SAUNDERS MENTAL HEALTH EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
The nurse should plan which goals of the termination stage of group development? Select all
that apply. - ANS - the group evaluates the experience.
- The group explores members' feelings about the group and the impending separation.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family
would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one
who's dying." Which response by the nurse is therapeutic? - ANS "You're feeling angry that
your family continues to hope for you to be cured?"
When reviewing the admission assessment, the nurse notes that a client was admitted to the
mental health unit involuntarily. Based on this type of admission, the nurse should provide
which intervention for this client? - ANS Monitor closely for harm to self or others.
The nurse in the mental health unit plans to use which therapeutic communication techniques
when communicating with a client? Select all that apply. - ANS -Restating
- Listening
- Maintaining neutral responses
- Providing acknowledgment and feedback
@2026 ALLRIGHTS RESERVED 1
,A client is participating in a therapy group and focuses on viewing all team members as equally
important in helping the clients to meet their goals. The nurse is implementing which
therapeutic approach? - ANS Milieu therapy
The nurse is working with a client who despite making a heroic effort was unable to rescue a
neighbor trapped in a house fire. Which client-focused action should the nurse engage in during
the working phase of the nurse-client relationship? - ANS Inquiring about and examining the
client's feelings for any that may block adaptive coping
A client diagnosed with delirium becomes disoriented and confused at night. Which
intervention should the nurse implement initially? - ANS Use an indirect light source and turn
off the television.
The nurse is conducting a group therapy session. During the session, a client diagnosed with
mania consistently disrupts the group's interactions. Which intervention should the nurse
initially implement? - ANS Setting limits on the client's behavior
A client is admitted to a medical nursing unit with a diagnosis of acute blindness after being
involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason
why this client cannot see, a mental health consult is prescribed. The nurse plans care based on
which condition that should be the focus of this consult? - ANS Conversion disorder
Which nursing interventions are appropriate for a hospitalized client with mania who is
exhibiting manipulative behavior? Select all that apply. - ANS - Communicate expected
behaviors to the client.
- Assist the client in identifying ways of setting limits on personal behaviors.
- Follow through about the consequences of behavior in a nonpunitive manner.
- Have the client state the consequences for behaving in ways that are viewed as unacceptable.
@2026 ALLRIGHTS RESERVED 2
, The nurse is preparing a client with a history of command hallucinations for discharge by
providing instructions on interventions for managing hallucinations and anxiety. Which
statement in response to these instructions suggests to the nurse that the client has a need for
additional information? - ANS "When I have command hallucinations, I'll call a friend and ask
him what I should do."
The nurse is caring for a client just admitted to the mental health unit and diagnosed with
catatonic stupor. The client is lying on the bed in a fetal position. Which is the most
appropriatenursing intervention? - ANS Sit beside the client in silence with occasional open-
ended questions.
The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive
social behavior. Which activity would be most appropriate for this client? - ANS Writing
Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all
that apply. - ANS - Monitor vital signs.
- Provide a safe environment.
-Address hallucinations therapeutically.
- Provide reality orientation as appropriate.
A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to
go. I don't want any more treatment. I have things that I have to do right away." The client has
not been discharged and is scheduled for an important diagnostic test to be performed in 1
hour. After the nurse discusses the client's concerns with the client, the client dresses and
begins to walk out of the hospital room. What action should the nurse take? - ANS Call the
nursing supervisor.
The nurse is preparing to perform an admission assessment on a client with a diagnosis of
bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that
apply. - ANS - Loss of tooth enamel
@2026 ALLRIGHTS RESERVED 3
QUESTIONS AND ANSWERS 100% PASS
2026/2027
The nurse should plan which goals of the termination stage of group development? Select all
that apply. - ANS - the group evaluates the experience.
- The group explores members' feelings about the group and the impending separation.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family
would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one
who's dying." Which response by the nurse is therapeutic? - ANS "You're feeling angry that
your family continues to hope for you to be cured?"
When reviewing the admission assessment, the nurse notes that a client was admitted to the
mental health unit involuntarily. Based on this type of admission, the nurse should provide
which intervention for this client? - ANS Monitor closely for harm to self or others.
The nurse in the mental health unit plans to use which therapeutic communication techniques
when communicating with a client? Select all that apply. - ANS -Restating
- Listening
- Maintaining neutral responses
- Providing acknowledgment and feedback
@2026 ALLRIGHTS RESERVED 1
,A client is participating in a therapy group and focuses on viewing all team members as equally
important in helping the clients to meet their goals. The nurse is implementing which
therapeutic approach? - ANS Milieu therapy
The nurse is working with a client who despite making a heroic effort was unable to rescue a
neighbor trapped in a house fire. Which client-focused action should the nurse engage in during
the working phase of the nurse-client relationship? - ANS Inquiring about and examining the
client's feelings for any that may block adaptive coping
A client diagnosed with delirium becomes disoriented and confused at night. Which
intervention should the nurse implement initially? - ANS Use an indirect light source and turn
off the television.
The nurse is conducting a group therapy session. During the session, a client diagnosed with
mania consistently disrupts the group's interactions. Which intervention should the nurse
initially implement? - ANS Setting limits on the client's behavior
A client is admitted to a medical nursing unit with a diagnosis of acute blindness after being
involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason
why this client cannot see, a mental health consult is prescribed. The nurse plans care based on
which condition that should be the focus of this consult? - ANS Conversion disorder
Which nursing interventions are appropriate for a hospitalized client with mania who is
exhibiting manipulative behavior? Select all that apply. - ANS - Communicate expected
behaviors to the client.
- Assist the client in identifying ways of setting limits on personal behaviors.
- Follow through about the consequences of behavior in a nonpunitive manner.
- Have the client state the consequences for behaving in ways that are viewed as unacceptable.
@2026 ALLRIGHTS RESERVED 2
, The nurse is preparing a client with a history of command hallucinations for discharge by
providing instructions on interventions for managing hallucinations and anxiety. Which
statement in response to these instructions suggests to the nurse that the client has a need for
additional information? - ANS "When I have command hallucinations, I'll call a friend and ask
him what I should do."
The nurse is caring for a client just admitted to the mental health unit and diagnosed with
catatonic stupor. The client is lying on the bed in a fetal position. Which is the most
appropriatenursing intervention? - ANS Sit beside the client in silence with occasional open-
ended questions.
The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive
social behavior. Which activity would be most appropriate for this client? - ANS Writing
Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all
that apply. - ANS - Monitor vital signs.
- Provide a safe environment.
-Address hallucinations therapeutically.
- Provide reality orientation as appropriate.
A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to
go. I don't want any more treatment. I have things that I have to do right away." The client has
not been discharged and is scheduled for an important diagnostic test to be performed in 1
hour. After the nurse discusses the client's concerns with the client, the client dresses and
begins to walk out of the hospital room. What action should the nurse take? - ANS Call the
nursing supervisor.
The nurse is preparing to perform an admission assessment on a client with a diagnosis of
bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that
apply. - ANS - Loss of tooth enamel
@2026 ALLRIGHTS RESERVED 3
