1. A nurse caring for a client three days after admission for treatment of depression. The
client leaves her current activity approaches the nurse and states there is no reason to go
on living, I just want to end it all.
a. Assist the client her room and allow her to rest before resume activity
b. Recognize the manipulation and escort back her activity
c. Ask if the client if she has plan to commit suicide
d. Notify the clients family and visitor to stay with the client
2. A nurse is caring for a client states I have to get out of this hospital. they have found my
address and are coming to harm my family. The nurse responds don’t worry no one will
harm your family. Which one of the following therapeutic communications the nurse
responds represent?
a. Proving passing response
b. Offering false reassurance
c. Showing disapproval
d. Offering sympathy
3. A nurse planning care for client for who has OCD. Which of the following of actions the
nurse should take?
a. Teach the client that compulsive behavior is excessive
b. Encourage of avoidance of situation that increase anxiety
c. Investigate what situation precipitate the anxiety
d. Prevent the client performing compulsive behavior
4. A nurse is caring for a client who has borderline personality disorder. As part of the client
plan of care the nurse reviews days schedule with the client each morning. As the nurse
begin to review the schedule with the client, the client says “why don’t you shut up already
I can read it myself you know” which of the following responses should the nurse give to
the client?
a. I don’t like when you address me with tone of voice
b. I know you can but are going to read it or not
c. Fine here is the schedule I will expect you to be on time for your therapy
d. We do this every day why angry this morning
5. a nurse is caring for a client who experiencing a crisis related to anxiety . which of the
following actions the nurse should take?
a. Validate the client’s feelings
b. Establish rapport with the client
c. Develop flexible crisis intervention plan
d. Avoid eye contact to prevent the escalation of the anxiety
e. Identity the cause of the anxiety
6. A charge nurse is conducting a staff education and service about depression disorder.
Which of the following is should the nurse identity as the risk for depression?
a. Pregnancy
b. Be married
c. Male gender
d. Chronic
, 7. A nurse caring who has paranoid personality disorder. Which of the followings of findings
the nurse to expect?
a. Violet the right of other
b. Demonstrate grandiose of Self-important
c. Be subspecies other people motives
d. Desire to be the center of attention
e. Believes others are deceiving him
8. The nurse is readmitting the client to medical unit after transfer to ICU the following the
self-administration overdose of medication. The client looks down to the floors and
mumbles hello. Which of the following response the nurse should make?
a. You have been transferred to the unit, this is your new room
b. Tell me a little more about what happened?
c. I was upset when I found out you tried to kill yourself
d. Hello, I see that you in ICU you been getting light diet, how is your stomach now?
9. A nurse is assessing a client who has malnutrition which of the following findings the nurse
should expect?
a. Decrease mental status
b. Increase vital capacity
c. Moist skin
d. Heat intolerance
10. Nurse is preparing to administer buspirone 75 mg every hour the medication available is 15
mg a tablet = 5 tablet
11. A nurse is planning to care for group of clients in mental health unit. Which of the following
of actions the nurse should take to create therapeutic environment?
A. Provide consistent daily schedule
B. Allow client to determine the nurse client relationship
C. Focus on client’s weakness to increase adaption
D. Share personal weakness with the client
12. A charge nurse hears a provider speaking to his staff nurse in anger concerning incorrect
supply that is available to perform the procedure. Which of the following of the charge
nurse statement is appropriate?
a. You should think about how others feel when you lose your tempered
b. I will help you with this procedure instead of staff nurse
c. If you let us know a head of time that you plan to perform procedure, we could do
better job having the supplies available
d. It must be frustrating when you don’t have want you want to perform
the procedure
13. A nurse is teaching a new licensed nurse about appropriate actions to take one when a
client threatens to harm specific individual, which of the following the newly licensed nurse
indicates understanding?
a. I should formerly report his to
b. I need to make sure the potential victim is warned
c. I need to keep the information confidential due to the client rights of privacy
d. I can only discus the client’s threat with the court order
client leaves her current activity approaches the nurse and states there is no reason to go
on living, I just want to end it all.
