ANSWERS 2024/2025. A+ GRADE
COMMONLY TESTED QUESTIONS
1. A nurse is explaining a fire drill routine to a group of clients. A
client becomes disruptive and continually interrupts the group.
What is the nurse's best response? When you interrupt, I cannot
explain what to do to the group.
2. A client comes in after being in a car accident and is
experiencing alcohol withdrawal, magnesium level of 1.1, cardiac
dysrhythmias. What would you give first? Magnesium
3. When performing a Mental Status Exam (MSE) on a client
which assessment intervention would best assist the nurse? Ask
the client to interpret the proverb a stitch in time saves nine.
4. A woman was just told of her husband’s diagnosis of
terminal cancer. What would the nurse offer for the wife? How
would you like to be involved with your husbands care?
5. A nurse is to remove staples form an abdominal incision; the
client is very anxious. What is the most important intervention?
Attempt to distract the client with general conversation
6. A man diagnosed with bipolar disorder states, "1 don't
understand. I believe in God and have not done anything to
deserve this." What is the nurse’s best response? You did not do
anything wrong. You have a chemical imbalance in your brain.
7. A client becomes upset when the nurse her requests is not
assigned to him. what is the nurse’s best response? Advise the
client that nursing assignments are not based on client requests.
8. A client needs to wash her hands for 2 hours before able to
go on with her morning. She doesn’t want to sit on the chairs in
the dayroom for fear of getting dirty. What is this mechanism?
Compulsion
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, PSYCH HESI TEST BANK. QUESTIONS AND
ANSWERS 2024/2025. A+ GRADE
COMMONLY TESTED QUESTIONS
9. A client in group is talking about her prostitution. The nurse
asks her if she was abused by her parents. She states, my mother
ran my father out when I was young. What defense mechanism
was used? Repression
10. A woman calls the crisis hotline and says she has a loaded
gun and is going to kill herself. To maintain patient
confidentiality, what would the nurse do? Contact the person the
client chooses to go to the home and remove the weapon
1 1. A client with anger management issues uses belt making and
bangs the leather heavily. What defense mechanism is being
used? sublimation
12. A bipolar client comes to the clinic and tells the nurse
that the next time she sees her sister she is going to kill her.
What should the nurse do? Inform the sister
13. What would then nurse highest priority for a newly admitted
depressed client upon admission? The nurse should go through the
clients belongings
14. Who is most prone to being abused? Females over 75 living
with families 15. A client in the dayroom had tipped over a table
and is escalating and has picked up a chair which she is
threatening to throw at another client. What should the nurse
do first? Go and get more staff assistance
16. A woman who is psychotic is carrying all of her belongings
around with her because she is afraid that someone will steal it.
What is the best way to establish trust? Make brief contact with
the client throughout the day
17. In adolescent group, you are discussing a handout on anger
management. A client is becoming increasingly interruptive and
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