,
,
, RN MENTAL HEALTH 2026 ULTIMATE STUDY
GUIDE AND PRACTICE TEST (1-300)
1. A nurse is caring for a client with schizophrenia who reports hearing
voices that tell them to harm others. Which action should the nurse
take first?
A) Place the client in seclusion
B) Administer a PRN antipsychotic medication
C) Initiate one-to-one observation and notify the provider
D) Tell the client to ignore the voices
*C) Initiate one-to-one observation and notify the provider *
Rationale: Command hallucinations to harm others are a psychiatric
emergency. The priority is to ensure safety through one-to-one observation
and notify the provider for immediate intervention. Seclusion is a last resort
and should not be the first action .
2. A client with borderline personality disorder threatens to leave the
unit against medical advice. The nurse should:
A) Allow the client to leave
B) Place the client in seclusion
C) Notify the provider and explore the client's feelings about leaving
D) Tell the client they cannot leave
*C) Notify the provider and explore the client's feelings about
leaving *
Rationale: The nurse should explore the client's reasons for wanting to leave
and notify the provider. If the client is a danger to self or others, they may be
placed on a hold. Seclusion is not appropriate unless there is an immediate
safety risk .
,
, RN MENTAL HEALTH 2026 ULTIMATE STUDY
GUIDE AND PRACTICE TEST (1-300)
1. A nurse is caring for a client with schizophrenia who reports hearing
voices that tell them to harm others. Which action should the nurse
take first?
A) Place the client in seclusion
B) Administer a PRN antipsychotic medication
C) Initiate one-to-one observation and notify the provider
D) Tell the client to ignore the voices
*C) Initiate one-to-one observation and notify the provider *
Rationale: Command hallucinations to harm others are a psychiatric
emergency. The priority is to ensure safety through one-to-one observation
and notify the provider for immediate intervention. Seclusion is a last resort
and should not be the first action .
2. A client with borderline personality disorder threatens to leave the
unit against medical advice. The nurse should:
A) Allow the client to leave
B) Place the client in seclusion
C) Notify the provider and explore the client's feelings about leaving
D) Tell the client they cannot leave
*C) Notify the provider and explore the client's feelings about
leaving *
Rationale: The nurse should explore the client's reasons for wanting to leave
and notify the provider. If the client is a danger to self or others, they may be
placed on a hold. Seclusion is not appropriate unless there is an immediate
safety risk .
