Questions with Detailed
Answers A+ Grade
2026/2027
,Which data indicates to the nurse that a client may be Constantly neglects personal grooming
experiencing ineffective coping?
Which client is most likely at risk to become a victim of A 90-year-old woman with advanced Parkinson's disease
elder abuse?
Which data collection finding would indicate the possibility Swelling of the genitals
of the sexual abuse of a child?
A nurse is assigned to care for a client who is experiencing Open-ended questions and silence
disturbed thought processes. The nurse is told that the
client believes that the food is being poisoned. Which
communication technique does the nurse plan to use to
encourage the client to eat?
A nurse is assigned to care for a client admitted to the Inquiring about the client's feelings that may affect coping
hospital after sustaining an injury from a house fire. The
client attempted to save a neighbor involved in the fire but,
in spite of the client's efforts, the neighbor died. Which
action would the nurse take to enable the client to work
through the meaning of the crisis?
A nurse is assisting with the data collection on a client The client's report of suicidal thoughts
admitted to the psychiatric unit. The nurse reviews the data
obtained and identifies which of the following as a priority
concern?
Laboratory work is prescribed for a client who has been "Are you fearful and think that others may want to hurt you?"
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 who is present at the time
should respond by stating which of the following?
An intoxicated client is brought to the emergency Offer to take the client to an examination room until he or she can be treated.
department by local police. The client is told that the health
care provider (HCP) 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 HCP immediately. The nurse
assisting to care for the client would plan for which
appropriate nursing intervention?
A client is admitted to a psychiatric unit for treatment of Denial
psychotic behavior. 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:
A client says to the nurse, "I'm going to die, and I wish my "You're feeling angry that your family continues to hope for you to be 'cured'?"
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."
The therapeutic response by the nurse is:
A nurse in a psychiatric unit is assigned to care for a client The client will participate in the treatment plan.
admitted to the unit 2 days ago. On review of the client's
record, the nurse notes that the admission was a voluntary
admission. Based on this type of admission, the nurse
would expect which of the following?
, A licensed practical nurse (LPN) enters a client's room, Contact the health care provider (HCP).
and the client is demanding release from the hospital. The
LPN reviews the client's record and notes that the client
was admitted 2 days ago for treatment of an anxiety
disorder, and that the admission was a voluntary
admission. The LPN reports the findings to the registered
nurse (RN) and expects that the RN will take which of the
following actions?
A client is admitted to the psychiatric nursing unit. When Presents a harm to self
collecting data from the client, the nurse notes that the
client was admitted on an involuntary status. Based on this
type of admission, the nurse likely expects that the client:
Following a group therapy session, a client approaches the Get a written prescription from the health care provider (HCP) and obtain an
licensed practical nurse (LPN) and verbalizes a need for informed consent.
seclusion because of uncontrollable feelings. The LPN
reports the findings to the registered nurse (RN) and
expects that the RN will take which of the following
actions?
A nurse is providing care to a client admitted to the hospital "I cannot promise to keep a secret."
with a diagnosis of anxiety disorder. The nurse is talking
with the client and the client says, "I have a secret that I
want to tell you. You won't tell anyone about it, will you?"
The appropriate nursing response is which of the
following?
A psychiatric nurse is greeted by a neighbor in a local I cannot discuss any client situation with you."
grocery store. The neighbor says to the nurse, "How is
Carol doing? She is my best friend and is seen at your
clinic every week." The appropriate nursing response is
which of the following?
A nurse is preparing a client for the termination phase of Assist in making appropriate referrals.
the nurse-client relationship. Which nursing task would the
nurse appropriately plan for this phase?
The nurse in the mental health unit reviews the therapeutic Restating
and nontherapeutic communication techniques with a
nursing student. Which of the following are therapeutic Listening
communication techniques? Select all that apply. Maintaining neutral responses
Providing acknowledgment and feedback
A client with delirium becomes agitated and confused at Use a night light and turn off the television.
night. The best initial intervention by the nurse is to
A nurse is collecting data on a client who is actively "Sometimes people hear things or voices others can't hear."
hallucinating. Which nursing statement would be
therapeutic at this time?
A nurse is caring for a client with a diagnosis of Psychomotor retardation and side effects of medication
depression. The nurse monitors for signs of constipation
and urinary retention, knowing that these problems are
likely caused by:
A client is admitted to the inpatient unit and is being "It sounds as though you have some concerns about the ECT procedure. Why don't
considered for electroconvulsive therapy (ECT). The client we sit down together and discuss any concerns you may have?"
appears calm, but the family is hypervigilant and anxious.
The client's mother begins to cry and states, "My child's
brain will be destroyed. How can the doctor do this?" The
nurse makes which therapeutic response?