Saunders Mental Health & Psychiatric Pharmacology
Exam Prep | Comprehensive Q&A with Verified
Solutions & Rationales | 2025/2026 Updated Study
Guide – A+ Rated
The Nurse Assesses A Client With The Admitting Diagnosis Of Bipolar Affective Disorder, Mania. Which
Client Symptoms Require The Nurse's Immediate Action?
ANSWER: Nonstop Physical Activity And Poor Nutritional Intake
FEEDBACK: Mania Is A Mood Characterized By Excitement, Euphoria, Hyperactivity, Excessive Energy,
Decreased Need For Sleep, And Impaired Ability To Concentrate Or Complete A Single Train Of Thought.
The Client's Mood Is Predominantly Elevated, Expansive, Or Irritable. All Of The Options Reflect A
Client's Possible Symptoms. However, The Correct Option Clearly Presents A Problem That Compromises
Physiological Integrity And Needs To Be Addressed Immediately.
The Nurse Is Caring For A Client With Anorexia Nervosa. Which Behavior Is Characteristic Of This
Disorder And Reflects Anxiety Management?
ANSWER: Observing Rigid Rules And Regulations
FEEDBACK: Clients With Anorexia Nervosa Have The Desire To Please Others. Their Need To Be
Correct Or Perfect Interferes With Rational Decision-Making Processes. These Clients Are Moralistic.
Rules And Rituals Help These Clients Manage Their Anxiety.
A Client Experiencing A Great Deal Of Stress And Anxiety Is Being Taught To Use Self-Control Therapy.
Which Statement By The Client Indicates A Need For Further Teaching About The Therapy?
ANSWER: "This Form Of Therapy Provides A Negative Reinforcement When The Stimulus Is
Produced."
, FEEDBACK: Negative Reinforcement When The Stimulus Is Produced Is Descriptive Of Aversion
Therapy. Options 1, 2, And 3 Are Characteristics Of Self-Control Therapy.
The Nurse Is Caring For A Client Who Is At Risk For Suicide. What Is The Priority Nursing Action For This
Client?
ANSWER: Provide Authority, Action, And Assistance With Problem-Solving.
FEEDBACK: A Crisis Is An Acute, Time-Limited State Of Disequilibrium Resulting From Situational,
Developmental, Or Societal Sources Of Stress. A Person In This State Is Temporarily Unable To Cope With
Or Adapt To The Stressor By Using Previous Coping Mechanisms. The Person Who Intervenes In This
Situation (The Nurse) "Takes Over" (Authority) For The Client Who Is Not In Control And Devises A Plan
(Action) To Secure And Maintain The Client's Safety. When This Has Occurred, The Nurse Works
Collaboratively With The Client (Assistance) In Developing New Coping And Problem-Solving Strategies.
A Client Comes To The Emergency Department After An Assault And Is Extremely Agitated, Trembling,
And Hyperventilating. What Is The Priority Nursing Action For This Client?
ANSWER: Remain With The Client Until The Anxiety Decreases.
FEEDBACK: This Client Is In A Severe State Of Anxiety. When A Client Is In A Severe Or Panic State Of
Anxiety, It Is Crucial For The Nurse To Remain With The Client. The Client In A Severe State Of Anxiety
Would Be Unable To Learn Relaxation Techniques. Discussing The Assault At This Point Would Increase
The Client's Level Of Anxiety Further. Placing The Client In A Quiet Room Alone May Also Increase The
Anxiety Level.
The Nurse Is Creating A Plan Of Care For A Client Who Was Experiencing Anxiety After The Loss Of A
Job. The Client Is Now Verbalizing Concern Regarding The Ability To Meet Role Expectations And
Financial Obligations. What Is The Priority Nursing Problem For This Client?
ANSWER: Lack Of Ability To Cope Effectively
Exam Prep | Comprehensive Q&A with Verified
Solutions & Rationales | 2025/2026 Updated Study
Guide – A+ Rated
The Nurse Assesses A Client With The Admitting Diagnosis Of Bipolar Affective Disorder, Mania. Which
Client Symptoms Require The Nurse's Immediate Action?
ANSWER: Nonstop Physical Activity And Poor Nutritional Intake
FEEDBACK: Mania Is A Mood Characterized By Excitement, Euphoria, Hyperactivity, Excessive Energy,
Decreased Need For Sleep, And Impaired Ability To Concentrate Or Complete A Single Train Of Thought.
The Client's Mood Is Predominantly Elevated, Expansive, Or Irritable. All Of The Options Reflect A
Client's Possible Symptoms. However, The Correct Option Clearly Presents A Problem That Compromises
Physiological Integrity And Needs To Be Addressed Immediately.
The Nurse Is Caring For A Client With Anorexia Nervosa. Which Behavior Is Characteristic Of This
Disorder And Reflects Anxiety Management?
ANSWER: Observing Rigid Rules And Regulations
FEEDBACK: Clients With Anorexia Nervosa Have The Desire To Please Others. Their Need To Be
Correct Or Perfect Interferes With Rational Decision-Making Processes. These Clients Are Moralistic.
Rules And Rituals Help These Clients Manage Their Anxiety.
A Client Experiencing A Great Deal Of Stress And Anxiety Is Being Taught To Use Self-Control Therapy.
Which Statement By The Client Indicates A Need For Further Teaching About The Therapy?
ANSWER: "This Form Of Therapy Provides A Negative Reinforcement When The Stimulus Is
Produced."
, FEEDBACK: Negative Reinforcement When The Stimulus Is Produced Is Descriptive Of Aversion
Therapy. Options 1, 2, And 3 Are Characteristics Of Self-Control Therapy.
The Nurse Is Caring For A Client Who Is At Risk For Suicide. What Is The Priority Nursing Action For This
Client?
ANSWER: Provide Authority, Action, And Assistance With Problem-Solving.
FEEDBACK: A Crisis Is An Acute, Time-Limited State Of Disequilibrium Resulting From Situational,
Developmental, Or Societal Sources Of Stress. A Person In This State Is Temporarily Unable To Cope With
Or Adapt To The Stressor By Using Previous Coping Mechanisms. The Person Who Intervenes In This
Situation (The Nurse) "Takes Over" (Authority) For The Client Who Is Not In Control And Devises A Plan
(Action) To Secure And Maintain The Client's Safety. When This Has Occurred, The Nurse Works
Collaboratively With The Client (Assistance) In Developing New Coping And Problem-Solving Strategies.
A Client Comes To The Emergency Department After An Assault And Is Extremely Agitated, Trembling,
And Hyperventilating. What Is The Priority Nursing Action For This Client?
ANSWER: Remain With The Client Until The Anxiety Decreases.
FEEDBACK: This Client Is In A Severe State Of Anxiety. When A Client Is In A Severe Or Panic State Of
Anxiety, It Is Crucial For The Nurse To Remain With The Client. The Client In A Severe State Of Anxiety
Would Be Unable To Learn Relaxation Techniques. Discussing The Assault At This Point Would Increase
The Client's Level Of Anxiety Further. Placing The Client In A Quiet Room Alone May Also Increase The
Anxiety Level.
The Nurse Is Creating A Plan Of Care For A Client Who Was Experiencing Anxiety After The Loss Of A
Job. The Client Is Now Verbalizing Concern Regarding The Ability To Meet Role Expectations And
Financial Obligations. What Is The Priority Nursing Problem For This Client?
ANSWER: Lack Of Ability To Cope Effectively
