Mental health exam N4 Newest 2025/2026
MENTAL HEALTH EXAM N4 NEWEST 2025/2026 WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
A client diagnosed with antisocial personality disorder is observed smoking in a
non- smoking area. Which initial nursing intervention is appropriate?
1. Confront the client about the behavior.
2. Tell the client's primary nurse about the situation.
3. Remind all clients of the no smoking policy in the community meeting.
4. Teach alternative coping mechanisms to assist with anxiety. - ANSWER-1
It is important to address an individual's behavior in a timely manner to set appro-
priate limits. Limit setting is to be done in a calm, but firm, manner. A client diag-
nosed with antisocial personality disorder may have no regard for rules or regula-
tions, which necessitates limit setting by the nurse.
Which intervention describes an important component in the treatment of clients
diagnosed with personality disorders?
1. Psychotropic medications are prescribed to reduce hospitalizations.
2. Self-awareness by the nurse is necessary to ensure a therapeutic relationship.
3. Group therapy, not individual therapy, is the preferred approach.
4. Addressing comorbid issues is not indicated. - ANSWER-2
Individuals diagnosed with personality disorders attempt to get their needs met in
any way possible, including manipula- tion. It is critical for nurses working with
clients diagnosed with personality disor- ders to be aware of and discuss their
frus- trations in order to be therapeutic with these clients.
1|Page
, Mental health exam N4 Newest 2025/2026
After being treated in the ED for self-inflicted lacerations to wrists and arms, a
client with a diagnosis of borderline personality disorder is admitted to the
psychiatric unit. Which nursing intervention takes priority?
1. Administer tranquilizing drugs.
2. Observe client frequently.
3. Encourage client to verbalize hostile feelings.
4. Explore alternative ways of handling frustration. - ANSWER-2
The priority nursing intervention is to observe the client's behavior frequently. The
nurse should do this through routine activities and interactions to avoid appearing
watchful and suspicious. Close observation is required so that immediate
interventions can be implemented as needed.
A client diagnosed with paranoid personality disorder is prescribed risperidone
(Risperdal). The client is noted to have restlessness and weakness in lower
extremities and is drooling. Which nursing intervention would be most important?
1. Hold the next dose of risperidone, and document the findings.
2. Monitor vital signs, and encourage the client to rest in room.
3. Give the ordered PRN dose of trihexyphenidyl (Artane).
4. Get a fasting blood sugar measurement because of potential hyperglycemia. -
ANSWER-3
The symptoms noted are EPS caused by antipsychotic medications. These can be
corrected by using anticholinergic med- ications, such as trihexyphenidyl (Artane),
benztropine (Cogentin), or diphenhy- dramine (Benadryl).
What is required for effective treatment of schizophrenia?
2|Page
, Mental health exam N4 Newest 2025/2026
1. Concentration on pharmacotherapy alone to alter imbalances in
neurotransmitters.
2. Multidisciplinary, comprehensive efforts, which include pharmacotherapy and
psy-
chosocial care.
3. Emphasis on social and living skills training to help the client fit into society.
4. Group and family therapy to increase socialization skills. - ANSWER-2
Effective treatment of schizophrenia requires a comprehensive, multidiscipli- nary
effort, including pharmacotherapy and various forms of psychosocial care.
Psychosocial care includes social and living skills training, rehabilitation, and family
therapy.
A nurse is working with a client diagnosed with schizoid personality disorder.
What symptom of this diagnosis should the nurse expect to assess, and at what
risk is this client for acquiring schizophrenia?
1. Delusions and hallucinations—high risk.
2. Limited range of emotional experience and expression—high risk.
3. Indifferent to social relationships—low risk.
4. Loner who appears cold and aloof—low risk. - ANSWER-2
Individuals diagnosed with schizoid per- sonality disorder are indifferent to social
relationships and have a very limited range of emotional experience and expres-
sion. They do not enjoy close relation- ships and prefer to be loners. They appear
cold and aloof. Not all individuals who demonstrate the characteristics of schizoid
personality disorder progress to schizophrenia, but most individuals diag- nosed
with schizophrenia show evidence of the characteristics of schizoid personal- ity
disorder premorbidly, putting them at high risk for schizophrenia.
3|Page
, Mental health exam N4 Newest 2025/2026
A nurse is assessing a client in the mental health clinic. The client has a long
history of being a loner and has few social relationships. This client's father has
been diagnosed with schizophrenia. The nurse would suspect that this client is in
what phase in the development of schizophrenia?
1. Phase I—schizoid personality.
2. Phase II—prodromal phase.
3. Phase III—schizophrenia.
4. Phase IV—residual phase. - ANSWER-1
Individuals diagnosed with schizoid per- sonality disorder are typically loners who
appear cold and aloof and are indifferent to social relationships. Not all individuals
who demonstrate the characteristics of schizoid personality disorder progress to
schizophrenia, but because of a family history of schizophrenia, this client's risk for
acquiring the disease increases from 1% in the general population to 10%.
A nurse is assessing a client in the mental health clinic 6 months after the client's
dis- charge from in-patient psychiatric treatment for schizophrenia. The client has
no active symptoms, but has a flat affect and has recently been placed on
disability. What should the nurse document?
1. "The client is experiencing symptoms of the schizoid personality phase of the
devel- opment of schizophrenia."
2. "The client is experiencing symptoms of the prodromal phase of the
development of schizophrenia."
3. "The client is experiencing symptoms of schizophrenia."
4. "The client is experiencing symptoms of the residual phase of the development
of
schizophrenia." - ANSWER-4.
