BANK NEWEST 2025 ACTUAL EXAM
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
AHmaleHclientHwithHbipolarHdisorderHwhoHbeganHtakingHlithiumHcarbonateHfiveHdaysHagoHisHcompla
iningHofHexcessiveHthirst,HandHtheHRNHfindsHhimHattemptingHtoHdrinkHwaterHfromHtheHbathroomHsin
kHfaucet.HWhichHinterventionHshouldHtheHRNHimplement?
A.HReportHtheHclient'sHserumHlithiumHlevelHtoHtheHHCP.
B.HEncourageHtheHclientHtoHsuckHonHhardHcandyHtoHrelieveHtheHsymptoms.
C.HNoHactionHisHneededHsinceHpolydipsiaHisHaHcommonHsideHeffect.
D.HTellHtheHclientHthatHdrinkingHfromHtheHfaucetHisHnotHallowed.H-HCORRECTHANSWER-
A.HReportHtheHclient'sHserumHlithiumHlevelHtoHtheHHCP.
AHmentalHhealthHworkerHisHcaringHforHaHclientHwithHescalatingHaggressiveHbehavior.HWhichHactionH
byHtheHMHWHwarrantHimmediateHinterventionHbyHtheHRN?
A.HIsHattemptingHtoHphysicallyHrestrainHtheHpatient.
B.HTellsHtheHclientHtoHgoHtoHtheHquietHareaHofHtheHunit.
C.HIsHusingHaHloudHvoiceHtoHtalkHtoHtheHclient.
D.HRemainsHatHaHdistanceHofH4HfeetHfromHtheHclient.H-HCORRECTHANSWER-
A.HIsHattemptingHtoHphysicallyHrestrainHtheHpatient.
AHclientHisHadmittedHtoHtheHmentalHhealthHunitHandHreportsHtakingHextraHantianxietyHmedicationHb
ecause,H"I'mHsoHstressedHout.HIHjustHwantHtoHgoHtoHsleep."HTheHRNHshouldHplanHone-on-
oneHobservationHofHtheHclientHbasedHonHwhichHstatement?
A.H"WhatHshouldHIHdo?HNothingHseemsHtoHhelp."
B.H"IHhaveHbeenHsoHtiredHlatelyHandHneededHtoHsleep."
C.H"IHreallyHthinkHthatHIHdon'tHneedHtoHbeHhere."
,D.H"IHdon'tHwantHtoHwalk.HNothingHmattersHanymore."H-HCORRECTHANSWER-
D.H"IHdon'tHwantHtoHwalk.HNothingHmattersHanymore."
TheHRNHisHperformingHintakeHinterviewsHatHaHpsychiatricHclinic.HAHfemaleHclientHwithHaHknownHhist
oryHofHdrugHabuseHreportsHthatHsheHhadHaHheartHattackHfourHyearsHago.HUseofHwhichHsubstanceHpl
acesHtheHclientHatHhighestHriskHforHmyocardialHinfarction?
A.HBenzodiazepine
B.HAlcohol
C.HMethamphetamine
D.HMarijuanaH-HCORRECTHANSWER-C.HMethamphetamine
AHmaleHclientHcomesHtoHtheHemergencyHcenterHbecauseHheHhasHanHerectionHthatHwillHnotHresolve.H
TheHclientHreportsHthatHheHisHtakingHtrazodoneH(Desyrel)HforHinsomnia.HWhichHinformationHisHmos
tHimportantHforHtheHnurseHaskHtheHclient?
A.HWhenHwasHtheHlastHtimeHyouHdrankHalcoholicHbeverage?
B.HHaveHyouHtakenHanyHmedicationsHforHerectileHdysfunction?
C.HAreHyouHhavingHanyHotherHsexualHdysfunctionsHorHproblems?
D.HDoHyouHhaveHaHhistoryHofHanginaHorHhighHbloodHpressure?H-HCORRECTHANSWER-
B.HHaveHyouHtakenHanyHmedicationsHforHerectileHdysfunction?
AHfemaleHclientHadmittedHtoHtheHmentalHhealthHunitHstartsHtoHshoutHandHscreamHatHtheHRN.HWhatH
isHtheHbestHapproachHforHtheHRNHtoHtake?
A.HStayHquietlyHwithHtheHpatient
B.HTellHherHthatHsheHisHoutHofHcontrol.
C.HDistractHherHbyHofferingHherHfingerHfoods.
D.HIgnoreHtheHclient'sHactingHoutHbehavior.H-HCORRECTHANSWER-A.HStayHquietlyHwithHtheHpatient
WhenHdevelopingHaHplanHofHcareHforHaHclientHadmittedHtoHtheHpsychiatricHunitHfollowingHaspiratio
nHofHaHcausticHmaterialHrelatedHtoHaHsuicideHattempt,HwhichHnursingHproblemHhasHtheHhighestHprio
rity?
A.HImpairedHcomfort.
B.HRiskHforHinjury.
C.HIneffectiveHbreathingHpattern.
,D.HIneffectiveHcoping.H-HCORRECTHANSWER-C.HIneffectiveHbreathingHpattern.
AHfemaleHclientHonHaHpsychiatricHunitHisHsweatingHprofuselyHwhileHsheHvigorouslyHdoesHpush-
upsHandHthenHrunsHtheHlengthHofHtheHcorridorHseveralHtimesHbeforeHcrashingHintoHfurnitureHinHtheH
sittingHroom.HPickingHherselfHup,HsheHbeginsHtoHtossHchairsHaside,HlookingHforHaHredHoneHtoHsitHin.H
WhenHanotherHclientHobjectsHtoHtheHdisturbance,HtheHclientHshouts,H"IHamHtheHbossHhere.HIHdoHwh
atHIHwant."HWhichHnursingHproblemHbestHsupportsHtheseHobservations?
