COMPREHENSIVE RNSG 2539 FINAL
PRACTICE: CRITICAL THINKING AND
CLINICAL APPLICATION 2026/2027
WITH OVER 200 QUESTIONS AND
CORRECT ANSWERS RATED A+
A nurse is planning care for a client who has obsessive-compulsive disorder.
Which of the following recommendation should the nurse include in the client's
plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
b. Thought stopping
A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate
b. Dim the lights in the client's room
A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
,c. Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for
an eye in the sky. Sky is up high." The nurse should document the client's
statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
d. Clang association
An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which
of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily
treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
d. Tell me the reasons you think your mother is depressed.
A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
b. Initiates social interactions with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse give the client when using thought
,stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
a. Snap a rubber band on your wrist when you think about checking the locks.
A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicates the nurse is practicing the ethical
principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for
treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the
client.
d. Being truthful with the client about the manifestations of withdrawal.
c. Withholding the prescribed medication that is causing adverse effects for the
client.
A nurse is assessing a young adult female client for schizophrenia. Which of the
following findings should the nurse identify as a risk factor for this condition?
a. Environmental stress
b. Gender
c. Depression
d. Birth order
a. Environmental stress
A nurse is providing discharge teaching about manifestations of relapse to the
family of a client who has schizophrenia. Which of the following information
should the nurse include in the teaching?
a. The client exhibits an inflated sense of self
, b. The client develops an inability to concentrate
c. The client increases participation in social activities
d. The client begins sleeping more than usual
b. The client develops an inability to concentrate
A nurse is assessing a client who is restless and constantly mutters to himself.
Which of the following findings should lead the nurse to suspect delirium?
a. The client is unable to recognize objects.
b. The client manifestations developed suddenly
c. The client has a flat affect
d. The client's speech is slow and repetitious
b. The client manifestations developed suddenly
A nurse is caring for a client in an inpatient mental health facility. The client tells
the nurse that the government is reading her mail. Which of the following
responses should the nurse make?
a. " You know that's not true, because it is against the law for others to read your
mail"
b. "All of your letters come sealed, so that seems unlikely"
c. "It must be frightened to think that someone is reading your mail"
d. "why do you think the government wants to read your mail?"
c. "It must be frightened to think that someone is reading your mail"
A nurse is assessing a client who has neuroleptic malignant syndrome. Which of
the following clinical findings should the nurse expect?
a. Heart rate 48 min
b. Temperature 40 C (104 F)
c. WBC 3,000 mm3
d. Hypotonicity
b. Temperature 40 C (104 F)
PRACTICE: CRITICAL THINKING AND
CLINICAL APPLICATION 2026/2027
WITH OVER 200 QUESTIONS AND
CORRECT ANSWERS RATED A+
A nurse is planning care for a client who has obsessive-compulsive disorder.
Which of the following recommendation should the nurse include in the client's
plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
b. Thought stopping
A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate
b. Dim the lights in the client's room
A nurse is leading a crisis intervention group for adolescents who witnessed the
suicide of a classmate. Which of the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
,c. Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for
an eye in the sky. Sky is up high." The nurse should document the client's
statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
d. Clang association
An older adult client is brought to the mental health clinic by her daughter. The
daughter reports that her mother is not eating and seems uninterested in routine
activities. The daughter states "Im so worried that my mother is depressed" which
of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily
treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
d. Tell me the reasons you think your mother is depressed.
A nurse is planning care for an adolescent who has autism spectrum disorder.
Which of the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
b. Initiates social interactions with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of
the following instructions should the nurse give the client when using thought
,stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
a. Snap a rubber band on your wrist when you think about checking the locks.
A nurse is caring for a client who is starting treatment for substance use disorder.
Which of the following actions indicates the nurse is practicing the ethical
principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for
treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the
client.
d. Being truthful with the client about the manifestations of withdrawal.
c. Withholding the prescribed medication that is causing adverse effects for the
client.
A nurse is assessing a young adult female client for schizophrenia. Which of the
following findings should the nurse identify as a risk factor for this condition?
a. Environmental stress
b. Gender
c. Depression
d. Birth order
a. Environmental stress
A nurse is providing discharge teaching about manifestations of relapse to the
family of a client who has schizophrenia. Which of the following information
should the nurse include in the teaching?
a. The client exhibits an inflated sense of self
, b. The client develops an inability to concentrate
c. The client increases participation in social activities
d. The client begins sleeping more than usual
b. The client develops an inability to concentrate
A nurse is assessing a client who is restless and constantly mutters to himself.
Which of the following findings should lead the nurse to suspect delirium?
a. The client is unable to recognize objects.
b. The client manifestations developed suddenly
c. The client has a flat affect
d. The client's speech is slow and repetitious
b. The client manifestations developed suddenly
A nurse is caring for a client in an inpatient mental health facility. The client tells
the nurse that the government is reading her mail. Which of the following
responses should the nurse make?
a. " You know that's not true, because it is against the law for others to read your
mail"
b. "All of your letters come sealed, so that seems unlikely"
c. "It must be frightened to think that someone is reading your mail"
d. "why do you think the government wants to read your mail?"
c. "It must be frightened to think that someone is reading your mail"
A nurse is assessing a client who has neuroleptic malignant syndrome. Which of
the following clinical findings should the nurse expect?
a. Heart rate 48 min
b. Temperature 40 C (104 F)
c. WBC 3,000 mm3
d. Hypotonicity
b. Temperature 40 C (104 F)
