NSG 2400 ACTUAL EXAM 1 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE
2026/2027 GRADED A+
NSG 2400 EXAM 1 — PRACTICE QUESTIONS
Question 1
A client with depression is sitting alone and crying. Which response by the nurse demonstrates
therapeutic communication?
A. “You should try to stop crying.”
B. “Why are you feeling this way?”
C. “You seem to be having a difficult time. I can sit with you if you would like.”
D. “You should join the other clients in the dayroom.”
Answer: C. “You seem to be having a difficult time. I can sit with you if you would like.”
Rationale: This response acknowledges the client's feelings and offers presence without
judgment or giving unsolicited advice.
Question 2
Which nursing response is most appropriate when a client says, “Nobody understands what I'm
going through”?
A. “You shouldn't feel that way.”
B. “Tell me more about what you're experiencing.”
C. “Everyone has problems.”
D. “You need to think positively.”
Answer: B. “Tell me more about what you're experiencing.”
Rationale: Encouraging the client to elaborate promotes communication and allows further
assessment.
Question 3
A client with schizophrenia demonstrates loose associations. Which finding should the nurse
expect?
,A. Rapid but logically connected thoughts
B. Disorganized connections between thoughts
C. Complete absence of speech
D. Excessive concern about physical symptoms
Answer: B. Disorganized connections between thoughts
Rationale: Loose associations involve shifts between ideas that lack logical connections.
Question 4
Which finding is considered a positive symptom of schizophrenia?
A. Apathy
B. Social withdrawal
C. Hallucinations
D. Lack of motivation
Answer: C. Hallucinations
Rationale: Positive symptoms include hallucinations, delusions, disorganized speech, and
disorganized behavior.
Question 5
A client reports hearing a voice that others cannot hear. What is the nurse's best initial
response?
A. “The voice isn't real.”
B. “What is the voice saying to you?”
C. “You should ignore the voice.”
D. “Why are you hearing voices?”
Answer: B. “What is the voice saying to you?”
Rationale: The nurse should assess the hallucination, including its content and whether it
contains commands or poses a safety risk.
Question 6
,A client reports command hallucinations telling them to harm another person. What is the
nurse's priority?
A. Ask the client to attend group therapy
B. Assess the client's intent and ability to act on the command
C. Tell the client the hallucination is imaginary
D. Leave the client alone to decrease stimulation
Answer: B. Assess the client's intent and ability to act on the command
Rationale: Command hallucinations can create an immediate safety risk. Risk to self or others
must be assessed promptly.
Question 7
Which behavior is most characteristic of a client experiencing mania?
A. Social withdrawal
B. Decreased speech
C. Excessive activity and decreased need for sleep
D. Persistent sadness and slowed movement
Answer: C. Excessive activity and decreased need for sleep
Rationale: Mania commonly involves increased energy, activity, pressured speech, reduced
need for sleep, and impaired judgment.
Question 8
A client experiencing acute mania becomes increasingly agitated. Which intervention is most
appropriate?
A. Provide lengthy explanations
B. Encourage multiple visitors
C. Set clear and consistent limits
D. Allow unrestricted activity
Answer: C. Set clear and consistent limits
Rationale: Consistent limits help reduce stimulation and maintain safety.
, Question 9
Which intervention should the nurse use when caring for a highly manic client?
A. Provide a low-stimulation environment
B. Encourage participation in several group activities
C. Encourage caffeine consumption
D. Allow unlimited social interaction
Answer: A. Provide a low-stimulation environment
Rationale: Reducing environmental stimulation can help decrease agitation and excessive
activity.
Question 10
A client with bipolar disorder has not slept for two nights because of increased activity. What
should the nurse prioritize?
A. Promoting rest and sleep
B. Encouraging strenuous exercise
C. Increasing environmental stimulation
D. Encouraging caffeine
Answer: A. Promoting rest and sleep
Rationale: Sleep deprivation can worsen manic symptoms. Rest and a structured environment
are important nursing priorities.
Question 11
Which finding is most consistent with major depression?
A. Grandiosity
B. Increased energy
C. Anhedonia
D. Decreased need for sleep with increased activity
Answer: C. Anhedonia
Rationale: Anhedonia is loss of interest or pleasure in previously enjoyable activities and is a
common depressive symptom.
