NURS 222 | Mental Health/Psychiatric Nursing: Promoting Wellness in
the Mentally Ill 2026 |WCU
1. A nurse is implementing a Wellness Recovery Action Plan (WRAP) for a client
with bipolar disorder. What is the primary purpose of the ‘Crisis Plan’
component within WRAP?
A. To identify daily maintenance tasks for stable periods.
B. To list triggers that might cause a relapse.
C. To provide instructions for others to follow when the client cannot make decisions.
D. To document the client’s medical history and current medications.
Answer: C
Rationale: The Crisis Plan or Advance Directive in WRAP allows the client to take control
of their care by specifying who will make decisions and what treatments are preferred
when they are unable to do so themselves.
2. In the context of the Recovery Model, which statement best defines the
concept of ‘Empowerment’?
A. The process where the nurse takes full responsibility for the client’s medication adherence.
B. The ability of the healthcare provider to dictate the terms of the treatment plan.
C. The client gaining control over their life and making choices regarding their own recovery.
D. Ensuring the client is placed in a restrictive environment for safety.
Answer: C
Rationale: Empowerment is a core principle of recovery where clients gain control over
their own lives and make informed choices about their care and lifestyle.
,3. A nurse is working with a client in an Assertive Community Treatment (ACT)
program. Which feature distinguishes ACT from traditional case management?
A. Services are primarily provided within a hospital or clinical setting.
B. A multidisciplinary team provides 24/7 coverage and direct services in the community.
C. The program focuses solely on medication administration.
D. The caseload per staff member is typically 50 to 100 clients.
Answer: B
Rationale: ACT is characterized by a low staff-to-client ratio, 24-hour coverage, and a
multidisciplinary team providing services directly in the community rather than in an
office.
4. When promoting wellness for a patient with schizophrenia, why is it critical to
monitor the Waist-to-Hip ratio and Body Mass Index (BMI)?
A. To screen for potential eating disorders like anorexia nervosa.
B. To assess for the development of metabolic syndrome secondary to antipsychotic use.
C. To determine the patient’s eligibility for vocational training.
D. To evaluate the effectiveness of cognitive behavioral therapy.
Answer: B
Rationale: Second-generation antipsychotics are associated with weight gain and
metabolic syndrome, making regular monitoring of BMI and waist circumference essential
for wellness promotion.
5. A nurse is teaching a group about ‘Social Skills Training’ (SST). Which goal is
most appropriate for this intervention?
A. To cure the underlying neurobiological causes of mental illness.
B. To help the client achieve insight into their childhood traumas.
C. To replace the need for pharmacological interventions.
D. To improve the client’s ability to communicate, solve problems, and live independently.
Answer: D
, Rationale: Social Skills Training focuses on improving functional outcomes by teaching
clients how to interact effectively, resolve conflicts, and manage daily living tasks.
6. Which of the following is considered a ‘Tertiary’ level of prevention in
community mental health?
A. Educating high school students about the dangers of substance abuse.
B. Providing a social skills group for individuals with chronic schizophrenia.
C. Screening pregnant women for postpartum depression.
D. Developing a community-wide crisis hotline.
Answer: B
Rationale: Tertiary prevention focuses on rehabilitation and reducing the residual effects
of chronic illness. Social skills groups for those already diagnosed fall into this category.
7. In the ‘Stages of Change’ model, a client states, ‘I know my drinking is a
problem, and I’m thinking about quitting next month.’ Which stage is the client
in?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
Rationale: In the contemplation stage, the individual acknowledges the problem and is
considering change but has not yet committed to taking action.
the Mentally Ill 2026 |WCU
1. A nurse is implementing a Wellness Recovery Action Plan (WRAP) for a client
with bipolar disorder. What is the primary purpose of the ‘Crisis Plan’
component within WRAP?
A. To identify daily maintenance tasks for stable periods.
B. To list triggers that might cause a relapse.
C. To provide instructions for others to follow when the client cannot make decisions.
D. To document the client’s medical history and current medications.
Answer: C
Rationale: The Crisis Plan or Advance Directive in WRAP allows the client to take control
of their care by specifying who will make decisions and what treatments are preferred
when they are unable to do so themselves.
2. In the context of the Recovery Model, which statement best defines the
concept of ‘Empowerment’?
A. The process where the nurse takes full responsibility for the client’s medication adherence.
B. The ability of the healthcare provider to dictate the terms of the treatment plan.
C. The client gaining control over their life and making choices regarding their own recovery.
D. Ensuring the client is placed in a restrictive environment for safety.
Answer: C
Rationale: Empowerment is a core principle of recovery where clients gain control over
their own lives and make informed choices about their care and lifestyle.
,3. A nurse is working with a client in an Assertive Community Treatment (ACT)
program. Which feature distinguishes ACT from traditional case management?
A. Services are primarily provided within a hospital or clinical setting.
B. A multidisciplinary team provides 24/7 coverage and direct services in the community.
C. The program focuses solely on medication administration.
D. The caseload per staff member is typically 50 to 100 clients.
Answer: B
Rationale: ACT is characterized by a low staff-to-client ratio, 24-hour coverage, and a
multidisciplinary team providing services directly in the community rather than in an
office.
4. When promoting wellness for a patient with schizophrenia, why is it critical to
monitor the Waist-to-Hip ratio and Body Mass Index (BMI)?
A. To screen for potential eating disorders like anorexia nervosa.
B. To assess for the development of metabolic syndrome secondary to antipsychotic use.
C. To determine the patient’s eligibility for vocational training.
D. To evaluate the effectiveness of cognitive behavioral therapy.
Answer: B
Rationale: Second-generation antipsychotics are associated with weight gain and
metabolic syndrome, making regular monitoring of BMI and waist circumference essential
for wellness promotion.
5. A nurse is teaching a group about ‘Social Skills Training’ (SST). Which goal is
most appropriate for this intervention?
A. To cure the underlying neurobiological causes of mental illness.
B. To help the client achieve insight into their childhood traumas.
C. To replace the need for pharmacological interventions.
D. To improve the client’s ability to communicate, solve problems, and live independently.
Answer: D
, Rationale: Social Skills Training focuses on improving functional outcomes by teaching
clients how to interact effectively, resolve conflicts, and manage daily living tasks.
6. Which of the following is considered a ‘Tertiary’ level of prevention in
community mental health?
A. Educating high school students about the dangers of substance abuse.
B. Providing a social skills group for individuals with chronic schizophrenia.
C. Screening pregnant women for postpartum depression.
D. Developing a community-wide crisis hotline.
Answer: B
Rationale: Tertiary prevention focuses on rehabilitation and reducing the residual effects
of chronic illness. Social skills groups for those already diagnosed fall into this category.
7. In the ‘Stages of Change’ model, a client states, ‘I know my drinking is a
problem, and I’m thinking about quitting next month.’ Which stage is the client
in?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
Rationale: In the contemplation stage, the individual acknowledges the problem and is
considering change but has not yet committed to taking action.
