Advanced mental health 2025
Advanced mental health exam 2025 (study guide)
questions and a 100% approved answers graded a
A nurse working on an acute mental health unit forms a group to focus on self-management of medications.
At each of meetings, two members use the opportunity to discuss their common interest in gambling on
sports. This is an example of which of the following concepts?
A) Hidden agenda
B) Subgroup
C) Group PROCESS
D) – Triangulation ✔✔✔A
A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make
his sister look bad so his parents will think he's the better sibling, which he believes will give him more
privileges. The nurse should identify this dysfunctional behavior as which of the following?
A) Placation
B) Manipulation
C) Blaming
D) Distraction - ✔✔✔B
A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the
following information should the nurse include in the discussion?
A) Excessive stressors cause the client to experience distress
B) The body's initial adaptive response to stress is denial
C) Absence of stressors results in homeostasis
D) Negative, rather than positive, stressors produce a biological response - ✔✔✔A
@ pg. 1
, Advanced mental health 2025
A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates
the client is experiencing depersonalization?
A) I am a superhero and am immortal
B) I am no one, and everyone is me
C) I feel monsters pinching me all over
D) I know that you are stealing my thoughts - ✔✔✔B
A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are telling
her to "kill your doctor." Which of the following actions should the nurse take first?
A) Use therapeutic communication to discuss the hallucination with the client
B) Initiate one-to-one observation of the client
C) Focus the client on reality
D) Notify the provider of the client's statement - ✔✔✔B
A nurse is speaking with a client who has schizophrenia when he suddenly seems to stop focusing on the
nurse's questions and begins looking at the ceiling and talking to himself. Which of the following actions
should the nurse take?
A) Stop the interview at this point, and resume later when the client is better able to concentrate
B) Ask the client, "Are you seeing something on the ceiling?"
C) Tell the client, "You seem to be looking at something on the ceiling. I see something there, too"
D) Continue the interview without comment on the client's behavior - ✔✔✔B
A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A) I can promote my client's sense of control by establishing a schedule
B) I should encourage clients who have a schizoid personality disorder to increase socialization
C) I should practice limit-setting to help prevent client manipulation
D) I should implement assertiveness training with clients who have antisocial personality disorder - ✔✔✔C
@ pg. 2
, Advanced mental health 2025
A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is
expected from a client who has this type of personality disorder?
A) I'm scared that you're going to leave me
B) I'll go to group therapy if you'll let me smoke
C) I need to feel that everyone admires me
D) I sometimes feel better if I cut myself - ✔✔✔A
The nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the
evening shift is always nice! You are the meanest nurse ever! The nurse should recognize the client's
statement as an example of which of the following defense mechanisms?
A) Regression
B) Splitting
C) Undoing
D) Identification - ✔✔✔B
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which
of the following findings should the nurse expect? (Select all that apply)
A) Demonstrates extreme anxiety when placed in a social situation
B) Has difficulty making even simple decisions
C) Attempts to convince other clients to give him their belongings
D) Claiming to be more important than other persons
E) Difficulty understanding why it is inappropriate to have a personal relationship with staff - ✔✔✔A, C, E
A nurse is discussing acute vs prolonged stress with a client. