EDAPT Psychosocial Integrity Exam – NCLEX Readiness, Mental
Health & Crisis Care (Part 1)|Verified Questions Provided with
Complete A+ Graded Rationales Latest Updated 2026
A client with a history of panic disorder is brought to the emergency department reporting
dizziness, palpitations, and chest pain. The client states that they feel as if they are "going
crazy."
The nurse's first action should be to __________.
Perform a physical assessment
The nurse is caring for a client diagnosed with schizophrenia who is standing on the bed,
refusing to step on the floor. The client states, "I am not going anywhere until you remove those
snakes." The nurse identifies the client's clinical manifestations as __________ __________.
Visual
Hallucinations
The nurse is caring for a client who presents to the emergency room very anxious, pacing, using
profanity, clenching their fists, and demanding to be seen for their pain.
For each of the nurse's actions, click to specify if the action is indicated or not indicated.
Indicated:
The nurse keeps a neutral tone while asking the client to walk to a private area.
The nurse remains three feet away from the client saying, "Please tell me about your pain."
The nurse tells the client, "I can see you are uncomfortable. Where is your pain?"
Not Indicated:
The nurse crosses their arms saying, "Please keep your voice down."
The nurse closely approaches the client and asks, "Why are you yelling?"
A nurse is caring for a client in hospice care. The client's brother states, "I know there is little
time." The nurse prepares to suggest ways to cope with the impending death of a family
member. Which coping strategies should the nurse suggest to help with the coping process of
impending death? Drag the correct options to the boxes on the right.
Spend time with the family member.
Assist in providing physical care while visiting.
,Engage in self-care practices such as meditation.
The nurse is caring for a client recently hospitalized in the mental health unit after a suicide
attempt. The client shared that they attempted to end their life because "God doesn't love me."
Which nursing actions should the nurse take? Drag the correct options to the boxes on the right.
Ask the client, "Can we talk more about your sense of feeling unloved?"
Speak slowly in concrete terms, showing care and respect.
A client was brought to the mental health unit suffering from a substance-induced manic state
due to alcohol use. The nurse's priority intervention is to __________.
Provide the client a safe environment
The nurse is caring for a client diagnosed with generalized anxiety disorder. Which clinical
manifestations are consistent with generalized anxiety disorder? Drag the correct options to the
boxes on the right.
Excessive worry
Muscle tension
Feeling unable to relax
The nurse is educating a client who will be discharged with a new prescription for lithium. The
client's lithium levels have been stable for the past two weeks. Which client statements should
indicate to the nurse that the client needs further teaching? Select all that apply.
"I know lithium can cause addiction."
"I will take my lithium pills on an empty stomach."
"I will not eat anything with salt."
The nurse is caring for a client in the psychiatric unit who is disruptive in group therapy. The
client says to the nurse, "I don't need your help! I can control my own behavior!" and storms
out of the lounge. A few minutes later, the client rushes back into the lounge, wearing high
heels and a low-cut halter top. The client sits down in front of an assistant and says, "Do you like
what I'm wearing?" What is the most appropriate action by the nurse?
Escort the client to their room and help them change clothes.
Review the case study. Click to highlight the cues that indicate the client is experiencing a crisis.
,History of depression
Periods of crying
Verbalizes family, relationship, and financial concerns
Limited finances
Not being able to sleep
Reliving the accident
Before answering this question, review the electronic health record. In the Nurses' Notes tab
click to highlight the areas that are most concerning to the nurse.
Occasionally speaking in rapid, loud phrases
Linear, ordered scar marks on forearms
Red/pink puncture marks in various stages of healing
Labile mood
Arms crossed
Fidgeting noted
Hair greasy, unkempt appearance
Verbalizes suicidal ideation with a plan
The nurse recognizes that the client is experiencing __________ as a defense mechanism, which
is reflected in the behavior of __________.
Displacement
Anger toward staff
Identify the likely condition the client is experiencing, two findings to support this condition,
and two potential causes for this condition. Select the correct options from each drop-down list.
Findings:
Aggression
Restlessness
Condition:
, Manic episode
Causes:
Stress
Illicit drug use
Drag the appropriate nursing actions to the boxes on the right.
Notify healthcare provider
Obtain additional staff presence
Prepare for manual hold
Remove nondirect care team members from the area
Assess environment
Which actions by the nurse require intervention by the charge nurse? Select all that apply.
Prepare 2 mL of haloperidol to administer
Monitor client every 4 hours after medication administration
Validate client's coping strategies
For each finding, click to specify if the finding indicates client adherence or no adherence to the
outpatient treatment plan during follow-up. Select one option in each row.
Adherence:
States need for routine lab work
States she will call psychiatry office if stressors are uncontrollable
Will go to the emergency department for development of vomiting and tremors
No Adherence:
Reports intent to schedule monthly psychiatry visits
States she will go off medication once feeling improved
Stated coping mechanisms
States need to skip dose of medication when feeling unwell
A nurse performs a safety assessment and a head-to-toe assessment when a client is in an acute
paranoid state. Complete the following sentences by choosing from the list of options.
Health & Crisis Care (Part 1)|Verified Questions Provided with
Complete A+ Graded Rationales Latest Updated 2026
A client with a history of panic disorder is brought to the emergency department reporting
dizziness, palpitations, and chest pain. The client states that they feel as if they are "going
crazy."
The nurse's first action should be to __________.
Perform a physical assessment
The nurse is caring for a client diagnosed with schizophrenia who is standing on the bed,
refusing to step on the floor. The client states, "I am not going anywhere until you remove those
snakes." The nurse identifies the client's clinical manifestations as __________ __________.
Visual
Hallucinations
The nurse is caring for a client who presents to the emergency room very anxious, pacing, using
profanity, clenching their fists, and demanding to be seen for their pain.
For each of the nurse's actions, click to specify if the action is indicated or not indicated.
Indicated:
The nurse keeps a neutral tone while asking the client to walk to a private area.
The nurse remains three feet away from the client saying, "Please tell me about your pain."
The nurse tells the client, "I can see you are uncomfortable. Where is your pain?"
Not Indicated:
The nurse crosses their arms saying, "Please keep your voice down."
The nurse closely approaches the client and asks, "Why are you yelling?"
A nurse is caring for a client in hospice care. The client's brother states, "I know there is little
time." The nurse prepares to suggest ways to cope with the impending death of a family
member. Which coping strategies should the nurse suggest to help with the coping process of
impending death? Drag the correct options to the boxes on the right.
Spend time with the family member.
Assist in providing physical care while visiting.
,Engage in self-care practices such as meditation.
The nurse is caring for a client recently hospitalized in the mental health unit after a suicide
attempt. The client shared that they attempted to end their life because "God doesn't love me."
Which nursing actions should the nurse take? Drag the correct options to the boxes on the right.
Ask the client, "Can we talk more about your sense of feeling unloved?"
Speak slowly in concrete terms, showing care and respect.
A client was brought to the mental health unit suffering from a substance-induced manic state
due to alcohol use. The nurse's priority intervention is to __________.
Provide the client a safe environment
The nurse is caring for a client diagnosed with generalized anxiety disorder. Which clinical
manifestations are consistent with generalized anxiety disorder? Drag the correct options to the
boxes on the right.
Excessive worry
Muscle tension
Feeling unable to relax
The nurse is educating a client who will be discharged with a new prescription for lithium. The
client's lithium levels have been stable for the past two weeks. Which client statements should
indicate to the nurse that the client needs further teaching? Select all that apply.
"I know lithium can cause addiction."
"I will take my lithium pills on an empty stomach."
"I will not eat anything with salt."
The nurse is caring for a client in the psychiatric unit who is disruptive in group therapy. The
client says to the nurse, "I don't need your help! I can control my own behavior!" and storms
out of the lounge. A few minutes later, the client rushes back into the lounge, wearing high
heels and a low-cut halter top. The client sits down in front of an assistant and says, "Do you like
what I'm wearing?" What is the most appropriate action by the nurse?
Escort the client to their room and help them change clothes.
Review the case study. Click to highlight the cues that indicate the client is experiencing a crisis.
,History of depression
Periods of crying
Verbalizes family, relationship, and financial concerns
Limited finances
Not being able to sleep
Reliving the accident
Before answering this question, review the electronic health record. In the Nurses' Notes tab
click to highlight the areas that are most concerning to the nurse.
Occasionally speaking in rapid, loud phrases
Linear, ordered scar marks on forearms
Red/pink puncture marks in various stages of healing
Labile mood
Arms crossed
Fidgeting noted
Hair greasy, unkempt appearance
Verbalizes suicidal ideation with a plan
The nurse recognizes that the client is experiencing __________ as a defense mechanism, which
is reflected in the behavior of __________.
Displacement
Anger toward staff
Identify the likely condition the client is experiencing, two findings to support this condition,
and two potential causes for this condition. Select the correct options from each drop-down list.
Findings:
Aggression
Restlessness
Condition:
, Manic episode
Causes:
Stress
Illicit drug use
Drag the appropriate nursing actions to the boxes on the right.
Notify healthcare provider
Obtain additional staff presence
Prepare for manual hold
Remove nondirect care team members from the area
Assess environment
Which actions by the nurse require intervention by the charge nurse? Select all that apply.
Prepare 2 mL of haloperidol to administer
Monitor client every 4 hours after medication administration
Validate client's coping strategies
For each finding, click to specify if the finding indicates client adherence or no adherence to the
outpatient treatment plan during follow-up. Select one option in each row.
Adherence:
States need for routine lab work
States she will call psychiatry office if stressors are uncontrollable
Will go to the emergency department for development of vomiting and tremors
No Adherence:
Reports intent to schedule monthly psychiatry visits
States she will go off medication once feeling improved
Stated coping mechanisms
States need to skip dose of medication when feeling unwell
A nurse performs a safety assessment and a head-to-toe assessment when a client is in an acute
paranoid state. Complete the following sentences by choosing from the list of options.
