TEST BANK FOR
PSYCHIATRIC
MENTAL HEALTH
NURSING, 9TH
EDITION BY SHEILA L.
VIDEBECK, CHAPTERS
1 - 24 EXAM 2025/2026
LATEST UPDATE WITH
ACTUAL VERIFIED
NGN QUESTIONS AND
WELL EXPLAINED
100% CORRECT
ANSWERS WITH
RATIONALES LATEST
2025 UPDATE GRADED
A+ WITH 100%
GUARANTEED
SUCCESS AFTER
DOWNLOAD
, Chapter 1
A nurse recalls that language development in the autistic child
resembles:
Echolalia
What is a therapeutic nursing action in the care of a depressed
client?
Sitting down next to the client at frequent intervals
A nurse is caring for a client who uses ritualistic behavior. What
common antiobsessional medication does the nurse anticipate will
be prescribed?
Fluvoxamine (Luvox)
A client is found to have a borderline personality disorder. What
behavior does the nurse consider is most typical of these clients?
Impulsive
An older adult with a diagnosis of delirium on the mental health
unit begins acting out while in the dayroom. What is the initial
nursing intervention?
Giving the client one simple direction at a time in a firm low-
pitched voice
A hyperactive 9-year-old child with a history of attention deficit-
hyperactivity disorder is admitted for observation after a motor
vehicle collision. On what should nursing actions be focused
when the nurse is teaching about personal safety?
Talking with the child about the importance of using a seat belt
A female client who is severely incapacitated by obsessive-
compulsive behavior has been admitted to the mental health
hospital. The client's compulsive ritual involves changing her
clothing 8 to 12 times a day. She continually asks the nurse for
advice regarding her problems but then ignores it. This is an
example of the conflict of:
Dependence versus independence
A client with a long history of alcohol dependence spends 28 days
in an alcohol-rehabilitation unit. What type of referral does the
nurse anticipate will be included in the discharge plan?
Community-based self-help group
A nurse is evaluating a child with suspected autism. At what age
does the nurse determine that the signs of autism initially may be
evident?
2 years
One evening a nurse finds a client who has been experiencing
persecutory delusions trying to get out the door. The client begs,
"Please let me go. I trust you. The Mafia is going to kill me
tonight." Which response is most therapeutic?
"You're frightened. Come with me to your room, and we can talk
about it."
,It is determined that a staff nurse has a drug abuse problem. As an
initial intervention the staff nurse should be:
Referred to the employee assistance program
Which activity is most appropriate for a nurse to introduce to a
depressed client during the early part of hospitalization?
Project involving drawing
A client with a diagnosis of bipolar disorder, manic episode, is
admitted to the mental health unit. Because the environment is
important, what should the nurse do?
Place the client in a private room to provide a quiet atmosphere
At times a client's anxiety level is so high that it blocks attempts at
communication and the nurse is unsure of what is being said. To
clarify understanding, the nurse says, "Let's see whether we mean
the same thing." What communication technique is being used by
the nurse?
Seeking consensual validation
A nurse understands that autism is a form of a pervasive
developmental disorder (PDD). Which factor unique to autism
differentiates it from other forms of PDD?
Early onset, before 36 months of age
A nurse is planning activities for a withdrawn client who is
hallucinating. Which activity will be most therapeutic for the
client?
Going for a walk with the nurse
A client with obsessive-compulsive disorder performs a specific
ritual. Why should the nurse give the client time to perform the
ritual?
Denying this activity may precipitate an increased level of
anxiety.
What is the primary reason that the nurse encourages the family of
an alcoholic to become involved in the treatment program?
Alcoholism involves the entire family.
One morning a client with the diagnosis of acute depression says
to the nurse, "God is punishing me for my past sins." What is the
best response by the nurse?
"You really seem to be upset about this."
A nurse is working in a clinic that provides services to clients who
abuse drugs. What effect of cocaine should the nurse consider as
the reason that it easily causes dependence?
Blurs reality
What should a nurse identify as the most important factor in
rehabilitation of a client addicted to alcohol?
