Behavioral Health Nursing Practice Test

Behavioral Health Nursing Practice Test

 

Which of the following best describes the nursing process in behavioral health care?

A) A systematic approach to identifying and solving medical problems
B) A framework for providing individualized care through assessment, planning, intervention, and evaluation
C) A way to classify patients based on psychiatric diagnoses
D) A process used only for the treatment of acute conditions

 

What is the primary focus of primary behavioral health care?

A) Immediate crisis intervention
B) Prevention of mental health issues
C) Long-term management of mental illness
D) Rehabilitation of patients with severe mental illness

 

Which nursing intervention is most appropriate for a client in a mental health crisis?

A) Encouraging the client to manage the crisis independently
B) Providing the client with medications only
C) Offering supportive listening and ensuring safety
D) Ignoring the client’s emotional response

 

The nursing care of individuals with serious and persistent mental illness often involves which level of care?

A) Primary care
B) Secondary care
C) Tertiary care
D) Preventative care

 

Which is a common side effect of antipsychotic medications used in behavioral health care?

A) Weight loss
B) Sedation and drowsiness
C) Increased appetite
D) Hyperactivity

 

What is the most important aspect of therapeutic communication in behavioral health nursing?

A) Engaging in debate with clients about their viewpoints
B) Listening actively and providing empathetic responses
C) Giving advice on how to solve the client’s problems
D) Using medical terminology to explain the diagnosis

 

Which of the following is an example of client-centered coping skills in behavioral health care?

A) Teaching clients how to use relaxation techniques to manage stress
B) Prescribing medication without involving the client in the decision
C) Making all decisions for the client regarding treatment
D) Encouraging clients to isolate themselves to prevent stress

 

In interdisciplinary collaboration, nurses work closely with which of the following professionals?

A) Psychiatrists
B) Family members only
C) Other nurses only
D) Personal trainers

 

What is the primary goal of secondary prevention in behavioral health care?

A) To manage chronic mental illness
B) To promote mental wellness in the general population
C) To detect and address early signs of mental health issues
D) To provide rehabilitation for those who have been institutionalized

 

Which aspect of care is most emphasized in tertiary prevention for clients with serious mental illness?

A) Prevention of illness onset
B) Treatment of acute mental health symptoms
C) Long-term care and rehabilitation
D) Short-term crisis intervention

 

Which of the following is an example of a cultural consideration in behavioral health nursing?

A) Using a standardized care plan for all patients
B) Understanding and respecting cultural beliefs about mental illness
C) Ignoring cultural differences in care decisions
D) Focusing only on Western medical treatments

 

What is the most appropriate action when a client expresses suicidal thoughts?

A) Ignore the client’s statement
B) Provide them with information about coping strategies
C) Ensure the client’s immediate safety and seek appropriate intervention
D) Tell the client to “snap out of it”

 

How does critical thinking contribute to behavioral health nursing practice?

A) By allowing nurses to follow routines without considering individual patient needs
B) By enabling nurses to make objective and well-informed decisions about patient care
C) By encouraging nurses to make decisions without consulting other team members
D) By focusing on quick, reactive care rather than comprehensive planning

 

Which of the following is a key element of affective skills in behavioral health nursing?

A) Administering medications accurately
B) Demonstrating empathy and emotional support
C) Providing physical assessments only
D) Assigning tasks to unlicensed personnel

 

What is the primary purpose of psychiatric medications in behavioral health care?

A) To cure mental illness
B) To manage symptoms and improve quality of life
C) To provide immediate relief from all symptoms
D) To substitute for psychotherapy

 

How can a nurse demonstrate cultural competence in behavioral health care?

A) Using one approach for all patients regardless of background
B) Engaging in self-awareness and understanding of cultural differences
C) Assuming all clients from the same culture have the same needs
D) Ignoring the cultural background of patients

 

Which of the following is an example of an interdisciplinary collaboration in crisis management?

A) Nurses working alone to address patient needs
B) Involving family members in the planning of care only
C) Collaborating with psychiatrists, social workers, and psychologists for holistic care
D) Deciding on treatment plans without consulting other professionals

 

Which of the following is a common nursing intervention for a client with depression?

A) Encouraging isolation to prevent further sadness
B) Providing the client with education on the benefits of medication
C) Ignoring the client’s feelings of sadness
D) Forcing the client to engage in social activities

 

When assessing a client with a history of trauma, what is an important consideration for the nurse?

A) Assume that all clients with trauma will react the same way
B) Take a nonjudgmental, empathetic, and patient approach
C) Focus only on the trauma without considering other aspects of health
D) Rush the assessment to expedite care

 

What is the role of the nurse in promoting therapeutic communication with clients in acute inpatient settings?

A) To focus solely on administering medications
B) To provide a safe environment for the client to express emotions
C) To take on the client’s emotional burdens
D) To limit conversation to strictly professional topics

 

Which of the following is a priority in the management of a client with a manic episode?

A) Encouraging the client to stay in bed all day
B) Ensuring the client’s safety due to potential impulsivity
C) Engaging the client in group therapy immediately
D) Providing individual counseling sessions only

 

What is the key nursing focus when caring for a client with schizophrenia?

A) Ignoring delusions and hallucinations as part of normal behavior
B) Providing emotional support and addressing the client’s delusions and hallucinations
C) Encouraging the client to avoid all social interaction
D) Ignoring client concerns regarding medications

 

In the context of behavioral health nursing, what is an essential component of client-centered care?

A) The nurse makes all treatment decisions for the client
B) The client’s values and preferences guide the nursing care plan
C) The nurse decides on interventions without client input
D) Care is provided without regard to the client’s personal beliefs

 

What is a priority when working with clients with serious mental illness in community settings?

A) Limiting their access to community activities
B) Providing a structured environment for safe engagement and interaction
C) Avoiding contact with clients outside of the clinic
D) Focusing only on medication adherence

 

What is the role of the nurse when a client with a serious mental illness is non-compliant with medication?

A) Discontinue all medication and observe for improvement
B) Discuss the reasons for non-compliance and provide education about the benefits of adherence
C) Punish the client for non-compliance
D) Ignore the client’s refusal and continue treatment

 

Which of the following best describes secondary prevention in the context of behavioral health?

A) Promoting well-being and mental wellness in the general population
B) Intervening early to reduce the risk of mental illness
C) Providing rehabilitation services for clients in remission
D) Monitoring the effects of long-term medications

 

What is an important consideration when providing care for clients with substance use disorders?

A) Providing medications only and avoiding therapy
B) Acknowledging the role of both psychological and physical health in recovery
C) Allowing clients to continue their substance use without judgment
D) Restricting access to all social services

 

What is the nursing intervention when a client is experiencing a panic attack?

A) Encourage the client to breathe deeply and focus on the present moment
B) Ignore the symptoms and hope they subside
C) Restrict the client’s movements to prevent further anxiety
D) Make the client confront their fears immediately

 

Which of the following is a primary goal when using pharmacotherapy for behavioral health clients?

A) To provide clients with a quick fix to their problems
B) To help clients manage symptoms and improve their functioning
C) To avoid discussing the need for therapy
D) To avoid any discussions about the medications with clients

 

When should a nurse consider involving family members in the care plan of a behavioral health client?

A) Only when the client requests family involvement
B) When it is appropriate to involve them in the therapeutic process with the client’s consent
C) When the client specifically requests no family involvement
D) Never, because family involvement complicates care

 

 

Which of the following is an example of tertiary prevention in behavioral health care?

A) Screening for early signs of mental illness
B) Providing long-term rehabilitation for individuals with chronic mental health conditions
C) Promoting awareness of mental health issues to prevent onset
D) Educating the community about stress management techniques

 

When caring for a client with depression, what is a key therapeutic approach for the nurse to adopt?

A) Pushing the client to overcome their feelings quickly
B) Providing empathetic listening and encouraging gradual participation in activities
C) Ignoring the client’s emotional state and focusing on physical health
D) Pressuring the client to engage in social activities immediately

 

What is a primary challenge when providing care for individuals with serious mental illness in a community setting?

A) Ensuring clients do not receive medication
B) Limiting client contact with others to prevent crises
C) Providing ongoing support while promoting independence
D) Avoiding collaboration with other health professionals

 

What is a common side effect of selective serotonin reuptake inhibitors (SSRIs) used in behavioral health care?

A) Increased blood pressure
B) Sedation and weight gain
C) Insomnia and sexual dysfunction
D) Severe headaches and dizziness

 

Which of the following nursing interventions is most appropriate for a client experiencing acute psychosis?

A) Encourage the client to talk about their hallucinations and delusions
B) Provide a calm, structured environment to reduce stimuli
C) Encourage the client to confront their delusions immediately
D) Ignore the client’s behavior and continue with other tasks

 

What is a major consideration when engaging in therapeutic communication with children in behavioral health nursing?

A) Use of simple language and age-appropriate explanations
B) Avoiding discussing emotions to prevent confusion
C) Focusing on the child’s academic performance only
D) Ignoring the child’s behavior and focusing on the parents

 

Which nursing action demonstrates an understanding of the biopsychosocial model of care?

A) Focusing only on the client’s psychological state
B) Ignoring the client’s social support network
C) Assessing the client’s biological, psychological, and social factors affecting health
D) Only considering the client’s physical health during assessment

 

Which of the following is a key goal in the nursing care of clients with anxiety disorders?

A) Encouraging the client to avoid social situations to reduce anxiety
B) Teaching relaxation techniques and cognitive restructuring to manage anxiety
C) Telling the client to “just relax” and avoid worrying
D) Restricting the client’s physical activity to prevent overstimulation

 

When planning care for a client with a history of substance abuse, what is an essential consideration?

A) Focusing solely on detoxification
B) Encouraging the client to manage their addiction independently
C) Integrating family support and counseling into the treatment plan
D) Ignoring relapse as part of the recovery process

 

What role do support groups play in the management of clients with mental illness?

A) They offer a setting for clients to share experiences and coping strategies
B) They replace the need for professional counseling and medication
C) They focus solely on crisis management
D) They are only beneficial for clients with depression

 

Which of the following is an essential aspect of the nurse’s role when caring for clients in crisis situations?

A) Focus on prescribing medication only
B) Provide short-term solutions and immediate care to stabilize the client
C) Refer the client to social workers without direct involvement
D) Avoid engaging with the client’s emotional needs

 

What is the primary goal of nursing interventions for clients with borderline personality disorder?

A) To help clients achieve full independence from care
B) To provide structured care and help clients manage emotional regulation
C) To avoid any therapeutic communication with the client
D) To focus only on medications without considering therapy

 

When working with clients who have schizophrenia, what is a key focus in the nursing care plan?

A) To avoid discussing hallucinations or delusions with the client
B) To focus primarily on the client’s family and ignore their individual needs
C) To help the client cope with symptoms and promote adherence to treatment
D) To encourage the client to isolate themselves from others

 

Which of the following is the best approach when working with clients from diverse cultural backgrounds?

A) Assume that all clients from the same culture will respond similarly to treatment
B) Be aware of cultural differences and incorporate this awareness into the care plan
C) Ignore cultural differences and focus solely on medical interventions
D) Encourage clients to adopt the nurse’s cultural practices for better care

 

What is a priority when managing the care of an individual with bipolar disorder?

A) Managing medication compliance and monitoring mood swings
B) Ignoring the client’s emotional needs
C) Encouraging the client to avoid all forms of social interaction
D) Using only therapy and ignoring the role of medications

 

What is a critical skill in managing clients with eating disorders in behavioral health nursing?

A) Providing weight loss advice and encouragement
B) Focusing solely on the client’s physical appearance
C) Engaging the client in therapy while addressing emotional and psychological factors
D) Ignoring the psychological factors and focusing only on nutrition

 

How should a nurse approach a client who is resistant to taking prescribed medication for mental illness?

A) Ignore the client’s concerns and proceed with medication administration
B) Discuss the benefits of the medication and explore the client’s reasons for resistance
C) Force the client to take the medication
D) Discontinue medication without consulting the healthcare team

 

What is a major nursing consideration when caring for a client with obsessive-compulsive disorder (OCD)?

A) Encouraging the client to confront their compulsions immediately
B) Providing a non-judgmental space for the client to discuss their obsessions and compulsions
C) Telling the client to stop their rituals and ignore their thoughts
D) Limiting all activities to prevent anxiety

 

When caring for a client with post-traumatic stress disorder (PTSD), what is an important nursing intervention?

A) Encourage the client to avoid talking about their trauma
B) Provide trauma-informed care and ensure the client feels safe during interactions
C) Force the client to relive their traumatic experience in therapy
D) Ignore the client’s emotional responses to the trauma

 

What is an essential aspect of managing care for clients with dissociative identity disorder?

A) Encouraging the client to suppress their different identities
B) Providing a safe environment while addressing underlying trauma and symptoms
C) Focusing solely on one personality and ignoring others
D) Dismissing the client’s experiences as fictional

 

Which is the most important factor when selecting pharmacotherapy for a client with depression?

A) Cost of the medication
B) The client’s individual response to medication and any side effects
C) The client’s previous medication history only
D) The availability of over-the-counter alternatives

 

How does nursing assessment contribute to the care of clients with mental illness?

A) It focuses only on the client’s physical symptoms
B) It helps to understand the client’s mental health status, strengths, and needs for individualized care
C) It is primarily for diagnosing conditions
D) It emphasizes using medication to manage symptoms

 

Which of the following is an important intervention when caring for a client with substance abuse?

A) Giving the client the freedom to choose all aspects of treatment
B) Ignoring the client’s past history and focusing only on current symptoms
C) Addressing both the physical and psychological aspects of the addiction
D) Avoiding family involvement in treatment decisions

 

Which of the following is a primary role of the nurse when caring for a client with suicidal ideation?

A) To keep the client in isolation to avoid harm
B) To provide empathetic listening, ensure safety, and involve a mental health crisis team
C) To avoid discussing the client’s feelings
D) To dismiss the client’s feelings as temporary

 

What is the key focus of nursing interventions for clients with phobias?

A) Encouraging avoidance of feared situations to prevent distress
B) Gradually exposing the client to feared objects or situations in a controlled manner
C) Ignoring the client’s fear and proceeding with standard treatment
D) Forcing the client to confront their fear immediately

 

What is an essential part of nursing care when working with children with behavioral disorders?

A) Focusing solely on medications for symptom management
B) Involving parents and caregivers in the therapeutic process
C) Ignoring the child’s emotional needs and focusing on physical health
D) Avoiding family involvement to maintain confidentiality

 

 

What is the most important aspect of nursing care for a client with an eating disorder?

A) Encouraging the client to gain weight quickly
B) Addressing both the psychological and physical aspects of the disorder
C) Focusing only on nutritional education
D) Providing medication to control weight loss

 

What is the primary goal when caring for a client with dissociative amnesia?

A) Encouraging the client to forget traumatic memories
B) Helping the client recall lost memories in a supportive, gradual manner
C) Ignoring the client’s memory loss and focusing on daily functioning
D) Forcing the client to confront past trauma immediately

 

What is the main role of the nurse when dealing with a client in a manic episode?

A) Encourage the client to focus on their thoughts and feelings
B) Maintain a calm and structured environment while managing excessive energy
C) Discourage any form of social interaction to prevent overstimulation
D) Ignore the client’s mood and focus solely on physical health

 

Which of the following is an essential component of trauma-informed care for clients with PTSD?

A) Ignoring the client’s emotions to prevent re-traumatization
B) Ensuring that the client feels safe, respected, and supported throughout their care
C) Encouraging the client to recall traumatic memories immediately
D) Focusing on medication management only

 

What is a primary intervention when caring for a client with a panic disorder?

A) Encouraging the client to avoid stressful situations
B) Teaching the client to use deep breathing and relaxation techniques during an episode
C) Encouraging the client to confront their panic triggers without preparation
D) Focusing only on medication management for anxiety relief

 

When working with a client diagnosed with schizophrenia, what should the nurse prioritize?

A) Reducing the client’s need for medication
B) Focusing on managing symptoms and promoting medication adherence
C) Ignoring any social withdrawal behavior
D) Providing reassurance that hallucinations are normal

 

Which of the following is the most effective nursing intervention when managing a client experiencing a psychotic episode?

A) Engaging in conversation about the delusions to help the client understand reality
B) Maintaining a quiet environment to reduce stimuli while ensuring the client’s safety
C) Avoiding eye contact with the client to reduce agitation
D) Encouraging the client to confront their delusions immediately

 

What is the nurse’s primary responsibility when managing a client with a substance use disorder?

A) Monitoring physical symptoms and avoiding social interventions
B) Providing a non-judgmental, supportive environment to encourage treatment adherence
C) Ignoring the client’s addiction history and focusing on the present symptoms
D) Pushing the client to take responsibility for their addiction

 

Which nursing intervention would be most effective for a client who has recently experienced a traumatic event?

A) Encouraging the client to talk about their trauma in detail immediately
B) Offering a safe, supportive environment where the client can process their emotions at their own pace
C) Telling the client to “move on” and focus on the present
D) Discouraging any emotional expression to prevent further distress

 

What is the most important consideration when caring for a client with bipolar disorder?

A) Promoting stable mood management through a combination of medication and psychotherapy
B) Encouraging the client to avoid taking medications to prevent side effects
C) Focusing only on the depressive episodes and ignoring manic episodes
D) Allowing the client to experience both manic and depressive episodes without intervention

 

Which of the following should a nurse consider when working with clients who have borderline personality disorder?

A) Providing unconditional positive regard while setting clear boundaries
B) Encouraging the client to confront all their emotional triggers immediately
C) Avoiding interactions with the client to prevent emotional distress
D) Ignoring the client’s behavior to avoid reinforcing negative patterns

 

What is an essential intervention when working with a client diagnosed with an anxiety disorder?

A) Helping the client identify triggers and teaching coping mechanisms for managing anxiety
B) Avoiding discussing the client’s anxiety to prevent embarrassment
C) Encouraging the client to engage in risky situations to overcome fear
D) Focusing exclusively on medication management without involving therapy

 

Which of the following best describes an appropriate nursing intervention for a client experiencing grief and loss?

A) Encouraging the client to suppress their emotions to speed up the grieving process
B) Offering empathetic support, while allowing the client to grieve in their own way
C) Discouraging the client from talking about their loss to prevent emotional distress
D) Reassuring the client that they should be over their grief by now

 

When planning care for an adolescent with depression, the nurse should consider:

A) Involving family members in therapy without the adolescent’s consent
B) Encouraging the adolescent to remain isolated to prevent further stress
C) Collaborating with the adolescent to develop an individualized care plan that includes both emotional support and coping strategies
D) Focusing solely on pharmacotherapy without involving the adolescent in decision-making

 

What is the primary nursing goal when caring for a client with schizophrenia who experiences auditory hallucinations?

A) Encouraging the client to engage in social activities to prevent isolation
B) Helping the client differentiate between the hallucinations and reality through therapeutic communication
C) Ignoring the hallucinations and focusing on other aspects of the client’s care
D) Confronting the hallucinations directly to help the client confront them

 

Which of the following is an essential part of managing a client with obsessive-compulsive disorder (OCD)?

A) Encouraging the client to confront their compulsions without delay
B) Helping the client understand the relationship between thoughts and compulsive behaviors and using cognitive-behavioral therapy (CBT) to modify behaviors
C) Ignoring the client’s compulsions as they are unimportant
D) Focusing only on medication management to control the symptoms

 

What is a key factor when working with clients diagnosed with a personality disorder?

