2026\2027 A+ Grade
A nurse is caring for a client who has a history of substance use and was involuntarily admitted to the
mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take
the med and becomes physically aggressive. Which action should the nurse take?
- correct answer Do not administer lorazepam
A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which
of the following statements indicates the client has a decreased risk for suicide?
- correct answer "It is easier to talk about my feelings now"
A nurse is caring for a client whose child has a terminal illness. The client requests information about
how to deal with the upcoming loss. Which of the following statements should the nurse make?
- correct answer "It is not uncommon to feel angry toward yourself or others"
During a clients initial interview in a mental health inpatient setting, a nurse identifies that the client is
maintaining eye contact and leaning forward. Which of the following assumptions should the nurse
make based on the client's nonverbal behaviors?
- correct answer The client is interested in what the nurse is saying
A nurse is reviewing the electronic medical record for a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority is the priority for the nurse to notify the
provider?
- correct answer The client reports an inability to breathe easily
A nurse is reviewing routine lab values for several clients who are taking lithium carbonate. Which of the
following clients should the nurse assess further for findings indicating lithium toxicity?
- correct answer A client who has a sodium level of 128 mEq/L
, A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorders.
Which of the following strategies should the nurse use when communicating with this client?
- correct answer Set realistic limits on the clients behavior
A nurse in a providers office is collecting a health history from the guardian of a school age child who has
been taking atomoxetine. Which of the following adverse effects reported by the guardian is the priority
for the nurse to report to the provider?
- correct answer Dark urine
Beacuse the greatest risk for the child is liver damage
A nurse is caring for a group of clients. For which of the following situations should the nurse complete
an incident report?
- correct answer A client was administered one-half of the prescribed dose of medication.
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions
the client regarding their admission, the client states "I'm red, in the head, and I'm going to bed"
- correct answer Clang association
A nurse is communicating with a client in an inpatient mental health facility. Which of the following
actions by the nurse demonstrates the use of active listening?
- correct answer Attention to body language
A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of
the following findings should the nurse identify as a possible indicator of neglect?
- correct answer Inappropriate dress
A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations
should the nurse expect during the admission assessment?
- correct answer orthostatic hypotension
A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy
through operant conditioning. Which of the following client behaviors indicates effectiveness of the
therapy?
- correct answer Refrains from manipulating others to earn dining room privileges