and Verified Answers 2025\2026 UPDATE
1. A school nurse is assessing a school-age child who experienced the trau-matic loss of
a parent 8 months ago. Which of the following findings should the nurse identify as an
indication that the child is experiencing post-traumaticstress disorder (PTSD)?
CORRECT ANSWERLack of interest in an upcoming holiday
2. A nurse is caring for a group of clients. Which of the following findings should the
nurse report?
CORRECT ANSWERA client who is taking lamotrigine and has developeda rash
3. A nurse is reviewing laboratory results for a client who has schizophre- nia and is
taking clozapine. Which of the following values should the nurse identify as a
contraindication for receiving clozapine?
CORRECT ANSWERWBC count 2,500/mm3(5,000-10,000/mm3)
,4. A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates theclient has a
decreased risk for suicide?
CORRECT ANSWER"It is easier to talk about my feelingsnow."
5. During a client's initial interview in a mental health inpatient setting, a nurseidentifies
that the client is maintaining eye contact and leaning forward. Whichof the following
assumptions should the nurse make based on the client's nonverbal behaviors?
CORRECT ANSWERThe client is interested in what the nurse is saying.
6. A nurse is planning care for a client who has schizophrenia and reports auditory
hallucinations. Which of the following interventions should the nurseinclude in the plan?
CORRECT ANSWERPromote the use of music to compete with the client's auditory
hallucinations.
7. A nurse is caring for a client who has impaired cognition.
, A nurse is updating the client's plan of care. For each of the following potentialnursing
interventions, click to specify if the potential intervention is anticipat-ed, nonessential,
or contraindicated for the client.
CORRECT ANSWERAnticipated- approach fromfront, give directions to the client,
decrease sensory, assign client to a room
contra- use a vest, ensure the bed is kept, keep the lights offnon-
provide the client with high
8. A nurse is planning discharge teaching with a family member of a client
who has a new diagnosis of depression. Which of the following information about
relapse should the nurse include?
CORRECT ANSWEREarly identification of changes, suchas decreased social involvement,
is important.
9. A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the