VERIFIED SOLUTIONS LATEST UPDATE
2026/2027 GRADED A+
NSG 2400 EXAM 1 — PRACTICE QUESTIONS
Question 1
A client with depression is sitting alone and crying. Which response by the nurse demonstrates
therapeutic communication?
A. “You should try to stop crying.”
B. “Why are you feeling this way?”
C. “You seem to be having a difficult time. I can sit with you if you would like.”
D. “You should join the other clients in the dayroom.”
Answer: C. “You seem to be having a difficult time. I can sit with you if you would like.”
Rationale: This response acknowledges the client's feelings and offers presence without
judgment or giving unsolicited advice.
Question 2
Which nursing response is most appropriate when a client says, “Nobody understands what I'm
going through”?
A. “You shouldn't feel that way.”
B. “Tell me more about what you're experiencing.”
C. “Everyone has problems.”
D. “You need to think positively.”
Answer: B. “Tell me more about what you're experiencing.”
Rationale: Encouraging the client to elaborate promotes communication and allows further
assessment.
Question 3
A client with schizophrenia demonstrates loose associations. Which finding should the nurse
expect?
,A. Rapid but logically connected thoughts
B. Disorganized connections between thoughts
C. Complete absence of speech
D. Excessive concern about physical symptoms
Answer: B. Disorganized connections between thoughts
Rationale: Loose associations involve shifts between ideas that lack logical connections.
Question 4
Which finding is considered a positive symptom of schizophrenia?
A. Apathy
B. Social withdrawal
C. Hallucinations
D. Lack of motivation
Answer: C. Hallucinations
Rationale: Positive symptoms include hallucinations, delusions, disorganized speech, and
disorganized behavior.
Question 5
A client reports hearing a voice that others cannot hear. What is the nurse's best initial
response?
A. “The voice isn't real.”
B. “What is the voice saying to you?”
C. “You should ignore the voice.”
D. “Why are you hearing voices?”
Answer: B. “What is the voice saying to you?”
Rationale: The nurse should assess the hallucination, including its content and whether it
contains commands or poses a safety risk.
Question 6
,A client reports command hallucinations telling them to harm another person. What is the
nurse's priority?
A. Ask the client to attend group therapy
B. Assess the client's intent and ability to act on the command
C. Tell the client the hallucination is imaginary
D. Leave the client alone to decrease stimulation
Answer: B. Assess the client's intent and ability to act on the command
Rationale: Command hallucinations can create an immediate safety risk. Risk to self or others
must be assessed promptly.
Question 7
Which behavior is most characteristic of a client experiencing mania?
A. Social withdrawal
B. Decreased speech
C. Excessive activity and decreased need for sleep
D. Persistent sadness and slowed movement
Answer: C. Excessive activity and decreased need for sleep
Rationale: Mania commonly involves increased energy, activity, pressured speech, reduced
need for sleep, and impaired judgment.
Question 8
A client experiencing acute mania becomes increasingly agitated. Which intervention is most
appropriate?
A. Provide lengthy explanations
B. Encourage multiple visitors
C. Set clear and consistent limits
D. Allow unrestricted activity
Answer: C. Set clear and consistent limits
Rationale: Consistent limits help reduce stimulation and maintain safety.
, Question 9
Which intervention should the nurse use when caring for a highly manic client?
A. Provide a low-stimulation environment
B. Encourage participation in several group activities
C. Encourage caffeine consumption
D. Allow unlimited social interaction
Answer: A. Provide a low-stimulation environment
Rationale: Reducing environmental stimulation can help decrease agitation and excessive
activity.
Question 10
A client with bipolar disorder has not slept for two nights because of increased activity. What
should the nurse prioritize?
A. Promoting rest and sleep
B. Encouraging strenuous exercise
C. Increasing environmental stimulation
D. Encouraging caffeine
Answer: A. Promoting rest and sleep
Rationale: Sleep deprivation can worsen manic symptoms. Rest and a structured environment
are important nursing priorities.
Question 11
Which finding is most consistent with major depression?
A. Grandiosity
B. Increased energy
C. Anhedonia
D. Decreased need for sleep with increased activity
Answer: C. Anhedonia
Rationale: Anhedonia is loss of interest or pleasure in previously enjoyable activities and is a
common depressive symptom.
