MODULE 3 MENTAL HEALTH CONCEPTS TEST
ALL QUESTIONS AND ALL CORRECT
RATIONLISED ANSWERS
A university professor meeting with the mental health nurse for his weekly therapy
session says, "I have a very intelligent student who keeps disrupting my classroom by
bragging, and all I want to do is say, 'OK, you're great, and you know it all! Now shut
up!' But I just don't want to be rude." Which statement by the nurse is therapeutic? -
CorreCt Answer: "Sounds like you feel pretty helpless, yet you are the professor
here."
A nurse is reading the medical record of a client who has a diagnosis of moderate
anxiety and notes that the physician has documented that the client exhibits eustress.
On the basis of this information, which finding would the nurse expect to encounter
while assessing the client? - CorreCt Answer: The client engages in purposeful
movement.
A client says to the nurse, "I've started a journal because my health care provider
suggested it, and I'm writing about the things that bother me each day. Sometimes I
dictate my feelings and what happened during the day into a recorder and write them up
before I go to bed—and, do you know, they seem silly to me then. Is this helping me?"
Which response by the nurse would be appropriate? - CorreCt Answer: "It seems that
people who write in their journals and can share traumatic events improve their self-
awareness."
A client who was recently admitted to the mental health unit has a history of paranoia.
When the meal tray is delivered, the client refuses to eat and tells the nurse that
someone is poisoning the food. Which statement by the nurse is appropriate? -
CorreCt Answer -"It must be frightening to you. Has something made you feel that
your food is poisoned?"
A nurse reviews the nursing care plan of a client being seen in the mental health clinic
and notes that the client is experiencing dysfunctional grieving after losing his spouse.
,Which is the appropriate outcome for the treatment plan for this client? - CorreCt
Answer- The client plans to attend a community grief group.
A nurse is talking to a client with depression when the client says, "I don't know why my
son turned out as he did. I never thought that he would rob a bank! I don't know what I
did wrong. I know that he didn't grow up with a father, but I gave him everything. I wish
I could start over and do things differently." Which response by the nurse would be
therapeutic? - CorreCt Answer: "You seem to be feeling regret."
A nurse is evaluating the coping skills of a client with a diagnosis of depression. Which
statement indicates to the nurse the need to help the client learn and appropriately use
these skills? - CorreCt Answer: "I won't ever be depressed again."
A victim of sexual assault is being seen in the crisis center. The client states that she still
feels "as though the assault just happened," even though it has been a few months since
she was attacked. Which supportive statement should the nurse make to the client? -
CorreCt Answers -"Tell me more about feeling like the assault just occurred."
A client who is experiencing suicidal thoughts says to the nurse, "Life is just not worth it
anymore." What is the appropriate initial response? - CorreCt Answer: "Tell me what
you mean by that."
A client comes to the mental health clinic after losing all of his personal belongings in a
hurricane. The client tells the nurse that the loss of his possessions is his fault because
he didn't prepare for the storm. The nurse determines that the client is coping
ineffectively and develops goals with the client. Which goal is the least realistic? -
CorreCt Answer- The client will stop blaming himself for the loss of his belongings.
A client who was admitted to the mental health unit 1 month ago with agoraphobia is
cooperative, shares with peers, and makes appropriate suggestions during group
discussions. The nurse concludes that this client's behavior is most consistent with: -
CorreCt Answers -Improvement.
, A 12-year-old client who has been reported for drawing sexually explicit scenes in her
textbooks during class says to the psychiatric nurse, "I just felt like it." Which response
by the nurse would be therapeutic and aid assessment of abuse-related symptoms? -
CorreCt Answers -"I am concerned about you. Are you being or have you ever been
abused?"The mother of a 3-year-old child tells the nurse that her child hit her doll after
the mother scolded her for picking the neighbors' flowers. Which defense mechanism
used by the child does the nurse identify in the mother's report? - CorreCt Answer:
Displacement
A client says to the nurse, "I've been following my diet and taking my medication. What
else do you want to talk about today?" Which response would be most helpful during the
working phase of the therapeutic alliance? - CorreCt Answer -"Some people have
added exercise to diet and medication therapy and gotten positive results. Do you think
that this would work for you?
As the nurse prepares to interview a client being admitted to the mental health unit, the
client says, "I asked my family to bring me in here to talk to someone, but now I don't
know where to begin." Which response by the nurse would be most helpful? - CorreCt
Answer: "Perhaps you can start by sharing some of your most recent concerns."
During a mental health intake interview, a young adult client who lives with his family
rent-free says, "I'm tired of not being able to offer my friends a beer just because my
folks don't believe in taking a drink socially." Which nursing response would be
therapeutic? - CorreCt Answer: "It seems that your parents expect you to follow their
rules when you live under their roof."
