Saunders Mental Health FINAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH VERIFIED CORRECT SOLUTIONS || 100% GUARANTEED PASS <RECENT VERSION>

Saunders Mental Health FINAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH VERIFIED CORRECT SOLUTIONS || 100% GUARANTEED PASS &lt;RECENT VERSION&gt; 1. The nurse should plan which goals of the termination stage of group development? Select all that apply. - ANSWER - the group evaluates the experience. - The group explores members' feelings about the group and the impending separation. 2. A client diagnosed with terminal cancer 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." Which response by the nurse is therapeutic? - ANSWER "You're feeling angry that your family continues to hope for you to be cured?" 3. When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client? - ANSWER Monitor closely for harm to self or others. 4. The nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client? Select all that apply. - ANSWER -Restating - Listening - Maintaining neutral responses - Providing acknowledgment and feedback 5. A client is participating in a therapy group and focuses on viewing all team members as equally important in helping the clients to meet their goals. The nurse is implementing which therapeutic approach? - ANSWER Milieu therapy 6. The nurse is working with a client who despite making a heroic effort was unable to rescue a neighbor trapped in a house fire. Which client-focused action should the nurse engage in during the working phase of the nurse client relationship? - ANSWER Inquiring about and examining the client's feelings for any that may block adaptive coping 7. A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? - ANSWER Use an indirect light source and turn off the television. 8. The nurse is conducting a group therapy session. During the session, a client diagnosed with mania consistently disrupts the group's interactions. Which intervention should the nurse initially implement? - ANSWER Setting limits on the client's behavior 9. A client is admitted to a medical nursing unit with a diagnosis of acute blindness after being involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason why this client cannot see, a mental health consult is prescribed. The nurse plans care based on which condition that should be the focus of this consult? - ANSWER Conversion disorder 10. Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. - ANSWER - Communicate expected behaviors to the client. - Assist the client in identifying ways of setting limits on personal behaviors. - Follow through about the consequences of behavior in a nonpunitive manner. - Have the client state the consequences for behaving in ways that are viewed as unacceptable. 11. The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client has a need for additional information? - ANSWER "When I have command hallucinations, I'll call a friend and ask him what I should do." 12. The nurse is caring for a client just admitted to the mental health unit and diagnosed with catatonic stupor. The client is lying on the bed in a fetal position. Which is the most appropriatenursing intervention? - ANSWER Sit beside the client in silence with occasional open-ended questions. 13. The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior. Which activity would be most appropriate for this client? - ANSWER Writing 14. Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply. - ANSWER - Monitor vital signs. - Provide a safe environment. -Address hallucinations therapeutically. - Provide reality orientation as appropriate. 15. A home care nurse suspects that a client's spouse is experiencing caregiver strain. Which nursing action will assist in supporting the nurse's suspicion? - ANSWER Gathering subjective and objective assessment from the caregiver and the client 16. Which is a primary behavior of a client diagnosed with antisocial personality disorder? - ANSWER Will take personal items from other clients' rooms 17. The client with a diagnosis of dependent personality disorder is most likely to have problems coping with which situation? - ANSWER Making decisions about living arrangements after discharge 18. Dependent personality - ANSWER is the inability to make decisions with excessive dependence on others. 19. The nurse is performing an assessment on a client being admitted with a diagnosis of alcohol dependence who reports it's been 6 hours since the last drink. The information supports which assumption about the appearance of withdrawal symptoms? - ANSWER Signs may appear at any time. 20. Thiamine supplementation and other nutritional vitamin support measures are prescribed for clients who have been using alcohol to prevent or decrease the risk of which complication? - ANSWER Wernicke-Korsakoff syndrome 21. A supervisor reprimands the charge nurse for not adhering to the unit budget. What behavior by the charge nurse is an example of displacement? - ANSWER The charge nurse blames staff for wasting supplies. 22. Immediately after an assault, the client is extremely agitated, trembling, and hyperventilating. What is the appropriate initialnursing action? - ANSWER Remain with the client until the anxiety decreases. 