Mental Health N244 Exam with Questions
and Correct Answers 2025
Which ,data ,indicates ,to ,the ,nurse ,that ,a ,client ,may ,be ,experiencing ,ineffective
,coping? ,- ,CORRECT ,ANSWER-Constantly ,neglects ,personal ,grooming
Rationale: ,Coping ,mechanisms ,are ,behaviors ,that ,are ,used ,to ,decrease ,stress ,and
,anxiety. ,In ,response ,to ,a ,death, ,ineffective ,coping ,is ,manifested ,by ,an ,extreme
,behavior ,that ,in ,some ,instances ,may ,be ,harmful ,to ,the ,individual, ,physically,
,psychologically, ,or ,both. ,Option ,1 ,is ,indicative ,of ,a ,behavior ,that ,identifies ,an
,ineffective ,coping ,behavior ,as ,part ,of ,the ,grieving ,process.
Which ,client ,is ,most ,likely ,at ,risk ,to ,become ,a ,victim ,of ,elder ,abuse? ,- ,CORRECT
,ANSWER-A ,90-year-old ,woman ,with ,advanced ,Parkinson's ,disease
Elder ,abuse ,is ,widespread ,and ,occurs ,among ,all ,subgroups ,of ,the ,population. ,It
,includes ,physical ,and ,psychological ,abuse, ,the ,misuse ,of ,property, ,and ,the ,violation
,of ,rights. ,The ,typical ,abuse ,victim ,is ,a ,woman ,of ,advanced ,age ,with ,few ,social
,contacts ,and ,at ,least ,one ,physical ,or ,mental ,impairment ,that ,limits ,her ,ability ,to
,perform ,activities ,of ,daily ,living. ,In ,addition, ,the ,client ,usually ,lives ,alone ,or ,with ,the
,abuser ,and ,depends ,on ,the ,abuser ,for ,care.
Which ,data ,collection ,finding ,would ,indicate ,the ,possibility ,of ,the ,sexual ,abuse ,of ,a
,child? ,- ,CORRECT ,ANSWER-Swelling ,of ,the ,genitals
A ,nurse ,is ,assigned ,to ,care ,for ,a ,client ,who ,is ,experiencing ,disturbed ,thought
,processes. ,The ,nurse ,is ,told ,that ,the ,client ,believes ,that ,the ,food ,is ,being ,poisoned.
,Which ,communication ,technique ,does ,the ,nurse ,plan ,to ,use ,to ,encourage ,the ,client
,to ,eat? ,- ,CORRECT ,ANSWER-Open-ended ,questions ,and ,silence
Open-ended ,questions ,and ,silence ,are ,strategies ,used ,to ,encourage ,clients ,to
,discuss ,their ,problem. ,Should ,encourage ,the ,client ,to ,identify ,the ,reasons ,for ,the
,behavior.
,A ,nurse ,is ,assigned ,to ,care ,for ,a ,client ,admitted ,to ,the ,hospital ,after ,sustaining ,an
,injury ,from ,a ,house ,fire. ,The ,client ,attempted ,to ,save ,a ,neighbor ,involved ,in ,the ,fire
,but, ,in ,spite ,of ,the ,client's ,efforts, ,the ,neighbor ,died. ,Which ,action ,would ,the ,nurse
,take ,to ,enable ,the ,client ,to ,work ,through ,the ,meaning ,of ,the ,crisis? ,- ,CORRECT
,ANSWER-Inquiring ,about ,the ,client's ,feelings ,that ,may ,affect ,coping
The ,client ,must ,first ,deal ,with ,feelings ,and ,negative ,responses ,before ,the ,client ,is
,able ,to ,work ,through ,the ,meaning ,of ,the ,crisis.
A ,nurse ,is ,assisting ,with ,the ,data ,collection ,on ,a ,client ,admitted ,to ,the ,psychiatric
,unit. ,The ,nurse ,reviews ,the ,data ,obtained ,and ,identifies ,which ,of ,the ,following ,as ,a
,priority ,concern? ,- ,CORRECT ,ANSWER-The ,client's ,report ,of ,suicidal ,thoughts
The ,client's ,thoughts ,are ,extremely ,important ,when ,verbalized. ,Suicidal ,thoughts ,are
,the ,highest ,priority.
Laboratory ,work ,is ,prescribed ,for ,a ,client ,who ,has ,been ,experiencing ,delusions.
