LEADING SAFE CERTIFICATION FINAL
TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Management of Care: Planning care for a Client Experiencing Auditory
Hallucinations.
Answer: - Collaborate with the client to use manifestation management
techniques to cope with depressive findings and anxiety. Manifestation
management techniques include such strategies as using music to distract
from “voices,” attending activities, walking, talking to a trusted person when
hallucinations are most bothersome, and interacting with an auditory or
visual hallucination by telling it to stop or go away. QPCC
◍ Posturing: flexion and internal rotation of upper extremity-joints and legs.
Answer: decorticate rigidity
◍ Management of Care: Planning Care for a client Who Has Anorexia
Nervosa.
Answer: Expected findingsFluid/ElectrolyteAcidosis or
alkalosisDehydrationElectrolyte imbalances
◍ Posturing: neck and elbow extension. wrist and finger flexion.
Answer: decerebrate rigidity
◍ used to objectively assess the client's cognitive status.
Answer: Mini-Mental Status Examination
◍ Management of Care: Planning Discharge Teaching For a client Who Has
Schizoaffective Disorder.
Answer: Assertive community treatment (ACT)- ACT helps to reduce
recurrences of hospitalizations and provides crisis intervention, assistance
with independent living, and information regarding resources for necessary
, support services. ACT teams work with clients in their homes, in agencies,
hospitals, and clinics.
◍ used to obtain a baseline assessment of the clients LOC and for ongoing
assessment.
Answer: Glasgow Come Scale
◍ Glasgow Coma Scale: 15.
Answer: highest possible score, awake and responding appropriately
◍ Management of Care: Identifying Ethical Principles.
Answer: Ethical Principles for Client Care- Autonomy: the right to make
one’s own personal decisions, even when those decisions might not be in
that person’s own best interest.- Beneficence: action that promotes good for
others, without any self-interest.- Fidelity: fulfillment of promises.- Justice:
fairness in care delivery and use of resources.- Nonmaleficence: a
commitment to do no harm. QS- Veracity: a commitment to tell the truth.
◍ Health Promotion and Maintenance: Identifying Manifestations of Autism
Spectrum Disorder.
Answer: Expected Findings- Delayed or absent language development
◍ Glasgow Come Scale: 3.
Answer: comatose state
◍ Axis I.
Answer: all mental health diagnoses except personality
◍ Axis II.
Answer: personality disorders and mental retardation
◍ Reduction of Risk Potential: Distinguishing Delirium and Dementia.
Answer: Delirium:Impairments in memory, judgment, ability to focus, and
ability to calculate, which can fluctuate throughout the day. Disorientation
and confusion often worse at night and early morning.Level of
consciousness is usually altered and can rapidly fluctuate.There are four
types of delirium.- Hyperactive with agitation and restlessness - Hypoactive
, with apathy and quietness- Mixed, having a combination of hyper and hypo
manifestations- Unclassified for those whose manifestations do not classify
into the other categoriesRestlessness, anxiety, motor agitation, and
fluctuating moods are common. Personality change is rapid.Some perceptual
disturbances can be present, such as hallucinations and illusions.Change in
reality can cause fear, panic, and anger.Can cause vital signs to become
unstable requiring intervention.Should be considered a medical emergency.
◍ Axis III.
Answer: medical diagnoses
◍ Safety and Infection Control: Identifying the Priority Client for Assessment.
Answer: Alterations in thought (delusions)Persecution: Feels singled out for
harm by others, such as being hunted down by the FBINursing Care-
Monitor the client for paranoid delusions, which can increase the risk for
violence against others.Safety/Risk Reduction QSLook first for a safety risk.
For example, is there a finding that suggests a risk for airway obstruction,
hypoxia, bleeding, infection, or injury?Next ask, “What’s the risk to the
client?” and “How significant is the risk compared to other posed
risks?”Give priority to responding to whatever finding poses the greatest (or
most imminent) risk to the client’s physical well-being.
