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NR 326-NGN MENTAL HEALTH PRACTICE EXAM 2025-2026 WITH CORRECT ANSWERS /A+ GRADE, Exams of Nursing

NR 326-NGN MENTAL HEALTH PRACTICE EXAM 2025-2026 WITH CORRECT ANSWERS /A+ GRADE

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2024/2025

Available from 04/15/2025

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NR 326 2019 NGN MENTAL HEALTH PRACTICE EXAM 2025-2026
WITH CORRECT ANSWERS /A+ GRADE
1 / 10
A nurse is assessing a client who has
schizophrenia. Which of the following
findings should the nurse document as a
negative symptoms of this disorder?
A nurse is caring for an older adult client
who has dementia and has wandered into
the day room looking for their de- ceased
partner. Which of the following actions
should the nurse take?
A nurse is caring for a client whose child has
a terminal illness. The client request
information about how to deal with the
upcoming loss. Which of the following
statements should the nurse make?
A nurse is teaching a client who has a
depressive disorder about fluoxe-
tine. Which of the following information
should the nurse include in the teach- ing?
A nurse is admitting a client who has
schizophrenia to an acute care setting.
When the nurse questions the client
regarding their admission, the client states,
"I'm red, in the head and I am go- ing to
bed". The nurse should document the clients
speech pattern as which of the following?
A nurse is obtaining a mental health his- tory
from an older adult client. Which of the
following actions should the nurse plan to
take?
A community health nurse is planning an
education program about depressive
disorders. Which of the following should the
nurse include as increasing the risk for
depression?
Anhedonia
Talk with the client about activities they
enjoyed with their partner.
It is not uncommon to feel angry toward
yourself or others
You might experience difficulties with
sexual functioning while taking this med-
ication.
Clang associations
Interview the client in a private setting
Substance use disorder
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WITH CORRECT ANSWERS /A+ GRADE

A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document asa negative symptoms of this disorder? A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their de- ceased partner. Which of the following actions should the nurse take? A nurse is caring for a client whose childhas a terminal illness. The client request information about how to deal with the upcoming loss. Which of the following statements should the nurse make? A nurse is teaching a client who hasa depressive disorder about fluoxe- tine. Which of the following information should the nurse include in the teach- ing? A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head and I am go-ing to bed". The nurse should documentthe clients speech pattern as which of the following? A nurse is obtaining a mental health his-tory from an older adult client. Which ofthe following actions should the nurse plan to take? A community health nurse is planning an education program about depressive disorders. Which of the following shouldthe nurse include as increasing the risk for depression? Anhedonia Talk with the client about activities they enjoyed with their partner. It is not uncommon to feel angry toward yourself or others You might experience difficulties with sexual functioning while taking this med- ication. Clang associations Interview the client in a private setting Substance use disorder

WITH CORRECT ANSWERS /A+ GRADE

A nurse is planning discharge for a client who has bipolar disorder and has a pre- scription for lithium. Which of the follow- ing client statements indicated under- standing of the teaching about the med- ication? A nurse is caring for a client who has a history of substance use disorder andwas involuntarily admitted to a mental health facility. When the nurse attemptsto administer oral lorazepam, the client refuses to take the medication and be- comes physically aggressive. Which of the following actions should the nurse take? A nurse is caring for a client who has antisocial personality disorder and is re- ceiving behavioral therapy through oper-ant conditioning. Which of the following client behaviors indicated effectivenessof the therapy? A nurse is planning care for a client whohas depression and has made frequent suicide attempts. Which of the following statements indicates the client has a de- creased risk for suicide NGN: A nurse on a mental health unit is caring for a recently admitted client. For each potential assessment finding, clickto specify if it is a positive or negative symptom of schizophrenia. A nurse on a mental health unit is ad- mitting a client who is anxious and tells the nurse, "I hear voices telling me whatto do". Which of the following actions should the nurse take? I should eat a regular diet with normal amount of salt and fluids Do not administer the lorazepam Refrains from manipulating others to earn dining room privileges It is easier to talk about my feelings now withdrawal from social activity- catatonia+ absence of information in speech- alogia- delusions of grandeur+ clang associations+ Ask the client what the voices are saying

WITH CORRECT ANSWERS /A+ GRADE

A nurse in a mental health clinic is caringfor a client who has bipolar disorder andreports that they stopped taking lithium 2 weeks ago. The nurse should recognizewhich of the following as an expected adverse effect that might have caused the client to stop taking the medication? NGN: A nurse caring for a client in an outpatient psychiatric clinic who has been applying a selegiline 12 mg trans- dermal patch once daily A nurse is admitting a female client whohas anorexia nervosa. Which of the fol- lowing manifestation should the nurse expect during the admission assess- ment? A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the followingfindings should the nurse identify as a possible indicator of neglect? A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the clients partner, who is planning to go out of town for sev- eral days. Which of the following re- sources should the nurse recommend tothe caregiver? A nurse is assessing a school age childwho has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate? A nurse is caring for a client who has schizophrenia and is experiencing psy- chosis. The nurse should identify that which of the following findings indicatesa potential psychiatric emergency? Hand tremors The client is at risk of developing hyper- tensive crisis due to consuming foods high in tyramine. Orthostatic hypotension Inappropriate dress Respite care Aggression toward animals The client reports command hallucina- tions.

