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Quizzes > Health & Medicine > Psychology & Mental Health

Think You Can Ace the RN Learning System Mental Health Final Quiz?

Sharpen Your Skills with RN Learning System Mental Health Practice Quiz 1 & 2

Editorial: Review CompletedCreated By: Kelly LowryUpdated Aug 25, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for RN Mental Health Final Quiz on a teal background

Use this RN Learning System Mental Health Final Quiz to practice common mental health care decisions - safety, meds, and therapeutic communication - and find gaps before the exam. You'll get instant feedback on each item, plus extra practice questions to review tricky areas as you go.

Which nursing action is priority for a client newly expressing active suicidal ideation with a specific plan?
Ask the client to sign a no-harm contract and continue routine checks
Encourage the client to attend group therapy first
Offer PRN anxiolytic and reassess in 1 hour
Place the client on one-to-one observation immediately
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In therapeutic communication, which response is most appropriate when a client states, "I feel like a failure"?
"Everyone feels that way sometimes; it will pass."
"Why do you think that?"
"Tell me more about what makes you feel like a failure."
"You should not say that; you are doing great."
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A client with bipolar I disorder is in acute mania. Which milieu intervention is best?
Provide frequent high-calorie finger foods
Encourage competitive group games
Assign complex tasks to channel energy
Allow unlimited access to communal areas
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What is the priority action when a client with schizophrenia reports command auditory hallucinations to harm others?
Increase environmental stimuli to reorient the client
Encourage the client to use headphones to distract from voices
Assess the content of the hallucinations and safety plan immediately
Explain that the voices are not real and should be ignored
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Which finding is most consistent with delirium rather than dementia?
Stable attention span and orientation
Gradual memory decline over years
Consistent daily functioning with apathy
Acute onset with fluctuating level of consciousness
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For a client with panic disorder experiencing an attack, which nursing action is most appropriate?
Provide detailed teaching about panic disorder
Stay with the client and use short, simple sentences
Encourage the client to analyze triggers immediately
Leave the client to promote independence
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A client receiving ECT asks about common post-treatment effects. Which response is best?
"Muscle soreness indicates a serious complication."
"You may have temporary memory loss and headache after treatment."
"You will likely experience persistent long-term memory loss."
"You should not eat or drink for 24 hours after ECT."
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Which finding indicates a positive response to sertraline for major depressive disorder after 4 weeks of therapy?
Improved sleep and energy with reduced anhedonia
Bradykinesia and masked facies
Marked euphoric mood and decreased need for sleep
Weight gain and dry mouth without mood change
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What is the most appropriate initial intervention for acute dystonia in a client on haloperidol?
Start propranolol
Administer IM benztropine or diphenhydramine
Hold fluids and monitor sodium
Apply a warm compress to neck muscles
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A client on lithium reports diarrhea, coarse tremor, and confusion. What is the nurse's priority?
Restrict fluids to prevent hyponatremia
Hold lithium and obtain a stat serum level
Offer benzodiazepine to reduce tremor
Administer scheduled lithium dose with food
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During alcohol withdrawal, which assessment finding indicates highest risk of complications requiring immediate action?
New-onset tactile hallucinations with hypertension and tachycardia
Mild tremors and diaphoresis
Headache relieved by fluids
Insomnia and anxiety
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Which outcome best indicates effective cognitive behavioral therapy for generalized anxiety disorder after 8 sessions?
Client reports zero anxiety in all settings
Client avoids all anxiety-provoking situations
Client depends on PRN benzodiazepines daily
Client uses thought records to challenge catastrophic beliefs
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Which statement shows correct understanding of buspirone for anxiety?
"I can take extra doses during a panic attack for immediate relief."
"It may take several weeks to achieve full effect and does not cause dependence."
"It causes sedation like benzodiazepines."
"I should avoid all grapefruit products only during the first week."
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Which laboratory result requires immediate provider notification for a client taking clozapine?
Hemoglobin of 12.5 g/dL
Triglycerides of 200 mg/dL
Fasting glucose of 120 mg/dL
Absolute neutrophil count of 900/mm3
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Which statement reflects the correct use of seclusion for a violent client?
A PRN standing order for seclusion is acceptable
Seclusion can be used for staff convenience when the unit is busy
Provider must evaluate the client within a specified time after initiation per policy
Once in seclusion, continuous observation is not required
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Which finding differentiates neuroleptic malignant syndrome from serotonin syndrome?
Rapid onset after dose increase of SSRI
Diarrhea and mydriasis
Hyperreflexia and clonus
Lead-pipe rigidity with elevated creatine kinase
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Which client statement best indicates understanding of MAOI diet restrictions?
"I will avoid aged cheeses, cured meats, and draft beer."
"I can drink red wine as long as I eat first."
"Soy sauce and miso are safe in small amounts."
"Fresh bananas are restricted, but ripe avocados are fine."
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A client with borderline personality disorder exhibits splitting. Which staff approach is best?
Hold consistent, united staff boundaries and communication
Allow exceptions to rules to build rapport
Offer extra privileges for good behavior
Assign multiple primary nurses to increase availability
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What is the priority action when a client makes an explicit threat against a named individual?
Offer PRN medication and reassess tomorrow
Document the threat but keep it confidential
Notify the provider and take steps consistent with duty to warn per law
Encourage the client to journal feelings privately
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Which assessment best differentiates OCD from OCPD?
Rigid adherence to rules without distress
Perfectionism seen as ego-syntonic
Presence of intrusive, unwanted thoughts causing anxiety
Chronic need for control in many settings
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Study Outcomes