Motivational readiness
What is an appropriate way for a nurse to help a client ease
anxiety?
Help the client acquire skills with which to face stressful events
, A 6-year-old child who has autism exhibits frequent spinning and
hand-flapping behaviors. What should the nurse teach the parents
to do to limit these actions?
Use another activity to distract the child
A client with the diagnosis of schizophrenia refuses to eat meals.
Which nursing action is most beneficial for this client?
Having a staff member sit with the client in a quiet area during
mealtimes
What should a nurse consider when planning care for a client who
is using ritualistic behavior?
Clients do not want to repeat their rituals but feel compelled to do
so.
How can a nurse minimize agitation in a disturbed client?
By limiting unnecessary interactions with the client
A client in the mental health clinic has a phobia about closed
spaces. Which desensitization method should the nurse expect to
be used successfully with this client?
Imagery
What treatment should a nurse anticipate will be prescribed for a
client with severe, persistent, intractable depression and suicidal
ideation?
Electroconvulsive therapy
An older adult, accompanied by family members, is admitted to a
long-term care facility with symptoms of dementia. During the
admission procedure the initial statement by the nurse most
helpful to this client is:
"Don't be afraid. I'm your nurse, and everyone here in the hospital
is here to help you."
An older depressed person at an independent living facility
constantly complains about her health problems to anyone who
will listen. One day the client says, "I'm not going to any more
activities. All these old crabby people do is talk about their
problems." What defense mechanism does the nurse conclude that
the client is using?
Projection
A client with alcohol dependence problem asks whether the nurse
can see the bugs that are crawling on the bed. What is the nurse's
initial reply?
"No, I don't see any bugs."
A client is responding within an hour of receiving naloxone to
combat respiratory depression from an overdose of heroin. Why
should a nurse continue to closely monitor this client's status?
Symptoms of the heroin overdose may return after the naloxone is
metabolized.
A client tells the nurse, "The voices say I'll be safe only if I stay in
this room, wear these clothes, and avoid stepping on the cracks
PSYCHIATRIC
MENTAL HEALTH
NURSING, 9TH
EDITION BY SHEILA L.
VIDEBECK, CHAPTERS
1 - 24 EXAM 2025/2026
LATEST UPDATE WITH
ACTUAL VERIFIED
NGN QUESTIONS AND
WELL EXPLAINED
100% CORRECT
ANSWERS WITH
RATIONALES LATEST
2025 UPDATE GRADED
A+ WITH 100%
GUARANTEED
SUCCESS AFTER
DOWNLOAD
, Chapter 1
A nurse recalls that language development in the autistic child
resembles:
Echolalia
What is a therapeutic nursing action in the care of a depressed
client?
Sitting down next to the client at frequent intervals
A nurse is caring for a client who uses ritualistic behavior. What
common antiobsessional medication does the nurse anticipate will
be prescribed?
Fluvoxamine (Luvox)
A client is found to have a borderline personality disorder. What
behavior does the nurse consider is most typical of these clients?
Impulsive
An older adult with a diagnosis of delirium on the mental health
unit begins acting out while in the dayroom. What is the initial
nursing intervention?
Giving the client one simple direction at a time in a firm low-
pitched voice
A hyperactive 9-year-old child with a history of attention deficit-
hyperactivity disorder is admitted for observation after a motor
vehicle collision. On what should nursing actions be focused
when the nurse is teaching about personal safety?
Talking with the child about the importance of using a seat belt
A female client who is severely incapacitated by obsessive-
compulsive behavior has been admitted to the mental health
hospital. The client's compulsive ritual involves changing her
clothing 8 to 12 times a day. She continually asks the nurse for
advice regarding her problems but then ignores it. This is an
example of the conflict of:
Dependence versus independence
A client with a long history of alcohol dependence spends 28 days
in an alcohol-rehabilitation unit. What type of referral does the
nurse anticipate will be included in the discharge plan?
Community-based self-help group
A nurse is evaluating a child with suspected autism. At what age
does the nurse determine that the signs of autism initially may be
evident?
