NUR 384
EXAM 1
(Mental Health Nursing)
Actual Questions with Correct Answers
Concordia University’s
What’s Included:
• 100+ verified questions with Correct answers with
Rationales.
• NCLEX-style multiple-choice questions
• select-all-that-apply (SATA) questions
• Case Studies / Scenario-Based questions
• Ideal for exam preparation and concept reinforcement.
,1. A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding?
a. "If a client threatens to harm another person, health care providers have a
responsibility to inform that person."
b. "If a client threatens to harm themselves, there is a responsibility to report that client
to their family."
c. "If a client threatens to harm themselves, there is a responsibility to tell their medical
provider."
d. "If a client threatens to harm another person, there is a responsibility to inform the
other person's family."
Correct Answer:
a. "If a client threatens to harm another person, health care providers have a
responsibility to inform that person."
Expert Rationale:
A health care provider has a "duty to warn" when there is a threat from a client to
another person to cause harm to them.
2. A nurse is preparing an in-service for nursing staff on the concept of holistic nursing.
Which of the following components should the nurse include in the teaching?
1. Holistic nursing considers the client's emotional health
2. Holistic nursing care is limited to spiritual health practices
3. Practicing holistic nursing requires certification beyond nursing licensure
4. Assessment of holistic client practices is limited to outpatient settings
Correct Answer:
1. Holistic nursing considers the client's emotional health
Expert Rationale:
Holistic nursing care considers the client's physical, emotional, social, spiritual, and
intellectual health.
,3. A nurse is presenting information on mental health services over the last 50 years to
a group of newly licensed nurses. In 1946, the National Mental Health Act was signed
into law which resulted in which of the following?
a. The establishment of the mental health court to determine soundness or fitness to
stand trial
b. The development of mental health centers throughout community settings
c. The creation of the National Institute for Mental Health
d. The coverage of mental health services for children and youth
Correct Answer:
c. The creation of the National Institute for Mental Health
Expert Rationale:
The National Mental Health Act created the National Institute of Mental Health. The
need for psychiatric services has increased over the years, specifically following World
War II. The National Mental Health Act was signed in 1946 by President Harry Truman.
This called for a National Institute of Mental Health, and the first meeting of the council
took place that same year. The National Institute of Mental Health is a federal agency
that researches mental illness and was a pioneer in assisting in the transformation of
treatment and understanding of mental illness.
4. A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the
following scenarios should the nurse use to demonstrate biased treatment?
a. A client is not permitted to attend the group therapy activity due to wanting to harm
another peer in the group.
b. A client is not permitted to attend the group therapy activity because they practice
the Buddhist faith.
c. A client is not permitted to attend the group therapy activity due to having a family
therapy session during the same time.
, d. A client is not permitted to attend the group therapy activity due to having thoughts
of harming themselves with "anything they can find."
Correct Answer:
b. A client is not permitted to attend the group therapy activity because they practice
the Buddhist faith.
Expert Rationale:
Bias is when treatment of a client is verified in the form of stereotyping, prejudice, or
discrimination. Therefore, this scenario demonstrates biased treatment.
5. A nurse is caring for a newly admitted client who states they are concerned about
their privacy and rights while on the psychiatric unit. The nurse should explain to the
client that they have which of the following rights?
a. The right to refuse treatment
b. The right for their information to be shared with their family at any time
c. The right for their clinical notes to be shared with anyone at the facility
d. The right for providers to solely decide their treatment options
Correct Answer:
a. The right to refuse treatment
Expert Rationale:
The right to self-determination allows a client to refuse treatment, including
medications. Medication refusals for mental illness are often due to side effects or the
stigma of taking such medications.
6. A nurse is discussing ethical principles with another nurse. Which of the following
should the nurse include as an example of the principle of nonmaleficence?
a. A nurse evaluates the client's desire for autonomy while considering the personal
safety of other clients on the unit
b. A nurse encourages the client to determine which therapeutic activity they would like
to participate in
c. A nurse plans to spend equal amounts of time with each client assigned to their care
d. A nurse makes a referral to speech therapy for a client who is experiencing dysphagia
EXAM 1
(Mental Health Nursing)
Actual Questions with Correct Answers
Concordia University’s
What’s Included:
• 100+ verified questions with Correct answers with
Rationales.
