Questions and Answers 2026 | Updated
Revision Pack | Grade A+
• A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statements indicates
the client has a decreased risk for suicide? -✓✓"It is easier to talk
about my feelings now."
• A nurse is discussing a 12-step program with a client who has alcohol
use disorder and is in an acute care facility undergoing detoxification.
Which of the following information should the nurse include in the
teaching? -✓✓The client should obtain a sponsor before discharge for
an increased chance of recovery.
• A nurse on a mental health unit observes a client who has acute
mania hit another client. Which of the following action should the
nurse take first? -✓✓Call a team of staff members to help with the
situation.
• A nurse in a community health center is working with a group of
clients who have post-traumatic stress disorder. Which of the following
intervention should the nurse include to reduce anxiety among the
group members? -✓✓Guided imagery
,• A nurse is admitting a client who has anorexia nervosa and is at 60%
of ideal body weight. Which of the following interventions should the
nurse include in the plan of care? -✓✓Encourage the client to drink
125 mL of fluid each hour while awake.
• For each potential assessment finding, click to specify if the finding is
consistent with positive or negative symptoms of schizophrenia. -
✓✓Positive:
- Delusions of grandeur
- Clang associations
- Catatonia
Negative:
-Alogia
- Withdrawal from social activities
• After reviewing the client's medical record, the nurse should notify
the provider of which of the following findings related to clozapine? -
✓✓When taking actions, the nurse should identify an elevated
temperature, hypoactive bowel sounds, a decreased ANC level, myalgia
along with an increased heart rate can be adverse effects of the
medication clozapine. Therefore, the nurse should report these findings
to the client's provider.
, • Click to highlight the findings in the medical record that indicate
maladaptive uses of defense mechanisms. -✓✓- Returned from
exercise class in agitated state.
- Client tells the nurse, "That exercise instructor was one of my favorite
people here. We had so much in common. But now I know their true
nature. She's evil!"
• A nurse is caring for a client who has impaired cognitionA nurse is
updating the client's plan of care. For each of the following potential
nursing interventions, click to specify if the potential intervention is
anticipated, nonessential, or contraindicated for the client. -
✓✓Anticipated:
- When addressing the client, approach them from the front when
possible.
- Give directions to the client slowly and in a moderate tone of voice.
- Decrease sensory stimulation.
- Assign the client to a room near the nurses' station.
Contraindicated:
- Use a vest restraint to keep the client in a medical recliner.
- Ensure the bed is kept at a working height for the nurse.
- Keep the lights off in the client's bedroom and bathroom at night.
Nonessential: