RN Mental Health Nursing Exam
A nurse in a community Health center is working with a Guided imagery
group of clients who have posttraumatic stress disorder.
Which of the following interventions should the nurse
include to reduce anxiety among the group members?
A client who has a recent diagnosis of bipolar disorder is Move the client who has bipolar disorder to a private room.
placed in a room with a client who has severe
depression. The client who has depression reports to the
nurse, " my roommate never sleeps and keeps me up,
too."Which of the following actions should the nurse
take?
A nurse is reviewing laboratory results for a client who WBC count, 2,500/mm3
has schizophrenia and is taking clozapine. Which of the
following values should the nurse identify as a
contraindication for receiving clozapine?
A nurse is caring for four clients in the emergency A 35-year-old client who has major depressive disorder
department. The nurse should identify that which of the
following clients can give informed consent?
A nurse is facilitating a community meeting for acute care Ask group members to discuss their feelings about the clients monopolizing
clients. One client is constantly talking and using the behavior
majority of the groups time. Which of the following
intervention should the nurse implement?
A nurse in a community health centers teaching families Experiences feelings of isolation
of clients who have post traumatic stress disorder about
expected clinical manifestations. Which of the following
manifestation should the nurse include?
A nurse is preparing to administer diazepam 7.5 MG 1.5
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 10th.
Using a leading zero if it applies. Do not use a trailing
zero.)
A nurse is planning prevention strategies for a partner Establish screening programs to identify at risk clients.
violence in the community. Which of the following
strategies should the nurse include as a method of
secondary prevention?
A nurse is assessing a client for risk factors for the The client has COPD
development of depression. The nurse should identify
that which of the following factors places the client at
increased risk for depression?
A nurse is preparing to discharge to home an older adult Occupational therapy
client who attempted suicide. The client lives alone and Meal delivery services
has difficulty performing ADLs. Which of the following Physical therapy
referrals should the nurse initiate? (select all that apply.) Home health services
A nurse is receiving change of shift report for four clients. A client who is taking clozapine and reports a sore throat and chills
Which of the following should the nurse plan to see first?
A nurse in a mental health clinic is planning care for four Stay with a client who has anorexia nervosa for one hour after meal times
clients. Which of the following Should the nurse delegate
to an assistive personnel?
A nurse on a mental health unit observes a client who Call for a team of staff members to help with the situation.
has acute mania hit another client.Which of the following
actions should the nurse take first?
A nurse is teaching a group of newly licensed nurses Apply restraints when other means of managing the clients behavior have failed.
about the use of mechanical restraints. Which of the
following information should the nurse include in the
teaching?
, RN Mental Health Nursing Exam
A nurse is teaching the guardians of a client about their It is important for our child to have regular dental check ups
adolescent child diagnosis of bulimia nervosa
Which of the following statements made by the
guardians indicates an understanding of their child's
illness?
A nurse is teaching coping strategies to a client who is I will talk about my feelings with a close friend
experiencing depression related to partner violence.
Which of the following statements by the client indicates
an understanding of the teaching?
A nurse is caring for an older adult client who is Permit the client to perform daily rituals to decrease anxiety.
experiencing delirium. Which of the following intervention
should the nurse include in the clients plan of care?
A nurse in a mental health clinic is caring for a client who Stay with a client when flashbacks occur.
has post-traumatic stress disorderAfter returning from
military deployment. Which of the following is the priority
action for the nurse to take?
A nurse is caring for a client who gave birth to a stillborn I'll stay with you just in case you want to talk.
baby. Which of the following statements should the nurse
make?
A nurse is caring for a child who has conduct disorder Reduce environmental stimuli
and is behaving in a destructive manner,Throwing
objects, and kicking others. Which of the following
therapeutic nursing interventions is the priority?
A nurse is caring for an older adult client who begins to Let's talk about what is upsetting you
cry and states, " I knew God would punish me and I
deserve this horrible sickness!"Which of the following
responses should the nurse make?
A nurse is performing a cognitive assessment to Easily distracted
distinguish delirium from dementia and a client whose
family reports episodes of confusion. Which of the
following assessment findings supports the nurses
suspicion of delirium?
