Erudiway

LPN Nursing School · Mental Health · 84 questions

Foundations of Mental Health Nursing practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Foundations of Mental Health Nursing, practise in the app.

Practise Foundations of Mental Health Nursing in the appAbout the LPN Nursing School program →
  1. 1A nurse is discussing obesity with a client who has a BMI Of 31. Which Of the following comments by the client indicates the use of rationalization as a defense mechanism?Answer →
  2. 2A client reports abdominal gas pain after abdominal surgery. It is most important for the nurse to take which action?Answer →
  3. 3An adolescent client experiences tower abdominal pain. An appointment for evaluation is made. The morning of the appointment a parent calls and says, "I think we will cancel the appointment, Last night, my child could barely walk, but this morning is feeling so much better. The pain is nearly gone." Which response by the nurse is best?Answer →
  4. 4The nurse provides care to a client after a cystoscopy with a catheter in place. The health care provider prescribes IV fluids to infuse at 200 mL/hr over the next 4 hours. The nurse understands this prescription is to help prevent which post-operative complication?Answer →
  5. 5The nurse provides care for clients in the men's health clinic. Which client has the highest risk for prostate cancer?Answer →
  6. 6The nurse performs discharge teaching for an older adult client diagnosed with pneumonia. The nurse determines further teaching is needed if the client makes which statement?Answer →
  7. 7A nurse is reinforcing teaching with a client about stress reduction techniques. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  8. 8The nurse teaches a community class about breast cancer. Which participant comments indicate additional teaching is required? Select all that apply.Answer →
  9. 9A nurse is assisting in the care of a client following a mastectomy. Which of the following responses by the client indicates acceptance of their altered body image?Answer →
  10. 10A nurse is caring for a client who has generalized anxiety disorder and is refusing to take a medication. Which of the following responses should the nurse make?Answer →
  11. 11A client has a chest tube inserted. Which information is correctly documented regarding the procedure?Answer →
  12. 12The health care provider prescribes the insertion of a nasogastric tube for a client diagnosed with gastric bleeding. Which approach does the nurse use to measure the length of the tube prior to insertion?Answer →
  13. 13An older adult client is hospitalized after a stroke resulting in left-sided paralysis. Which assessment by the nurse is most important?Answer →
  14. 14A client is admitted to the hospital for a left lobectomy for a benign tumor. It is most important for the nurse to include which exercise in preoperative teaching with the client?Answer →
  15. 15The nurse assists with a lumbar puncture. Which action does the nurse implement in this situation?Answer →
  16. 16A nurse is caring for a client who has terminal cancer and is receiving palliative care. Which of the following statements indicates that the client is demonstrating effective coping?Answer →
  17. 17The nurse provides care for an unconscious client who has a tracheostomy with a 40% oxygen mask in place. Which assessment data best indicates to the nurse the need for suctioning?Answer →
  18. 18The nurse provides care for a client recovering from surgery. The nurse identifies which laboratory result indicates an infectious process?Answer →
  19. 19The nurse counsels a client regarding prevention of coronary artery disease. Which information does the nurse give the client? (Select all that apply.)Answer →
  20. 20A client is scheduled for a femoral angiogram. Which priority action does the nurse include in the plan of care?Answer →
  21. 21A client needs sutures removed 5 days after surgery. The nurse removes the dressing and notes a 1/4 inch line of bright red drainage that corresponds to the suture line. The suture line is 25% approximated. Which is the first action the nurse takes?Answer →
  22. 22The nurse teaches a group of students about female anatomy important for childbirth. A discussion of the vagina is included. Which student statement indicates a need for additional teaching?Answer →
  23. 23The nurse interviews a client who works 12 to 16 hours daily outdoors in a hot climate. The nurse instructs the client to drink at least 3 liters of fluid per day. Which potential problem does the nurse identify as the priority?Answer →
  24. 24A nurse is caring for a client diagnosed with schizophrenia. The client states, "They are watching me through the walls." Which of the following responses by the nurse is the most therapeutic?Answer →
  25. 25The nurse in the same-day surgery department provides care for an older adult client after a colonoscopy. The nurse is most concerned if the unlicensed assistive personnel gives which report 30 minutes after the procedure?Answer →
  26. 26Which of the following has been an outcome of deinstitutionalization in mental health? (Select all that apply.)Answer →
  27. 27A client is diagnosed with sickle cell disease. The nurse explains to the family the purpose of a genogram. Which information does the nurse provide about a genogram?Answer →
