‫تعتبر جميع محتويات هذا الملف محمية بموجب قانون‬

‫حماية حق المؤلف في األردن رقم ‪ 22‬لعام ‪1992‬‬

‫وتعديالته وبموجب االتفاقيات الدولية‬

‫تداول الملف دون أذن المؤلف‪ ,‬تعرضك للمساءلة القانونية‬

1- Client: " He ate the skate, inflated yesterday's gate toward the statement is an example of having:

A-Retardation

B-Clang association

C-Aphonia

D-Aphasia

2- One of the following is not a patient's right:

A-Right to education

B-Right to be harmed and restrain

C-Right to treatment

D-Right to informed consent

3- Lack of feeling, emotion, interest, and concern is:

A-Suspicious

B-Hostile

C-Guarded

D-Apathy

4- One of the following is barrier of therapeutic relationship is:

A-Immediacy

B-Resistance

C-Concreteness

D-Confrontation

5- Qualities of the psychiatric nurse in the therapeutic relationship are except:

A-Clarification of value

B-Self awareness

C-Low self esteem

D-Ethics and responsibility

6- Type of hallucination that tell the patient to do something as killing, harming another, or join
someone is called:

A-Command hallucination

B-Visual hallucination

C-Tactile hallucination

D-Gustatory hallucination

7- One of the following is a common concerns of psychiatric nursing students:

A-Happy due to new experience

B-Fear of physical danger or violence

C-Ability to make unique contribution

D-Comfortable about lack of physical tasks

8- Implement nursing process (this activity in which phase )

A-Initiation phase

B-Termination phase

C-In home phase

D-Post visit phase

9- Which one is a psychological stress?

A-Anxiety

B-Trauma

C-Exercise

D-Hypoglycemia

10- Coping is a concept that means:

A-Death

B-Actual loss

C-Sense of well being

D-Dealing with problems

11- Sigmund Freud is the founder of the:

A-Psychoanalytic theory

B-Psychoanalytic development

C-Interpersonal theory

D-Peplau's theory

12- Sources of malpractice include all of the following except:

A-Violation of confidentiality

B-Suicide

C-Misuse of drugs

D-Maintain patient privacy

13- When the patient bouncing around, singing, and laughing this affect is called:

A-Elated

B-Flat

C-Labile

D-Blunt

14- The psychiatric nurse should not disclose specific patient's information to another:

A-Confidentiality

B-Empathy

C-Genuineness

D-Confrontation

15- Communicating with yourself is known as:

A-Interpersonal

B-Impersonal

C-Intrapersonal

D-Pragmatic rules
16- An unconscious response in which the patient experience feelings and attitudes towards the nurse
that were originally associated with other figures in his life is:

A-Empathy

B-Resistance

C-Counter transference

D-Transference

17- The phase of therapeutic relationship that begins before first contact with client:

A-Orientation phase

B-Pre-interaction phase

C-Working phase

D-Termination phase

18- Insight means the following except:

A-Identify & recognize illness

B-Accept illness

C-Blame others and external factor

D-Accept responsibility for behavioral change

19- The step in which we identify client's goal is:

A-Assessment

B-Planning

C-Implementation

D-Diagnosis

20- In termination phase the nurse task is to:

A-Overcome resistance behaviors

B-Gather data about patient

C-Identify clients problems

D-Establish reality of separation

21- Showing no facial expression is the type of affect known as:

A-Blunt

B-Inappropriate

C-Flat

D-Broad

22- Repetition of interviewer's words in your client is termed as:

A-Waxy flexibility

B-Aphasia

C-Automatisms

D-Echolalia

23- Which of the following is not a component of helping relationship between nurses and client:

A-Care in a matter of intimacy

B-Respect the client as human being

C-Develop trust relationship

D-Utilize the power for personal purposes

24- Establishing a contract for expectation and responsibilities between nurse and client at any phase?

