NSG 3450 Mental Health Exam Review
Questions and Answers
Question 1
The relationship of the North American Nursing Diagnosis Association (NANDA) is to
clinical judgment as Nursing Interventions Classification (NIC) is to what?
a. client outcomes.
b. nursing actions.
c. diagnosis.
d. symptoms.
Correct Answer
b. nursing actions.
Question 2
What does the DSM-V classify?
a. deviant behaviors
b. present disability or distress
c. people with mental disorders
d. mental disorders
Correct Answer
d) Mental disorders
The DSM-V classifies disorders people have rather than people themselves.
Page 1 of 185
,Question 3
A college student received an invitation to attend the wedding of a close friend who
lives across the country. The student is afraid of flying. Which type of therapy would
be most helpful for this client?
a. Psychoanalysis
b. Aversion therapy
c. Systematic desensitization
d. Short-term dynamic therapy
Correct Answer
c. Systematic desensitization
Question 4
Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy
Correct Answer
d. Psychotherapy
Question 5
Which documentation of a client's behavior best demonstrates a nurse's
observations?
a. Isolates self from others. Frequently fell asleep during group. Vital signs stable.
b. Calmer; more cooperative. Participated actively in group. No evidence of psychotic
thinking.
c. Appeared to hallucinate. Frequently increased volume on television, causing conflict
with others.
d. Wore four layers of clothing. States, "I need protection from evil bacteria trying to
pierce my skin."
Correct Answer
d. Wore four layers of clothing. States, "I need protection from evil bacteria trying to
pierce my skin."
Page 2 of 185
,Question 6
A client diagnosed with schizophrenia believes a local minister has stirred evil spirits
and threatens to bomb a local church. The psychiatrist notifies the minister based on
what rationale?
a. The psychiatrist may release information at their discretion.
b. The psychiatrist demonstrated the duty to warn and protect.
c. The psychiatrist has no obligation concerning the client's confidentiality.
d. The psychiatrist is immune from charges of malpractice.
Correct Answer
b. The psychiatrist demonstrated the duty to warn and protect.
Question 7
A psychotherapist works with an anxious, dependent client. Which strategy is most
consistent with psychoanalytic psychotherapy?
a. Identifying the client's strengths and assets
b. Praising the client for describing feelings of isolation
c. Focusing on feelings developed by the client toward the therapist
d. Providing psychoeducation and emphasizing medication adherence
Correct Answer
c. Focusing on feelings developed by the client toward the therapist
Question 8
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on
Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm
too busy taking care of myself to volunteer to help others." Which psychosocial
developmental task do these
statements contrast?
a. Trust and mistrust
b. Intimacy and isolation
c. Industry and inferiority
d. Generativity and self-absorption
Correct Answer
d. Generativity and self-absorption
Page 3 of 185
, Question 9
A nurse cares for a first-generation American whose family emigrated from Germany.
Which worldview about the source of knowledge would this client likely have?
a. Knowledge is acquired through use of affective or feeling senses.
b. Science is the foundation of knowledge and proves something exists.
c. Knowledge develops by striving for transcendence of the mind and body.
d. Knowledge evolves from an individual's relationship with a supreme being.
Correct Answer
b. Science is the foundation of knowledge and proves something exists.
Question 10
Which activities represent the caring foundation of nursing? (Select all that apply.)
a. Administering medications on time to a group of clients
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
d. Teaching a client about a new medication
e. Holding the hand of a frightened client
Correct Answer
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
e. Holding the hand of a frightened client
Question 11
A nurse surveying medical records would find evidence suggesting which client's
rights have been violated?
a. A client was not allowed to have visitors.
b. A client's belongings were searched at admission.
c. A client with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a client was assaultive toward a staff member.
Correct Answer
a. A client was not allowed to have visitors.
Page 4 of 185
Questions and Answers
Question 1
The relationship of the North American Nursing Diagnosis Association (NANDA) is to
clinical judgment as Nursing Interventions Classification (NIC) is to what?
a. client outcomes.
b. nursing actions.
c. diagnosis.
d. symptoms.
Correct Answer
b. nursing actions.
Question 2
What does the DSM-V classify?
a. deviant behaviors
b. present disability or distress
c. people with mental disorders
d. mental disorders
Correct Answer
d) Mental disorders
The DSM-V classifies disorders people have rather than people themselves.
Page 1 of 185
,Question 3
A college student received an invitation to attend the wedding of a close friend who
lives across the country. The student is afraid of flying. Which type of therapy would
be most helpful for this client?
a. Psychoanalysis
b. Aversion therapy
c. Systematic desensitization
d. Short-term dynamic therapy
Correct Answer
c. Systematic desensitization
Question 4
Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy
Correct Answer
d. Psychotherapy
Question 5
Which documentation of a client's behavior best demonstrates a nurse's
observations?
a. Isolates self from others. Frequently fell asleep during group. Vital signs stable.
b. Calmer; more cooperative. Participated actively in group. No evidence of psychotic
thinking.
c. Appeared to hallucinate. Frequently increased volume on television, causing conflict
with others.
d. Wore four layers of clothing. States, "I need protection from evil bacteria trying to
pierce my skin."
Correct Answer
d. Wore four layers of clothing. States, "I need protection from evil bacteria trying to
pierce my skin."
Page 2 of 185
,Question 6
A client diagnosed with schizophrenia believes a local minister has stirred evil spirits
and threatens to bomb a local church. The psychiatrist notifies the minister based on
what rationale?
a. The psychiatrist may release information at their discretion.
b. The psychiatrist demonstrated the duty to warn and protect.
c. The psychiatrist has no obligation concerning the client's confidentiality.
d. The psychiatrist is immune from charges of malpractice.
Correct Answer
b. The psychiatrist demonstrated the duty to warn and protect.
Question 7
A psychotherapist works with an anxious, dependent client. Which strategy is most
consistent with psychoanalytic psychotherapy?
a. Identifying the client's strengths and assets
b. Praising the client for describing feelings of isolation
c. Focusing on feelings developed by the client toward the therapist
d. Providing psychoeducation and emphasizing medication adherence
Correct Answer
c. Focusing on feelings developed by the client toward the therapist
Question 8
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on
Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm
too busy taking care of myself to volunteer to help others." Which psychosocial
developmental task do these
statements contrast?
a. Trust and mistrust
b. Intimacy and isolation
c. Industry and inferiority
d. Generativity and self-absorption
Correct Answer
d. Generativity and self-absorption
Page 3 of 185
, Question 9
A nurse cares for a first-generation American whose family emigrated from Germany.
Which worldview about the source of knowledge would this client likely have?
a. Knowledge is acquired through use of affective or feeling senses.
b. Science is the foundation of knowledge and proves something exists.
c. Knowledge develops by striving for transcendence of the mind and body.
d. Knowledge evolves from an individual's relationship with a supreme being.
Correct Answer
b. Science is the foundation of knowledge and proves something exists.
Question 10
Which activities represent the caring foundation of nursing? (Select all that apply.)
a. Administering medications on time to a group of clients
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
d. Teaching a client about a new medication
e. Holding the hand of a frightened client
Correct Answer
b. Listening to a new widow grieve her husband's death
c. Helping a client obtain groceries from a food bank
e. Holding the hand of a frightened client
Question 11
A nurse surveying medical records would find evidence suggesting which client's
rights have been violated?
a. A client was not allowed to have visitors.
b. A client's belongings were searched at admission.
c. A client with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a client was assaultive toward a staff member.
Correct Answer
a. A client was not allowed to have visitors.
Page 4 of 185
