MENTAL HEALTH WITH NGN 65+ QUESTIONS AND CORRECT ANSWERS WITH
DETAILED EXPLANATIONS PERFECT TO PASS 2026 TEST EXAM COVERING THE
RECENT AND MOST TESTED QUESTIONS
A nurse is caring for a group of clients. For which of the following situations should the nurse
complete an incident report?
a. A client refuses ECT after signing the consent form
b. A client who was voluntarily admitted left the unit against medical advice
c. A client was administered one-half of the prescribed dose of medication
d. A client was placed in restraints after attempts to de-escalate aggressive behaviors failed
c. A client was administered one-half of the prescribed dose of medication
an incident report is a recording of any occurrence that does not meet the standard of care. the nurse
should report medication errors using the facility's incident or occurrence form
a nurse is caring for a group of clients. Which of the following findings is the nurse required to report?
a. A client who has bipolar disorder and tested positive for genital herpes simplex virus reports having
multiple sexual partners
b. A client who has depression reports having a lack of interest in assisting their partner in the care of
their children
c. A client who has borderline personality disorder threatened to harm their roommate
d. An adolescent client who has anorexia nervosa has a BMI of 17
c. A client who has borderline personality disorder threatened to harm their roommate
s/s of BPD include interpersonal relationships accompanied by threats and other-directed violence. while
it is important for the nurse to maintain the pts confidentiality on occasions when another individuals life
might be in danger, the nurse is required by law to report it to authorities
A nurse is caring for a client who has borderline personality disorder. Which of the following goals is
the priority when planning care for this client?
a. The client will take prescribed medications as scheduled
b. The client will express feelings of frustration
c. The client will refrain from self-mutilation
d. The client will participate in group therapy
c. The client will refrain from self-mutilation
the greatest risk to the pt is injury to self and others. therefore, the priority goal is for the pt to refrain
from self-mutilation
A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's
partner, who is planning to go out of town for several days. Which of the following resources should
,the nurse recommended to the caregiver?
a. Respite Care
b. Partial Hospitalization
c. Adult Day Care Program
d. Geropsychiatric unit
a. Respite care
Respite care programs allow the pt to stay in a nursing facility for a set number of days, allowing the
caregivers to go on vacation or have some time to themselves
A nurse is caring for an older adult client who has dementia and has wandered into the day room
looking for their deceased partner. Which of the following actions should the nurse take?
a. Move the client to a room near the nurse's station
b. Limit visitors until the client is oriented to the environment
c. Tell the client that their partner is deceased
d. Talk with the client about activities they enjoyed with their partner
d. Talk with the client about activities they enjoyed with their partner
talking about positive experiences can help distract the pt from their disorientation
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse
questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to
bed!" The nurse should document the client's speech pattern as which of the following?
a. Clang association
b. Word Salad
c. Neogolism
d. Echolalia
a. Clang association
the nurse should document that the pts speech uses clang associations which often rhyme or contain a
string of words that can have a similar sound
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse
document as a negative symptom of this disorder?
a. Delusions
b. Neologisms
c. Anhedonia
d. Echopraxia
c. Anhedonia
neg symptoms of schizophrenia affect a person's ability to interact with others and are less dominant
than pos symptoms. these symptoms develop over time. examples of neg symptoms include flat affect,
, anergia (lack of energy), anhedonia (inability to enjoy otherwise pleasurable activities and thought
blocking
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN?
a. Obtain the weight of a client who has bipolar disorder and is experiencing mania
b. Assess the nutritional intake of a client who has anorexia nervosa and has refused to eat for the past 2
days
c. Monitor the cardiovascular status of a client who is experiencing serotonin syndrome
d. Change the dressing of a client who has borderline personality disorder and superficial self-inflicted
wounds
d. Change the dressing of a client who has borderline personality disorder and superficial self-inflicted
wounds
a pt who has borderline personality disorder is at risk for self-mutilation such as cutting, self-inflicted
wounds, scratching or picking at wounds. it is within the LPNs scope of practice to change the dressing
cleanse the wound, and collect data regarding the healing of the wound
A nurse is assessing a school-age child who has conduct disorder. Which of the following
characteristics should the nurse expect the child to demonstrate?
a. Feelings of remorse
b. Extended periods of depression
c. Deficits in intellectual functioning
d. Aggression toward animals
d. Aggression toward animals
the nurse should identify that aggression toward people and animals is an expected characteristic of a
child who has conduct disorder
A nurse in a mental health clinic is planning care for a client who has a new prescription for
olanzapine. Which of the following interventions should the nurse identify as the priority?
a. Advice the client to take frequent sips of water
b. Instruct the client to avoid driving during initial therapy
c. Consult a dietitian for a calorie-controlled diet plan
d. Recommend that the client exercise regularly
b. Instruct the client to avoid driving during initial therapy
the greatest risk to the pt is injury resulting from drowsiness or dizziness. therefore the nurses priority
intervention is to instruct the pt to avoid activities that require mental alertness during initial med
therapy
A nurse is caring for a client who has a history of substance use disorder and was involuntarily
admitted to a mental health facility. When the nurse attempt to administer oral lorazepam, the client
refuses to take the medication and becomes physically aggressive. Which of the following actions
should the nurse take?