A) Encouraging the client to take responsibility for their actions and recognize how they affect others
B) Ignoring the client’s needs to avoid enabling maladaptive behavior
C) Withholding therapy to allow the client to handle situations independently
D) Avoiding communication with the client to prevent emotional distress

 

How should the nurse respond to a client who is experiencing an acute episode of agitation and aggression?

A) Allowing the client to act out their emotions freely without intervention
B) Maintaining a calm demeanor while offering the client a quiet space to de-escalate
C) Ignoring the client’s behavior to avoid reinforcing aggression
D) Confronting the client about their aggression immediately

 

What is a priority in managing the care of a client with psychosis in an acute care setting?

A) Encouraging the client to avoid social interaction
B) Providing a safe and structured environment while focusing on symptom management
C) Ignoring the client’s delusions and hallucinations
D) Discouraging any form of emotional expression

 

What should a nurse do when caring for a client with a history of self-harm behavior?

A) Punish the client for engaging in self-harm behaviors
B) Encourage the client to talk about their feelings in a non-judgmental, supportive environment
C) Avoid addressing the self-harm behaviors to minimize distress
D) Ignore the client’s past behaviors and only focus on current symptoms

 

Which of the following is a key element in the care of clients with chronic mental illness in the community?

A) Focusing only on short-term care and ignoring long-term management
B) Building a collaborative treatment plan that includes medication, therapy, and community support
C) Ignoring the client’s social and family dynamics in the care plan
D) Avoiding any form of professional help and focusing solely on self-care

 

What is the most appropriate nursing intervention for a client with a substance use disorder in withdrawal?

A) Providing a non-structured environment to allow the client to self-manage
B) Monitoring vital signs and ensuring safe, supportive care during detoxification
C) Ignoring the withdrawal symptoms to avoid reinforcing the client’s dependency
D) Discouraging the use of medications to manage withdrawal symptoms

 

What is the priority nursing intervention when caring for a client with depression who expresses suicidal ideation?

A) Encourage the client to work through their feelings alone
B) Develop a safety plan and provide continuous monitoring to ensure the client’s safety
C) Ignore the suicidal ideation and focus on other symptoms of depression
D) Reassure the client that they will feel better soon

 

When caring for a client with generalized anxiety disorder, what is the nurse’s priority?

A) Encourage the client to avoid all anxiety-provoking situations
B) Teach the client relaxation techniques, coping strategies, and provide emotional support
C) Minimize the client’s emotional responses to anxiety
D) Provide only medication management without therapy

 

 

What is the first step in managing a client with acute psychosis in a community setting?

A) Encourage the client to confront their delusions immediately
B) Ensure a safe environment and provide immediate support to prevent harm to the client or others
C) Administer antipsychotic medication immediately
D) Disregard the client’s behaviors and focus solely on family dynamics

 

When caring for a client with a history of suicide attempts, what is the priority nursing intervention?

A) Developing a therapeutic relationship and establishing trust
B) Ignoring the client’s verbal cues about suicide to avoid reinforcing the idea
C) Encouraging the client to isolate themselves to process their feelings
D) Discouraging any form of emotional expression to avoid making the client upset

 

What is the most appropriate intervention for a client with agoraphobia?

A) Encouraging the client to confront the feared situation without preparation
B) Gradually exposing the client to feared situations while providing emotional support
C) Isolating the client from triggering situations to avoid anxiety
D) Reassuring the client that their fear will eventually go away without intervention

 

What is the most important consideration when working with a client with dissociative identity disorder?

A) Encouraging the client to suppress their alternate identities
B) Building trust and providing a safe, supportive environment for the client to integrate their identities
C) Focusing only on medication management and ignoring the psychological aspects
D) Encouraging the client to confront their alternate identities immediately

 

When working with a client who has substance use disorder and is in recovery, what is a primary nursing goal?

A) Encourage the client to avoid therapy to prevent confrontation with their addiction
B) Support the client’s progress by helping them develop healthy coping mechanisms and providing relapse prevention strategies
C) Discourage the client from participating in support groups to prevent dependency
D) Focus on controlling the client’s environment to eliminate all triggers

 

What should a nurse consider when working with a client diagnosed with paranoid personality disorder?

A) Confront the client’s delusions head-on to eliminate distrust
B) Provide a structured and predictable environment while respecting the client’s need for autonomy
C) Encourage the client to interact with others to build trust immediately
D) Avoid all communication with the client to prevent escalation

 

What is an essential intervention for a client experiencing a manic episode?

A) Encouraging the client to focus on their racing thoughts without interruption
B) Ensuring the client’s safety and providing a quiet, calm environment to manage overactivity
C) Ignoring the client’s behavior to avoid reinforcing it
D) Allowing the client to engage in risky behaviors to prevent frustration

 

What is the priority when caring for a client with schizophrenia experiencing auditory hallucinations?

A) Focusing on medication adherence and therapy to reduce symptoms
B) Encouraging the client to engage in social interactions despite their hallucinations
C) Ignoring the hallucinations and focusing only on physical care
D) Encouraging the client to confront their hallucinations head-on

 

What is the most effective nursing intervention when working with clients diagnosed with bipolar disorder?

A) Encouraging the client to ignore medication in favor of natural coping strategies
B) Collaborating with the client to develop a consistent daily routine and manage mood fluctuations
C) Focusing exclusively on managing depressive episodes and ignoring manic symptoms
D) Avoiding any form of interaction to prevent overstimulation

 

When caring for a client with a history of self-harm behavior, the nurse should:

A) Avoid discussing self-harm behaviors to prevent encouraging them
B) Provide open, non-judgmental communication and explore the underlying emotional triggers
C) Ignore the behavior and focus on addressing physical wounds only
D) Confront the client about the negative consequences of their actions immediately

 

What is the most important factor when developing a treatment plan for a client with generalized anxiety disorder?

A) Encouraging the client to avoid all sources of anxiety
B) Teaching the client coping mechanisms and helping them gradually confront anxiety-provoking situations
C) Focusing only on pharmacological interventions to manage symptoms
D) Ignoring the client’s anxiety and encouraging them to “push through” the symptoms

 

What is the role of the nurse when caring for a client diagnosed with antisocial personality disorder?

A) Confronting the client’s behavior directly to change their actions
B) Setting clear, consistent boundaries and addressing manipulative behaviors with a calm, objective approach
C) Ignoring the client’s behaviors to avoid reinforcing them
D) Allowing the client to engage in risky behaviors to prevent frustration

 

What is an important consideration when caring for an elderly client with depression?

A) Focusing on their physical health and ignoring mental health symptoms
B) Involving the family in therapy sessions to ensure a supportive environment
C) Encouraging the client to engage in social activities, even if they resist, to promote interaction
D) Providing medication without therapy and not addressing the social aspects of depression

 

When caring for a client with an anxiety disorder, what is the most effective nursing intervention?

A) Encouraging the client to avoid all anxiety-provoking situations
B) Teaching the client to use deep breathing, relaxation techniques, and mindfulness to manage symptoms
C) Ignoring the client’s anxiety and focusing on other symptoms
D) Discouraging the client from engaging in any therapy

 

How can a nurse best support a client with substance use disorder during withdrawal?

A) Provide emotional support and ensure that the client is closely monitored for any signs of complications
B) Ignore the client’s withdrawal symptoms to prevent distress
C) Encourage the client to stop all substance use without professional intervention
D) Allow the client to self-manage without providing any support

 

What is an appropriate intervention for a client experiencing a crisis due to a recent loss?

A) Encouraging the client to ignore their emotions and focus on moving forward
B) Offering empathetic listening, emotional support, and helping the client express their feelings in a healthy way
C) Forcing the client to confront their emotions head-on
D) Minimizing the client’s grief to encourage quicker healing

 

When working with a client diagnosed with obsessive-compulsive disorder (OCD), what is the nurse’s priority?

A) Encouraging the client to stop their compulsive behaviors immediately
B) Helping the client recognize the link between their obsessions and compulsions and providing therapy to address them
C) Avoiding discussing the compulsions to minimize anxiety
D) Focusing solely on medication management without therapy

 

What is the primary goal when caring for a client with post-traumatic stress disorder (PTSD)?

A) Encouraging the client to repress their trauma memories
B) Focusing on immediate crisis intervention and preventing further trauma
C) Offering a safe environment, providing trauma-focused therapy, and encouraging gradual processing of trauma
D) Discouraging any emotional expression to avoid distress

 

What is the role of the nurse in working with clients diagnosed with anorexia nervosa?

A) Focusing solely on nutrition and ignoring emotional aspects
B) Establishing trust, providing emotional support, and focusing on both nutritional and psychological needs
C) Discouraging the client from engaging in group therapy
D) Encouraging the client to gain weight quickly to resolve the disorder

 

When planning care for a client with a personality disorder, what is essential?

A) Focusing only on medication management and ignoring behavioral aspects
B) Developing a structured, consistent treatment plan while addressing both emotional and behavioral needs
C) Ignoring the client’s behavior to avoid conflict
D) Allowing the client to dictate the pace and course of their treatment

 

 

A nurse is working with a client experiencing severe anxiety. What is the priority nursing action?

A) Encourage the client to ignore their anxiety.
B) Provide a calm and quiet environment to reduce stimulation.
C) Force the client to confront their fears directly.
D) Avoid addressing the anxiety to prevent exacerbating symptoms.

 

When caring for a client with major depressive disorder, the nurse should:

A) Focus only on pharmacological interventions.
B) Encourage the client to participate in activities they once enjoyed.
C) Dismiss the client’s feelings to promote resilience.
D) Avoid discussing the client’s depressive thoughts.

 

What is the priority nursing intervention for a client in the manic phase of bipolar disorder?

A) Encourage group therapy to increase social interaction.
B) Provide a structured environment to prevent overstimulation.
C) Allow the client to make impulsive decisions freely.
D) Ignore the client’s hyperactivity to avoid confrontation.

