NUR 253 EXAM 2 -CONCEPTS OF MENTAL HEALTH
NURSING |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A manic client begins to make sexual advances toward visitors in the dayroom. When the
nurse firmly states that this is inappropriate and will not be allowed, the client becomes
verbally abusive and threatens physical violence to the nurse. Based on the analysis of this
situation, which intervention should the nurse implement?
a. Place the client in seclusion for 30 minutes.
b. Tell the client that the behavior is inappropriate.
c. Escort the client to their room, with the assistance of other staff.
d. Tell the client that their telephone privileges are revoked for 24 hours.
CORRECT ANSWER
c. Escort the client to their room, with the assistance of other staff.
Question 2
The nurse observes that a client is pacing, agitated, and presenting aggressive gestures.
The client's speech pattern is rapid, and affect is belligerent. Based on these observations,
which is the nurse's immediate priority of care?
a. Provide safety for the client and other clients on the unit.
b. Provide the clients on the unit with a sense of comfort and safety.
c. Assist the staff in caring for the client in a controlled environment.
d. Offer the client a less stimulating area in which to calm down and gain control.
CORRECT ANSWER
a. Provide safety for the client and other clients on the unit.
1
,Question 3
The nurse observes that a client with a potential for violence is agitated, pacing up and
down the hallway, and is making aggressive and belligerent gestures at other clients.
Which statement would be most appropriate to make to this client?
a. "You need to stop that behavior now."
b. "You will need to be placed in seclusion."
c. "You seem restless; tell me what is happening."
d. "You will need to be restrained if you do not change your behavior."
CORRECT ANSWER
c. "You seem restless; tell me what is happening."
Question 4
The nurse has been closely observing a client who has been displaying aggressive
behaviors. The nurse observes that the behavior displayed by the client is escalating.
Which nursing intervention is most helpful to this client at this time? (Select all that apply.)
a. Initiate confinement measures.
b. Acknowledge the client's behavior.
c. Assist the client to an area that is quiet.
d. Maintain a safe distance from the client.
e. Allow the client to take control of the situation.
CORRECT ANSWER
b. Acknowledge the client's behavior.
c. Assist the client to an area that is quiet.
d. Maintain a safe distance from the client.
2
,Question 5
When should the nurse determine that it will be safe to remove the restraints from a client
who demonstrated violent behavior?
a. Administered medication has taken effect.
b. The client verbalizes the reasons for the violent behavior.
c. The client apologizes and tells the nurse that it will never happen again.
d. No aggressive behavior has been observed for 1 hour after the release of two of the
extremity restraints.
CORRECT ANSWER
d. No aggressive behavior has been observed for 1 hour after the release of two of the
extremity restraints.
Question 6
The nurse is planning care for a client who has a history of violent behavior and is at risk
for harming others. Which intervention presents a need for follow-up because it could
potentially present a danger to the client, health care providers, and others on the nursing
unit?
a. Facing the client when providing care
b. Assigning the client to a room at the end of the hall
c. Ensuring that a security officer is available at all times if needed
d. Keeping the door to the client's room open when providing care to the client
CORRECT ANSWER
b. Assigning the client to a room at the end of the hall
Question 7
The nurse is assigned to care for a chemically dependent client who has the potential for
violent episodes. In planning care for the client, which action by the nurse should receive
priority?
3
, a. Speaks slowly to the client
b. Projects an attitude of calmness
c. Bargains to prevent the violent episodes
d. Moves quietly when approaching the client
CORRECT ANSWER
b. Projects an attitude of calmness
Question 8
Several nurses are engaged in an assignment report when a client with a history of
aggressive behavior approaches the nurses' station. The client becomes very loud and
offensive, and demands to be seen by the health care provider (HCP) immediately. Which
intervention will address the needs of both the client and the milieu?
a. Inform the client that the behavior is unacceptable.
b. Offer to assist the client to an examination room until the HCP is notified.
c. Assure the client that the HCP will be called as soon as the report is completed.
d. Tell the client to wait in his room, and inform him that a nurse will come when the report
is finished.
CORRECT ANSWER
b. Offer to assist the client to an examination room until the HCP is notified.
Question 9
During a group session, a client threatens to "punch every one of you." Which is the
appropriate initial nursing action?
a. Call security to come to the session immediately.
b. Require the client to leave the group immediately.
c. Remind the client that punching anyone is a reason for being placed into seclusion.
d. Remind the client that talking about personal anger is appropriate, but acting on it is not.