a. Do not administer the lorazepam
DETAILED EXPLANATIONS PERFECT TO PASS 2026 TEST EXAM COVERING THE
RECENT AND MOST TESTED QUESTIONS
A nurse is caring for a group of clients. For which of the following situations should the nurse
complete an incident report?
a. A client refuses ECT after signing the consent form
b. A client who was voluntarily admitted left the unit against medical advice
c. A client was administered one-half of the prescribed dose of medication
d. A client was placed in restraints after attempts to de-escalate aggressive behaviors failed
c. A client was administered one-half of the prescribed dose of medication
an incident report is a recording of any occurrence that does not meet the standard of care. the nurse
should report medication errors using the facility's incident or occurrence form
a nurse is caring for a group of clients. Which of the following findings is the nurse required to report?
a. A client who has bipolar disorder and tested positive for genital herpes simplex virus reports having
multiple sexual partners
b. A client who has depression reports having a lack of interest in assisting their partner in the care of
their children
c. A client who has borderline personality disorder threatened to harm their roommate
d. An adolescent client who has anorexia nervosa has a BMI of 17
c. A client who has borderline personality disorder threatened to harm their roommate
s/s of BPD include interpersonal relationships accompanied by threats and other-directed violence. while
it is important for the nurse to maintain the pts confidentiality on occasions when another individuals life
might be in danger, the nurse is required by law to report it to authorities
A nurse is caring for a client who has borderline personality disorder. Which of the following goals is
the priority when planning care for this client?
a. The client will take prescribed medications as scheduled
b. The client will express feelings of frustration
c. The client will refrain from self-mutilation
d. The client will participate in group therapy
c. The client will refrain from self-mutilation
the greatest risk to the pt is injury to self and others. therefore, the priority goal is for the pt to refrain
from self-mutilation
A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's
partner, who is planning to go out of town for several days. Which of the following resources should
,the nurse recommended to the caregiver?
a. Respite Care
b. Partial Hospitalization
c. Adult Day Care Program
d. Geropsychiatric unit
a. Respite care
Respite care programs allow the pt to stay in a nursing facility for a set number of days, allowing the
caregivers to go on vacation or have some time to themselves
A nurse is caring for an older adult client who has dementia and has wandered into the day room
looking for their deceased partner. Which of the following actions should the nurse take?
a. Move the client to a room near the nurse's station
b. Limit visitors until the client is oriented to the environment
c. Tell the client that their partner is deceased
d. Talk with the client about activities they enjoyed with their partner
d. Talk with the client about activities they enjoyed with their partner
talking about positive experiences can help distract the pt from their disorientation
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse
questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to
bed!" The nurse should document the client's speech pattern as which of the following?
a. Clang association
b. Word Salad
c. Neogolism
d. Echolalia
a. Clang association
the nurse should document that the pts speech uses clang associations which often rhyme or contain a
string of words that can have a similar sound
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse
document as a negative symptom of this disorder?
a. Delusions
b. Neologisms
c. Anhedonia
d. Echopraxia
c. Anhedonia
neg symptoms of schizophrenia affect a person's ability to interact with others and are less dominant
than pos symptoms. these symptoms develop over time. examples of neg symptoms include flat affect,
, anergia (lack of energy), anhedonia (inability to enjoy otherwise pleasurable activities and thought
blocking
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN?
a. Obtain the weight of a client who has bipolar disorder and is experiencing mania
b. Assess the nutritional intake of a client who has anorexia nervosa and has refused to eat for the past 2
days
c. Monitor the cardiovascular status of a client who is experiencing serotonin syndrome
d. Change the dressing of a client who has borderline personality disorder and superficial self-inflicted
wounds
d. Change the dressing of a client who has borderline personality disorder and superficial self-inflicted
wounds
a pt who has borderline personality disorder is at risk for self-mutilation such as cutting, self-inflicted
wounds, scratching or picking at wounds. it is within the LPNs scope of practice to change the dressing
cleanse the wound, and collect data regarding the healing of the wound
A nurse is assessing a school-age child who has conduct disorder. Which of the following
characteristics should the nurse expect the child to demonstrate?
a. Feelings of remorse
b. Extended periods of depression
c. Deficits in intellectual functioning
d. Aggression toward animals
d. Aggression toward animals
the nurse should identify that aggression toward people and animals is an expected characteristic of a
child who has conduct disorder
A nurse in a mental health clinic is planning care for a client who has a new prescription for
olanzapine. Which of the following interventions should the nurse identify as the priority?
a. Advice the client to take frequent sips of water
b. Instruct the client to avoid driving during initial therapy
c. Consult a dietitian for a calorie-controlled diet plan
d. Recommend that the client exercise regularly
b. Instruct the client to avoid driving during initial therapy
the greatest risk to the pt is injury resulting from drowsiness or dizziness. therefore the nurses priority
intervention is to instruct the pt to avoid activities that require mental alertness during initial med
therapy
A nurse is caring for a client who has a history of substance use disorder and was involuntarily
admitted to a mental health facility. When the nurse attempt to administer oral lorazepam, the client
refuses to take the medication and becomes physically aggressive. Which of the following actions
should the nurse take?
a. Do not administer the lorazepam
