LEADING SAFE CERTIFICATION
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ Lithium levels range.
Answer: 0.5-1.4
◍ Clients are guaranteed the same civil rights as any other citizen. Ethical
PrinciplesBeneficence:Autonomy: Justice: Fidelity: Veractiy:.
Answer: -"do good" ; Duty to promote the patient's welfare.- Own decisions-
Fair and equal treatment- Loyalty and faithfulness to the client. doing no
wrong- Honesty
◍ Sodium.
Answer: 135-145
◍ potassium.
Answer: 3.5-5
◍ Tricyclic Antidepressants.
Answer: Sedation, urinary retention, they lower seizure threshold, uses
include BAD, acute panic attacks, phobias, enuresis, and chronic pain and
their overdose can be deadly
◍ Types of admissions to a Mental health facilityVoluntary admission: Who?
refuse?Temporary emergency admission: Involuntary admission: Long-term
involuntary admission:.
Answer: - client or client's guardian chooses admission. voluntarily release
at any time. The client can refuse medication and treatment. - client is
admitted for emergent mental health care due to inability to make decisions.
, not to exceed 15 days. - admission against clients will for an indefinite
period due to risk of harm to self, others or inability to provide self-care.
limited to 60 days then a review is required. - imposed by the courts
◍ Tort:examplesFalse Imprisonment:Assault: Battery:.
Answer: -a civil wrong doing in which monetary damages can potentially be
awarded to the plaintiff (injured party)- confining a client to a specific
area-making a threat-touching a client in a harmful or offensive way
◍ MAOI.
Answer: inhibits breakdown of amine neurotransmitters, hypertensive crisis.
avoid pseudonephrine.
◍ anxiety:types of anxietyNormal:Acute(state): Chronic(trait):.
Answer: -Healthy life force that is necessary for survival, normal anxiety
motivates people to take action. - comes from an imminent loss or change
that threatens ones sense of security. - develops overtime often starting in
childhood. might display with physical manifestations like fatigue or
frequent headaches
◍ Chlorpromazine (thorazine).
Answer: Anticholinergic side effects constipation, urinary retention, blurred
vision, dry mouth. Suck on hard candy. It does not alter skin perfusion.
◍ Levels of Anxiety: Mild.
Answer: Mild anxiety occurs in the normal experience of everyday living.
There is an identifiable cause of the anxiety. mild discomfort, restlessness,
irritability, impatience and apprehension. client may exhibit these behaviors:
Finger or foot tapping, fidgeting, or lip chewing to relieve tension
◍ Lithium.
Answer: maintain sodium levels watch for vomiting, diarrhea, sweating
◍ Levels of Anxiety: Moderate.
Answer: occurs when mild anxiety escalates. slightly reduced perception,
ability to think clearly is hampered but learning and problem solving may
still occur. Tiredness, concentration difficulty, pacing, change in voice pitch,
, voice tremors, shakiness and increased HR and respiratory rate.
◍ Levels of anxiety: Severe.
Answer: Perceptual field greatly diminished. Attention span extremely
limited and has much difficulty completing even the simplest tasks.-physical
symptoms: impending doom, hyperventilation, tachycardia, withdrawal,
loud and rapid speech, aimless activity-emotional symptoms: confusion,
dread, horror* survival mode
◍ Level of Anxiety: Panic.
Answer: Characterized by markedly disturbed behavior. Can lose touch with
reality, extreme fright and horror, hyperactivity or flight, immobility can
occur, dilated pupils, severe shakiness, inability to sleep, hallucinations.
◍ Alcohol withdrawal.
Answer: Naltroxone. 2-3 days after can be a seizure risk, hand tremors will
occur, monitor bp
◍ Difference between alzheimers and dementia.
Answer: Alzheimers is progressive forgetfullness and dementia is rapid
◍ Nursing interventions for Mild and Moderate Anxiety.
Answer: -Evaluate past coping mechanisms -offer options for problem
solving-Exercise and other activities
◍ Nursing interventions for Severe to Panic-level anxiety.
