SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS.
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? - ANSWER 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that the client is withdrawn, confused, and at times physically immobile. Which interpretation should
the nurse make of these behaviors? - ANSWER 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? - ANSWER 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? -
ANSWER What do you find difficult about this situation?
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? - ANSWER 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? - ANSWER The client gives away a DVD and a cherished autographed picture of the
performer.
,SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
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? -
ANSWER "I can call my therapist when I'm hallucinating so I can talk about my feelings and plans and not
hurt anyone."
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? - ANSWER 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? - ANSWER "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? - ANSWER "Our
relationship is a therapeutic and a helping one."
The nurse is working with an older client who has a diagnosis of depression. To work most effectively
with this client, the nurse recalls that which information is accurate regarding depression and the older
client? Select all that apply. - ANSWER -Suicide is a frequent cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
The nurse is assisting with the data collection on a client admitted to the psychiatric unit. After review of
the obtained data, the nurse should identify which as a priority concern? - ANSWER The client's report
of self-destructive thoughts
, SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
The nurse is assessing a newly admitted client recently diagnosed with depression. Which data best
supports that the client is at risk for self-harm? - ANSWER reported hopelessness
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."
A client with a phobia will be treated for the condition using a behavior modification technique known
as systematic desensitization. The nurse describes the components of this form of therapy to the client
and reinforces which client instruction? - ANSWER The client will be introduced to short periods of
exposure to the phobic object while in a relaxed state.
A client with depression who has attempted suicide says to the nurse, "I should have died. I've always
been a failure. Nothing ever goes right for me." The nurse should make which therapeutic response to
the client? - ANSWER "You've been feeling like a failure for a while?"
The registered nurse has written an outcome statement of, "Client will feel less anxious by the end of
session," for a client with generalized anxiety disorder. Which interventions should the licensed practical
nurse use to assist this client in meeting this goal? Select all that apply. - ANSWER -Stay with the client
-Administer anxiolytics medications
-Ensure the client is in an environment...
The parents of a teenager diagnosed with anorexia nervosa ask the nurse what part they can play during
the long recovery period. The nurse accurately relates that which actions should the parents take? -
ANSWER Planning a non-food related activity
An adolescent client is admitted to the inpatient unit after medical stabilization for an overdose of
acetaminophen. The history identifies that her boyfriend broke up with her 2 weeks ago and that she
hasn't been eating well, resulting in a loss of 15 pounds. The nurse assists in developing a plan of care
that includes which interventions? Select all that apply. - ANSWER -Making
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS.
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? - ANSWER 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 physically immobile. Which interpretation should
the nurse make of these behaviors? - ANSWER 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? - ANSWER 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? -
ANSWER What do you find difficult about this situation?
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? - ANSWER 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? - ANSWER The client gives away a DVD and a cherished autographed picture of the
performer.
,SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
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? -
ANSWER "I can call my therapist when I'm hallucinating so I can talk about my feelings and plans and not
hurt anyone."
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? - ANSWER 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? - ANSWER "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? - ANSWER "Our
relationship is a therapeutic and a helping one."
The nurse is working with an older client who has a diagnosis of depression. To work most effectively
with this client, the nurse recalls that which information is accurate regarding depression and the older
client? Select all that apply. - ANSWER -Suicide is a frequent cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
The nurse is assisting with the data collection on a client admitted to the psychiatric unit. After review of
the obtained data, the nurse should identify which as a priority concern? - ANSWER The client's report
of self-destructive thoughts
, SAUNDERS PN MENTAL HEALTH NGN FORMAT
NEWEST 2025 ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
The nurse is assessing a newly admitted client recently diagnosed with depression. Which data best
supports that the client is at risk for self-harm? - ANSWER reported hopelessness
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."
A client with a phobia will be treated for the condition using a behavior modification technique known
as systematic desensitization. The nurse describes the components of this form of therapy to the client
and reinforces which client instruction? - ANSWER The client will be introduced to short periods of
exposure to the phobic object while in a relaxed state.
A client with depression who has attempted suicide says to the nurse, "I should have died. I've always
been a failure. Nothing ever goes right for me." The nurse should make which therapeutic response to
the client? - ANSWER "You've been feeling like a failure for a while?"
The registered nurse has written an outcome statement of, "Client will feel less anxious by the end of
session," for a client with generalized anxiety disorder. Which interventions should the licensed practical
nurse use to assist this client in meeting this goal? Select all that apply. - ANSWER -Stay with the client
-Administer anxiolytics medications
-Ensure the client is in an environment...
The parents of a teenager diagnosed with anorexia nervosa ask the nurse what part they can play during
the long recovery period. The nurse accurately relates that which actions should the parents take? -
ANSWER Planning a non-food related activity
An adolescent client is admitted to the inpatient unit after medical stabilization for an overdose of
acetaminophen. The history identifies that her boyfriend broke up with her 2 weeks ago and that she
hasn't been eating well, resulting in a loss of 15 pounds. The nurse assists in developing a plan of care
that includes which interventions? Select all that apply. - ANSWER -Making
