Mental Health Nursing Final Exam
Questions With Correct Answers
Which bsituations bqualify bas babandonment bon bthe bpart bof ba bnurse? b(Select ball bthat
bapply.)
A) bThe bnurse bterminates bemployment bwithout breferring ba bseriously bmentally bill
bpatient bfor baftercare.
B) bThe bnurse basks banother bnurse bto bprovide ba bpatient's bcare bbecause bof
bconcerns babout bcountertransference.
C) bThe bnurse bcalls bpolice bto bbring ba bsuicidal bpatient bto bthe bhospital bafter ba
bsuicide battempt.
D) bThe bnurse brefers ba bpatient bwith bpersistent bparanoid bschizophrenia bto
bcommunity btreatment.
E) bThe bnurse ballows ba bpatient bwith bacute bmania bto brefuse bhospitalization bwithout
btaking bfurther baction. b- bcorrect banswer✔✔A) bThe bnurse bterminates bemployment
bwithout breferring ba bseriously bmentally bill bpatient bfor baftercare.
E) bThe bnurse ballows ba bpatient bwith bacute bmania bto brefuse bhospitalization bwithout
btaking bfurther baction.
The bgoal bfor ba bpatient bis bto bincrease bresiliency. bWhich boutcome bshould bthe bnurse
badd bto bthe bplan bof bcare bto bbe bachieved bwithin bthree bdays?
A) bpatient bwill bdescribe bfeelings bassociated bwith bloss band bstress
B) bpatient bwill bidentify bhealthy bcoping bbehaviors bin bresponse bto bstressful bevents
C) bpatient bwill ballow bothers bto bassume bresponsibility bfor bmajor bareas bof bown blife
D) bpatient bwill bmeet bown bneeds bbefore bconsidering bthe brights bof bothers b- bcorrect
banswer✔✔B) bpatient bwill bidentify bhealthy bcoping bbehaviors bin bresponse bto
bstressful bevents
A bpatient btells ba bnurse, b"I bhave bpsychiatric bproblems band bam bin band bout bof
bhospitals ball bthe btime. bNot bone bof bmy bfriends bor brelatives bhas bthese bproblems."
bWhat bis bthe bnurse's bbest bresponse?
A) b"comparing byourself bwith bothers bhas bno breal badvantages."
B) b"mental billness baffects b50% bof bthe badult bpopulation bin bany bgiven byear"
C) b"why bdo byou bblame byourself bfor bhaving ba bpsychiatric billness?"
,D) b"are byou bconcerned bthat bothers bdon't bexperience bthe bsame bchallenges bas
byou?" b- bcorrect banswer✔✔D) bare byou bconcerned bothers bdon't bexperience bthe
bsame bchallenges bas byou
A bcritical bcare bnurse basks ba bpsychiatric bnurse babout bthe bdifference bbetween ba
bdiagnosis bin bthe bDiagnostic band bStatistical bmanual bof bMental bdisorders b(DSM-5)
band ba bnursing bdiagnosis. bWhat bis bthe bpsychiatric bnurse's bbest bresponse?
A) b"the bDSM-5 bdiagnosis bdisregards bculture, bwhereas bthe bnursing bdiagnosis
bincludes bcultural bvariables"
B) b" bthe bDSM-5 bdiagnosis binfluences bthe bmedical btreatment, bthe bnursing bdiagnosis
boffers ba bframework bto bidentify binterventions bfor bproblems ba bpatient bmay
bexperience." b
C) b"no bfunctional bdifference bexists bbetween bthe btwo bdiagnoses. bboth bserve bto
bidentify ba bhuman bdeviance"
D) b"the bDSM-5 bdiagnosis bprofiles bpresent bdistress bor bdisability, bwhereas ba bnursing
bdiagnosis bconsiders bpast band bpresent bresponses bto bactual bmental bhealth
bproblems" b- bcorrect banswer✔✔B) b"the bDSM-5 bdiagnosis binfluences bthe bmedical
btreatment; bthe bnursing bdiagnosis boffers ba bframework bto bidentify binterventions bfor
bproblems ba bpatient bhas bor bmay bexperience"
A bpatient's bhistory bshows bintense band bunstable brelationships bwith bothers. bThe
bpatient binitially bidealizes ban bindividual band bthen bdevalues bthe bperson bwhen bthe
bpatient's bneeds bare bnot bmet. bWhich baspect bof bmental bhealth bis ba bproblem bfor
bthis bpatient?