2 years
One evening a nurse finds a client who has been experiencing
persecutory delusions trying to get out the door. The client begs,
"Please let me go. I trust you. The Mafia is going to kill me
tonight." Which response is most therapeutic?
"You're frightened. Come with me to your room, and we can talk
about it."
,It is determined that a staff nurse has a drug abuse problem. As an
initial intervention the staff nurse should be:
Referred to the employee assistance program
Which activity is most appropriate for a nurse to introduce to a
depressed client during the early part of hospitalization?
Project involving drawing
A client with a diagnosis of bipolar disorder, manic episode, is
admitted to the mental health unit. Because the environment is
important, what should the nurse do?
Place the client in a private room to provide a quiet atmosphere
At times a client's anxiety level is so high that it blocks attempts at
communication and the nurse is unsure of what is being said. To
clarify understanding, the nurse says, "Let's see whether we mean
the same thing." What communication technique is being used by
the nurse?
Seeking consensual validation
A nurse understands that autism is a form of a pervasive
developmental disorder (PDD). Which factor unique to autism
differentiates it from other forms of PDD?
Early onset, before 36 months of age
A nurse is planning activities for a withdrawn client who is
hallucinating. Which activity will be most therapeutic for the
client?
Going for a walk with the nurse
A client with obsessive-compulsive disorder performs a specific
ritual. Why should the nurse give the client time to perform the
ritual?
Denying this activity may precipitate an increased level of
anxiety.
What is the primary reason that the nurse encourages the family of
an alcoholic to become involved in the treatment program?
Alcoholism involves the entire family.
One morning a client with the diagnosis of acute depression says
to the nurse, "God is punishing me for my past sins." What is the
best response by the nurse?
"You really seem to be upset about this."
A nurse is working in a clinic that provides services to clients who
abuse drugs. What effect of cocaine should the nurse consider as
the reason that it easily causes dependence?
Blurs reality
What should a nurse identify as the most important factor in
rehabilitation of a client addicted to alcohol?
Motivational readiness
What is an appropriate way for a nurse to help a client ease
anxiety?
Help the client acquire skills with which to face stressful events
, A 6-year-old child who has autism exhibits frequent spinning and
hand-flapping behaviors. What should the nurse teach the parents
to do to limit these actions?
Use another activity to distract the child
A client with the diagnosis of schizophrenia refuses to eat meals.
Which nursing action is most beneficial for this client?
Having a staff member sit with the client in a quiet area during
mealtimes
What should a nurse consider when planning care for a client who
is using ritualistic behavior?
Clients do not want to repeat their rituals but feel compelled to do
so.
How can a nurse minimize agitation in a disturbed client?
By limiting unnecessary interactions with the client
A client in the mental health clinic has a phobia about closed
spaces. Which desensitization method should the nurse expect to
be used successfully with this client?
Imagery
What treatment should a nurse anticipate will be prescribed for a
client with severe, persistent, intractable depression and suicidal
ideation?
Electroconvulsive therapy
An older adult, accompanied by family members, is admitted to a
long-term care facility with symptoms of dementia. During the
admission procedure the initial statement by the nurse most
helpful to this client is:
"Don't be afraid. I'm your nurse, and everyone here in the hospital
is here to help you."
An older depressed person at an independent living facility
constantly complains about her health problems to anyone who
will listen. One day the client says, "I'm not going to any more
activities. All these old crabby people do is talk about their
problems." What defense mechanism does the nurse conclude that
the client is using?
Projection
A client with alcohol dependence problem asks whether the nurse
can see the bugs that are crawling on the bed. What is the nurse's
initial reply?
"No, I don't see any bugs."
A client is responding within an hour of receiving naloxone to
combat respiratory depression from an overdose of heroin. Why
should a nurse continue to closely monitor this client's status?
Symptoms of the heroin overdose may return after the naloxone is
metabolized.
A client tells the nurse, "The voices say I'll be safe only if I stay in
this room, wear these clothes, and avoid stepping on the cracks