Answer: -Remain with the client to assist with basic needs-quiet
environment-use medications and restraint but only after less restrictive
interventions have failed. -encourage walking and other forms of
exercise-focus on reality and what is present in the environment
◍ Psychoanalysis Therapy:Therapeutic ToolsFree Association: Dream analysis
and interpretation: Transference:.
Answer: -Focuses on Past. assessing unconscious thoughts and feelings to
solve internal conflicts which occur in early childhood. Past relationships
are a common focus of therapy. - spontaneous uncensored verbalization of
whatever comes to clients mind- believed by fraud to be urges and impulses
, of the unconscious mind payed out through dreams - feeling the client has
developed toward the therapist is similar feelings toward significant persons
in the clients life.
◍ Psychotherapy:.
Answer: treatment involving psychological techniques; consists of
interactions between a trained therapist and someone seeking to overcome
psychological difficulties or achieve personal growth
◍ Confabulation.
Answer: Filling in gaps in memory bu fabrication
◍ Delusion.
Answer: false fixed belief seen in schizos
◍ psychodynamic therapy:Interpersonal psychotherapy:.
Answer: - uses same tools as psychoanalysis but focuses more on the clients
present state, rather than early life. - addresses specific problems. It can
improve interpersonal relationships, communication, role-relationship, and
breavement.
◍ cognitive therapy:uses of cognitive therapyCognitive reframing: priority
restructuring: Assertiveness training:journal keepingMonitoring thoughts.
Answer: -a treatment method designed to identify and correct distorted
thinking patterns that can lead to feelings and behaviors that may be
troublesome, self-defeating, or self-destructive. -assists clients to identify
negative thoughts that produce anxiety, examine the cause, and develop
supportive ideas that replace negative self-talk- identity what requires
priority, such as devoting energy to pleasurable activities. - teaches clients to
express feelings, and solve problems in a nonaggressive way.
◍ Child abuse pattern.
Answer: inconsistency between history and child's injury
◍ Maslow's hierarcy of needs.
Answer: 1. sleep, food 2. safety 3. love and belonging 4. self actualization
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ Lithium levels range.
Answer: 0.5-1.4
◍ Clients are guaranteed the same civil rights as any other citizen. Ethical
PrinciplesBeneficence:Autonomy: Justice: Fidelity: Veractiy:.
Answer: -"do good" ; Duty to promote the patient's welfare.- Own decisions-
Fair and equal treatment- Loyalty and faithfulness to the client. doing no
wrong- Honesty
◍ Sodium.
Answer: 135-145
◍ potassium.
Answer: 3.5-5
◍ Tricyclic Antidepressants.
Answer: Sedation, urinary retention, they lower seizure threshold, uses
include BAD, acute panic attacks, phobias, enuresis, and chronic pain and
their overdose can be deadly
◍ Types of admissions to a Mental health facilityVoluntary admission: Who?
refuse?Temporary emergency admission: Involuntary admission: Long-term
involuntary admission:.
Answer: - client or client's guardian chooses admission. voluntarily release
at any time. The client can refuse medication and treatment. - client is
admitted for emergent mental health care due to inability to make decisions.
, not to exceed 15 days. - admission against clients will for an indefinite
period due to risk of harm to self, others or inability to provide self-care.
limited to 60 days then a review is required. - imposed by the courts
◍ Tort:examplesFalse Imprisonment:Assault: Battery:.
Answer: -a civil wrong doing in which monetary damages can potentially be
awarded to the plaintiff (injured party)- confining a client to a specific
area-making a threat-touching a client in a harmful or offensive way
◍ MAOI.
Answer: inhibits breakdown of amine neurotransmitters, hypertensive crisis.
avoid pseudonephrine.
◍ anxiety:types of anxietyNormal:Acute(state): Chronic(trait):.
Answer: -Healthy life force that is necessary for survival, normal anxiety
motivates people to take action. - comes from an imminent loss or change
that threatens ones sense of security. - develops overtime often starting in
childhood. might display with physical manifestations like fatigue or
frequent headaches
◍ Chlorpromazine (thorazine).
