1
Saunders
Saunders Mental Health Exam | Questions &
Answers | Grade A| 100% Correct | NEW
(2025/ 2026)
The nurse is assigned to care for a client admitted to the hospital after sustaining an
injury from a house fire. The client attempted to save a neighbor involved in the fire, but
despite the client's efforts, the neighbor died. Which action should the nurse take to
enable the client to work through the meaning of the crisis?
1.
Identifying the client's ability to function
2.
Identifying the client's potential for self-harm
3.
Inquiring about the client's feelings that may affect coping
4.
Inquiring about the client's perception of the cause of the neighbor's death - ANS ✓3
The nurse is assisting with the data collection on a client admitted to the psychiatric
unit. After review of the obtained data, the nurse should identify which as a priority
concern?
1.
The client's report of not eating or sleeping
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2.
The presence of bruises on the client's body
3.
The client's report of self-destructive thoughts
4.
The family member is disapproving of the treatment. - ANS ✓3
Laboratory work is prescribed for a client who has been experiencing delusions. When
the laboratory technician approaches the client to obtain a specimen of the client's
blood, the client begins to shout, "You're all vampires. Let me out of here!" The nurse
present at the time should respond with which question or statement?
1.
"The technician is not going to hurt you but is going to help."
2.
"Are you fearful and think that others may want to hurt you?"
3.
"What makes you think that the technician wants to hurt you?"
4.
"The technician will leave and come back later for your blood." - ANS ✓2
An intoxicated client is brought to the emergency department by local police. The client
is told that the primary health care provider (PHCP) will be in to see the client in about
30 minutes. The client becomes very loud and offensive and wants to be seen by the
PHCP immediately. The nurse assisting to care for the client should take which
appropriate nursing intervention?
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Saunders
1.
Watch the behavior escalate before intervening.
2.
Attempt to talk with the client to de-escalate the behavior.
3.
Offer to take the client to an examination room until he or she can be treated.
4.
Inform the client that he or she will be asked to leave if the behavior continues. - ANS
✓3
A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client
is at the locked exit door and is shouting, "Let me out! There's nothing wrong with me! I
don't belong here!" The nurse identifies this behavior as which defense mechanism?
1.
Denial
2.
Projection
3.
Regression
4.
Rationalization - ANS ✓1
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, 4
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A client says to the nurse, "I'm going to die, and I wish my family would stop hoping for a
'cure'! I get so angry when they carry on like this! After all, I'm the one who's dying."
Which therapeutic response should the nurse make to the client?
1.
"Have you shared your feelings with your family?"
2.
"I think we should talk more about your anger with your family."
3.
"You're feeling angry that your family continues to hope for you to be 'cured'?"
4.
"Well, it sounds like you're being pretty pessimistic. After all, years ago people died of
pneumonia." - ANS ✓3
The nurse in a psychiatric unit is assigned to care for a client admitted to the unit 2 days
ago. During review of the client's record, the nurse notes that the admission was a
voluntary one. Based on this type of admission, which would the nurse expect to note?
1.
The client will be angry and will refuse care.
2.
The client will participate in the treatment plan.
3.
The client will be very resistant to treatment measures.
Saunders
Saunders
Saunders Mental Health Exam | Questions &
Answers | Grade A| 100% Correct | NEW
(2025/ 2026)
The nurse is assigned to care for a client admitted to the hospital after sustaining an
injury from a house fire. The client attempted to save a neighbor involved in the fire, but
despite the client's efforts, the neighbor died. Which action should the nurse take to
enable the client to work through the meaning of the crisis?
1.
Identifying the client's ability to function
2.
Identifying the client's potential for self-harm
3.
Inquiring about the client's feelings that may affect coping
4.
Inquiring about the client's perception of the cause of the neighbor's death - ANS ✓3
The nurse is assisting with the data collection on a client admitted to the psychiatric
unit. After review of the obtained data, the nurse should identify which as a priority
concern?
1.
The client's report of not eating or sleeping
Saunders
, 2
Saunders
2.
The presence of bruises on the client's body
3.
The client's report of self-destructive thoughts
4.
The family member is disapproving of the treatment. - ANS ✓3
Laboratory work is prescribed for a client who has been experiencing delusions. When
the laboratory technician approaches the client to obtain a specimen of the client's
blood, the client begins to shout, "You're all vampires. Let me out of here!" The nurse
present at the time should respond with which question or statement?
1.
"The technician is not going to hurt you but is going to help."
2.
"Are you fearful and think that others may want to hurt you?"
3.
"What makes you think that the technician wants to hurt you?"
4.
"The technician will leave and come back later for your blood." - ANS ✓2
An intoxicated client is brought to the emergency department by local police. The client
is told that the primary health care provider (PHCP) will be in to see the client in about
30 minutes. The client becomes very loud and offensive and wants to be seen by the
PHCP immediately. The nurse assisting to care for the client should take which
appropriate nursing intervention?
Saunders
, 3
Saunders
1.
Watch the behavior escalate before intervening.
2.
Attempt to talk with the client to de-escalate the behavior.
3.
Offer to take the client to an examination room until he or she can be treated.
4.
Inform the client that he or she will be asked to leave if the behavior continues. - ANS
✓3
A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client
is at the locked exit door and is shouting, "Let me out! There's nothing wrong with me! I
don't belong here!" The nurse identifies this behavior as which defense mechanism?
1.
Denial
2.
Projection
3.
Regression
4.
Rationalization - ANS ✓1
Saunders
, 4
Saunders
A client says to the nurse, "I'm going to die, and I wish my family would stop hoping for a
'cure'! I get so angry when they carry on like this! After all, I'm the one who's dying."
Which therapeutic response should the nurse make to the client?
1.
"Have you shared your feelings with your family?"
2.
"I think we should talk more about your anger with your family."
3.
"You're feeling angry that your family continues to hope for you to be 'cured'?"
4.
"Well, it sounds like you're being pretty pessimistic. After all, years ago people died of
pneumonia." - ANS ✓3
The nurse in a psychiatric unit is assigned to care for a client admitted to the unit 2 days
ago. During review of the client's record, the nurse notes that the admission was a
voluntary one. Based on this type of admission, which would the nurse expect to note?
1.
The client will be angry and will refuse care.
2.
The client will participate in the treatment plan.
3.
The client will be very resistant to treatment measures.
Saunders