A-The pre-interaction phase

B-The orientation phase

C-The working phase

D-The termination phase

25- Major nursing goals of dying clients are:

A-Maintaining physiologic & psychologic comfort & achieving a dignified & peaceful death

B-Participating in self-care activities in accordance to death status

C-Helping client to make choices related to care & treatment

D-Maintaining open relationship with support system

26- The standard that has "different nursing intervention" for the mental health nurse on relation to the
nursing process is:

A-Standard one

B-Standard three

C-Standard six

D-Standard five

27- State of well-being associated with happiness, contentment, satisfaction, achievement, optimism, or
hope is:

A-Mental health

B-Mental illness

C-Delusion

D-Autonomy

28- A balance between dependence and independence is:

A-self-actualization

B-Relapse

C-Integration

D-Autonomy

29- Stereotype or negative views attributed to a person or groups of people when their behaviors are
viewed as different from or inferior to societal norms definition of:

A-Stigma

B-Mental health

C-Depression

D-Delusion

30- Emotion change in an excessively rabid and abrupt way is:

A-Flat effect

B-Labile

C-Elated

D-Blunt effect
31- Lack of expression, and no facial expression is:

A-Blunt effect

B-Elated

C-Flat effect

D-Labile

32- The process of joining ideas into each other and form new idea is:

A-Thought

B-Labile

C-flat

D-Blunt

33- False belief that is firmly maintained even though it is not shared by other and contradicted by social
realty is:

A-Hallucination

B-Delusion

C-Obsession

D-Neologisms

34- Recurrent and persistent thoughts, impulses, or images experienced as intrusive and stressful is:

A-Obsession

B-Delusion

C-Perseveration

D-None of the above

35- In the bargaining stage of grieve, the nurse should:

A-Encourage client to participate in the treatment program

B-Convey caring by touch

C-Listen attentively & encourage clients to take to relieve guilt & fear

D-Help client understand that is a normal response

36- Repeated, purposeless behaviors in your client is termed as:

A-Waxy flexibility

B-Aphasia

C-Automatisms

D-Echolalia

37- Relationship initiated with the purpose of friendship, socialization and sharing idea and feelings is:

A-Social relationship

B-Intimate relationship

C-Therapeutic relationship

D-Planned relationship

38- Client "I can see the sea is washing away the shells:

A-Perseveration

B-Flight of ideas

C-Thought block

D-Word salad

39- The best answer that souled be made by a mental health nurse when presenting reality:

A-I understand that the voice seen real to you but I don’t hear any voice

B-You should not think that way

C-Voice are everywhere around us

D-I believe you

40- A stat of disequilibrium that occur when there is imbalance between demands occurring within an
individual's internal or external environment and his or her to cope with those demands is know is:

A-Stress

B-Stressors

C-Adaption

D-Maladaptation
41- The theorist who developed the concept of the therapeutic nurse-patient relationship Is

A-Maslow

B-Paplau

C-Freud

D-Erickson

42- Symptoms that develop when people stop taking a substance or significantly less than usual
definition of:

A-Withdrawal

B-addiction

C-tolerance

D-relapse

43- is physical and psychological dependence, withdrawal symptoms and tolerance are:

A-Tolerance

B-Withdrawal

C-Addictions

D-Relapse

44- Contra indication for Electroconvulsive therapy (ECT)?

A-Brain lesion

B-Cerebral infarction

C-Increase intracranial pressure

D-All of the above

45- Absence or impairment of the ability to communicate through speech or writing is:

A-Dysarthria

B-Aphasia

C-Hemiparesis

D-Stupor
46- All memories that one is unable to bring to conscious awareness are termed as

A-The conscious

B-The preconscious

C-The unconscious

D-The orientation

47- The defense mechanism used when an accident victim can remember nothing about his accident is
termed as

A-Regression

B-Repression

C-Rationalization

D-Reacting formation

48- " I see you made your bed " is an example of using

A-Offering self

B-Active listening

C-Giving recognition

D-Restating

49- One of the following mental health nurse's answers is considered therapeutic:

A-" No one here would lie to you"

B-" Everybody gets down in the dumps at Times. I feel that way myself

C-" I wouldn't worry about if I were you"

D-" Tell me more about that particular situation"

50- Insight is the extent of the client's:

A-Awareness of illness

B-Willingness to take treatment

C-Poor treatment

D-A+B
51- Which of the following is consider domains of learning:

A-Cognitive domain

B-Psychiatric domain

C-Pollution domain

D-Role playing domain

52- All of the following are considered as with drawl symptoms except:

A-Drowsiness

B-Steady gait

C-Memory failure

D-Convulsion

53-reapting the days of the week backward, is an example of testing:

A-Memory

B-Concentration

C-Orientation

D-Abstract thinking

54- The following are symptoms of mania EXCEPT:

A-Increase activity

B-Inflated self-esteem

C-Distractibility

D-Increased need for sleep

55- Believe that one possess greatness or special power is called

A-Religious delusion

B-Paranoid delusion

C-Somatic delusion

D-Grandiose delusion
56- False perception or false response to a sensory stimulus is:

A-Obsession

B-Delusion

C-Hallucination

D-Illusion

57- One of the following is considered voluntary admission:

A-Client unable to take care of basic personal needs

B-Patient admitted under police power

C-Client seek help

D-In an emergency

58- Nursing intervention for suicide are EXCEPT

A-Keep patient at home

B-Establish safe environment

C-Trust client-nurse relationship

D-Group therapy

59- Client (I hear some say that I am worthless) example hallucination:

A-Auditory

B-Visual

C-Gustatory

D-Olfactory

60- I'm not sure that I understand would you please example of:

A-Double

B-Reflection

C-Clarification

D-Acceptance
61- One of the following is considered a therapeutic community technique:

A-Giving advice

B-Rejective

C-Active listening

D-Offering self

62- Transference and countertransference may occur:

A-Pre orientation

B-Orientation

C-Working

D-Termination

63- The defense mechanisms when a client is angry with his physicians’ dose not express it but becomes
verbally abusive with the nurse:

A-Denial

B-Displacement

C-Repression

D-Projection

64- One of the following is true regarding involuntary admission:

A-It is requested by court order

B-It is requested by client

C-Legal guardian may request admission

D-Patients retains all civil rights

65- When you ask your patient Ahmad, open your mouth, you are evaluating him for:

A-Command

B-Hearing

C-Visual

D-all of the above

66- The theory that described the personality organization & the dynamic of personality is called:

A-Interpersonal model

B-Social model

C-Psychoanalytic model

D-Existential model

67- When idea raised in unusual variety and pass through the mind this speech is:

A-Loud

B-Pressured

C-Muteness

D-Stuttering

68- Acting out unacceptable impulses in a socially acceptance way is called:

A-Identification

B-Regression

C-Sublimation

D-Fantasy

69- According roger the factor that influencing the manifestation of stress are except:

A-Respiratory rate

B-Age and sex

C-Nurture of stress

D-Personality type

70- A specialized area of nursing practice, employing a wide range of theories of human being as its art
is:

A-Mental health nursing

B-Illness

C-Psychiatry

D-Health
71- Believing that one's thought are being transmitter to be extended word is called:

A-Thought broadcasting

B-Primary delusion

C-Thought insertion

D-Delusion of influence

72- Make up stories to recount situation or event that cannot be remembered:

A-Confabulation

B-Recent memory

C-Thought blocking

D-Immediate memory

73- A client, who is receiving chemotherapy on a medical unit due to a recent diagnosis of a terminal
cancer of the liver, has an in-depth conversation with the nurses. The client says." This cannot be
happening to me." The nurse identifies that this stage of grieving is.

A-Anxiety

B-Depression

C-Denial

D-Anger

74- The preoccupied with religions subject that one nor with the expects belie is called:

A-Grandiose delusion

B-Religious delusion

C-Somatic delusion

D-Paranoid delusion

75- One of the following is considered a positive stress:

A-Death of a spouse

B-Major changes of finance (decrease income)

C-Trouble as work

D-Promotion
76- Adaptation to stressors involves restore the.........of the body:

A-Hemostasis

B-Disequilibrium

C-Homeostasis

D-Maladaptation

77- "I'm not sure that I understand, would you please explain?" this is an example of seeking

A-Doubt

B-Reflection

C-Clarification

D-Acceptance

78- Arguing against an anxiety provoking stimulus by stating it doesn’t exist is called:

A-Rationalization

B-Projection

C-Denial

D-Reaction formation

79- Do the opposite of what is asked:

A-Grimaces

B-Negativism

C-Mannerism

D-Tics

80- Cognitive disorder is

A-Depression

B-Schizophrenia

C-Delirium

D-Mania
81- The patient ability to understand fact and draw conclusion from relationship is called:

A-Recent memory

B-Immediate memory

C-Judgment

D-Thought blocking

82- New words or words created by the patient is

A-Circumstantial

B-Word salad

C-Tangential

D-Neologism

83- A phenomenon in which an area of experience is forgotten and becomes in accessible to conscious
recall is

