Mental Health Practice Part B with NGN Test Questions with
Answers Graded A+
A nurse is performing a cognitive assessment to distin-
Easily distracted
guish delirium from dementia in a client whose family
reports episodes of confusion. Which of the following
Extreme distractibility is a hallmark manifestation of delir-
assessment findings supports the nurse's suspicion of
ium.
delirium?
"I'll stay with you just in case you want to talk."
A nurse is caring for a client who gave birth to a stillborn
This response demonstrates the therapeutic communica-
baby. Which of the following statements should the nurse
tion techniques of ottering self and indicates the nurse's
make?
interest in the client and a desire to understand the client's
feelings.
A 35-year-old client who has major depressive disorder.
A nurse is caring for four clients in an emergency de-
partment. The nurse should identify that which of the A client who has major depressive disorder is capable of
following clients can give informed consent? making health care decisions unless the client is deter-
mined to be legally incompetent.
"I will update the plan of care as a client's manifestations
A nurse is teaching a newly licensed nurse about nurs-
of depression change."
ing care plans for clients who have depressive disorders.
Which of the following statements by the newly licensed
The nurse should update the plan of care as a client's
nurse indicates an understanding of the teaching?
status and needs change.
Blood pressure 154/96 mm Hg
A nurse on a medical-surgical unit is assessing a client
who sustained injuries 12 hr ago following a motor-vehi- Physical manifestations of alcohol withdrawal occur in ad-
cle crash. The client's admission blood alcohol level was dition to psychological ettects. A client who is experienc-
325 mg/dL. Which of the following findings should indi- ing alcohol withdrawal is expected to have hypertension,
cate to the nurse that the client is experiencing alcohol tachycardia, and fever greater than 38.3° C (101° F). It will
withdrawal? be important for the nurse to rule out infection in the client
who has a fever.
Nonmaleficence
, Mental Health Practice Part B with NGN Test Questions with
Answers Graded A+
A nurse is planning care for a client who has made repeat-
It is the responsibility of the nurse to do no harm to clients.
ed physical threats toward others on the unit. Although the
The nurse is applying the ethical principle of nonmalefi-
client does not want to leave the unit, the nurse requests
cence by requesting to transfer this client to a unit better
the provider to transfer the client to a unit that is equipped
able to manage their behavior and thereby prevent injury
to manage violent behavior. Which of the following ethical
to others on the unit.
principles should the nurse apply in this situation?
The client should obtain a sponsor before discharge for
an increased chance of recovery.
A nurse is discussing a 12-step program with a client
who has alcohol use disorder and is in an acute care The nurse should teach the client that peer support has
facility undergoing detoxification. Which of the following been shown to increase program attendance and the
information should the nurse include in the teaching? chances of recovery. If the client does not have a sponsor,
they can be assigned one when they begin attending the
program.
Renew the prescription for the client every 4 hr.
A nurse is creating a plan of care for a client who has been
placed in seclusion after threatening to harm others on The nurse should assess the client's behavior frequently
the unit. Which of the following interventions should the during seclusion and should renew the prescription for
nurse include in the plan? seclusion for an adult client every 4 hr, for a maximum of
24 hr.
Inform the client that this admission is confidential.
A nurse is performing an admission assessment on a
client and notices that the client appears withdrawn and
According to evidence-based practice, the nurse should
fearful. To establish a trusting nurse-client relationship,
first inform the client about confidentiality during the ori-
which of the following actions should the nurse take first?
entation phase of the nurse-client relationship.
Assertive community treatment
A nurse is planning discharge teaching for a client who
has severe schizoattective disorder. The nurse should Assertive community treatment provides comprehensive,
identify that which of the following treatment options can community-based services to clients who have severe
otter interdiscplinary services for the client at home? mental illness based upon individualized needs. Services
are available in any setting, including the client's home,
Answers Graded A+
A nurse is performing a cognitive assessment to distin-
Easily distracted
guish delirium from dementia in a client whose family
reports episodes of confusion. Which of the following
Extreme distractibility is a hallmark manifestation of delir-
assessment findings supports the nurse's suspicion of
ium.
delirium?
"I'll stay with you just in case you want to talk."
A nurse is caring for a client who gave birth to a stillborn
This response demonstrates the therapeutic communica-
baby. Which of the following statements should the nurse
tion techniques of ottering self and indicates the nurse's
make?
interest in the client and a desire to understand the client's
feelings.
A 35-year-old client who has major depressive disorder.
A nurse is caring for four clients in an emergency de-
partment. The nurse should identify that which of the A client who has major depressive disorder is capable of
following clients can give informed consent? making health care decisions unless the client is deter-
mined to be legally incompetent.
"I will update the plan of care as a client's manifestations
A nurse is teaching a newly licensed nurse about nurs-
of depression change."
ing care plans for clients who have depressive disorders.
Which of the following statements by the newly licensed
The nurse should update the plan of care as a client's
nurse indicates an understanding of the teaching?
status and needs change.
Blood pressure 154/96 mm Hg
A nurse on a medical-surgical unit is assessing a client
who sustained injuries 12 hr ago following a motor-vehi- Physical manifestations of alcohol withdrawal occur in ad-
cle crash. The client's admission blood alcohol level was dition to psychological ettects. A client who is experienc-
325 mg/dL. Which of the following findings should indi- ing alcohol withdrawal is expected to have hypertension,
cate to the nurse that the client is experiencing alcohol tachycardia, and fever greater than 38.3° C (101° F). It will
withdrawal? be important for the nurse to rule out infection in the client
who has a fever.
Nonmaleficence
, Mental Health Practice Part B with NGN Test Questions with
Answers Graded A+
A nurse is planning care for a client who has made repeat-
It is the responsibility of the nurse to do no harm to clients.
ed physical threats toward others on the unit. Although the
The nurse is applying the ethical principle of nonmalefi-
client does not want to leave the unit, the nurse requests
cence by requesting to transfer this client to a unit better
the provider to transfer the client to a unit that is equipped
able to manage their behavior and thereby prevent injury
to manage violent behavior. Which of the following ethical
to others on the unit.
principles should the nurse apply in this situation?
The client should obtain a sponsor before discharge for
an increased chance of recovery.
A nurse is discussing a 12-step program with a client
who has alcohol use disorder and is in an acute care The nurse should teach the client that peer support has
facility undergoing detoxification. Which of the following been shown to increase program attendance and the
information should the nurse include in the teaching? chances of recovery. If the client does not have a sponsor,
they can be assigned one when they begin attending the
program.
Renew the prescription for the client every 4 hr.
A nurse is creating a plan of care for a client who has been
placed in seclusion after threatening to harm others on The nurse should assess the client's behavior frequently
the unit. Which of the following interventions should the during seclusion and should renew the prescription for
nurse include in the plan? seclusion for an adult client every 4 hr, for a maximum of
24 hr.
Inform the client that this admission is confidential.
A nurse is performing an admission assessment on a
client and notices that the client appears withdrawn and
According to evidence-based practice, the nurse should
fearful. To establish a trusting nurse-client relationship,
first inform the client about confidentiality during the ori-
which of the following actions should the nurse take first?
entation phase of the nurse-client relationship.
Assertive community treatment
A nurse is planning discharge teaching for a client who
has severe schizoattective disorder. The nurse should Assertive community treatment provides comprehensive,
identify that which of the following treatment options can community-based services to clients who have severe
otter interdiscplinary services for the client at home? mental illness based upon individualized needs. Services
are available in any setting, including the client's home,
