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RN MENTAL HEALTH ONLINE PRACTICE
2023 A|REVISED ASSESSMENT WITH
ANSWERS 2026 UPDATE
A nurse is caring for a patient who has a personality disorder. -- The nurse is
caring for the client, who is in seclusion and under mechanical restraints. For each
potential assessment finding, click to specify if the finding indicates the client's
condition has improved, not changed, or has declined. - correct-answer -Client
attempts to bite nursing staff when offered water is an indication the client's
condition has declined. The client is exhibiting worsening aggressive and violent
behavior by attempting to bite nursing staff members.
Client follows instructions of the nurse is an indication the client's condition has
improved. The client is exhibiting control over their behavior and is able to follow
instructions.
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Client is silent and glaring at staff is an indication the client's condition has not
changed. The client is still exhibiting agitation and nonverbal aggressive
behaviors.
Client verbalizes precipitating factors to violent outburst is an indication the
client's condition has improved. The client is able to verbalize and identify factors
that contributed to the violent behavior.
A nurse is reviewing routine laboratory values for several clients who are taking
lithium carbonate. Which of the following clients should the nurse assess further
for findings indicating lithium toxicity?
A client who has a fasting blood glucose level of 80 mg/dL
A client who has a sodium level of 128 mEq/L
A client who has a BUN of 18 mg/dL
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A client who has a potassium level of 3.6 mEq/L - correct-answer -A client who has
a sodium level of 128 mEq/L
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for
lithium toxicity because renal excretion of lithium is decreased in the presence of
a low sodium level.
A nurse is planning prevention strategies for partner violence in the community.
Which of the following strategies should the nurse include as a method of
secondary prevention?
Provide teaching about the use of positive coping mechanisms.
Establish screening programs to identify at-risk clients.
Refer survivors of intimate partner abuse to a legal advocacy program.
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Organize rehabilitation therapy for clients who have experienced intimate partner
abuse. - correct-answer -Establish screening programs to identify at-risk clients.
This is an example of secondary prevention. By establishing screening programs,
the nurse can identify individuals who are at risk for partner violence in the
community and can take the necessary steps to address individual client needs.
A nurse is talking with a group of parents who have recently experienced the
death of a child. Which of the following actions should the nurse take?
Encourage the parents to avoid discussing the death with their other children to
protect their feelings.
Recommend each parent grieve in private to avoid hindering each other's healing.
Suggest forming a weekly support group for parents who have experienced the
death of a child.
RN MENTAL HEALTH ONLINE PRACTICE
2023 A|REVISED ASSESSMENT WITH
ANSWERS 2026 UPDATE
A nurse is caring for a patient who has a personality disorder. -- The nurse is
caring for the client, who is in seclusion and under mechanical restraints. For each
potential assessment finding, click to specify if the finding indicates the client's
condition has improved, not changed, or has declined. - correct-answer -Client
attempts to bite nursing staff when offered water is an indication the client's
condition has declined. The client is exhibiting worsening aggressive and violent
behavior by attempting to bite nursing staff members.
Client follows instructions of the nurse is an indication the client's condition has
improved. The client is exhibiting control over their behavior and is able to follow
instructions.
,2|Page
Client is silent and glaring at staff is an indication the client's condition has not
changed. The client is still exhibiting agitation and nonverbal aggressive
behaviors.
Client verbalizes precipitating factors to violent outburst is an indication the
client's condition has improved. The client is able to verbalize and identify factors
that contributed to the violent behavior.
A nurse is reviewing routine laboratory values for several clients who are taking
lithium carbonate. Which of the following clients should the nurse assess further
for findings indicating lithium toxicity?
A client who has a fasting blood glucose level of 80 mg/dL
A client who has a sodium level of 128 mEq/L
A client who has a BUN of 18 mg/dL
,3|Page
A client who has a potassium level of 3.6 mEq/L - correct-answer -A client who has
a sodium level of 128 mEq/L
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for
lithium toxicity because renal excretion of lithium is decreased in the presence of
a low sodium level.
A nurse is planning prevention strategies for partner violence in the community.
Which of the following strategies should the nurse include as a method of
secondary prevention?
Provide teaching about the use of positive coping mechanisms.
Establish screening programs to identify at-risk clients.
Refer survivors of intimate partner abuse to a legal advocacy program.
, 4|Page
Organize rehabilitation therapy for clients who have experienced intimate partner
abuse. - correct-answer -Establish screening programs to identify at-risk clients.
This is an example of secondary prevention. By establishing screening programs,
the nurse can identify individuals who are at risk for partner violence in the
community and can take the necessary steps to address individual client needs.
A nurse is talking with a group of parents who have recently experienced the
death of a child. Which of the following actions should the nurse take?
Encourage the parents to avoid discussing the death with their other children to
protect their feelings.
Recommend each parent grieve in private to avoid hindering each other's healing.
Suggest forming a weekly support group for parents who have experienced the
death of a child.