A-Mania

B-Amnesia

C-Dement

D-Delirium

84- Taking out impulses on a less threatening target or redirecting behavior or emotion to another
person is

A-Repression

B-Suppression

C-Conversion

D-Displacement

85-Continuing to use a chemical after a period of abstinence is true about:

A-Substances abuses
B- relapse

C- tolerance

D-chemical dependence
86- The need for increasing the amounts of substances to achieve the desired effect, is called:

A-substance abuse

B-Tolerance

C- Relapse

D- Chemical dependence

87- Eriksson's/ sense of self and belonging is task of:

A-Trust vs mistrust

B-initiative vs guilt

C-identity vs role confusion

D-all oof the above

88-The first stage of the general adaptation syndrome where physiological response and initiated is
known is?

A-alarm phase

B-stage of resistance

C-stage of exhaustion

D-fight or flight response

89- One of the following is false regarding superego:

A-it is present at 3-6 years

B-it internalizes the values and morals set forth by primary care givers

C-it assist the ego in the control of Id impulses

D-it experience the reality of the external world, adapts and responds to it

90- Adolescent become addiction first smoking become all the following except:

A-it's legal

B-inexpensive relative

C-widely an available

D-socially not acceptable

91- When nurse act believe rather than allowing patient:

A-justice

B-paternalism

C-Beneficence

D-Autonomy

92 -Calling the client by name an example of using:

A-Trust

B-unconditional positive regard

C-congruency

D-empathy

93- Persistent insistent and disturbing thoughts is called:

A-phobia

B-depersonalization

C-obsession

D-hypochondriac

94- Mr. x said that he is Jesus the patient have

A-Religious delusion

B-Delusion of reference

C-Obsession

D-Persecutory delusion

95- Mr. x said that window is moving, your diagnosis that the patient has

A-Illusion

B-Hallucination

C-Delusion

D-Preservation
96- Mr. y repeat same word (I want to go home) to every question you asked your diagnosis is:

A-Preservation

B-Flight of idea

C-Hallucination

D-Impaired memory

97- An adult male who was seen at a psychiatric unit complained of hearing voices for the past 10 month
(the sound tell to the patient to kill his mother) this is called:

A-Delusion

B-Hallucination

C-Bipolar

D-Insomnia

98- An adult male who was seen at a psychiatric unit complained of, a depressed mood or loss of
pleasure in nearly all activities. Changes in appetite, Changes in psychomotor activity - Lack of energy -
feelings of hopelessness, worthlessness or guilt - difficulty thinking, concentrating, or making decisions,
significant distress or impair social, occupational functioning, every day for the past 2 weeks.

According to the information provided in the case would most likely have been diagnosed by the doctors
and psychologists with:

A-bipolar

B-mania

C-hypomania

D-major depressive disorder

99- Mr. x said that he and the famous singer Elissa are in love, and she talk to him every day the patient
in this case have which type of delusion:

A-Grandiose delusion

B-Jealous delusion

C-Erotomaniac delusion

D-Bizarre delusion
100-Mr. x said that his wife is cheating on him and he saw a man in his house this is which type of
delusion:

A-Somatic delusions

B-Jealous delusion

C-Nihilistic delusion

D-Persecutory delusion

101-Mr. y said that he is dead, the patient has which type of delusion:

A-Erotomaniac delusion

B-Bizarre delusion

C-Nihilistic delusion

D-Jealous delusion

102-Mr. y said that there is someone is following him and spied on him and he thought that someone
might kill him, your diagnosis to this case:

A-Hallucination

B-Persecutory delusion

C-Flight of idea

D-Mania

103- Mr. y said I am ok, I don’t have any problem, but my father didn't like me he hates me, so he brings
me here in the hospital. your diagnosis to the patient:

A- lack of insight

B-illusion

C-delusion

D-hallucination

104- Developing a sense of initiatively vs, guilty and inferiority is related to:

A-Social development

B-Developing and maturation

C-Erickson's phase ono

D-Erickson's phase three

105- Bryan is a nurse assigned in psychiatric ward; he takes note that the most common type of
hallucination is:

A-Visual

B-Olfactory

C-Auditory

D-Tactile

106- During the impeachment trial, a client happened to watch one of episodes of the senate hearing.
The client shouted. “They are asking me to tell the truth. They are looking for me now.” This is an
example of:

A-Illusion

B-Delusion

C-Hallucination

D-Idea of reference

107- "I have heard my mother say I will not take this medication." It was found out that Josh's mother
was already dead 10 years ago. This is an example of:

A- Illusion

B- Delusion

C- Hallucination

D- Idea of reference

108- "That man wants to kill me; he keeps on stalking me for almost three months now." This is:

A- Illusion

B- Delusion

C- Hallucination

D-Idea of reference

109- Britney said to her nurse one day, "You know what, that medication nurse would always give
medicines in a cup. Don't you know that the cup contains the blood of a sacrificed animal? She wants us
to drink it. Can you help me stop her?"

