Latest 2026 Exam Update | Comprehensive Psychiatric & Mental
Health Nursing Review | Detailed Rationales | NCLEX Preparation |
100% Verified Solutions | Grade A+ Success Guide
A Nurse Is Assisting With The Planning Of A Therapeutic Support Group For Individuals Who
Have Bulimia Nervosa. Which Of The Following Tasks Should The Nurse Include During The
Orientation Phase Of Group Development?
A. Determine The Rules That The Group Will Follow
B. Address Disagreements Among Group Members
C. Help Clients Work Through The Grief Response
D. Transition From The Role Of Leader To Facilitator
ANS: Determine The Rules That The Group Will Follow
FEEDBACK: During The Orientation Phase Of Group Development, The Nurse Should
Determine The Rules That Apply To The Group And Ensure That All Members Understand These
Rules. Examples Of Rules To Be Discussed Include Confidentiality And Meeting Times.
A Nurse Is Providing Support For A Client Who Is Grieving The Loss Of Her Mother Who Died
From Alzeimer's Disease. Which Of The Following Statements Should The Nurse Offer?
A. "I Know How You Must Be Feeling. I Recently Lost My Father."
B. "Dealing With Your Mother's Death Must Be Difficult For You."
C. "Knowing Your Mother Is In A Better Place Provides You With Some Comfort."
D. "I Want You To Let Me Know What I Can Do To Help You Cope With Your Mother's Death."
ANS: "Dealing With Your Mother's Death Must Be Difficult For You."
,FEEDBACK: The Nurse Should Use Therapeutic Communication When Supporting A Client
Who Is Grieving. This Statement Keeps The Focus Of The Conversation On The Client By
Acknowledging Her Grief And Encourages Further Communication."
A Nurse In The Emergency Room Is Collecting Data From A Client Who Has Heroin Intoxication.
Which Of The Following Findings Should The Nurse Expect?
A. Seizure Activity
B. Respiratory Depression
C. Hypersensitivity To Pain
D. Increased Mental Alertness
ANS: Respiratory Depression
FEEDBACK: Heroin Is An Opioid; Therefore, The Nurse Should Expect This Client Who Has
Heroin Intoxication To Exhibit Respiratory Depression.
A Nurse On A Mental Health Unit Is Caring For A Client Who Is Displaying Signs Of Anger. Which
Of The Following Pieces Of Information About The Client Is The Strongest Indicator That The
Client Might Become Aggressive?
A. The Client Has Marginal Coping Skills
B. The Client Has A History Of Violence
C. The Client Feels Powerless After Being Hospitalized
D. The Client Blames Others For Her Problems
,ANS: The Client Has A History Of Violence
FEEDBACK: The Client's History Of Violence Is The Most Important Indicator That This Client
Might Become Violent; Therefore, This Is The Strongest Indicator Of Potential Aggressiveness.
A Nurse Is Reinforcing Teaching With The Caregiver Of A Client Who Has Dementia. Which Of
The Following Instructions Should The Nurse Include In The Teaching?
A. Offer The Client A List Of Activities To Choose From
B. Offer Finger Foods To The Client
C. Discourage Naps Throughout The Day
D. Turn On The Television When The Client Is In The Room
ANS: Offer Finger Foods To The Client
FEEDBACK: The Caregiver Should Offer Finger Foods That The Client Can Eat Without Sitting
Down. Clients Who Have Dementia Often Like To Wander And Walk Off Nervous Energy, Which
Can Decrease Anxiety And Calm The Client.
A Nurse Is Contributing To The Plan Of Care For A Client With Bipolar Disorder Who Has Acute
Mania. Which Of The Following Interventions Should The Nurse Recommend Including In The
Plan?
A. Provide The Client With A Low-Calorie, Low-Fat Diet
B. Encourage The Client To Have Frequent Rest Periods
C. Escort The Client To Daily Group Therapy
, D. Limit The Client's Intake Of Caffeinated Beverages To 12 Oz Per Day
ANS: Encourage The Client To Have Frequent Rest Periods
FEEDBACK: The Nurse Should Recommend Encouraging Frequent Rest Periods Throughout
The Day To Decrease The Client's Risk Of Exhaustion From The Constant Activity Associated With
Acute Mania.
A Nurse Is Reviewing The Plan Of Care For A Client Who Has Bipolar Disorder. Which Of The
Following Is An Effect Of Using Cognitive Behavioral Therapy (CBT) For A Client Who Has Bipolar
Disorder?
A. Prevents The Need For Mood-Stabilizing Medications
B. Helps The Client Deal With Distorted Thought Processes
C. Aids In Communication Among Family Members
D. Replaces The Need For Lifestyle Interventions
ANS: Helps The Client Deal With Distorted Thought Processes
FEEDBACK: CBT Assists The Client With Recognizing Distorted Thought Processes That Are
Maladaptive With Regards To Recovery. When Experiencing Mania, The Client Tends To View
The Future Unrealistically As Highly Favorable. CBT Assists The Client In Recognizing And
Challenging Such Unrealistic Or "Automatic" Thoughts And Can Help The Client And The Health
Care Team Recognize Early Trends Toward Mania
A Nurse Is Caring For A Client In A Mental Health Facility And Overhears The Client Discussing
Plans To Harm Her Father-In-Law Physically When She Is Discharged. Which Of The Following
Interventions Should The Nurse Take?