,When ,the ,laboratory ,technician ,approaches ,the ,client ,to ,obtain ,a ,specimen ,of ,the
,client's ,blood, ,the ,client ,begins ,to ,shout, ,"You're ,all ,vampires. ,Let ,me ,out ,of ,here!"
,The ,nurse ,who ,is ,present ,at ,the ,time ,should ,respond ,by ,stating ,which ,of ,the
,following? ,- ,CORRECT ,ANSWER-"Are ,you ,fearful ,and ,think ,that ,others ,may ,want ,to
,hurt ,you?"
Option ,3 ,is ,the ,only ,option ,that ,recognizes ,the ,client's ,need. ,This ,response ,helps ,the
,client ,focus ,on ,the ,emotion ,underlying ,the ,delusion ,but ,does ,not ,argue ,with ,it. ,If ,the
,nurse ,attempts ,to ,change ,the ,client's ,mind, ,the ,delusion ,may, ,in ,fact, ,be ,even ,more
,strongly ,held
An ,intoxicated ,client ,is ,brought ,to ,the ,emergency ,department ,by ,local ,police. ,The
,client ,is ,told ,that ,the ,health ,care ,provider ,(HCP) ,will ,be ,in ,to ,see ,the ,client ,in ,about
,30 ,minutes. ,The ,client ,becomes ,very ,loud ,and ,offensive ,and ,wants ,to ,be ,seen ,by
,the ,HCP ,immediately. ,The ,nurse ,assisting ,to ,care ,for ,the ,client ,would ,plan ,for ,which
,appropriate ,nursing ,intervention? ,- ,CORRECT ,ANSWER-Offer ,to ,take ,the ,client ,to ,an
,examination ,room ,until ,he ,or ,she ,can ,be ,treated.
Safety ,of ,the ,client, ,other ,clients, ,and ,staff ,is ,of ,prime ,concern. ,When ,dealing ,with ,an
,impaired ,individual, ,trying ,to ,talk ,may ,be ,out ,of ,the ,question. ,Waiting ,to ,intervene
,could ,cause ,the ,client ,to ,become ,even ,more ,agitated ,and ,a ,threat ,to ,others
A ,client ,is ,admitted ,to ,a ,psychiatric ,unit ,for ,treatment ,of ,psychotic ,behavior. ,The
,client ,is ,at ,the ,locked ,exit ,door ,and ,is ,shouting, ,"Let ,me ,out! ,There's ,nothing ,wrong
,with ,me! ,I ,don't ,belong ,here!" ,The ,nurse ,identifies ,this ,behavior ,as: ,- ,CORRECT
,ANSWER-Denial
Denial ,is ,refusal ,to ,admit ,to ,a ,painful ,reality ,and ,is ,treated ,as ,if ,it ,does ,not ,exist.
, ,In ,projection, ,a ,person ,unconsciously ,rejects ,emotionally ,unacceptable ,features ,and
,attributes ,them ,to ,other ,people, ,objects, ,or ,situations.
,In ,regression, ,the ,client ,returns ,to ,an ,earlier, ,more ,comforting, ,although ,less ,mature
,way ,of ,behaving. ,
Rationalization ,is ,justifying ,the ,unacceptable ,attributes ,about ,oneself.
A ,client ,says ,to ,the ,nurse, ,"I'm ,going ,to ,die, ,and ,I ,wish ,my ,family ,would ,stop ,hoping
,for ,a ,'cure'! ,I ,get ,so ,angry ,when ,they ,carry ,on ,like ,this! ,After ,all, ,I'm ,the ,one ,who's
,dying." ,The ,therapeutic ,response ,by ,the ,nurse ,is: ,- ,CORRECT ,ANSWER-"You're
,feeling ,angry ,that ,your ,family ,continues ,to ,hope ,for ,you ,to ,be ,'cured'?"
Reflection ,is ,the ,therapeutic ,communication ,technique ,that ,redirects ,the ,client's
,feelings ,back ,to ,validate ,what ,the ,client ,is ,saying.
A ,nurse ,in ,a ,psychiatric ,unit ,is ,assigned ,to ,care ,for ,a ,client ,admitted ,to ,the ,unit ,2
,days ,ago. ,On ,review ,of ,the ,client's ,record, ,the ,nurse ,notes ,that ,the ,admission ,was ,a
,voluntary ,admission. ,Based ,on ,this ,type ,of ,admission, ,the ,nurse ,would ,expect ,which
,of ,the ,following? ,- ,CORRECT ,ANSWER-The ,client ,will ,participate ,in ,the ,treatment
,plan.