A nurse is participating in a care planning conference regarding care for a client whose
spouse recently died. The registered nurse formulates a nursing diagnosis of
dysfunctional grieving. Which priority intervention does the nurse expect to see
incorporated into the plan? - CorreCt Answer- Determining the client's risk for
violence toward self and others
ALL QUESTIONS AND ALL CORRECT
RATIONLISED ANSWERS
A university professor meeting with the mental health nurse for his weekly therapy
session says, "I have a very intelligent student who keeps disrupting my classroom by
bragging, and all I want to do is say, 'OK, you're great, and you know it all! Now shut
up!' But I just don't want to be rude." Which statement by the nurse is therapeutic? -
CorreCt Answer: "Sounds like you feel pretty helpless, yet you are the professor
here."
A nurse is reading the medical record of a client who has a diagnosis of moderate
anxiety and notes that the physician has documented that the client exhibits eustress.
On the basis of this information, which finding would the nurse expect to encounter
while assessing the client? - CorreCt Answer: The client engages in purposeful
movement.
A client says to the nurse, "I've started a journal because my health care provider
suggested it, and I'm writing about the things that bother me each day. Sometimes I
dictate my feelings and what happened during the day into a recorder and write them up
before I go to bed—and, do you know, they seem silly to me then. Is this helping me?"
Which response by the nurse would be appropriate? - CorreCt Answer: "It seems that
people who write in their journals and can share traumatic events improve their self-
awareness."
A client who was recently admitted to the mental health unit has a history of paranoia.
When the meal tray is delivered, the client refuses to eat and tells the nurse that
someone is poisoning the food. Which statement by the nurse is appropriate? -
CorreCt Answer -"It must be frightening to you. Has something made you feel that
your food is poisoned?"
A nurse reviews the nursing care plan of a client being seen in the mental health clinic
and notes that the client is experiencing dysfunctional grieving after losing his spouse.
,Which is the appropriate outcome for the treatment plan for this client? - CorreCt
Answer- The client plans to attend a community grief group.
A nurse is talking to a client with depression when the client says, "I don't know why my
son turned out as he did. I never thought that he would rob a bank! I don't know what I
did wrong. I know that he didn't grow up with a father, but I gave him everything. I wish
I could start over and do things differently." Which response by the nurse would be
therapeutic? - CorreCt Answer: "You seem to be feeling regret."
A nurse is evaluating the coping skills of a client with a diagnosis of depression. Which
statement indicates to the nurse the need to help the client learn and appropriately use
these skills? - CorreCt Answer: "I won't ever be depressed again."
A victim of sexual assault is being seen in the crisis center. The client states that she still
feels "as though the assault just happened," even though it has been a few months since
she was attacked. Which supportive statement should the nurse make to the client? -
CorreCt Answers -"Tell me more about feeling like the assault just occurred."
A client who is experiencing suicidal thoughts says to the nurse, "Life is just not worth it
anymore." What is the appropriate initial response? - CorreCt Answer: "Tell me what
you mean by that."
A client comes to the mental health clinic after losing all of his personal belongings in a
hurricane. The client tells the nurse that the loss of his possessions is his fault because
he didn't prepare for the storm. The nurse determines that the client is coping
ineffectively and develops goals with the client. Which goal is the least realistic? -
CorreCt Answer- The client will stop blaming himself for the loss of his belongings.
A client who was admitted to the mental health unit 1 month ago with agoraphobia is
cooperative, shares with peers, and makes appropriate suggestions during group
discussions. The nurse concludes that this client's behavior is most consistent with: -
CorreCt Answers -Improvement.
, A 12-year-old client who has been reported for drawing sexually explicit scenes in her
textbooks during class says to the psychiatric nurse, "I just felt like it." Which response
by the nurse would be therapeutic and aid assessment of abuse-related symptoms? -
CorreCt Answers -"I am concerned about you. Are you being or have you ever been
abused?"The mother of a 3-year-old child tells the nurse that her child hit her doll after
the mother scolded her for picking the neighbors' flowers. Which defense mechanism
used by the child does the nurse identify in the mother's report? - CorreCt Answer:
Displacement
A client says to the nurse, "I've been following my diet and taking my medication. What
else do you want to talk about today?" Which response would be most helpful during the
working phase of the therapeutic alliance? - CorreCt Answer -"Some people have
added exercise to diet and medication therapy and gotten positive results. Do you think
that this would work for you?
As the nurse prepares to interview a client being admitted to the mental health unit, the
client says, "I asked my family to bring me in here to talk to someone, but now I don't
know where to begin." Which response by the nurse would be most helpful? - CorreCt
Answer: "Perhaps you can start by sharing some of your most recent concerns."
During a mental health intake interview, a young adult client who lives with his family
rent-free says, "I'm tired of not being able to offer my friends a beer just because my
folks don't believe in taking a drink socially." Which nursing response would be
therapeutic? - CorreCt Answer: "It seems that your parents expect you to follow their
rules when you live under their roof."
A nurse is participating in a care planning conference regarding care for a client whose
spouse recently died. The registered nurse formulates a nursing diagnosis of
dysfunctional grieving. Which priority intervention does the nurse expect to see
incorporated into the plan? - CorreCt Answer- Determining the client's risk for
violence toward self and others
