Exam Review
(2025-2026)
Question and Answers
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,A charge nurse is discussing mental status exams with a A. "To assess cognitive ability, I should ask the client to count backward by sevens."
newly licensed nurse. Which of the following statements by B. "To assess affect, I should observe the client's facial expression.
the newly licensed nurse indicates an understanding of the C. "To assess language ability, I should instruct the client to write a sentence."
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
expression.
C. "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."
A nurse is planning care for a client who has a mental D. Monitor the client for adverse effects of the medications.
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.
A nurse in an outpatient mental health clinic is preparing to B. Identify the client's perception of her mental health status.
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.
A nurse is told during change of shift report that a client is A. The client arouses briefly in response to a sternal rub.
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.
A nurse is planning a peer group discussion about the B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
DSM-5. Which of the following information is appropriate to D. The DSM-5 assists nurses in planning care for client's who have mental health
include in the discussion? (Select all that apply) disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders.
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.
, A nurse in an emergency mental health facility is caring for C. A client who has borderline personality disorder and assaulted a homeless man
a group of clients. The nurse should identify that which of with a metal rod
the following clients requires a temporary emergency
admission?
A. A client who has schizophrenia with delusions of
grandeur
B. 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
A nurse decides to put a client who has a psychotic B. False imprisonment
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 privacy
B. False imprisonment
C. Assault
D. Battery
A client tells a nurse, "Don't tell anyone but I hid a sharp D. Report the incident to the health care team, but do not inform the client of the
knife under my mattress in order to protect myself from my intention to do so.
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 to hiding the knife
B. Keep the client's communication confidential, but watch
the client and his roommate closely.
C. Tell the client that this must be reported to the health
care team because it concerns the health and safety of the
client and others.
D. Report the incident to the health care team, but do not
inform the client of the intention to do so.
A nurse is caring for a client who is in mechanical B. "Client was offered 8 oz of water every hr."
restraints. Which of the following statements should the C. "Client shouted obscenities at assistive personnel."
nurse include in the documentation? (Select all that apply) D. "Client received chlorpromazine 15 mg by mouth at 1000.
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at
1000."
E. "Client acted out after lunch."
A nurse hears a newly licensed nurse discussing a client's B. Tell the nurse to stop discussing the behavior
hallucinations in the hallway with another nurse. Which of
the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report.