Answer: Anticholinergic side effects constipation, urinary retention, blurred
vision, dry mouth. Suck on hard candy. It does not alter skin perfusion.
◍ Levels of Anxiety: Mild.
Answer: Mild anxiety occurs in the normal experience of everyday living.
There is an identifiable cause of the anxiety. mild discomfort, restlessness,
irritability, impatience and apprehension. client may exhibit these behaviors:
Finger or foot tapping, fidgeting, or lip chewing to relieve tension
◍ Lithium.
Answer: maintain sodium levels watch for vomiting, diarrhea, sweating
◍ Levels of Anxiety: Moderate.
Answer: occurs when mild anxiety escalates. slightly reduced perception,
ability to think clearly is hampered but learning and problem solving may
still occur. Tiredness, concentration difficulty, pacing, change in voice pitch,
, voice tremors, shakiness and increased HR and respiratory rate.
◍ Levels of anxiety: Severe.
Answer: Perceptual field greatly diminished. Attention span extremely
limited and has much difficulty completing even the simplest tasks.-physical
symptoms: impending doom, hyperventilation, tachycardia, withdrawal,
loud and rapid speech, aimless activity-emotional symptoms: confusion,
dread, horror* survival mode
◍ Level of Anxiety: Panic.
Answer: Characterized by markedly disturbed behavior. Can lose touch with
reality, extreme fright and horror, hyperactivity or flight, immobility can
occur, dilated pupils, severe shakiness, inability to sleep, hallucinations.
◍ Alcohol withdrawal.
Answer: Naltroxone. 2-3 days after can be a seizure risk, hand tremors will
occur, monitor bp
◍ Difference between alzheimers and dementia.
Answer: Alzheimers is progressive forgetfullness and dementia is rapid
◍ Nursing interventions for Mild and Moderate Anxiety.
Answer: -Evaluate past coping mechanisms -offer options for problem
solving-Exercise and other activities
◍ Nursing interventions for Severe to Panic-level anxiety.
Answer: -Remain with the client to assist with basic needs-quiet
environment-use medications and restraint but only after less restrictive
interventions have failed. -encourage walking and other forms of
exercise-focus on reality and what is present in the environment
◍ Psychoanalysis Therapy:Therapeutic ToolsFree Association: Dream analysis
and interpretation: Transference:.
Answer: -Focuses on Past. assessing unconscious thoughts and feelings to
solve internal conflicts which occur in early childhood. Past relationships
are a common focus of therapy. - spontaneous uncensored verbalization of
whatever comes to clients mind- believed by fraud to be urges and impulses
, of the unconscious mind payed out through dreams - feeling the client has
developed toward the therapist is similar feelings toward significant persons
in the clients life.
◍ Psychotherapy:.
Answer: treatment involving psychological techniques; consists of
interactions between a trained therapist and someone seeking to overcome
psychological difficulties or achieve personal growth
◍ Confabulation.
Answer: Filling in gaps in memory bu fabrication
◍ Delusion.
Answer: false fixed belief seen in schizos
◍ psychodynamic therapy:Interpersonal psychotherapy:.
Answer: - uses same tools as psychoanalysis but focuses more on the clients
present state, rather than early life. - addresses specific problems. It can
improve interpersonal relationships, communication, role-relationship, and
breavement.
◍ cognitive therapy:uses of cognitive therapyCognitive reframing: priority
restructuring: Assertiveness training:journal keepingMonitoring thoughts.
Answer: -a treatment method designed to identify and correct distorted
thinking patterns that can lead to feelings and behaviors that may be
troublesome, self-defeating, or self-destructive. -assists clients to identify
negative thoughts that produce anxiety, examine the cause, and develop
supportive ideas that replace negative self-talk- identity what requires
priority, such as devoting energy to pleasurable activities. - teaches clients to
express feelings, and solve problems in a nonaggressive way.
◍ Child abuse pattern.
Answer: inconsistency between history and child's injury
◍ Maslow's hierarcy of needs.
Answer: 1. sleep, food 2. safety 3. love and belonging 4. self actualization
