MENTAL HEALTH - N244 EXAM
2025 QUESTIONS AND ANSWERS
Which data indicates to the nurse that a client may be experiencing ineffective
coping? - ....ANSWER ...-Constantly neglects personal grooming
Rationale: Coping mechanisms are behaviors that are used to decreased stress and
anxiety. In response to a death, ineffective coping is manifested by an extreme
behavior that in some instances may be harmful to the individual, physically,
psychologically, or both. Option 1 is indicative of a behavior that identifies an
ineffective coping behavior as part of the grieving process.
Which client is most likely at risk to become a victim of elder abuse? -
....ANSWER ...-A 90-year-old woman with advanced Parkinson's disease
Elder abuse is widespread and occurs among all subgroups of the population. It
includes physical and psychological abuse, the misuse of property, and the
violation of rights. The typical abuse victim is a woman of advanced age with few
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,social contacts and at least one physical or mental impairment that limits her ability
to perform activities of daily living. In addition, the client usually lives alone or
with the abuser and depends on the abuser for care.
Which data collection finding would indicate the possibility of the sexual abuse of
a child? - ....ANSWER ...-Swelling of the genitals
A nurse is assigned to care for a client who is experiencing 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? - ....ANSWER ...-Open-ended questions and silence
Open-ended questions and silence are strategies used to encourage clients to
discuss their problem. Should encourage the client to identify the reasons for the
behavior.
A nurse is assigned to care for a client admitted to the 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? -
....ANSWER ...-Inquiring about the client's feelings that may affect coping
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,The client must first deal with feelings and negative responses before the client is
able to work through the meaning of the crisis.
A nurse is assisting with the data collection on a client admitted to the psychiatric
unit. The nurse reviews the data obtained and identifies which of the following as a
priority concern? - ....ANSWER ...-The client's report of suicidal thoughts
The client's thoughts are extremely important when verbalized. Suicidal thoughts
are the highest priority.
Laboratory work is prescribed for a client who has been 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? - ....ANSWER ...-"Are you fearful and think that others may want
to hurt you?"
Option 3 is the only option that recognizes the client's need. This response helps
the client focus on the emotion underlying the delusion but does not argue with it.
If the nurse attempts to change the client's mind, the delusion may, in fact, be even
more strongly held
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, An intoxicated client is brought to the emergency 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? - ....ANSWER ...-Offer to take
the client to an examination room until he or she can be treated.
Safety of the client, other clients, and staff is of prime concern. When dealing with
an impaired individual, trying to talk may be out of the question. Waiting to
intervene could cause the client to become even more agitated and a threat to
others
A client is admitted to a psychiatric unit for treatment of 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: -
....ANSWER ...-Denial
Denial is refusal to admit to a painful reality and is treated as if it does not exist.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
2025 QUESTIONS AND ANSWERS
Which data indicates to the nurse that a client may be experiencing ineffective
coping? - ....ANSWER ...-Constantly neglects personal grooming
Rationale: Coping mechanisms are behaviors that are used to decreased stress and
anxiety. In response to a death, ineffective coping is manifested by an extreme
behavior that in some instances may be harmful to the individual, physically,
psychologically, or both. Option 1 is indicative of a behavior that identifies an
ineffective coping behavior as part of the grieving process.
Which client is most likely at risk to become a victim of elder abuse? -
....ANSWER ...-A 90-year-old woman with advanced Parkinson's disease
Elder abuse is widespread and occurs among all subgroups of the population. It
includes physical and psychological abuse, the misuse of property, and the
violation of rights. The typical abuse victim is a woman of advanced age with few
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,social contacts and at least one physical or mental impairment that limits her ability
to perform activities of daily living. In addition, the client usually lives alone or
with the abuser and depends on the abuser for care.
Which data collection finding would indicate the possibility of the sexual abuse of
a child? - ....ANSWER ...-Swelling of the genitals
A nurse is assigned to care for a client who is experiencing 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? - ....ANSWER ...-Open-ended questions and silence
Open-ended questions and silence are strategies used to encourage clients to
discuss their problem. Should encourage the client to identify the reasons for the
behavior.
A nurse is assigned to care for a client admitted to the 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? -
....ANSWER ...-Inquiring about the client's feelings that may affect coping
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,The client must first deal with feelings and negative responses before the client is
able to work through the meaning of the crisis.
A nurse is assisting with the data collection on a client admitted to the psychiatric
unit. The nurse reviews the data obtained and identifies which of the following as a
priority concern? - ....ANSWER ...-The client's report of suicidal thoughts
The client's thoughts are extremely important when verbalized. Suicidal thoughts
are the highest priority.
Laboratory work is prescribed for a client who has been 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? - ....ANSWER ...-"Are you fearful and think that others may want
to hurt you?"
Option 3 is the only option that recognizes the client's need. This response helps
the client focus on the emotion underlying the delusion but does not argue with it.
If the nurse attempts to change the client's mind, the delusion may, in fact, be even
more strongly held
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, An intoxicated client is brought to the emergency 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? - ....ANSWER ...-Offer to take
the client to an examination room until he or she can be treated.
Safety of the client, other clients, and staff is of prime concern. When dealing with
an impaired individual, trying to talk may be out of the question. Waiting to
intervene could cause the client to become even more agitated and a threat to
others
A client is admitted to a psychiatric unit for treatment of 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: -
....ANSWER ...-Denial
Denial is refusal to admit to a painful reality and is treated as if it does not exist.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
