ASSESSMENT QUESTIONS WITH
CORRECT ANSWERS 2025/2026
A nurse on an acute mental health unit is caring for a group of clients. For which of the following
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clients is seclusion contraindicated?
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An adult client following a suicide attempt
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A school-age client who attempts to repeatedly bite staff
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An adolescent client who throws objects at other clients
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An older adult client who is manic and crying due to overstimulation -
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correct answersAn adult client following a suicide attempt
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A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. T
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he client states, "I don't know what I will do if they find I have cancer." Which of the following re
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sponses should the nurse make? A A A A A
"Why do you think you might have cancer when your diagnosis is a benign condition?"
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"I'm looking at your chart here and I don't see any reason for you to worry about that."
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"I think that's something you need to discuss with your provider."
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"I'm hearing that you are concerned that it might turn out that you have cancer." -
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correct answersI'm hearing that you are concerned that it might turn out that you have cancer
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A nurse is admitting a client who is exhibiting manic behavior. The client reports recent personal
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stressors including the loss of her mother and a divorce. Which of the following is the priority n
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ursing action? A A
Identifying support systems. A A
Assisting the client in identifying coping behaviors.
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Encouraging self-care A
Preventing self-directed violence. - correct answersPreventing self-directed violence
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A nurse is caring for a client who has a new HIV diagnosis. He says, "I don't care what the doctors
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say, there is no way I can have HIV, and I don't need treatment for something I don't have." The
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nurse identifies that the client is experiencing which type of crisis?
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Adventitious
Internal
, Maturational
Situational - correct answerssituational A A A
A nurse is planning discharge for a client who has borderline personality disorder. Which of the f
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ollowing interventions should be included for this client?
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Dialectical behavior therapy A A
Behavioral contract A
Bibliotherapy
Safety plan - correct answersDialectical behavior therapy
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A nurse is caring for a client who has been diagnosed with end-
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stage liver cancer. Which of the following responses is an indication the client is in the denial ph
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ase of the grief process?
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"The doctor has been so good to me. I know he has tried everything he can. It is just my time."
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"I can't believe the doctor graduated from medical school. He doesn't know a thing about treati
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ng cancer!" A
"The doctor says I only have a few months to live, but I know he is exaggerating to get me to take
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my medication."
A A
"Even though I am not hurting right now, I don't feel like I have the energy to get out of bed." -
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correct answersThe doctor says I only have a few months to live, but I know he is exaggerating t
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o get me to take my medication
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A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize t
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oxicity manifestations. Which statement by the client indicates an understanding of teaching?
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"I will report any loss of appetite."
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"Increased flatulence is an indication of toxicity." A A A A A A
"Vomiting is an indication of toxicity." A A A A A
"I will call my provider if I experience any headaches." -
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correct answersVomiting is an indication of toxicity
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A nurse is assessing a client who has a diagnosis of conversion disorder. Which of the following i
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s an expected finding?
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Frequent manic episodes. A A
Refusal of medication due to paranoia. A A A A A
Preoccupation with manifestations of various illnesses. A A A A A