NCLEX Mental Health ACTUAL TEST BANK EXAM 2026-
2027 \NEWEST EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS \LATEST EXAM FOR FINAL
EXAM PREPARATION \ ASSURED PASS ALREADY GRADED A+
BEST FOR EXAM PREP \Dallas College \ RNSG 2213
A 3-year-old and her parents check into the emergency room. The parents are
complaining that the babysitter is abusing their child. What action should the nurse take first?
Assess the child.
Call the physician.
Notify the social worker.
Call Child Protective Services.
Assess the child. Explanation
• The parents' concerns should be taken seriously, but the nurse first needs to assess the child to
have objective information to relay to the authorities.
• Calling the social worker, physician, and child protective services should be done, but only
after the nurse investigates the claims and assesses the child.
,A male patient in the psychiatric unit experiencing a state of mania is walking the halls
completely naked. How should the nurse respond initially? (select all that
apply)
Quietly escort the patient to his room.
Tell the patient he will be secluded if he does not get dressed. Ask the
other patients to go to their rooms.
Confront the patient and insist he get dressed.
Encourage the patient to get dressed.
Withhold family visits due to inappropriate behavior.
Quietly escort the patient to his room.
Encourage the patient to get dressed.
Explanation
• The nurse should take control of the situation without causing the patient more anxiety.
Walk the patient to his room and encourage him to dress there.
• A manic patient often lacks good judgement and has poor impulse control, but may
respond well to non-threatening encouragement.
• A manic patient is more receptive to non-threatening direction than confrontation, and walking
with the patient to his room and encouraging him to get dressed so
that he can do something else he enjoys will get better results than issuing an order.
,
, The home care nurse assesses an older adult client living with adult children. The client is thin
and frail, with bruising on the upper arms and back. Which
circumstances alert the nurse to an increased risk of abuse? Select all
that apply.
Lower socioeconomic status of the older adult client's family.
The elderly client has a psychiatric diagnosis, such as dementia or depression.
The abuse of alcohol by the older adult client and/or a family member in the home.
Physical or cognitive impairment making the client dependent on others for activities of daily
living.
Frequent emergency room visits for falls or unexplained illnesses.
The elderly client has a psychiatric diagnosis, such as dementia or depression.
- The presence of any psychiatric diagnosis increases risk of elder abuse.
The abuse of alcohol by the older adult client and/or a family member in the home.
- Alcohol abuse increases risk of elder abuse.
Physical or cognitive impairment making the client dependent on others for activities of daily
living.
- Financial or physical dependence on others increases the risk of elder abuse, in part
because of the strain this dependency puts on the family. The vulnerable older adult may also
feel unable to speak out against any mistreatment they receive,
beacuase they have nowhere else to go. Explanation
Elder neglect and abuse affects an estimated 2-10% of adults, but is known to be
2027 \NEWEST EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS \LATEST EXAM FOR FINAL
EXAM PREPARATION \ ASSURED PASS ALREADY GRADED A+
BEST FOR EXAM PREP \Dallas College \ RNSG 2213
A 3-year-old and her parents check into the emergency room. The parents are
complaining that the babysitter is abusing their child. What action should the nurse take first?
Assess the child.
Call the physician.
Notify the social worker.
Call Child Protective Services.
Assess the child. Explanation
• The parents' concerns should be taken seriously, but the nurse first needs to assess the child to
have objective information to relay to the authorities.
• Calling the social worker, physician, and child protective services should be done, but only
after the nurse investigates the claims and assesses the child.
,A male patient in the psychiatric unit experiencing a state of mania is walking the halls
completely naked. How should the nurse respond initially? (select all that
apply)
Quietly escort the patient to his room.
Tell the patient he will be secluded if he does not get dressed. Ask the
other patients to go to their rooms.
Confront the patient and insist he get dressed.
Encourage the patient to get dressed.
Withhold family visits due to inappropriate behavior.
Quietly escort the patient to his room.
Encourage the patient to get dressed.
Explanation
• The nurse should take control of the situation without causing the patient more anxiety.
Walk the patient to his room and encourage him to dress there.
• A manic patient often lacks good judgement and has poor impulse control, but may
respond well to non-threatening encouragement.
• A manic patient is more receptive to non-threatening direction than confrontation, and walking
with the patient to his room and encouraging him to get dressed so
that he can do something else he enjoys will get better results than issuing an order.
,
, The home care nurse assesses an older adult client living with adult children. The client is thin
and frail, with bruising on the upper arms and back. Which
circumstances alert the nurse to an increased risk of abuse? Select all
that apply.
Lower socioeconomic status of the older adult client's family.
The elderly client has a psychiatric diagnosis, such as dementia or depression.
The abuse of alcohol by the older adult client and/or a family member in the home.
Physical or cognitive impairment making the client dependent on others for activities of daily
living.
Frequent emergency room visits for falls or unexplained illnesses.
The elderly client has a psychiatric diagnosis, such as dementia or depression.
- The presence of any psychiatric diagnosis increases risk of elder abuse.
The abuse of alcohol by the older adult client and/or a family member in the home.
- Alcohol abuse increases risk of elder abuse.
Physical or cognitive impairment making the client dependent on others for activities of daily
living.
- Financial or physical dependence on others increases the risk of elder abuse, in part
because of the strain this dependency puts on the family. The vulnerable older adult may also
feel unable to speak out against any mistreatment they receive,
beacuase they have nowhere else to go. Explanation
Elder neglect and abuse affects an estimated 2-10% of adults, but is known to be
