NEWEST 2026 ACTUAL EXAM COMPLETE 500
QUESTIONS AND CORRECT DETAILED ANSWERS
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A client is admitted to the mental health unit with the diagnosis of
major depressive disorder. Which statement alerts the nurse to the
possibility of a suicide attempt?
1
"I don't feel too good today."
2
"I feel much better; today is a lovely day."
3
"I feel a little better, but it probably won't last."
4
"I'm really tired today, so I'll take things a little slower." - CORRECT
ANSWER ✔✔- 2
A rapid mood upswing and psychomotor change may signal that the
client has made a decision and has developed a plan for suicide. "I don't
feel too good today"; "I feel a little better, but it probably won't last";
and "I'm really tired today, so I'll take things a little slower" are all
typical of the depressed client; none of these statements signals a
change in mood.
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,During a group discussion it is learned that a group member hid suicidal
urges and committed suicide several days ago. What should the nurse
leading the group be prepared to manage?
1
Guilt of the co-leaders for failing to anticipate and prevent the suicide
2
Guilt of group members because they could not prevent another's
suicide
3
Lack of concern over the suicide expressed by several of the members
in the group
4
Fear by some members that their own suicidal urges may go unnoticed
and that they may go unprotected - CORRECT ANSWER ✔✔- 4
Ambivalence about life and death, plus the introspection commonly
found in clients with emotional problems, can lead to increased anxiety
and fear among the group members. These feelings must be handled
within the support and supervisory systems for the staff; the group
members are the primary concern. Guilt that the group's leaders or
members might feel because they could not prevent another's suicide
will probably be a secondary concern of the group leader. Lack of
concern over the suicide expressed by several of the members in the
group is not a primary concern, but this should be explored later to
determine the reason for such apparent indifference, which may be a
mask to cover true feelings.
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,Which screening report will help the nurse determine skeletal growth in
a child?
1
Electroencephalogram reports
2
Radiographs of the hand and wrist
3
Magnetic resonance imaging (MRI)
4
Denver Developmental Screening Test - CORRECT ANSWER ✔✔- 2
Skeletal growth in a child can be determined from the ossification
centers. At 5 to 6 months of age, the capitate and hamate bones in the
wrist are the earliest centers. Therefore radiographs of the hand and
wrist will help determine skeletal growth in the child.
Electroencephalogram reports will help assess a child's brain activity.
MRI is used to scan the internal structures of a client. The Denver
Developmental Screening Test is used to understand developmental
issues of a child.
A client describes his delusions in minute detail to the nurse. How
should the nurse respond?
1
Changing the topic to reality-based events
2
Continuing to discuss the delusion with the client
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, 3
Getting the client involved in a social project with peers
4
Disputing the perceptions with the use of logical thinking - CORRECT
ANSWER ✔✔- 1
Decreasing time spent on delusions prevents reinforcement of
psychotic thinking. Discussing reality-based events improves contact
with reality. Encouraging discussion will give validity to the delusion.
The client will have difficulty getting involved in a social activity; the
activity will not stop the delusion. Challenging the client may increase
anxiety.
A nurse working on a mental health unit is caring for several clients
who are at risk for suicide. Which client is at the greatest risk for
successful suicide?
1
Young adult who is acutely psychotic
2
Adolescent who was recently sexually abused
3
Older single man just found to have pancreatic cancer
4
Middle-age woman experiencing dysfunctional grieving - CORRECT
ANSWER ✔✔- 3
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