Exams 2025 | Updated Version with
Verified Questions, Answers & Rationales
1. Risperidone Teaching for Schizophrenia Which of these statements should the
nurse include in the teaching about risperidone?
a) You should continue this medication if you develop muscle rigidity.
b) You will lose weight while taking this medication.
c) You will notice symptom improvement in 24 hours.
d) You should increase your consumption of complex carbs.
2. Defense Mechanism After Physical Assault A client states they don't remember
what happened after an assault. What defense mechanism is the client using?
a) Repression
b) Displacement
c) Rationalization
d) Denial
3. Anorexia Nervosa Immediate Intervention Which of the following findings in a
client with anorexia nervosa requires immediate intervention?
a) Edema in lower extremities
b) BUN 21 mg/dL
c) Lanugo on the body
d) Blood pH 7.60
4. Agitated Client in a Mental Health Facility Which of these is the priority
intervention for a client who is agitated and threatens harm to self or others?
, a) Restraints
b) Anti-anxiety medication
c) Seclusion
d) Set behavior limits
5. Involuntarily Committed Client Refuses ECT How should the nurse respond
when a client refuses electroconvulsive therapy?
a) Ask the family to encourage the client
b) Inform the client that ECT doesn’t need consent
c) Document the client's refusal
d) Tell the client they can’t refuse because they were involuntarily committed
6. Assessing Client for Suicide Risk
What should the nurse do first when a client reports feeling sad and hopeless 9
months after their son's death?
a) Request a mental health consult
b) Ask if the client has thoughts of harming herself
c) Encourage joining a grief support group
d) Discuss coping skills
7. Group Therapy for Self-Mutilation
Which group therapy should a nurse recommend for a client with borderline
personality disorder engaging in self-mutilation?
a) Dual diagnosis treatment group
b) Dialectical treatment group
c) Desensitization therapy
d) Co-dependents support group
, 8. Abnormal Involuntary Movement Scale (AIMS)
Which medication requires the nurse to monitor for abnormal involuntary
movements?
a) Amantadine
b) Diphenhydramine
c) Benztropine
d) Haloperidol
9. Maladaptive Grieving Statement
Which client statement indicates maladaptive grieving 8 months after a partner's
death?
a) "I’m sorry for being angry at my partner."
b) "I think of my partner often."
c) "I don’t feel ready to return to work."
d) "I like looking at his personal items."
10. Outcome for Borderline Personality Disorder
Which outcome should the nurse include in the treatment plan for a client with
borderline personality disorder?
a) Decreased hallucinations
b) Communicate needs
c) Improved mood