SAUNDERS MENTAL HEALTH CERTIFICATION
EVALUATION TEST 2026 COMPLETE
QUESTIONS AND ANSWERS 100 PERCENT
CORRECT
◉ A client diagnosed with terminal cancer says to the nurse, "I'm
going to die, and I wish my family would stop hoping for a cure! I get
so angry when they carry on like this. After all, I'm the one who's
dying." Which response by the nurse is therapeutic? Answer: "You're
feeling angry that your family continues to hope for you to be
cured?"
◉ When reviewing the admission assessment, the nurse notes that a
client was admitted to the mental health unit involuntarily. Based on
this type of admission, the nurse should provide which intervention
for this client? Answer: Monitor closely for harm to self or others.
◉ The nurse in the mental health unit plans to use which
therapeutic communication techniques when communicating with a
client? Select all that apply. Answer: -Restating
- Listening
- Maintaining neutral responses
- Providing acknowledgment and feedback
,◉ A client is participating in a therapy group and focuses on viewing
all team members as equally important in helping the clients to meet
their goals. The nurse is implementing which therapeutic approach?
Answer: Milieu therapy
◉ The nurse is working with a client who despite making a heroic
effort was unable to rescue a neighbor trapped in a house fire.
Which client-focused action should the nurse engage in during the
working phase of the nurse-client relationship? Answer: Inquiring
about and examining the client's feelings for any that may block
adaptive coping
◉ A client diagnosed with delirium becomes disoriented and
confused at night. Which intervention should the nurse implement
initially? Answer: Use an indirect light source and turn off the
television.
◉ The nurse is conducting a group therapy session. During the
session, a client diagnosed with mania consistently disrupts the
group's interactions. Which intervention should the nurse initially
implement? Answer: Setting limits on the client's behavior
◉ A client is admitted to a medical nursing unit with a diagnosis of
acute blindness after being involved in a hit-and-run accident. When
diagnostic testing cannot identify any organic reason why this client
cannot see, a mental health consult is prescribed. The nurse plans
,care based on which condition that should be the focus of this
consult? Answer: Conversion disorder
◉ Which nursing interventions are appropriate for a hospitalized
client with mania who is exhibiting manipulative behavior? Select all
that apply. Answer: - Communicate expected behaviors to the client.
- Assist the client in identifying ways of setting limits on personal
behaviors.
- Follow through about the consequences of behavior in a
nonpunitive manner.
- Have the client state the consequences for behaving in ways that
are viewed as unacceptable.
◉ The nurse is preparing a client with a history of command
hallucinations for discharge by providing instructions on
interventions for managing hallucinations and anxiety. Which
statement in response to these instructions suggests to the nurse
that the client has a need for additional information? Answer:
"When I have command hallucinations, I'll call a friend and ask him
what I should do."
◉ The nurse is caring for a client just admitted to the mental health
unit and diagnosed with catatonic stupor. The client is lying on the
bed in a fetal position. Which is the most appropriatenursing
intervention? Answer: Sit beside the client in silence with occasional
open-ended questions.
, ◉ The nurse is planning activities for a client diagnosed with bipolar
disorder with aggressive social behavior. Which activity would be
most appropriate for this client? Answer: Writing
◉ Which interventions are most appropriate for caring for a client in
alcohol withdrawal? Select all that apply. Answer: - Monitor vital
signs.
- Provide a safe environment.
-Address hallucinations therapeutically.
- Provide reality orientation as appropriate.
◉ A hospitalized client with a history of alcohol abuse tells the
nurse, "I am leaving now. I have to go. I don't want any more
treatment. I have things that I have to do right away." The client has
not been discharged and is scheduled for an important diagnostic
test to be performed in 1 hour. After the nurse discusses the client's
concerns with the client, the client dresses and begins to walk out of
the hospital room. What action should the nurse take? Answer: Call
the nursing supervisor.
◉ The nurse is preparing to perform an admission assessment on a
client with a diagnosis of bulimia nervosa. Which assessment
findings should the nurse expect to note? Select all that apply.
