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“MENTAL HEALTH NURSING EXAM 4 “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Mental Health Nursing exam 4
A client who recently witnessed a murder says, "I feel like I'm losing my mind. I
keep hearing the gunshots and seeing the victim lying on the ground." In light
of the client's statement, the nurse should:
A. Teach the client relaxation techniques
B. Encourage the client to think about happy events
C. Support the client in talking about the event and related feelings
D. Ask the healthcare provider to prescribe an anti-anxiety medication
C
A client compulsively makes and remakes the bed numerous times and often
misses breakfast and some morning activities because of this ritual. Which
nursing action is appropriate?
A. Expressing tactful, mild disapproval of the behavior
B. Helping the client make the bed so that the task is finished sooner
C. Teaching the client about the neurotransmitters involved in compulsive
behavior
D. Offering reflective feedback such as "I see you made your bed several
times. That takes a lot of energy."
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D
A client with paranoid schizophrenia has been agitated, threatening and
shouting at others, and refusing to participate in therapy. Projection and denial
are evident in these behaviors. The appropriate nursing action is to:
A. Accept the behavior without comment
B. Explore past experiences of acting out with the client
C. Collect information from the client to develop a database
D. Acknowledge the client's anxiety and then set limits on the behavior
D
A home care nurse visits a depressed older adult client in whom type 2
diabetes mellitus was recently diagnosed. As the nurse teaches about insulin
injections, the client says, "I don't think I'll ever learn to stick this needle in
myself." Which response by the nurse is therapeutic?
A. "With proper diet and exercise, you may be able to stop taking insulin."
B. "Perhaps you could start by telling me what troubles you most about
injecting yourself."
C. "Injecting yourself with insulin seems odd at first. Let me show you how to
assemble your insulin pen."
D. "All of my clients tell me that when they first start to self-administer insulin,
but they learn. You will, too."
B
A nurse is caring for a client with a phobia who is to be treated with systematic
desensitization. The nurse, explaining this form of behavior modification to the
client, and tells the client that the therapy:
A. Involves the use of medication
B. Encourages self-control in the client
C. Involves the use of a positive stimulus to avoid the negative stimulus
D. Involves exposing the client for short periods to the phobic object while the
client is in a relaxed state
D
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A visitor brings a wrapped gift to a suicidal client under one-on-one suicide
precautions. Which action should the nurse take?
A. Asking the client to open the gift
B. Reinforcing the safety policies with the client
C. Telling the client what a beautiful package it is
D. Letting the visitor spend time alone with the client
A
A nurse develops a plan of care for a client in whom AIDS was recently
diagnosed. The client is experiencing difficulty adjusting to the illness. Which
interventions are appropriate for this client? Select all that apply.
A. Assisting the client in verbalizing fears
B. Helping the client identify sources of hope
C. Monitoring the client for signs of self-harm
D. Assisting the client with problem-solving and decision-making
E. Discouraging social networking to prevent the spread of infection
A, B, C, D
A nurse is preparing an educational seminar on stress for other nursinng staff.
Which of the following information should the nurse include in the
discussion?
a.) Excessive stressors cause the client to experience distress
b.) The body's initial adaptive response to stress is denial
c.) Absence of stressors results in homeostasis
d.) Negative, rather then positive, stressors produce a biological response
a
A nurse is discussing acute vs. prolonged stress with a client. Which of the
following effects should the nurse edentify as an acute stress response?
a.) chronic pain
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b.) depressed immune system
c.) increased blood pressure
d.) panic attacks
e.) unhappiness
b,c,e
A nurse is teaching a client about stress-reduction techniques. Which of the
following client statements indicates understanding of the teaching?
a.) "Cognitive reframing will help me change my irrational thoughts to
something positive."
b.) "Progressive muscle relaxation uses a mechanical device to help me gain
control over my pulse."
c.) "Biofeedback causes my body to release endorphins so that I feel less
stress and anxiety."
d.) "Mindfulness allows me to prioritize the stressors that I have in my life so
that I have less anxiety."
a
A nurse is talking with a client who reports experiencing increased stress
because a new partner is "pressuring me and my kids to live with him. I love
him, but I'm not ready to do that." Which of the recommendations should the
nurse make to promote a change in the client's situation?
a.) Learn to practice mindfulness
b.) Use assertiveness techniques
“MENTAL HEALTH NURSING EXAM 4 “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Mental Health Nursing exam 4
A client who recently witnessed a murder says, "I feel like I'm losing my mind. I
keep hearing the gunshots and seeing the victim lying on the ground." In light
of the client's statement, the nurse should:
A. Teach the client relaxation techniques
B. Encourage the client to think about happy events
C. Support the client in talking about the event and related feelings
D. Ask the healthcare provider to prescribe an anti-anxiety medication
C
A client compulsively makes and remakes the bed numerous times and often
misses breakfast and some morning activities because of this ritual. Which
nursing action is appropriate?
