ANSWERS WITH A+ SOLUTION GUIDE ASSURED PASS
2025/2026
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a decreased
risk for suicide? Answer: "It is easier to talk about my feelings now." -When clients
express their feelings, this indicates a positive treatment outcome.
A nurse is assessing a school-age child who has conduct disorder. Which of the
following characteristics should the nurse expect the child to demonstrate? Answer:
Aggression toward animals
The nurse should identify that aggression toward people and animals is an expected
characteristic of a child who has conduct disorder.
A home health nurse is assessing an older adult client whose sibling is the primary
caregiver. Which of the following findings should the nurse identify as a possible
indicator of neglect? Answer: Inappropriate dress
A nurse in a mental health clinic is planning care for a client who has a new
prescription for olanzapine. Which of the following interventions should the nurse
identify as the priority? Answer: Instruct the client to avoid driving during initial
therapy.- The greatest risk to this client is injury resulting from drowsiness or dizziness.
Therefore, the nurse's priority intervention is to instruct the client to avoid activities that
require mental alertness during initial medication therapy.
, A nurse is reviewing the medical record of a client who has anorexia nervosa. Which
of the following findings should the nurse identify as an indication the client requires
hospitalization? Answer: Total body fat 8.7%
A nurse is caring for a client who has borderline personality disorder. Which of the
following goals is the priority when planning care for this client? Answer: The client will
refrain from self-mutilation.
A nurse is planning care for a newly admitted client who has bipolar disorder and is
experiencing mania. Which of the following is the priority action by the nurse? Answer:
Provide frequent high-calorie snacks.
A nurse is communicating with a client in an inpatient mental health facility. Which of
the following actions by the nurse demonstrates the use of active listening? Answer:
Attention to body language
A nurse in a mental health facility is planning discharge for a client who has a history
of alcohol use disorder. Which of the following post discharge activities should the
nurse plan to include? Answer: Attending a relapse prevention group several times each
week-The nurse should identify that the most effective strategy for relapse prevention is
a 12-step program, such as Alcoholics Anonymous. -methadone is used to treat opioid
use disorder, not alcohol use disorder.-buprenorphine is used to treat opioid use
disorder, not alcohol use disorder.
A nurse is planning care for an adolescent who is being admitted to an acute care
unit following a suicide attempt. Which of the following interventions should the nurse
identify as the priority? Answer: Arrange one-to-one observation of the client.
, A nurse is assessing a client who has schizophrenia. Which of the following findings
should the nurse document as a negative symptom of this disorder? Answer: Anhedonia
A nurse is caring for client whose child has a terminal illness. The client requests
information about how to deal with the upcoming loss. Which of the following
statements should the nurse make? Answer: "It is not uncommon to feel angry toward
yourself or others."
A nurse on a mental health unit is admitting a client who is anxious and tells the
nurse,. "I hear voices telling me what to do." Which of the following actions should the
nurse take? Answer: Ask the client what the voices are saying.
A nurse is providing teaching to a client who is to begin undergoing light therapy at
home. Which of the following information should the nurse include in the teaching?
Answer: Avoid looking directly at the light during treatment.
A nurse is planning discharge for a client who has bipolar disorder and has a
prescription for lithium. Which of the following client statements indicates
understanding of the teaching about the medication? Answer: "I should eat a regular
diet with normal amounts of salt and fluids."- The nurse should identify that this
statement indicates that the client understands the teaching because normal levels of
sodium and fluid need to be maintained to ensure adequate excretion of lithium. If
sodium levels are low, the body compensates by decreasing lithium excretion, which can
lead to toxicity.
A nurse in a community
health center is counseling a family of two parents and two children. Which of the
following statements by a family member indicates manipulative behavior? Answer: "If
you do my homework for me, I won't bother you for the rest of the day."