UPDATE 2026
Jose is diagnosed with amphetamine psychosis and was admitted to the emergency room. Nurse
Ronald would most likely prepare to administer which of the following medication?
A. Librium
B. Valium
C. Ativan
D. Haldol - Answers D. Haldol
2. Question
Which of the following liquids would nurse Leng administer to a female client who is intoxicated with
phencyclidine (PCP) to hasten excretion of the chemical?
A. Shake
B. Tea
C. Cranberry Juice
D. Grape juice - Answers C. Cranberry Juice
3. Question
When developing a plan of care for a female client with acute stress disorder who lost her sister in a
car accident. Which of the following would the nurse expect to initiate?
A. Facilitating progressive review of the accident and its consequences.
B. Postponing discussion of the accident until the client brings it up.
C. Telling the client to avoid details of the accident.
D. Helping the client to evaluate her sister's behavior. - Answers A. Facilitating progressive review of
the accident and its consequences.
4. Question
The nursing assistant tells nurse Ronald that the client is not in the dining room for lunch. Nurse
Ronald would direct the nursing assistant to do which of the following?
A. Tell the client he'll need to wait until supper to eat if he misses lunch.
B. Invite the client to lunch and accompany him to the dining room.
C. Inform the client that he has 10 minutes to get to the dining room for lunch.
D. Take the client a lunch tray and let the client eat in his room. - Answers B. Invite the client to lunch
and accompany him to the dining room.
5. Question
The initial nursing intervention for the significant-others during shock phase of a grief reaction should
be focused on:
A. Presenting the full reality of the loss of the individuals.
B. Directing the individual's activities at this time.
C. Staying with the individuals involved.
D. Mobilizing the individual's support system. - Answers C. Staying with the individuals involved.
6. Question
Joy's stream of consciousness is occupied exclusively with thoughts of her father's death. Nurse
Ronald should plan to help Joy through this stage of grieving, which is known as:
A. Shock and disbelief
B. Developing awareness
C. Resolving the loss
D. Restitution - Answers C. Resolving the loss
7. Question
When taking a health history from a female client who has a moderate level of cognitive impairment
due to dementia, the nurse would expect to note the presence of:
A. Accentuated premorbid traits
B. Enhance intelligence
C. Increased inhibitions
D. Hypervigilance - Answers A. Accentuated premorbid traits
8. Question
What is the priority care for a client with dementia resulting from AIDS?
A. Planning for remotivation therapy.
B. Arranging for long-term custodial care.
, C. Providing basic intellectual stimulation.
D. Assessing pain frequently. - Answers C. Providing basic intellectual stimulation.
9. Question
Jerome who has an eating disorder often exhibits similar symptoms. Nurse Lhey would expect an
adolescent client with anorexia to exhibit:
A. Affective instability
B. Dishered, unkempt physical appearance
C. Depersonalization and derealization
D. Repetitive motor mechanisms - Answers A. Affective instability
10. Question
The primary nursing diagnosis for a female client with a medical diagnosis of major depression would
be:
A. Situational low self-esteem related to altered role
B. Powerlessness related to the loss of idealized self
C. Spiritual distress related to depression
D. Impaired verbal communication related to depression - Answers D. Impaired verbal communication
related to depression
11. Question
When developing an initial nursing care plan for a male client with a Bipolar I disorder (manic episode)
nurse Ron should plan to?
A. Isolate his gym time.
B. Encourage his active participation in unit programs.
C. Provide foods, fluids, and rest.
D. Discourage his participation in programs. - Answers C. Provide foods, fluids, and rest.
12. Question
Grace is exhibiting withdrawn patterns of behavior. Nurse Johnny is aware that this type of behavior
eventually produces a feeling of:
A. Repression
B. Loneliness
C. Anger
D. Paranoia - Answers B. Loneliness
13. Question
One morning a female client on the inpatient psychiatric service complains to nurse Hazel that she has
been waiting for over an hour for someone to accompany her to activities. Nurse Hazel replies to the
client "We're doing the best we can. There are a lot of other people in the unit who need attention
too." This statement shows that the nurse's use of:
A. Defensive behavior
B. Reality reinforcement
C. Limit-setting behavior
D. Impulse control - Answers A. Defensive behavior
14. Question
A nursing diagnosis for a male client with a diagnosed multiple personality disorder is chronic low self-
esteem probably related to childhood abuse. The most appropriate short-term client outcome would
be:
A. Verbalizing the need for anxiety medications.
B. Recognizing each existing personality.
C. Engaging in object-oriented activities.
D. Eliminating defense mechanisms and phobia. - Answers B. Recognizing each existing personality.
15. Question
A 25-year-old male is admitted to a mental health facility because of inappropriate behavior. The
client has been hearing voices, responding to imaginary companions, and withdrawing to his room for
several days at a time. Nurse Monette understands that the withdrawal is a defense against the
client's fear of:
A. Phobia
B. Powerlessness
C. Punishment
D. Rejection - Answers D. Rejection