FINAL EXAM: NR326 / NR 326 MENTAL HEALTH
(LATEST UPDATE) | ALL POSSIBLE AND
CURRENTLY MOST TESTED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS ANSWER KEY ALREADY
A+ GRADED MOST RECENT!!!
1. A nurse is talking with a client who is frustrated with their treatment
progress. The nurse says, "You feel that your current therapy is not helping
you?" Which therapeutic technique is the nurse using?
A. Reflecting
B. Restating
C. Summarizing
D. Clarifying
Correct Answer: B. Restating
Rationale: Restating involves repeating the main idea expressed by the client to
confirm the nurse's understanding. Reflecting typically directs the client's feelings
or questions back to them to encourage further exploration.
2. A client is admitted to the psychiatric unit involuntarily. Which of the
following rights does this client still maintain?
A. The right to leave the hospital at any time
B. The right to keep all personal belongings
, C. The right to refuse psychotropic medications
D. The right to carry out illegal acts
Correct Answer: C. The right to refuse psychotropic medications
Rationale: Even involuntarily committed clients retain the right to refuse
treatment and medications unless a court has declared them incompetent or there
is an immediate emergency. Involuntary admission restricts the right to leave but
does not remove all other rights.
3. A nurse is in the orientation phase of the nurse-client relationship. Which of
the following tasks should be performed?
A. Promoting the client's problem-solving skills
B. Overcoming resistance behaviors
C. Establishing the parameters of the relationship
D. Evaluating progress toward goals
Correct Answer: C. Establishing the parameters of the relationship
Rationale: The orientation phase involves establishing rapport, setting parameters
(like time, place, and confidentiality), and forming a contract. Promoting problem-
solving is a task of the working phase.
4. A nurse notices a client with schizophrenia becomes angry and yells at
another peer. The client later tells the nurse, "He's the one who is angry, not
me." This is an example of which defense mechanism?
A. Rationalization
B. Reaction Formation
C. Projection
D. Sublimation
Correct Answer: C. Projection
Rationale: Projection is a defense mechanism in which an individual attributes
their own unacceptable feelings, thoughts, or impulses to another person. The
client is projecting their own anger onto the peer.
5. Which neurotransmitter is primarily associated with the "fight or flight"
response and anxiety disorders?
A. Serotonin
B. Dopamine
, C. Acetylcholine
D. Norepinephrine
Correct Answer: D. Norepinephrine
Rationale: Norepinephrine plays a key role in the stress response. High levels of
norepinephrine are often associated with anxiety, while low levels are linked to
depression.
6. A client is prescribed a Selective Serotonin Reuptake Inhibitor (SSRI). Which
symptom should the nurse instruct the client to report immediately?
A. Mild nausea
B. Increased appetite
C. Dry mouth
D. Muscle rigidity and fever
Correct Answer: D. Muscle rigidity and fever
Rationale: Muscle rigidity, fever, and autonomic instability are signs of Serotonin
Syndrome, a potentially life-threatening emergency that requires immediate
medical attention .
7. According to Maslow's Hierarchy of Needs, which of the following is the
highest priority for a client in a mental health crisis?
A. Self-esteem
B. Safety and security
C. Physiological needs
D. Self-actualization
Correct Answer: C. Physiological needs
Rationale: Maslow's hierarchy states that basic physiological needs (food, water,
air, sleep) must be met before higher-level needs (safety, love, self-esteem) can be
addressed .
8. A nurse is caring for a client from a different culture. To provide culturally
competent care, the nurse should first:
A. Perform a cultural self-assessment
B. Ask the client about their religious beliefs
C. Study the history of the client's country
D. Provide an interpreter for all interactions
, Correct Answer: A. Perform a cultural self-assessment
Rationale: Before understanding the client's culture, the nurse must first be aware
of their own biases, values, and beliefs through self-assessment .
9. Which statement by the nurse demonstrates non-therapeutic
communication?
A. "Tell me what happened before you started feeling upset."
B. "I notice you are clenching your fists."
C. "Don't worry, everything will be fine."
D. "How can I help you right now?"
Correct Answer: C. "Don't worry, everything will be fine."
Rationale: This is false reassurance, which dismisses the client's feelings and can
shut down communication. It minimizes the client's concerns rather than
validating them.
10. The nurse is caring for a client with a history of violence. Which of the
following behaviors would indicate a potential for escalation?
A. Sitting quietly in the dayroom
B. Pacing, clenched fists, and loud speech
C. Asking to speak to the nurse privately
D. Sleeping with the eyes closed
Correct Answer: B. Pacing, clenched fists, and loud speech
Rationale: These are signs of escalating agitation and potential aggression. Early
intervention with de-escalation techniques is critical in this situation.
11. During a mental status exam, the nurse asks the client to interpret the
proverb "People in glass houses shouldn't throw stones." The nurse is
assessing:
A. Memory
B. Abstract reasoning
C. Judgment
D. Insight
Correct Answer: B. Abstract reasoning
Rationale: Proverb interpretation assesses the client's ability to think abstractly,
(LATEST UPDATE) | ALL POSSIBLE AND
CURRENTLY MOST TESTED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS ANSWER KEY ALREADY
A+ GRADED MOST RECENT!!!
