PSYCHIATRIC MENTAL HEALTH NURSING 8TH
EDITION BY VIDEBECK 2026 FINAL EXAM
PREPARATION WORKBOOK A+
◉ A nurse is caring for a client who is in mechanical restraints.
Which of the following statements should the nurse include in the
documentation? (Select all that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel
D) Client received chlorpromazine 15 mg by mouth at 1000
E) Client acted out after lunch Answer: B, C, D
◉ A nurse hears a newly licensed nurse discussing a client's
hallucinations in the hallway with another nurse. Which of the
following actions should the nurse take first?
A) Notify the nurse manager
B) Tell the nurse to stop discussing the behavior
C) Provide an in-service program about confidentiality
D) Complete an incident report Answer: B
,◉ A nurse is caring for the parents of a child who has demonstrated
changes in behavior and mood. When the mother of the child asks
the nurse for reassurance about her son's condition, which of the
following responses should the nurse make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your
concerns?
D) I understand you're concerned. Let's discuss what concerns you
specifically Answer: D
◉ A nurse is caring for a client who smokes and has lung cancer. The
client reports, "I'm coughing because I have that cold that everyone
has been getting." The nurse should identify that the client is using
which of the following defense mechanisms?
A) Reaction formation
B) Denial
C) Displacement
D) Sublimation Answer: B
◉ A nurse is providing preoperative teaching for a client who was
just informed that she requires emergency surgery. The client has a
respiratory rate 30/min and says, "This is difficult to comprehend. I
feel shaky and nervous." The nurse should identify that the client is
experiencing which of the following levels of anxiety?
, A) Mild
B) Moderate
C) Severe
D) Panic Answer: B
◉ A nurse is caring for a client who is experiencing moderate
anxiety. Which of the following actions should the nurse trying to
give necessary information to the client? (Select all that apply)
A) Reassure the client that everything will be okay
B) Discuss prior use of coping mechanisms with the client
C) Ignore the client's anxiety so that she will not be embarrassed
D) Demonstrate a calm manner while using simple and clear
directions
E) Gather information from the client using closed-ended questions
Answer: B, D
◉ A nurse is talking with a client who is at risk for suicide following
the death of his spouse. Which of the following statements should
the nurse make?
A) I feel very feel very sorry for the loneliness you must be
experiencing
B) Suicide is not the appropriate way to cope with loss
C) Losing someone close to you must be very upsetting
D) I know how difficult it is to lose a love one Answer: C
EDITION BY VIDEBECK 2026 FINAL EXAM
PREPARATION WORKBOOK A+
◉ A nurse is caring for a client who is in mechanical restraints.
Which of the following statements should the nurse include in the
documentation? (Select all that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel
D) Client received chlorpromazine 15 mg by mouth at 1000
E) Client acted out after lunch Answer: B, C, D
◉ A nurse hears a newly licensed nurse discussing a client's
hallucinations in the hallway with another nurse. Which of the
following actions should the nurse take first?
A) Notify the nurse manager
B) Tell the nurse to stop discussing the behavior
C) Provide an in-service program about confidentiality
D) Complete an incident report Answer: B
,◉ A nurse is caring for the parents of a child who has demonstrated
changes in behavior and mood. When the mother of the child asks
the nurse for reassurance about her son's condition, which of the
following responses should the nurse make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your
concerns?
D) I understand you're concerned. Let's discuss what concerns you
specifically Answer: D
◉ A nurse is caring for a client who smokes and has lung cancer. The
client reports, "I'm coughing because I have that cold that everyone
has been getting." The nurse should identify that the client is using
which of the following defense mechanisms?
A) Reaction formation
B) Denial
C) Displacement
D) Sublimation Answer: B
◉ A nurse is providing preoperative teaching for a client who was
just informed that she requires emergency surgery. The client has a
respiratory rate 30/min and says, "This is difficult to comprehend. I
feel shaky and nervous." The nurse should identify that the client is
experiencing which of the following levels of anxiety?
, A) Mild
B) Moderate
C) Severe
D) Panic Answer: B
◉ A nurse is caring for a client who is experiencing moderate
anxiety. Which of the following actions should the nurse trying to
give necessary information to the client? (Select all that apply)
A) Reassure the client that everything will be okay
B) Discuss prior use of coping mechanisms with the client
C) Ignore the client's anxiety so that she will not be embarrassed
D) Demonstrate a calm manner while using simple and clear
directions
E) Gather information from the client using closed-ended questions
Answer: B, D
◉ A nurse is talking with a client who is at risk for suicide following
the death of his spouse. Which of the following statements should
the nurse make?
A) I feel very feel very sorry for the loneliness you must be
experiencing
B) Suicide is not the appropriate way to cope with loss
C) Losing someone close to you must be very upsetting
D) I know how difficult it is to lose a love one Answer: C
