Mental Health Proctored Newest Exam Prep
Test Bank with 400 Questions and correct
answers with Rationales/ A detailed Review
of Mental Health Proctored Exam 2026-2027
Latest exam prep test bank
A nurse on an acute care unit is providing postoperative care to an older adult
client who develops delirium. Which of the following actions should the nurse
take?
A. Withhold PRN anti-anxiety medication
B. Provide the client with a stimulating activity prior to bedtime
C. Keep the client's room well-lit at night
D. Encourage the client to make decisions about her daily routine - ANSWER-
Keep the client's room well-lit at night
*The nurse should keep the client's room well-lit. Adequate lighting can help her
remain oriented to place upon waking at night and will promote safety if she
becomes ambulatory
A nurse is collecting data from a client who has schizophrenia and was recently
admitted to acute care. Which of the following findings should the nurse expect?
A. Seductive behaviors
B. Obsession with rituals
1
,C. Uncontrolled appetite
D. Associative looseness - ANSWER-Associative looseness
*The nurse should recognize associate looseness (speech that reveals though
patterns that shift rapidly between topics) as a common finding in a client who has
schizophrenia. Other findings include the presence of delusions, hallucinations,
and altered speech patterns such as echolalia
A nurse is providing teaching to a client who has social anxiety disorder and a new
prescription for paroxetine. Which of the following statements should the nurse
include in the teaching?
A. "You can take this medication when needed."
B. "The medication takes a few weeks to build up in your system."
C. "You should plan to take this medication for 6 months."
D. "Relapsing after withdrawing from this medication is rare." - ANSWER-"The
medication takes a few weeks to build up in your system."
*The nurse should inform the client that initial effects of paroxetine take about 4
weeks to develop. Optimal effects of the medication can be seen in 8 to 12 weeks
A nurse is assisting with the admission of a client who has antisocial personality
disorder to an acute care unit. The client is admitted under court order following
the theft and destruction of a car. Which of the following behaviors should the
nurse expect the client to display?
A. Relief about finally receiving care for a problem for which was previously
afraid to ask for
B. Anger with the nursing staff for hospitalizing him against his will
2
,C. Withdrawal from others due to shame over his recent actions
D. Remorse for stealing and destroying the car - ANSWER-Anger with the
nursing staff for hospitalizing him against his will
*A client who has antisocial personality disorder exhibits a low frustration level
and can quickly become angry and aggressive when the situation goes against his
will or desires
A nurse is contributing to the plan of care for a 10 year old child who has attention-
deficit/hyperactivity disorder (ADHD). Which of the following types of the
activities should the nurse include in the plan?
A. Checkers
B. Chess
C. Ping-pong
D. Reading - ANSWER-Ping-pong
*The nurse should recommend including activities that require repetition and allow
the child to get exercise, which can alleviate hyperactivity
A nurse is reviewing the medical record of a client who has bulimia nervosa.
Which of the following findings should the nurse expect?
A. Elevated creatinine level
B. Decreased white blood cells
C. Dental erosion
D. Cachexia - ANSWER-Dental erosion
3
, *The nurse should expect dental erosion in a client who has bulimia nervosa. The
binging and purging behavior with induced vomiting leads to dental caries and
enamel erosion from the hydrochloric acid content of emesis. Induced vomiting
can also cause parotid swelling. Continued vomiting can place the client at risk of
esophageal or gastric rupture
A nurse in an acute care mental health facility observes a client who has bipolar
disorder to begin to shout and use offensive language toward a visitor. Which of
the following actions should the nurse take?
A. Give the client 2 options for ending the situation
B. Move quickly to stand directly in front of the client before speaking
C. Direct other clients to move toward the client as a show of force
D. Tell the client that the conversation will be ended if the shouting continues -
ANSWER-Give the client 2 options for ending the situation
*Giving the client several options (e.g. 2 different location in which to be away
from visitors and other clients) prevents the client from feeling powerless and
gives the client some responsibility for making choices
A nurse is collecting data from a newly admitted client. To establish trust, which of
the following actions should the nurse perform during the orientation phase of the
nurse-client relationship?
