Saunders PN Mental Health Exam 1
Questions With Complete Solutions / Expert
Verified – Latest Update 2025/2026.
1. A client states to the nurse, "I haven't slept at all the last couple of
nights." The nurse should make which therapeutic response to the
client? - ANSWER "Tell me about your difficulty sleeping."
2. The nurse is planning care for a client who is being hospitalized
because the client has been displaying violent behavior and is at risk
for potential harm to others. The nurse should avoid which
intervention in the plan of care? - ANSWER Assigning the client to a
room at the end of the hall to prevent disturbing the other clients
3. A client is admitted to the psychiatric unit after a serious suicidal
attempt by hanging. What is the nurse's most important intervention
to maintain client safety? - ANSWER Assign a staff member to the
client who will remain with him or her at all times.
4. The police arrive at the emergency department with a client who has
seriously lacerated both wrists. Which is the initial nursing action? -
ANSWER Examine and treat the wound sites.
,5. An oriented client is scheduled to have aversion therapy to change
behavior. Before initiating any aversive protocol, the therapist,
treatment team, or society must answer which questions? Select all
that apply. - ANSWER -Is it in the best interest of society?
-Does its use violate the client's rights?
-Is this therapy in the best interest of the client?
6. The student nurse is learning about leadership and management. The
student knows that which are the main styles of group leadership?
Select all that apply. - ANSWER -Autocratic Leader
-Democratic Leader
-Laissez-Faire Leader
7. The nurse is assisting in a group therapy session. Besides cost
savings, which advantages does group therapy have over individual
therapy? Select all that apply. - ANSWER -Mutual Learning
-Increased Feedback
-Instilling a sense of belonging
-An opportunity to practice new skills in a relative environment
8. The psychiatric nurse knows that a therapeutic nurse-client
relationship includes which specific goals and functions? Select all
that apply. - ANSWER -Promoting self-care and independence
-Facilitating communication of distressing thoughts and feelings
-Helping clients examine self-defeating behaviors and test
alternatives
-Assisting clients with problem solving to help facilitate activities of
daily living
,9. The nurse is assessing a client with a diagnosis of bipolar affective
disorder-mania. Which characteristics appropriately describe this
client's diagnosis? Select all that apply. - ANSWER -Outlandish
behaviors
-Purposeless arousal and movement
-Grandiose delusions of being King Arthur
-Incessant talking that includes sexual innuendos
10. The nurse is assessing a client diagnosed with severe anxiety.
Which objective data should the nurse expect to find? Select all that
apply. - ANSWER -Oblivious to surroundings
-Unable to focus on anything
-Engaging in purposeless activities
-Showing unproductive relief behavior
11. The nurse is reading about the four different levels of anxiety.
Which different categories distinguish and describe each level? Select
all that apply. - ANSWER -Effects on problem solving
-Effects on perceptual field
-Physical and other defining characteristics
12. The nurse is assessing a client who has been diagnosed with
Alzheimer's disease. The nurse knows that in the initial stages the
client and family try to hide deficits in memory. Which are some of
the defense mechanisms related to the progression of the disease?
Select all that apply. - ANSWER -Denial
, -Confabulation
-Perseveration
-Avoidance of questions
13. The nurse on the mental health unit is collecting data on a client
diagnosed with obsessive-compulsive disorder (OCD). The nurse
expects to note which behavioral characteristics of OCD? Select all
that apply. - ANSWER -Rigidity
-Inflexibility
-Repetitive thoughts
-Ritualistic behavior
14. The student nurse is studying the cellular composition of the brain
composed of approximately 100 billion neurons or nerve cells.
Although neurons come in a great variety of shapes and sizes, all
carry out the same three types of physiological actions. Which are
these types of actions? Select all that apply. - ANSWER -Respond to
stimuli
-Conduct electrical impulses
-Release chemicals called neurotransmitters
15. The nurse is caring for a client with long-term Alzheimer's disease
(AD). Which are some of the behavioral manifestations the nurse
should expect to observe? Select all that apply. - ANSWER -Apraxia
-Aphasia
-Agnosia
-Hyperorality
Questions With Complete Solutions / Expert
Verified – Latest Update 2025/2026.
