SAUNDERS PN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
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? - Correct
Answer-"I can call my therapist when I'm hallucinating so I can talk about my
feelings and plans and not hurt anyone."
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? - Correct Answer-Move the client to a quiet room
and talk about his feelings.
The nurse is assessing a client diagnosed with posttraumatic stress disorder
(PTSD). The nurse knows that according to current references, PTSD
signs/symptoms can be grouped into which three main categories? Select all that
apply. - Correct Answer--Avoidance
-Hyperarousal
-Reexperiencing
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 what I did
wrong. His dad died a hero in Vietnam when he was only 2 years old, but he's had
1|Page
, Saunders PN Mental Health EXAM NEWEST ACTUAL EXAM
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? - Correct Answer-"It
seems as if you or your daughter feel regret?"
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? - Correct Answer-"Our relationship is a therapeutic and a
helping one."
The nurse is working with an older client who has a diagnosis of depression. 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. - Correct
Answer--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.
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? - Correct Answer-The client's report of self-destructive
thoughts
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? - Correct Answer-
reported hopelessness
2|Page
, Saunders PN Mental Health EXAM NEWEST ACTUAL EXAM
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? - Correct Answer-"You seem very distressed over learning you have
asthma."
A client with a phobia will be treated for the condition using a behavior
modification technique known as systematic desensitization. The nurse describes
the components of this form of therapy to the client and reinforces which client
instruction? - Correct Answer-The client will be introduced to short periods of
exposure to the phobic object while in a relaxed state.
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? - Correct Answer-"You've
been feeling like a failure for a while?"
The nurse prepares the plan of care for a client with late-stage Alzheimer's disease
who resides in a long-term care facility. Which would be priority concerns to
include? Select all that apply. - Correct Answer--Risk for injury
-Risk for infection
-Risk for aspiration
-Impaired verbal communication
A client in a manic state emerges from her room. She is topless and is making
sexual remarks and gestures toward staff and peers. Which is an appropriate
3|Page
, Saunders PN Mental Health EXAM NEWEST ACTUAL EXAM
nursing action? - Correct Answer-Quietly approach the client, escort her to her
room, and assist her in getting dressed.
A client is being encouraged to attend music therapy as part of the individual plan
of care. The client refuses to attend and states that he "cannot sing." Which
response by the nurse is therapeutic? - Correct Answer-"Perhaps you could just
enjoy the music without singing."
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? - Correct Answer-
"Tell me about your difficulty sleeping."
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 disorder.
Which interventions should the licensed practical nurse use to assist this client in
meeting this goal? Select all that apply. - Correct Answer--Stay with the client
-Administer anxiolytics medications
-Ensure the client is in an environment...
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? - Correct Answer-Planning a non-food
related activity
An adolescent client is admitted to the inpatient unit after medical stabilization 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
4|Page