23. Soon after an assault, a client is assessed in the emergency department with behavior that is associated with severe anxiety. Which client behaviors support this level of anxiety? - ANSWER Is pacing while describing the situation using a rapid speech pattern 24. A client arrives in the emergency department in a crisis state demonstrating signs of profound anxiety. What should the initial nursing assessment focus on? - ANSWER The client's physical condition 25. A clinic nurse is monitoring a client with anorexia nervosa. Which client statement should indicate to the nurse that treatment has been effective? - ANSWER My friends and I went out to lunch today." 26. A client with a history of anxiety appears to be in the second phase of crisis response. The nurse prepares for which client behavior? - ANSWER The client will employ new coping methods that will resolve the problem. 27. Which statement, made by a client who has recently experienced an emotional crisis, is most likely to assure the nurse that the client has returned to her precrisis level of functioning? - ANSWER "My boss tells me that I'm being considered for a promotion and a raise." 28. A homeless shelter has sustained severe damage as a result of a fire, and most of the structure and people's belongings were destroyed. Ten of the individuals who are being displaced have a history of chronic mental illness. The mental health team coordinating support initially should focus their efforts on which action? - ANSWER Providing the clients with shelter, clothing, and food 29. Which client behavior is indicative of negative symptoms associated with schizophrenia? Select all that apply. - ANSWER - Verbal communication is almost nonexistent. - The client needs frequent redirection because of short attention span. 30. The nurse caring for a client diagnosed with schizophrenia should include which interventions in the plan of care to assist in managing the client's concrete thinking? - ANSWER Present verbal instructions regarding expectations in single, simple commands. 31. Which behavior in a client with schizophrenia demonstrates the client's cognitive inability to appropriately process data from external stimuli? - ANSWER The client is convinced that the curtains are actually ghosts. 32. During the admission assessment process, the nurse observes that a client diagnosed with paranoid schizophrenia has multiple dental caries and mouth ulcers. The client denies oral pain or difficulty eating and does not present any concern over the nurse's finding. The nurse recognizes the client's response as most likelythe result of which client factor? - ANSWER Impaired pain perception 33. A client who is watching television in the dayroom shares with the nurse that he has begun seeing his mother being assaulted on the television screen. Which is the nurse's initialintervention? - ANSWER Turn off the television. 34. The nurse is planning relapse prevention information for a client diagnosed with schizophrenia. The nurse understands that it is important to ensure which primaryintervention? - ANSWER Including the client's support system in the teaching 35. The history assessment of a client diagnosed with schizophrenia confirms a routine that includes smoking two packs of cigarettes and drinking 10 cups of coffee daily. Considering the assessment data, the nurse recognizes which as placing the client at most risk for injury? - ANSWER Diminishing the effectiveness of psychotropic medication 36. Which goal addresses the therapeutic management needs of a client experiencing hallucinations? - ANSWER Facilitate the client's awareness that the hallucination is not the reality of the world. 37. The nurse recognizes which assessment and diagnostic data as being associated with a newly diagnosed schizophrenic client? Select all that apply. - ANSWER - A birthday of March 30 - A loss of interest in hobbies - A suicide attempt 6 months ago - Magnetic resonance imaging shows temporal lobe atrophy 38. The nurse is caring for a client who has a history of opioid abuse and is monitoring the client for signs of withdrawal. Which observation is indicative of the signs/symptoms associated with withdrawal from opioids? - ANSWER Fever, yawning, irritability, diaphoresis, and diarrhea 39. An intoxicated client is brought to the emergency department by local police. The client is told that the primary health care provider (PHCP) 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 PHCP immediately. The nurse assisting to care for the client should take which appropriate nursing intervention? - ANSWER Offer to take the client to an examination room until he or she can be treated. 40. A client who has just received a diagnosis of asthma says to the nurse, "This condition is just another nail in my coffin." Which response by the nurse is therapeutic? - ANSWER "You seem very distressed over learning you have asthma." 41. The 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 despite the client's efforts, the neighbor died. Which action should the nurse take to enable the client to work through the meaning of the crisis? - ANSWER Inquiring about the client's feelings that may affect coping 42. Milieu therapy is prescribed for a client on the psychiatric unit. The nurse knows that besides overcrowding on the unit, milieu characteristics conducive to violence include which factors? Select all that apply. - ANSWER Poor limit setting Staff inexperience Provocative or controlling staff Arbitrary revocation of privileges 43. The nurse is caring for a client diagnosed with somatic symptom disorder who continuously complains of a severe headache. Which interventions are most appropriate when planning care for this client? - ANSWER Shift the focus from the client's somatic concerns to feelings and coping skills. 