A) bmaintaining brelationships
B) bcommunication bskills
C) beffectiveness bin bwork
D) bproductive bactivities b- bcorrect banswer✔✔A) bmaintaining brelationships
In bthe bmajority bculture bof bthe bUnited bStates, bwhich bindividual bis bat bgreatest brisk
bto bbe bincorrectly blabeled bmentally bill?
A) bperson bwho bexpresses bstrong bbeliefs babout bthe bexistence bof balien babductions.
B) bWealthy bperson bwho bgives b$20 bbills bto bneedy bindividuals bin bthe bcommunity
C) bperson bwho bis busually bpessimistic bbut bstrives bto bmeet bpersonal bgoals
D) bperson bwith ban boptimistic bviewpoint babout bgetting bhis bor bher bown bneeds bmet b-
bcorrect banswer✔✔
A b26-month-old bchild bdisplays bnegative bbehaviors. bThe bparent bsays, b"My bchild
brefuses btoilet btraining band bshouts, b'No!' bwhen bgiven bdirection. bWhat bdo byou bthink
bis bwrong?" bSelect bthe bnurse's bbest breply.
A) b"this bis bnormal bfor byour bchild's bage. bthe bchild bis bstriving bfor bindependence."
B) b"some bundesirable battitudes bare bdeveloping. ba bchild bpsychologist bcan bhelp byou
bdevelop ba bremedial bplan."
C) b"the bchild bneeds bfirmer bcontrol. bpunish bthe bchild bfor bdisobedience band bsay
b"no"."
,D) b"there bmay bbe bdevelopmental bproblems. bmost bchildren bare btoilet btrained bby
bage b2 byears." b- bcorrect banswer✔✔A) b"this bis bnormal bfor byou bchild's bage. bthe
bchild bis bstriving bfor bindependence"
A b26-month-old bchild bdisplays bnegative bbehavior, brefuses btoilet btraining, band boften
bshouts, b"No!" bwhen bgiven bdirection. bThe bnurse's bcounseling bwith bthe bparent
bshould bbe bbased bon bthe bpremise bthat bthe bchild bis bengaged bin bwhich bof bErikson's
bpsychosocial bcrises?
A) btrust bversus bmistrust
B) bautonomy bversus bshame band bdoubt
C) binitiative bversus bguilt
D) bindustry bversus binferiority b- bcorrect banswer✔✔B) bautonomy bversus bshame band
bdoubt
A b4-year-old bchild bgrabs btoys bfrom bsiblings, bsaying, b"I bwant bthat btoy bnow!" bThe
bsiblings bcry, band bthe bchild's bparent bbecomes bupset bwith bthe bbehavior. bUsing bthe
bFreudian btheory, ba bnurse bcan binterpret bthe bchild's bbehavior bas ba bproduct bof
bimpulses boriginating bin bthe:
A) bid
B) bsuperego
C) bego
D) bpreconscious b- bcorrect banswer✔✔A) bid
The bparent bof ba b4 byear bold brewards band bpraises bthe bchild bfor bhelping ba byounger
bsibling, bbeing bpolite, band busing bgood bmanners. bA bnurse bsupports bthe buse bof
bpraise bbecause, baccording bto bthe bFreudian btheory, bthese bqualities bwill blikely bbe
binternalized band bbecome bwhat bpart bof bthe bchild's bpersonality?
A) bpreconscious
B) bid
C) bego
D) bsuperego b- bcorrect banswer✔✔D) bsuperego
A bnurse bassesses bthat ba bpatient bis bsuspicious band bfrequently bmanipulates bothers.
bUsing bthe bFreudian btheory, bthese btraits bare brelated bto bwhich bpsychosexual
bstage?
