SAUNDERS PN MENTAL HEALTH NGN FORMAT NEWEST 2025 ACTUAL EX
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
|ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0r8i
1. The nurse is having a conversation with a depressed client in an inpatient
psychiatric unit. The client says to the nurse, "Things would be so much better
for everyone if I just wasn't around." Which response by the nurse would be
appropriate at this time?: You sound very unhappy. Are you thinking of harming
yourself?
2. The nurse in the emergency department is assisting in caring for a young
female victim of sexual assault. The client's physical assessment is complete,
and physical evidence has been collected. The nurse notes that the client is
withdrawn, confused, and at times physically immobile. Which interpretation
should the nurse make of these behaviors?: They are expected reactions to a
devastating event.
3. The nurse is caring for a client diagnosed with catatonic stupor. The client
is lying on the bed, with the body pulled into a fetal position. Which is the
appropriate nursing intervention?: Sit beside the client in silence and verbalize
occasional open-ended questions.
4. The spouse of a client admitted to the hospital for alcohol withdrawal says
to the nurse, "I should get out of this bad situation." The most helpful response
by the nurse should be which statement?: What do you find difficult about this
situation?
5. The nurse employed in a psychiatric unit receives a client assignment for
the day. Which client assigned to the nurse is at the highest risk for committing
suicide?: A client with severe depression and terminal cancer
6. Which behaviors observed by the nurse might lead to the suspicion that a
depressed adolescent client could be suicidal?: The client gives away a DVD
and a cherished autographed picture of the performer.
7. The nurse is preparing for the hospital discharge of a client with a history of
command hallucinations to harm self or others. The nurse instructs the client
about interventions for hallucinations and anxiety and determines that the
client understands the interventions when the client makes which statement?-
: "I can call my therapist when I'm hallucinating so I can talk about my feelings and
plans and not hurt anyone."
8. A client tells the nurse that he is feeling out of control. The nurse observes
that the client is pacing back and forth. Which approach by the nurse is
appropriate to maintain a safe environment?: Move the client to a quiet room
and talk about his feelings.
9. The nurse is caring for an older depressed client whose son was killed in
an armed robbery after murdering two people. The client says, "I don't know
, SAUNDERS PN MENTAL HEALTH NGN FORMAT NEWEST 2025 ACTUAL EX
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
|ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0r8i
what I did wrong. His dad died a hero in Vietnam when he was only 2 years old,
but he's had everything. When he threw the cat up against the wall to see if it
landed on its feet and stole money from me and denied it, his sister covered for
him." The nurse plans to make which therapeutic response to the client?: "It
seems as if you or your daughter feel regret?"
10. The nurse has been caring for a client with a diagnosis of depression. The
client says to the nurse, "I wish you would just be my friend." The appropriate
response by the nurse is which?: "Our relationship is a therapeutic and a helping
one."
11. The nurse is working with an older client who has a diagnosis of depres-
sion. To work most effectively with this client, the nurse recalls that which
information is accurate regarding depression and the older client? Select all
that apply.: -Suicide is a frequent cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
12. The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the obtained data, the nurse should identify
which as a priority concern?: The client's report of self-destructive thoughts
13. The nurse is assessing a newly admitted client recently diagnosed with
depression. Which data best supports that the client is at risk for self-harm?-
: reported hopelessness
14. A client who has just received a diagnosis of asthma says to the nurse,
"This condition is just another nail in my coffin." Which response by the nurse
is therapeutic?: "You seem very distressed over learning you have asthma."
15. A client with a phobia will be treated for the condition using a behavior
modification technique known as systematic desensitization. The nurse de-
scribes the components of this form of therapy to the client and reinforces
which client instruction?: The client will be introduced to short periods of exposure
to the phobic object while in a relaxed state.
16. A client with depression who has attempted suicide says to the nurse,
"I should have died. I've always been a failure. Nothing ever goes right for
me." The nurse should make which therapeutic response to the client?: "You've
been feeling like a failure for a while?"
