LEADING SAFE CERTIFICATION
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)A) To
assess cognitive ability, I should ask the client to count backward by
sevens.B) To assess affect, I should observe the client's facial expressionC)
To assess language ability, I should instruct the client to write a sentence.D)
To assess remote memory, I should have the client repeat a list of objects.E)
To assess the client's abstract thinking, I should ask the client to identify our
most recent presidents..
Answer: A, B, C
◍ Ziprasidone (Geodon).
Answer: Antipsychotic medication that can cause prolonged QT interval
◍ Haloperidol (Haldol).
Answer: watch for dysthymias or prolonged QT intervals
◍ A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?A) Assist the client with systematic
desensitization therapy.B) Teach the client appropriate coping
mechanisms.C) Assess the client for comorbid health conditions.D) Monitor
the client for adverse effects of the medications..
Answer: D
,◍ A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority?A) Coordinate
holistic care with social services.B) Identify the client's perception of her
mental health status.C) Include the client's family in the interview.D) Teach
the client about her current mental health disorder.
Answer: B
◍ response if patient states "The nurse is trying to poison me!".
Answer: "You seemed frightened"
◍ negative signs of schizophrenia.
Answer: avolition, alogia, anhedonia, flat affect, Anergia
◍ Flat affect.
Answer: no signs of normal emotion
◍ A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse
expect?A) The client arouses briefly in response to a sternal rub.B) The
client has a glasgow coma scale score less than 7.C) The client exhibits
decorticate rigidity.D) The client is alert but disoriented to time and place..
Answer: A
◍ avolition.
Answer: lack of drive
◍ alogia.
Answer: lack of speech
◍ anhedonia.
Answer: inability to experience pleasure.
◍ Anergia.
Answer: lack of energy
◍ A nurse is planning a peer group about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that
, apply).A) The DSM-5 includes client education handouts for mental health
disorders.B) The DSM-5 establishes diagnostic criteria for individual mental
health disorders.C) The DSM-5 indicates recommended pharmacological
treatment for mental health disorders.D) The DSM-5 assists nurses in
planning care for client's who have mental health disorders.E) The DSM-5
indicates expected assessment findings of mental health disorders..
Answer: B, D, E
◍ A nurse in an emergency mental health facility is caring for a group of
clients. The nurse should identify that which of the following clients
requires a temporary emergency admission?A) A client who has
schizophrenia with delusions of grandeurB) A client who has manifestations
of depression and attempted suicide a year ago.C) A client who has
borderline personality disorder and assaulted a homeless man with a metal
rod.D) A client who has bipolar disorder and paces quickly around the room
while talking to himself..
Answer: C
◍ A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is very short-staffed, and the client frequently
fights with other clients. The nurse's actions are an example of which of the
following torts?A) Invasion of privacyB) False imprisonmentC) AssaultD)
Battery.
Answer: B
◍ positive signs of schizophrenia.
Answer: hallucinations, delusions, bizarre behavior, alterations in speech
◍ What is a priority in schizophrenic patients?.
Answer: Command hallucinations
◍ A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my
mattress in order to protect myself from my roommate, who is always
yelling at me and threatening me." Which of the following actions should
the nurse take?A) Keep the client's communication confidential, but talk to
the client daily, using therapeutic communication to convince him to admit
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)A) To
assess cognitive ability, I should ask the client to count backward by
sevens.B) To assess affect, I should observe the client's facial expressionC)
To assess language ability, I should instruct the client to write a sentence.D)
To assess remote memory, I should have the client repeat a list of objects.E)
To assess the client's abstract thinking, I should ask the client to identify our
most recent presidents..
Answer: A, B, C
◍ Ziprasidone (Geodon).
Answer: Antipsychotic medication that can cause prolonged QT interval
◍ Haloperidol (Haldol).
Answer: watch for dysthymias or prolonged QT intervals
◍ A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?A) Assist the client with systematic
desensitization therapy.B) Teach the client appropriate coping
mechanisms.C) Assess the client for comorbid health conditions.D) Monitor
the client for adverse effects of the medications..
Answer: D
,◍ A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority?A) Coordinate
holistic care with social services.B) Identify the client's perception of her
mental health status.C) Include the client's family in the interview.D) Teach
the client about her current mental health disorder.
Answer: B
◍ response if patient states "The nurse is trying to poison me!".
Answer: "You seemed frightened"
◍ negative signs of schizophrenia.
Answer: avolition, alogia, anhedonia, flat affect, Anergia
◍ Flat affect.
Answer: no signs of normal emotion
◍ A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse
expect?A) The client arouses briefly in response to a sternal rub.B) The
client has a glasgow coma scale score less than 7.C) The client exhibits
decorticate rigidity.D) The client is alert but disoriented to time and place..
Answer: A
◍ avolition.
Answer: lack of drive
◍ alogia.
Answer: lack of speech
◍ anhedonia.
Answer: inability to experience pleasure.
◍ Anergia.
Answer: lack of energy
◍ A nurse is planning a peer group about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that
, apply).A) The DSM-5 includes client education handouts for mental health
disorders.B) The DSM-5 establishes diagnostic criteria for individual mental
health disorders.C) The DSM-5 indicates recommended pharmacological
treatment for mental health disorders.D) The DSM-5 assists nurses in
planning care for client's who have mental health disorders.E) The DSM-5
indicates expected assessment findings of mental health disorders..
Answer: B, D, E
◍ A nurse in an emergency mental health facility is caring for a group of
clients. The nurse should identify that which of the following clients
requires a temporary emergency admission?A) A client who has
schizophrenia with delusions of grandeurB) A client who has manifestations
of depression and attempted suicide a year ago.C) A client who has
borderline personality disorder and assaulted a homeless man with a metal
rod.D) A client who has bipolar disorder and paces quickly around the room
while talking to himself..
Answer: C
◍ A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is very short-staffed, and the client frequently
fights with other clients. The nurse's actions are an example of which of the
following torts?A) Invasion of privacyB) False imprisonmentC) AssaultD)
Battery.
Answer: B
◍ positive signs of schizophrenia.
Answer: hallucinations, delusions, bizarre behavior, alterations in speech
◍ What is a priority in schizophrenic patients?.
Answer: Command hallucinations
◍ A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my
mattress in order to protect myself from my roommate, who is always
yelling at me and threatening me." Which of the following actions should
the nurse take?A) Keep the client's communication confidential, but talk to
the client daily, using therapeutic communication to convince him to admit
