ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING 7TH EDITION BY MARY
C TEST BANK ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ The nurse is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
A. Avoid shopping for large amounts of food
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day. Answer: C. Identify anxiety-causing
situations
Rationale: Bulimic behavior is generally a maladaptive coping response
to stress and underlying issues. The client must identify anxiety-causing
situation as that stimulate the bulimic behavior and then learn new ways
of coping with the anxiety. Controlling shopping for large amounts of
food isn't a goal early in treatment. Managing eating impulses and
replacing them with adaptive coping mechanisms can be integrated into
the plan of care after initially addressing stress and underlying issues.
Eating three meals per day isn't a realistic goal early in treatment.
⩥ A female client who's at high risk for suicide needs close supervision.
To best ensure the client's safety, the nurse should:
,A. Check on the client frequently at irregular intervals throughout the
night
B. Assure the client that the nurse will hold in confidence anything the
client says
C. Repeatedly discuss previous suicide attempts with the client
D. Disregard decreased communication by the client because this is
common in suicidal clients. Answer: A. Check on the client frequently at
irregular intervals throughout the night
Rationale: Checking the client frequently but at irregular intervals
prevents the client from predicting when observation will take place and
altering behavior in a misleading way at these times. Option B may
encourage the client to try to manipulate the nurse's or seek attention for
having a secret suicide plan. Option C may reinforce a suicidal idea.
Decreased communication is a sign of withdrawal that may indicate the
client has decided to commit suicide; the nurse shouldn't disregard it.
⩥ Which of the following drugs should the nurse prepare to administer
to a client with a toxic acetaminophen (Tylenol) level?
A. deferoxamine mesylate
B. succimer (Chemet)
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst). Answer: D. acetylcysteine (Mucomyth)
Rationale: The antidote for acetaminophen toxicity is acetylcysteine. It
enhances conversion of toxic metabolites to nontoxic metabolites.
Deferoxamine meslyate is the antidote for iron intoxication. Succimer is
,an antidote for lead poisoning. Flumazenil reverses the sedative effects
of benzodiazepines.
⩥ A male client is admitted to the substance abuse unit for alcohol
detoxification. Which of the following medications is the nurse likely to
administer to reduce the symptoms of alcohol withdrawal?
A. naloxone (Narcan)
B. haloperidol (Haldol)
C. magnesium sulfate
D. chlordiazepoxide (Librium). Answer: D. clordiazepoxide (Librium)
Rationale: Chlordiazepoxide (Librium) and other tranquilizers help
reduce the symptoms of alcohol withdrawal. Haloperidol (Haldol) may
be given to treat clients with psychosis, severe agitation, or delirium.
Naloxone (Narcan) is administered for narcotic overdose. Magnesium
sulfate and other anticonvulsant medications are only administer to treat
seizures if they occur during the withdrawal.
⩥ During postprandial monitor, a female client with bulimia nervosa
tells the nurse, "You can sit with me, but you're just wasting your time.
After you sat with me yesterday, I was still able to purge. Today, my goal
is to do it twice." What is the nurse's BEST responses?
A. "I trust you not to purge."
B. "How are you purging and when do you do it?"
C. "Don't worry. I won't allow you to purge today."
, D. "I know it's important for you to feel in control, but I'll monitor you
for 90 minutes after you eat.". Answer: D. "I know it's important for you
to feel in control, but I'll monitor you for 90 minutes after you eat."
Rationale: This response acknowledges that the clients is testing limits
and that the nurse is setting them by performing postprandial monitoring
to prevent self-induced eyes is. Clients with bulimia nervosa need to feel
in control of the diet because they feel they lack control over all other
aspects of their lives. Because their therapeutic relationships with
caregivers are less important than their need to purge, they don't fear
betraying the nurse's trust by engaging in the activity. They commonly
plot purging and rarely share their secrets about it. An authoritarian or
challenging response may trigger a power struggle between the nurse
and client.
⩥ A male client admitted to the psychiatric unit for treatment of
substance abuse says to the nurse, "It felt so wonderful to get high."
Which of the following is the most appropriate response?
A. "If you continue to talk like that, I'm going to stop speaking to you."
B. "You told me you got fired from your past job for missing too may
days after taking drugs all night."
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?". Answer: B. "You told me
you got fired from your past job for missing too many days after taking
drugs all night."
