CORRECT ANSWERS
2025
A charge nurse is discussing mental status exams with a newly licensed
nurse.
of Which
the following statements by the newly licensed nurse indicates an
understanding
the of
teaching? (Select all that
A) To assess cognitive ability, I should ask the client to count backward
apply)
by To
B) sevens.
assess affect, I should observe the client's facial
C) To assess language ability, I should instruct the client to write a
expression
D) To assess remote memory, I should have the client repeat a list
sentence.
of objects.
E) To assess the client's abstract thinking, I should ask the client to
identifypresidents.
recent our most ( Correct answers )
A, B, C
A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A) Assist the client with systematic desensitization therapy.
B) Teach the client appropriate coping mechanisms.
C) Assess the client for comorbid health conditions.
D)Monitor the client for adverse effects of the medications. ( Correct
answers
A nurse ) Doutpatient mental health clinic is preparing to conduct an
in an
initial client
interview. When conducting the interview, which of the following actions
should the
nurse identify as the
priority?
A) Coordinate holistic care with social
B) Identify the client's perception of her mental
services.
health
C) Include
status.
the client's family in the
D) Teach the client about her current mental health disorder ( Correct
interview.
answers ) B
A nurse is told during change of shift report that a client is stuporous.
When
the client,
assessing
which of the following findings should the
nurse
A) Theexpect?
client arouses briefly in response to a
sternal
B) The client
rub. has a glasgow coma scale score less
than
C) The7. client exhibits decorticate
D) The client is alert but disoriented to time and place. ( Correct
rigidity.
answers ) A
A nurse is planning a peer group about the DSM-5. Which of the following
is appropriate to include in the discussion? (Select all
information
that
A) The
apply).
DSM-5 includes client education handouts for mental health
B) The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
disorders.
GRADED
A+
,C) The DSM-5 indicates recommended pharmacological treatment for
mental health
disorders
.D) The DSM-5 assists nurses in planning care for client's who have
mental health
disorders
.E) The DSM-5 indicates expected assessment findings of mental health
disorders.
Correct answers
( ) B, D, E
A nurse in an emergency mental health facility is caring for a group of
clients.should
nurse The identify that which of the following clients requires a
emergency
temporary
A) A client who has schizophrenia with delusions of
admission?
B) A client who has manifestations of depression and attempted suicide
grandeur
a year
C) A client
ago.who has borderline personality disorder and assaulted a
homeless
with a metal
man
D) A client who has bipolar disorder and paces quickly around the room
rod.
while
to himself.
talking
( Correct answers ) C
A nurse decides to put a client who has a psychotic disorder in
seclusionthe
because overnight
unit is very short-staffed, and the client frequently fights
with other
clients. The nurse's actions are an example of which of the
following
A) Invasion
torts?
of
privacy
B) False
imprisonment
C)
Assault
D) Battery ( Correct answers ) B
A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my
mattress
order in
to protect myself from my roommate, who is always yelling
at me and me." Which of the following actions should the
threatening
nurse
A) Keep
take?
the client's communication confidential, but talk to the client
daily, using communication to convince him to admit to hiding
therapeutic
theKeep
B) knife.the client's communication confidential, but watch the client and
his roommate
closely
.C) Tell the client that this must be reported to the healthcare team
because
the health it and
concerns
safety of the client and
D) Report the incident to the health care team, but do not inform the
others.
client of the
intention to do so. ( Correct answers ) D
A nurse is caring for a client who is in mechanical restraints. Which of
the followingshould the nurse include in the documentation? (Select all
statements
that
A) apply)
Client ate most of his
breakfast
B) Client was offered 8 oz of water
every
C) hr shouted obscenities at assistive
Client
personnel
D) Client received chlorpromazine 15 mg by
mouth
E) at acted
Client 1000 out after lunch ( Correct answers )
B, C, D
GRADED
A+
, A nurse hears a newly licensed nurse discussing a client's
hallucinations
hallway with another
in the nurse. Which of the following actions should the
nurse
A) Notify
takethe
first?
nurse
B) Tell the nurse to stop discussing the
manager
C) Provide an in-service program about
behavior
D) Complete an incident report ( Correct answers ) B
confidentiality
A nurse is caring for the parents of a child who has demonstrated changes
in behavior
and mood. When the mother of the child asks the nurse for
reassurance
son's condition,
about
which
her of the following responses should the
nurse
A) I think
make?your son is getting better. What have
youI'm
B) noticed
sure everything will be okay. It just takes
time
C) I'mtonot
healsure what's wrong. Have you asked the doctor about your
D) I understand you're concerned. Let's discuss what concerns you
concerns?
specifically
Correct answers
( ) D
A nurse is caring for a client who smokes and has lung cancer. The client
reports, "I'm
coughing because I have that cold that everyone has been getting." The
nurse should
identify that the client is using which of the following defense
A) Reaction
mechanisms?
formation
B)
Denial
C)
Displacement
D) Sublimation ( Correct answers ) B
A nurse is providing preoperative teaching for a client who was just
informedemergency
requires that she surgery. The client has a respiratory rate 30/min and
says, "This
difficult is
to comprehend. I feel shaky and nervous." The nurse should
identify
client is that
experiencing
the which of the following levels of
A)
anxiety?
B)
Mild
C)
Moderate
D) Panic ( Correct answers ) B
Severe
A nurse is caring for a client who is experiencing moderate anxiety.
Which of the
following actions should the nurse trying to give necessary information to
the client?
(Select all that
A) Reassure the client that everything will
apply)
be Discuss
B) okay prior use of coping mechanisms with
theIgnore
C) client the client's anxiety so that she will not be
embarrassed
D) Demonstrate a calm manner while using simple and clear
directions
E) Gather information from the client using closed-ended questions
)( Correct
B, answers
D
GRADED
A+