Nursing) Newest
MENTAL HEALTH DISORDERS TREATMENT EXAM (PSYCHIATRIC/
MENTAL HEALTH NURSING) NEWEST 2025/2026 COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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A psychologist has been a client on a mental health unit for 3 days. The client has
questioned the authority of the treatment team, advised other clients that their
treatment plans are wrong, and been disruptive in group therapy. What is the
most appropriate nursing intervention?
Telling the other clients to disregard what the client is saying
Ignoring the client's disruptive behavior and waiting for it to subside
Restricting the client's contact with other clients until the disruptive behavior
ceases
Accepting that the client is unable to control this behavior and setting appropriate
limits - ANSWER-Accepting that the client is unable to control this behavior and
setting appropriate limits
Rationale
Clients who are out of control need to have limits set for them. The staff must
understand that the client is not deliberately trying to disrupt the unit. Telling the
other clients to disregard what the client is saying is demeaning the client in the
eyes of the other clients and does not address the problem directly. Ignoring the
client will not stop the disruptive behavior; also, the nurse has a responsibility to
the other clients. Restricting the client's contact with other clients until the
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disruptive behavior ceases may be done as a last resort, but this approach should
not be used until other alternatives have been explored.
A client exhibits physical symptoms in response to stress. What nursing
intervention may help the client reduce this physiological response to stress?
Limiting discussions about the problem
Providing information regarding medical care
Teaching the client how to eliminate stress at home
Assisting the client in developing new coping mechanisms - ANSWER-Assisting the
client in developing new coping mechanisms
Rationale
Until the client learns new ways of coping with stress and anxiety, this pattern of
behavior will continue. Learning new ways of coping with stress will help break
this physiological pattern. Limiting discussion will avoid the problem. Providing
information about medical care will reinforce the sick role. A certain amount of
stress is present in everyday family situations; the elimination of stress is
impossible.
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A client with an obsessive-compulsive disorder continually walks up and down the
hall, touching every other chair. When unable to do this, the client becomes
upset. What should the nurse do?
Distract the client, which will help the client forget about touching the chairs
Encourage the client to continue touching the chairs as long as the client wants
until fatigue sets in
Remove chairs from the hall, thereby relieving the client of the necessity of
touching every other one
Allow the behavior to continue for a specified time, letting the client help set the
time limits to be imposed - ANSWER-Allow the behavior to continue for a
specified time, letting the client help set the time limits to be imposed
Rationale
It is important to set limits on the behavior, but it is also important to involve the
client in the decision-making. Distracting the client, which will help the client
forget about touching the chairs, is nontherapeutic; rarely can a client be
distracted from a ritual when anxiety is high. Encouraging the client to continue
touching the chairs for as long he desires until fatigue sets in is a nontherapeutic
approach; some limits must be set by the client and nurse together. Removing
chairs from the hall, thereby relieving the client of the necessity of touching every
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other one, will increase the client's anxiety because the client uses the ritual as a
defense against anxiety.
While watching television in the dayroom, a client who has demonstrated
withdrawn, regressed behavior suddenly screams, bursts into tears, and runs from
the room to the far end of the hallway. What is the most therapeutic intervention
by the nurse?
Walking to the end of the hallway where the client is standing
Accepting the action as the impulsive behavior of a sick person
Asking another client in the dayroom why the client acted in this way
Documenting the incident in the client's record while the memory is fresh -
ANSWER-Walking to the end of the hallway where the client is standing
Rationale
Walking to the end of the hallway where the client is standing lets the client know
that the nurse is available. It also demonstrates an acceptance of the client.
Accepting the action as the impulsive behavior of a sick person is an avoidance
technique; it shows a lack of acceptance of the client as a person. Another client's
perception of the incident may or may not be valid. Although it is important to
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