HESImRNmMENTALmHEALTHmEXITmEXAMmACTUALmEXA
MmTESTmBANKm3mNEWESTmVERSIONSmINmONEmDOCU
MENTmEXAMm2025-
2026mLATESTmQUESTIONSmANDmCORRECTmANSWER
ThemRNmismadmittingmammalemclientmwhomtakesmlithiummcarbonatem(Eskalith)mtwicem
amday.mWhichminformationmshouldmthemRNmreportmtomthemHCPmimmediately?
A. Shortmtermmmemorymloss.
B. Fivempoundmweightmgain
C. Decreasedmaffect.
D. Nauseamandmvomiting.m-manswer>>>D.mNauseamandmvomiting.
ThemRNmismperformingmintakeminterviewsmatmampsychiatricmclinic.mAmfemalemclientmw
ithmamknownmhistorymofmdrugmabusemreportsmthatmshemhadmamheartmattackmfourmye
arsmago.mUseofmwhichmsubstancemplacesmthemclientmatmhighestmriskmformmyocardialm
infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuanam-manswer>>>C.mMethamphetamine
Ammalemclientmwithmbipolarmdisordermwhombeganmtakingmlithiummcarbonatemfivemda
ysmagomismcomplainingmofmexcessivemthirst,mandmthemRNmfindsmhimmattemptingmtomd
rinkmwatermfrommthembathroommsinkmfaucet.mWhichminterventionmshouldmthemRNmi
mplement?
A. Reportmthemclient'smserummlithiummlevelmtomthemHCP.
B. Encouragemthemclientmtomsuckmonmhardmcandymtomrelievemthemsymptoms.
C. Nomactionmismneededmsincempolydipsiamismamcommonmsidemeffect.
D. Tellmthemclientmthatmdrinkingmfrommthemfaucetmismnotmallowed.m-
manswer>>>A.mReportmthemclient'smserummlithiummlevelmtomthemHCP.
,Ammentalmhealthmworkermismcaringmformamclientmwithmescalatingmaggressivembehavior
.mWhichmactionmbymthemMHWmwarrantmimmediateminterventionmbymthemRN?
A. Ismattemptingmtomphysicallymrestrainmthempatient.
B. Tellsmthemclientmtomgomtomthemquietmareamofmthemunit.
C. Ismusingmamloudmvoicemtomtalkmtomthemclient.
D. Remainsmatmamdistancemofm4mfeetmfrommthemclient.m-
manswer>>>A.mIsmattemptingmtomphysicallymrestrainmthempatient.
Amclientmismadmittedmtomthemmentalmhealthmunitmandmreportsmtakingmextramantianxi
etymmedicationmbecause,m"I'mmsomstressedmout.mImjustmwantmtomgomtomsleep."mThem
RNmshouldmplanmone-on-
onemobservationmofmthemclientmbasedmonmwhichmstatement?
A. "WhatmshouldmImdo?mNothingmseemsmtomhelp."
B. "Imhavembeenmsomtiredmlatelymandmneededmtomsleep."
C. "ImreallymthinkmthatmImdon'tmneedmtombemhere."
D. "Imdon'tmwantmtomwalk.mNothingmmattersmanymore."m-
manswer>>>D.m"Imdon'tmwantmtomwalk.mNothingmmattersmanymore."
Ammalemclientmcomesmtomthememergencymcentermbecausemhemhasmanmerectionmthatm
willmnotmresolve.mThemclientmreportsmthatmhemismtakingmtrazodonem(Desyrel)mformins
omnia.mWhichminformationmismmostmimportantmformthemnursemaskmthemclient?
A. Whenmwasmthemlastmtimemyoumdrankmalcoholicmbeverage?
B. Havemyoumtakenmanymmedicationsmformerectilemdysfunction?
C. Aremyoumhavingmanymothermsexualmdysfunctionsmormproblems?
D. Domyoumhavemamhistorymofmanginamormhighmbloodmpressure?m-
manswer>>>B.mHavemyoumtakenmanymmedicationsmformerectilemdysfunction?
Amfemalemclientmadmittedmtomthemmentalmhealthmunitmstartsmtomshoutmandmscreamm
atmthemRN.mWhatmismthembestmapproachmformthemRNmtomtake?
A. Staymquietlymwithmthempatient
,B. Tellmhermthatmshemismoutmofmcontrol.
C. Distractmhermbymofferingmhermfingermfoods.
D. Ignoremthemclient'smactingmoutmbehavior.m-
manswer>>>A.mStaymquietlymwithmthempatient
Whenmdevelopingmamplanmofmcaremformamclientmadmittedmtomthempsychiatricmunitmfo
llowingmaspirationmofmamcausticmmaterialmrelatedmtomamsuicidemattempt,mwhichmnursi
ngmproblemmhasmthemhighestmpriority?
A. Impairedmcomfort.
B. Riskmforminjury.
C. Ineffectivembreathingmpattern.
D. Ineffectivemcoping.m-manswer>>>C.mIneffectivembreathingmpattern.
Amfemalemclientmonmampsychiatricmunitmismsweatingmprofuselymwhilemshemvigorously
mdoesmpush-
upsmandmthenmrunsmthemlengthmofmthemcorridormseveralmtimesmbeforemcrashingmint
omfurnitureminmthemsittingmroom.mPickingmherselfmup,mshembeginsmtomtossmchairsmas
ide,mlookingmformamredmonemtomsitmin.mWhenmanothermclientmobjectsmtomthemdisturb
ance,mthemclientmshouts,m"Imammthembossmhere.mImdomwhatmImwant."mWhichmnursin
gmproblemmbestmsupportsmthesemobservations?
A. Deficientmdiversionalmactivitymrelatedmtomexcessmenergymlevel.
B. Riskmformothermrelatedmviolencemrelatedmtomdisruptivembehavior.
C. Riskmformactivitymintolerancemrelatedmtomhyperactivity.
D. Disturbedmpersonalmidentitymrelatedmtomgrandiosity.m-
manswer>>>B.mRiskmformothermrelatedmviolencemrelatedmtomdisruptivembehavio
r.
AmRNmismpreparingmthemphysicalmenvironmentmtominterviewmamnewmclientmformadmis
sionmtomthemmentalmhealthmunit.mWhichmenvironmentalmsettingmfacilitatesmthembestm
outcomemofmtheminterview?
A. Dimmthemlightsminmthemroommtomhelpmthempatientmfeelmcalm.
B. Sitmwithinmtwomfeetmofmthemclientmtomenhancemlevelmofmsafetymandmsecurity.
C. Reducemthemnoisemlevelminmthemroommbymturningmoffmthemtelevisionmandmradio.
, D. PositionmtablembetweenmthemclientmandmthemRNmformextrampersonalmspace.m-
manswer>>>C.mReducemthemnoisemlevelminmthemroommbymturningmoffmthemtelevision
mandmradio.
ThemRNmismprovidingmeducationmaboutmstrategiesmformamsafetymplanmformamfemalem
clientmwhomismamvictimmofmintimatempartnermviolence.mWhichmstrategiesmshouldmbe
mincludedminmthemsafetymplan?m(Selectmallmthatmapply)
A. Purchasemamgunmtomusemformprotection.
B. Establishmamcodemwithmfamilymandmfriendsmtomsignifymviolence.
C. Takemamself-defensemcoursemthatmretaliatesmthemabusermwithminjury.
D. Havemambagmreadymthatmhasmextramclothesmformselfmandmchildren.
E. Planmanmescapemroutemtomusemifmthemabusermblocksmthemmainmexit.m-
manswer>>>B.mEstablishmamcodemwithmfamilymandmfriendsmtomsignifymviolence.
D.mHavemambagmreadymthatmhasmextramclothesmformselfmandmchildren.
E.mPlanmanmescapemroutemtomusemifmthemabusermblocksmthemmainmexit.
Amhomelessmclientmwhomreportsmfeelingmsadmandmdepressedmtellsmthemmentalmhealt
hmnursemthatminmthempastm2mdaysmshemhasmonlymhadm4mhoursmofmsleep.mWhichmacti
onmismmostmimportantmformthemRNmtomimplementmwithinmthemfirstm24mhoursmafterm
treatmentmisminitiated?
A.mAllowmthemclientmtomrestmandmsleep.
B.mEnsuremclientmattendmgroupsmaddressingmcopingmskillsmformdealingmwithmdepression.
C.mBeginmplanningmformthemclientsmdischarge.
D.mEncouragemverbalizationmofmfeelings.m-
manswer>>>A.mAllowmthemclientmtomrestmandmsleep.
AmRNmismteachingmamclientmaboutminitiationmofmamprescribedmabstinencemtherapymusi
ngmDisulfiramm(Antabuse).mWhatminformationmshouldmthemclientmacknowledgemunder
standing?
A.mAdmitmtomothersmthatmhemismamsubstancemabuser.
B.mRemainmalcoholmfreemform12mhoursmpriormtomfirstmdose.