A- Phobia

B- Delusion of reference

C- Paranoid delusion

D- Delusion of grandiose
110- Handy dandy, this is my work. I want to shop. Apple pie. Custard pie." This is:

A-Neologism

B- Word Salad

C- Flight of ideas

D-Clang association

111- While making rounds, Mary noticed one of her clients saying the following line: "I have money,
want to study. Daddy wants honey, honey honeybee... This is an example of?

A-Neologism

B- Word Salad

C- Flight of ideas

D- Clang association

112- During an interview, Rona notices that the client's response is similar to what she says. This is:

A- Waxy Flexibility.

B- Echolalia

C- Perseveration

D-Echopraxia

113- Ben is assigned in a psychiatric ward; he notices that one of the patients would follow every move
he would make. When he moves his hand, the patient would also move his hand. This is:

A-Waxy Flexibility

B-Echolalia

C-Perseveration

D-Echopraxia

114- Giving broad opening is technique of communication that:

A-Encourage the client to talk

B-Facing the client with his behavior.

C-Giving meaning to what the patient is saying.

D-Observe client's nonverbal communication

115- According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would
require priority intervention?

A-A client is disturbed that family can be seen only during visiting hours

B-A client exhibits hostile and angry behaviors toward another. Client.

C-A client states, "I have no one who cares about me."

D-A client states, "I have never met my career goals

116- Silence in therapeutic communication is:

A-Not therapeutic.

B-It indicates intolerance and anger.

C-A means of disapproval

D-It allowing the client space in which to respond

117- Thought process characterized by a series of ideas without apparent logical connections is referred
to as?

A- Loosening of association

B- Flight of ideas

C-Confabulation

D-Tangentiality

118- First line drugs for the treatment of mania are?

A-Lithium

B-Valproate

C-Both a + b

D-None of the above

119- The ability to understand one’s own behaviors and emotion is called?

A-Judgment

B-Insight

C-Intelligence

D-Personality
120- Normal response of an individual to the loss of a loved object is called?

A-Depression

B-Sadness

C-Grief

D-Low mood

121- An increased sense of psychological well-being and happiness, not in keeping with ongoing events,
is called?

A-Sad

B-Ecstasy

C-Euphoria

D-Exaltation

122- Exaggerated self-importance is a feature of which delusion?

A-Somatic delusion

B-Delusion of grandiosity

C-Delusion of reference

D-All of the above

123- Which type of delusional disorder commonly found in paranoid schizophrenia:

A-Delusion of persecuted

B-Delusion of guilt

C-Delusion of grandiosity

D-Nihilistic delusion

124- When a nurse develops feelings toward a client that are based on the nurse's past experience, it is
called:

A-Countertransference

B-Role reversal

C-Transference

D-Unconditional positive regard

125- One of the most important nursing roles during providing care to the patient who is on lithium?

A-Assess blood lithium level

B-Maintain intake output chart

C-Restrict salt and fluid intake

D-Give medicine before meal

126- You would expect a client with a diagnosis of bipolar disorder to be treated with:

A-Librium

B-Lioresal

C-Lithium

D-Lindale

127- What is an Ego defense mechanism?

A-Part of the Ego state that prevents rational thinking..

B-Part of the unconscious that attempts to control unacceptable id influences,

C-Part of the Ego state designed to reduce barriers.

D-Part of the Ego state that aids development.

128- According to the psychoanalytic approach, an attempt to integrate values learned from parents and
society is called?

A-The Id.

B-Ego

C-The Oral stage

D-The Superego

129- A defense mechanism can be described as:

A-A person placing defenses against others by not being socially involved.

B-A conscious process whereby anxiety experienced by the ego is reduced.

C-An unconscious process whereby anxiety experienced by the ego is reduced.