A.HDeficientHdiversionalHactivityHrelatedHtoHexcessHenergyHlevel.
B.HRiskHforHotherHrelatedHviolenceHrelatedHtoHdisruptiveHbehavior.
C.HRiskHforHactivityHintoleranceHrelatedHtoHhyperactivity.
D.HDisturbedHpersonalHidentityHrelatedHtoHgrandiosity.H-HCORRECTHANSWER-
B.HRiskHforHotherHrelatedHviolenceHrelatedHtoHdisruptiveHbehavior.
AHRNHisHpreparingHtheHphysicalHenvironmentHtoHinterviewHaHnewHclientHforHadmissionHtoHtheHment
alHhealthHunit.HWhichHenvironmentalHsettingHfacilitatesHtheHbestHoutcomeHofHtheHinterview?
A.HDimHtheHlightsHinHtheHroomHtoHhelpHtheHpatientHfeelHcalm.
B.HSitHwithinHtwoHfeetHofHtheHclientHtoHenhanceHlevelHofHsafetyHandHsecurity.
C.HReduceHtheHnoiseHlevelHinHtheHroomHbyHturningHoffHtheHtelevisionHandHradio.
D.HPositionHtableHbetweenHtheHclientHandHtheHRNHforHextraHpersonalHspace.H-HCORRECTHANSWER-
C.HReduceHtheHnoiseHlevelHinHtheHroomHbyHturningHoffHtheHtelevisionHandHradio.
TheHRNHisHprovidingHeducationHaboutHstrategiesHforHaHsafetyHplanHforHaHfemaleHclientHwhoHisHaHvict
imHofHintimateHpartnerHviolence.HWhichHstrategiesHshouldHbeHincludedHinHtheHsafetyHplan?H(Select
HallHthatHapply)
A.HPurchaseHaHgunHtoHuseHforHprotection.
B.HEstablishHaHcodeHwithHfamilyHandHfriendsHtoHsignifyHviolence.
C.HTakeHaHself-defenseHcourseHthatHretaliatesHtheHabuserHwithHinjury.H
D.HHaveHaHbagHreadyHthatHhasHextraHclothesHforHselfHandHchildren.
E.HPlanHanHescapeHrouteHtoHuseHifHtheHabuserHblocksHtheHmainHexit.H-HCORRECTHANSWER-
B.HEstablishHaHcodeHwithHfamilyHandHfriendsHtoHsignifyHviolence.
D.HHaveHaHbagHreadyHthatHhasHextraHclothesHforHselfHandHchildren.
E.HPlanHanHescapeHrouteHtoHuseHifHtheHabuserHblocksHtheHmainHexit.
, TheHRNHisHadmittingHaHmaleHclientHwhoHtakesHlithiumHcarbonateH(Eskalith)HtwiceHaHday.HWhichHinf
ormationHshouldHtheHRNHreportHtoHtheHHCPHimmediately?
A.HShortHtermHmemoryHloss.
B.HFiveHpoundHweightHgain
C.HDecreasedHaffect.
D.HNauseaHandHvomiting.H-HCORRECTHANSWER-D.HNauseaHandHvomiting.
AHhomelessHclientHwhoHreportsHfeelingHsadHandHdepressedHtellsHtheHmentalHhealthHnurseHthatHinHt
heHpastH2HdaysHsheHhasHonlyHhadH4HhoursHofHsleep.HWhichHactionHisHmostHimportantHforHtheHRNHto
HimplementHwithinHtheHfirstH24HhoursHafterHtreatmentHisHinitiated?
A.HAllowHtheHclientHtoHrestHandHsleep.
B.HEnsureHclientHattendHgroupsHaddressingHcopingHskillsHforHdealingHwithHdepression.
C.HBeginHplanningHforHtheHclientsHdischarge.
D.HEncourageHverbalizationHofHfeelings.H-HCORRECTHANSWER-
A.HAllowHtheHclientHtoHrestHandHsleep.
AHRNHisHteachingHaHclientHaboutHinitiationHofHaHprescribedHabstinenceHtherapyHusingHDisulfiramH(A
ntabuse).HWhatHinformationHshouldHtheHclientHacknowledgeHunderstanding?
A.HAdmitHtoHothersHthatHheHisHaHsubstanceHabuser.
B.HRemainHalcoholHfreeHforH12HhoursHpriorHtoHfirstHdose.
C.HAttendHmonthlyHmeetingsHofHalcoholicsHanonymous.
D.HCompletelyHsustainHfromHheroinHorHcocaineHuse.H-HCORRECTHANSWER-
B.HRemainHalcoholHfreeHforH12HhoursHpriorHtoHfirstHdose.
WhichHclientHstatementHsuggestsHtheHRNHthatHtheHclientHisHusingHaHdefenseHmechanismHofHproject
ionHtoHdealHwithHanxietyHrelatedHtoHadmissionHtoHaHpsychiatricunit?
A.HAtHleastHIHhitHtheHwallHinsteadHofHhittingHtheHpsychiatricHaide.
B.HIHamHhereHbecauseHtheHpoliceHthoughtHIHwasHdoingHsomethingHwrong.H
C.HIHwantHtoHbeHhereHbecauseHIHknowHitHisHtheHbestHpsychiatricHfacility.H
D.HDon'tHbelieveHeverythingHmyHfamilyHtellsHyou,HIHamHnotHcrazy.H-HCORRECTHANSWER-
B.HIHamHhereHbecauseHtheHpoliceHthoughtHIHwasHdoingHsomethingHwrong.