WGU C367 Mental Health Nursing Assessment 2026/2027
COMPLETE ACCURATE TEST EXAM ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED SOLUTIONS) |ALREADY GRADED A+||NEWEST
VERSION |BEST DOCUMENT FOR EXAM
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
A nurse is assessing a client diagnosed with major depressive disorder. Which findings
should the nurse expect? (Select all that apply.)
a. Increased appetite
b. Psychomotor retardation
c. Feelings of worthlessness
d. Pressured speech
e. Sleep disturbances
✔️ Correct Answer: B, C, E
Rationale:
Major depressive disorder commonly presents with psychomotor retardation, persistent
feelings of worthlessness or guilt, and sleep disturbances such as insomnia or
hypersomnia. Increased appetite is less common but may occur in atypical depression.
Pressured speech is associated with mania, not depression. NCLEX focus: mood disorders
and depression.
A nurse is caring for a client experiencing acute mania. Which interventions are
appropriate? (Select all that apply.)
,a. Provide a low-stimulation environment
b. Encourage group therapy participation
c. Set firm limits on behavior
d. Offer high-calorie finger foods
e. Use consistent staff assignment
✔️ Correct Answer: A, C, D, E
Rationale:
Clients with mania require a structured, low-stimulation environment and firm behavioral
limits. High-calorie finger foods are useful due to hyperactivity and inability to sit for
meals. Consistent staff reduces anxiety and promotes trust. Group therapy is
overstimulating during acute mania. NCLEX focus: bipolar disorder and mania
management.
A nurse is assessing a client with schizophrenia. Which symptoms are positive symptoms?
(Select all that apply.)
a. Hallucinations
b. Flat affect
c. Delusions
d. Avolition
e. Disorganized speech
✔️ Correct Answer: A, C, E
Rationale:
Positive symptoms include hallucinations, delusions, and disorganized speech/behavior.
Negative symptoms include flat affect and avolition (lack of motivation). NCLEX focus:
schizophrenia spectrum disorders.
A nurse is caring for a client who is suicidal. Which action is the priority?
a. Place the client in a private room
b. Initiate one-to-one observation
c. Encourage the client to express feelings
d. Complete a suicide risk assessment
,✔️ Correct Answer: B
Rationale:
Safety is the priority. One-to-one observation ensures continuous monitoring and
prevention of self-harm. Assessment and therapeutic communication are important but
secondary to immediate safety. Private rooms increase risk. NCLEX focus: suicide risk
management.
A nurse is teaching a client about lithium therapy. Which statement indicates
understanding?
a. "I should limit my fluid intake."
b. "I need regular blood tests."
c. "I can take NSAIDs freely."
d. "I should stop the medication when I feel better."
✔️ Correct Answer: B
Rationale:
Lithium requires therapeutic drug monitoring due to a narrow therapeutic range. Clients
must maintain hydration and avoid NSAIDs, which increase lithium levels. Medication
should not be stopped abruptly. NCLEX focus: mood stabilizers and lithium therapy.
A nurse is assessing a client with panic disorder. Which symptoms are expected? (Select
all that apply.)
a. Chest pain
b. Gradual onset anxiety
c. Palpitations
d. Fear of losing control
e. Delusions
✔️ Correct Answer: A, C, D
Rationale:
Panic attacks have sudden onset with intense fear, chest pain, palpitations, and fear of
losing control or dying. Gradual anxiety is not characteristic. Delusions are psychotic
symptoms. NCLEX focus: anxiety disorders.
, A nurse is caring for a client diagnosed with antisocial personality disorder. Which
behavior is expected?
a. Social withdrawal
b. Manipulation of others
c. Excessive emotional expression
d. Fear of abandonment
✔️ Correct Answer: B
Rationale:
Antisocial personality disorder is characterized by disregard for rules, lack of empathy,
and manipulative behavior. Fear of abandonment is seen in borderline personality
disorder. NCLEX focus: personality disorders.
A nurse is reviewing medications for a client taking phenelzine (MAOI). Which foods
should be avoided? (Select all that apply.)
a. Aged cheese
b. Fresh chicken
c. Red wine
d. Yogurt
e. Leafy vegetables
✔️ Correct Answer: A, C, D
Rationale:
MAOIs interact with tyramine-containing foods such as aged cheese, red wine, and some
fermented dairy products, leading to hypertensive crisis. Fresh meats and vegetables are
safe. NCLEX focus: MAOI dietary restrictions.
A nurse is caring for a client experiencing serotonin syndrome. Which findings are
expected? (Select all that apply.)