◍ Safety and Infection Control: Identifying Steps to Take When Caring for an
Agitated Client.
Answer: Steps to handle aggressive behavior* Plan for four to six staff
members to be available and in sight of the client as a “show of force” if
appropriate.
◍ Psychosocial Integrity: Identifying Secondary Prevention Strategies.
Answer: Secondary Prevention- Identify and screen those at risk for abuse
and individuals who are potential abusers.- Assess and evaluate any
unexplained bruises or injuries of any individual.- Screen all pregnant
women for potential abuse. This might be the one time in some women’s
lives that they can access the health care system on a regular basis.- Refer
sexual assault or rape survivors to a local emergency department for
, assessment by a sexual assault abuse team. Caution the client not to bathe
following the assault because it will destroy physical evidence.- Assess and
counsel anyone contemplating suicide or homicide and refer the individual
to the appropriate services.- Assess and help offenders address and deal with
the stressors that can be causing or contributing to the abuse (mental illness,
substance use).- Alert all involved about available resources within the
community.
◍ Axis IV.
Answer: pertinent psychosocial problems
◍ Axis V.
Answer: GAF
◍ What GAF score would you give to someone who was at near or normal
function?.
Answer: 80-100
◍ What GAF score would you give to someone who shows serious mental
disability and/or functioning impairments?.
Answer: 40 and below
◍ a wrongful act of injury committed by a person against another person or
another person's property.
Answer: tort
◍ Psychosocial Integrity: Teaching a Client About Relaxation Techniques.
Answer: - Use relaxation techniques with the client as needed for relief of
pain, muscle tension, and feelings of anxiety.
◍ this related to the quality of doing good and can be described as charity (Ex:
A nurse helps a newly admitted client with psychosis feel safe on the unit).
Answer: beneficience
◍ refers to the client's right to make their own decisions (Ex: Rather than
giving advice to a client who has difficulty making decisions, the nurse
helps the client explore all alternatives).
TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Management of Care: Planning care for a Client Experiencing Auditory
Hallucinations.
Answer: - Collaborate with the client to use manifestation management
techniques to cope with depressive findings and anxiety. Manifestation
management techniques include such strategies as using music to distract
from “voices,” attending activities, walking, talking to a trusted person when
hallucinations are most bothersome, and interacting with an auditory or
visual hallucination by telling it to stop or go away. QPCC
◍ Posturing: flexion and internal rotation of upper extremity-joints and legs.
Answer: decorticate rigidity
◍ Management of Care: Planning Care for a client Who Has Anorexia
Nervosa.
Answer: Expected findingsFluid/ElectrolyteAcidosis or
alkalosisDehydrationElectrolyte imbalances
◍ Posturing: neck and elbow extension. wrist and finger flexion.
Answer: decerebrate rigidity
◍ used to objectively assess the client's cognitive status.
Answer: Mini-Mental Status Examination
◍ Management of Care: Planning Discharge Teaching For a client Who Has
Schizoaffective Disorder.
Answer: Assertive community treatment (ACT)- ACT helps to reduce
recurrences of hospitalizations and provides crisis intervention, assistance
with independent living, and information regarding resources for necessary
, support services. ACT teams work with clients in their homes, in agencies,
hospitals, and clinics.
◍ used to obtain a baseline assessment of the clients LOC and for ongoing
assessment.
Answer: Glasgow Come Scale
◍ Glasgow Coma Scale: 15.
Answer: highest possible score, awake and responding appropriately
◍ Management of Care: Identifying Ethical Principles.
Answer: Ethical Principles for Client Care- Autonomy: the right to make
one’s own personal decisions, even when those decisions might not be in
that person’s own best interest.- Beneficence: action that promotes good for
others, without any self-interest.- Fidelity: fulfillment of promises.- Justice:
fairness in care delivery and use of resources.- Nonmaleficence: a
commitment to do no harm. QS- Veracity: a commitment to tell the truth.