44. During a group meeting, a client diagnosed with posttraumatic stress disorder (PTSD) verbalizes difficulty with maintaining realistic behavior. Which response by the nurse would be therapeutic? - ANSWER "I can see that you are upset about this. Let's talk about this some more." 45. The nurse is monitoring a client who is in seclusion. Which statement would indicate that the client is safe to come out of seclusion? - ANSWER "I don't feel like hurting myself anymore." 46. The nurse is assisting with creating a plan of care for the client in a crisis state. When developing the plan, the nurse should consider which about a crisis response? - ANSWER A client's response to a crisis is individualized, and what constitutes a crisis for one person may not constitute a crisis for another person. 47. The nurse is monitoring a client with a history of opioid abuse for signs/symptoms of withdrawal. The nurse monitors this client for which signs/symptoms associated with opioid withdrawal? - ANSWER Depression, high drug craving, fatigue with altered sleep (insomnia or hypersomnia), agitation, and paranoia 48. The nurse is assisting in conducting a group therapy session and a client with a manic disorder is monopolizing the group. The appropriate nursing action is which? - ANSWER Suggest that the client stop talking and try listening to others. 49. The nursing instructor is helping students learn about bioethics, which is the study of specific ethical questions that arise in health care. The instructor reviews with the students which basic principles of bioethics? Select all that apply. - ANSWER Autonomy: Respecting the rights of others to make their own decisions (e.g., acknowledging the client's right to refuse medication promotes autonomy) Beneficence: The duty to act to benefit or promote the good of others (e.g., spending extra time to help calm an extremely anxious client) Veracity: One's duty to communicate truthfully (e.g., describing the purpose and side effects of psychotropic medications in a truthful and non misleading way) Fidelity (nonmaleficence): Maintaining loyalty and commitment to the client and doing no wrong to the client (e.g., maintaining expertise in nursing skill through nursing education) Justice: The duty to distribute resources or care equally, regardless of personal attributes (e.g., an ICU nurse devotes equal attention to someone who has attempted suicide as to someone who suffered a brain aneurysm) 50. A client with delirium becomes agitated and confused at night. The best initial intervention by the nurse is which action? - ANSWER Use a night light and turn off the television. 51. The nurse employed in an emergency department is assisting in caring for an adult client who is a victim of family violence. The nurse reinforces which instruction to the victim in the discharge plan? - ANSWER Information regarding the location of shelters 52. The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister. The nurse reports this episode to the mental health therapist. Which should the nurse anticipate the therapist to do? Select all that apply. - ANSWER Identify the specific person being threatened. Take appropriate action to protect the identified victim. Assess and predict the client's danger of violence toward another. 53. The psychiatric nurse knows that a therapeutic nurse-client relationship includes which specific goals and functions? Select all that apply. - ANSWER Promoting self-care and independence Facilitating communication of distressing thoughts and feelings Helping clients examine self-defeating behaviors and test alternatives Assisting clients with problem solving to help facilitate activities of daily living 54. A manic client announces to everyone in the dayroom that a stripper is coming to perform that evening. When the psychiatric nurse's aide firmly states that the client's behavior is not appropriate, the manic client becomes verbally abusive and threatens physical violence to the nurse's aide. Based on the analysis of this situation, the nurse determines that the appropriate action should be which intervention? - ANSWER Escort the manic client to his or her room. 55. A client with a diagnosis of a recurrent major depression, exhibiting psychotic features, is admitted to the mental health unit. In an attempt to create a safe environment for the client, the nurse designs a plan of care that deals specifically with which aspect of the client's disorder? - ANSWER Altered thought processes 56. The nurse reviewing a client's diagnostic results recognizes that which is a possible positive indication for a diagnosis of schizophrenia? - ANSWER Atrophy of the lateral and/or third ventricles of the brain 57. The nurse should include which information in the medication teaching plan for a client diagnosed with schizophrenia? - ANSWER Coffee, tea, and soda consumption should be limited.