C.mAttendmmonthlymmeetingsmofmalcoholicsmanonymous.
MmTESTmBANKm3mNEWESTmVERSIONSmINmONEmDOCU
MENTmEXAMm2025-
2026mLATESTmQUESTIONSmANDmCORRECTmANSWER
ThemRNmismadmittingmammalemclientmwhomtakesmlithiummcarbonatem(Eskalith)mtwicem
amday.mWhichminformationmshouldmthemRNmreportmtomthemHCPmimmediately?
A. Shortmtermmmemorymloss.
B. Fivempoundmweightmgain
C. Decreasedmaffect.
D. Nauseamandmvomiting.m-manswer>>>D.mNauseamandmvomiting.
ThemRNmismperformingmintakeminterviewsmatmampsychiatricmclinic.mAmfemalemclientmw
ithmamknownmhistorymofmdrugmabusemreportsmthatmshemhadmamheartmattackmfourmye
arsmago.mUseofmwhichmsubstancemplacesmthemclientmatmhighestmriskmformmyocardialm
infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuanam-manswer>>>C.mMethamphetamine
Ammalemclientmwithmbipolarmdisordermwhombeganmtakingmlithiummcarbonatemfivemda
ysmagomismcomplainingmofmexcessivemthirst,mandmthemRNmfindsmhimmattemptingmtomd
rinkmwatermfrommthembathroommsinkmfaucet.mWhichminterventionmshouldmthemRNmi
mplement?
A. Reportmthemclient'smserummlithiummlevelmtomthemHCP.
B. Encouragemthemclientmtomsuckmonmhardmcandymtomrelievemthemsymptoms.
C. Nomactionmismneededmsincempolydipsiamismamcommonmsidemeffect.
D. Tellmthemclientmthatmdrinkingmfrommthemfaucetmismnotmallowed.m-
manswer>>>A.mReportmthemclient'smserummlithiummlevelmtomthemHCP.
,Ammentalmhealthmworkermismcaringmformamclientmwithmescalatingmaggressivembehavior
.mWhichmactionmbymthemMHWmwarrantmimmediateminterventionmbymthemRN?
A. Ismattemptingmtomphysicallymrestrainmthempatient.
B. Tellsmthemclientmtomgomtomthemquietmareamofmthemunit.
C. Ismusingmamloudmvoicemtomtalkmtomthemclient.
D. Remainsmatmamdistancemofm4mfeetmfrommthemclient.m-
manswer>>>A.mIsmattemptingmtomphysicallymrestrainmthempatient.
Amclientmismadmittedmtomthemmentalmhealthmunitmandmreportsmtakingmextramantianxi
etymmedicationmbecause,m"I'mmsomstressedmout.mImjustmwantmtomgomtomsleep."mThem
RNmshouldmplanmone-on-
onemobservationmofmthemclientmbasedmonmwhichmstatement?
A. "WhatmshouldmImdo?mNothingmseemsmtomhelp."
B. "Imhavembeenmsomtiredmlatelymandmneededmtomsleep."
C. "ImreallymthinkmthatmImdon'tmneedmtombemhere."
D. "Imdon'tmwantmtomwalk.mNothingmmattersmanymore."m-
manswer>>>D.m"Imdon'tmwantmtomwalk.mNothingmmattersmanymore."
Ammalemclientmcomesmtomthememergencymcentermbecausemhemhasmanmerectionmthatm
willmnotmresolve.mThemclientmreportsmthatmhemismtakingmtrazodonem(Desyrel)mformins
omnia.mWhichminformationmismmostmimportantmformthemnursemaskmthemclient?
A. Whenmwasmthemlastmtimemyoumdrankmalcoholicmbeverage?
B. Havemyoumtakenmanymmedicationsmformerectilemdysfunction?
C. Aremyoumhavingmanymothermsexualmdysfunctionsmormproblems?
D. Domyoumhavemamhistorymofmanginamormhighmbloodmpressure?m-
manswer>>>B.mHavemyoumtakenmanymmedicationsmformerectilemdysfunction?
Amfemalemclientmadmittedmtomthemmentalmhealthmunitmstartsmtomshoutmandmscreamm
atmthemRN.mWhatmismthembestmapproachmformthemRNmtomtake?
A. Staymquietlymwithmthempatient
,B. Tellmhermthatmshemismoutmofmcontrol.
C. Distractmhermbymofferingmhermfingermfoods.
D. Ignoremthemclient'smactingmoutmbehavior.m-
manswer>>>A.mStaymquietlymwithmthempatient
Whenmdevelopingmamplanmofmcaremformamclientmadmittedmtomthempsychiatricmunitmfo
llowingmaspirationmofmamcausticmmaterialmrelatedmtomamsuicidemattempt,mwhichmnursi
ngmproblemmhasmthemhighestmpriority?
A. Impairedmcomfort.
B. Riskmforminjury.
C. Ineffectivembreathingmpattern.
D. Ineffectivemcoping.m-manswer>>>C.mIneffectivembreathingmpattern.
Amfemalemclientmonmampsychiatricmunitmismsweatingmprofuselymwhilemshemvigorously
mdoesmpush-
upsmandmthenmrunsmthemlengthmofmthemcorridormseveralmtimesmbeforemcrashingmint
omfurnitureminmthemsittingmroom.mPickingmherselfmup,mshembeginsmtomtossmchairsmas
ide,mlookingmformamredmonemtomsitmin.mWhenmanothermclientmobjectsmtomthemdisturb
ance,mthemclientmshouts,m"Imammthembossmhere.mImdomwhatmImwant."mWhichmnursin
gmproblemmbestmsupportsmthesemobservations?
A. Deficientmdiversionalmactivitymrelatedmtomexcessmenergymlevel.
B. Riskmformothermrelatedmviolencemrelatedmtomdisruptivembehavior.
C. Riskmformactivitymintolerancemrelatedmtomhyperactivity.
D. Disturbedmpersonalmidentitymrelatedmtomgrandiosity.m-
manswer>>>B.mRiskmformothermrelatedmviolencemrelatedmtomdisruptivembehavio
r.
AmRNmismpreparingmthemphysicalmenvironmentmtominterviewmamnewmclientmformadmis
sionmtomthemmentalmhealthmunit.mWhichmenvironmentalmsettingmfacilitatesmthembestm
outcomemofmtheminterview?
A. Dimmthemlightsminmthemroommtomhelpmthempatientmfeelmcalm.
B. Sitmwithinmtwomfeetmofmthemclientmtomenhancemlevelmofmsafetymandmsecurity.
C. Reducemthemnoisemlevelminmthemroommbymturningmoffmthemtelevisionmandmradio.
, D. PositionmtablembetweenmthemclientmandmthemRNmformextrampersonalmspace.m-
manswer>>>C.mReducemthemnoisemlevelminmthemroommbymturningmoffmthemtelevision
mandmradio.
ThemRNmismprovidingmeducationmaboutmstrategiesmformamsafetymplanmformamfemalem
clientmwhomismamvictimmofmintimatempartnermviolence.mWhichmstrategiesmshouldmbe
mincludedminmthemsafetymplan?m(Selectmallmthatmapply)
A. Purchasemamgunmtomusemformprotection.
B. Establishmamcodemwithmfamilymandmfriendsmtomsignifymviolence.
C. Takemamself-defensemcoursemthatmretaliatesmthemabusermwithminjury.
D. Havemambagmreadymthatmhasmextramclothesmformselfmandmchildren.
E. Planmanmescapemroutemtomusemifmthemabusermblocksmthemmainmexit.m-
manswer>>>B.mEstablishmamcodemwithmfamilymandmfriendsmtomsignifymviolence.
D.mHavemambagmreadymthatmhasmextramclothesmformselfmandmchildren.
E.mPlanmanmescapemroutemtomusemifmthemabusermblocksmthemmainmexit.
Amhomelessmclientmwhomreportsmfeelingmsadmandmdepressedmtellsmthemmentalmhealt
hmnursemthatminmthempastm2mdaysmshemhasmonlymhadm4mhoursmofmsleep.mWhichmacti
onmismmostmimportantmformthemRNmtomimplementmwithinmthemfirstm24mhoursmafterm
treatmentmisminitiated?
A.mAllowmthemclientmtomrestmandmsleep.
B.mEnsuremclientmattendmgroupsmaddressingmcopingmskillsmformdealingmwithmdepression.
C.mBeginmplanningmformthemclientsmdischarge.
D.mEncouragemverbalizationmofmfeelings.m-
manswer>>>A.mAllowmthemclientmtomrestmandmsleep.
AmRNmismteachingmamclientmaboutminitiationmofmamprescribedmabstinencemtherapymusi
ngmDisulfiramm(Antabuse).mWhatminformationmshouldmthemclientmacknowledgemunder
standing?
A.mAdmitmtomothersmthatmhemismamsubstancemabuser.
B.mRemainmalcoholmfreemform12mhoursmpriormtomfirstmdose.
C.mAttendmmonthlymmeetingsmofmalcoholicsmanonymous.
