HERZING UNIVERSITY MENTAL HEALTH
FINAL EXAM 2025/2026 WITH 100%
ACCURATE ANSWERS
1. A practical nurse in a community mental health clinic is in the midst of a
counselling session with Mr. Olan. Ms. Isabelle approaches the practical
nurse and asks to speak with her. How should the practical nurse
respond to this situation.?
"What can I help you with, Ms. Isabelle?"
"Ms. Isabelle, you should not interrupt Mr. Olan and me."
"Excuse me, Mr. Olan, I need to speak with Ms. Isabelle."
Ms. Isabelle, I am with Mr. Olan until 10. I will see you directly
afterward."
2. What is the recommended initial response of a nurse when a patient
begins to shout and scream in a psychiatric setting?
Stay quietly with the patient
Distract her by offering her finger foods.
Ignore the client's acting out behavior.
Tell her that she is out of control.
3. Which action is considered a violation of patient rights in a psychiatric
setting?
Opened a package mailed to the patient in their presence
Permitted a patient with psychosis to refuse oral psychotropic
medication
, Remained within arm's length of a patient with homicidal ideation
Prohibited a patient from using the telephone
4. Describe why holding a parent's hand while walking is a significant
, behavior in assessing treatment effectiveness for a child with autism
spectrum disorder.
Holding a parent's hand while walking shows the child is
dependent.
Holding a parent's hand while walking indicates improved
social interaction and trust.
Holding a parent's hand while walking means the child is not
engaging with their environment.
Holding a parent's hand while walking suggests the child is
anxious.
5. If the nurse successfully de-escalates the situation with the agitated
client, what should be the next step in the nursing care plan?
Reassess the need for seclusion as a precaution.
Assess the client's needs and discuss feelings to develop a
therapeutic plan.
Immediately administer the PRN medication once the client is
calm.
Document the incident and monitor the client from a distance.
6. What is the first action a nurse should take when a voluntarily admitted
patient with an anxiety disorder demands to be released?
Attempt to persuade the patient to stay for only a few more
days.
Tell the patient that leaving would likely result in an involuntary
commitment.
Contact the patient's health care provider (HCP).
Call the patient's family to arrange for transportation.
, 7. If a patient diagnosed with PTSD is experiencing increased anxiety and
avoidance behaviors, what nursing intervention would be most
appropriate?
Suggesting the patient forget about the traumatic event.
Encouraging the patient to avoid triggers completely.
Implementing therapeutic communication techniques to
explore feelings.
Administering medication without further assessment.
8. If the client continues to report feelings of sadness and sleep
deprivation after 24 hours, what should the nurse's next step be in the
treatment plan?
Immediately refer the client to a psychiatrist for medication.
Schedule the client for daily group therapy sessions.
Reassess the client's mental status and adjust the treatment
plan accordingly.
Focus solely on encouraging the client to express feelings.
9. What is the purpose of therapeutic communication in nursing?
To enforce hospital policies.
To provide medical diagnoses.
To document patient behavior.
To facilitate understanding and support between the nurse and
the patient.
10. During a daily community meeting, a client with bipolar disorder, manic
type, begins pacing around the room and speaking rapidly in a loud
voice. Which nursing intervention is most appropriate?
FINAL EXAM 2025/2026 WITH 100%
ACCURATE ANSWERS
1. A practical nurse in a community mental health clinic is in the midst of a
counselling session with Mr. Olan. Ms. Isabelle approaches the practical
nurse and asks to speak with her. How should the practical nurse
respond to this situation.?
"What can I help you with, Ms. Isabelle?"
"Ms. Isabelle, you should not interrupt Mr. Olan and me."
"Excuse me, Mr. Olan, I need to speak with Ms. Isabelle."
Ms. Isabelle, I am with Mr. Olan until 10. I will see you directly
afterward."
2. What is the recommended initial response of a nurse when a patient
begins to shout and scream in a psychiatric setting?
Stay quietly with the patient
Distract her by offering her finger foods.
Ignore the client's acting out behavior.
Tell her that she is out of control.
3. Which action is considered a violation of patient rights in a psychiatric
setting?
Opened a package mailed to the patient in their presence
Permitted a patient with psychosis to refuse oral psychotropic
medication
, Remained within arm's length of a patient with homicidal ideation
Prohibited a patient from using the telephone
4. Describe why holding a parent's hand while walking is a significant
, behavior in assessing treatment effectiveness for a child with autism
spectrum disorder.
Holding a parent's hand while walking shows the child is
dependent.
Holding a parent's hand while walking indicates improved
social interaction and trust.
Holding a parent's hand while walking means the child is not
engaging with their environment.
Holding a parent's hand while walking suggests the child is
anxious.
5. If the nurse successfully de-escalates the situation with the agitated
client, what should be the next step in the nursing care plan?
Reassess the need for seclusion as a precaution.
Assess the client's needs and discuss feelings to develop a
therapeutic plan.
Immediately administer the PRN medication once the client is
calm.
Document the incident and monitor the client from a distance.
6. What is the first action a nurse should take when a voluntarily admitted
patient with an anxiety disorder demands to be released?
Attempt to persuade the patient to stay for only a few more
days.
Tell the patient that leaving would likely result in an involuntary
commitment.
Contact the patient's health care provider (HCP).
Call the patient's family to arrange for transportation.
, 7. If a patient diagnosed with PTSD is experiencing increased anxiety and
avoidance behaviors, what nursing intervention would be most
appropriate?
Suggesting the patient forget about the traumatic event.
Encouraging the patient to avoid triggers completely.
Implementing therapeutic communication techniques to
explore feelings.
Administering medication without further assessment.
8. If the client continues to report feelings of sadness and sleep
deprivation after 24 hours, what should the nurse's next step be in the
treatment plan?
Immediately refer the client to a psychiatrist for medication.
Schedule the client for daily group therapy sessions.
Reassess the client's mental status and adjust the treatment
plan accordingly.
Focus solely on encouraging the client to express feelings.
9. What is the purpose of therapeutic communication in nursing?
To enforce hospital policies.
To provide medical diagnoses.
To document patient behavior.
To facilitate understanding and support between the nurse and
the patient.
10. During a daily community meeting, a client with bipolar disorder, manic
type, begins pacing around the room and speaking rapidly in a loud
voice. Which nursing intervention is most appropriate?
