PN MENTAL HEALTH 2025/2026
EXAM
The nurse is assisting in a group therapy session. Besides cost savings,
which advantages does group therapy have over individual therapy?
Select all that apply. - ANSWER--Mutual Learning
-Increased Feedback
-Instilling a sense of belonging
-An opportunity to practice...
The nurse is having a conversation with a depressed client in an
inpatient psychiatric unit. The client says to the nurse, "Things would be
so much better for everyone if I just wasn't around." Which response by
the nurse would be appropriate at this time? - ANSWER-You sound very
unhappy. Are you thinking of harming yourself?
The nurse in the emergency department is assisting in caring for a young
female victim of sexual assault. The client's physical assessment is
complete, and physical evidence has been collected. The nurse notes that
the client is withdrawn, confused, and at times physically immobile.
,Which interpretation should the nurse make of these behaviors? -
ANSWER-They are expected reactions to a devastating event.
The nurse is caring for a client diagnosed with catatonic stupor. The
client is lying on the bed, with the body pulled into a fetal position.
Which is the appropriate nursing intervention? - ANSWER-Sit beside
the client in silence and verbalize occasional open-ended questions.
The spouse of a client admitted to the hospital for alcohol withdrawal
says to the nurse, "I should get out of this bad situation." The most
helpful response by the nurse should be which statement? - ANSWER-
What do you find difficult about this situation?
The nurse employed in a psychiatric unit receives a client assignment for
the day. Which client assigned to the nurse is at the highest risk for
committing suicide? - ANSWER-A client with severe depression and
terminal cancer
Which behaviors observed by the nurse might lead to the suspicion that
a depressed adolescent client could be suicidal? - ANSWER-The client
gives away a DVD and a cherished autographed picture of the
performer.
The nurse is preparing for the hospital discharge of a client with a
history of command hallucinations to harm self or others. The nurse
,instructs the client about interventions for hallucinations and anxiety and
determines that the client understands the interventions when the client
makes which statement? - ANSWER-"I can call my therapist when I'm
hallucinating so I can talk about my feelings and plans and not hurt
anyone."
A client tells the nurse that he is feeling out of control. The nurse
observes that the client is pacing back and forth. Which approach by the
nurse is appropriate to maintain a safe environment? - ANSWER-Move
the client to a quiet room and talk about his feelings.
The nurse is caring for an older depressed client whose son was killed in
an armed robbery after murdering two people. The client says, "I don't
know what I did wrong. His dad died a hero in Vietnam when he was
only 2 years old, but he's had everything. When he threw the cat up
against the wall to see if it landed on its feet and stole money from me
and denied it, his sister covered for him." The nurse plans to make which
therapeutic response to the client? - ANSWER-"It seems as if you or
your daughter feel regret?"
The nurse has been caring for a client with a diagnosis of depression.
The client says to the nurse, "I wish you would just be my friend." The
appropriate response by the nurse is which? - ANSWER-"Our
relationship is a therapeutic and a helping one."
, The nurse is working with an older client who has a diagnosis of
depression. To work most effectively with this client, the nurse recalls
that which information is accurate regarding depression and the older
client? Select all that apply. - ANSWER--Suicide is a frequent cause of
death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the obtained data, the nurse should
identify which as a priority concern? - ANSWER-The client's report of
self-destructive thoughts
The nurse is assessing a newly admitted client recently diagnosed with
depression. Which data best supports that the client is at risk for self-
harm? - ANSWER-reported hopelessness
A client who has just received a diagnosis of asthma says to the nurse,
"This condition is just another nail in my coffin." Which response by the
nurse is therapeutic? - ANSWER-"You seem very distressed over
learning you have asthma."
EXAM
The nurse is assisting in a group therapy session. Besides cost savings,
which advantages does group therapy have over individual therapy?
Select all that apply. - ANSWER--Mutual Learning
-Increased Feedback
-Instilling a sense of belonging
-An opportunity to practice...
The nurse is having a conversation with a depressed client in an
inpatient psychiatric unit. The client says to the nurse, "Things would be
so much better for everyone if I just wasn't around." Which response by
the nurse would be appropriate at this time? - ANSWER-You sound very
unhappy. Are you thinking of harming yourself?
The nurse in the emergency department is assisting in caring for a young
female victim of sexual assault. The client's physical assessment is
complete, and physical evidence has been collected. The nurse notes that
the client is withdrawn, confused, and at times physically immobile.
,Which interpretation should the nurse make of these behaviors? -
ANSWER-They are expected reactions to a devastating event.
The nurse is caring for a client diagnosed with catatonic stupor. The
client is lying on the bed, with the body pulled into a fetal position.
Which is the appropriate nursing intervention? - ANSWER-Sit beside
the client in silence and verbalize occasional open-ended questions.
The spouse of a client admitted to the hospital for alcohol withdrawal
says to the nurse, "I should get out of this bad situation." The most
helpful response by the nurse should be which statement? - ANSWER-
What do you find difficult about this situation?
The nurse employed in a psychiatric unit receives a client assignment for
the day. Which client assigned to the nurse is at the highest risk for
committing suicide? - ANSWER-A client with severe depression and
terminal cancer
Which behaviors observed by the nurse might lead to the suspicion that
a depressed adolescent client could be suicidal? - ANSWER-The client
gives away a DVD and a cherished autographed picture of the
performer.
The nurse is preparing for the hospital discharge of a client with a
history of command hallucinations to harm self or others. The nurse
,instructs the client about interventions for hallucinations and anxiety and
determines that the client understands the interventions when the client
makes which statement? - ANSWER-"I can call my therapist when I'm
hallucinating so I can talk about my feelings and plans and not hurt
anyone."
A client tells the nurse that he is feeling out of control. The nurse
observes that the client is pacing back and forth. Which approach by the
nurse is appropriate to maintain a safe environment? - ANSWER-Move
the client to a quiet room and talk about his feelings.
The nurse is caring for an older depressed client whose son was killed in
an armed robbery after murdering two people. The client says, "I don't
know what I did wrong. His dad died a hero in Vietnam when he was
only 2 years old, but he's had everything. When he threw the cat up
against the wall to see if it landed on its feet and stole money from me
and denied it, his sister covered for him." The nurse plans to make which
therapeutic response to the client? - ANSWER-"It seems as if you or
your daughter feel regret?"
The nurse has been caring for a client with a diagnosis of depression.
The client says to the nurse, "I wish you would just be my friend." The
appropriate response by the nurse is which? - ANSWER-"Our
relationship is a therapeutic and a helping one."
, The nurse is working with an older client who has a diagnosis of
depression. To work most effectively with this client, the nurse recalls
that which information is accurate regarding depression and the older
client? Select all that apply. - ANSWER--Suicide is a frequent cause of
death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the obtained data, the nurse should
identify which as a priority concern? - ANSWER-The client's report of
self-destructive thoughts
The nurse is assessing a newly admitted client recently diagnosed with
depression. Which data best supports that the client is at risk for self-
harm? - ANSWER-reported hopelessness
A client who has just received a diagnosis of asthma says to the nurse,
"This condition is just another nail in my coffin." Which response by the
nurse is therapeutic? - ANSWER-"You seem very distressed over
learning you have asthma."
