NURS325: Mental Health Nursing FINAL EXAM
ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION 2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol
withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth.)
a. 1.0 mL
b. 1.5 mL
c. 2.0 mL
d. 2.5 mL
✔️ Correct Answer: B
Rationale: This is a standard dosage calculation using the formula: Dose ÷ Stock
strength × Volume. 7.5 mg ÷ 5 mg/mL = 1.5 mL. Diazepam is a benzodiazepine used in
alcohol withdrawal to reduce CNS hyperactivity and prevent complications such as
seizures and delirium tremens. Accurate dose calculation is critical because
benzodiazepines can cause respiratory depression and sedation, especially when given
IV. NCLEX focus: Medication dosage calculation and CNS depressants safety. DIF:
Application. REF: Pharmacology / Benzodiazepines. OBJ: Calculate IV medication dosage
accurately. TOP: Safe Medication Administration.
,A nurse is discussing a 12-step program with a client who has alcohol use disorder and is
in an acute care facility undergoing detoxification. Which of the following information
should the nurse include in the teaching?
a. The program will help the client accept responsibility for the disorder.
b. The client should obtain a sponsor before discharge for an increased chance of
recovery.
c. The client will need to identify individuals who have contributed to the disorder.
d. The program will need a prescription from the client's provider prior to attendance.
✔️ Correct Answer: B
Rationale: Twelve-step programs such as Alcoholics Anonymous emphasize peer
support, accountability, and sponsorship. A sponsor provides guidance, support, and
accountability, improving long-term recovery success. The program is voluntary (no
prescription required), does not focus on blaming others, and while personal
responsibility is encouraged, the most actionable and evidence-based support is sponsor
assignment. NCLEX focus: Substance use disorder treatment principles. DIF: Application.
REF: Addiction Treatment / 12-Step Programs. OBJ: Identify key components of recovery
programs. TOP: Psychosocial Integrity.
A nurse is caring for a newly admitted client. For each potential assessment finding, click
to specify if the finding is consistent with positive or negative symptoms of
schizophrenia.
a. Delusions of grandeur – Positive
b. Clang associations – Positive
c. Catatonia – Positive
d. Alogia – Negative
e. Withdrawal from social activities – Negative
✔️ Correct Answers: A, B, C, D, E
Rationale: Schizophrenia symptoms are categorized into positive and negative
symptoms. Positive symptoms include hallucinations, delusions (e.g., grandeur),
disorganized speech (clang associations), and catatonia. These represent excess or
distortion of normal function. Negative symptoms reflect loss of function, such as alogia
(reduced speech) and social withdrawal, which indicate diminished emotional and social
,responsiveness. NCLEX focus: Schizophrenia symptom classification. DIF:
Knowledge/Analysis. REF: Mental Health Disorders / Schizophrenia. OBJ: Differentiate
positive vs negative symptoms. TOP: Psychosocial Integrity.
A nurse in a community health center is working with a group of clients who have post-
traumatic stress disorder. Which of the following interventions should the nurse include
to reduce anxiety among the group members?
a. Response prevention
b. Guided imagery
c. Aversion therapy
d. Light therapy
✔️ Correct Answer: B
Rationale: Guided imagery is a relaxation technique that helps clients with PTSD reduce
anxiety by visualizing calming and safe environments. It decreases sympathetic nervous
system activation and promotes emotional regulation. Aversion therapy is inappropriate
for PTSD. Response prevention is used for OCD. Light therapy is used for seasonal
affective disorder. NCLEX focus: Anxiety management interventions. DIF: Application.
REF: PTSD / Therapeutic Communication. OBJ: Select appropriate anxiety-reducing
interventions. TOP: Psychosocial Integrity.
A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body
weight. Which of the following interventions should the nurse include in the plan of
care?
a. Encourage the client to drink 125 mL of fluid each hour while awake.
b. Allow the client to eat independently in their room.
c. Weigh the client twice weekly.
d. Measure the client's vital signs once each day.
✔️ Correct Answer: A
, Rationale: Clients with severe anorexia require carefully structured nutritional and
hydration support. Regular fluid intake prevents dehydration and supports metabolic
stability during refeeding. Allowing independent eating may lead to food restriction
behaviors. Weight should be monitored daily, not twice weekly, for accurate tracking.
Vital signs require frequent monitoring due to risk of bradycardia and electrolyte
imbalance. NCLEX focus: Eating disorders / medical stabilization. DIF: Application. REF:
Nutritional Disorders / Anorexia Nervosa. OBJ: Identify priority interventions in severe
malnutrition. TOP: Physiological Adaptation.
A nurse is planning care for a client who has depression and has made frequent suicide
attempts. Which of the following statements indicates the client has a decreased risk for
suicide?
a. "I'm relieved now that my financial affairs are in order."
b. "It is easier to talk about my feelings now."
c. "Suddenly I have enough energy to do anything I want."
d. "Thank you for always taking such good care of me."
✔️ Correct Answer: B
Rationale: A decreased risk for suicide is indicated by improved communication and
emotional openness, which suggests reduced internal distress and increased willingness
to seek help. In contrast, sudden energy after depression (third option) may indicate
increased suicide risk due to ability to act on a plan. Statements about finances in order
or goodbye-like gratitude can also signal preparation for suicide. NCLEX focus: Suicide
risk assessment indicators. DIF: Analysis. REF: Mental Health / Suicide Prevention. OBJ:
Identify cues indicating decreased suicide risk. TOP: Psychosocial Integrity.
A nurse on a mental health unit observes a client who has acute mania hit another client.
Which of the following actions should the nurse take first?
a. Call the provider to obtain an immediate prescription for restraint.
b. Prepare to administer benzodiazepine IM.
c. Call for a team of staff members to help with the situation.
d. Check the client who was hit for injuries.
ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION 2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol
withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth.)
a. 1.0 mL
b. 1.5 mL
c. 2.0 mL
d. 2.5 mL
✔️ Correct Answer: B
Rationale: This is a standard dosage calculation using the formula: Dose ÷ Stock
strength × Volume. 7.5 mg ÷ 5 mg/mL = 1.5 mL. Diazepam is a benzodiazepine used in
alcohol withdrawal to reduce CNS hyperactivity and prevent complications such as
seizures and delirium tremens. Accurate dose calculation is critical because
benzodiazepines can cause respiratory depression and sedation, especially when given
IV. NCLEX focus: Medication dosage calculation and CNS depressants safety. DIF:
Application. REF: Pharmacology / Benzodiazepines. OBJ: Calculate IV medication dosage
accurately. TOP: Safe Medication Administration.
,A nurse is discussing a 12-step program with a client who has alcohol use disorder and is
in an acute care facility undergoing detoxification. Which of the following information
should the nurse include in the teaching?
a. The program will help the client accept responsibility for the disorder.
b. The client should obtain a sponsor before discharge for an increased chance of
recovery.
c. The client will need to identify individuals who have contributed to the disorder.
d. The program will need a prescription from the client's provider prior to attendance.
✔️ Correct Answer: B
Rationale: Twelve-step programs such as Alcoholics Anonymous emphasize peer
support, accountability, and sponsorship. A sponsor provides guidance, support, and
accountability, improving long-term recovery success. The program is voluntary (no
prescription required), does not focus on blaming others, and while personal
responsibility is encouraged, the most actionable and evidence-based support is sponsor
assignment. NCLEX focus: Substance use disorder treatment principles. DIF: Application.
REF: Addiction Treatment / 12-Step Programs. OBJ: Identify key components of recovery
programs. TOP: Psychosocial Integrity.
A nurse is caring for a newly admitted client. For each potential assessment finding, click
to specify if the finding is consistent with positive or negative symptoms of
schizophrenia.
a. Delusions of grandeur – Positive
b. Clang associations – Positive
c. Catatonia – Positive
d. Alogia – Negative
e. Withdrawal from social activities – Negative
✔️ Correct Answers: A, B, C, D, E
Rationale: Schizophrenia symptoms are categorized into positive and negative
symptoms. Positive symptoms include hallucinations, delusions (e.g., grandeur),
disorganized speech (clang associations), and catatonia. These represent excess or
distortion of normal function. Negative symptoms reflect loss of function, such as alogia
(reduced speech) and social withdrawal, which indicate diminished emotional and social
,responsiveness. NCLEX focus: Schizophrenia symptom classification. DIF:
Knowledge/Analysis. REF: Mental Health Disorders / Schizophrenia. OBJ: Differentiate
positive vs negative symptoms. TOP: Psychosocial Integrity.
A nurse in a community health center is working with a group of clients who have post-
traumatic stress disorder. Which of the following interventions should the nurse include
to reduce anxiety among the group members?
a. Response prevention
b. Guided imagery
c. Aversion therapy
d. Light therapy
✔️ Correct Answer: B
Rationale: Guided imagery is a relaxation technique that helps clients with PTSD reduce
anxiety by visualizing calming and safe environments. It decreases sympathetic nervous
system activation and promotes emotional regulation. Aversion therapy is inappropriate
for PTSD. Response prevention is used for OCD. Light therapy is used for seasonal
affective disorder. NCLEX focus: Anxiety management interventions. DIF: Application.
REF: PTSD / Therapeutic Communication. OBJ: Select appropriate anxiety-reducing
interventions. TOP: Psychosocial Integrity.
A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body
weight. Which of the following interventions should the nurse include in the plan of
care?
a. Encourage the client to drink 125 mL of fluid each hour while awake.
b. Allow the client to eat independently in their room.
c. Weigh the client twice weekly.
d. Measure the client's vital signs once each day.
✔️ Correct Answer: A
, Rationale: Clients with severe anorexia require carefully structured nutritional and
hydration support. Regular fluid intake prevents dehydration and supports metabolic
stability during refeeding. Allowing independent eating may lead to food restriction
behaviors. Weight should be monitored daily, not twice weekly, for accurate tracking.
Vital signs require frequent monitoring due to risk of bradycardia and electrolyte
imbalance. NCLEX focus: Eating disorders / medical stabilization. DIF: Application. REF:
Nutritional Disorders / Anorexia Nervosa. OBJ: Identify priority interventions in severe
malnutrition. TOP: Physiological Adaptation.
A nurse is planning care for a client who has depression and has made frequent suicide
attempts. Which of the following statements indicates the client has a decreased risk for
suicide?
a. "I'm relieved now that my financial affairs are in order."
b. "It is easier to talk about my feelings now."
c. "Suddenly I have enough energy to do anything I want."
d. "Thank you for always taking such good care of me."
✔️ Correct Answer: B
Rationale: A decreased risk for suicide is indicated by improved communication and
emotional openness, which suggests reduced internal distress and increased willingness
to seek help. In contrast, sudden energy after depression (third option) may indicate
increased suicide risk due to ability to act on a plan. Statements about finances in order
or goodbye-like gratitude can also signal preparation for suicide. NCLEX focus: Suicide
risk assessment indicators. DIF: Analysis. REF: Mental Health / Suicide Prevention. OBJ:
Identify cues indicating decreased suicide risk. TOP: Psychosocial Integrity.
A nurse on a mental health unit observes a client who has acute mania hit another client.
Which of the following actions should the nurse take first?
a. Call the provider to obtain an immediate prescription for restraint.
b. Prepare to administer benzodiazepine IM.
c. Call for a team of staff members to help with the situation.
d. Check the client who was hit for injuries.
