CORRECT ANSWERS
2025
A nurse in an emergency mental health facility is caring for a group of
clients. identify
should The nursethat which of the following clients requires a temporary
admission
emergency
?
A. A client who had schizophrenia with delusions of
grandeur
B. A client who has manifestations of depression and attempted suicide
a year
C. A client
ago who has borderline personality disorder and assaulted a
homeless
a metal man with
D. A client who has bipolar disorder and paces quickly around the room
rod
while talking( to
themselves Correct answers ) C. A client who has borderline personality
disorder and
assaulted a homeless man with a
metal rod
A nurse decides to put a client who has a psychotic disorder in seclusion
overnight
because the unit is very short-staffed, and the client frequently fights with
othernurses
The clients.
action are an example of which of the
following torts?
A. Invasion of
B. False
privacy
imprisonment
C.
D. Battery ( Correct answers ) B. False
Assault
imprisonment
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 threatening me."
Which of the
following actions should the nurse
take?
A. Keep the client's communication confidential, but talk to the client
daily, using communication to convince them to admit to
therapeutic
hiding
B. Keepthe
theknife
client's communication confidential, but watch the client and
their roommate
closel
C. Tell the client that this must be reported to the health care team because
y
it concerns
the health and safety of the client and
D. Report the incident to the healthcare team, but do not inform the client of
others
theso
do intent to answers ) C. Tell the client that this must be reported to the
( Correct
healthbecause
team care it concerns the health and safety of the client
and others
A nurse is caring for a client who is in mechanical restraints. Which of
the followingshould the nurse include in the
statements
documentation? SATA
A. "Client ate most of their
B. "Client was offered 8 oz of water
breakfast"
every hr."
GRADED
A+
, C. "Client shouted obscenities at assistive
D. "Client received chlorpromazine 15 mg by mouth
personnel"
at "Client
E. 1000" acted out after lunch" ( Correct answers ) B. "Client was offered 8
oz of water
every
hr."
C. "Client shouted obscenities at assistive
D. "Client received chlorpromazine 15 mg by mouth
personnel"
at 1000"
A nurse hears a newly licensed nurse discussing a client's hallucinations in
the hallway
with another nurse. Which of the following actions should the nurse
take first?
A. Notify the nurse
B. Tell the nurse to stop discussing the
manager
behavior
C. Provide an in-service program about
D. Complete an incidence report ( Correct answers ) B. Tell the
confidentiality
nurse to stop
discussing the
behavior
A charge nurse is conducting a class on therapeutic communication with
newly
a group licensed
of nurses. Which of the following aspects of communication
shouldidentify
nurse the as a component of verbal
communication?
B.
A. Personal space
Posture
C. Eye
D. Intonation ( Correct answers ) D. Intonation
contact
A nurse in an acute mental health facility is communicating with a
states, "I can't
client. The sleep. I stay up all night." The nurse responds, "You are
client
having difficulty
sleeping?" Which of the following therapeutic communication techniques
is the nurse
demonstrating?
A. Offering general
B.
leads
Summarizing
C.
D. Restating ( Correct answers ) D.
Focusing
Restating
A nurse is communicating with a client who was admitted for treatment of
a substance
use disorder. Which of the following communication techniques should
the nurse
identify as a barrier to therapeutic
communication?
A. Offering
B.
advice
Reflecting
C. Listening
attentively
D. Giving information ( Correct answers ) A. Offering advice
A nurse caring for a client who has anorexia nervosa. Which of the following
examples demonstrates the nurse's use of interpersonal communication?
GRADED
A+