A) banal
B) boral
C) bgenital
D) bphallic b- bcorrect banswer✔✔B) boral
A bnurse blistens bto ba bgroup bof brecent bretirees. bOne bsays, b"I bvolunteer bwith bMeals
bon bWheels, bcoach bteen bsports, band bdo bchurch bvisitation." bAnother blaughs band
bsays, b"I'm btoo bbusy btaking bcare bof bmyself bto bvolunteer. bI bdon't bhave btime bto
bhelp bothers." bThese bcomments bcontrast bwhich bdevelopmental btasks?
A) btrust bvs bmistrust
B) bindustry bvs binferiority
, C) bintimacy bvs bisolation
D) bgenerativity bvs bself-absorption b- bcorrect banswer✔✔D) bgenerativity bvs bself-
absorption
A bnurse buses bMaslow's bhierarchy bof bneeds bto bplan bcare bfor ba bpsychotic bpatient.
bWhich bproblem bwill breceive bpriority?
A) bis breluctant bto bparticipate bin bunit bsocial bactivities
B) breports bfeelings bof balienation bfrom bfamily
C) bneeds bto bbe btaught babout bmedication baction band bside beffects
D) brefuses bto beat bor bbathe b- bcorrect banswer✔✔D) brefuses bto beat bor bbathe
The bparent bof ba bchild bdiagnosed bwith bschizophrenia btearfully basks ba bnurse, b"What
bcould bI bhave bdone bdifferently bto bprevent bthis billness?" bSelect bthe bnurse's bmost
bcaring bresponse.
A) b"although bschizophrenia bis bcaused bby bimpaired bfamily brelationships, btry bnot bto
bfeel bguilty. bno bone bcan bpredict bhow ba bchild bwill brespond bto bparental bguidance"
B) b"most bof bthe bdamage bis bdone, bbut bthere bis bstill bhope. bchanging byour bparenting
bstyle bcan bhelp byour bchild blearn bto bcope bmore beffectively bwith bthe benvironment" b
C) b"most bmental billnesses bresult bfrom bgenetic binheritance. byour bgenes bare bmore
bat bfault bthan byour bparenting"
D) b"schizophrenia bis ba bbiological billness bwith bsimilarities bto bdiabetes band bheart
bdisease. byou bare bnot bto bblame bfor byour bchild's billness" b- bcorrect banswer✔✔D)
b"schizophrenia bis ba bbiological billness bwith bsimilarities bto bdiabetes band bheart
bdisease. byou bare bnot bto bblame bfor byour bchild's billness."
A bnurse bpsychotherapist bworks bwith ban banxious, bdependent bpatient. bWhat
btherapeutic bstrategy bis bmost bconsistent bwith bthe bframework bof bpsychoanalytic
bpsychotherapy?
A) bfocusing bon bfeelings bdeveloped bby bthe bpatient btoward bthe bnurse
B) boffering bpsychoeducational bmaterials band bgroups
C) bemphasizing bmedication bcompliance
D) bidentifying bpatients bstrengths band bassets b- bcorrect banswer✔✔A) bfocusing bon
bfeelings bdeveloped bby bthe bpatient btoward bthe bnurse
What bcognitive bstrategy bshould ba bnurse buse bto bassist ba bvery bdependent bpatient
bachieve bindependence?
A) breveal bdream bcontent
B) bexamine bthoughts babout bbeing bautonomous
C) btake bprescribed bmedications
D) brole bmodel bways bto bask bfor bhelp bfrom bothers b- bcorrect banswer✔✔B) bexamine
bthoughts babout bbeing bautonomous
The bparent bof ban badolescent bdiagnosed bwith bschizophrenia basks ba bnurse, b"My
bchild's bdoctor bordered ba bpositron-emission btomography b(PET) bscan. bWhat bis
bthat?" bWhat bis bthe bnurse's bbest bresponse?
