— 200 Original Questions & Correct
Answers
1–50: Fundamentals of Mental Health Nursing
1. A nurse observes a client pacing rapidly and clenching fists. These behaviors indicate
which level of anxiety?
Answer: C. Severe anxiety
2. A client with depression reports difficulty sleeping. Which intervention is most
therapeutic?
Answer: B. Encourage consistent bedtime routines
3. A client states, “I feel like everyone is laughing at me.” This is an example of:
Answer: A. Ideas of reference
4. Priority action for a client experiencing a panic attack?
Answer: D. Stay with the client and speak calmly
5. A patient taking lithium reports diarrhea and tremors. This may indicate:
Answer: C. Lithium toxicity
6. Most important teaching for a client starting fluoxetine?
Answer: B. Report increased suicidal thoughts
7. A nurse notes a client with schizophrenia is responding to unseen stimuli. Best initial
response?
Answer: C. Ask what the voices are saying
8. A bipolar client in mania is running around the unit. What is the priority?
Answer: A. Reduce environmental stimuli
9. A patient with OCD states they cannot stop washing their hands. Best response?
Answer: D. “Let’s discuss what you are feeling when you have the urge to wash.”
, 10.A client experiencing alcohol withdrawal requires which medication first?
Answer: B. Lorazepam
11.A nurse suspects child abuse. First priority?
Answer: A. Ensure the child’s immediate safety
12.A therapeutic communication technique is:
Answer: C. Restating
13.A client states, “I can’t live like this anymore.” Priority nursing action:
Answer: D. Conduct suicide assessment
14.For a client with PTSD, the nurse anticipates which symptom?
Answer: B. Flashbacks
15.Best diet for a client taking MAOIs?
Answer: A. Low-tyramine foods
16.A child with ADHD is prescribed methylphenidate. The parent should monitor for:
Answer: C. Weight loss
17.A schizophrenic client has flat affect. This is considered a:
Answer: D. Negative symptom
18.First-line medication for acute alcohol withdrawal:
Answer: B. Benzodiazepines
19.Benzodiazepine long-term use risks:
Answer: A. Dependence
20.A nurse observes a client using defense mechanisms. Which is healthy?
Answer: C. Sublimation
21.Priority for a client who is angry and escalating:
Answer: A. Maintain a safe distance
22.A client on valproic acid needs which lab monitored?
Answer: D. Liver function tests
23.Best response to a grieving spouse:
Answer: B. “Tell me what you miss most about them.”