Page 1 of 71
“ FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH
NURSING“ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
01. Foundations of Psychiatric-Mental Health Nursing
Which is a clinical activity of only the advanced practice registered nurse?
🔘 Psychotherapy
🔘 Milieu therapy
🔘 Triage
🔘 Crisis intervention
🟢 Psychotherapy
Explanation:
Clinical activities of the advanced practice registered nurse include psychotherapy,
community interventions, and clinical supervision. Milieu therapy, crisis intervention,
and triage are clinical activities of the psychiatric-mental health registered nurse.
Reference:
Ch. 1 pg. 10-9
The nurse working on the psychiatric unit is assessing a client who has been
admitted for severe depression. The client reports feeling overwhelmed by
daily life. Based on the client's symptoms, which factor would be most
appropriate for the nurse to investigate further?
🔘 the client's biological makeup
🔘 the client's capacity for growth
, Page 2 of 71
🔘 the client's reality orientation
🔘 the client's sense of belonging
🟢 the client's sense of belonging
Explanation:
Analyzing the client's sense of belonging can provide insight into their interpersonal
relationships and social support systems, which are crucial for mental health. While
biological makeup, capacity for growth, and reality orientation are important, the
sense of belonging directly impacts the client's ability to cope with daily life and their
overall mental health.
Reference:
Ch. 1 pg. 2
The nurse has completed an assessment for a client who has been newly
diagnosed with a mental illness. Which should be the nurse's first step in
managing this client's nursing care?
🔘 Discuss how the client copes with current health problem.
🔘 Develop strategies to teach about effective coping.
🔘 Praise the client's adjustment to structured rules.
🔘 Determine client's overall health and environmental living conditions.
🟢 Determine client's overall health and environmental living conditions.
Explanation:
The first step in caring for a client with mental illness is to obtain comprehensive
assessment information related to physical, psychological, social, and environmental
conditions and what the client is experiencing. This is the first step for establishing a
diagnosis. The option to develop strategies to teach about effective coping is the
planning step which cannot be developed until after the assessment is completed.
The step appraising the client's adjustment to structured approaches to care is the
evaluation step which determines the client's progress.
Reference:
Ch. 1 pg. 8
Chlorpromazine is a drug in which classification?
🔘 Antipsychotic
🔘 Antimanic
, Page 3 of 71
🔘 Antianxiety
🔘 Antidepressant
🟢 Antipsychotic
Explanation:
Thorazine is a first generation antipsychotic medication.
Reference:
Ch. 1 pg. 3-4
The nurse in the community health center is presenting an in-service for new
employees on the history of mental health. When the nurse is explaining
deinstitutionalization, which statement by the nurse would be most
appropriate?
🔘 "Deinstitutionalization caused an increase in hospital admissions."
🔘 "Individuals in long-term care facilities were not affected by this change."
🔘 "Deinstitutionalization provided less restrictive care for mental health
clients."
🔘 "Deinstitutionalization enabled larger geographical areas to be covered."
🟢 “Deinstitutionalization provided less restrictive care for mental health clients.”
Explanation:
In the United States, the movement toward treating those with mental illness in less
restrictive environments gained momentum in 1963 with the enactment of the
Community Mental Health Centers Construction Act. Deinstitutionalization, a
deliberate shift from institutional care in state hospitals to community facilities,
began. Community mental health centers served smaller geographic catchment, or
service, areas that provided less restrictive treatment that was located closer to
individuals’ homes, families, and friends. These centers provided emergency care,
inpatient care, outpatient services, partial hospitalization, screening services, and
education. Thus, deinstitutionalization accomplished the release of individuals from
long-term stays in state institutions, a decrease in admissions to hospitals, and the
development of community-based services as an alternative to hospital care.
Reference:
Ch. 1 pg. 4
, Page 4 of 71
A client with a mental health condition asks why hospitalization is not being
considered. Which advantage(s) of community-based care would the nurse
outline for the client in response? Select all that apply.
☑️ "You will maintain contact with your family."
☑️ "You will have more personal freedom."
☑️ "You can still be with your friends."
☑️ "You can stay in your community for care."
☑️ "You will need home care for functional daily living skills."
✅ “You will maintain contact with your family.”
✅ “You will have more personal freedom.”
✅ “You can still be with your friends.”
✅ “You can stay in your community for care.”
Explanation:
Despite issues with community-based mental health problems, they have positive
aspects that make them more preferable than hospitalization. Clients can maintain
contact with friends, enjoy more personal freedoms that would not be present when
hospitalized, maintain contact with family, and stay in their home community. The
client will not need home care because community-based care supports functional
daily living skills.
Reference:
Ch. 1 pg. 5-6
The nurse in the community health center is preparing a plan of care for a
client diagnosed with schizophrenia who has difficulty distinguishing reality
from fantasy. Which factor should the nurse prioritize when completing the
plan of care?
🔘 the client's biological makeup
🔘 the client's reality orientation
🔘 the client's sense of belonging
🔘 the client's emotional resilience
🟢 the client's reality orientation
Explanation:
“ FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH
NURSING“ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
01. Foundations of Psychiatric-Mental Health Nursing
Which is a clinical activity of only the advanced practice registered nurse?
