SAUNDERS PN MENTAL HEALTH NGN
FORMAT NEWEST 2025 ACTUAL EXAM ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
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The nurse is having a conversation with a depressed client in an
inpatient psychiatric unit. The client says to the nurse, "Things would
be so much better for everyone if I just wasn't around." Which
response by the nurse would be appropriate at this time?
Ans: You sound very unhappy. Are you thinking of harming yourself?
The nurse in the emergency department is assisting in caring for a
young female victim of sexual assault. The client's physical
assessment is complete, and physical evidence has been collected.
The nurse notes that the client is withdrawn, confused, and at times
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physically immobile. Which interpretation should the nurse make of
these behaviors?
Ans: They are expected reactions to a devastating event.
The nurse is caring for a client diagnosed with catatonic stupor. The
client is lying on the bed, with the body pulled into a fetal position.
Which is the appropriate nursing intervention?
Ans: Sit beside the client in silence and verbalize occasional open-ended
questions.
The spouse of a client admitted to the hospital for alcohol
withdrawal says to the nurse, "I should get out of this bad situation."
The most helpful response by the nurse should be which statement?
Ans: What do you find difficult about this situation?
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The nurse employed in a psychiatric unit receives a client assignment
for the day. Which client assigned to the nurse is at the highest risk for
committing suicide?
Ans: A client with severe depression and terminal cancer
Which behaviors observed by the nurse might lead to the suspicion
that a depressed adolescent client could be suicidal?
Ans: The client gives away a DVD and a cherished autographed picture
of the performer.
The nurse is preparing for the hospital discharge of a client with a
history of command hallucinations to harm self or others. The nurse
instructs the client about interventions for hallucinations and anxiety
and determines that the client understands the interventions when
the client makes which statement?
Ans: "I can call my therapist when I'm hallucinating so I can talk about my
feelings and plans and not hurt anyone."
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A client tells the nurse that he is feeling out of control. The nurse
observes that the client is pacing back and forth. Which approach
by the nurse is appropriate to maintain a safe environment?
Ans: Move the client to a quiet room and talk about his feelings.
The nurse is caring for an older depressed client whose son was killed
in an armed robbery after murdering two people. The client says, "I
don't know what I did wrong. His dad died a hero in Vietnam when
he was only 2 years old, but he's had everything. When he threw the
cat up against the wall to see if it landed on its feet and stole money
from me and denied it, his sister covered for him." The nurse plans to
make which therapeutic response to the client?
Ans: "It seems as if you or your daughter feel regret?"
The nurse has been caring for a client with a diagnosis of depression.
The client says to the nurse, "I wish you would just be my friend." The
appropriate response by the nurse is which?