MENTAL HEALTH CARE EXAM 4 2026
QUESTIONS AND STUDY GUIDE
Download now
Champlain Nursing School
HIGH YIELDS QUESTIONS
Exam
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
, Page 2 of 58
MENTAL HEALTH EXAM 4
A nurse is caring for four clients diagnosed with major depressive disorder.
When considering each client's belief system, the nurse should conclude
which client would potentially be at highest risk for suicide?
A. Roman Catholic
B. Protestant
C. Atheist
D. Muslim
ANS: C
Depressed men and women who consider themselves affiliated with a religion are
less likely to attempt suicide than their nonreligious counterparts.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Analysis
| Client Need: Safe and Effective Care Environment
Which nursing intervention strategy is most appropriate to implement initially
with a suicidal client?
A. Ask a direct question such as, "Do you ever think about killing yourself?"
B. Ask client, "Please rate your mood on a scale from 1 to 10."
C. Establish a trusting nurse-client relationship.
D. Apply the nursing process to the planning of client care.
ANS: A
The risk of suicide is greatly increased if the client has suicidal ideations, if the client
has developed a plan, and particularly if the means exist for the client to execute the
plan.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment
A client is newly committed to an inpatient psychiatric unit. Which nursing
intervention best lowers this client's risk for suicide?
A. Encouraging participation in the milieu to promote hope
B. Developing a strong personal relationship with the client
, Page 3 of 58
C. Observing the client at intervals determined by assessed data
D. Encouraging and redirecting the client to concentrate on happier times
ANS: C
The nurse should observe the actively suicidal client continuously for the first hour
after admission. After a full assessment the treatment team will determine the
observation status of the client. Observation of the client allows the nurse to interrupt
any observed suicidal behaviors.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment
Which client data indicate that a suicidal client is participating in a plan for
safety?
A. Compliance with antidepressant therapy
B. A mood rating of 9/10
C. Disclosing a plan for suicide to staff
D. Expressing feelings of hopelessness to nurse
ANS: C
A degree of the responsibility for the suicidal client's safety is given to the client.
When a client shares with staff a plan for suicide, the client is participating in a plan
for safety by communicating thoughts of self-harm that would initiate interventions to
prevent suicide.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Evaluation | Client Need: Psychosocial Integrity
Which statement indicates that the nurse is acting as an advocate for a client
who was hospitalized after a suicide attempt and is now nearing discharge?
A. "I must observe you continually for 1 hour in order to keep you safe."
B. "Let's confer with the treatment team about the resources that you may
need after discharge."
C. "You must have been very upset to do what you did today."
D. "Are you currently thinking about harming yourself?"
ANS: B
The nurse is functioning in an advocacy role when collaborating with the client and
treatment team to discuss client problems and needs.
, Page 4 of 58
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need: Psychosocial Integrity
A client is newly admitted to an inpatient psychiatric unit. Which of the
following is most critical to assess when determining risk for suicide?
A. Family history of depression
B. The client's orientation to reality
C. The client's history of suicide attempts
D. Family support systems
ANS: C
A history of suicide attempts places a client at a higher risk for current suicide
behaviors. Knowing this specific data will alert the nurse to the client's risk.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Assessment | Client Need: Safe and Effective Care Environment
A client has been brought to the emergency department for signs and
symptoms of Chronic Obstructive Pulmonary Disease (COPD). The client has a
history of a suicide attempt 1 year ago. Which nursing intervention would take
priority in this situation?
A. Assessing the client's pulse oximetry and vital signs
B. Developing a plan for safety for the client
C. Assessing the client for suicidal ideations
D. Establishing a trusting nurse-client relationship
ANS: A
It is important to prioritize client interventions that assess the symptoms of COPD
prior to any other nursing intervention. Physical needs must be prioritized according
to Maslow's hierarchy of needs. This client's problems with oxygenation will take
priority over assessing for current suicidal ideations.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need: Safe and Effective Care Environment
After a teenager reveals that he is gay, the father responds by beating him. The
next morning, the teenager is found hanging in his closet. Which paternal grief
responses should a nurse anticipate? Select all that apply.