 

A nurse caring for a client with schizophrenia observes the client responding to internal stimuli. What is the most appropriate intervention?

A) Encourage the client to discuss the content of their hallucinations.
B) Reassure the client of their safety and redirect their focus.
C) Dismiss the client’s hallucinations as unimportant.
D) Confront the hallucinations as being unreal.

 

What is the nurse’s role in managing a client with post-traumatic stress disorder (PTSD)?

A) Encourage the client to discuss their trauma immediately.
B) Provide a safe and supportive environment while respecting the client’s readiness to share.
C) Focus only on pharmacological management of symptoms.
D) Minimize the significance of the trauma to promote healing.

 

What is an appropriate nursing intervention for a client with obsessive-compulsive disorder (OCD)?

A) Prevent the client from engaging in their compulsions entirely.
B) Help the client gradually reduce compulsive behaviors through structured exposure therapy.
C) Encourage the client to focus only on medication.
D) Ignore the compulsive behaviors to avoid reinforcing them.

 

When working with a client experiencing withdrawal from alcohol, the nurse should prioritize:

A) Encouraging the client to self-manage withdrawal symptoms.
B) Monitoring for signs of delirium tremens and ensuring physical safety.
C) Minimizing the client’s symptoms to promote independence.
D) Avoiding pharmacological interventions to allow natural detoxification.

 

A nurse is caring for a client with borderline personality disorder. Which approach is most effective?

A) Establishing firm boundaries while maintaining empathy and consistency.
B) Ignoring manipulative behaviors to prevent conflict.
C) Focusing only on medication management.
D) Avoiding discussing the client’s emotions to prevent escalation.

 

For a client with generalized anxiety disorder, what is the most effective long-term intervention?

A) Encourage the client to avoid all anxiety-provoking situations.
B) Teach relaxation techniques and provide cognitive-behavioral therapy.
C) Focus solely on pharmacological treatment.
D) Minimize the client’s symptoms to reduce stress.

 

When caring for a client with anorexia nervosa, what is the nurse’s priority?

A) Encouraging rapid weight gain to restore physical health.
B) Building trust and addressing both nutritional and psychological needs.
C) Focusing exclusively on calorie intake.
D) Allowing the client to manage their own dietary plan independently.

 

A client with bipolar disorder refuses medication during a manic episode. What is the nurse’s best response?

A) Force the client to take the medication.
B) Educate the client on the importance of medication in managing their condition.
C) Ignore the refusal and monitor the client.
D) Focus on other aspects of care and revisit medication later.

 

What is the most effective nursing intervention for a client experiencing delusions of persecution?

A) Confront the delusions directly and insist they are untrue.
B) Provide reassurance and focus on building trust.
C) Encourage the client to discuss their delusions in detail.
D) Avoid addressing the delusions to prevent anxiety.

 

When caring for a client with substance use disorder, the nurse should focus on:

A) Punishing the client for past behaviors.
B) Providing support and helping the client develop healthy coping mechanisms.
C) Ignoring the client’s substance use to avoid confrontation.
D) Encouraging the client to manage recovery independently.

 

A nurse is caring for a client with depression who reports feelings of hopelessness. What is the priority nursing action?

A) Provide close monitoring for signs of suicidal ideation.
B) Encourage the client to focus on positive aspects of life immediately.
C) Minimize the client’s feelings to promote resilience.
D) Avoid addressing the client’s emotions to prevent escalation.

 

What is the nurse’s role in caring for a client with a panic disorder?

A) Encourage the client to face panic-inducing situations without preparation.
B) Teach relaxation techniques and gradual exposure to anxiety triggers.
C) Avoid discussing the client’s panic attacks to reduce stress.
D) Focus solely on medication to manage symptoms.

 

A client with schizophrenia is experiencing severe side effects from antipsychotic medication. What is the nurse’s priority?

A) Ignore the side effects to ensure medication compliance.
B) Report the side effects to the healthcare provider and advocate for adjustments.
C) Encourage the client to stop taking the medication immediately.
D) Focus on non-pharmacological interventions only.

 

When caring for a client with antisocial personality disorder, the nurse should:

A) Avoid addressing manipulative behaviors to prevent conflict.
B) Set clear limits and enforce consequences consistently.
C) Focus only on medication and ignore behavioral aspects.
D) Allow the client to control their treatment plan entirely.

 

A client with PTSD is experiencing a flashback. What is the most appropriate nursing intervention?

A) Encourage the client to discuss the flashback in detail immediately.
B) Provide reassurance, grounding techniques, and ensure the client’s safety.
C) Ignore the flashback to avoid reinforcing the trauma.
D) Confront the client about the irrationality of the flashback.

 

What is the nurse’s role in managing a client with dissociative identity disorder?

A) Encourage the client to suppress their alternate identities.
B) Support the integration of identities through therapy and trust-building.
C) Focus solely on medication management.
D) Avoid discussing the disorder to reduce stress.

 

When caring for a client with chronic mental illness, the nurse should prioritize:

A) Encouraging independence while providing consistent support.
B) Minimizing the client’s symptoms to promote resilience.
C) Focusing only on pharmacological interventions.
D) Avoiding long-term planning to prevent dependency.

 

 

A client with a history of schizophrenia is displaying flat affect and lack of motivation. These symptoms are best categorized as:

A) Positive symptoms.
B) Negative symptoms.
C) Cognitive symptoms.
D) Psychosocial symptoms.

 

Which nursing intervention is most appropriate for a client in the acute phase of schizophrenia?

A) Encourage the client to participate in group therapy.
B) Provide short, direct, and clear instructions.
C) Avoid interacting with the client to reduce agitation.
D) Emphasize long-term goals over immediate needs.

 

A nurse is educating a client with depression about selective serotonin reuptake inhibitors (SSRIs). What is the most important point to include?

A) SSRIs work immediately after the first dose.
B) Improvement in mood may take 2–4 weeks.
C) There are no side effects associated with SSRIs.
D) Clients should stop SSRIs once they feel better.

 

A client is admitted with acute alcohol withdrawal. The nurse should prioritize monitoring for:

A) Increased appetite.
B) Decreased blood pressure.
C) Seizures and delirium tremens.
D) Hallucinations resolving without intervention.

 

Which intervention is most effective when working with a client who has obsessive-compulsive disorder?

A) Allow the client to perform compulsions without interruption.
B) Gradually encourage the client to delay compulsive rituals.
C) Restrict the client from performing rituals altogether.
D) Avoid addressing the compulsive behaviors during therapy.

 

A nurse is planning care for a client with bipolar disorder in the manic phase. Which activity is most appropriate?

A) Group sports to promote interaction.
B) Quiet, solitary activities to reduce stimulation.
C) Team-based puzzles to improve focus.
D) Competitive games to channel energy.

 

A nurse is assessing a client with generalized anxiety disorder. Which symptom is most commonly reported?

A) Frequent crying spells.
B) Persistent, excessive worry about various issues.
C) Auditory hallucinations.
D) Delusions of grandeur.

 

When caring for a client with anorexia nervosa, the nurse should prioritize:

A) Addressing the underlying emotional issues first.
B) Monitoring the client’s weight and vital signs daily.
C) Providing the client with unrestricted food choices.
D) Encouraging physical activity to improve appetite.

 

A client with major depressive disorder expresses feelings of worthlessness. What is the nurse’s priority intervention?

A) Ignore the feelings to avoid reinforcing them.
B) Provide close supervision and assess for suicidal ideation.
C) Encourage the client to focus on their strengths immediately.
D) Recommend journaling as the primary intervention.

 

When educating a family about schizophrenia, the nurse should emphasize that:

A) Relapses can often be prevented with medication adherence.
B) The condition is fully curable with therapy alone.
C) Schizophrenia is caused solely by poor parenting.
D) The family should minimize communication with the client.

 

What is a priority nursing action for a client experiencing a panic attack?

A) Encourage the client to discuss the source of anxiety immediately.
B) Provide a calm environment and use grounding techniques.
C) Administer a long-term anxiolytic medication immediately.
D) Allow the client to hyperventilate until the attack resolves.

 

Which statement best reflects a therapeutic approach when communicating with a client who has depression?

A) “I understand you’re feeling hopeless right now. Let’s talk about it.”
B) “You shouldn’t feel this way. Think positively.”
C) “If you don’t improve, we may need to change your medication.”
D) “Let’s focus on solutions instead of your feelings.”

 

A client diagnosed with PTSD is experiencing nightmares. What is the most appropriate nursing intervention?

A) Suggest avoiding any discussions about the trauma.
B) Recommend relaxation techniques before bedtime.
C) Encourage the client to watch television before sleeping.
D) Advise the client to avoid sleeping during the night.

 

Which is an essential nursing intervention for a client diagnosed with borderline personality disorder?

A) Set clear and consistent boundaries.
B) Provide complete independence in decision-making.
C) Focus solely on pharmacological treatments.
D) Ignore attention-seeking behaviors entirely.

 

What is the best intervention for a client with bipolar disorder who is nonadherent to medications?

A) Educate the client on the importance of medication for mood stabilization.
B) Discontinue the medication to avoid conflicts.
C) Emphasize punitive consequences for nonadherence.
D) Allow the client to manage the condition without intervention.

 

A nurse is providing discharge teaching to a client with schizophrenia. What is a priority topic to address?

A) The importance of social isolation for recovery.
B) Adherence to prescribed antipsychotic medications.
C) Avoiding all forms of therapy to reduce stress.
D) Discontinuing medications once symptoms improve.

 

What is the primary goal of nursing care for a client in a crisis?

A) Encourage the client to confront their stressors immediately.
B) Provide support to help the client regain emotional balance and coping skills.
C) Focus solely on long-term goals for recovery.
D) Minimize the client’s feelings to promote resilience.

 

Which intervention is most effective for a client with major depressive disorder who is experiencing anergia?