4|Page
MENTAL HEALTH EXAM N4 NEWEST 2025/2026 WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
A client diagnosed with antisocial personality disorder is observed smoking in a
non- smoking area. Which initial nursing intervention is appropriate?
1. Confront the client about the behavior.
2. Tell the client's primary nurse about the situation.
3. Remind all clients of the no smoking policy in the community meeting.
4. Teach alternative coping mechanisms to assist with anxiety. - ANSWER-1
It is important to address an individual's behavior in a timely manner to set appro-
priate limits. Limit setting is to be done in a calm, but firm, manner. A client diag-
nosed with antisocial personality disorder may have no regard for rules or regula-
tions, which necessitates limit setting by the nurse.
Which intervention describes an important component in the treatment of clients
diagnosed with personality disorders?
1. Psychotropic medications are prescribed to reduce hospitalizations.
2. Self-awareness by the nurse is necessary to ensure a therapeutic relationship.
3. Group therapy, not individual therapy, is the preferred approach.
4. Addressing comorbid issues is not indicated. - ANSWER-2
Individuals diagnosed with personality disorders attempt to get their needs met in
any way possible, including manipula- tion. It is critical for nurses working with
clients diagnosed with personality disor- ders to be aware of and discuss their
frus- trations in order to be therapeutic with these clients.
1|Page
, Mental health exam N4 Newest 2025/2026
After being treated in the ED for self-inflicted lacerations to wrists and arms, a
client with a diagnosis of borderline personality disorder is admitted to the
psychiatric unit. Which nursing intervention takes priority?
1. Administer tranquilizing drugs.
2. Observe client frequently.
3. Encourage client to verbalize hostile feelings.
4. Explore alternative ways of handling frustration. - ANSWER-2
The priority nursing intervention is to observe the client's behavior frequently. The
nurse should do this through routine activities and interactions to avoid appearing
watchful and suspicious. Close observation is required so that immediate
interventions can be implemented as needed.
A client diagnosed with paranoid personality disorder is prescribed risperidone
(Risperdal). The client is noted to have restlessness and weakness in lower
extremities and is drooling. Which nursing intervention would be most important?
1. Hold the next dose of risperidone, and document the findings.
2. Monitor vital signs, and encourage the client to rest in room.
3. Give the ordered PRN dose of trihexyphenidyl (Artane).
4. Get a fasting blood sugar measurement because of potential hyperglycemia. -
ANSWER-3
The symptoms noted are EPS caused by antipsychotic medications. These can be
corrected by using anticholinergic med- ications, such as trihexyphenidyl (Artane),
benztropine (Cogentin), or diphenhy- dramine (Benadryl).
What is required for effective treatment of schizophrenia?
2|Page
, Mental health exam N4 Newest 2025/2026
1. Concentration on pharmacotherapy alone to alter imbalances in
neurotransmitters.
2. Multidisciplinary, comprehensive efforts, which include pharmacotherapy and
psy-
chosocial care.
3. Emphasis on social and living skills training to help the client fit into society.
4. Group and family therapy to increase socialization skills. - ANSWER-2
Effective treatment of schizophrenia requires a comprehensive, multidiscipli- nary
effort, including pharmacotherapy and various forms of psychosocial care.
Psychosocial care includes social and living skills training, rehabilitation, and family
therapy.
A nurse is working with a client diagnosed with schizoid personality disorder.
What symptom of this diagnosis should the nurse expect to assess, and at what
risk is this client for acquiring schizophrenia?
1. Delusions and hallucinations—high risk.
2. Limited range of emotional experience and expression—high risk.
3. Indifferent to social relationships—low risk.
4. Loner who appears cold and aloof—low risk. - ANSWER-2
Individuals diagnosed with schizoid per- sonality disorder are indifferent to social
relationships and have a very limited range of emotional experience and expres-
sion. They do not enjoy close relation- ships and prefer to be loners. They appear
cold and aloof. Not all individuals who demonstrate the characteristics of schizoid
personality disorder progress to schizophrenia, but most individuals diag- nosed
with schizophrenia show evidence of the characteristics of schizoid personal- ity
disorder premorbidly, putting them at high risk for schizophrenia.
3|Page
, Mental health exam N4 Newest 2025/2026
A nurse is assessing a client in the mental health clinic. The client has a long
history of being a loner and has few social relationships. This client's father has
been diagnosed with schizophrenia. The nurse would suspect that this client is in
what phase in the development of schizophrenia?
1. Phase I—schizoid personality.
2. Phase II—prodromal phase.
3. Phase III—schizophrenia.
4. Phase IV—residual phase. - ANSWER-1
Individuals diagnosed with schizoid per- sonality disorder are typically loners who
appear cold and aloof and are indifferent to social relationships. Not all individuals
who demonstrate the characteristics of schizoid personality disorder progress to
schizophrenia, but because of a family history of schizophrenia, this client's risk for
acquiring the disease increases from 1% in the general population to 10%.
A nurse is assessing a client in the mental health clinic 6 months after the client's
dis- charge from in-patient psychiatric treatment for schizophrenia. The client has
no active symptoms, but has a flat affect and has recently been placed on
disability. What should the nurse document?
1. "The client is experiencing symptoms of the schizoid personality phase of the
devel- opment of schizophrenia."
2. "The client is experiencing symptoms of the prodromal phase of the
development of schizophrenia."
3. "The client is experiencing symptoms of schizophrenia."
4. "The client is experiencing symptoms of the residual phase of the development
of
schizophrenia." - ANSWER-4.
4|Page
