EXAM 1
(Mental Health Nursing)
Actual Questions w/Correct Answers
(NCLEX (NGN) style Questions)
Herzing University
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept reinforcement.
,Question 1. A nursing student is preparing to care for clients with psychiatric
disorders and asks how the DSM-5 can benefit nursing practice. Which response
by the instructor is most appropriate?
A. “It replaces the need to complete a comprehensive nursing assessment.”
B. “It helps build a knowledge base regarding the nature and classification of psychiatric
illnesses.”
C. “It identifies the exact treatment that must be used for every psychiatric diagnosis.”
D. “It allows nurses to independently prescribe psychiatric medications.”
Correct Answer: B
Rationale:
The DSM provides a standardized framework for recognizing and classifying mental
disorders. Familiarity with psychiatric diagnoses helps nursing students understand
common manifestations, terminology, and clinical presentations and therefore
strengthens their psychiatric knowledge base.
Why the other options are incorrect:
Option A: A DSM diagnosis never replaces a comprehensive nursing assessment.
Option C: Treatment must be individualized; the DSM does not prescribe one
mandatory intervention for every client.
Option D: Medication-prescribing authority depends on professional licensure and
scope of practice, not DSM use.
Question 2. A psychiatric-mental health registered nurse evaluates how safety,
effectiveness, efficiency, and cost affect delivery of nursing services. Which
professional standard is the nurse applying?
A. Resource utilization
B. Case formulation
C. Evidence dissemination
D. Diagnostic validation
Correct Answer: A
Rationale:
Resource utilization involves evaluating how available personnel, time, equipment,
, services, finances, and other resources are used to provide safe, effective, and cost-
conscious care.
Why the other options are incorrect:
Option B: Case formulation involves synthesizing assessment information to
understand a client’s problems.
Option C: Evidence dissemination refers to communicating research or evidence-based
findings.
Option D: Diagnostic validation is not the process described.
Question 3. A client who was recently diagnosed with bipolar disorder asks the
nurse, “What is the DSM used for?” Which explanation is most accurate?
A. “It identifies the exact biological cause of every psychiatric disorder.”
B. “It provides standardized diagnostic criteria and a classification system for mental
disorders.”
C. “It determines which psychiatric medication will work best for you.”
D. “It measures how much support your family should provide.”
Correct Answer: B
Rationale:
The DSM is primarily a standardized diagnostic and classification system. Clinicians use
established criteria to describe and diagnose mental disorders consistently.
Why the other options are incorrect:
Option A: The DSM does not establish the exact underlying cause of most psychiatric
disorders.
Option C: Medication selection requires individualized clinical assessment and is not
determined solely by DSM classification.
Option D: Family-support requirements are not determined by the DSM.
Examiner Note: The uploaded source states that the DSM is used to “assist in
identifying the underlying causes” of the disorder. That wording is clinically imprecise.
The DSM primarily provides diagnostic criteria and classification, so this item has
been explicitly corrected rather than silently repeating the source wording.