A) Allow the client to rest without participating in any activities.
B) Encourage participation in simple, structured activities.
C) Force the client to engage in vigorous exercise.
D) Avoid addressing the client’s lack of energy altogether.

 

A nurse is caring for a client diagnosed with dissociative identity disorder. What is the primary goal of therapy?

A) Suppress alternate identities completely.
B) Integrate the client’s multiple identities into one cohesive self.
C) Focus solely on pharmacological treatments.
D) Avoid discussing the disorder to prevent distress.

 

What is the nurse’s role in managing a client with chronic schizophrenia?

A) Focus exclusively on symptom management.
B) Provide consistent support and encourage community involvement.
C) Minimize interactions to promote independence.
D) Disregard the client’s delusions to avoid conflict.

 

 

A client experiencing severe anxiety is pacing and wringing their hands. The most appropriate initial nursing intervention is to:

A) Leave the client alone to reduce stimulation.
B) Encourage the client to talk about their feelings.
C) Administer a sedative immediately.
D) Redirect the client to a group activity.

 

A nurse is teaching a client about lithium therapy for bipolar disorder. Which dietary recommendation should be included?

A) Increase salt intake.
B) Maintain a consistent salt and fluid intake.
C) Avoid foods high in potassium.
D) Reduce fluid intake to prevent lithium toxicity.

 

A client reports hearing voices telling them to harm themselves. What is the nurse’s priority intervention?

A) Encourage the client to ignore the voices.
B) Assess the client’s plan and level of risk.
C) Distract the client with alternative activities.
D) Reassure the client that the voices are not real.

 

Which neurotransmitter imbalance is most commonly associated with depression?

A) Increased dopamine.
B) Decreased serotonin.
C) Increased acetylcholine.
D) Decreased norepinephrine.

 

A client with a diagnosis of borderline personality disorder exhibits self-harming behaviors. The nurse’s priority action is to:

A) Encourage the client to verbalize feelings instead of self-harming.
B) Ignore the behavior to prevent reinforcement.
C) Focus on the consequences of self-harm during each episode.
D) Allow the client to self-manage their emotional regulation.

 

Which statement by a nurse demonstrates therapeutic communication with a client experiencing grief?

A) “You should focus on the positive memories instead of being sad.”
B) “It’s normal to feel this way after a significant loss. I’m here to listen.”
C) “You need to move on to recover fully.”
D) “Let’s avoid discussing the loss to help you feel better.”

 

A client is prescribed benzodiazepines for anxiety. The nurse should teach the client to:

A) Stop taking the medication abruptly if they feel better.
B) Avoid alcohol while on this medication.
C) Expect the medication to cure the anxiety disorder permanently.
D) Increase the dose if they feel anxious.

 

When working with a client with antisocial personality disorder, the nurse should prioritize:

A) Providing a structured and consistent environment.
B) Encouraging complete independence in decision-making.
C) Ignoring manipulative behaviors to reduce conflicts.
D) Allowing the client to lead group activities.

 

A nurse is caring for a client experiencing hallucinations. What is the most effective nursing intervention?

A) Agree with the client to build rapport.
B) Encourage the client to describe the hallucination in detail.
C) Distract the client by engaging in reality-based activities.
D) Avoid discussing the hallucination altogether.

 

A client with obsessive-compulsive disorder spends hours washing their hands. What is the priority nursing intervention?

A) Restrict handwashing to a strict time limit.
B) Allow the behavior without comment.
C) Help the client explore the anxiety triggering the compulsion.
D) Suggest avoiding situations that cause anxiety.

 

Which nursing intervention is most appropriate for a client with severe depression who is unable to make decisions?

A) Offer multiple options for activities.
B) Make decisions for the client temporarily.
C) Avoid involving the client in decisions.
D) Delay care planning until the client improves.

 

When teaching a client about electroconvulsive therapy (ECT), the nurse should emphasize that:

A) ECT is only used as a last resort for all clients.
B) Memory loss may occur as a temporary side effect.
C) The procedure is painful but effective.
D) ECT permanently cures mental illness.

 

A client with post-traumatic stress disorder (PTSD) is experiencing flashbacks. The nurse should:

A) Encourage the client to relive the trauma in detail.
B) Help the client use grounding techniques to stay present.
C) Avoid discussing the trauma to reduce distress.
D) Suggest avoiding all potential triggers.

 

A nurse is planning care for a client with a history of suicide attempts. Which intervention is most important?

A) Allow the client to spend time alone to reflect.
B) Monitor the client closely, especially during high-risk periods.
C) Emphasize the impact of suicide on family members.
D) Avoid discussing suicide to prevent triggering thoughts.

 

Which is the most appropriate short-term goal for a client with acute mania?

A) Develop insight into the disorder.
B) Sleep for at least 4–6 hours per night.
C) Establish long-term financial stability.
D) Participate in group therapy sessions daily.

 

A client with schizophrenia is refusing to take their antipsychotic medication. The nurse should:

A) Force the client to take the medication.
B) Explore the client’s reasons for refusing the medication.
C) Discontinue the medication and inform the provider.
D) Ignore the refusal and monitor for worsening symptoms.

 

A nurse is caring for a client with severe anxiety. What should the nurse avoid?

A) Using a calm and reassuring tone.
B) Explaining all procedures in detail immediately.
C) Providing a quiet environment.
D) Encouraging deep breathing exercises.

 

When educating the family of a client with Alzheimer’s disease, the nurse should include:

A) Strategies for managing wandering behavior.
B) The expectation of full recovery with medication.
C) The importance of confronting delusional beliefs.
D) Avoiding routines to prevent frustration.

 

A client with bipolar disorder states, “I don’t need medication; I feel fine!” The nurse’s best response is:

A) “You’re right, you don’t need the medication.”
B) “Let’s discuss how the medication helps prevent mood swings.”
C) “You can stop the medication once your doctor agrees.”
D) “It’s dangerous to stop medication without consulting me.”

 

Which nursing action is most effective in managing a client with paranoid delusions?

A) Argue with the client about the delusions.
B) Offer consistent and honest communication.
C) Encourage the client to discuss delusions frequently.
D) Agree with the client’s beliefs to build trust.

 

 

A nurse is assessing a client experiencing acute stress disorder. Which symptom is most commonly associated with this condition?

A) Persistent memory loss.
B) Flashbacks and nightmares.
C) Grandiose delusions.
D) Auditory hallucinations.

 

A client with schizophrenia believes the television is sending them special messages. This type of delusion is classified as:

A) Persecutory.
B) Referential.
C) Grandiose.
D) Somatic.

 

A client diagnosed with anorexia nervosa is refusing meals. What is the priority nursing intervention?

A) Allow the client to have complete control over meal choices.
B) Administer tube feedings immediately.
C) Monitor the client’s weight and vital signs closely.
D) Provide high-calorie snacks between meals.

 

A nurse is caring for a client with major depressive disorder. Which intervention is most appropriate to address feelings of hopelessness?

A) Encourage social isolation to minimize stress.
B) Involve the client in goal-setting activities.
C) Provide unstructured time to reflect.
D) Emphasize a quick resolution of symptoms.

 

Which of the following is the most effective communication technique for a client experiencing hallucinations?

A) “What are the voices telling you?”
B) “Those voices aren’t real, so ignore them.”
C) “I understand that the voices feel real to you.”
D) “You shouldn’t talk about the voices.”

 

A nurse is evaluating a client’s understanding of sertraline (Zoloft). Which statement indicates a need for further teaching?

A) “I can drink alcohol while taking this medication.”
B) “I should take this medication at the same time every day.”
C) “It may take several weeks for the medication to take full effect.”
D) “I should not stop taking this medication abruptly.”

 

When caring for a client with generalized anxiety disorder, the nurse should prioritize which nursing intervention?

A) Restricting caffeine intake.
B) Encouraging avoidance of anxiety-provoking situations.
C) Teaching relaxation techniques and deep breathing.
D) Using medications as the sole treatment option.

 

Which behavior indicates improvement in a client with obsessive-compulsive disorder (OCD)?

A) Spending more time on compulsive behaviors.
B) Expressing increased insight into the disorder.
C) Avoiding situations that trigger anxiety.
D) Focusing solely on relaxation techniques.

 

Which of the following is a priority assessment for a client receiving clozapine?

A) Liver enzyme levels.
B) Weight changes.
C) White blood cell count.
D) Thyroid function.

 

A nurse is teaching a family about caring for a client with dementia. Which strategy should the nurse recommend?

A) Frequently correcting the client’s confusion.
B) Using short, simple instructions for tasks.
C) Isolating the client to minimize stimulation.
D) Encouraging the client to make all decisions independently.

 

A client diagnosed with panic disorder is experiencing a panic attack. The nurse’s immediate action is to:

A) Ask the client to explain their feelings.
B) Stay with the client and provide reassurance.
C) Encourage the client to focus on the trigger.
D) Administer a sedative immediately.

 

A client with bipolar disorder is in the manic phase. Which meal option is most appropriate?

A) A large salad with multiple toppings.
B) A sandwich and a piece of fruit.
C) Spaghetti with meatballs.
D) A three-course meal.

 

Which intervention is most effective for a client with alcohol use disorder during detoxification?

A) Encourage the client to attend group therapy immediately.
B) Monitor for signs of withdrawal, such as tremors or seizures.
C) Provide unlimited access to alcohol to reduce cravings.
D) Avoid discussing the client’s substance use.

 

A nurse is caring for a client with severe depression who has stopped eating. The priority nursing diagnosis is:

A) Risk for self-harm.
B) Imbalanced nutrition: less than body requirements.
C) Disturbed sleep pattern.
D) Social isolation.

 

A client with post-traumatic stress disorder (PTSD) reports difficulty sleeping. Which intervention is most appropriate?

A) Encourage the use of caffeine to stay alert during the day.
B) Establish a consistent bedtime routine.
C) Recommend watching television before bed.
D) Suggest avoiding therapy sessions late in the evening.

 

Which sign indicates lithium toxicity in a client with bipolar disorder?

A) Weight gain.
B) Blurred vision and muscle tremors.
C) Constipation and dry mouth.
D) Increased energy and insomnia.

 

When caring for a client with dissociative identity disorder (DID), the nurse should focus on:

A) Encouraging integration of all identities.
B) Ignoring alternate identities during care.
C) Emphasizing the dominant identity exclusively.
D) Limiting discussion of traumatic events.

 

A client with borderline personality disorder becomes angry and verbally abusive. The nurse’s best response is to:

A) Respond with firm and consistent limits.
B) Ignore the behavior to de-escalate the situation.
C) Match the client’s intensity to show understanding.
D) Immediately call security for assistance.

 

A client is prescribed buspirone for anxiety. The nurse should explain that:

A) It causes sedation and works immediately.
B) It should be taken only as needed for anxiety.
C) It does not interact with alcohol or sedatives.
D) It may take several weeks to achieve full effectiveness.

 

When caring for a client with anorexia nervosa, the nurse should avoid:

A) Monitoring for signs of refeeding syndrome.
B) Focusing solely on weight gain as the goal.
C) Setting realistic goals for nutritional intake.
D) Using a nonjudgmental approach to care.

 

A nurse is providing care for a client with somatic symptom disorder. The nurse’s priority is to:

A) Provide reassurance that the symptoms are not real.
B) Minimize attention to physical complaints while addressing emotional needs.
C) Encourage frequent diagnostic tests.
D) Suggest alternative therapies to cure physical symptoms.

 

Which statement by a client demonstrates insight into managing bipolar disorder?

A) “I don’t need therapy if I’m on medication.”
B) “I should keep a consistent routine and take my medication.”
C) “I’ll only take my medication during manic episodes.”
D) “I should avoid all stressful situations permanently.”

 

A client diagnosed with schizophrenia says, “I’m the president of the universe.” This statement reflects which type of delusion?

A) Grandiose.
B) Persecutory.
C) Nihilistic.
D) Referential.

 

A nurse is planning group therapy for clients with depression. Which activity is most appropriate?

A) Competitive games to increase motivation.
B) Structured problem-solving exercises.
C) Unstructured group discussions.
D) Silent reading sessions.

 

 

A nurse is evaluating a client with depression who has been taking an SSRI for two weeks. Which finding indicates the medication is effective?

A) The client reports no side effects.
B) The client begins sleeping for longer periods.
C) The client starts engaging in daily activities.
D) The client has increased appetite.

 

When caring for a client with schizophrenia, the nurse should prioritize which intervention?

A) Encouraging detailed discussions about hallucinations.
B) Ensuring a safe and structured environment.
C) Requiring the client to interact with others daily.
D) Limiting family involvement in treatment.

 

A nurse is caring for a client with obsessive-compulsive disorder (OCD) who spends hours washing their hands. What is the priority intervention?

A) Allow the client unlimited time to complete rituals.
B) Interrupt the ritual to reduce anxiety.
C) Set limits on the duration of the ritual gradually.
D) Avoid discussing the ritual to prevent distress.

 

A client with post-traumatic stress disorder (PTSD) reports recurring nightmares. Which intervention is most appropriate?

A) Encourage the client to avoid discussing the trauma.
B) Suggest relaxation techniques before bedtime.
C) Recommend avoiding any form of therapy initially.
D) Increase exposure to triggering situations.

 

Which statement indicates a client with bipolar disorder understands the need for medication adherence?

A) “I only need to take medication during manic episodes.”
B) “I should stop taking medication if I feel better.”
C) “I will take my medication daily, as prescribed.”
D) “I can skip doses if I’m feeling stable.”

 

A nurse is providing care to a client experiencing alcohol withdrawal. Which symptom is a priority to address?

A) Tremors.
B) Nausea.
C) Seizures.
D) Insomnia.

 

A client with schizophrenia is prescribed risperidone. What should the nurse monitor for as a side effect?

A) Hypertension.
B) Extrapyramidal symptoms.
C) Increased white blood cell count.
D) Hypoglycemia.

 

A nurse is conducting a mental status exam. Which question is most appropriate to assess a client’s abstract thinking?

A) “What is today’s date?”
B) “What does ‘a stitch in time saves nine’ mean?”
C) “Can you count backward from 100 by sevens?”
D) “What are the three objects I mentioned earlier?”

 

Which nursing intervention is most effective for a client experiencing panic disorder?

A) Encourage the client to verbalize their fears.
B) Use closed-ended questions to gain information.
C) Expose the client to multiple stressors simultaneously.
D) Limit the client’s interactions with others.

 

A nurse is teaching a client about the use of benzodiazepines for anxiety. Which statement indicates effective teaching?

A) “I should avoid alcohol while taking this medication.”
B) “I can stop taking this medication abruptly if I feel better.”
C) “I should take this medication only before bedtime.”
D) “I can double my dose if my anxiety worsens.”

 

Which finding indicates improvement in a client with borderline personality disorder?

A) Decreased use of impulsive behaviors.
B) Increased dependence on others for decisions.
C) Avoidance of all interpersonal relationships.
D) Frequent emotional outbursts.

 

A nurse is teaching a client about therapeutic communication. Which technique demonstrates active listening?

A) Giving the client advice on how to solve their problems.
B) Maintaining eye contact and nodding during conversations.
C) Frequently interrupting to clarify the client’s statements.
D) Minimizing silence to avoid discomfort.

 

A client with anorexia nervosa states, “I feel fat even though others say I’m too thin.” Which response by the nurse is most therapeutic?

A) “You are not fat, and you need to eat more.”
B) “Why do you think you feel this way about yourself?”
C) “Let’s discuss how we can improve your body image.”
D) “I understand that you feel this way, but your health is at risk.”

 

Which action is most appropriate when a client with schizophrenia exhibits catatonia?

A) Encourage physical activity to reduce rigidity.
B) Provide passive range-of-motion exercises.
C) Administer sedative medications immediately.
D) Place the client in isolation to prevent overstimulation.

 

A nurse is assessing a client with major depressive disorder. Which symptom is most concerning?

A) Persistent fatigue.
B) Insomnia.
C) Suicidal ideation.
D) Lack of appetite.

 

A nurse is caring for a client with antisocial personality disorder. Which intervention is most effective?

A) Providing leniency with rules to gain trust.
B) Encouraging the client to avoid social interactions.
C) Setting clear and consistent boundaries.
D) Allowing the client to lead group therapy sessions.

 

Which nursing intervention is a priority for a client in the manic phase of bipolar disorder?

A) Allowing the client to attend group therapy.
B) Providing a low-stimulation environment.
C) Encouraging the client to express emotions.
D) Offering choices for meal options.

 

A client with generalized anxiety disorder reports excessive worry about daily activities. Which intervention should the nurse prioritize?

A) Teaching relaxation techniques.
B) Encouraging avoidance of stressful situations.
C) Recommending frequent use of anti-anxiety medications.
D) Suggesting isolation to reduce anxiety triggers.

 

Which symptom is most characteristic of delirium?

A) Gradual onset of confusion.
B) Reversible changes in cognition.
C) Persistent memory impairment.
D) Stable mood throughout the day.

 

A client experiencing auditory hallucinations is prescribed haloperidol. What side effect should the nurse monitor for?

A) Sedation.
B) Hypertension.
C) Bradycardia.
D) Tardive dyskinesia.

 

A client with obsessive-compulsive disorder (OCD) states, “I know my rituals are irrational, but I can’t stop them.” The nurse’s best response is:

A) “Let’s try to identify what triggers your rituals.”
B) “Why do you think you need to perform these rituals?”
C) “You need to resist these rituals to get better.”
D) “I can help you eliminate these rituals immediately.”

 

 

res about me.”
C) “I’ve been trying to focus on positive activities.”
D) “There’s no point in trying to get better.”

 

A client in the manic phase of bipolar disorder is being treated with lithium. Which symptom requires immediate reporting?

A) Increased thirst.
B) Weight gain.
C) Coarse hand tremors.
D) Mild nausea.

 

A nurse is caring for a client with paranoid personality disorder. What is the best approach to build trust?

A) Offer excessive reassurance.
B) Be consistent and straightforward.
C) Encourage open discussions about delusions.
D) Avoid addressing the client’s paranoia.

 

A client with post-traumatic stress disorder (PTSD) avoids social interactions. Which intervention is most appropriate?

A) Encourage the client to confront triggers immediately.
B) Suggest gradual exposure to social situations.
C) Minimize family involvement in treatment.
D) Focus solely on pharmacological therapy.

 

A client with depression states, “I feel like a burden to my family.” What is the most therapeutic response by the nurse?

A) “I’m sure your family doesn’t feel that way.”
B) “Tell me more about why you feel this way.”
C) “You shouldn’t feel like a burden; you’re loved.”
D) “Let’s focus on more positive thoughts.”

 

A client experiencing delirium is disoriented and agitated. Which nursing intervention is most appropriate?

A) Place the client in a brightly lit environment.
B) Use reality orientation techniques frequently.
C) Administer sedatives to calm the client.
D) Minimize family visits to reduce overstimulation.

 

 

A nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD). Which intervention is most effective?

A) Encourage the client to avoid performing rituals.
B) Assist the client in identifying triggers for compulsions.
C) Allow the client unlimited time to complete rituals.
D) Discourage the client from discussing their obsessions.

 

During a group therapy session, a client with borderline personality disorder begins to disrupt the group with inappropriate comments. What is the most appropriate response by the nurse?

A) Ignore the comments to avoid reinforcing attention-seeking behavior.
B) Ask the client to leave the group immediately.
C) Set limits by addressing the behavior respectfully.
D) Confront the client about their disruptive behavior in front of the group.

 

A client with depression has been prescribed fluoxetine. Which side effect should the nurse prioritize during client education?