🔘 Psychotherapy
🔘 Milieu therapy
🔘 Triage
🔘 Crisis intervention
🟢 Psychotherapy
Explanation:
Clinical activities of the advanced practice registered nurse include psychotherapy,
community interventions, and clinical supervision. Milieu therapy, crisis intervention,
and triage are clinical activities of the psychiatric-mental health registered nurse.
Reference:
Ch. 1 pg. 10-9
The nurse working on the psychiatric unit is assessing a client who has been
admitted for severe depression. The client reports feeling overwhelmed by
daily life. Based on the client's symptoms, which factor would be most
appropriate for the nurse to investigate further?
🔘 the client's biological makeup
🔘 the client's capacity for growth
, Page 2 of 71
🔘 the client's reality orientation
🔘 the client's sense of belonging
🟢 the client's sense of belonging
Explanation:
Analyzing the client's sense of belonging can provide insight into their interpersonal
relationships and social support systems, which are crucial for mental health. While
biological makeup, capacity for growth, and reality orientation are important, the
sense of belonging directly impacts the client's ability to cope with daily life and their
overall mental health.
Reference:
Ch. 1 pg. 2
The nurse has completed an assessment for a client who has been newly
diagnosed with a mental illness. Which should be the nurse's first step in
managing this client's nursing care?
🔘 Discuss how the client copes with current health problem.
🔘 Develop strategies to teach about effective coping.
🔘 Praise the client's adjustment to structured rules.
🔘 Determine client's overall health and environmental living conditions.
🟢 Determine client's overall health and environmental living conditions.
Explanation:
The first step in caring for a client with mental illness is to obtain comprehensive
assessment information related to physical, psychological, social, and environmental
conditions and what the client is experiencing. This is the first step for establishing a
diagnosis. The option to develop strategies to teach about effective coping is the
planning step which cannot be developed until after the assessment is completed.
The step appraising the client's adjustment to structured approaches to care is the
evaluation step which determines the client's progress.
Reference:
Ch. 1 pg. 8
Chlorpromazine is a drug in which classification?
🔘 Antipsychotic
🔘 Antimanic
, Page 3 of 71
🔘 Antianxiety
🔘 Antidepressant
🟢 Antipsychotic
Explanation:
Thorazine is a first generation antipsychotic medication.
Reference:
Ch. 1 pg. 3-4
The nurse in the community health center is presenting an in-service for new
employees on the history of mental health. When the nurse is explaining
deinstitutionalization, which statement by the nurse would be most
appropriate?
🔘 "Deinstitutionalization caused an increase in hospital admissions."
🔘 "Individuals in long-term care facilities were not affected by this change."
🔘 "Deinstitutionalization provided less restrictive care for mental health
clients."
🔘 "Deinstitutionalization enabled larger geographical areas to be covered."
🟢 “Deinstitutionalization provided less restrictive care for mental health clients.”
Explanation:
In the United States, the movement toward treating those with mental illness in less
restrictive environments gained momentum in 1963 with the enactment of the
Community Mental Health Centers Construction Act. Deinstitutionalization, a
deliberate shift from institutional care in state hospitals to community facilities,
began. Community mental health centers served smaller geographic catchment, or
service, areas that provided less restrictive treatment that was located closer to
individuals’ homes, families, and friends. These centers provided emergency care,
inpatient care, outpatient services, partial hospitalization, screening services, and
education. Thus, deinstitutionalization accomplished the release of individuals from
long-term stays in state institutions, a decrease in admissions to hospitals, and the
development of community-based services as an alternative to hospital care.
Reference:
Ch. 1 pg. 4
, Page 4 of 71
A client with a mental health condition asks why hospitalization is not being
considered. Which advantage(s) of community-based care would the nurse
outline for the client in response? Select all that apply.
☑️ "You will maintain contact with your family."
☑️ "You will have more personal freedom."
☑️ "You can still be with your friends."
☑️ "You can stay in your community for care."
☑️ "You will need home care for functional daily living skills."
✅ “You will maintain contact with your family.”
✅ “You will have more personal freedom.”
✅ “You can still be with your friends.”
✅ “You can stay in your community for care.”
Explanation:
Despite issues with community-based mental health problems, they have positive
aspects that make them more preferable than hospitalization. Clients can maintain
contact with friends, enjoy more personal freedoms that would not be present when
hospitalized, maintain contact with family, and stay in their home community. The
client will not need home care because community-based care supports functional
daily living skills.
Reference:
Ch. 1 pg. 5-6
The nurse in the community health center is preparing a plan of care for a
client diagnosed with schizophrenia who has difficulty distinguishing reality
from fantasy. Which factor should the nurse prioritize when completing the
plan of care?
🔘 the client's biological makeup
🔘 the client's reality orientation
🔘 the client's sense of belonging
🔘 the client's emotional resilience
🟢 the client's reality orientation
Explanation:
