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🧠Mental Health Nursing Exam 2 (Original
Practice Exam
Questions with A–D Options + Answers + Rationales
INTRODUCTION
Chapter 1: Introduction to Nursing Ethics
,Chapter 2: Ethical Principles in Nursing Practice
Chapter 3: Autonomy and Patient Rights
Chapter 4: Beneficence and Non-Maleficence
Chapter 5: Justice in Healthcare
Chapter 6: Veracity and Truth-Telling
Chapter 7: Fidelity and Professional Responsibility
Chapter 8: Confidentiality and Privacy Laws
Chapter 8: Justice in Healthcare Distribution
Chapter 9: Veracity and Truth-Telling
Chapter 10: Fidelity and Professional Trust
Chapter 11: Confidentiality and Privacy Laws
Chapter 12: Informed Consent and Decision-Making Capacity
Chapter 13: Ethical Decision-Making Models
Chapter 14: Ethical Dilemmas in Clinical Practice
Chapter 15: End-of-Life Care Ethics
Chapter 16: Palliative Care and Hospice Care
Chapter 17: Autonomy and Patient Rights
Chapter 18: Beneficence and Non-Maleficence
Chapter 19: Professional Boundaries in Nursing
Chapter 20: Ethical Issues in Mental Health Care
Chapter 21: Legal Aspects of Nursing Practice
Chapter 22: Negligence and Malpractice
,Chapter 23: Documentation and Legal Records
Chapter 24: Patient Advocacy in Healthcare
Chapter 25: Cultural Ethics in Nursing Practice
Chapter 26: Resource Allocation and Scarcity Ethics
Chapter 27: Confidentiality in Digital Health Records
Chapter 28: Ethical Issues in Psychiatric Nursing
Chapter 29: Consent in Special Populations (Minors, Elderly, Incapacitated Patients)
Chapter 30: Do Not Resuscitate (DNR) Orders and Advance Directives
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Question 1
A client with major depressive disorder says, “I feel like nothing will ever get better.” What is the
nurse’s best response?
A. “You should try to think more positively.”
B. “Why do you feel that way?”
C. “It sounds like you're feeling hopeless right now.”
D. “Many people feel that way sometimes.”
✅ Correct Answer: C
Rationale:
This is therapeutic communication using reflection and validation, acknowledging the client’s
emotional state without judgment.
Question 2
Which symptom is most characteristic of schizophrenia?
, A. Elevated mood and decreased need for sleep
B. Auditory hallucinations and disorganized speech
C. Panic attacks and avoidance behavior
D. Excessive worry about health
✅ Correct Answer: B
Rationale:
Schizophrenia commonly includes positive symptoms such as hallucinations, delusions,
and disorganized thinking.
Question 3
A client is taking lithium. Which lab result requires immediate intervention?
A. Lithium level 0.8 mEq/L
B. Lithium level 1.2 mEq/L
C. Lithium level 2.0 mEq/L
D. Lithium level 0.6 mEq/L
✅ Correct Answer: C
Rationale:
Lithium toxicity occurs above 1.5 mEq/L, and 2.0 mEq/L indicates serious toxicity requiring
emergency care.
Question 4
Which behavior indicates mania?
A. Fatigue and withdrawal
B. Pressured speech and grandiosity
C. Flat affect and apathy
D. Excessive guilt
✅ Correct Answer: B
Rationale:
Mania includes increased energy, grandiosity, rapid speech, and impulsive behavior.
____________________________________
🧠Mental Health Nursing Exam 2 (Original
Practice Exam
Questions with A–D Options + Answers + Rationales
INTRODUCTION
Chapter 1: Introduction to Nursing Ethics
,Chapter 2: Ethical Principles in Nursing Practice
Chapter 3: Autonomy and Patient Rights
Chapter 4: Beneficence and Non-Maleficence
Chapter 5: Justice in Healthcare
Chapter 6: Veracity and Truth-Telling
Chapter 7: Fidelity and Professional Responsibility
Chapter 8: Confidentiality and Privacy Laws
Chapter 8: Justice in Healthcare Distribution
Chapter 9: Veracity and Truth-Telling
Chapter 10: Fidelity and Professional Trust
Chapter 11: Confidentiality and Privacy Laws
Chapter 12: Informed Consent and Decision-Making Capacity
Chapter 13: Ethical Decision-Making Models
Chapter 14: Ethical Dilemmas in Clinical Practice
Chapter 15: End-of-Life Care Ethics
Chapter 16: Palliative Care and Hospice Care
Chapter 17: Autonomy and Patient Rights
Chapter 18: Beneficence and Non-Maleficence
Chapter 19: Professional Boundaries in Nursing
Chapter 20: Ethical Issues in Mental Health Care
Chapter 21: Legal Aspects of Nursing Practice
Chapter 22: Negligence and Malpractice
,Chapter 23: Documentation and Legal Records
Chapter 24: Patient Advocacy in Healthcare
Chapter 25: Cultural Ethics in Nursing Practice
Chapter 26: Resource Allocation and Scarcity Ethics
Chapter 27: Confidentiality in Digital Health Records
Chapter 28: Ethical Issues in Psychiatric Nursing
Chapter 29: Consent in Special Populations (Minors, Elderly, Incapacitated Patients)
Chapter 30: Do Not Resuscitate (DNR) Orders and Advance Directives
___________________________________
_____________________________________________________
Question 1
A client with major depressive disorder says, “I feel like nothing will ever get better.” What is the
nurse’s best response?
A. “You should try to think more positively.”
B. “Why do you feel that way?”
C. “It sounds like you're feeling hopeless right now.”
D. “Many people feel that way sometimes.”
✅ Correct Answer: C
Rationale:
This is therapeutic communication using reflection and validation, acknowledging the client’s
emotional state without judgment.
Question 2
Which symptom is most characteristic of schizophrenia?
, A. Elevated mood and decreased need for sleep
B. Auditory hallucinations and disorganized speech
C. Panic attacks and avoidance behavior
D. Excessive worry about health
✅ Correct Answer: B
Rationale:
Schizophrenia commonly includes positive symptoms such as hallucinations, delusions,
and disorganized thinking.
Question 3
A client is taking lithium. Which lab result requires immediate intervention?
A. Lithium level 0.8 mEq/L
B. Lithium level 1.2 mEq/L
C. Lithium level 2.0 mEq/L
D. Lithium level 0.6 mEq/L
✅ Correct Answer: C
Rationale:
Lithium toxicity occurs above 1.5 mEq/L, and 2.0 mEq/L indicates serious toxicity requiring
emergency care.
Question 4
Which behavior indicates mania?
A. Fatigue and withdrawal
B. Pressured speech and grandiosity
C. Flat affect and apathy
D. Excessive guilt
✅ Correct Answer: B
Rationale:
Mania includes increased energy, grandiosity, rapid speech, and impulsive behavior.
