Nurs 138 Ecpi ATI CMS RN\PN Mental Health Nursing
TEST BANK PRACTICE EXAM A,B&C 2026/2027
COMPLETE ACCURATE EXAM REAL QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH DETALED
RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED EXAM
A nurse is collecting dat from a school-aged child who has ADHD
and has been taking desipramine. Which of the following adverse
effects should the nurse expect the child's parent to report?
A. Hyperactivity
B. Depression
C. Diarrhea
D. Sedation
Sedation
*The nurse should recognize that tryicyclic antidepressants can
cause sedation, along with other anticholinergic effects. Therefore,
the nurse should expect the parent to report that the child has been
sedated
,A nurse at an acute care facility is assisting with the care of a client
who is receiving IV antibiotic treatments for an infection. The client
reported daily alcohol use at home. On the seconds day of
admission, the client becomes agitated, hypertensive, and
tachycardic. Which of the following actions should the nurse plan to
take?
A. Administer methadone when agitation increases
B. Administer zolpidem before meals
C. Request a prescription for a different antibiotic
D. Request a prescription for chlordiazepoxide
Request a prescription for chlordiazepoxide
*The nurse should recognize these findings as indications of
withdrawal from alcohol and should intervene to decrease adverse
manifestations. Chlordiazepoxide, an anxiolytic, is a benzodiazepine
prescribed for alcohol withdrawal that reduces manifestation and
can help prevent seizures and delirium tremens
,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?
A. Ask the client to sign a contract agreeing not to harm others
B. Notify the provider of the client's threat
C. Keep the client's discussion confidential
D. Place the client in individual observation
Notify the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It
will then be the provider's responsibility to warn the the intended
victim or the police of the client's threat
A nurse is preparing to meet with a client who has borderline
personality disorder. Which of the following actions should the
nurse plan to take during the working phase of the therapeutic
relationship?
A. Introduce the concept of client confidentiality
B. Establish goals with the client
C. Define the roles of the nurse and the client
D. Facilitate change in the client's behavior
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during
the working phase of the therapeutic relationship.
, A nurse is contributing to the plan of care for a client who has
suicidal ideation and is being transferred to the mental health unit.
Which of the following interventions should the nurse recommend?
A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C. Instruct assistive personnel to check on the client every 15 m in
D. Keep the door to the client's room closed
Search the client and his belongings upon arrival
*The nurse should plan to search the client and all of his belongings
upon arrival to the unit. This search is conducted for the client's
safety so that the nurse can identify and remove any objects that
increase the client's risk of injury or suicide. Potentially harmfully
objects include razors, shoelaces, hygiene products, and tweezers
A nurse is talking with a client about his admission to a mental health
unit. The client states, "I just don't know if I should be here. What will
my family think?" Which of the following responses by the nurse
uses the therapeutic communication technique of reflection?
A. "It sounds like you are concerned about your family's reaction."
B. "What your family thinks isn't important; you need to be
concerned about getting well."
C. "I suspect your family doesn't seem to understand you.
D. "Many clients are concerned about the reaction of their families."
"It sounds like you are concerned about your family's reaction."
*In a reflective response, the nurse directs feelings and statements
back to the client, allowing the client to think about personal
feelings
TEST BANK PRACTICE EXAM A,B&C 2026/2027
COMPLETE ACCURATE EXAM REAL QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH DETALED
RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED EXAM
A nurse is collecting dat from a school-aged child who has ADHD
and has been taking desipramine. Which of the following adverse
effects should the nurse expect the child's parent to report?
A. Hyperactivity
B. Depression
C. Diarrhea
D. Sedation
Sedation
*The nurse should recognize that tryicyclic antidepressants can
cause sedation, along with other anticholinergic effects. Therefore,
the nurse should expect the parent to report that the child has been
sedated
,A nurse at an acute care facility is assisting with the care of a client
who is receiving IV antibiotic treatments for an infection. The client
reported daily alcohol use at home. On the seconds day of
admission, the client becomes agitated, hypertensive, and
tachycardic. Which of the following actions should the nurse plan to
take?
A. Administer methadone when agitation increases
B. Administer zolpidem before meals
C. Request a prescription for a different antibiotic
D. Request a prescription for chlordiazepoxide
Request a prescription for chlordiazepoxide
*The nurse should recognize these findings as indications of
withdrawal from alcohol and should intervene to decrease adverse
manifestations. Chlordiazepoxide, an anxiolytic, is a benzodiazepine
prescribed for alcohol withdrawal that reduces manifestation and
can help prevent seizures and delirium tremens
,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?
A. Ask the client to sign a contract agreeing not to harm others
B. Notify the provider of the client's threat
C. Keep the client's discussion confidential
D. Place the client in individual observation
Notify the provider of the client's threat
*It is the nurse's duty to notify the provider of the client's threat. It
will then be the provider's responsibility to warn the the intended
victim or the police of the client's threat
A nurse is preparing to meet with a client who has borderline
personality disorder. Which of the following actions should the
nurse plan to take during the working phase of the therapeutic
relationship?
A. Introduce the concept of client confidentiality
B. Establish goals with the client
C. Define the roles of the nurse and the client
D. Facilitate change in the client's behavior
Facilitate change in the client's behavior
*The nurse should facilitate change in the client's behavior during
the working phase of the therapeutic relationship.
, A nurse is contributing to the plan of care for a client who has
suicidal ideation and is being transferred to the mental health unit.
Which of the following interventions should the nurse recommend?
A. Search the client and his belongings upon arrival
B. Assign the client to a private room near the nurse's station
C. Instruct assistive personnel to check on the client every 15 m in
D. Keep the door to the client's room closed
Search the client and his belongings upon arrival
*The nurse should plan to search the client and all of his belongings
upon arrival to the unit. This search is conducted for the client's
safety so that the nurse can identify and remove any objects that
increase the client's risk of injury or suicide. Potentially harmfully
objects include razors, shoelaces, hygiene products, and tweezers
A nurse is talking with a client about his admission to a mental health
unit. The client states, "I just don't know if I should be here. What will
my family think?" Which of the following responses by the nurse
uses the therapeutic communication technique of reflection?
A. "It sounds like you are concerned about your family's reaction."
B. "What your family thinks isn't important; you need to be
concerned about getting well."
C. "I suspect your family doesn't seem to understand you.
D. "Many clients are concerned about the reaction of their families."
"It sounds like you are concerned about your family's reaction."
*In a reflective response, the nurse directs feelings and statements
back to the client, allowing the client to think about personal
feelings