A) Insomnia.
B) Suicidal ideation.
C) Dry mouth.
D) Weight loss.

 

A client diagnosed with schizophrenia is experiencing command hallucinations to harm others. What is the nurse’s priority action?

A) Assess the client’s understanding of the hallucination.
B) Isolate the client to ensure the safety of others.
C) Notify the healthcare provider immediately.
D) Remain with the client and ensure safety for all.

 

Which statement made by a client with major depressive disorder indicates progress in treatment?

A) “I still feel sad, but I know I can manage it.”
B) “I don’t think therapy is helping me at all.”
C) “I don’t have the energy to participate in activities.”
D) “It doesn’t matter what I do; nothing will change.”

 

A nurse is caring for a client with bipolar disorder who is in a manic state. Which intervention is most effective?

A) Encourage the client to express all their thoughts freely.
B) Provide a structured environment with reduced stimuli.
C) Allow the client to socialize freely with other clients.
D) Focus solely on pharmacological interventions.

 

What is the most appropriate nursing action when caring for a client with antisocial personality disorder?

A) Encourage the client to discuss past traumatic experiences.
B) Set firm limits on manipulative behaviors.
C) Provide leniency to build a therapeutic relationship.
D) Allow the client to lead therapy sessions.

 

A client with PTSD has difficulty sleeping due to nightmares. Which medication is often prescribed to address this symptom?

A) Prazosin.
B) Sertraline.
C) Lithium.
D) Haloperidol.

 

A client is diagnosed with dissociative amnesia. What is the primary focus of nursing care?

A) Assist the client in recovering lost memories.
B) Help the client develop effective coping mechanisms.
C) Encourage the client to focus on the future, not the past.
D) Minimize discussions about the amnesia to reduce anxiety.

 

A nurse is providing care for a client experiencing panic attacks. What is the priority short-term goal?

A) Reduce the client’s anxiety level.
B) Eliminate the client’s panic attacks entirely.
C) Determine the underlying cause of the panic attacks.
D) Teach the client relaxation techniques.

 

A client with schizophrenia refuses to take prescribed medications, stating, “The pills are poisoned.” What is the nurse’s best response?

A) “You must take your medication, or you will be restrained.”
B) “Why do you think your medication is poisoned?”
C) “I understand you feel this way, but these medications will help you.”
D) “You don’t have a choice; this medication is necessary.”

 

A client with alcohol use disorder is prescribed disulfiram. Which client statement indicates understanding of the medication?

A) “I can drink small amounts of alcohol while taking this medication.”
B) “I need to avoid all alcohol, even in foods and mouthwash.”
C) “This medication will cure my alcohol addiction.”
D) “I should take this medication only if I feel like drinking.”

 

What is the primary goal of crisis intervention?

A) Long-term resolution of the client’s psychological issues.
B) Prevention of future crises.
C) Immediate resolution of the client’s current problem.
D) Providing ongoing therapy to the client.

 

A client with generalized anxiety disorder is prescribed buspirone. What should the nurse include in the client’s education?

A) “This medication may take 2-4 weeks to take effect.”
B) “You can stop taking this medication abruptly if you feel better.”
C) “This medication causes sedation and should be taken at bedtime.”
D) “You should avoid all dairy products while taking this medication.”

 

A client with bipolar disorder is prescribed valproic acid. What laboratory test is most important to monitor?

A) Liver function tests.
B) Thyroid function tests.
C) Blood glucose levels.
D) Platelet count.

 

A client is admitted for treatment of severe anorexia nervosa. What is the nurse’s priority assessment?

A) Weight and body mass index (BMI).
B) Electrolyte levels and cardiac function.
C) Client’s feelings about food.
D) History of dietary habits.

 

A nurse is caring for a client with narcissistic personality disorder. Which approach is most effective?

A) Encourage group therapy to improve social skills.
B) Provide consistent boundaries and limits.
C) Focus on the client’s strengths to build self-esteem.
D) Avoid challenging the client’s sense of superiority.

 

A client with schizophrenia demonstrates a flat affect and lack of motivation. These symptoms are classified as:

A) Positive symptoms.
B) Negative symptoms.
C) Cognitive symptoms.
D) Affective symptoms.

 

Which nursing intervention is appropriate for a client in alcohol withdrawal?

A) Provide a low-stimulus environment.
B) Administer antipsychotic medications as prescribed.
C) Restrict fluids to prevent overhydration.
D) Avoid using benzodiazepines for sedation.

 

A client with social anxiety disorder is starting exposure therapy. What should the nurse emphasize during education?

A) “This therapy works immediately to reduce anxiety.”
B) “You may feel increased anxiety initially, but it will decrease over time.”
C) “Avoid situations that make you anxious while undergoing therapy.”
D) “This therapy focuses only on medication management.”

 

A client with borderline personality disorder reports feeling abandoned by the nursing staff. What is the best nursing response?

A) “You shouldn’t feel that way; we’re here for you.”
B) “I understand this is how you feel. Let’s discuss it further.”
C) “Let’s focus on something positive to distract you.”
D) “You need to understand that staff cannot always be available.”

 

Which sign is a priority for a nurse to monitor in a client taking clozapine?

A) Weight gain.
B) Sore throat and fever.
C) Dry mouth.
D) Increased drowsiness.

 

A nurse is working with a client with dependent personality disorder. What is the most appropriate intervention?

A) Encourage the client to take responsibility for decision-making.
B) Provide frequent reassurance and support.
C) Minimize the client’s need for independence.
D) Focus on building a dependent therapeutic relationship.

 

A client with major depressive disorder is experiencing psychomotor retardation. What is the most appropriate nursing action?

A) Encourage the client to engage in group activities.
B) Provide simple and direct instructions for tasks.
C) Avoid interacting with the client to prevent overstimulation.
D) Focus on exploring the client’s feelings through lengthy discussions.

 

A nurse is educating a client with bipolar disorder about relapse prevention. Which client statement indicates a need for further education?

A) “I’ll avoid alcohol and drugs to stay healthy.”
B) “I’ll stop taking my medications once I feel better.”
C) “I’ll maintain a regular sleep schedule.”
D) “I’ll attend therapy sessions as recommended.”

 

 

A nurse is caring for a client with schizophrenia who is experiencing delusions of persecution. What is the best initial response?

A) “You’re safe here; there’s no reason to feel threatened.”
B) “I understand you feel this way. Tell me more about it.”
C) “Let’s focus on reality and what is happening now.”
D) “Those thoughts are not real. Try to ignore them.”

 

A client experiencing severe anxiety states, “I feel like I’m going to die!” What is the nurse’s priority action?

A) Encourage the client to verbalize feelings.
B) Provide reassurance and reduce environmental stimuli.
C) Administer prescribed anxiolytic medication immediately.
D) Explain the physiological effects of anxiety.

 

A client with bipolar disorder in the manic phase is displaying hyperactivity and disorganized speech. What is the most appropriate intervention?

A) Provide a quiet environment with minimal distractions.
B) Encourage the client to join group therapy sessions.
C) Allow the client to pace freely to expend energy.
D) Engage the client in detailed conversations to focus attention.

 

Which dietary restriction is necessary for a client taking monoamine oxidase inhibitors (MAOIs)?

A) Avoid high-protein foods.
B) Avoid foods containing tyramine.
C) Avoid high-fiber foods.
D) Avoid foods high in potassium.

 

A client with depression reports having difficulty sleeping at night. Which non-pharmacological intervention should the nurse recommend?

A) Take long naps during the day.
B) Avoid caffeine and electronics before bedtime.
C) Engage in vigorous exercise right before bed.
D) Eat a heavy meal before going to sleep.

 

A client with anorexia nervosa expresses fear of gaining weight during treatment. What is the nurse’s best response?

A) “You need to gain weight to recover.”
B) “Tell me more about your fears of gaining weight.”
C) “Don’t worry; you will gain weight gradually.”
D) “You have to trust us; this is part of the treatment.”

 

A nurse is educating a client with generalized anxiety disorder about cognitive-behavioral therapy (CBT). Which statement by the client indicates understanding?

A) “This therapy will teach me how to change my thinking patterns.”
B) “CBT focuses on exploring my childhood experiences.”
C) “I will be prescribed medications as part of this therapy.”
D) “This therapy will eliminate my anxiety completely.”

 

Which behavior is most characteristic of a client with dependent personality disorder?

A) A strong need for control in relationships.
B) Difficulty making decisions without excessive reassurance.
C) Frequent emotional outbursts and mood swings.
D) Disregard for the rights and feelings of others.

 

A nurse is monitoring a client with lithium toxicity. Which symptom requires immediate intervention?

A) Tremors.
B) Increased thirst.
C) Severe diarrhea.
D) Mild nausea.

 

A client with borderline personality disorder engages in self-harm behaviors. What is the priority nursing intervention?

A) Focus on building the client’s self-esteem.
B) Teach the client to suppress emotions.
C) Establish a safety plan and provide close monitoring.
D) Avoid discussing the self-harm to prevent reinforcement.

 

A client with PTSD is hypervigilant and reports difficulty concentrating. What is the most appropriate nursing intervention?

A) Encourage the client to focus on past traumatic events.
B) Provide a structured environment and reduce stimuli.
C) Avoid discussing the trauma to prevent distress.
D) Encourage the client to confront all triggers immediately.

 

Which client statement suggests they may be at risk for suicide?

A) “I’m feeling much better now, so you don’t need to worry.”
B) “I sometimes feel down, but it’s not a big deal.”
C) “I’m ready to start making some changes in my life.”
D) “I think I’ll talk to my family about how I’ve been feeling.”

 

A nurse is caring for a client with dissociative identity disorder (DID). What is the primary focus of nursing care?

A) Encourage integration of the client’s personalities.
B) Teach the client to suppress alternate identities.
C) Provide safety and assist with coping strategies.
D) Avoid discussing the client’s different identities.

 

A client is diagnosed with mild Alzheimer’s disease. Which intervention is most effective at this stage?