• NCLEX-style multiple-choice questions
• select-all-that-apply (SATA) questions
• Case Studies / Scenario-Based questions
• Ideal for exam preparation and concept reinforcement.
,1. A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding?
a. "If a client threatens to harm another person, health care providers have a
responsibility to inform that person."
b. "If a client threatens to harm themselves, there is a responsibility to report that client
to their family."
c. "If a client threatens to harm themselves, there is a responsibility to tell their medical
provider."
d. "If a client threatens to harm another person, there is a responsibility to inform the
other person's family."
Correct Answer:
a. "If a client threatens to harm another person, health care providers have a
responsibility to inform that person."
Expert Rationale:
A health care provider has a "duty to warn" when there is a threat from a client to
another person to cause harm to them.
2. A nurse is preparing an in-service for nursing staff on the concept of holistic nursing.
Which of the following components should the nurse include in the teaching?
1. Holistic nursing considers the client's emotional health
2. Holistic nursing care is limited to spiritual health practices
3. Practicing holistic nursing requires certification beyond nursing licensure
4. Assessment of holistic client practices is limited to outpatient settings
Correct Answer:
1. Holistic nursing considers the client's emotional health
Expert Rationale:
Holistic nursing care considers the client's physical, emotional, social, spiritual, and
intellectual health.
,3. A nurse is presenting information on mental health services over the last 50 years to
a group of newly licensed nurses. In 1946, the National Mental Health Act was signed
into law which resulted in which of the following?
a. The establishment of the mental health court to determine soundness or fitness to
stand trial
b. The development of mental health centers throughout community settings
c. The creation of the National Institute for Mental Health
d. The coverage of mental health services for children and youth
Correct Answer:
c. The creation of the National Institute for Mental Health
Expert Rationale:
The National Mental Health Act created the National Institute of Mental Health. The
need for psychiatric services has increased over the years, specifically following World
War II. The National Mental Health Act was signed in 1946 by President Harry Truman.
This called for a National Institute of Mental Health, and the first meeting of the council
took place that same year. The National Institute of Mental Health is a federal agency
that researches mental illness and was a pioneer in assisting in the transformation of
treatment and understanding of mental illness.
4. A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the
following scenarios should the nurse use to demonstrate biased treatment?
a. A client is not permitted to attend the group therapy activity due to wanting to harm
another peer in the group.
b. A client is not permitted to attend the group therapy activity because they practice
the Buddhist faith.
c. A client is not permitted to attend the group therapy activity due to having a family
therapy session during the same time.
, d. A client is not permitted to attend the group therapy activity due to having thoughts
of harming themselves with "anything they can find."
Correct Answer:
b. A client is not permitted to attend the group therapy activity because they practice
the Buddhist faith.
Expert Rationale:
Bias is when treatment of a client is verified in the form of stereotyping, prejudice, or
discrimination. Therefore, this scenario demonstrates biased treatment.
5. A nurse is caring for a newly admitted client who states they are concerned about
their privacy and rights while on the psychiatric unit. The nurse should explain to the
client that they have which of the following rights?
a. The right to refuse treatment
b. The right for their information to be shared with their family at any time
c. The right for their clinical notes to be shared with anyone at the facility
d. The right for providers to solely decide their treatment options
Correct Answer:
a. The right to refuse treatment
Expert Rationale:
The right to self-determination allows a client to refuse treatment, including
medications. Medication refusals for mental illness are often due to side effects or the
stigma of taking such medications.
6. A nurse is discussing ethical principles with another nurse. Which of the following
should the nurse include as an example of the principle of nonmaleficence?
a. A nurse evaluates the client's desire for autonomy while considering the personal
safety of other clients on the unit
b. A nurse encourages the client to determine which therapeutic activity they would like
to participate in
c. A nurse plans to spend equal amounts of time with each client assigned to their care
d. A nurse makes a referral to speech therapy for a client who is experiencing dysphagia
