SAUNDERS MENTAL HEALTH EXAM: 100% EXPERT
VERIFIED STUDY GUIDE REAL TESTING 2026|2027
QUESTIONS DETAILED ANSWERS AND INSTRUCTOR
NOTE FOR A+ GUARANTEED PASS
The nurse is caring for a client just admitted to the mental health unit in diagnosed with
catatonic stupor. The client is lying on the bed in a fetal position. Which is the most appropriate
nursing intervention?
1. As direct questions to encourage talking.
2. Leave the client alone so as to minimize external stimuli.
3. Sit beside the client in silence with occasional open-ended questions.
4. Take the client into the day room with other clients so they can help watch them. - Answers -
3. Sit beside the client in silence with occasional open-ended questions.
The nurse is caring for a client diagnosed with paranoid personality disorder who is experiencing
disturbed thought process is. In formulating a nursing plan of care, which best intervention
should the nurse include?
1. Increase socialization of the client with peers.
2. Avoid using a whisper voice in front of the client.
3. Begin to educate the client about social supports in the community.
4. Have a client sign a release of information to appropriate parties for assessment purposes. -
Answers -2. Avoid using a whisper voice in front of the client.
Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all
that apply
1|Page
,1. Monitor vital signs
2. Provide a safe environment
3. Address hallucinations therapeutically
4. Provide stimulation in the environment
5. Provide reality orientation as appropriate
6. Maintain NPO status - Answers -1. Monitor vital signs
2. Provide a safe environment
3. Address hallucinations therapeutically
5. Provide reality orientation as appropriate
The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-
Anon group if the nurse hears the wife make which statement?
1. "I no longer feel that I deserve the beatings my husband inflicts on me"
2. "My attendance at the meetings has helped me to see that I provoke my husband's violence"
3. "I enjoy attending the meetings because they get me out of the house and away from my
husband"
4. "I can tolerate my husband's destructive behaviors now that I know they are common among
alcoholics" - Answers -1. "I no longer feel that I deserve the beatings my husband inflicts on me"
A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to
go. I don't want any more treatment. I have things that I have to do right away." The client has
not been discharged and is scheduled for an important diagnostic test to be performed in 1
hour. After the nurse discusses the client's concerns with the client, the client dresses and
begins to walk out of the hospital room. What action should the nurse take?
1. Call the nursing supervisor
2. Call security to block all exit areas
2|Page
, 3. Restrain the client until the HCP can be reached
4. Tell the client that the client cannot return to this hospital again if the client leaves now. -
Answers -1. Call the nursing supervisor
The nurse is preparing to perform an admission assessment on a client with a diagnosis of
bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that
apply
1. Dental decay
2. Moist oily skin
3. Loss of tooth enamel
4. Electrolyte imbalances
5. Body weight well below ideal range - Answers -1. Dental decay
3. Loss of tooth enamel
4. Electrolyte imbalances
The nurse is caring for a female client who was admitted to the mental health unit recently for
anorexia nervosa. The nurse enters the client's room and notes that the client is engaged in
rigorous push-ups. Which nursing action is most appropriate?
1. Interrupt the client and weigh her immediately
2. Interrupt the client and offer to take her for a walk
3. Allow the client to complete her exercise program
4. Tell the client she is not allowed to exercise rigorously - Answers -2. Interrupt the client and
offer to take her for a walk
3|Page
VERIFIED STUDY GUIDE REAL TESTING 2026|2027
QUESTIONS DETAILED ANSWERS AND INSTRUCTOR
NOTE FOR A+ GUARANTEED PASS
The nurse is caring for a client just admitted to the mental health unit in diagnosed with
catatonic stupor. The client is lying on the bed in a fetal position. Which is the most appropriate
nursing intervention?
1. As direct questions to encourage talking.
2. Leave the client alone so as to minimize external stimuli.
3. Sit beside the client in silence with occasional open-ended questions.
4. Take the client into the day room with other clients so they can help watch them. - Answers -
3. Sit beside the client in silence with occasional open-ended questions.
The nurse is caring for a client diagnosed with paranoid personality disorder who is experiencing
disturbed thought process is. In formulating a nursing plan of care, which best intervention
should the nurse include?
1. Increase socialization of the client with peers.
2. Avoid using a whisper voice in front of the client.
3. Begin to educate the client about social supports in the community.
4. Have a client sign a release of information to appropriate parties for assessment purposes. -
Answers -2. Avoid using a whisper voice in front of the client.
Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all
that apply
1|Page
,1. Monitor vital signs
2. Provide a safe environment
3. Address hallucinations therapeutically
4. Provide stimulation in the environment
5. Provide reality orientation as appropriate
6. Maintain NPO status - Answers -1. Monitor vital signs
2. Provide a safe environment
3. Address hallucinations therapeutically
5. Provide reality orientation as appropriate
The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-
Anon group if the nurse hears the wife make which statement?
1. "I no longer feel that I deserve the beatings my husband inflicts on me"
2. "My attendance at the meetings has helped me to see that I provoke my husband's violence"
3. "I enjoy attending the meetings because they get me out of the house and away from my
husband"
4. "I can tolerate my husband's destructive behaviors now that I know they are common among
alcoholics" - Answers -1. "I no longer feel that I deserve the beatings my husband inflicts on me"
A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to
go. I don't want any more treatment. I have things that I have to do right away." The client has
not been discharged and is scheduled for an important diagnostic test to be performed in 1
hour. After the nurse discusses the client's concerns with the client, the client dresses and
begins to walk out of the hospital room. What action should the nurse take?
1. Call the nursing supervisor
2. Call security to block all exit areas
2|Page
, 3. Restrain the client until the HCP can be reached
4. Tell the client that the client cannot return to this hospital again if the client leaves now. -
Answers -1. Call the nursing supervisor
The nurse is preparing to perform an admission assessment on a client with a diagnosis of
bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that
apply
1. Dental decay
2. Moist oily skin
3. Loss of tooth enamel
4. Electrolyte imbalances
5. Body weight well below ideal range - Answers -1. Dental decay
3. Loss of tooth enamel
4. Electrolyte imbalances
The nurse is caring for a female client who was admitted to the mental health unit recently for
anorexia nervosa. The nurse enters the client's room and notes that the client is engaged in
rigorous push-ups. Which nursing action is most appropriate?
1. Interrupt the client and weigh her immediately
2. Interrupt the client and offer to take her for a walk
3. Allow the client to complete her exercise program
4. Tell the client she is not allowed to exercise rigorously - Answers -2. Interrupt the client and
offer to take her for a walk
3|Page