17. The registered nurse has written an outcome statement of, "Client will
feel less anxious by the end of session," for a client with generalized anxiety
, SAUNDERS PN MENTAL HEALTH NGN FORMAT NEWEST 2025 ACTUAL EX
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
|ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0r8i
disorder. Which interventions should the licensed practical nurse use to assist
this client in meeting this goal? Select all that apply.: -Stay with the client
-Administer anxiolytics medications
-Ensure the client is in an environment...
18. The parents of a teenager diagnosed with anorexia nervosa ask the nurse
what part they can play during the long recovery period. The nurse accurately
relates that which actions should the parents take?: Planning a non-food related
activity
19. An adolescent client is admitted to the inpatient unit after medical sta-
bilization for an overdose of acetaminophen. The history identifies that her
boyfriend broke up with her 2 weeks ago and that she hasn't been eating well,
resulting in a loss of 15 pounds. The nurse assists in developing a plan of care
that includes which interventions? Select all that apply.: -Making
-Providing
-Ensuring
20. The nurse is assisting in developing a plan of care for a client with a
psychotic disorder who is experiencing altered thought processes. On review
of the client's record, the nurse notes documentation that the client believes
that the food is being poisoned. The nurse plans to use which communication
technique when developing strategies that will promote adequate nutrition
and encourage the client to discuss feelings?: Use open-ended questions and
silence.
21. The nurse is caring for a client with severe depression. Which activity is
appropriate for this client?: Drawing
22. A client is diagnosed with schizophrenia. The nurse is asked to assist in
preparing a nursing care plan for the client. Which is important for the nurse to
understand when planning?: Until the client's thinking is cleared, the nurse may
need to assist the client with grooming and nutrition.
23. The nurse is reviewing the record of a client admitted to the mental health
unit and notes that the client was admitted by voluntary status. The nurse
makes which determination?: The client has the right to demand ...
24. The nurse is caring for a client who says, "I don't want you to touch me. I'll
take care of myself!" The nurse should make which therapeutic response to
the client?: Sounds like you're feeling pretty troubled...
25. An oriented client is scheduled to have aversion therapy to change behav-
ior. Before initiating any aversive protocol, the therapist, treatment team, or
society must answer which questions? Select all that apply.: -Is it in the best
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
|ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0r8i
1. The nurse is having a conversation with a depressed client in an inpatient
psychiatric unit. The client says to the nurse, "Things would be so much better
for everyone if I just wasn't around." Which response by the nurse would be
appropriate at this time?: You sound very unhappy. Are you thinking of harming
yourself?
2. The nurse in the emergency department is assisting in caring for a young
female victim of sexual assault. The client's physical assessment is complete,
and physical evidence has been collected. The nurse notes that the client is
withdrawn, confused, and at times physically immobile. Which interpretation
should the nurse make of these behaviors?: They are expected reactions to a
devastating event.
3. The nurse is caring for a client diagnosed with catatonic stupor. The client
is lying on the bed, with the body pulled into a fetal position. Which is the
appropriate nursing intervention?: Sit beside the client in silence and verbalize
occasional open-ended questions.
4. The spouse of a client admitted to the hospital for alcohol withdrawal says
to the nurse, "I should get out of this bad situation." The most helpful response
by the nurse should be which statement?: What do you find difficult about this
situation?
5. The nurse employed in a psychiatric unit receives a client assignment for
the day. Which client assigned to the nurse is at the highest risk for committing
suicide?: A client with severe depression and terminal cancer
6. Which behaviors observed by the nurse might lead to the suspicion that a
depressed adolescent client could be suicidal?: The client gives away a DVD
and a cherished autographed picture of the performer.
7. The nurse is preparing for the hospital discharge of a client with a history of
command hallucinations to harm self or others. The nurse instructs the client
about interventions for hallucinations and anxiety and determines that the
client understands the interventions when the client makes which statement?-
: "I can call my therapist when I'm hallucinating so I can talk about my feelings and
plans and not hurt anyone."
8. A client tells the nurse that he is feeling out of control. The nurse observes
that the client is pacing back and forth. Which approach by the nurse is
appropriate to maintain a safe environment?: Move the client to a quiet room
and talk about his feelings.