  1. Apply DSM-5 Diagnostic Criteria -

    Use knowledge from the rn learning system mental health final quiz to accurately identify and classify mental health disorders based on DSM-5 criteria in diverse patient scenarios.

  2. Analyze Effective Treatment Plans -

    Draw on concepts reinforced in the rn learning system mental health practice quiz 1 to evaluate and select evidence-based interventions tailored to individual client needs.

  3. Evaluate Patient Case Studies -

    Engage with scored questions similar to those in the rn learning system mental health practice quiz 2 to assess patient presentations and determine appropriate nursing actions.

  4. Differentiate Therapeutic Communication Techniques -

    Recognize and apply professional communication strategies to build rapport and support clients with mental health disorders.

  5. Strengthen Clinical Decision-Making -

    Improve critical thinking skills through instant feedback and clear explanations provided in this pn learning system mental health final quiz-style format.

  6. Boost Exam Confidence -

    Gain familiarity with quiz formats and question styles from the RN Learning System to increase confidence and reduce anxiety before high-stakes exams.

Cheat Sheet

  1. DSM-5 Classification Mastery -

    Understanding the criteria for disorders like major depressive disorder (SIG E CAPS mnemonic) and bipolar mania (DIG FAST mnemonic) is key on the RN learning system mental health final quiz. The DSM-based scenarios often test your ability to match symptoms - such as sleep disturbance and guilt - to diagnostic categories per the American Psychiatric Association guidelines. Practice these mnemonics daily to boost recall under pressure.

  2. Therapeutic Communication Techniques -

    Employ the SOLER (Squarely face, Open posture, Lean forward, Eye contact, Relaxed) model to demonstrate active listening, a skill frequently assessed in the rn learning system mental health practice quiz 1. Open-ended questions ("How are you coping?") invite detail, while reflective statements ("You seem concerned about…") validate patient feelings. Role-play these techniques to build confidence and fluency before test day.

  3. Psychopharmacology Principles -

    Remember "start low, go slow" when titrating SSRIs, noting a typical onset of effect in 4 - 6 weeks and the risk of serotonin syndrome if combined improperly. Know common side effects - e.g., sexual dysfunction with selective serotonin reuptake inhibitors - and monitoring parameters like liver enzymes and QT interval. These fundamentals appear regularly in both rn learning system mental health practice quiz 2 and the final quiz.

  4. Mental Status Exam Components -

    Master each domain - Appearance, Behavior, Mood/Affect, Thought Process, Cognition - by using the ABC-TC framework from university psychiatric nursing curricula. For example, under Cognition, assess orientation to person, place, and time. A structured approach ensures you cover all critical elements on the pn learning system mental health final quiz.

  5. Crisis Intervention & Safety Planning -

    Apply the five-step crisis model (Assess, Ensure safety, Support, Explore options, Plan ahead) when addressing acute risk situations. Use the simple "A-ESCAPE" mnemonic - Assess, Engage, Safety, Collaborate, Act, Plan, Evaluate - to guide interventions. Demonstrating this workflow accurately will boost your score on the RN Learning System Mental Health Final Quiz and in real-world practice.

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