Chamberlain University - NR326 Mental Health Nursing Midterm Exam
Guide with questions answers and Rationales
NR 326: Mental Health Nursing Comprehensive Study Guide
Question 1: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant 1).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 1] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 1: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 2: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 2). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 2] Implement one-on-one, continuous line-of-sight suicide
precautions.
Rationale: Clinical Rationale Variant 2: Client safety is the absolute priority when active
suicidal ideation with a plan is present.
Question 3: A nurse is caring for a client with Anorexia Nervosa (Scenario Variant 3).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 3] Remain with the client for 60 minutes after meals to prevent
vomiting or purging behavior.
Rationale: Clinical Rationale Variant 3: Close observation post-meals ensures the client
does not purge or dispose of food secretly.
Question 4: A nurse is caring for a client with Generalized Anxiety Disorder (GAD)
(Scenario Variant 4). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 4] Teach and demonstrate slow, deep-breathing exercises during
periods of mild anxiety.
Rationale: Clinical Rationale Variant 4: Cognitive behavioral techniques are best learned
during mild anxiety, not severe or panic levels.
,Question 5: A nurse is caring for a client with Schizophrenia experiencing auditory
hallucinations (Scenario Variant 5). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 5] Acknowledge the client's feelings but state, 'I do not hear the
voices, but I understand they are real to you.'
Rationale: Clinical Rationale Variant 5: The nurse must present reality without validating,
arguing, or reinforcing the hallucination.
Question 6: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant 6).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 6] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 6: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 7: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 7). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 7] Implement one-on-one, continuous line-of-sight suicide
precautions.
Rationale: Clinical Rationale Variant 7: Client safety is the absolute priority when active
suicidal ideation with a plan is present.
Question 8: A nurse is caring for a client with Anorexia Nervosa (Scenario Variant 8).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 8] Remain with the client for 60 minutes after meals to prevent
vomiting or purging behavior.
Rationale: Clinical Rationale Variant 8: Close observation post-meals ensures the client
does not purge or dispose of food secretly.
,Question 9: A nurse is caring for a client with Generalized Anxiety Disorder (GAD)
(Scenario Variant 9). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 9] Teach and demonstrate slow, deep-breathing exercises during
periods of mild anxiety.
Rationale: Clinical Rationale Variant 9: Cognitive behavioral techniques are best learned
during mild anxiety, not severe or panic levels.
Question 10: A nurse is caring for a client with Schizophrenia experiencing auditory
hallucinations (Scenario Variant 10). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 10] Acknowledge the client's feelings but state, 'I do not hear the
voices, but I understand they are real to you.'
Rationale: Clinical Rationale Variant 10: The nurse must present reality without validating,
arguing, or reinforcing the hallucination.
Question 11: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant
11). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 11] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 11: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 12: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 12). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 12] Implement one-on-one, continuous line-of-sight suicide
precautions.
Rationale: Clinical Rationale Variant 12: Client safety is the absolute priority when active
suicidal ideation with a plan is present.
Question 13: A nurse is caring for a client with Anorexia Nervosa (Scenario Variant 13).
Which of the following actions should the nurse prioritize?
, Correct Answer: [Variant 13] Remain with the client for 60 minutes after meals to prevent
vomiting or purging behavior.
Rationale: Clinical Rationale Variant 13: Close observation post-meals ensures the client
does not purge or dispose of food secretly.
Question 14: A nurse is caring for a client with Generalized Anxiety Disorder (GAD)
(Scenario Variant 14). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 14] Teach and demonstrate slow, deep-breathing exercises
during periods of mild anxiety.
Rationale: Clinical Rationale Variant 14: Cognitive behavioral techniques are best learned
during mild anxiety, not severe or panic levels.
Question 15: A nurse is caring for a client with Schizophrenia experiencing auditory
hallucinations (Scenario Variant 15). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 15] Acknowledge the client's feelings but state, 'I do not hear the
voices, but I understand they are real to you.'
Rationale: Clinical Rationale Variant 15: The nurse must present reality without validating,
arguing, or reinforcing the hallucination.
Question 16: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant
16). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 16] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 16: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 17: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 17). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 17] Implement one-on-one, continuous line-of-sight suicide
precautions.
Guide with questions answers and Rationales
NR 326: Mental Health Nursing Comprehensive Study Guide
Question 1: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant 1).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 1] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 1: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 2: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 2). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 2] Implement one-on-one, continuous line-of-sight suicide
precautions.