WITH CORRECT ANSWERS /A+ GRADE

A nurse is caring who has borderline per- sonality disorder. Which of the following goals is the priority when planning care for this client? A client who has a diagnosis is attending group therapy. During the group meet- ing, the nurse asks each member to identify one goal for the day. When its theclients turn, they do not respond. Whichof the following actions should the nursetake before repeating the request to theclient? A nurse is caring for a group of clients. Which of the following findings should the nurse report? A nurse is caring for a client in a men- tal health facility. The nurse overhears another staff member make derogatorycomments to the client. Which of the fol-lowing actions should the nurse take? NGN: A nurse is caring for a client who has alcohol use disorder. Complete the following sentence by using the list of options. The client is at the greatest risk for as evidenced by the clients A nurse is preparing to administer chlor- promazine 0.55mg/ kg to an adolescentwho weights 110 lb. Available is chlor- promazine syrup 10mg/5mL. How manymL should the nurse administer? Roundto the nearest whole number. The client will refrain from self mutilation. Allow the client time to formulate an an- swer. A client who is taking lamotrigine and has developed a rash Report the occurrence to the charge nurse. violent behavior, agitation . 14

WITH CORRECT ANSWERS /A+ GRADE

A nurse in a community health center is counseling a family of two parents and two children. Which of the followingstatements by a family member indicat-ed manipulative behavior? During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Whichof the following assumptions should thenurse make based on the client's non- verbal behaviors? A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which of the following inter- ventions should the nurse include in theplan of care? A nurse is delegating client care tasks to a licensed practical nurse and an as-sistive personnel. Which of the followingtasks should the nurse assign the LPN? A client who has paranoid schizophreniais attending a treatment planning con- ference with a family member. During the discussion of the medication adher-ence portion of the plan, a nurse noticesthat the family member seems distract- ed. Which of the following actions shouldthe nurse take? NGN: A nurse is updating the clients plan of care. For each of the following poten- tial nursing interventions, click to specify the potential--anticipated, nonessential, contraindicated* If you do my homework for me, I won't bother you for the rest of the day. The client is interested in what the nurseis saying Encourage the client to drink 125mL of fluid each hour while awake. Change the dressings. Ask the family member is they have any thoughts or questions about the treat- ment plan. Decrease sensory stim-A from the front-A vest restraint-C near the nurses station-A directions slowly-A high calorie protein drinks-N ensure the bed is kept at the working

WITH CORRECT ANSWERS /A+ GRADE

A nurse is planning care for a newly admitted client who has bipolar disor- der and is experiencing mania. Which ofthe following is the priority action by thenurse? A nurse is reviewing the electronic med-ical record of a client who has schizo- phrenia and is taking clozapine. Which of the following findings is the priority forthe nurse to notify the provider? A nurse is planning care for a 7 year old child who has ADHD. Which of the following interventions shoudl the nurse identify as the priority?> A nursing establishing a therapeutic re- lationship with a client who has antiso- cial personality disorder. Which of the following strategies should the nurse use when communicating with this client? NGN: A nurse in the ED is admitting a client who was dropped off at the front door. The nurse is assessing the client. Select the findings that require follow up. NGN: A nurse in the ED is admitting a client who was dropped off at the front door. For each client assessment find- ings below, click to specify if the finding is consistent with alcohol toxicity or major depressive disorder. Each finding may support more than one disease process. height-C keep the lights off-C Provide frequent high calorie snacks. The client reports an inability to breathe easily. Remove unnecessary equipment fromthe childs surroundings. Set realistic limits on the clients behav-ior. N/V-Y BLOOD GLUCOSE-N TEMERATURE-Y LOC-Y BAC- YRR- Y O2 SAT-N GCS-N WBC-N Weight change-MDD LOC-ETOH N/V-ETOH Mental status-ETOH/MDD

WITH CORRECT ANSWERS /A+ GRADE

MDD. The nurse should identify which of the following findings as clinical manifes- tations? SATA. A nurse in an outpatient clinic is review-ing the medical record of a client who has anorexia nervosa. Click to highlight. A nurse is caring for a group of clients.For which of the following situations should the nurse complete an incidentreport? Feelings of hopelessness, anhedonia,flat facial expression QT prolongation-Y Exercise regimen-Y Hematemesis-Y Temp-N Laxative-N BMI-Y A client was administered one-half of the prescribed dose of medication.