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NURSING |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A manic client begins to make sexual advances toward visitors in the dayroom. When the
nurse firmly states that this is inappropriate and will not be allowed, the client becomes
verbally abusive and threatens physical violence to the nurse. Based on the analysis of this
situation, which intervention should the nurse implement?
a. Place the client in seclusion for 30 minutes.
b. Tell the client that the behavior is inappropriate.
c. Escort the client to their room, with the assistance of other staff.
d. Tell the client that their telephone privileges are revoked for 24 hours.
CORRECT ANSWER
c. Escort the client to their room, with the assistance of other staff.
Question 2
The nurse observes that a client is pacing, agitated, and presenting aggressive gestures.
The client's speech pattern is rapid, and affect is belligerent. Based on these observations,
which is the nurse's immediate priority of care?
a. Provide safety for the client and other clients on the unit.
b. Provide the clients on the unit with a sense of comfort and safety.
c. Assist the staff in caring for the client in a controlled environment.
d. Offer the client a less stimulating area in which to calm down and gain control.
CORRECT ANSWER
a. Provide safety for the client and other clients on the unit.
1
,Question 3
The nurse observes that a client with a potential for violence is agitated, pacing up and
down the hallway, and is making aggressive and belligerent gestures at other clients.
Which statement would be most appropriate to make to this client?
a. "You need to stop that behavior now."
b. "You will need to be placed in seclusion."
c. "You seem restless; tell me what is happening."
d. "You will need to be restrained if you do not change your behavior."
CORRECT ANSWER
c. "You seem restless; tell me what is happening."
Question 4
The nurse has been closely observing a client who has been displaying aggressive
behaviors. The nurse observes that the behavior displayed by the client is escalating.
Which nursing intervention is most helpful to this client at this time? (Select all that apply.)
a. Initiate confinement measures.
b. Acknowledge the client's behavior.
c. Assist the client to an area that is quiet.
d. Maintain a safe distance from the client.
e. Allow the client to take control of the situation.
CORRECT ANSWER
b. Acknowledge the client's behavior.
c. Assist the client to an area that is quiet.
d. Maintain a safe distance from the client.
2
,Question 5
When should the nurse determine that it will be safe to remove the restraints from a client
who demonstrated violent behavior?
a. Administered medication has taken effect.
b. The client verbalizes the reasons for the violent behavior.
c. The client apologizes and tells the nurse that it will never happen again.
d. No aggressive behavior has been observed for 1 hour after the release of two of the
extremity restraints.
CORRECT ANSWER
d. No aggressive behavior has been observed for 1 hour after the release of two of the
extremity restraints.
Question 6
The nurse is planning care for a client who has a history of violent behavior and is at risk
for harming others. Which intervention presents a need for follow-up because it could
potentially present a danger to the client, health care providers, and others on the nursing
unit?
a. Facing the client when providing care
b. Assigning the client to a room at the end of the hall
c. Ensuring that a security officer is available at all times if needed
d. Keeping the door to the client's room open when providing care to the client
CORRECT ANSWER
b. Assigning the client to a room at the end of the hall
Question 7
The nurse is assigned to care for a chemically dependent client who has the potential for
violent episodes. In planning care for the client, which action by the nurse should receive
priority?
3
, a. Speaks slowly to the client
b. Projects an attitude of calmness
c. Bargains to prevent the violent episodes
d. Moves quietly when approaching the client
CORRECT ANSWER
b. Projects an attitude of calmness
Question 8
Several nurses are engaged in an assignment report when a client with a history of
aggressive behavior approaches the nurses' station. The client becomes very loud and
offensive, and demands to be seen by the health care provider (HCP) immediately. Which
intervention will address the needs of both the client and the milieu?
a. Inform the client that the behavior is unacceptable.
b. Offer to assist the client to an examination room until the HCP is notified.
c. Assure the client that the HCP will be called as soon as the report is completed.
d. Tell the client to wait in his room, and inform him that a nurse will come when the report
is finished.
CORRECT ANSWER
b. Offer to assist the client to an examination room until the HCP is notified.
Question 9
During a group session, a client threatens to "punch every one of you." Which is the
appropriate initial nursing action?
a. Call security to come to the session immediately.
b. Require the client to leave the group immediately.
c. Remind the client that punching anyone is a reason for being placed into seclusion.
d. Remind the client that talking about personal anger is appropriate, but acting on it is not.
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