A) Provide frequent reorientation to time and place.
B) Use validation therapy to address delusions.
C) Encourage participation in memory-enhancing activities.
D) Focus on safety measures to prevent wandering.

 

A nurse is providing care for a client with somatic symptom disorder. What is the priority nursing intervention?

A) Focus on the physical symptoms the client reports.
B) Encourage the client to focus on activities rather than symptoms.
C) Explain that the physical symptoms are not real.
D) Provide reassurance that the symptoms will resolve quickly.

 

A client in alcohol withdrawal is at risk for which life-threatening complication?

A) Hypertensive crisis.
B) Seizures.
C) Renal failure.
D) Cardiac tamponade.

 

A client with bipolar disorder is prescribed lamotrigine. Which adverse effect requires immediate intervention?

A) Weight gain.
B) Drowsiness.
C) Skin rash.
D) Tremors.

 

Which nursing intervention is most effective for a client experiencing auditory hallucinations?

A) Encourage the client to ignore the voices.
B) Help the client identify triggers for the hallucinations.
C) Teach the client to engage in reality-based activities.
D) Validate the hallucinations to build trust.

 

A client with schizophrenia is prescribed risperidone. Which symptom indicates the medication is effective?

A) The client reports decreased anxiety.
B) The client exhibits improved social interactions.
C) The client no longer experiences hallucinations.
D) The client’s sleep pattern improves.

 

A nurse is assessing a client with opioid use disorder. Which symptom is most indicative of withdrawal?

A) Hypotension.
B) Pinpoint pupils.
C) Muscle aches and diarrhea.
D) Euphoria.

 

A client with major depressive disorder is admitted with severe weight loss. What is the nurse’s priority?

A) Encourage participation in group therapy.
B) Assess the client’s nutritional status and intake.
C) Focus on improving the client’s mood.
D) Provide education on healthy eating habits.

 

Which intervention is most appropriate for a client experiencing paranoid delusions?

A) Confront the delusions directly to clarify reality.
B) Avoid challenging the delusions to reduce anxiety.
C) Encourage the client to discuss the delusions in detail.
D) Help the client identify evidence supporting the delusions.

 

A client with anxiety asks the nurse about using deep breathing exercises. How should the nurse respond?

A) “Deep breathing is only effective for mild anxiety.”
B) “This technique can help reduce your anxiety levels.”
C) “It’s better to focus on medications rather than techniques.”
D) “Deep breathing is not effective for managing anxiety.”

 

A nurse is educating a client with OCD about the use of exposure and response prevention (ERP) therapy. Which statement indicates understanding?

A) “I will face situations that trigger my compulsions but not perform the ritual.”
B) “This therapy helps me avoid situations that cause anxiety.”
C) “I will need to use medications during this therapy.”
D) “ERP focuses on understanding the root cause of my compulsions.”

 

A nurse is caring for a client with depression who reports no motivation to attend therapy sessions. What is the best nursing response?

A) “You should force yourself to go even if you don’t want to.”
B) “Let’s discuss what’s making it difficult for you to attend.”
C) “It’s okay to skip therapy if you don’t feel like going.”
D) “Skipping therapy might make your depression worse.”

 

 

A client diagnosed with panic disorder states, “I feel like I’m having a heart attack during my panic attacks.” What is the nurse’s best response?

A) “Your feelings are valid. Let’s discuss ways to cope with this.”
B) “It’s impossible to have a heart attack during a panic attack.”
C) “You need to ignore these feelings and focus on something else.”
D) “Have you tried lying down during the attacks to calm yourself?”

 

A client is receiving ECT (electroconvulsive therapy) for severe depression. What is the most common side effect the nurse should monitor for?

A) Short-term memory loss.
B) Muscle rigidity.
C) Persistent headache.
D) Nausea and vomiting.

 

A nurse is planning care for a client with antisocial personality disorder. Which intervention is the most appropriate?

A) Enforce rules and set clear consequences for behavior.
B) Focus on building a close, trusting relationship.
C) Encourage the client to discuss personal feelings openly.
D) Ignore manipulative behavior to discourage it.

 

Which sign is most indicative of serotonin syndrome in a client taking selective serotonin reuptake inhibitors (SSRIs)?

A) Hypothermia.
B) Muscular rigidity.
C) Respiratory depression.
D) Hyperreflexia and agitation.

 

A client with OCD is spending hours washing their hands. What is the best initial nursing action?

A) Allow the client to continue the behavior.
B) Redirect the client to another activity.
C) Set a time limit for handwashing.
D) Explain that the behavior is irrational.

 

A nurse is assessing a client for signs of anorexia nervosa. Which physical finding is most characteristic of this disorder?

A) Increased blood pressure.
B) Lanugo (fine body hair).
C) Hyperactive bowel sounds.
D) Obesity in the abdominal area.

 

A client with major depressive disorder begins taking fluoxetine. What should the nurse include in discharge teaching?

A) “You will notice improvement within the first two days.”
B) “Contact your provider if you experience increased suicidal thoughts.”
C) “It is safe to stop this medication suddenly if you feel better.”
D) “Avoid eating foods high in tyramine while on this medication.”

 

A client with schizophrenia is prescribed clozapine. Which lab result should the nurse monitor closely?

A) Platelet count.
B) White blood cell count.
C) Hemoglobin levels.
D) Potassium levels.

 

A client with alcohol use disorder is experiencing delirium tremens (DTs). What is the nurse’s priority intervention?

A) Provide a calm and quiet environment.
B) Administer prescribed benzodiazepines.
C) Encourage oral fluid intake.
D) Monitor for signs of withdrawal seizures.

 

A client with PTSD reports frequent nightmares. Which intervention is most appropriate?

A) Suggest avoiding discussing the trauma.
B) Recommend deep breathing exercises before bed.
C) Refer the client for eye movement desensitization and reprocessing (EMDR).
D) Encourage the client to stay awake to avoid nightmares.

 

A nurse is assessing a client with opioid intoxication. Which clinical manifestation is expected?

A) Dilated pupils and tachycardia.
B) Respiratory depression and pinpoint pupils.
C) Agitation and increased blood pressure.
D) Tremors and hyperreflexia.

 

A client with schizophrenia exhibits echolalia. What does this behavior involve?

A) Repeating words or phrases spoken by others.
B) Speaking in a made-up language.
C) Using words inappropriately or out of context.
D) Rhyming words in a nonsensical manner.

 

A client reports being unable to leave the house due to fear of public spaces. What is the most likely diagnosis?

A) Panic disorder.
B) Social anxiety disorder.
C) Agoraphobia.
D) Generalized anxiety disorder.

 

Which therapeutic communication technique is most appropriate for a client experiencing a hallucination?

A) “I hear the voices too, but they aren’t real.”
B) “Tell me more about what you’re experiencing.”
C) “You don’t need to worry about the voices.”
D) “I don’t hear the voices, but I understand they’re real to you.”

 

A client with depression is prescribed amitriptyline. Which adverse effect should the nurse monitor for?

A) Urinary retention.
B) Bradycardia.
C) Hyperglycemia.
D) Hearing loss.

 

A nurse is caring for a client with borderline personality disorder who exhibits splitting behavior. What is the best intervention?

A) Encourage the client to express their feelings openly.
B) Assign one consistent staff member to care for the client.
C) Rotate staff assignments frequently to avoid attachment.
D) Set clear and consistent boundaries with all staff.

 

Which is a priority nursing intervention for a client experiencing acute mania?

A) Encourage the client to participate in group activities.
B) Provide high-calorie finger foods and drinks.
C) Allow the client to engage in high-energy physical activities.
D) Focus on discussing the client’s feelings and emotions.

 

A client with generalized anxiety disorder is prescribed buspirone. Which statement indicates understanding?

A) “I can take this medication only when I feel anxious.”
B) “It may take several weeks before I notice an improvement.”
C) “I need to avoid all dairy products while taking this medication.”
D) “This medication may cause dependence, so I should use it sparingly.”

 

A client experiencing withdrawal from benzodiazepines is at risk for which serious complication?

A) Hypertensive crisis.
B) Seizures.
C) Hypokalemia.
D) Bradycardia.

 

Which statement by a client demonstrates insight into their obsessive-compulsive disorder (OCD)?

A) “I know my rituals are excessive, but I feel powerless to stop them.”
B) “I don’t think my behavior is a problem; it’s just who I am.”
C) “I only perform rituals when I feel stressed or anxious.”
D) “I have no control over my compulsions, so I don’t try to stop them.”

 

A nurse is teaching a client with bipolar disorder about lithium therapy. What is essential to include?

A) “Avoid foods high in sodium while on this medication.”
B) “Drink 2–3 liters of water daily to maintain hydration.”
C) “You can stop the medication once your symptoms improve.”
D) “This medication has no side effects if taken as prescribed.”

 

A nurse is assessing a client with major depressive disorder. Which symptom should the nurse prioritize?

A) Low energy levels.
B) Feelings of hopelessness.
C) Suicidal ideation.
D) Weight loss.

 

A client with schizophrenia is experiencing a flat affect. What is the best nursing approach?

A) Encourage the client to engage in lively group activities.
B) Use short, clear statements and provide consistent routines.
C) Avoid interacting with the client to prevent overstimulation.
D) Focus on discussing emotional topics to elicit a response.

 

A client with depression states, “Nothing matters anymore.” What is the nurse’s priority response?

A) “Do you feel like hurting yourself or ending your life?”
B) “Why do you feel that way?”
C) “You should try to think positively.”
D) “Tell me about things you used to enjoy.”

 

A nurse is developing a care plan for a client with Alzheimer’s disease. Which intervention is most appropriate for addressing memory loss?

A) Use written signs and labels to identify common items.
B) Avoid discussing past events to prevent confusion.
C) Repeatedly quiz the client to improve memory retention.
D) Provide complete assistance to avoid frustration.

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