  28. 28The nurse teaches suctioning techniques to a spouse and client with a new laryngectomy. Which action indicates to the nurse that teaching is effective?Answer →
  29. 29The nurse provides care for a client scheduled for abdominal surgery. Which client behavior indicates to the nurse that additional preoperative teaching is required?Answer →
  30. 30Which action does the nurse perform when inserting an indwelling urinary catheter into an adult client?Answer →
  31. 31The nurse provides care for a client diagnosed with acute pancreatitis. The nurse is concerned about a total serum calcium level of 7.5 mg/dL (1.9 mmol/L). Which assessment does the nurse perform to validate this finding?Answer →
  32. 32The nurse provides care for a client diagnosed with hyperparathyroidism. Which symptom is most important for the nurse to report to the next shift?Answer →
  33. 33The nurse receives a report on a client after surgery. Which information noted in the medical record places the client at risk for atelectasis after surgery? (Select all that apply.)Answer →
  34. 34The nurse describes the procedure for determining the client's body mass index (BMI). Which explanation, if made by the nurse, is most accurate?Answer →
  35. 35A nurse in an inpatient mental health facility is caring for a client who states, "l do not want anyone to know I am in a mental hospital." Which of the following responses should the nurse make?Answer →
  36. 36The nurse provides care for a client diagnosed with age-related macular degeneration. The nurse determines which nursing intervention is appropriate?Answer →
  37. 37A nurse is collecting data from a client who is seeking counseling at a mental health clinic. The nurse should identify that which of the following client statements indicates a client concern about sexuality?Answer →
  38. 38The nurse instructs a client about postoperative care after a cataract removal. Which instruction is correct for the nurse to include?Answer →
  39. 39The nurse cares for an unconscious client with a tracheostomy tube. The client's morning vital signs include temperature 99.0° F (37.2° C), P 90 beats/min, and R 18 breaths/min. While suctioning the tracheostomy, the nurse notes the cardiac monitor shows a pulse rate of 55 bpm. Which action does the nurse take first?Answer →
  40. 40The nurse provides postoperative care for a client after an ileal conduit procedure. Which observation most concerns the nurse?Answer →
  41. 41The nurse performs preoperative teaching for a client scheduled for a stapedotomy. It is most important for the nurse to make which statement?Answer →
  42. 42A nurse is caring for a client diagnosed with borderline personality disorder. The client suddenly begins yelling at staff and accusing them of being mean. Which of the following responses by the nurse is the most therapeutic?Answer →
  43. 43The nurse provides care for a toddler client who was diagnosed with hydrocephalus and has a shunt. After discharge instructions are given, the nurse instructs the parents to report which symptom immediately?Answer →
  44. 44The nurse provides care for a client scheduled for an ileal conduit surgery. Which statement by the client indicates understanding of the procedure?Answer →
  45. 45The nurse prepares to discharge an older adult client, who is overweight and newly diagnosed with type 2 diabetes. The nurse reviews principles of disease management with the client. Which statement by the client to the nurse indicates teaching is successful?Answer →
  46. 46The nurse knows which client admission is at risk for hypothermia? (Select all that apply.)Answer →
  47. 47An older adult client has been on bed rest for 5 days. To decrease the cardiovascular risks of immobility, which is the best proscription for the nurse to implement?Answer →
  48. 48A client has a diagnosis of acute respiratory distress syndrome. The client receives mechanical ventilation. Which assessment finding alerts the nurse to a potential problem?Answer →
  49. 49The nurse explains a cystoscopy to a client scheduled for the procedure later in the day. Which statement best describes the procedure?Answer →
  50. 50The nurse identifies which client is at higher risk for postoperative respiratory complications?Answer →
  51. 51A nurse is sitting with a client and asks how the client is feeling. The client replies. "Who would feel anything but rotten in my position?" Which of the following actions should the nurse take?Answer →
  52. 52Which action does the nurse take to obtain a stool specimen from a client who requires occult blood testing?Answer →
  53. 53The nurse provides care for a homebound client with an obstructed urinary catheter. Which observation by the nurse confirms the obstruction?Answer →
  54. 54The nurse observes an unlicensed assistive personnel (UAP) feeding a client. Which action by the UAP requires the nurse to intervene?Answer →
  55. 55A nurse is attempting to establish a therapeutic relationship with a newly admitted client. Which of the following actions should the nurse plan to take during the working phase of the nurse-client relationship?Answer →
  56. 56A client is diagnosed with abruptio placenta at 36 weeks gestation. A viable newborn is delivered by cesarean birth. Which laboratory test is most important for the nurse to review over the next 24 hours?Answer →