Rationale: Clinical Rationale Variant 2: Client safety is the absolute priority when active
suicidal ideation with a plan is present.
Question 3: A nurse is caring for a client with Anorexia Nervosa (Scenario Variant 3).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 3] Remain with the client for 60 minutes after meals to prevent
vomiting or purging behavior.
Rationale: Clinical Rationale Variant 3: Close observation post-meals ensures the client
does not purge or dispose of food secretly.
Question 4: A nurse is caring for a client with Generalized Anxiety Disorder (GAD)
(Scenario Variant 4). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 4] Teach and demonstrate slow, deep-breathing exercises during
periods of mild anxiety.
Rationale: Clinical Rationale Variant 4: Cognitive behavioral techniques are best learned
during mild anxiety, not severe or panic levels.
,Question 5: A nurse is caring for a client with Schizophrenia experiencing auditory
hallucinations (Scenario Variant 5). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 5] Acknowledge the client's feelings but state, 'I do not hear the
voices, but I understand they are real to you.'
Rationale: Clinical Rationale Variant 5: The nurse must present reality without validating,
arguing, or reinforcing the hallucination.
Question 6: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant 6).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 6] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 6: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 7: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 7). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 7] Implement one-on-one, continuous line-of-sight suicide
precautions.
Rationale: Clinical Rationale Variant 7: Client safety is the absolute priority when active
suicidal ideation with a plan is present.
Question 8: A nurse is caring for a client with Anorexia Nervosa (Scenario Variant 8).
Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 8] Remain with the client for 60 minutes after meals to prevent
vomiting or purging behavior.
Rationale: Clinical Rationale Variant 8: Close observation post-meals ensures the client
does not purge or dispose of food secretly.
,Question 9: A nurse is caring for a client with Generalized Anxiety Disorder (GAD)
(Scenario Variant 9). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 9] Teach and demonstrate slow, deep-breathing exercises during
periods of mild anxiety.
Rationale: Clinical Rationale Variant 9: Cognitive behavioral techniques are best learned
during mild anxiety, not severe or panic levels.
Question 10: A nurse is caring for a client with Schizophrenia experiencing auditory
hallucinations (Scenario Variant 10). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 10] Acknowledge the client's feelings but state, 'I do not hear the
voices, but I understand they are real to you.'
Rationale: Clinical Rationale Variant 10: The nurse must present reality without validating,
arguing, or reinforcing the hallucination.
Question 11: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant
11). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 11] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 11: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 12: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 12). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 12] Implement one-on-one, continuous line-of-sight suicide
precautions.
Rationale: Clinical Rationale Variant 12: Client safety is the absolute priority when active
suicidal ideation with a plan is present.
Question 13: A nurse is caring for a client with Anorexia Nervosa (Scenario Variant 13).
Which of the following actions should the nurse prioritize?
, Correct Answer: [Variant 13] Remain with the client for 60 minutes after meals to prevent
vomiting or purging behavior.
Rationale: Clinical Rationale Variant 13: Close observation post-meals ensures the client
does not purge or dispose of food secretly.
Question 14: A nurse is caring for a client with Generalized Anxiety Disorder (GAD)
(Scenario Variant 14). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 14] Teach and demonstrate slow, deep-breathing exercises
during periods of mild anxiety.
Rationale: Clinical Rationale Variant 14: Cognitive behavioral techniques are best learned
during mild anxiety, not severe or panic levels.
Question 15: A nurse is caring for a client with Schizophrenia experiencing auditory
hallucinations (Scenario Variant 15). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 15] Acknowledge the client's feelings but state, 'I do not hear the
voices, but I understand they are real to you.'
Rationale: Clinical Rationale Variant 15: The nurse must present reality without validating,
arguing, or reinforcing the hallucination.
Question 16: A nurse is caring for a client with Acute Mania (Bipolar I) (Scenario Variant
16). Which of the following actions should the nurse prioritize?
Correct Answer: [Variant 16] Provide high-calorie, portable finger foods and ensure client
safety.
Rationale: Clinical Rationale Variant 16: Hyperactive clients cannot sit down to eat full
meals, making finger foods essential to prevent weight loss and exhaustion.
Question 17: A nurse is caring for a client with Major Depressive Disorder (MDD) with
suicidal ideation (Scenario Variant 17). Which of the following actions should the nurse
prioritize?
Correct Answer: [Variant 17] Implement one-on-one, continuous line-of-sight suicide
precautions.
