SAUNDERS MENTAL HEALTH EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 - 2026
Immediately after an assault, the client is extremely agitated, trembling, and
hyperventilating. What is the appropriate initialnursing action? - ANSWERS-
Remain with the client until the anxiety decreases.
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? - ANSWERS-Is pacing while describing the
situation using a rapid speech pattern
A client arrives in the emergency department in a crisis state demonstrating
signs of profound anxiety. What should the initial nursing assessment focus
on? - ANSWERS-The client's physical condition
A clinic nurse is monitoring a client with anorexia nervosa. Which client
statement should indicate to the nurse that treatment has been effective? -
ANSWERS-My friends and I went out to lunch today."
,A client with a history of anxiety appears to be in the second phase of crisis
response. The nurse prepares for which client behavior? - ANSWERS-The
client will employ new coping methods that will resolve the problem.
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? - ANSWERS-"My boss tells me that I'm
being considered for a promotion and a raise."
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? - ANSWERS-Providing the clients with shelter,
clothing, and food
A client diagnosed with delirium becomes disoriented and confused at night.
Which intervention should the nurse implement initially? - ANSWERS-Use an
indirect light source and turn off the television.
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? - ANSWERS-Setting limits
on the client's behavior
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? - ANSWERS-Conversion
disorder
,Which nursing interventions are appropriate for a hospitalized client with
mania who is exhibiting manipulative behavior? Select all that apply. -
ANSWERS-- 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.
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? -
ANSWERS-"When I have command hallucinations, I'll call a friend and ask him
what I should do."
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? - ANSWERS-Sit
beside the client in silence with occasional open-ended questions.
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? - ANSWERS-Writing
Which interventions are most appropriate for caring for a client in alcohol
withdrawal? Select all that apply. - ANSWERS-- Monitor vital signs.
- Provide a safe environment.
, -Address hallucinations therapeutically.
- Provide reality orientation as appropriate.
A hospitalized client with a history of alcohol abuse tells the nurse, "I am
leaving now. I have to go. I don't want any more treatment. I have things that
I have to do right away." The client has not been discharged and is scheduled
for an important diagnostic test to be performed in 1 hour. After the nurse
discusses the client's concerns with the client, the client dresses and begins
to walk out of the hospital room. What action should the nurse take? -
ANSWERS-Call the nursing supervisor.
The nurse is preparing to perform an admission assessment on a client with a
diagnosis of bulimia nervosa. Which assessment findings should the nurse
expect to note? Select all that apply. - ANSWERS-- Loss of tooth enamel
-Electrolyte imbalances
- Dental decay
A client with a diagnosis of anorexia nervosa, who is in a state of starvation,
is in a 2-bed room. A newly admitted client will be assigned to this client's
room. Which client would be the best choice as a roommate for the client
with anorexia nervosa? - ANSWERS-A client undergoing diagnostic tests
rationale: The client undergoing diagnostic tests is an acceptable roommate.
The client with anorexia nervosa is most likely experiencing hematological
complications, such as leukopenia.
The nurse is monitoring a hospitalized client who abuses alcohol. Which
findings should alert the nurse to the potential for alcohol withdrawal
delirium? - ANSWERS-Hypertension, changes in level of consciousness,
hallucinations
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 - 2026
Immediately after an assault, the client is extremely agitated, trembling, and
hyperventilating. What is the appropriate initialnursing action? - ANSWERS-
Remain with the client until the anxiety decreases.
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? - ANSWERS-Is pacing while describing the
situation using a rapid speech pattern
A client arrives in the emergency department in a crisis state demonstrating
signs of profound anxiety. What should the initial nursing assessment focus
on? - ANSWERS-The client's physical condition
A clinic nurse is monitoring a client with anorexia nervosa. Which client
statement should indicate to the nurse that treatment has been effective? -
ANSWERS-My friends and I went out to lunch today."
,A client with a history of anxiety appears to be in the second phase of crisis
response. The nurse prepares for which client behavior? - ANSWERS-The
client will employ new coping methods that will resolve the problem.
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? - ANSWERS-"My boss tells me that I'm
being considered for a promotion and a raise."
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? - ANSWERS-Providing the clients with shelter,
clothing, and food
A client diagnosed with delirium becomes disoriented and confused at night.
Which intervention should the nurse implement initially? - ANSWERS-Use an
indirect light source and turn off the television.
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? - ANSWERS-Setting limits
on the client's behavior
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? - ANSWERS-Conversion
disorder
,Which nursing interventions are appropriate for a hospitalized client with
mania who is exhibiting manipulative behavior? Select all that apply. -
ANSWERS-- 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.
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? -
ANSWERS-"When I have command hallucinations, I'll call a friend and ask him
what I should do."
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? - ANSWERS-Sit
beside the client in silence with occasional open-ended questions.
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? - ANSWERS-Writing
Which interventions are most appropriate for caring for a client in alcohol
withdrawal? Select all that apply. - ANSWERS-- Monitor vital signs.
- Provide a safe environment.
, -Address hallucinations therapeutically.
- Provide reality orientation as appropriate.
A hospitalized client with a history of alcohol abuse tells the nurse, "I am
leaving now. I have to go. I don't want any more treatment. I have things that
I have to do right away." The client has not been discharged and is scheduled
for an important diagnostic test to be performed in 1 hour. After the nurse
discusses the client's concerns with the client, the client dresses and begins
to walk out of the hospital room. What action should the nurse take? -
ANSWERS-Call the nursing supervisor.
The nurse is preparing to perform an admission assessment on a client with a
diagnosis of bulimia nervosa. Which assessment findings should the nurse
expect to note? Select all that apply. - ANSWERS-- Loss of tooth enamel
-Electrolyte imbalances
- Dental decay
A client with a diagnosis of anorexia nervosa, who is in a state of starvation,
is in a 2-bed room. A newly admitted client will be assigned to this client's
room. Which client would be the best choice as a roommate for the client
with anorexia nervosa? - ANSWERS-A client undergoing diagnostic tests
rationale: The client undergoing diagnostic tests is an acceptable roommate.
The client with anorexia nervosa is most likely experiencing hematological
complications, such as leukopenia.
The nurse is monitoring a hospitalized client who abuses alcohol. Which
findings should alert the nurse to the potential for alcohol withdrawal
delirium? - ANSWERS-Hypertension, changes in level of consciousness,
hallucinations