Generally, ,voluntary ,admission ,is ,sought ,by ,the ,client ,or ,client's ,guardian. ,If ,the ,client
,seeks ,voluntary ,admission, ,the ,most ,likely ,expectation ,is ,that ,the ,client ,will
,participate ,in ,the ,treatment ,program.
A ,licensed ,practical ,nurse ,(LPN) ,enters ,a ,client's ,room, ,and ,the ,client ,is ,demanding
,release ,from ,the ,hospital. ,The ,LPN ,reviews ,the ,client's ,record ,and ,notes ,that ,the
,client ,was ,admitted ,2 ,days ,ago ,for ,treatment ,of ,an ,anxiety ,disorder, ,and ,that ,the
,admission ,was ,a ,voluntary ,admission. ,The ,LPN ,reports ,the ,findings ,to ,the ,registered
,nurse ,(RN) ,and ,expects ,that ,the ,RN ,will ,take ,which ,of ,the ,following ,actions? ,-
,CORRECT ,ANSWER-Contact ,the ,health ,care ,provider ,(HCP).
Generally, ,voluntary ,admission ,is ,sought ,by ,the ,client ,or ,client's ,guardian. ,Voluntary
,clients ,have ,the ,right ,to ,demand ,and ,obtain ,release. ,The ,best ,nursing ,action ,is ,to
,contact ,the ,HCP.
A ,client ,is ,admitted ,to ,the ,psychiatric ,nursing ,unit. ,When ,collecting ,data ,from ,the
,client, ,the ,nurse ,notes ,that ,the ,client ,was ,admitted ,on ,an ,involuntary ,status. ,Based
,on ,this ,type ,of ,admission, ,the ,nurse ,likely ,expects ,that ,the ,client: ,- ,CORRECT
,ANSWER-Presents ,a ,harm ,to ,self
Involuntary ,admission ,is ,made ,without ,the ,client's ,consent. ,Involuntary ,admission ,is
,necessary ,when ,a ,person ,is ,a ,danger ,to ,self ,or ,others ,or ,is ,in ,need ,of ,psychiatric
,treatment ,or ,physical ,care
and Correct Answers 2025
Which ,data ,indicates ,to ,the ,nurse ,that ,a ,client ,may ,be ,experiencing ,ineffective
,coping? ,- ,CORRECT ,ANSWER-Constantly ,neglects ,personal ,grooming
Rationale: ,Coping ,mechanisms ,are ,behaviors ,that ,are ,used ,to ,decrease ,stress ,and
,anxiety. ,In ,response ,to ,a ,death, ,ineffective ,coping ,is ,manifested ,by ,an ,extreme
,behavior ,that ,in ,some ,instances ,may ,be ,harmful ,to ,the ,individual, ,physically,
,psychologically, ,or ,both. ,Option ,1 ,is ,indicative ,of ,a ,behavior ,that ,identifies ,an
,ineffective ,coping ,behavior ,as ,part ,of ,the ,grieving ,process.
Which ,client ,is ,most ,likely ,at ,risk ,to ,become ,a ,victim ,of ,elder ,abuse? ,- ,CORRECT
,ANSWER-A ,90-year-old ,woman ,with ,advanced ,Parkinson's ,disease
Elder ,abuse ,is ,widespread ,and ,occurs ,among ,all ,subgroups ,of ,the ,population. ,It
,includes ,physical ,and ,psychological ,abuse, ,the ,misuse ,of ,property, ,and ,the ,violation
,of ,rights. ,The ,typical ,abuse ,victim ,is ,a ,woman ,of ,advanced ,age ,with ,few ,social
,contacts ,and ,at ,least ,one ,physical ,or ,mental ,impairment ,that ,limits ,her ,ability ,to
,perform ,activities ,of ,daily ,living. ,In ,addition, ,the ,client ,usually ,lives ,alone ,or ,with ,the
,abuser ,and ,depends ,on ,the ,abuser ,for ,care.
Which ,data ,collection ,finding ,would ,indicate ,the ,possibility ,of ,the ,sexual ,abuse ,of ,a
,child? ,- ,CORRECT ,ANSWER-Swelling ,of ,the ,genitals
A ,nurse ,is ,assigned ,to ,care ,for ,a ,client ,who ,is ,experiencing ,disturbed ,thought
,processes. ,The ,nurse ,is ,told ,that ,the ,client ,believes ,that ,the ,food ,is ,being ,poisoned.
