Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
, Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
Chapter 1: Mental Health and Mental Illness – Test Bank
1. A psychiatric nurse is assessing a client who maintains stable
relationships, adapts to changes, and experiences occasional
sadness without significant impairment in functioning. Which
conclusion best reflects the nurse’s interpretation?
A. The client is demonstrating poor coping strategies.
B. The client meets criteria for mild depression.
C. The client is exhibiting characteristics of mental health.
D. The client is showing early signs of mental illness.
✅ Correct Answer: C
Rationale: Mental health is characterized by the ability to maintain
relationships, adapt to changes, and experience emotions without
significant impairment. Occasional sadness is a normal human
experience and does not indicate pathology.
PTS: 1
REF: Defining Mental Health
OBJ: 1
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1
, Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
KEY: Integrated Process: Assessment
BLM: Cognitive Level: Analyze
2. A nurse explains to a student that the DSM-5 is primarily used
for which purpose in psychiatric nursing?
A. Guiding medication dosage calculations
B. Establishing criteria for diagnosing mental disorders
C. Determining the cause of psychiatric symptoms
D. Designing therapeutic communication strategies
✅ Correct Answer: B
Rationale: The DSM-5 provides standardized criteria for
diagnosing mental disorders, ensuring consistency and reliability
in mental health assessment. It does not determine causes or
guide medication doses.
PTS: 1
REF: Diagnostic Criteria for Mental Illness
OBJ: 2
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1
KEY: Integrated Process: Clinical Problem-Solving Process
BLM: Cognitive Level: Apply
, Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
3. A client states, “People at work avoid me because they know I
was hospitalized for depression.” This is an example of:
A. Discrimination
B. Self-stigma
C. Public stigma
D. Internalized recovery
✅ Correct Answer: C
Rationale: Public stigma occurs when societal stereotypes lead to
prejudicial behavior toward individuals with mental illness. Self-
stigma is when individuals internalize these beliefs about
themselves.
PTS: 1
REF: Impact of Stigma
OBJ: 3
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Analyze
, Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
Chapter 1: Mental Health and Mental Illness – Test Bank
1. A psychiatric nurse is assessing a client who maintains stable
relationships, adapts to changes, and experiences occasional
sadness without significant impairment in functioning. Which
conclusion best reflects the nurse’s interpretation?
A. The client is demonstrating poor coping strategies.
B. The client meets criteria for mild depression.
C. The client is exhibiting characteristics of mental health.
D. The client is showing early signs of mental illness.
✅ Correct Answer: C
Rationale: Mental health is characterized by the ability to maintain
relationships, adapt to changes, and experience emotions without
significant impairment. Occasional sadness is a normal human
experience and does not indicate pathology.
PTS: 1
REF: Defining Mental Health
OBJ: 1
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1
, Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
KEY: Integrated Process: Assessment
BLM: Cognitive Level: Analyze
2. A nurse explains to a student that the DSM-5 is primarily used
for which purpose in psychiatric nursing?
A. Guiding medication dosage calculations
B. Establishing criteria for diagnosing mental disorders
C. Determining the cause of psychiatric symptoms
D. Designing therapeutic communication strategies
✅ Correct Answer: B
Rationale: The DSM-5 provides standardized criteria for
diagnosing mental disorders, ensuring consistency and reliability
in mental health assessment. It does not determine causes or
guide medication doses.
PTS: 1
REF: Diagnostic Criteria for Mental Illness
OBJ: 2
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1
KEY: Integrated Process: Clinical Problem-Solving Process
BLM: Cognitive Level: Apply
, Introductory Mental Health Nursing, 5th Edition by Womble & Kincheloe.
3. A client states, “People at work avoid me because they know I
was hospitalized for depression.” This is an example of:
A. Discrimination
B. Self-stigma
C. Public stigma
D. Internalized recovery
✅ Correct Answer: C
Rationale: Public stigma occurs when societal stereotypes lead to
prejudicial behavior toward individuals with mental illness. Self-
stigma is when individuals internalize these beliefs about
themselves.
PTS: 1
REF: Impact of Stigma
OBJ: 3
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Analyze