A. Inform the client that the admission is confidential
B. Introduce the client to other clients in the dayroom
C. Assist the client with facilitating behavioral change
D. Determine coping strategies that the client has used in the past - ANSWER-
Inform the client that the admission is confidential
4
Test Bank with 400 Questions and correct
answers with Rationales/ A detailed Review
of Mental Health Proctored Exam 2026-2027
Latest exam prep test bank
A nurse on an acute care unit is providing postoperative care to an older adult
client who develops delirium. Which of the following actions should the nurse
take?
A. Withhold PRN anti-anxiety medication
B. Provide the client with a stimulating activity prior to bedtime
C. Keep the client's room well-lit at night
D. Encourage the client to make decisions about her daily routine - ANSWER-
Keep the client's room well-lit at night
*The nurse should keep the client's room well-lit. Adequate lighting can help her
remain oriented to place upon waking at night and will promote safety if she
becomes ambulatory
A nurse is collecting data from a client who has schizophrenia and was recently
admitted to acute care. Which of the following findings should the nurse expect?
A. Seductive behaviors
B. Obsession with rituals
1
,C. Uncontrolled appetite
D. Associative looseness - ANSWER-Associative looseness
*The nurse should recognize associate looseness (speech that reveals though
patterns that shift rapidly between topics) as a common finding in a client who has
schizophrenia. Other findings include the presence of delusions, hallucinations,
and altered speech patterns such as echolalia
A nurse is providing teaching to a client who has social anxiety disorder and a new
prescription for paroxetine. Which of the following statements should the nurse
include in the teaching?
A. "You can take this medication when needed."
B. "The medication takes a few weeks to build up in your system."
C. "You should plan to take this medication for 6 months."
D. "Relapsing after withdrawing from this medication is rare." - ANSWER-"The
medication takes a few weeks to build up in your system."
*The nurse should inform the client that initial effects of paroxetine take about 4
weeks to develop. Optimal effects of the medication can be seen in 8 to 12 weeks
A nurse is assisting with the admission of a client who has antisocial personality
disorder to an acute care unit. The client is admitted under court order following
the theft and destruction of a car. Which of the following behaviors should the
nurse expect the client to display?
A. Relief about finally receiving care for a problem for which was previously
afraid to ask for
B. Anger with the nursing staff for hospitalizing him against his will
2
,C. Withdrawal from others due to shame over his recent actions
D. Remorse for stealing and destroying the car - ANSWER-Anger with the
nursing staff for hospitalizing him against his will
*A client who has antisocial personality disorder exhibits a low frustration level
and can quickly become angry and aggressive when the situation goes against his
will or desires
A nurse is contributing to the plan of care for a 10 year old child who has attention-
deficit/hyperactivity disorder (ADHD). Which of the following types of the
activities should the nurse include in the plan?
A. Checkers
B. Chess
C. Ping-pong
D. Reading - ANSWER-Ping-pong
*The nurse should recommend including activities that require repetition and allow
the child to get exercise, which can alleviate hyperactivity
A nurse is reviewing the medical record of a client who has bulimia nervosa.
Which of the following findings should the nurse expect?
A. Elevated creatinine level
B. Decreased white blood cells
C. Dental erosion
D. Cachexia - ANSWER-Dental erosion
3
, *The nurse should expect dental erosion in a client who has bulimia nervosa. The
binging and purging behavior with induced vomiting leads to dental caries and
enamel erosion from the hydrochloric acid content of emesis. Induced vomiting
can also cause parotid swelling. Continued vomiting can place the client at risk of
esophageal or gastric rupture
A nurse in an acute care mental health facility observes a client who has bipolar
disorder to begin to shout and use offensive language toward a visitor. Which of
the following actions should the nurse take?
A. Give the client 2 options for ending the situation
B. Move quickly to stand directly in front of the client before speaking
C. Direct other clients to move toward the client as a show of force
D. Tell the client that the conversation will be ended if the shouting continues -
ANSWER-Give the client 2 options for ending the situation
*Giving the client several options (e.g. 2 different location in which to be away
from visitors and other clients) prevents the client from feeling powerless and
gives the client some responsibility for making choices
A nurse is collecting data from a newly admitted client. To establish trust, which of
the following actions should the nurse perform during the orientation phase of the
nurse-client relationship?
A. Inform the client that the admission is confidential
B. Introduce the client to other clients in the dayroom
C. Assist the client with facilitating behavioral change
D. Determine coping strategies that the client has used in the past - ANSWER-
Inform the client that the admission is confidential
4