D-A way of allowing a person to understand how their ego works in conjunction with their id and
superego.
130- Which defense mechanism is seen at work in the following example?

Mary has been unassertive with her supervisor at work and when she comes home she slams cupboards
and screams at her husband.

A-Regression

B-Sublimation

C-Projection

D-Displacement

131- An angry man channels his hostilities into competitive sports in which there are many opportunities
for combat. This is an example of which defines mechanisms:

A-Sublimation

B-Rationalization

C-Repression

D-Reaction formation

132- A client with delusion of persecution believes the hospital food is being poisoned by the staff. The
nurse knows the best appropriate method to encourage client to eat is:

A-Put the client's favorite foods in an attractive arrangement

B-Present only the warm foods that arrive from the kitchen.

C-The client prepared the food by himself and packaged in his items.

D-Food items that are the same as what other clients in the dining room are eating.

133- The nurse is interviewing an elderly client who may have been abused by the neighbor. The nurse
during interview should:

A-be confrontational

B-Blame patient about this abuse.

C-Be nonthreatening and nonjudgmental

D-Avoid asking the client about the potential abuse in the future

134- Which of the following are considered the positive signs of schizophrenia?

A-Delusions, anhedonia, ambivalence

B-Hallucinations, illusions, ambivalence.

C-Delusions, hallucinations, disorganized thought

D-Disordered thinking, anhedonia, illusions.

135- If the client was experiencing negative symptoms of schizophrenia, the nurse would expect to see:

A-Flat affect and little speech

B-Rigid posture

C-Excessive purposeless movement

D-Inappropriate laughter

136- An employee uses the defense mechanism of displacement when the boss openly disagrees with
suggestions.

What behavior would be expected from this employee?

A-The employee assertively confronts the boss.

B-The employee leaves the staff meeting to work out in the gym.

C-The employee criticizes a coworker,

D-The employee takes the boss out to lunch

137-What question would help the nurse determine the meaning of substance use to the individual
client?

A-"Why are you an alcoholic?"

B-"How often do you use drugs and alcohol?"

C-"What symptoms do you have when you use drugs?"

D-"What circumstances lead you to use drugs?"

138- Most important factor in a therapeutic relationship is?

A-Trust

B-Knowledge

C-Motivation

D-Professionalism

139- The involuntary blocking of unpleasant feelings and experiences from one's awareness is known
as?

A-Displacement

B-Regression

C-Repression

D-Suppression
140- In catatonic schizophrenia, all are seen except:

A-Mannerism

B-Echolalia

C-Negativism

D-Flight of ideas

141- Delirium is a disorder of:

A-Consciousness

B-Perception

C-Memory

D-Thought

142- Hallucination is a disorder of:

A-Sensory perception

B-Consciousness

C-Memory

D-Thought

143- Perception of a stimulus in the present of an actual stimulus is known as:

A-Illusion

B-Hallucination

C-Verbigeration

D-Delusion

144- The type of delusion most commonly seen in manic patient is:

A-Delusion of persecution

B-Delusion of grandiosity

C-Delusion of guilt

D-Nihilistic delusion
145- A patient with bipolar disorder says: "I am so happy, daddy, nappy..." This is an example of:

A-Neologism

B-Word Salad

C-Flight of ideas

D-Clang association

146- Which of the following is an appropriate nursing action to a patient with a delusion?

A-Isolate the patient as he or she may harm other people.

B-Do not challenge the patient in proving the delusion

C-Promise that antipsychotic drugs in order to improve the though content

D-Make it to a point to challenge the patient in proving the delusion

147- As a nurse you will know if the person has mood disorder if:

A-Has a flight of ideas

B-Has flat affect

C-Has a paranoia

D-Has an illusion

148- In working with the patient, when is the best time to prepare the patient for the termination
phase?

A-Pre-interaction phase

B-orientation phase

C-working phase

D-termination phase

149- A client who has developed severe pulmonary edema would most likely exhibit which of the
following?

A-mild anxiety

B-moderate anxiety

C-extreme anxiety

D-slight anxiety
150- A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s
safety, Nurse Mary should:

A-Check the client frequently at irregular intervals throughout the night.

B-Assure the client that the nurse will hold in confidence anything the client says.

C-Repeatedly discuss previous suicide attempts with the client.

D-Disregard decreased communication by the client because this is common with suicidal clients.