COMPLETE ACCURATE TEST EXAM ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED SOLUTIONS) |ALREADY GRADED A+||NEWEST
VERSION |BEST DOCUMENT FOR EXAM
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
A nurse is assessing a client diagnosed with major depressive disorder. Which findings
should the nurse expect? (Select all that apply.)
a. Increased appetite
b. Psychomotor retardation
c. Feelings of worthlessness
d. Pressured speech
e. Sleep disturbances
✔️ Correct Answer: B, C, E
Rationale:
Major depressive disorder commonly presents with psychomotor retardation, persistent
feelings of worthlessness or guilt, and sleep disturbances such as insomnia or
hypersomnia. Increased appetite is less common but may occur in atypical depression.
Pressured speech is associated with mania, not depression. NCLEX focus: mood disorders
and depression.
A nurse is caring for a client experiencing acute mania. Which interventions are
appropriate? (Select all that apply.)
,a. Provide a low-stimulation environment
b. Encourage group therapy participation
c. Set firm limits on behavior
d. Offer high-calorie finger foods
e. Use consistent staff assignment
✔️ Correct Answer: A, C, D, E
Rationale:
Clients with mania require a structured, low-stimulation environment and firm behavioral
limits. High-calorie finger foods are useful due to hyperactivity and inability to sit for
meals. Consistent staff reduces anxiety and promotes trust. Group therapy is
overstimulating during acute mania. NCLEX focus: bipolar disorder and mania
management.
A nurse is assessing a client with schizophrenia. Which symptoms are positive symptoms?
(Select all that apply.)
a. Hallucinations
b. Flat affect
c. Delusions
d. Avolition
e. Disorganized speech
✔️ Correct Answer: A, C, E
Rationale:
Positive symptoms include hallucinations, delusions, and disorganized speech/behavior.
Negative symptoms include flat affect and avolition (lack of motivation). NCLEX focus:
schizophrenia spectrum disorders.
A nurse is caring for a client who is suicidal. Which action is the priority?
a. Place the client in a private room
b. Initiate one-to-one observation
c. Encourage the client to express feelings
d. Complete a suicide risk assessment
,✔️ Correct Answer: B
Rationale:
Safety is the priority. One-to-one observation ensures continuous monitoring and
prevention of self-harm. Assessment and therapeutic communication are important but
secondary to immediate safety. Private rooms increase risk. NCLEX focus: suicide risk
management.
A nurse is teaching a client about lithium therapy. Which statement indicates
understanding?
a. "I should limit my fluid intake."
b. "I need regular blood tests."
c. "I can take NSAIDs freely."
d. "I should stop the medication when I feel better."
✔️ Correct Answer: B
Rationale:
Lithium requires therapeutic drug monitoring due to a narrow therapeutic range. Clients
must maintain hydration and avoid NSAIDs, which increase lithium levels. Medication
should not be stopped abruptly. NCLEX focus: mood stabilizers and lithium therapy.
A nurse is assessing a client with panic disorder. Which symptoms are expected? (Select
all that apply.)
a. Chest pain
b. Gradual onset anxiety
c. Palpitations
d. Fear of losing control
e. Delusions
✔️ Correct Answer: A, C, D
Rationale:
Panic attacks have sudden onset with intense fear, chest pain, palpitations, and fear of
losing control or dying. Gradual anxiety is not characteristic. Delusions are psychotic
symptoms. NCLEX focus: anxiety disorders.
, A nurse is caring for a client diagnosed with antisocial personality disorder. Which
behavior is expected?
a. Social withdrawal
b. Manipulation of others
c. Excessive emotional expression
d. Fear of abandonment
✔️ Correct Answer: B
Rationale:
Antisocial personality disorder is characterized by disregard for rules, lack of empathy,
and manipulative behavior. Fear of abandonment is seen in borderline personality
disorder. NCLEX focus: personality disorders.
A nurse is reviewing medications for a client taking phenelzine (MAOI). Which foods
should be avoided? (Select all that apply.)
a. Aged cheese
b. Fresh chicken
c. Red wine
d. Yogurt
e. Leafy vegetables
✔️ Correct Answer: A, C, D
Rationale:
MAOIs interact with tyramine-containing foods such as aged cheese, red wine, and some
fermented dairy products, leading to hypertensive crisis. Fresh meats and vegetables are
safe. NCLEX focus: MAOI dietary restrictions.
A nurse is caring for a client experiencing serotonin syndrome. Which findings are
expected? (Select all that apply.)
