CMHT CORE MAIN QUESTIONS AND ANSWERS
SET A+
✔✔A - ✔✔The nurse is preparing an adult male client, who has been successfully
treated for a social phobia, for the termination phase of the therapeutic relationship.
During their last meeting, the client told the nurse that he noticed he has developed a
nervous habit that started a few days ago of checking his door at home several times a
day to be sure it is locked. This client is exhibiting the client response to termination
known as:
Select one:
a. Continuation
b. Regression
c. Withdrawal
d. Confabulation
✔✔a - ✔✔When one is developing the care plan for a female adolescent with an eating
disorder, the primary issue to consider as the underlying cause is:
Select one:
a. Control
b. Body image
c. Self-esteem
d. Coping skills
✔✔b - ✔✔A woman has had several episodes where she finds new clothes in her closet
that are much more colorful than the style she usually buys. Today, a co-worker
approached her to thank her for hosting a dinner party that she had no recollection of
hosting. What is the most appropriate nursing diagnosis for this client?
Select one:
a. Self-esteem, low
b. Personal identity, disturbed
c. Body image, disturbed
d. Anxiety
,✔✔c - ✔✔Which of the following persons has the greatest risk for developing ineffective
coping behaviors?
Select one:
a. The middle-aged man whose diet is high in saturated fat and has a 20-year history of
tobacco use
b. The single 30-year-old female facing the death of her father
c. The 19-year-old college student with a family history of schizophrenia
d. The 9-year-old child whose parents are nurturing but provide chores and
responsibilities
✔✔d - ✔✔By the ages of 14 to 17, teens may demonstrate problem solving skills using
concepts, generalizations and flexibility in planning actions and goals. What is this an
example of?
Select one:
a. Concrete operations
b. Pre-operational thinking
c. Operational thinking
d. Abstract thinking
✔✔***not b - ✔✔Individuals with mental illness live an average of _____ years less than
the general population.
Select one:
a. 2 to 4
b. 5 to 8
c. 10 to 15
d. 18 to 25
✔✔b - ✔✔A male client who has a diagnosis of generalized anxiety disorder (GAD) is
seen in the emergency room with complaints of chest pain, shortness of breath, and
inability to concentrate, along with feelings of overwhelming anxiety. The nurse uses
Maslow's theory to triage the client's complaints, knowing that which complaint must be
addressed first?
Select one:
a. Inability to concentrate
b. Shortness of breath
c. Overwhelming anxiety
d. Chest pain
✔✔d - ✔✔During the recoil stage of recovery from violence, the major characteristic is:
Select one:
a. Fear
b. Disorganization
c. Reconstruction
d. Struggle to adapt
,✔✔d - ✔✔The nurse who advocates for a health-oriented approach to clients is likely to
encourage the development of which outcome?
Select one:
a. The client will maintain compliance in medication administration.
b. The client will adjust to the limitations of chronic illness.
c. The client will keep in mind his limitations as a barrier to achievement of goals.
d. The client will focus on continued progress and improvements in planning goals.
✔✔a - ✔✔Which of the following circumstances, when it occurs on an inpatient mental
health unit, would be considered false imprisonment?
Select one:
a. An alert and oriented client is confined to his room after being loud and
argumentative with another client in the recreation area.
b. Restraints are placed on a client who has been admitted in a lethargic state because
of misuse of medications and who has fallen three times since admission.
c. A client is housed in a private room with visual monitors after attempting suicide at
home on the previous day.
d. An alert and oriented client who was admitted for a 72-hour involuntary commitment
is prevented from leaving the facility 2 days after admission.
✔✔b - ✔✔Persons may refuse to acknowledge that a loss has occurred during the first
stage of:
Select one:
a. Crisis
b. The grieving process
c. The rage reaction
d. The denial process
✔✔a - ✔✔When the nursing care plan for a client with a mental health disorder is
developed, what is the most likely reason that interventions are ineffective and goals are
not met?
Select one:
a. The client sees his goals as less important.
b. The client's family is not supportive.
c. The client's disorder is difficult to treat.
d. The client's medications are being adjusted.
✔✔c - ✔✔According to the theorist Erik Erikson, an individual strives to actualize his
identity, is most productive, and demonstrates guidance of and concern for others with a
core task of caring during which stage of psychosocial development?
