following behaviors?

A)Shifts from laughing to crying with no apparent cause
B)Insists the government is out to harm him
C)Has trouble remembering what he had for breakfast
D)Expresses a constant fear of dying

Question 16

During the mental status examination,the nurse observes that the client rapidly changes from one idea to another related thought.Which disordered thinking process is the client displaying?

A)Delusions
B)Perseveration
C)Confabulation
D)Flight of ideas

Question 17

Following completion of a male client's series of group therapy sessions,the nurse periodically talks with the client to determine whether he has any signs of relapse of his previous problems.This action by the nurse is an example of:

A)Planning
B)Assessment
C)Intervention
D)Diagnosing

Question 18

The nurse suspects the client is experiencing a manic episode based on which of the following observations?

A)Clothing is very colorful and mismatched,and client cannot sit in chair during interview
B)Hair is not combed,clothing is dirty,and client has no interest in surroundings
C)Client repeatedly washes her hands and picks at a button on her shirt
D)Client expresses fear that someone is waiting outside the room to harm her

Question 19

The nurse is reviewing information regarding a female client that was obtained with the psychiatric assessment tool.The client's ability to provide food and shelter for herself is included in which area of the assessment?

A)Appraisal of health and illness
B)Coping responses,discharge planning needs
C)Knowledge deficits
D)Previous psychiatric treatment

Question 20

A nurse administers antidepressant medication to a client in an assisted-living facility.This is an example of which phase of the nursing process?

A)Intervention
B)Assessment
C)Planning
D)Diagnosis

Question 21

List the five steps of the nursing process in proper order.

Question 22

During the sociocultural assessment of a client who is entering a mental health program,the nurse focuses on which information related to the client? (Select all that apply. )

A)Education
B)Income
C)Ethnicity
D)Age
E)Gender
F)Medications
G)Previous diagnoses
H)Belief system

Question 23

Short-term memory loss is seen in which of the following disorders? (Select all that apply. )

A)Depression
B)Dissociative disorder
C)Conversion disorder
D)Alzheimer's
E)Anxiety

Question 24

__________ is how the client displays his or her emotions through facial,vocal,or gestural behavior.