,Which ,communication ,technique ,does ,the ,nurse ,plan ,to ,use ,to ,encourage ,the ,client
,to ,eat? ,- ,CORRECT ,ANSWER-Open-ended ,questions ,and ,silence
Open-ended ,questions ,and ,silence ,are ,strategies ,used ,to ,encourage ,clients ,to
,discuss ,their ,problem. ,Should ,encourage ,the ,client ,to ,identify ,the ,reasons ,for ,the
,behavior.
,A ,nurse ,is ,assigned ,to ,care ,for ,a ,client ,admitted ,to ,the ,hospital ,after ,sustaining ,an
,injury ,from ,a ,house ,fire. ,The ,client ,attempted ,to ,save ,a ,neighbor ,involved ,in ,the ,fire
,but, ,in ,spite ,of ,the ,client's ,efforts, ,the ,neighbor ,died. ,Which ,action ,would ,the ,nurse
,take ,to ,enable ,the ,client ,to ,work ,through ,the ,meaning ,of ,the ,crisis? ,- ,CORRECT
,ANSWER-Inquiring ,about ,the ,client's ,feelings ,that ,may ,affect ,coping
The ,client ,must ,first ,deal ,with ,feelings ,and ,negative ,responses ,before ,the ,client ,is
,able ,to ,work ,through ,the ,meaning ,of ,the ,crisis.
A ,nurse ,is ,assisting ,with ,the ,data ,collection ,on ,a ,client ,admitted ,to ,the ,psychiatric
,unit. ,The ,nurse ,reviews ,the ,data ,obtained ,and ,identifies ,which ,of ,the ,following ,as ,a
,priority ,concern? ,- ,CORRECT ,ANSWER-The ,client's ,report ,of ,suicidal ,thoughts
The ,client's ,thoughts ,are ,extremely ,important ,when ,verbalized. ,Suicidal ,thoughts ,are
,the ,highest ,priority.
Laboratory ,work ,is ,prescribed ,for ,a ,client ,who ,has ,been ,experiencing ,delusions.
,When ,the ,laboratory ,technician ,approaches ,the ,client ,to ,obtain ,a ,specimen ,of ,the
,client's ,blood, ,the ,client ,begins ,to ,shout, ,"You're ,all ,vampires. ,Let ,me ,out ,of ,here!"
,The ,nurse ,who ,is ,present ,at ,the ,time ,should ,respond ,by ,stating ,which ,of ,the
,following? ,- ,CORRECT ,ANSWER-"Are ,you ,fearful ,and ,think ,that ,others ,may ,want ,to
,hurt ,you?"
Option ,3 ,is ,the ,only ,option ,that ,recognizes ,the ,client's ,need. ,This ,response ,helps ,the
,client ,focus ,on ,the ,emotion ,underlying ,the ,delusion ,but ,does ,not ,argue ,with ,it. ,If ,the
,nurse ,attempts ,to ,change ,the ,client's ,mind, ,the ,delusion ,may, ,in ,fact, ,be ,even ,more
,strongly ,held
An ,intoxicated ,client ,is ,brought ,to ,the ,emergency ,department ,by ,local ,police. ,The
,client ,is ,told ,that ,the ,health ,care ,provider ,(HCP) ,will ,be ,in ,to ,see ,the ,client ,in ,about
,30 ,minutes. ,The ,client ,becomes ,very ,loud ,and ,offensive ,and ,wants ,to ,be ,seen ,by
,the ,HCP ,immediately. ,The ,nurse ,assisting ,to ,care ,for ,the ,client ,would ,plan ,for ,which
,appropriate ,nursing ,intervention? ,- ,CORRECT ,ANSWER-Offer ,to ,take ,the ,client ,to ,an
,examination ,room ,until ,he ,or ,she ,can ,be ,treated.
Safety ,of ,the ,client, ,other ,clients, ,and ,staff ,is ,of ,prime ,concern. ,When ,dealing ,with ,an
,impaired ,individual, ,trying ,to ,talk ,may ,be ,out ,of ,the ,question. ,Waiting ,to ,intervene
,could ,cause ,the ,client ,to ,become ,even ,more ,agitated ,and ,a ,threat ,to ,others
A ,client ,is ,admitted ,to ,a ,psychiatric ,unit ,for ,treatment ,of ,psychotic ,behavior. ,The
,client ,is ,at ,the ,locked ,exit ,door ,and ,is ,shouting, ,"Let ,me ,out! ,There's ,nothing ,wrong
,with ,me! ,I ,don't ,belong ,here!" ,The ,nurse ,identifies ,this ,behavior ,as: ,- ,CORRECT
,ANSWER-Denial
Denial ,is ,refusal ,to ,admit ,to ,a ,painful ,reality ,and ,is ,treated ,as ,if ,it ,does ,not ,exist.
