100 of the most common Mental Health Bundle Questions with Elaborated Answers seen on the NCLEX® The Complete NCLEX Mental Health Nursing Bundle Flashcards Updated 2025 Version.

1. Therapeutic Communication Techniques Q1: Which of the following is an example of active listening in therapeutic communication? A) Nodding and maintaining eye contact B) Interrupting to clarify information C) Giving unsolicited advice D) Distracting the patient with small talk Answer: A) Nodding and maintaining eye contact Elaboration: Active listening involves fully concentrating on what the patient is saying, showing empathy through body language such as nodding and maintaining eye contact, which fosters trust and rapport. 2. Personality Disorders (Cluster A, B, C) Q2: Which personality disorder is characterized by pervasive distrust and suspicion of others? A) Borderline Personality Disorder B) Paranoid Personality Disorder C) Narcissistic Personality Disorder D) Avoidant Personality Disorder Answer: B) Paranoid Personality Disorder Elaboration: Paranoid Personality Disorder falls under Cluster A personality disorders and is characterized by a pervasive distrust and suspicion of others, often leading to significant interpersonal difficulties. 3. Eating Disorders (Anorexia, Bulimia, Binge Eating) Q3: Which behavior is most indicative of Bulimia Nervosa? A) Severe restriction of food intake B) Binge eating followed by purging C) Extreme weight loss D) Avoidance of food altogether Answer: B) Binge eating followed by purging Elaboration: Bulimia Nervosa is characterized by episodes of binge eating followed by compensatory behaviors, such as purging, to prevent weight gain, unlike anorexia which involves severe restriction. 4. Bipolar Disorder (Manic & Depressive Phase) Q4: In the manic phase of Bipolar Disorder, which behavior might a nurse observe? A) Withdrawn and apathetic B) Excessively talkative and euphoric C) Inability to concentrate D) Insomnia without increased energy Answer: B) Excessively talkative and euphoric Elaboration: The manic phase of Bipolar Disorder is marked by elevated mood, increased activity, and excessive talkativeness, which can lead to impaired functioning. 5. Schizophrenia Q5: Which of the following is considered a positive symptom of schizophrenia? A) Apathy B) Anhedonia C) Hallucinations D) Social withdrawal Answer: C) Hallucinations Elaboration: Positive symptoms of schizophrenia include the presence of abnormal behaviors or experiences, such as hallucinations and delusions, as opposed to negative symptoms, which reflect a decrease in normal functions. 6. Types of Depression (Major Depressive Disorder, Seasonal Affective Disorder) Q6: What is a distinguishing feature of Seasonal Affective Disorder (SAD)? A) Symptoms occur in a specific season B) Symptoms are present year-round C) Symptoms include hallucinations D) Symptoms only appear in winter months Answer: A) Symptoms occur in a specific season Elaboration: Seasonal Affective Disorder is characterized by depressive symptoms that occur in a specific season, typically winter, when there is less natural sunlight, affecting mood and energy levels. 7. Different Types of Anxiety Disorders Q7: Which of the following disorders is characterized by excessive worry about multiple aspects of daily life? A) Panic Disorder B) Social Anxiety Disorder C) Generalized Anxiety Disorder D) Specific Phobia Answer: C) Generalized Anxiety Disorder Elaboration: Generalized Anxiety Disorder (GAD) involves persistent and excessive worry about various life events and situations, leading to significant distress and impairment. 8. Somatic Symptoms Disorder Q8: A patient presents with multiple physical complaints without a clear medical cause. What disorder might this indicate? A) Conversion Disorder B) Somatic Symptom Disorder C) Illness Anxiety Disorder D) Malingering Answer: B) Somatic Symptom Disorder Elaboration: Somatic Symptom Disorder is characterized by an intense focus on physical symptoms (pain, fatigue) that causes significant distress, where the symptoms are not fully explained by a medical condition. 9. PTSD Q9: Which of the following is a common symptom of Post-Traumatic Stress Disorder (PTSD)? A) Chronic fatigue B) Flashbacks C) Social withdrawal D) Insomnia Answer: B) Flashbacks Elaboration: Flashbacks, or re-experiencing traumatic events, are hallmark symptoms of PTSD, along with avoidance, negative changes in mood, and increased arousal. 10. Delirium & Alzheimer's Q10: Which of the following is a key difference between delirium and Alzheimer's disease? A) Delirium is irreversible. B) Delirium has a sudden onset. C) Alzheimer’s symptoms improve with treatment. D) Delirium is caused by genetic factors. Answer: B) Delirium has a sudden onset. Elaboration: Delirium typically has a rapid onset and can fluctuate in severity, while Alzheimer's disease is a progressive neurodegenerative disorder with a gradual decline in cognitive function.