◍ Health Promotion and Maintenance: Identifying Manifestations of Autism
Spectrum Disorder.
Answer: Expected Findings- Delayed or absent language development
◍ Glasgow Come Scale: 3.
Answer: comatose state
◍ Axis I.
Answer: all mental health diagnoses except personality
◍ Axis II.
Answer: personality disorders and mental retardation
◍ Reduction of Risk Potential: Distinguishing Delirium and Dementia.
Answer: Delirium:Impairments in memory, judgment, ability to focus, and
ability to calculate, which can fluctuate throughout the day. Disorientation
and confusion often worse at night and early morning.Level of
consciousness is usually altered and can rapidly fluctuate.There are four
types of delirium.- Hyperactive with agitation and restlessness - Hypoactive
, with apathy and quietness- Mixed, having a combination of hyper and hypo
manifestations- Unclassified for those whose manifestations do not classify
into the other categoriesRestlessness, anxiety, motor agitation, and
fluctuating moods are common. Personality change is rapid.Some perceptual
disturbances can be present, such as hallucinations and illusions.Change in
reality can cause fear, panic, and anger.Can cause vital signs to become
unstable requiring intervention.Should be considered a medical emergency.
◍ Axis III.
Answer: medical diagnoses
◍ Safety and Infection Control: Identifying the Priority Client for Assessment.
Answer: Alterations in thought (delusions)Persecution: Feels singled out for
harm by others, such as being hunted down by the FBINursing Care-
Monitor the client for paranoid delusions, which can increase the risk for
violence against others.Safety/Risk Reduction QSLook first for a safety risk.
For example, is there a finding that suggests a risk for airway obstruction,
hypoxia, bleeding, infection, or injury?Next ask, “What’s the risk to the
client?” and “How significant is the risk compared to other posed
risks?”Give priority to responding to whatever finding poses the greatest (or
most imminent) risk to the client’s physical well-being.
◍ Safety and Infection Control: Identifying Steps to Take When Caring for an
Agitated Client.
Answer: Steps to handle aggressive behavior* Plan for four to six staff
members to be available and in sight of the client as a “show of force” if
appropriate.
◍ Psychosocial Integrity: Identifying Secondary Prevention Strategies.
Answer: Secondary Prevention- Identify and screen those at risk for abuse
and individuals who are potential abusers.- Assess and evaluate any
unexplained bruises or injuries of any individual.- Screen all pregnant
women for potential abuse. This might be the one time in some women’s
lives that they can access the health care system on a regular basis.- Refer
sexual assault or rape survivors to a local emergency department for
, assessment by a sexual assault abuse team. Caution the client not to bathe
following the assault because it will destroy physical evidence.- Assess and
counsel anyone contemplating suicide or homicide and refer the individual
to the appropriate services.- Assess and help offenders address and deal with
the stressors that can be causing or contributing to the abuse (mental illness,
substance use).- Alert all involved about available resources within the
community.
◍ Axis IV.
Answer: pertinent psychosocial problems
◍ Axis V.
Answer: GAF
◍ What GAF score would you give to someone who was at near or normal
function?.
Answer: 80-100
◍ What GAF score would you give to someone who shows serious mental
disability and/or functioning impairments?.
Answer: 40 and below
◍ a wrongful act of injury committed by a person against another person or
another person's property.
Answer: tort
◍ Psychosocial Integrity: Teaching a Client About Relaxation Techniques.
Answer: - Use relaxation techniques with the client as needed for relief of
pain, muscle tension, and feelings of anxiety.
◍ this related to the quality of doing good and can be described as charity (Ex:
A nurse helps a newly admitted client with psychosis feel safe on the unit).
Answer: beneficience
◍ refers to the client's right to make their own decisions (Ex: Rather than
giving advice to a client who has difficulty making decisions, the nurse
helps the client explore all alternatives).