Select one:
a. Young adulthood (18 to 25 years)
b. Maturity (65 years to death)
c. Middle adulthood (25 to 65 years)
d. Puberty (12 to 18 years)
, ✔✔d - ✔✔A male client is transsexual and decides to become a female through major
surgery and hormonal therapy. The nurse informs the client that this process may be
delayed for as long as _____ years.
Select one:
a. 2
b. 5
c. 8
d. 10
✔✔a - ✔✔Which client exhibits signs and symptoms of delirium and not dementia or
depression?
Select one:
a. The onset is sudden and acute.
b. The cognitive changes are hidden by client.
c. The client demonstrates apathetic demeanor or flat affect.
d. The client's ability to perform ADLs is intact.
✔✔c - ✔✔The 15-year-old son of a single, full-time working mother frequently is left at
home alone to care for himself. According to Erikson's theory, the nurse is aware that
this adolescent most likely would have difficulty in developing a comfortable:
Select one:
a. Body image
b. Self-ideal
c. Self-concept
d. Role performance
✔✔d - ✔✔The client being transferred to a rehabilitation center following hospitalization
for surgical repair of a fractured hip is portrayed by the nurse in the hospital setting as
being very involved and making good progress in his physical therapy sessions.
However, the nurse in the rehabilitation facility observes that the client is withdrawn, and
often asks to defer his physical therapy sessions. Which statement best describes the
change in patient behavior?
Select one:
a. The patient is suffering from delirium due to the unfamiliar surroundings.
b. The patient has adapted to the recovery role and does not need rehabilitation.
c. The patient enjoyed the dependency role in the hospital setting.
d. The patient is adjusting to a new environment and is in a vulnerable position.
✔✔c - ✔✔The mother of a 20-year-old man diagnosed with paranoid schizophrenia is
upset by the fact that her child tried to attack her during her daily visit. What is the most
appropriate support the nurse can give her after this incident?
Select one:
a. "Your child is working through relationship issues with you and does not know how to
express them."
b. "You should stop coming for a while, as your visits upset your child."
SET A+
✔✔A - ✔✔The nurse is preparing an adult male client, who has been successfully
treated for a social phobia, for the termination phase of the therapeutic relationship.
During their last meeting, the client told the nurse that he noticed he has developed a
nervous habit that started a few days ago of checking his door at home several times a
day to be sure it is locked. This client is exhibiting the client response to termination
known as:
Select one:
a. Continuation
b. Regression
c. Withdrawal
d. Confabulation
✔✔a - ✔✔When one is developing the care plan for a female adolescent with an eating
disorder, the primary issue to consider as the underlying cause is:
Select one:
a. Control
b. Body image
c. Self-esteem
d. Coping skills
✔✔b - ✔✔A woman has had several episodes where she finds new clothes in her closet
that are much more colorful than the style she usually buys. Today, a co-worker
approached her to thank her for hosting a dinner party that she had no recollection of
hosting. What is the most appropriate nursing diagnosis for this client?
Select one:
a. Self-esteem, low
b. Personal identity, disturbed
c. Body image, disturbed
d. Anxiety
,✔✔c - ✔✔Which of the following persons has the greatest risk for developing ineffective
coping behaviors?
Select one:
a. The middle-aged man whose diet is high in saturated fat and has a 20-year history of
tobacco use
b. The single 30-year-old female facing the death of her father
c. The 19-year-old college student with a family history of schizophrenia
d. The 9-year-old child whose parents are nurturing but provide chores and
responsibilities
✔✔d - ✔✔By the ages of 14 to 17, teens may demonstrate problem solving skills using
concepts, generalizations and flexibility in planning actions and goals. What is this an
example of?
Select one:
a. Concrete operations
b. Pre-operational thinking
c. Operational thinking
d. Abstract thinking
✔✔***not b - ✔✔Individuals with mental illness live an average of _____ years less than
the general population.
Select one:
a. 2 to 4
b. 5 to 8
c. 10 to 15
d. 18 to 25
✔✔b - ✔✔A male client who has a diagnosis of generalized anxiety disorder (GAD) is
seen in the emergency room with complaints of chest pain, shortness of breath, and
inability to concentrate, along with feelings of overwhelming anxiety. The nurse uses
Maslow's theory to triage the client's complaints, knowing that which complaint must be
addressed first?
