MENTAL HEALTH EXAM 2 UNIT 3 NSG 3450 NEWLY
MODIFIED EXAM QUESTIONS WITH CORRECT
ANSWERS 2025/2026 NEWLY MODIFIED
A new staff nurse completes an orientation to the psychiatric unit. This nurse
will expect to ask an advanced practice nurse to perform which action for
clients?
a. Perform mental health assessment interviews.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans. --CORRECT ANSWER--b. Prescribe
psychotropic medication.
A newly admitted client diagnosed with major depressive disorder has gained
20 pounds over a few months and has suicidal ideations. The client has taken
antidepressant medication for 1 week without remission of symptoms. What is
the priority nursing diagnosis?
a. Imbalanced nutrition: more than body requirements
b. Chronic low self-esteem
c. Risk for suicide
d. Hopelessness --CORRECT ANSWER--c. Risk for suicide
Page 1 of 52
,A client diagnosed with major depressive disorder has lost 20 pounds in one
month, has chronic low self-esteem, and a plan for suicide. The client has taken
antidepressant medication for 1 week. Which nursing intervention has the
highest priority?
a. Implement suicide precautions.
b. Offer high-calorie snacks and fluids frequently.
c. Assist the client to identify three personal strengths.
d. Observe client for therapeutic effects of antidepressant medication. --
CORRECT ANSWER--a. Implement suicide precautions.
The desired outcome for a client experiencing insomnia is, "Client will sleep for
a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of
sleep data shows the client sleeps an average of 4 hours nightly and takes a 2-
hour afternoon nap. How should the nurse
document the outcome?
a. As consistently demonstrated.
b. As often demonstrated.
c. As sometimes demonstrated.
d. As never demonstrated. --CORRECT ANSWER--d. As never demonstrated.
Page 2 of 52
,The desired outcome for a client experiencing insomnia is, "Client will sleep for
a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of
sleep data shows the client sleeps an average of 4 hours nightly and takes a 2-
hour afternoon nap. What is the nurse's
next action?
a. Continue the current plan without changes.
b. Remove this nursing diagnosis from the plan of care.
c. Write a new nursing diagnosis that better reflects the problem.
d. Examine interventions for possible revision of the target date. --CORRECT
ANSWER--d. Examine interventions for possible revision of the target date.
A client begins a new program to assist with building social skills. In which part
of the plan of care should a nurse record the item, "Encourage client to attend
one psychoeducational group daily"?
a. Assessment
b. Analysis
c. Implementation
d. Evaluation --CORRECT ANSWER--c. Implementation
Before assessing a new client, a nurse is told by another health care worker, "I
know that client. No matter how hard we work, there isn't much improvement
by the time of discharge." What action is the nurse's responsibility?
a. To document the other worker's assessment of the client.
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, b. To assess the client based on data collected from all sources.
c. To validate the worker's impression by contacting the client's significant
other.
d. To discuss the worker's impression with the client during the assessment
interview
. --CORRECT ANSWER--b. To assess the client based on data collected from
all sources.
A client presents to the emergency department (ED) with mixed psychiatric
symptoms. The admission nurse suspects the symptoms may be the result of a
medical problem. Lab results show elevated BUN (blood urea nitrogen) and
creatinine. What is the nurse's next best
action?
a. Report the findings to the health care provider.
b. Assess the client for a history of renal problems.
c. Assess the client's family history for cardiac problems.
d. Arrange for the client's hospitalization on the psychiatric unit. --CORRECT
ANSWER--b. Assess the client for a history of renal problems.
A client states, "I'm not worth anything. I have negative thoughts about myself.
I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go
to sleep and never wake up." Which nursing intervention should have the
highest priority?
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MODIFIED EXAM QUESTIONS WITH CORRECT
ANSWERS 2025/2026 NEWLY MODIFIED
A new staff nurse completes an orientation to the psychiatric unit. This nurse
will expect to ask an advanced practice nurse to perform which action for
clients?
a. Perform mental health assessment interviews.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans. --CORRECT ANSWER--b. Prescribe
psychotropic medication.
A newly admitted client diagnosed with major depressive disorder has gained
20 pounds over a few months and has suicidal ideations. The client has taken
antidepressant medication for 1 week without remission of symptoms. What is
the priority nursing diagnosis?
a. Imbalanced nutrition: more than body requirements
b. Chronic low self-esteem
c. Risk for suicide
d. Hopelessness --CORRECT ANSWER--c. Risk for suicide
Page 1 of 52
,A client diagnosed with major depressive disorder has lost 20 pounds in one
month, has chronic low self-esteem, and a plan for suicide. The client has taken
antidepressant medication for 1 week. Which nursing intervention has the
highest priority?
a. Implement suicide precautions.
b. Offer high-calorie snacks and fluids frequently.
c. Assist the client to identify three personal strengths.
d. Observe client for therapeutic effects of antidepressant medication. --
CORRECT ANSWER--a. Implement suicide precautions.
The desired outcome for a client experiencing insomnia is, "Client will sleep for
a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of
sleep data shows the client sleeps an average of 4 hours nightly and takes a 2-
hour afternoon nap. How should the nurse
document the outcome?
a. As consistently demonstrated.
b. As often demonstrated.
c. As sometimes demonstrated.
d. As never demonstrated. --CORRECT ANSWER--d. As never demonstrated.
Page 2 of 52
,The desired outcome for a client experiencing insomnia is, "Client will sleep for
a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of
sleep data shows the client sleeps an average of 4 hours nightly and takes a 2-
hour afternoon nap. What is the nurse's
next action?
a. Continue the current plan without changes.
b. Remove this nursing diagnosis from the plan of care.
c. Write a new nursing diagnosis that better reflects the problem.
d. Examine interventions for possible revision of the target date. --CORRECT
ANSWER--d. Examine interventions for possible revision of the target date.
A client begins a new program to assist with building social skills. In which part
of the plan of care should a nurse record the item, "Encourage client to attend
one psychoeducational group daily"?
a. Assessment
b. Analysis
c. Implementation
d. Evaluation --CORRECT ANSWER--c. Implementation
Before assessing a new client, a nurse is told by another health care worker, "I
know that client. No matter how hard we work, there isn't much improvement
by the time of discharge." What action is the nurse's responsibility?
a. To document the other worker's assessment of the client.
Page 3 of 52
, b. To assess the client based on data collected from all sources.
c. To validate the worker's impression by contacting the client's significant
other.
d. To discuss the worker's impression with the client during the assessment
interview
. --CORRECT ANSWER--b. To assess the client based on data collected from
all sources.
A client presents to the emergency department (ED) with mixed psychiatric
symptoms. The admission nurse suspects the symptoms may be the result of a
medical problem. Lab results show elevated BUN (blood urea nitrogen) and
creatinine. What is the nurse's next best
action?
a. Report the findings to the health care provider.
b. Assess the client for a history of renal problems.
c. Assess the client's family history for cardiac problems.
d. Arrange for the client's hospitalization on the psychiatric unit. --CORRECT
ANSWER--b. Assess the client for a history of renal problems.
A client states, "I'm not worth anything. I have negative thoughts about myself.
I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go
to sleep and never wake up." Which nursing intervention should have the
highest priority?
Page 4 of 52