a. Assist the client her room and allow her to rest before resume activity
b. Recognize the manipulation and escort back her activity
c. Ask if the client if she has plan to commit suicide
d. Notify the clients family and visitor to stay with the client
2. A nurse is caring for a client states I have to get out of this hospital. they have found my
address and are coming to harm my family. The nurse responds don’t worry no one will
harm your family. Which one of the following therapeutic communications the nurse
responds represent?
a. Proving passing response
b. Offering false reassurance
c. Showing disapproval
d. Offering sympathy
3. A nurse planning care for client for who has OCD. Which of the following of actions the
nurse should take?
a. Teach the client that compulsive behavior is excessive
b. Encourage of avoidance of situation that increase anxiety
c. Investigate what situation precipitate the anxiety
d. Prevent the client performing compulsive behavior
4. A nurse is caring for a client who has borderline personality disorder. As part of the client
plan of care the nurse reviews days schedule with the client each morning. As the nurse
begin to review the schedule with the client, the client says “why don’t you shut up already
I can read it myself you know” which of the following responses should the nurse give to
the client?
a. I don’t like when you address me with tone of voice
b. I know you can but are going to read it or not
c. Fine here is the schedule I will expect you to be on time for your therapy
d. We do this every day why angry this morning
5. a nurse is caring for a client who experiencing a crisis related to anxiety . which of the
following actions the nurse should take?
a. Validate the client’s feelings
b. Establish rapport with the client
c. Develop flexible crisis intervention plan
d. Avoid eye contact to prevent the escalation of the anxiety
e. Identity the cause of the anxiety
6. A charge nurse is conducting a staff education and service about depression disorder.
Which of the following is should the nurse identity as the risk for depression?
a. Pregnancy
b. Be married
c. Male gender
d. Chronic
, 7. A nurse caring who has paranoid personality disorder. Which of the followings of findings
the nurse to expect?
a. Violet the right of other
b. Demonstrate grandiose of Self-important
c. Be subspecies other people motives
d. Desire to be the center of attention
e. Believes others are deceiving him
8. The nurse is readmitting the client to medical unit after transfer to ICU the following the
self-administration overdose of medication. The client looks down to the floors and
mumbles hello. Which of the following response the nurse should make?
a. You have been transferred to the unit, this is your new room
b. Tell me a little more about what happened?
c. I was upset when I found out you tried to kill yourself
d. Hello, I see that you in ICU you been getting light diet, how is your stomach now?
9. A nurse is assessing a client who has malnutrition which of the following findings the nurse
should expect?
a. Decrease mental status
b. Increase vital capacity
c. Moist skin
d. Heat intolerance
10. Nurse is preparing to administer buspirone 75 mg every hour the medication available is 15
mg a tablet = 5 tablet
11. A nurse is planning to care for group of clients in mental health unit. Which of the following
of actions the nurse should take to create therapeutic environment?
A. Provide consistent daily schedule
B. Allow client to determine the nurse client relationship
C. Focus on client’s weakness to increase adaption
D. Share personal weakness with the client
12. A charge nurse hears a provider speaking to his staff nurse in anger concerning incorrect
supply that is available to perform the procedure. Which of the following of the charge
nurse statement is appropriate?
a. You should think about how others feel when you lose your tempered
b. I will help you with this procedure instead of staff nurse
c. If you let us know a head of time that you plan to perform procedure, we could do
better job having the supplies available
d. It must be frustrating when you don’t have want you want to perform
the procedure
13. A nurse is teaching a new licensed nurse about appropriate actions to take one when a
client threatens to harm specific individual, which of the following the newly licensed nurse
indicates understanding?
a. I should formerly report his to
b. I need to make sure the potential victim is warned
c. I need to keep the information confidential due to the client rights of privacy
d. I can only discus the client’s threat with the court order