Select one:
a. Inability to concentrate
b. Shortness of breath
c. Overwhelming anxiety
d. Chest pain
✔✔d - ✔✔During the recoil stage of recovery from violence, the major characteristic is:
Select one:
a. Fear
b. Disorganization
c. Reconstruction
d. Struggle to adapt
,✔✔d - ✔✔The nurse who advocates for a health-oriented approach to clients is likely to
encourage the development of which outcome?
Select one:
a. The client will maintain compliance in medication administration.
b. The client will adjust to the limitations of chronic illness.
c. The client will keep in mind his limitations as a barrier to achievement of goals.
d. The client will focus on continued progress and improvements in planning goals.
✔✔a - ✔✔Which of the following circumstances, when it occurs on an inpatient mental
health unit, would be considered false imprisonment?
Select one:
a. An alert and oriented client is confined to his room after being loud and
argumentative with another client in the recreation area.
b. Restraints are placed on a client who has been admitted in a lethargic state because
of misuse of medications and who has fallen three times since admission.
c. A client is housed in a private room with visual monitors after attempting suicide at
home on the previous day.
d. An alert and oriented client who was admitted for a 72-hour involuntary commitment
is prevented from leaving the facility 2 days after admission.
✔✔b - ✔✔Persons may refuse to acknowledge that a loss has occurred during the first
stage of:
Select one:
a. Crisis
b. The grieving process
c. The rage reaction
d. The denial process
✔✔a - ✔✔When the nursing care plan for a client with a mental health disorder is
developed, what is the most likely reason that interventions are ineffective and goals are
not met?
Select one:
a. The client sees his goals as less important.
b. The client's family is not supportive.
c. The client's disorder is difficult to treat.
d. The client's medications are being adjusted.
✔✔c - ✔✔According to the theorist Erik Erikson, an individual strives to actualize his
identity, is most productive, and demonstrates guidance of and concern for others with a
core task of caring during which stage of psychosocial development?
Select one:
a. Young adulthood (18 to 25 years)
b. Maturity (65 years to death)
c. Middle adulthood (25 to 65 years)
d. Puberty (12 to 18 years)
, ✔✔d - ✔✔A male client is transsexual and decides to become a female through major
surgery and hormonal therapy. The nurse informs the client that this process may be
delayed for as long as _____ years.
Select one:
a. 2
b. 5
c. 8
d. 10
✔✔a - ✔✔Which client exhibits signs and symptoms of delirium and not dementia or
depression?
Select one:
a. The onset is sudden and acute.
b. The cognitive changes are hidden by client.
c. The client demonstrates apathetic demeanor or flat affect.
d. The client's ability to perform ADLs is intact.
✔✔c - ✔✔The 15-year-old son of a single, full-time working mother frequently is left at
home alone to care for himself. According to Erikson's theory, the nurse is aware that
this adolescent most likely would have difficulty in developing a comfortable:
Select one:
a. Body image
b. Self-ideal
c. Self-concept
d. Role performance
✔✔d - ✔✔The client being transferred to a rehabilitation center following hospitalization
for surgical repair of a fractured hip is portrayed by the nurse in the hospital setting as
being very involved and making good progress in his physical therapy sessions.
However, the nurse in the rehabilitation facility observes that the client is withdrawn, and
often asks to defer his physical therapy sessions. Which statement best describes the
change in patient behavior?
Select one:
a. The patient is suffering from delirium due to the unfamiliar surroundings.
b. The patient has adapted to the recovery role and does not need rehabilitation.
c. The patient enjoyed the dependency role in the hospital setting.
d. The patient is adjusting to a new environment and is in a vulnerable position.
✔✔c - ✔✔The mother of a 20-year-old man diagnosed with paranoid schizophrenia is
upset by the fact that her child tried to attack her during her daily visit. What is the most
appropriate support the nurse can give her after this incident?
Select one:
a. "Your child is working through relationship issues with you and does not know how to
express them."
b. "You should stop coming for a while, as your visits upset your child."