A. Expressing tactful, mild disapproval of the behavior
B. Helping the client make the bed so that the task is finished sooner
C. Teaching the client about the neurotransmitters involved in compulsive
behavior
D. Offering reflective feedback such as "I see you made your bed several
times. That takes a lot of energy."
, Page 2 of 162
D
A client with paranoid schizophrenia has been agitated, threatening and
shouting at others, and refusing to participate in therapy. Projection and denial
are evident in these behaviors. The appropriate nursing action is to:
A. Accept the behavior without comment
B. Explore past experiences of acting out with the client
C. Collect information from the client to develop a database
D. Acknowledge the client's anxiety and then set limits on the behavior
D
A home care nurse visits a depressed older adult client in whom type 2
diabetes mellitus was recently diagnosed. As the nurse teaches about insulin
injections, the client says, "I don't think I'll ever learn to stick this needle in
myself." Which response by the nurse is therapeutic?
A. "With proper diet and exercise, you may be able to stop taking insulin."
B. "Perhaps you could start by telling me what troubles you most about
injecting yourself."
C. "Injecting yourself with insulin seems odd at first. Let me show you how to
assemble your insulin pen."
D. "All of my clients tell me that when they first start to self-administer insulin,
but they learn. You will, too."
B
A nurse is caring for a client with a phobia who is to be treated with systematic
desensitization. The nurse, explaining this form of behavior modification to the
client, and tells the client that the therapy:
A. Involves the use of medication
B. Encourages self-control in the client
C. Involves the use of a positive stimulus to avoid the negative stimulus
D. Involves exposing the client for short periods to the phobic object while the
client is in a relaxed state
D
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A visitor brings a wrapped gift to a suicidal client under one-on-one suicide
precautions. Which action should the nurse take?
A. Asking the client to open the gift
B. Reinforcing the safety policies with the client
C. Telling the client what a beautiful package it is
D. Letting the visitor spend time alone with the client
A
A nurse develops a plan of care for a client in whom AIDS was recently
diagnosed. The client is experiencing difficulty adjusting to the illness. Which
interventions are appropriate for this client? Select all that apply.
A. Assisting the client in verbalizing fears
B. Helping the client identify sources of hope
C. Monitoring the client for signs of self-harm
D. Assisting the client with problem-solving and decision-making
E. Discouraging social networking to prevent the spread of infection
A, B, C, D
A nurse is preparing an educational seminar on stress for other nursinng staff.
Which of the following information should the nurse include in the
discussion?
a.) Excessive stressors cause the client to experience distress
b.) The body's initial adaptive response to stress is denial
c.) Absence of stressors results in homeostasis
d.) Negative, rather then positive, stressors produce a biological response
a
A nurse is discussing acute vs. prolonged stress with a client. Which of the
following effects should the nurse edentify as an acute stress response?
a.) chronic pain
, Page 4 of 162
b.) depressed immune system
c.) increased blood pressure
d.) panic attacks
e.) unhappiness
b,c,e
A nurse is teaching a client about stress-reduction techniques. Which of the
following client statements indicates understanding of the teaching?
a.) "Cognitive reframing will help me change my irrational thoughts to
something positive."
b.) "Progressive muscle relaxation uses a mechanical device to help me gain
control over my pulse."
c.) "Biofeedback causes my body to release endorphins so that I feel less
stress and anxiety."
d.) "Mindfulness allows me to prioritize the stressors that I have in my life so
that I have less anxiety."
a
A nurse is talking with a client who reports experiencing increased stress
because a new partner is "pressuring me and my kids to live with him. I love
him, but I'm not ready to do that." Which of the recommendations should the
nurse make to promote a change in the client's situation?
a.) Learn to practice mindfulness
b.) Use assertiveness techniques
