NACE Exam on the Care of the
Mental Health Client Exam
Questions and Answers
1. Which of the following assessment data is within the scope of
practice for the licensed practical nurse/licensed vocational nurse
(LPN/LVN) to independently obtain and utilize in their care? Select all
that apply.
Assess and document a client's level of awareness, alertness, and
affect.
Observe and document the client's state of hygiene and their
posture.
Document the client's speech patterns, volume, rate, and
repetition of words.
Correct Answers:
Assess and document a client's level of awareness, alertness, and
affect.
, Observe and document the client's state of hygiene and their
posture.
Document the client's speech patterns, volume, rate, and
repetition of words.
Explanation:
LPNs/LVNs can independently assess and document mental status
aspects such as awareness, hygiene, posture, and speech. They cannot
diagnose, perform formal testing, or interpret diagnostic manuals.
2. An adolescent client is undergoing behavior management for anger.
The nurse has developed a plan of care based on the client's frequent
verbal outbursts. The nurse and client agreed that if the client is able
to maintain the desired behavior of asking for help rather than
shouting, the client may have an extra 15 minutes a day socializing in
the day room with peers. This intervention is best described as which
of the following?
Positive reinforcement, giving a pleasant reward for appropriate
behavior.
Correct Answer:
, Positive reinforcement, giving a pleasant reward for appropriate
behavior.
Explanation:
Providing extra social time as a reward for managing anger
appropriately is a positive reinforcement technique, which encourages
desired behavior.
3. A client has been placed on suicide precautions. The nurse is
preparing a plan of care for this client. Which of the following
interventions would be appropriate at this time? Select all that apply.
Ask the client directly about suicidal ideations each shift.
Encourage the client to seek out nursing staff when experiencing
suicidal thoughts.
Correct Answers:
Ask the client directly about suicidal ideations each shift.
Encourage the client to seek out nursing staff when experiencing
suicidal thoughts.
Explanation:
Regularly assessing for suicidal ideation and encouraging clients to seek
Mental Health Client Exam
Questions and Answers
1. Which of the following assessment data is within the scope of
practice for the licensed practical nurse/licensed vocational nurse
(LPN/LVN) to independently obtain and utilize in their care? Select all
that apply.
Assess and document a client's level of awareness, alertness, and
affect.
Observe and document the client's state of hygiene and their
posture.
Document the client's speech patterns, volume, rate, and
repetition of words.
Correct Answers:
Assess and document a client's level of awareness, alertness, and
affect.
, Observe and document the client's state of hygiene and their
posture.
Document the client's speech patterns, volume, rate, and
repetition of words.
Explanation:
LPNs/LVNs can independently assess and document mental status
aspects such as awareness, hygiene, posture, and speech. They cannot
diagnose, perform formal testing, or interpret diagnostic manuals.
2. An adolescent client is undergoing behavior management for anger.
The nurse has developed a plan of care based on the client's frequent
verbal outbursts. The nurse and client agreed that if the client is able
to maintain the desired behavior of asking for help rather than
shouting, the client may have an extra 15 minutes a day socializing in
the day room with peers. This intervention is best described as which
of the following?
Positive reinforcement, giving a pleasant reward for appropriate
behavior.
Correct Answer:
, Positive reinforcement, giving a pleasant reward for appropriate
behavior.
Explanation:
Providing extra social time as a reward for managing anger
appropriately is a positive reinforcement technique, which encourages
desired behavior.
3. A client has been placed on suicide precautions. The nurse is
preparing a plan of care for this client. Which of the following
interventions would be appropriate at this time? Select all that apply.
Ask the client directly about suicidal ideations each shift.
Encourage the client to seek out nursing staff when experiencing
suicidal thoughts.
Correct Answers:
Ask the client directly about suicidal ideations each shift.
Encourage the client to seek out nursing staff when experiencing
suicidal thoughts.
Explanation:
Regularly assessing for suicidal ideation and encouraging clients to seek