A nurse on a medical surgical unit is assessing a client Blood pressure 154/96 mm hg
who sustained injuries 12 hours ago following a motor
vehicle crash. The clients admission blood alcohol level
was 325 mg/dL . Which of the following findings should
indicate to the nurse that the client is experiencing
alcohol withdrawal?
A nurse is teaching the partner of a client who has Inability to sleep
bipolar disorder how do identify manifestations of acute
mania. Which of the following findings should the clients
partner report to the provider?
A nurse on a mental health unit is caring for a group of Spending adequate time with a client who is verbally abusive.
clients. Which of the following actions by the nurse is an
example of ethical principle of justice?
A nurse is planning care for a client who has made Nonmaleficence
repeated physical threats towards others on the unit.
Although the client does not want to leave the unit, the
nurse request the provider to transfer the client to a unit
that is equipped to manage violent behavior. Which of
the following ethical principles should the nurse apply in
this situation?
A nurse is caring for a client who is in An abusive Identify signs of escalation of violence.
relationshipAnd is assisting in the development of a
safety plan. Which of the following actions is the first
component of a safety plan?
, RN Mental Health Nursing Exam
A nurse is caring for a client who has alcoholic Increased creatine phosphokinase (CPK)
cardiomyopathy. Which of the following laboratory
findings should the nurse expect?
A nurse is assessing a client who has major depressive Greater risk of attempting suicide as a fact and energy improve.
disorder and has been receiving amitriptyline for one
week. Which of the following outcome should the nurse
expect?
A nurse is teaching a newly licensed nurse about nursing I will update the plan of care as a clients manifestations of depression change.
care plans for clients who have depressive disorders.
Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching?
A nurse on an acute mental health facility is receiving A client who is experiencing delusions of persecution.
change of shift report for four clients. Which of the
following should the nurse assess first?
A nurse is updating the plan of care for a client who has Identify the clients trigger foods
bulimia nervosa and is 5% above their ideal body weight.
Which of the following intervention should the nurse
include in the plan?
A nurse is preparing to participate in an interdisciplinary Giving away possessions
conference for a client who has bipolar disorder. Which
of the following behaviors is the priority for the nurse to
report to the treatment team?
A nurse in a providers office is interviewing an older adult Use a screening tool to evaluate the client for depression
client. Which of the following actions should the nurse
plan to take?
A nurse is planning care for a client who has to undergo Monitor the clients cardiac rhythm during the procedure
electroconvulsive therapy. Which of the following actions
should the nurse include in the plan?
A nurse is performing an admission assessment on a Inform the client that this admission is confidential.
client and notices that the client appears withdrawn and
fearful. To establish a nurse client relationship, which of
the following actions should the nurse take first?
A nurse Is talking with a group of parents who have Suggest forming a weekly support group for parents who have experienced the
recently experienced the death of a child. Which of the death of a child.
following actions should the nurse take?
A nurse is providing teaching to the partner of a client I will not take charge of my partners work responsibilities.
who is in a rehabilitation programFor alcohol use
disorder. The nurse should identify that which of the
following statements by the client partner indicates an
understanding of the teaching?
A nurse is assessing a client who has bulimia nervosa . Tooth erosion
The nurse should expect which of the following findings?
A nurse is caring for a client who is experiencing a panic Assist the client with deep breathing exercises.
attack. Which of the following actions should the nurse
take?
A nurse in a health facility is caring for a client who has Command hallucinations
schizophrenia. Which of the following findings places the
client at the greatest risk for self-directed injury or
injuring others?
, RN Mental Health Nursing Exam
A nurse in a emergency department is caring for a She won't let me take the trash from her room. I'm concerned about what she
female adolescent who has a diagnosis of bulimia has in there.
nervosa and had a fainting episode during a Ballet
performance. Which of the following statements by the
parent acknowledges the clients diagnosis?
A nurse is planning discharge teaching for a client who Assertive community treatment
has severe schizoaffective disorder. The nurse should
identify that which of the following treatment options can
offer interdisciplinary services for the client at home?
A school nurse is assessing a school age child to Lack of interest in the upcoming holiday
experience the traumatic loss of a parent eight months
ago. Which of the following findings should the nurse
identify as an indication that the child is experiencing
posttraumatic stress disorder?
