Capstone Mental Health
Assessment Victoria Final Exam
- A nurse is discussing discipline techniques with the parent of a preschooler. Which
of the following statements by the parent indicates an understanding of time-out as a
form of discipline?
A. “I place my child in time-out for 15 minutes when they misbehave.”
B. “I send my child to their room for the time-out period.”
C. “I make use of time-out after giving three warnings.”
D. “I use a kitchen timer to mark the end of the time-out period.” - A nurse in a well-child clinic receives a phone call from the parent of an adolescent
client. The parent states, “I think my son might try to kill himself.” Which of the following
statements by the parent is the priority for the nurse to investigate further?
A. “I can hear him crying in the middle of the night.”
B. “He spends most of his time locked in his room.”
C. “He refuses to go to the movies with his friends.”
D. “I noticed several cutting marks on both of his arms.” - A nurse is caring for an adult client who is receiving treatment for alcohol use
disorder. The client is upset because his partner has refused to visit him in the
treatment facility. Which of the following actions by the client should indicate to the
nurse that the client is using regression as a defense mechanism?
A. The client states that he has developed sudden hearing loss.
B. The client states that his partner will not visit because they are too busy with their
job.
C. The client yells obscenities at the nurse.
D. The client stomps his feet and throws objects o his bedside table - A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a
community mental health facility. Which of the following manifestations should the nurse
expect when completing the admission assessment?
A. Decreased startle response to loud noises
B. Reports uninterrupted sleep of 10 to 12 hr each night
C. Reluctance to discuss the event that precipitated the distress
D. Reports feelings of acute distress that began 1 to 2 weeks ago - A nurse is conducting a child maltreatment screening of a family who has a toddler.
Which of the following findings should the nurse identify as an indicator of possible child
neglect?
A. The child has a history of jaw factures.
B. The child seems frightened of their parent.
C. The child has had no immunizations since birth.
D. The child rocks back and forth continually. - A nurse in an urgent-care clinic is caring for a school-age child who has several
visible bruises. The child’s parent states, “My partner got red today and came home
angry. I don’t think this will happen again.” Which of the following responses should the
nurse make?
A. “I agree with you. I’m sure this will never happen again.”
B. “This is awful. You should le charges against your partner.”
C. “This is clearly child endangerment. I will have to call . police.”
D. “I’d like to know more about what happened. Let’s sit and talk.” - A nurse is caring for a client who has dementia and insists a doll is her infant child.
Which of the following behavioral management techniques should the nurse use when
interacting with the client?
A. Cognitive reframing
B. Thought stopping
C. Validation therapy
D. Operant conditioning