RN MENTAL HEALTH ONLINE PRACTICE B
PRACTICE QUESTIONS WITH SOLUTIONS 2026
◉ A nurse in a mental health facility is caring for a client who has
schizophrenia. The client becomes violent in the dayroom and
begins throwing objects at staff and other clients. After calling for
assistance, which of the following actions should the nurse take
next?
a. obtain a prescription for mechanical restraints
b. place the client in a monitored seclusion room
c. tell the client calmy to sit down
d. administer diazepam intramuscularly. Answer: c. tell the client
calmly to sit down.
-when providing client care, the nurse should first use the least
restrictive intervention. Therefore, the nurse should use verbal de-
escalation techniques after calling for assistance for a client who is
aggressive.
◉ A nurse is caring for a group of clients on a mental health unit.
Which of the following client behaviors should the nurse report to
the charge nurse?
a. a client who has schizophrenia is communicating using echolalia
b. a client who has depression is exhibiting anergia
c. a client who is manic has been pacing the unit for several hours
,d. a client who has a phobia is using thought stopping. Answer: c. a
client who is manic has been pacing the unit for several hours
-the nurse should identify that excessive physical activity in a client
who is experiencing a manic episode places the client at risk for
physical exhausting and possible death. The nurse should report this
client's behavior to the charge nurse.
◉ A nurse is collecting data from a client who is taking valproic acid
for treatment of bipolar disorder. The nurse should identify that
which of the following findings is priority to report to the provider?
a. drowsiness
b. nausea and vomiting
c. constipation
d. bleeding gums. Answer: d. bleeding gums
-when using the urgent vs non urgent approach to the client care,
the nurse should determine that the priority finding is bleeding
gums because of the risk of thrombocytopenia.
OR---------
Yellow sclera
Rationale: priority finding is yellow sclera because of risk for
hepatotoxicity.
, ◉ A nurse is attempting to resolve an ethical dilemma that involves a
client's medical decisions and his own personal values. After
collecting data and identifying the problem, which of the following
actions should the nurse take next?
a. discuss information about the dilemma with the client's provider
b. determine the benefits and consequences of respecting the client's
medical decisions
c. reflect on the effect of ethical theories on the nurse's personal
values
d. develop a plan that balances both the nurse's values and the
client's medical decisions. Answer: b. determine the benefits and
consequences of respecting the client's medical decisions
-The first action the nurse should take using the nursing process is to
collect data from the client. After the nurse collects the data and
identifies the problem, the nurse should determine the benefits and
consequences of respecting the client's medical decisions as the next
step in the ethical decision-making model.
◉ A nurse is reinforcing teaching with a client who has obsessive-
compulsive disorder and performs hand hygiene to decrease anxiety.
Which of the following actions should the nurse take to demonstrate
modeling as a behavioral intervention strategy?
a. setting a time limit between episodes of hand hygiene
b. reminding the client to shout "stop" each time she has an urge to
perform hand hygiene
PRACTICE QUESTIONS WITH SOLUTIONS 2026
◉ A nurse in a mental health facility is caring for a client who has
schizophrenia. The client becomes violent in the dayroom and
begins throwing objects at staff and other clients. After calling for
assistance, which of the following actions should the nurse take
next?
a. obtain a prescription for mechanical restraints
b. place the client in a monitored seclusion room
c. tell the client calmy to sit down
d. administer diazepam intramuscularly. Answer: c. tell the client
calmly to sit down.
-when providing client care, the nurse should first use the least
restrictive intervention. Therefore, the nurse should use verbal de-
escalation techniques after calling for assistance for a client who is
aggressive.
◉ A nurse is caring for a group of clients on a mental health unit.
Which of the following client behaviors should the nurse report to
the charge nurse?
a. a client who has schizophrenia is communicating using echolalia
b. a client who has depression is exhibiting anergia
c. a client who is manic has been pacing the unit for several hours
,d. a client who has a phobia is using thought stopping. Answer: c. a
client who is manic has been pacing the unit for several hours
-the nurse should identify that excessive physical activity in a client
who is experiencing a manic episode places the client at risk for
physical exhausting and possible death. The nurse should report this
client's behavior to the charge nurse.
◉ A nurse is collecting data from a client who is taking valproic acid
for treatment of bipolar disorder. The nurse should identify that
which of the following findings is priority to report to the provider?
a. drowsiness
b. nausea and vomiting
c. constipation
d. bleeding gums. Answer: d. bleeding gums
-when using the urgent vs non urgent approach to the client care,
the nurse should determine that the priority finding is bleeding
gums because of the risk of thrombocytopenia.
OR---------
Yellow sclera
Rationale: priority finding is yellow sclera because of risk for
hepatotoxicity.
, ◉ A nurse is attempting to resolve an ethical dilemma that involves a
client's medical decisions and his own personal values. After
collecting data and identifying the problem, which of the following
actions should the nurse take next?
a. discuss information about the dilemma with the client's provider
b. determine the benefits and consequences of respecting the client's
medical decisions
c. reflect on the effect of ethical theories on the nurse's personal
values
d. develop a plan that balances both the nurse's values and the
client's medical decisions. Answer: b. determine the benefits and
consequences of respecting the client's medical decisions
-The first action the nurse should take using the nursing process is to
collect data from the client. After the nurse collects the data and
identifies the problem, the nurse should determine the benefits and
consequences of respecting the client's medical decisions as the next
step in the ethical decision-making model.
◉ A nurse is reinforcing teaching with a client who has obsessive-
compulsive disorder and performs hand hygiene to decrease anxiety.
Which of the following actions should the nurse take to demonstrate
modeling as a behavioral intervention strategy?
a. setting a time limit between episodes of hand hygiene
b. reminding the client to shout "stop" each time she has an urge to
perform hand hygiene