A nurse is counseling an adolescent who has anorexia " you're saying that you think you are fat and are using laxatives because you are
nervosa and reports excessive laxative use and a fear of afraid of gaining weight."
gaining weight. The client states," i'm so fat I can't even
stand to look at myself."Which of the following
therapeutic response demonstrates the nurses use of
summarizing?
A nurse is planning care for a client who has bipolar Offer the client high calorie finger foods frequently
disorder and is experiencing mania. Which of the
following interventions should the nurse include in the
plan of care?
A Nurse is planning care for a client who has generalized Mild
anxiety disorder.Which of the following levels of anxiety
should the nurse plan to teach the client relaxation
techniques?
A nurse is admitting a client who has major depressive Phenylephrine
disorder and a new prescription for tranylcypromine.
Which of the following over the counter medications that
the client reports taking should alert the nurse to a
potential adverse reaction?
A nurse in the emergency department is caring for four An older adult client who is bedbound and has a stage IV pressure ulcer.
clients. Which of the following clients is the nurse
required to report as a potential victim of abuse?
A charge nurse on a mental health unit is discussing Clients who are admitted voluntarily maintain the right to give informed consent
clients rights with a newly licensed nurse. Which of the for procedures
following statements should the nurse make?
A nurse is assisting a client who has a terminal illness I am going to order a wheelchair for when I am unable to walk
adjust to progressive loss of independence.Which of the
following statements by the client indicates acceptance
of her illness?
A nurse is discussing a 12 step program with a client The client should obtain a sponsor before discharge for an increased chance of
who has alcohol use disorder and is in acute care facility recovery.
undergoing detoxification. Which of the following
information should the nurse include in the teaching?
A nurse is educating the parent of a child who has a new Language delay
diagnosis of autism spectrum disorder. Which of the
following manifestations of this disorder should the nurse
include in the teaching?
A nurse observes a client on a mental health unit It appears as though you would like to open the door.
pushing on the locked unit door. Which of the following
statement should the nurse make?
A nurse in a community Health center is working with a Guided imagery
group of clients who have posttraumatic stress disorder.
Which of the following interventions should the nurse
include to reduce anxiety among the group members?
A client who has a recent diagnosis of bipolar disorder is Move the client who has bipolar disorder to a private room.
placed in a room with a client who has severe
depression. The client who has depression reports to the
nurse, " my roommate never sleeps and keeps me up,
too."Which of the following actions should the nurse
take?
A nurse is reviewing laboratory results for a client who WBC count, 2,500/mm3
has schizophrenia and is taking clozapine. Which of the
following values should the nurse identify as a
contraindication for receiving clozapine?
A nurse is caring for four clients in the emergency A 35-year-old client who has major depressive disorder
department. The nurse should identify that which of the
following clients can give informed consent?
A nurse is facilitating a community meeting for acute care Ask group members to discuss their feelings about the clients monopolizing
clients. One client is constantly talking and using the behavior
majority of the groups time. Which of the following
intervention should the nurse implement?
A nurse in a community health centers teaching families Experiences feelings of isolation
of clients who have post traumatic stress disorder about
expected clinical manifestations. Which of the following
manifestation should the nurse include?
A nurse is preparing to administer diazepam 7.5 MG 1.5
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 10th.
Using a leading zero if it applies. Do not use a trailing
zero.)
A nurse is planning prevention strategies for a partner Establish screening programs to identify at risk clients.
violence in the community. Which of the following
strategies should the nurse include as a method of
secondary prevention?
A nurse is assessing a client for risk factors for the The client has COPD
development of depression. The nurse should identify
that which of the following factors places the client at
increased risk for depression?
A nurse is preparing to discharge to home an older adult Occupational therapy
client who attempted suicide. The client lives alone and Meal delivery services
has difficulty performing ADLs. Which of the following Physical therapy
referrals should the nurse initiate? (select all that apply.) Home health services
A nurse is receiving change of shift report for four clients. A client who is taking clozapine and reports a sore throat and chills
Which of the following should the nurse plan to see first?
