QUESTIONS WITH VERIFIED ANSWERS 2025/2026
A. "to assess cognitive ability, I should ask the client to count backward by
sevens."
B. "to assess affect, I should observe the client's facial expression."
C. "to assess language ability, I should instruct the client to write a sentence." -
CORRECT ANSWER A charge nurse is discussing mental status examinations with a
newly licensed nurse. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching? (select all that apply.)
A. "to assess cognitive ability, I should ask the client to count backward by
sevens."
B. "to assess affect, I should observe the client's facial expression."
C. "to assess language ability, I should instruct the client to write a sentence."
D. "to assess remote memory, I should have the client repeat a list of objects."
E. "to assess the client's abstract thinking, I should ask the client to identify our
most recent presidents."
D. Monitor the client for adverse effects of medications.
(Not C by assessing for comorbid health conditions is health promotion and
maintenance, rather than a psychobiological, intervention) - CORRECT ANSWER A
,nurse is planning care for a client who has a mental health disorder. Which of the
following actions should the nurse include as a psychobiological intervention?
A. assist the client with systematic desensitization therapy.
B. teach the client appropriate coping mechanisms.
C. assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications.
B. identify the client's perception of her mental health status. - CORRECT ANSWER
A nurse in an outpatient mental health clinic is preparing to conduct an initial
client interview. When conducting the interview, which of the following actions
should the nurse identify as the priority?
a. coordinate holistic care with social services.
B. identify the client's perception of her mental health status.
c. include the client's family in the interview.
D. teach the client about her current mental health disorder.
a. the client arouses briefly in response to a sternal rub. - CORRECT ANSWER A
nurse is told during change‐of‐shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse expect?
a. the client arouses briefly in response to a sternal rub.
B. the client has a Glasgow coma scale score less than 7.
c. the client exhibits decorticate rigidity.
,D. the client is alert but disoriented to time and place.
B. the DsM‐5 establishes diagnostic criteria for individual mental health disorders.
D. the DsM‐5 assists nurses in planning care for client's who have mental health
disorders.
e. the DsM‐5 indicates
expected assessment findings of mental health disorders. - CORRECT ANSWER A
nurse is planning a peer group discussion about the Diagnostic and Statistical
Manual of Mental Disorders, 5th edition (DsM‐5). Which of the following
information is appropriate to include in the discussion? (select all that apply.)
a. the DsM‐5 includes client education handouts for mental health disorders.
B. the DsM‐5 establishes diagnostic criteria for individual mental health disorders.
c. the DsM‐5 indicates recommended pharmacological treatment for mental
health disorders.
D. the DsM‐5 assists nurses in planning care for client's who have mental health
disorders.
e. the DsM‐5 indicates expected assessment findings of mental health disorders.
c. a client who has borderline personality disorder and assaulted a homeless man
with a metal rod - CORRECT ANSWER A nurse in an emergency mental health
facility is caring for a group of clients. the nurse should identify that which of the
following clients requires a temporary emergency admission?
, a. a client who has schizophrenia with delusions of grandeur
B. a client who has manifestations of depression and attempted suicide a year ago
c. a client who has borderline personality disorder and assaulted a homeless man
with a metal rod
d. a client who has bipolar disorder and paces quickly around the room while
talking to himself
B. False imprisonment - CORRECT ANSWER A nurse decides to put a client who
has a psychotic disorder in seclusion overnight because the unit is very short‐
staffed, and the client frequently fights with other clients.
the nurse's actions are an example of which of the following torts?
A. invasion of privacy
B. False imprisonment
C. assault
D. Battery
c. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others. - CORRECT ANSWER A
client tells a nurse, "don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always yelling at me and
threatening me." Which of the following actions should the nurse take?
a. Keep the client's communication confidential, but talk to the client daily, using
therapeutic communication to convince him to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and his
roommate closely.