SHADOW HEALTH MENTAL HEALTH TINA
JONES SCRIPT 2026 UPDATED QUESTIONS
WITH DETAILED SOLUTIONS GRADED A+
⩥ A nurse on a mental health unit is caring for a client who has
generalized anxiety disorder. The client received a telephone call that
was upsetting, and now the client is pacing up and down the corridors of
the unit. Which of the following actions should the nurse take?
a) Instruct the client to sit down and stop pacing
b) Allow the client to pace alone until physically tired
c) Have a staff member escort the client to her room
d) Walk with the client at a gradually slower pace. Answer: d) Walk with
the client at a gradually slower pace
⩥ A nurse at a college campus mental health counseling center is caring
for a student who just failed an examination. The student spends the
session berating the teacher and the course. The nurse should recognize
this behavior as which of the following defense mechanisms?
a) Conversion
b) Projection
c) Undoing
,d) Regression. Answer: b) Projection
⩥ A nurse observes a client's spouse sitting alone in the waiting room
crying. When approached, the spouse says, "I am really concerned about
my husband." Which of the following is a therapeutic nursing response?
a) "Your husband is making really good progress."
b) "Crying helps us let things out and we feel better."
c) "Did your husband say something to upset you?"
d) "Tell me what is concerning you.". Answer: d) "Tell me what is
concerning you."
⩥ A nurse on the psychiatric unit is assessing a client who has moderate
anxiety disorder. Which of the following findings should the nurse
expect?
a) Rapid speech
b) Chills
c) Distorted perceptual field
d) Urinary frequency. Answer: d) Urinary frequency
⩥ A nurse is caring for a client who is having difficulty sleeping and is
pacing the floor. The client's head down, and he is wringing his hands.
Which of the following actions should the nurse take?
,a) Encourage the client to go back to bed
b) Give the client a PRN sleeping medication
c) Remain with the client
d) Explore alternatives to pacing the floor with the client. Answer: c)
Remain with the client
⩥ A nurse is caring for a client who has a mental illness. Which of the
following actions by the nurse demonstrates the ethical concept of
autonomy?
a) Encouraging client feedback about satisfaction with the facility
experience
b) Explaining unit rules and policies regarding unacceptable behaviors
c) Supporting the client's wish to refuse prescribed medications
d) Making sure the client understands expectations for client
participation. Answer: c) Supporting the client's wish to refuse
prescribed medications
⩥ A nurse is providing teaching about confidentiality with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching?
a) "The courts might require me to discuss confidential information."
, b) "I am required to provide confidential information to insurance
companies."
c) "If questioned during a police investigation, I am required to divulge
confidential information."
d) "I am legally allowed to discuss confidential information with the
client's former therapist.". Answer: a) "The courts might require me to
discuss confidential information."
⩥ A nurse is counseling a client for the management of anxiety. The
client is consistently late for appointments and ignores household
chores. The client states, "I'm just too stressed. I need someone to take
care of me." The nurse identifies this behavior as an example of which
of the following defense mechanisms?
a) Dissociation
b) Introjection
c) Regression
d) Repression. Answer: c) Regression
⩥ A nurse in the emergency department is caring for a client who reports
chest pain, headache, and shortness of breath. He continues to state, "I
don't know why my wife left me." The client receives a diagnosis of
anxiety. The nurse realizes the client's findings support which level of
anxiety?
JONES SCRIPT 2026 UPDATED QUESTIONS
WITH DETAILED SOLUTIONS GRADED A+
⩥ A nurse on a mental health unit is caring for a client who has
generalized anxiety disorder. The client received a telephone call that
was upsetting, and now the client is pacing up and down the corridors of
the unit. Which of the following actions should the nurse take?
a) Instruct the client to sit down and stop pacing
b) Allow the client to pace alone until physically tired
c) Have a staff member escort the client to her room
d) Walk with the client at a gradually slower pace. Answer: d) Walk with
the client at a gradually slower pace
⩥ A nurse at a college campus mental health counseling center is caring
for a student who just failed an examination. The student spends the
session berating the teacher and the course. The nurse should recognize
this behavior as which of the following defense mechanisms?
a) Conversion
b) Projection
c) Undoing
,d) Regression. Answer: b) Projection
⩥ A nurse observes a client's spouse sitting alone in the waiting room
crying. When approached, the spouse says, "I am really concerned about
my husband." Which of the following is a therapeutic nursing response?
a) "Your husband is making really good progress."
b) "Crying helps us let things out and we feel better."
c) "Did your husband say something to upset you?"
d) "Tell me what is concerning you.". Answer: d) "Tell me what is
concerning you."
⩥ A nurse on the psychiatric unit is assessing a client who has moderate
anxiety disorder. Which of the following findings should the nurse
expect?
a) Rapid speech
b) Chills
c) Distorted perceptual field
d) Urinary frequency. Answer: d) Urinary frequency
⩥ A nurse is caring for a client who is having difficulty sleeping and is
pacing the floor. The client's head down, and he is wringing his hands.
Which of the following actions should the nurse take?
,a) Encourage the client to go back to bed
b) Give the client a PRN sleeping medication
c) Remain with the client
d) Explore alternatives to pacing the floor with the client. Answer: c)
Remain with the client
⩥ A nurse is caring for a client who has a mental illness. Which of the
following actions by the nurse demonstrates the ethical concept of
autonomy?
a) Encouraging client feedback about satisfaction with the facility
experience
b) Explaining unit rules and policies regarding unacceptable behaviors
c) Supporting the client's wish to refuse prescribed medications
d) Making sure the client understands expectations for client
participation. Answer: c) Supporting the client's wish to refuse
prescribed medications
⩥ A nurse is providing teaching about confidentiality with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching?
a) "The courts might require me to discuss confidential information."
, b) "I am required to provide confidential information to insurance
companies."
c) "If questioned during a police investigation, I am required to divulge
confidential information."
d) "I am legally allowed to discuss confidential information with the
client's former therapist.". Answer: a) "The courts might require me to
discuss confidential information."
⩥ A nurse is counseling a client for the management of anxiety. The
client is consistently late for appointments and ignores household
chores. The client states, "I'm just too stressed. I need someone to take
care of me." The nurse identifies this behavior as an example of which
of the following defense mechanisms?
a) Dissociation
b) Introjection
c) Regression
d) Repression. Answer: c) Regression
⩥ A nurse in the emergency department is caring for a client who reports
chest pain, headache, and shortness of breath. He continues to state, "I
don't know why my wife left me." The client receives a diagnosis of
anxiety. The nurse realizes the client's findings support which level of
anxiety?