A nurse in a mental health clinic is planning care for four Stay with a client who has anorexia nervosa for one hour after meal times
clients. Which of the following Should the nurse delegate
to an assistive personnel?
A nurse on a mental health unit observes a client who Call for a team of staff members to help with the situation.
has acute mania hit another client.Which of the following
actions should the nurse take first?
A nurse is teaching a group of newly licensed nurses Apply restraints when other means of managing the clients behavior have failed.
about the use of mechanical restraints. Which of the
following information should the nurse include in the
teaching?
, RN Mental Health Nursing Exam
A nurse is teaching the guardians of a client about their It is important for our child to have regular dental check ups
adolescent child diagnosis of bulimia nervosa
Which of the following statements made by the
guardians indicates an understanding of their child's
illness?
A nurse is teaching coping strategies to a client who is I will talk about my feelings with a close friend
experiencing depression related to partner violence.
Which of the following statements by the client indicates
an understanding of the teaching?
A nurse is caring for an older adult client who is Permit the client to perform daily rituals to decrease anxiety.
experiencing delirium. Which of the following intervention
should the nurse include in the clients plan of care?
A nurse in a mental health clinic is caring for a client who Stay with a client when flashbacks occur.
has post-traumatic stress disorderAfter returning from
military deployment. Which of the following is the priority
action for the nurse to take?
A nurse is caring for a client who gave birth to a stillborn I'll stay with you just in case you want to talk.
baby. Which of the following statements should the nurse
make?
A nurse is caring for a child who has conduct disorder Reduce environmental stimuli
and is behaving in a destructive manner,Throwing
objects, and kicking others. Which of the following
therapeutic nursing interventions is the priority?
A nurse is caring for an older adult client who begins to Let's talk about what is upsetting you
cry and states, " I knew God would punish me and I
deserve this horrible sickness!"Which of the following
responses should the nurse make?
A nurse is performing a cognitive assessment to Easily distracted
distinguish delirium from dementia and a client whose
family reports episodes of confusion. Which of the
following assessment findings supports the nurses
suspicion of delirium?
A nurse on a medical surgical unit is assessing a client Blood pressure 154/96 mm hg
who sustained injuries 12 hours ago following a motor
vehicle crash. The clients admission blood alcohol level
was 325 mg/dL . Which of the following findings should
indicate to the nurse that the client is experiencing
alcohol withdrawal?
A nurse is teaching the partner of a client who has Inability to sleep
bipolar disorder how do identify manifestations of acute
mania. Which of the following findings should the clients
partner report to the provider?
A nurse on a mental health unit is caring for a group of Spending adequate time with a client who is verbally abusive.
clients. Which of the following actions by the nurse is an
example of ethical principle of justice?
A nurse is planning care for a client who has made Nonmaleficence
repeated physical threats towards others on the unit.
Although the client does not want to leave the unit, the
nurse request the provider to transfer the client to a unit
that is equipped to manage violent behavior. Which of
the following ethical principles should the nurse apply in
this situation?
A nurse is caring for a client who is in An abusive Identify signs of escalation of violence.
relationshipAnd is assisting in the development of a
safety plan. Which of the following actions is the first
component of a safety plan?
, RN Mental Health Nursing Exam
A nurse is caring for a client who has alcoholic Increased creatine phosphokinase (CPK)
cardiomyopathy. Which of the following laboratory
findings should the nurse expect?
A nurse is assessing a client who has major depressive Greater risk of attempting suicide as a fact and energy improve.
disorder and has been receiving amitriptyline for one
week. Which of the following outcome should the nurse
expect?
A nurse is teaching a newly licensed nurse about nursing I will update the plan of care as a clients manifestations of depression change.
care plans for clients who have depressive disorders.
Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching?
A nurse on an acute mental health facility is receiving A client who is experiencing delusions of persecution.
change of shift report for four clients. Which of the
following should the nurse assess first?
A nurse is updating the plan of care for a client who has Identify the clients trigger foods
bulimia nervosa and is 5% above their ideal body weight.
Which of the following intervention should the nurse
include in the plan?
A nurse is preparing to participate in an interdisciplinary Giving away possessions
conference for a client who has bipolar disorder. Which
of the following behaviors is the priority for the nurse to
report to the treatment team?