Answer: - Loss of tooth enamel
EVALUATION TEST 2026 COMPLETE
QUESTIONS AND ANSWERS 100 PERCENT
CORRECT
◉ A client diagnosed with terminal cancer says to the nurse, "I'm
going to die, and I wish my family would stop hoping for a cure! I get
so angry when they carry on like this. After all, I'm the one who's
dying." Which response by the nurse is therapeutic? Answer: "You're
feeling angry that your family continues to hope for you to be
cured?"
◉ When reviewing the admission assessment, the nurse notes that a
client was admitted to the mental health unit involuntarily. Based on
this type of admission, the nurse should provide which intervention
for this client? Answer: Monitor closely for harm to self or others.
◉ The nurse in the mental health unit plans to use which
therapeutic communication techniques when communicating with a
client? Select all that apply. Answer: -Restating
- Listening
- Maintaining neutral responses
- Providing acknowledgment and feedback
,◉ A client is participating in a therapy group and focuses on viewing
all team members as equally important in helping the clients to meet
their goals. The nurse is implementing which therapeutic approach?
Answer: Milieu therapy
◉ The nurse is working with a client who despite making a heroic
effort was unable to rescue a neighbor trapped in a house fire.
Which client-focused action should the nurse engage in during the
working phase of the nurse-client relationship? Answer: Inquiring
about and examining the client's feelings for any that may block
adaptive coping
◉ A client diagnosed with delirium becomes disoriented and
confused at night. Which intervention should the nurse implement
initially? Answer: Use an indirect light source and turn off the
television.
◉ The nurse is conducting a group therapy session. During the
session, a client diagnosed with mania consistently disrupts the
group's interactions. Which intervention should the nurse initially
implement? Answer: Setting limits on the client's behavior
◉ A client is admitted to a medical nursing unit with a diagnosis of
acute blindness after being involved in a hit-and-run accident. When
diagnostic testing cannot identify any organic reason why this client
cannot see, a mental health consult is prescribed. The nurse plans
,care based on which condition that should be the focus of this
consult? Answer: Conversion disorder
◉ Which nursing interventions are appropriate for a hospitalized
client with mania who is exhibiting manipulative behavior? Select all
that apply. Answer: - Communicate expected behaviors to the client.
- Assist the client in identifying ways of setting limits on personal
behaviors.
- Follow through about the consequences of behavior in a
nonpunitive manner.
- Have the client state the consequences for behaving in ways that
are viewed as unacceptable.
◉ The nurse is preparing a client with a history of command
hallucinations for discharge by providing instructions on
interventions for managing hallucinations and anxiety. Which
statement in response to these instructions suggests to the nurse
that the client has a need for additional information? Answer:
"When I have command hallucinations, I'll call a friend and ask him
what I should do."
◉ The nurse is caring for a client just admitted to the mental health
unit and diagnosed with catatonic stupor. The client is lying on the
bed in a fetal position. Which is the most appropriatenursing
intervention? Answer: Sit beside the client in silence with occasional
open-ended questions.
, ◉ The nurse is planning activities for a client diagnosed with bipolar
disorder with aggressive social behavior. Which activity would be
most appropriate for this client? Answer: Writing
◉ Which interventions are most appropriate for caring for a client in
alcohol withdrawal? Select all that apply. Answer: - Monitor vital
signs.
- Provide a safe environment.
-Address hallucinations therapeutically.
- Provide reality orientation as appropriate.
◉ A hospitalized client with a history of alcohol abuse tells the
nurse, "I am leaving now. I have to go. I don't want any more
treatment. I have things that I have to do right away." The client has
not been discharged and is scheduled for an important diagnostic
test to be performed in 1 hour. After the nurse discusses the client's
concerns with the client, the client dresses and begins to walk out of
the hospital room. What action should the nurse take? Answer: Call
the nursing supervisor.
◉ The nurse is preparing to perform an admission assessment on a
client with a diagnosis of bulimia nervosa. Which assessment
findings should the nurse expect to note? Select all that apply.
Answer: - Loss of tooth enamel