1. A nurse is talking with a client who is frustrated with their treatment
progress. The nurse says, "You feel that your current therapy is not helping
you?" Which therapeutic technique is the nurse using?
A. Reflecting
B. Restating
C. Summarizing
D. Clarifying
Correct Answer: B. Restating
Rationale: Restating involves repeating the main idea expressed by the client to
confirm the nurse's understanding. Reflecting typically directs the client's feelings
or questions back to them to encourage further exploration.
2. A client is admitted to the psychiatric unit involuntarily. Which of the
following rights does this client still maintain?
A. The right to leave the hospital at any time
B. The right to keep all personal belongings
, C. The right to refuse psychotropic medications
D. The right to carry out illegal acts
Correct Answer: C. The right to refuse psychotropic medications
Rationale: Even involuntarily committed clients retain the right to refuse
treatment and medications unless a court has declared them incompetent or there
is an immediate emergency. Involuntary admission restricts the right to leave but
does not remove all other rights.
3. A nurse is in the orientation phase of the nurse-client relationship. Which of
the following tasks should be performed?
A. Promoting the client's problem-solving skills
B. Overcoming resistance behaviors
C. Establishing the parameters of the relationship
D. Evaluating progress toward goals
Correct Answer: C. Establishing the parameters of the relationship
Rationale: The orientation phase involves establishing rapport, setting parameters
(like time, place, and confidentiality), and forming a contract. Promoting problem-
solving is a task of the working phase.
4. A nurse notices a client with schizophrenia becomes angry and yells at
another peer. The client later tells the nurse, "He's the one who is angry, not
me." This is an example of which defense mechanism?
A. Rationalization
B. Reaction Formation
C. Projection
D. Sublimation
Correct Answer: C. Projection
Rationale: Projection is a defense mechanism in which an individual attributes
their own unacceptable feelings, thoughts, or impulses to another person. The
client is projecting their own anger onto the peer.
5. Which neurotransmitter is primarily associated with the "fight or flight"
response and anxiety disorders?
A. Serotonin
B. Dopamine
, C. Acetylcholine
D. Norepinephrine
Correct Answer: D. Norepinephrine
Rationale: Norepinephrine plays a key role in the stress response. High levels of
norepinephrine are often associated with anxiety, while low levels are linked to
depression.
6. A client is prescribed a Selective Serotonin Reuptake Inhibitor (SSRI). Which
symptom should the nurse instruct the client to report immediately?
A. Mild nausea
B. Increased appetite
C. Dry mouth
D. Muscle rigidity and fever
Correct Answer: D. Muscle rigidity and fever
Rationale: Muscle rigidity, fever, and autonomic instability are signs of Serotonin
Syndrome, a potentially life-threatening emergency that requires immediate
medical attention .
7. According to Maslow's Hierarchy of Needs, which of the following is the
highest priority for a client in a mental health crisis?
A. Self-esteem
B. Safety and security
C. Physiological needs
D. Self-actualization
Correct Answer: C. Physiological needs
Rationale: Maslow's hierarchy states that basic physiological needs (food, water,
air, sleep) must be met before higher-level needs (safety, love, self-esteem) can be
addressed .
8. A nurse is caring for a client from a different culture. To provide culturally
competent care, the nurse should first:
A. Perform a cultural self-assessment
B. Ask the client about their religious beliefs
C. Study the history of the client's country
D. Provide an interpreter for all interactions
, Correct Answer: A. Perform a cultural self-assessment
Rationale: Before understanding the client's culture, the nurse must first be aware
of their own biases, values, and beliefs through self-assessment .
9. Which statement by the nurse demonstrates non-therapeutic
communication?
A. "Tell me what happened before you started feeling upset."
B. "I notice you are clenching your fists."
C. "Don't worry, everything will be fine."
D. "How can I help you right now?"
Correct Answer: C. "Don't worry, everything will be fine."
Rationale: This is false reassurance, which dismisses the client's feelings and can
shut down communication. It minimizes the client's concerns rather than
validating them.
10. The nurse is caring for a client with a history of violence. Which of the
following behaviors would indicate a potential for escalation?
A. Sitting quietly in the dayroom
B. Pacing, clenched fists, and loud speech
C. Asking to speak to the nurse privately
D. Sleeping with the eyes closed
Correct Answer: B. Pacing, clenched fists, and loud speech
Rationale: These are signs of escalating agitation and potential aggression. Early
intervention with de-escalation techniques is critical in this situation.
11. During a mental status exam, the nurse asks the client to interpret the
proverb "People in glass houses shouldn't throw stones." The nurse is
assessing:
A. Memory
B. Abstract reasoning
C. Judgment
D. Insight
Correct Answer: B. Abstract reasoning
Rationale: Proverb interpretation assesses the client's ability to think abstractly,
