TEST BANK FOR Foundations of Mental Health
Care
The nurse asks the client a series of questions upon entry into a mental health care system.
This action is an example of which phase of the nursing process?
A. Evaluation
B. Assessment
C. Intervention
D. Planning - Answer- B
A nurse administers antidepressant medication to a client in an assisted living facility. This is
an example of which phase of the nursing process?
A. Intervention
B. Assessment
C. Planning
D. Diagnoses - Answer- A
Following completion of a male client's series of group therapy sessions, the nurse
periodically talks with the client to determine whether he has any signs of replace of his
previous problems. This action by the nurse is an example of?
A. Planning
B. Assessment
C. Intervention
D. Diagnosing - Answer- B
During a session with a female client with a diagnosis of social phobia, she talks about how
proud she is of herself because she was finally able to shop at the grocery store. The nurse
documents the events and knows that this would be considered which phase of the nursing
process?
A. Assessment
B. Planning
pg. 1
,C. Intervention
D. Evaluation - Answer- D
The treatment team meets with a client for the first time and determines, with the client's
input, a nursing diagnosis, goal, and steps to reach this goal. In addition to a nursing
diagnosis, the treatment team has completed which phase of the nursing process?
A. Evaluation
B. Intervention
C. Planning
D. Assessment - Answer- C
Without assessment of six specific aspects of an individual's being the mental health nurse's
scope of care is narrow and limited in effectiveness. These aspects include social, physical,
cultural, intellectual, emotional, and spiritual areas of a person's life, known as a _________
assessment?
A. Complete
B. Accurate
C. Holistic
D. Psychiatric - Answer- C
The nurse is reviewing information regarding a female client that was obtained with the
psychiatric assessment tool. The client's ability to provide food and shelter for herself is
included in which of the assessment?
A. Appraisal of health and illness
B. Coping responses, discharge planning needs
C. Knowledge deficits
D. Previous psychiatric treatment - Answer- B
During an interview with a 15-year-old female client admitted for depression, the nurse is
disappointed to learn that the client recently became pregnant and had an abortion. The
nurse is contradicting the effective interview guideline of?
A. Playing close attention to the client's nonverbal communication
pg. 2
,B. Avoiding making assumptions
C. Avoiding one's personal values that may cloud professional judgment
D. Setting clear guidelines - Answer- C
A male client with a history of schizophrenia was admitted to the mental health facility after
he was found on the street confused and uncooperative when approached by the police.
One of the first assessments that should be performed in this client upon admission is a?
A. Physical assessment
B. Sociocultural assessment
C. Psychosocial assessment
D. Psychiatric assessment - Answer- A
During the mental status examination, the nurse observes that the client rapidly changes
one idea to another related thought. Which disordered thinking process is the client
displaying?
A. Delusions
B. Perseveration
C. Confabulation
D. Flight of ideas - Answer- D
When reviewing the nursing notes from the previous shifts, the nurse notices notations
indicating that the client was experiencing a somnolent level of consciousness. The client's
behaviour would be described as?
A. "Falling asleep easily and only awakening with strong verbal stimuli"
B. "Frequently sleeping and awakening only to strong physical stimuli"
C. "Unresponsive to any verbal or painful stimuli"
D. "Having alternating periods of excitability and drowsiness” - Answer- A
During the mental status assessment, the nurse hand the client a piece of paper that reads
"Please raise your left hand." If the client follows the command, the nurse has just assessed
which ability of the client?
A. Abstract thinking
pg. 3
, B. Reading
C. General knowledge
D. Memory - Answer- B
A nurse educates a client on medication side effects and verbal feedback of understanding is
given by the client. Which phase of the nursing process is being described?
A. Planning
B. Intervention
C. Assessment
D. Evaluation - Answer- D
Components of the sociocultural assessment include a history interview for the purpose of
obtaining information about a client's background and?
A. Observing the client's appearance, behaviours and attitudes
B. Eliciting Answers related to general health, past illnesses, hospitalizations
C. Encouraging description of lifestyle and activities of daily living
D. Reviewing physical assessment data and various diagnostic examinations - Answer- A
A client with a history of delusions demonstrates which of the following behaviours?
A. Shifts from laughing to crying with no apparent cause
B. Insists the government is out to harm him
C. Has trouble remembering what he had for breakfast
D. Expresses a constant fear of dying - Answer- B
The nurse suspects the client is experiencing a manic episode based on which of the
following observations?
A. Clothing is very colourful and mismatched, and client cannot sit in chair during interview
B. Hair is not combed, clothing is dirty, and client has no interest in surroundings
C. Client repeatedly washes her hands and picks at the button on her shirt
D. Client expresses fear that someone is waiting outside the room to harm her - Answer- A
pg. 4
Care
The nurse asks the client a series of questions upon entry into a mental health care system.