, ,In ,projection, ,a ,person ,unconsciously ,rejects ,emotionally ,unacceptable ,features ,and
,attributes ,them ,to ,other ,people, ,objects, ,or ,situations.
,In ,regression, ,the ,client ,returns ,to ,an ,earlier, ,more ,comforting, ,although ,less ,mature
,way ,of ,behaving. ,
Rationalization ,is ,justifying ,the ,unacceptable ,attributes ,about ,oneself.
A ,client ,says ,to ,the ,nurse, ,"I'm ,going ,to ,die, ,and ,I ,wish ,my ,family ,would ,stop ,hoping
,for ,a ,'cure'! ,I ,get ,so ,angry ,when ,they ,carry ,on ,like ,this! ,After ,all, ,I'm ,the ,one ,who's
,dying." ,The ,therapeutic ,response ,by ,the ,nurse ,is: ,- ,CORRECT ,ANSWER-"You're
,feeling ,angry ,that ,your ,family ,continues ,to ,hope ,for ,you ,to ,be ,'cured'?"
Reflection ,is ,the ,therapeutic ,communication ,technique ,that ,redirects ,the ,client's
,feelings ,back ,to ,validate ,what ,the ,client ,is ,saying.
A ,nurse ,in ,a ,psychiatric ,unit ,is ,assigned ,to ,care ,for ,a ,client ,admitted ,to ,the ,unit ,2
,days ,ago. ,On ,review ,of ,the ,client's ,record, ,the ,nurse ,notes ,that ,the ,admission ,was ,a
,voluntary ,admission. ,Based ,on ,this ,type ,of ,admission, ,the ,nurse ,would ,expect ,which
,of ,the ,following? ,- ,CORRECT ,ANSWER-The ,client ,will ,participate ,in ,the ,treatment
,plan.
Generally, ,voluntary ,admission ,is ,sought ,by ,the ,client ,or ,client's ,guardian. ,If ,the ,client
,seeks ,voluntary ,admission, ,the ,most ,likely ,expectation ,is ,that ,the ,client ,will
,participate ,in ,the ,treatment ,program.
A ,licensed ,practical ,nurse ,(LPN) ,enters ,a ,client's ,room, ,and ,the ,client ,is ,demanding
,release ,from ,the ,hospital. ,The ,LPN ,reviews ,the ,client's ,record ,and ,notes ,that ,the
,client ,was ,admitted ,2 ,days ,ago ,for ,treatment ,of ,an ,anxiety ,disorder, ,and ,that ,the
,admission ,was ,a ,voluntary ,admission. ,The ,LPN ,reports ,the ,findings ,to ,the ,registered
,nurse ,(RN) ,and ,expects ,that ,the ,RN ,will ,take ,which ,of ,the ,following ,actions? ,-
,CORRECT ,ANSWER-Contact ,the ,health ,care ,provider ,(HCP).
Generally, ,voluntary ,admission ,is ,sought ,by ,the ,client ,or ,client's ,guardian. ,Voluntary
,clients ,have ,the ,right ,to ,demand ,and ,obtain ,release. ,The ,best ,nursing ,action ,is ,to
,contact ,the ,HCP.
A ,client ,is ,admitted ,to ,the ,psychiatric ,nursing ,unit. ,When ,collecting ,data ,from ,the
,client, ,the ,nurse ,notes ,that ,the ,client ,was ,admitted ,on ,an ,involuntary ,status. ,Based
,on ,this ,type ,of ,admission, ,the ,nurse ,likely ,expects ,that ,the ,client: ,- ,CORRECT
,ANSWER-Presents ,a ,harm ,to ,self
Involuntary ,admission ,is ,made ,without ,the ,client's ,consent. ,Involuntary ,admission ,is
,necessary ,when ,a ,person ,is ,a ,danger ,to ,self ,or ,others ,or ,is ,in ,need ,of ,psychiatric
,treatment ,or ,physical ,care