Rationale: Confronting the client with the consequences of substance
abuse helps to break through denial. Making threats (option A) isn't an
effective way to promote self-disclosure or establish a rapport with the
HEALTH NURSING 7TH EDITION BY MARY
C TEST BANK ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ The nurse is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
A. Avoid shopping for large amounts of food
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day. Answer: C. Identify anxiety-causing
situations
Rationale: Bulimic behavior is generally a maladaptive coping response
to stress and underlying issues. The client must identify anxiety-causing
situation as that stimulate the bulimic behavior and then learn new ways
of coping with the anxiety. Controlling shopping for large amounts of
food isn't a goal early in treatment. Managing eating impulses and
replacing them with adaptive coping mechanisms can be integrated into
the plan of care after initially addressing stress and underlying issues.
Eating three meals per day isn't a realistic goal early in treatment.
⩥ A female client who's at high risk for suicide needs close supervision.
To best ensure the client's safety, the nurse should:
,A. Check on the client frequently at irregular intervals throughout the
night
B. Assure the client that the nurse will hold in confidence anything the
client says
C. Repeatedly discuss previous suicide attempts with the client
D. Disregard decreased communication by the client because this is
common in suicidal clients. Answer: A. Check on the client frequently at
irregular intervals throughout the night
Rationale: Checking the client frequently but at irregular intervals
prevents the client from predicting when observation will take place and
altering behavior in a misleading way at these times. Option B may
encourage the client to try to manipulate the nurse's or seek attention for
having a secret suicide plan. Option C may reinforce a suicidal idea.
Decreased communication is a sign of withdrawal that may indicate the
client has decided to commit suicide; the nurse shouldn't disregard it.
⩥ Which of the following drugs should the nurse prepare to administer
to a client with a toxic acetaminophen (Tylenol) level?
A. deferoxamine mesylate
B. succimer (Chemet)
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst). Answer: D. acetylcysteine (Mucomyth)
Rationale: The antidote for acetaminophen toxicity is acetylcysteine. It
enhances conversion of toxic metabolites to nontoxic metabolites.
Deferoxamine meslyate is the antidote for iron intoxication. Succimer is
,an antidote for lead poisoning. Flumazenil reverses the sedative effects
of benzodiazepines.
⩥ A male client is admitted to the substance abuse unit for alcohol
detoxification. Which of the following medications is the nurse likely to
administer to reduce the symptoms of alcohol withdrawal?
A. naloxone (Narcan)
B. haloperidol (Haldol)
C. magnesium sulfate
D. chlordiazepoxide (Librium). Answer: D. clordiazepoxide (Librium)
Rationale: Chlordiazepoxide (Librium) and other tranquilizers help
reduce the symptoms of alcohol withdrawal. Haloperidol (Haldol) may
be given to treat clients with psychosis, severe agitation, or delirium.
Naloxone (Narcan) is administered for narcotic overdose. Magnesium
sulfate and other anticonvulsant medications are only administer to treat
seizures if they occur during the withdrawal.
⩥ During postprandial monitor, a female client with bulimia nervosa
tells the nurse, "You can sit with me, but you're just wasting your time.
After you sat with me yesterday, I was still able to purge. Today, my goal
is to do it twice." What is the nurse's BEST responses?
A. "I trust you not to purge."
B. "How are you purging and when do you do it?"
C. "Don't worry. I won't allow you to purge today."
, D. "I know it's important for you to feel in control, but I'll monitor you
for 90 minutes after you eat.". Answer: D. "I know it's important for you
to feel in control, but I'll monitor you for 90 minutes after you eat."
Rationale: This response acknowledges that the clients is testing limits
and that the nurse is setting them by performing postprandial monitoring
to prevent self-induced eyes is. Clients with bulimia nervosa need to feel
in control of the diet because they feel they lack control over all other
aspects of their lives. Because their therapeutic relationships with
caregivers are less important than their need to purge, they don't fear
betraying the nurse's trust by engaging in the activity. They commonly
plot purging and rarely share their secrets about it. An authoritarian or
challenging response may trigger a power struggle between the nurse
and client.
⩥ A male client admitted to the psychiatric unit for treatment of
substance abuse says to the nurse, "It felt so wonderful to get high."
Which of the following is the most appropriate response?
A. "If you continue to talk like that, I'm going to stop speaking to you."
B. "You told me you got fired from your past job for missing too may
days after taking drugs all night."
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?". Answer: B. "You told me
you got fired from your past job for missing too many days after taking
drugs all night."
Rationale: Confronting the client with the consequences of substance
abuse helps to break through denial. Making threats (option A) isn't an
effective way to promote self-disclosure or establish a rapport with the