Questions With Correct Answers
Which bsituations bqualify bas babandonment bon bthe bpart bof ba bnurse? b(Select ball bthat
bapply.)
A) bThe bnurse bterminates bemployment bwithout breferring ba bseriously bmentally bill
bpatient bfor baftercare.
B) bThe bnurse basks banother bnurse bto bprovide ba bpatient's bcare bbecause bof
bconcerns babout bcountertransference.
C) bThe bnurse bcalls bpolice bto bbring ba bsuicidal bpatient bto bthe bhospital bafter ba
bsuicide battempt.
D) bThe bnurse brefers ba bpatient bwith bpersistent bparanoid bschizophrenia bto
bcommunity btreatment.
E) bThe bnurse ballows ba bpatient bwith bacute bmania bto brefuse bhospitalization bwithout
btaking bfurther baction. b- bcorrect banswer✔✔A) bThe bnurse bterminates bemployment
bwithout breferring ba bseriously bmentally bill bpatient bfor baftercare.
E) bThe bnurse ballows ba bpatient bwith bacute bmania bto brefuse bhospitalization bwithout
btaking bfurther baction.
The bgoal bfor ba bpatient bis bto bincrease bresiliency. bWhich boutcome bshould bthe bnurse
badd bto bthe bplan bof bcare bto bbe bachieved bwithin bthree bdays?
A) bpatient bwill bdescribe bfeelings bassociated bwith bloss band bstress
B) bpatient bwill bidentify bhealthy bcoping bbehaviors bin bresponse bto bstressful bevents
C) bpatient bwill ballow bothers bto bassume bresponsibility bfor bmajor bareas bof bown blife
D) bpatient bwill bmeet bown bneeds bbefore bconsidering bthe brights bof bothers b- bcorrect
banswer✔✔B) bpatient bwill bidentify bhealthy bcoping bbehaviors bin bresponse bto
bstressful bevents
A bpatient btells ba bnurse, b"I bhave bpsychiatric bproblems band bam bin band bout bof
bhospitals ball bthe btime. bNot bone bof bmy bfriends bor brelatives bhas bthese bproblems."
bWhat bis bthe bnurse's bbest bresponse?
A) b"comparing byourself bwith bothers bhas bno breal badvantages."
B) b"mental billness baffects b50% bof bthe badult bpopulation bin bany bgiven byear"
C) b"why bdo byou bblame byourself bfor bhaving ba bpsychiatric billness?"
,D) b"are byou bconcerned bthat bothers bdon't bexperience bthe bsame bchallenges bas
byou?" b- bcorrect banswer✔✔D) bare byou bconcerned bothers bdon't bexperience bthe
bsame bchallenges bas byou
A bcritical bcare bnurse basks ba bpsychiatric bnurse babout bthe bdifference bbetween ba
bdiagnosis bin bthe bDiagnostic band bStatistical bmanual bof bMental bdisorders b(DSM-5)
band ba bnursing bdiagnosis. bWhat bis bthe bpsychiatric bnurse's bbest bresponse?
A) b"the bDSM-5 bdiagnosis bdisregards bculture, bwhereas bthe bnursing bdiagnosis
bincludes bcultural bvariables"
B) b" bthe bDSM-5 bdiagnosis binfluences bthe bmedical btreatment, bthe bnursing bdiagnosis
boffers ba bframework bto bidentify binterventions bfor bproblems ba bpatient bmay
bexperience." b
C) b"no bfunctional bdifference bexists bbetween bthe btwo bdiagnoses. bboth bserve bto
bidentify ba bhuman bdeviance"
D) b"the bDSM-5 bdiagnosis bprofiles bpresent bdistress bor bdisability, bwhereas ba bnursing
bdiagnosis bconsiders bpast band bpresent bresponses bto bactual bmental bhealth
bproblems" b- bcorrect banswer✔✔B) b"the bDSM-5 bdiagnosis binfluences bthe bmedical
btreatment; bthe bnursing bdiagnosis boffers ba bframework bto bidentify binterventions bfor
bproblems ba bpatient bhas bor bmay bexperience"
A bpatient's bhistory bshows bintense band bunstable brelationships bwith bothers. bThe
bpatient binitially bidealizes ban bindividual band bthen bdevalues bthe bperson bwhen bthe
bpatient's bneeds bare bnot bmet. bWhich baspect bof bmental bhealth bis ba bproblem bfor
bthis bpatient?