This action is an example of which phase of the nursing process?
A. Evaluation
B. Assessment
C. Intervention
D. Planning - Answer- B
A nurse administers antidepressant medication to a client in an assisted living facility. This is
an example of which phase of the nursing process?
A. Intervention
B. Assessment
C. Planning
D. Diagnoses - Answer- A
Following completion of a male client's series of group therapy sessions, the nurse
periodically talks with the client to determine whether he has any signs of replace of his
previous problems. This action by the nurse is an example of?
A. Planning
B. Assessment
C. Intervention
D. Diagnosing - Answer- B
During a session with a female client with a diagnosis of social phobia, she talks about how
proud she is of herself because she was finally able to shop at the grocery store. The nurse
documents the events and knows that this would be considered which phase of the nursing
process?
A. Assessment
B. Planning
pg. 1
,C. Intervention
D. Evaluation - Answer- D
The treatment team meets with a client for the first time and determines, with the client's
input, a nursing diagnosis, goal, and steps to reach this goal. In addition to a nursing
diagnosis, the treatment team has completed which phase of the nursing process?
A. Evaluation
B. Intervention
C. Planning
D. Assessment - Answer- C
Without assessment of six specific aspects of an individual's being the mental health nurse's
scope of care is narrow and limited in effectiveness. These aspects include social, physical,
cultural, intellectual, emotional, and spiritual areas of a person's life, known as a _________
assessment?
A. Complete
B. Accurate
C. Holistic
D. Psychiatric - Answer- C
The nurse is reviewing information regarding a female client that was obtained with the
psychiatric assessment tool. The client's ability to provide food and shelter for herself is
included in which of the assessment?
A. Appraisal of health and illness
B. Coping responses, discharge planning needs
C. Knowledge deficits
D. Previous psychiatric treatment - Answer- B
During an interview with a 15-year-old female client admitted for depression, the nurse is
disappointed to learn that the client recently became pregnant and had an abortion. The
nurse is contradicting the effective interview guideline of?
A. Playing close attention to the client's nonverbal communication
pg. 2
,B. Avoiding making assumptions
C. Avoiding one's personal values that may cloud professional judgment
D. Setting clear guidelines - Answer- C
A male client with a history of schizophrenia was admitted to the mental health facility after
he was found on the street confused and uncooperative when approached by the police.
One of the first assessments that should be performed in this client upon admission is a?
A. Physical assessment
B. Sociocultural assessment
C. Psychosocial assessment
D. Psychiatric assessment - Answer- A
During the mental status examination, the nurse observes that the client rapidly changes
one idea to another related thought. Which disordered thinking process is the client
displaying?
A. Delusions
B. Perseveration
C. Confabulation
D. Flight of ideas - Answer- D
When reviewing the nursing notes from the previous shifts, the nurse notices notations
indicating that the client was experiencing a somnolent level of consciousness. The client's
behaviour would be described as?
A. "Falling asleep easily and only awakening with strong verbal stimuli"
B. "Frequently sleeping and awakening only to strong physical stimuli"
C. "Unresponsive to any verbal or painful stimuli"
D. "Having alternating periods of excitability and drowsiness” - Answer- A
During the mental status assessment, the nurse hand the client a piece of paper that reads
"Please raise your left hand." If the client follows the command, the nurse has just assessed
which ability of the client?
A. Abstract thinking
pg. 3
, B. Reading
C. General knowledge
D. Memory - Answer- B
A nurse educates a client on medication side effects and verbal feedback of understanding is
given by the client. Which phase of the nursing process is being described?
A. Planning
B. Intervention
C. Assessment
D. Evaluation - Answer- D
Components of the sociocultural assessment include a history interview for the purpose of
obtaining information about a client's background and?
A. Observing the client's appearance, behaviours and attitudes
B. Eliciting Answers related to general health, past illnesses, hospitalizations
C. Encouraging description of lifestyle and activities of daily living
D. Reviewing physical assessment data and various diagnostic examinations - Answer- A
A client with a history of delusions demonstrates which of the following behaviours?
A. Shifts from laughing to crying with no apparent cause
B. Insists the government is out to harm him
C. Has trouble remembering what he had for breakfast
D. Expresses a constant fear of dying - Answer- B
The nurse suspects the client is experiencing a manic episode based on which of the
following observations?
A. Clothing is very colourful and mismatched, and client cannot sit in chair during interview
B. Hair is not combed, clothing is dirty, and client has no interest in surroundings
C. Client repeatedly washes her hands and picks at the button on her shirt
D. Client expresses fear that someone is waiting outside the room to harm her - Answer- A
pg. 4