  57. 57The nurse cares for clients in the ophthalmology clinic. The nurse knows which test is recommended for all clients older than 40 years of age?Answer →
  58. 58The nurse provides care for a client diagnosed with peripheral edema. The nurse documents the assessment as +2 pitting edema. Which description defines +2 pitting edema correctly?Answer →
  59. 59A nurse is caring for a client diagnosed with schizophrenia. The client refuses to take their antipsychotic medication due to concerns about weight gain. Which of the following responses by the nurse is the most appropriate?Answer →
  60. 60The nurse provides care for a school-age client who has a diagnosis of possible appendicitis. To confirm the diagnosis, the nurse expects which laboratory tests to be prescribed?Answer →
  61. 61A nurse on a mental health unit is caring for a client who has bipolar disorder. Which of the following actions by the nurse incorporates the ethical principle of fidelity?Answer →
  62. 62A client is diagnosed with a possible spinal cord injury. Which diagnostic test does the nurse expect the health care provider to prescribe first?Answer →
  63. 63A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?Answer →
  64. 64The nurse prepares a client for discharge post-extracorporeal shock wave lithotripsy. The nurse will include which instruction in the client's discharge teaching?Answer →
  65. 65The nurse assesses a client's heart sounds. The nurse places the bell of the stethoscope at the apex of the heart and hears a decreasing, low-pitched heart sound between S₂ and S₁ sounds. Which conclusion does the nurse make about this sound?Answer →
  66. 66A nurse is assisting with a mental status examination for a client who has schizophrenia. Which of the following statements should the nurse make to gather information about the client's ability to think abstractly?Answer →
  67. 67A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using a maladaptive defense mechanism?Answer →
  68. 68The nurse obtains a health history for an adult client diagnosed with glaucoma. Which is the priority nursing action for this client's plan of care?Answer →
  69. 69A client is discharged after being treated for injuries sustained in an auto accident. The client has two dressings-one on the left forearm and one on the right knee-that need to be changed daily. Which client statement indicates to the nurse that further teaching is necessary?Answer →
  70. 70The nurse counsels a parent on how to assess for low blood glucose in a preschool child. Which statement, if made by the nurse, is correct?Answer →
  71. 71The nurse assesses a client's heart sounds with a stethoscope. Which stethoscope placement will assure the nurse of the best assessment outcome?Answer →
  72. 72The nurse completes a client assessment using the Romberg test. Which observation indicates normal client response?Answer →
  73. 73The nurse teaches a client how to decrease the risk for psoriasis exacerbations. It is most important for the nurse to include which instruction in the client's teaching plan?Answer →
  74. 74The nurse counsels a new family on how to protect a newborn client from sudden infant death syndrome. Which practice does the nurse recommend? (Select all that apply.)Answer →
  75. 75A nurse is caring for a young adult client who has major depressive disorder and has been found legally incompetent. The client requires informed consent for abdominal surgery. The nurse should recognize that which of the following people can consent to the surgery?Answer →
  76. 76The nurse prepares a client for discharge after an outpatient barium swallow and an upper GI series. Which client statement indicates to the nurse the need for further teaching?Answer →
  77. 77A client is diagnosed with type 1 diabetes. Which symptom does the nurse include when teaching the client about hypoglycemia? (Select all that apply.)Answer →
  78. 78A nurse is caring for a client who talks negatively about themselves and reports they do not know how to deal with their anxiety while they are at work. Which of the following actions should the nurse take?Answer →
  79. 79A nurse is caring for a client who has bipolar disorder. The client's employer contacts the nurse to discuss the client's condition. Which of the following actions should the nurse take?Answer →
  80. 80A nurse is collecting data from a client regarding the client's sexual behavior. The client laughs and makes an inappropriate sexual comment. Which Of the following is an appropriate response by the nurse?Answer →
  81. 81The nurse observes a student nurse examining a client's chest. Which action by the student requires an intervention by the nurse?Answer →
  82. 82The nurse assesses a client who has been diagnosed with venous insufficiency. Which assessment finding supports this diagnosis? (Select all that apply.)Answer →
  83. 83An older adult client tells the nurse about difficulty seeing. The client reports having difficulty reading smaller print, seeing colors differently, and experiencing glare, especially at night. The nurse anticipates the health care provider will institute which measures initially?Answer →
  84. 84A client receives parenteral nutrition. Which information is most essential for the nurse to assess?Answer →