A) bmaintaining brelationships
B) bcommunication bskills
C) beffectiveness bin bwork
D) bproductive bactivities b- bcorrect banswer✔✔A) bmaintaining brelationships
In bthe bmajority bculture bof bthe bUnited bStates, bwhich bindividual bis bat bgreatest brisk
bto bbe bincorrectly blabeled bmentally bill?
A) bperson bwho bexpresses bstrong bbeliefs babout bthe bexistence bof balien babductions.
B) bWealthy bperson bwho bgives b$20 bbills bto bneedy bindividuals bin bthe bcommunity
C) bperson bwho bis busually bpessimistic bbut bstrives bto bmeet bpersonal bgoals
D) bperson bwith ban boptimistic bviewpoint babout bgetting bhis bor bher bown bneeds bmet b-
bcorrect banswer✔✔
A b26-month-old bchild bdisplays bnegative bbehaviors. bThe bparent bsays, b"My bchild
brefuses btoilet btraining band bshouts, b'No!' bwhen bgiven bdirection. bWhat bdo byou bthink
bis bwrong?" bSelect bthe bnurse's bbest breply.
A) b"this bis bnormal bfor byour bchild's bage. bthe bchild bis bstriving bfor bindependence."
B) b"some bundesirable battitudes bare bdeveloping. ba bchild bpsychologist bcan bhelp byou
bdevelop ba bremedial bplan."
C) b"the bchild bneeds bfirmer bcontrol. bpunish bthe bchild bfor bdisobedience band bsay
b"no"."
,D) b"there bmay bbe bdevelopmental bproblems. bmost bchildren bare btoilet btrained bby
bage b2 byears." b- bcorrect banswer✔✔A) b"this bis bnormal bfor byou bchild's bage. bthe
bchild bis bstriving bfor bindependence"
A b26-month-old bchild bdisplays bnegative bbehavior, brefuses btoilet btraining, band boften
bshouts, b"No!" bwhen bgiven bdirection. bThe bnurse's bcounseling bwith bthe bparent
bshould bbe bbased bon bthe bpremise bthat bthe bchild bis bengaged bin bwhich bof bErikson's
bpsychosocial bcrises?
A) btrust bversus bmistrust
B) bautonomy bversus bshame band bdoubt
C) binitiative bversus bguilt
D) bindustry bversus binferiority b- bcorrect banswer✔✔B) bautonomy bversus bshame band
bdoubt
A b4-year-old bchild bgrabs btoys bfrom bsiblings, bsaying, b"I bwant bthat btoy bnow!" bThe
bsiblings bcry, band bthe bchild's bparent bbecomes bupset bwith bthe bbehavior. bUsing bthe
bFreudian btheory, ba bnurse bcan binterpret bthe bchild's bbehavior bas ba bproduct bof
bimpulses boriginating bin bthe:
A) bid
B) bsuperego
C) bego
D) bpreconscious b- bcorrect banswer✔✔A) bid
The bparent bof ba b4 byear bold brewards band bpraises bthe bchild bfor bhelping ba byounger
bsibling, bbeing bpolite, band busing bgood bmanners. bA bnurse bsupports bthe buse bof
bpraise bbecause, baccording bto bthe bFreudian btheory, bthese bqualities bwill blikely bbe
binternalized band bbecome bwhat bpart bof bthe bchild's bpersonality?
A) bpreconscious
B) bid
C) bego
D) bsuperego b- bcorrect banswer✔✔D) bsuperego
A bnurse bassesses bthat ba bpatient bis bsuspicious band bfrequently bmanipulates bothers.
bUsing bthe bFreudian btheory, bthese btraits bare brelated bto bwhich bpsychosexual
bstage?