9. The nurse is caring for an older depressed client whose son was killed in
an armed robbery after murdering two people. The client says, "I don't know
, SAUNDERS PN MENTAL HEALTH NGN FORMAT NEWEST 2025 ACTUAL EX
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
|ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0r8i
what I did wrong. His dad died a hero in Vietnam when he was only 2 years old,
but he's had everything. When he threw the cat up against the wall to see if it
landed on its feet and stole money from me and denied it, his sister covered for
him." The nurse plans to make which therapeutic response to the client?: "It
seems as if you or your daughter feel regret?"
10. The nurse has been caring for a client with a diagnosis of depression. The
client says to the nurse, "I wish you would just be my friend." The appropriate
response by the nurse is which?: "Our relationship is a therapeutic and a helping
one."
11. The nurse is working with an older client who has a diagnosis of depres-
sion. To work most effectively with this client, the nurse recalls that which
information is accurate regarding depression and the older client? Select all
that apply.: -Suicide is a frequent cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
12. The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the obtained data, the nurse should identify
which as a priority concern?: The client's report of self-destructive thoughts
13. The nurse is assessing a newly admitted client recently diagnosed with
depression. Which data best supports that the client is at risk for self-harm?-
: reported hopelessness
14. A client who has just received a diagnosis of asthma says to the nurse,
"This condition is just another nail in my coffin." Which response by the nurse
is therapeutic?: "You seem very distressed over learning you have asthma."
15. A client with a phobia will be treated for the condition using a behavior
modification technique known as systematic desensitization. The nurse de-
scribes the components of this form of therapy to the client and reinforces
which client instruction?: The client will be introduced to short periods of exposure
to the phobic object while in a relaxed state.
16. A client with depression who has attempted suicide says to the nurse,
"I should have died. I've always been a failure. Nothing ever goes right for
me." The nurse should make which therapeutic response to the client?: "You've
been feeling like a failure for a while?"
17. The registered nurse has written an outcome statement of, "Client will
feel less anxious by the end of session," for a client with generalized anxiety
, SAUNDERS PN MENTAL HEALTH NGN FORMAT NEWEST 2025 ACTUAL EX
ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
|ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0r8i
disorder. Which interventions should the licensed practical nurse use to assist
this client in meeting this goal? Select all that apply.: -Stay with the client
-Administer anxiolytics medications
-Ensure the client is in an environment...
18. The parents of a teenager diagnosed with anorexia nervosa ask the nurse
what part they can play during the long recovery period. The nurse accurately
relates that which actions should the parents take?: Planning a non-food related
activity
19. An adolescent client is admitted to the inpatient unit after medical sta-
bilization for an overdose of acetaminophen. The history identifies that her
boyfriend broke up with her 2 weeks ago and that she hasn't been eating well,
resulting in a loss of 15 pounds. The nurse assists in developing a plan of care
that includes which interventions? Select all that apply.: -Making
-Providing
-Ensuring
20. The nurse is assisting in developing a plan of care for a client with a
psychotic disorder who is experiencing altered thought processes. On review
of the client's record, the nurse notes documentation that the client believes
that the food is being poisoned. The nurse plans to use which communication
technique when developing strategies that will promote adequate nutrition
and encourage the client to discuss feelings?: Use open-ended questions and
silence.
21. The nurse is caring for a client with severe depression. Which activity is
appropriate for this client?: Drawing
22. A client is diagnosed with schizophrenia. The nurse is asked to assist in
preparing a nursing care plan for the client. Which is important for the nurse to
understand when planning?: Until the client's thinking is cleared, the nurse may
need to assist the client with grooming and nutrition.
23. The nurse is reviewing the record of a client admitted to the mental health
unit and notes that the client was admitted by voluntary status. The nurse
makes which determination?: The client has the right to demand ...
24. The nurse is caring for a client who says, "I don't want you to touch me. I'll
take care of myself!" The nurse should make which therapeutic response to
the client?: Sounds like you're feeling pretty troubled...
25. An oriented client is scheduled to have aversion therapy to change behav-
ior. Before initiating any aversive protocol, the therapist, treatment team, or
society must answer which questions? Select all that apply.: -Is it in the best
