MENTAL HEALTH EXAM #22 NCLEX QUESTIONS AND ANSWERS
2024
Which statement about mental illness is true?
A. Mental illness is a matter of individual nonconformity with societal norms
B. Mental illness is present when individual irrational and illogical behavior occurs
C. Mental illness changes with culture, time in history, political system and group
defining it
D. Mental illness is evaluated solely by considering individual control over behavior and
appraisal of reality - correct answer c. Mental illness changes with culture, time in
history, political system and group defining it
A new nursing student new to psychiatric nursing asks a peer what resource he/she can
use to figure out which symptoms are part of the picture of a specific psychiatric
disorder. The best answer would be:
A. Nursing intervention classifications
B. Nursing interventions outcomes
C. NANDA nursing diagnosis
D. DSM-V - correct answer d. DSM-V
Why is it important for the nurse to be aware of the multiple factors that can influence an
individual's mental health?
A. Rates of illness differ among various groups
B. The DSM-V cannot be used without this information
C. A holistic nursing assessment requires this awareness
D. The nurse must contribute this data for epidemiological research - correct answer c.
A holistic nursing assessment requires this awareness
Which statement best describes a major difference between a DSM-V diagnosis and a
nursing diagnosis?
A. There is no functional difference between the two. Both serve to identify a human
deviance.
B. The DSM-V diagnosis regards culture, whereas the nursing diagnosis takes culture
into account
C. The DSM-V is associated with present distress or disability, whereas a nursing
diagnosis considers past and present responses to actual mental health problems
D. The DSM-V diagnosis impacts the choice of medical treatment, whereas the nursing
diagnosis offers a framework for identifying interventions for phenomena a client is
experiencing - correct answer d. The DSM-V diagnosis impacts the choice of medical
treatment, whereas the nursing diagnosis offers a framework for identifying
interventions for phenomena a client is experiencing
Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from his job. Which of the
following responses on your part most likely contribute to enhanced resilience?
A. Using your connection to set up an interview with your employer
, B. Connecting him with a friend with the family who owns his own business
C. Supporting him in arranging, preparing for, and completing multiple interviews
D. Helping him to understand that the layoff resulted from troubles in the economy and
is not his fault - correct answer c. Supporting him in arranging, preparing for, and
completing multiple interviews
Which of the following situations best supports the stress-diathesis model of mental
illness development?
A. The rate of suicide increases during times of national disaster and despair
B. Four of five siblings in the Jones family develop bipolar disorder by the age of 30
C. A man with no prior mental health problems experiences sadness after his divorce
D. A man develops schizophrenia, but his identical twin remains free of mental illness -
correct answer d. A man develops schizophrenia, but his identical twin remains free of
mental illness
After several therapeutic encounters with a client who recently attempted suicide, the
behavior that would cause the nurse to consider the possibility of countertransference is
that
A. The client's reactions toward the nurse seem realistic and appropriate
B. The client states the nurse is concerned about her, just like her father
C. The nurse develops a trusting relationship with the client
D. The nurse feels exceptionally happy when the client's mood begins to lift - correct
answer b. The client states the nurse is concerned about her, just like her father
Termination of the therapeutic nurse client relationship with a client has been handled
successfully when the nurse
A. Gives the client his personal telephone number and permission to call after discharge
B. Avoids upsetting the client by focusing on other clients beginning 1 week before the
client's discharge
C. Discusses with the client the changes that have happened during their time together
and evaluates outcome attainment
D. Offers to meet the client for coffee and conversation three times a week for 2 weeks
after discharge - correct answer c. Discusses with the client the changes that have
happened during their time together and evaluates outcome attainment
During which phase of the nurse client relationship can the nurse anticipate that
identified client issues will be explored and resolved?
A. Working phase
B. Identifying phase
C. Dysfunctional phase
D. Termination phase - correct answer a. Working phase
At what point in the nurse client relationship should the nurse plan to first address the
issue of termination?
