SAUNDERS NCLEX-RN MENTAL HEALTH REVIEW QUESTIONS
AND ANSWERS UPDATED 2024/2025 RATED A+ FOR
SUCCESS
A client admitted voluntarily for treatment of an anxiety disorder demands to be released
from the hospital. Which of the following actions should the nurse take immediately?
1. Contact the client's HCP
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay for "only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. - CORRECT
ANSWERS 1. Contact the client's HCP
When reviewing the admission assessment, the nurse notes that a client was admitted to
the mental health unit involuntarily. Based on this type of admission, the nurse should
provide which intervention for this client?
1. Monitor closely for harm to self or others
2. Assist in completing an application for admission
3. Supply the client with written information about their mental illness
4. Provide an opportunity for the family to discuss why they felt the admission was needed. -
CORRECT ANSWERS 1. Monitor closely for harm to self or others
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery
store. The neighbor says to the nurse, "How is Carol doing? She is my best friend and is seen
at your clinic every week." Which is the most appropriate nursing response?
1. "I cannot discuss any client situation with you."
2. "If you want to know about Carol, you need to ask her herself."
3. "Only because you're worried about a friend, I'll tell you that she is improving."
4. "Being her friend, you know she is having a difficult time and deserved her privacy." -
CORRECT ANSWERS 1. "I cannot discuss any client situation with you."
The nurse calls security and has physical restraints applied when a client who was admitted
voluntarily becomes both physically and verbally abusive while demanding to be discharged
, SAUNDERS NCLEX-RN MENTAL HEALTH REVIEW QUESTIONS
AND ANSWERS UPDATED 2024/2025 RATED A+ FOR
SUCCESS
from the hospital. Which represents the possible legal ramifications for the nurse associated
with these interventions? Select all that apply.
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - CORRECT ANSWERS B. Battery
C. Assault
E. False Imprisonment
The nurse in the mental health unit recognizes which as being therapeutic communication
techniques? Select all that apply.
1. Restating
2. Listening
3. Asking the client, "Why?"
4. Maintaining neutral responses
5. Providing acknowledgement and feedback
6. Giving advice and approval or disapproval - CORRECT ANSWERS 1. Restating
2. Listening
4. Maintaining neutral responses
5. Providing acknowledgement and feedback
The nurse is working with a client who despite making a heroic effort was unable to rescue a
neighbor trapped in a house fire. Which client-focused action should the nurse engage in
during the working phase of the nurse-client relationship?
1. Exploring the client's ability to function.
2. Exploring the client's potential for self-harm.
3. Inquiring about the client's perception or appraisal of why the rescue was unsuccessful.
AND ANSWERS UPDATED 2024/2025 RATED A+ FOR
SUCCESS
A client admitted voluntarily for treatment of an anxiety disorder demands to be released
from the hospital. Which of the following actions should the nurse take immediately?
1. Contact the client's HCP
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay for "only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. - CORRECT
ANSWERS 1. Contact the client's HCP
When reviewing the admission assessment, the nurse notes that a client was admitted to
the mental health unit involuntarily. Based on this type of admission, the nurse should
provide which intervention for this client?
1. Monitor closely for harm to self or others
2. Assist in completing an application for admission
3. Supply the client with written information about their mental illness
4. Provide an opportunity for the family to discuss why they felt the admission was needed. -
CORRECT ANSWERS 1. Monitor closely for harm to self or others
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery
store. The neighbor says to the nurse, "How is Carol doing? She is my best friend and is seen
at your clinic every week." Which is the most appropriate nursing response?
1. "I cannot discuss any client situation with you."
2. "If you want to know about Carol, you need to ask her herself."
3. "Only because you're worried about a friend, I'll tell you that she is improving."
4. "Being her friend, you know she is having a difficult time and deserved her privacy." -
CORRECT ANSWERS 1. "I cannot discuss any client situation with you."
The nurse calls security and has physical restraints applied when a client who was admitted
voluntarily becomes both physically and verbally abusive while demanding to be discharged
, SAUNDERS NCLEX-RN MENTAL HEALTH REVIEW QUESTIONS
AND ANSWERS UPDATED 2024/2025 RATED A+ FOR
SUCCESS
from the hospital. Which represents the possible legal ramifications for the nurse associated
with these interventions? Select all that apply.
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - CORRECT ANSWERS B. Battery
C. Assault
E. False Imprisonment
The nurse in the mental health unit recognizes which as being therapeutic communication
techniques? Select all that apply.
1. Restating
2. Listening
3. Asking the client, "Why?"
4. Maintaining neutral responses
5. Providing acknowledgement and feedback
6. Giving advice and approval or disapproval - CORRECT ANSWERS 1. Restating
2. Listening
4. Maintaining neutral responses
5. Providing acknowledgement and feedback
The nurse is working with a client who despite making a heroic effort was unable to rescue a
neighbor trapped in a house fire. Which client-focused action should the nurse engage in
during the working phase of the nurse-client relationship?
1. Exploring the client's ability to function.
2. Exploring the client's potential for self-harm.
3. Inquiring about the client's perception or appraisal of why the rescue was unsuccessful.