A nurse in a providers office is interviewing an older adult Use a screening tool to evaluate the client for depression
client. Which of the following actions should the nurse
plan to take?
A nurse is planning care for a client who has to undergo Monitor the clients cardiac rhythm during the procedure
electroconvulsive therapy. Which of the following actions
should the nurse include in the plan?
A nurse is performing an admission assessment on a Inform the client that this admission is confidential.
client and notices that the client appears withdrawn and
fearful. To establish a nurse client relationship, which of
the following actions should the nurse take first?
A nurse Is talking with a group of parents who have Suggest forming a weekly support group for parents who have experienced the
recently experienced the death of a child. Which of the death of a child.
following actions should the nurse take?
A nurse is providing teaching to the partner of a client I will not take charge of my partners work responsibilities.
who is in a rehabilitation programFor alcohol use
disorder. The nurse should identify that which of the
following statements by the client partner indicates an
understanding of the teaching?
A nurse is assessing a client who has bulimia nervosa . Tooth erosion
The nurse should expect which of the following findings?
A nurse is caring for a client who is experiencing a panic Assist the client with deep breathing exercises.
attack. Which of the following actions should the nurse
take?
A nurse in a health facility is caring for a client who has Command hallucinations
schizophrenia. Which of the following findings places the
client at the greatest risk for self-directed injury or
injuring others?
, RN Mental Health Nursing Exam
A nurse in a emergency department is caring for a She won't let me take the trash from her room. I'm concerned about what she
female adolescent who has a diagnosis of bulimia has in there.
nervosa and had a fainting episode during a Ballet
performance. Which of the following statements by the
parent acknowledges the clients diagnosis?
A nurse is planning discharge teaching for a client who Assertive community treatment
has severe schizoaffective disorder. The nurse should
identify that which of the following treatment options can
offer interdisciplinary services for the client at home?
A school nurse is assessing a school age child to Lack of interest in the upcoming holiday
experience the traumatic loss of a parent eight months
ago. Which of the following findings should the nurse
identify as an indication that the child is experiencing
posttraumatic stress disorder?
A nurse is counseling an adolescent who has anorexia " you're saying that you think you are fat and are using laxatives because you are
nervosa and reports excessive laxative use and a fear of afraid of gaining weight."
gaining weight. The client states," i'm so fat I can't even
stand to look at myself."Which of the following
therapeutic response demonstrates the nurses use of
summarizing?
A nurse is planning care for a client who has bipolar Offer the client high calorie finger foods frequently
disorder and is experiencing mania. Which of the
following interventions should the nurse include in the
plan of care?
A Nurse is planning care for a client who has generalized Mild
anxiety disorder.Which of the following levels of anxiety
should the nurse plan to teach the client relaxation
techniques?
A nurse is admitting a client who has major depressive Phenylephrine
disorder and a new prescription for tranylcypromine.
Which of the following over the counter medications that
the client reports taking should alert the nurse to a
potential adverse reaction?
A nurse in the emergency department is caring for four An older adult client who is bedbound and has a stage IV pressure ulcer.
clients. Which of the following clients is the nurse
required to report as a potential victim of abuse?
A charge nurse on a mental health unit is discussing Clients who are admitted voluntarily maintain the right to give informed consent
clients rights with a newly licensed nurse. Which of the for procedures
following statements should the nurse make?
A nurse is assisting a client who has a terminal illness I am going to order a wheelchair for when I am unable to walk
adjust to progressive loss of independence.Which of the
following statements by the client indicates acceptance
of her illness?
A nurse is discussing a 12 step program with a client The client should obtain a sponsor before discharge for an increased chance of
who has alcohol use disorder and is in acute care facility recovery.
undergoing detoxification. Which of the following
information should the nurse include in the teaching?
A nurse is educating the parent of a child who has a new Language delay
diagnosis of autism spectrum disorder. Which of the
following manifestations of this disorder should the nurse
include in the teaching?
A nurse observes a client on a mental health unit It appears as though you would like to open the door.
pushing on the locked unit door. Which of the following
statement should the nurse make?