1. A client states to the nurse, "I haven't slept at all the last couple of
nights." The nurse should make which therapeutic response to the
client? - ANSWER "Tell me about your difficulty sleeping."
2. The nurse is planning care for a client who is being hospitalized
because the client has been displaying violent behavior and is at risk
for potential harm to others. The nurse should avoid which
intervention in the plan of care? - ANSWER Assigning the client to a
room at the end of the hall to prevent disturbing the other clients
3. A client is admitted to the psychiatric unit after a serious suicidal
attempt by hanging. What is the nurse's most important intervention
to maintain client safety? - ANSWER Assign a staff member to the
client who will remain with him or her at all times.
4. The police arrive at the emergency department with a client who has
seriously lacerated both wrists. Which is the initial nursing action? -
ANSWER Examine and treat the wound sites.
,5. An oriented client is scheduled to have aversion therapy to change
behavior. Before initiating any aversive protocol, the therapist,
treatment team, or society must answer which questions? Select all
that apply. - ANSWER -Is it in the best interest of society?
-Does its use violate the client's rights?
-Is this therapy in the best interest of the client?
6. The student nurse is learning about leadership and management. The
student knows that which are the main styles of group leadership?
Select all that apply. - ANSWER -Autocratic Leader
-Democratic Leader
-Laissez-Faire Leader
7. The nurse is assisting in a group therapy session. Besides cost
savings, which advantages does group therapy have over individual
therapy? Select all that apply. - ANSWER -Mutual Learning
-Increased Feedback
-Instilling a sense of belonging
-An opportunity to practice new skills in a relative environment
8. The psychiatric nurse knows that a therapeutic nurse-client
relationship includes which specific goals and functions? Select all
that apply. - ANSWER -Promoting self-care and independence
-Facilitating communication of distressing thoughts and feelings
-Helping clients examine self-defeating behaviors and test
alternatives
-Assisting clients with problem solving to help facilitate activities of
daily living
,9. The nurse is assessing a client with a diagnosis of bipolar affective
disorder-mania. Which characteristics appropriately describe this
client's diagnosis? Select all that apply. - ANSWER -Outlandish
behaviors
-Purposeless arousal and movement
-Grandiose delusions of being King Arthur
-Incessant talking that includes sexual innuendos
10. The nurse is assessing a client diagnosed with severe anxiety.
Which objective data should the nurse expect to find? Select all that
apply. - ANSWER -Oblivious to surroundings
-Unable to focus on anything
-Engaging in purposeless activities
-Showing unproductive relief behavior
11. The nurse is reading about the four different levels of anxiety.
Which different categories distinguish and describe each level? Select
all that apply. - ANSWER -Effects on problem solving
-Effects on perceptual field
-Physical and other defining characteristics
12. The nurse is assessing a client who has been diagnosed with
Alzheimer's disease. The nurse knows that in the initial stages the
client and family try to hide deficits in memory. Which are some of
the defense mechanisms related to the progression of the disease?
Select all that apply. - ANSWER -Denial
, -Confabulation
-Perseveration
-Avoidance of questions
13. The nurse on the mental health unit is collecting data on a client
diagnosed with obsessive-compulsive disorder (OCD). The nurse
expects to note which behavioral characteristics of OCD? Select all
that apply. - ANSWER -Rigidity
-Inflexibility
-Repetitive thoughts
-Ritualistic behavior
14. The student nurse is studying the cellular composition of the brain
composed of approximately 100 billion neurons or nerve cells.
Although neurons come in a great variety of shapes and sizes, all
carry out the same three types of physiological actions. Which are
these types of actions? Select all that apply. - ANSWER -Respond to
stimuli
-Conduct electrical impulses
-Release chemicals called neurotransmitters
15. The nurse is caring for a client with long-term Alzheimer's disease
(AD). Which are some of the behavioral manifestations the nurse
should expect to observe? Select all that apply. - ANSWER -Apraxia
-Aphasia
-Agnosia
-Hyperorality