A) banal
B) boral
C) bgenital
D) bphallic b- bcorrect banswer✔✔B) boral
A bnurse blistens bto ba bgroup bof brecent bretirees. bOne bsays, b"I bvolunteer bwith bMeals
bon bWheels, bcoach bteen bsports, band bdo bchurch bvisitation." bAnother blaughs band
bsays, b"I'm btoo bbusy btaking bcare bof bmyself bto bvolunteer. bI bdon't bhave btime bto
bhelp bothers." bThese bcomments bcontrast bwhich bdevelopmental btasks?
A) btrust bvs bmistrust
B) bindustry bvs binferiority
, C) bintimacy bvs bisolation
D) bgenerativity bvs bself-absorption b- bcorrect banswer✔✔D) bgenerativity bvs bself-
absorption
A bnurse buses bMaslow's bhierarchy bof bneeds bto bplan bcare bfor ba bpsychotic bpatient.
bWhich bproblem bwill breceive bpriority?
A) bis breluctant bto bparticipate bin bunit bsocial bactivities
B) breports bfeelings bof balienation bfrom bfamily
C) bneeds bto bbe btaught babout bmedication baction band bside beffects
D) brefuses bto beat bor bbathe b- bcorrect banswer✔✔D) brefuses bto beat bor bbathe
The bparent bof ba bchild bdiagnosed bwith bschizophrenia btearfully basks ba bnurse, b"What
bcould bI bhave bdone bdifferently bto bprevent bthis billness?" bSelect bthe bnurse's bmost
bcaring bresponse.
A) b"although bschizophrenia bis bcaused bby bimpaired bfamily brelationships, btry bnot bto
bfeel bguilty. bno bone bcan bpredict bhow ba bchild bwill brespond bto bparental bguidance"
B) b"most bof bthe bdamage bis bdone, bbut bthere bis bstill bhope. bchanging byour bparenting
bstyle bcan bhelp byour bchild blearn bto bcope bmore beffectively bwith bthe benvironment" b
C) b"most bmental billnesses bresult bfrom bgenetic binheritance. byour bgenes bare bmore
bat bfault bthan byour bparenting"
D) b"schizophrenia bis ba bbiological billness bwith bsimilarities bto bdiabetes band bheart
bdisease. byou bare bnot bto bblame bfor byour bchild's billness" b- bcorrect banswer✔✔D)
b"schizophrenia bis ba bbiological billness bwith bsimilarities bto bdiabetes band bheart
bdisease. byou bare bnot bto bblame bfor byour bchild's billness."
A bnurse bpsychotherapist bworks bwith ban banxious, bdependent bpatient. bWhat
btherapeutic bstrategy bis bmost bconsistent bwith bthe bframework bof bpsychoanalytic
bpsychotherapy?
A) bfocusing bon bfeelings bdeveloped bby bthe bpatient btoward bthe bnurse
B) boffering bpsychoeducational bmaterials band bgroups
C) bemphasizing bmedication bcompliance
D) bidentifying bpatients bstrengths band bassets b- bcorrect banswer✔✔A) bfocusing bon
bfeelings bdeveloped bby bthe bpatient btoward bthe bnurse
What bcognitive bstrategy bshould ba bnurse buse bto bassist ba bvery bdependent bpatient
bachieve bindependence?
A) breveal bdream bcontent
B) bexamine bthoughts babout bbeing bautonomous
C) btake bprescribed bmedications
D) brole bmodel bways bto bask bfor bhelp bfrom bothers b- bcorrect banswer✔✔B) bexamine
bthoughts babout bbeing bautonomous
The bparent bof ban badolescent bdiagnosed bwith bschizophrenia basks ba bnurse, b"My
bchild's bdoctor bordered ba bpositron-emission btomography b(PET) bscan. bWhat bis
bthat?" bWhat bis bthe bnurse's bbest bresponse?
