VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE
EXAM DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
A nurse is conducting an admission interview with a client who is experiencing mania.
Which of the following should the nurse report to the provider?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - CORRECT ANSWER b. Reports eating twice in
the past two weeks.
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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER
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.