A. Working phase
B. Termination phase
2024
Which statement about mental illness is true?
A. Mental illness is a matter of individual nonconformity with societal norms
B. Mental illness is present when individual irrational and illogical behavior occurs
C. Mental illness changes with culture, time in history, political system and group
defining it
D. Mental illness is evaluated solely by considering individual control over behavior and
appraisal of reality - correct answer c. Mental illness changes with culture, time in
history, political system and group defining it
A new nursing student new to psychiatric nursing asks a peer what resource he/she can
use to figure out which symptoms are part of the picture of a specific psychiatric
disorder. The best answer would be:
A. Nursing intervention classifications
B. Nursing interventions outcomes
C. NANDA nursing diagnosis
D. DSM-V - correct answer d. DSM-V
Why is it important for the nurse to be aware of the multiple factors that can influence an
individual's mental health?
A. Rates of illness differ among various groups
B. The DSM-V cannot be used without this information
C. A holistic nursing assessment requires this awareness
D. The nurse must contribute this data for epidemiological research - correct answer c.
A holistic nursing assessment requires this awareness
Which statement best describes a major difference between a DSM-V diagnosis and a
nursing diagnosis?
A. There is no functional difference between the two. Both serve to identify a human
deviance.
B. The DSM-V diagnosis regards culture, whereas the nursing diagnosis takes culture
into account
C. The DSM-V is associated with present distress or disability, whereas a nursing
diagnosis considers past and present responses to actual mental health problems
D. The DSM-V diagnosis impacts the choice of medical treatment, whereas the nursing
diagnosis offers a framework for identifying interventions for phenomena a client is
experiencing - correct answer d. The DSM-V diagnosis impacts the choice of medical
treatment, whereas the nursing diagnosis offers a framework for identifying
interventions for phenomena a client is experiencing
Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from his job. Which of the
following responses on your part most likely contribute to enhanced resilience?
A. Using your connection to set up an interview with your employer
, B. Connecting him with a friend with the family who owns his own business
C. Supporting him in arranging, preparing for, and completing multiple interviews
D. Helping him to understand that the layoff resulted from troubles in the economy and
is not his fault - correct answer c. Supporting him in arranging, preparing for, and
completing multiple interviews
Which of the following situations best supports the stress-diathesis model of mental
illness development?
A. The rate of suicide increases during times of national disaster and despair
B. Four of five siblings in the Jones family develop bipolar disorder by the age of 30
C. A man with no prior mental health problems experiences sadness after his divorce
D. A man develops schizophrenia, but his identical twin remains free of mental illness -
correct answer d. A man develops schizophrenia, but his identical twin remains free of
mental illness
After several therapeutic encounters with a client who recently attempted suicide, the
behavior that would cause the nurse to consider the possibility of countertransference is
that
A. The client's reactions toward the nurse seem realistic and appropriate
B. The client states the nurse is concerned about her, just like her father
C. The nurse develops a trusting relationship with the client
D. The nurse feels exceptionally happy when the client's mood begins to lift - correct
answer b. The client states the nurse is concerned about her, just like her father
Termination of the therapeutic nurse client relationship with a client has been handled
successfully when the nurse
A. Gives the client his personal telephone number and permission to call after discharge
B. Avoids upsetting the client by focusing on other clients beginning 1 week before the
client's discharge
C. Discusses with the client the changes that have happened during their time together
and evaluates outcome attainment
D. Offers to meet the client for coffee and conversation three times a week for 2 weeks
after discharge - correct answer c. Discusses with the client the changes that have
happened during their time together and evaluates outcome attainment
During which phase of the nurse client relationship can the nurse anticipate that
identified client issues will be explored and resolved?
A. Working phase
B. Identifying phase
C. Dysfunctional phase
D. Termination phase - correct answer a. Working phase
At what point in the nurse client relationship should the nurse plan to first address the
issue of termination?
A. Working phase
B. Termination phase
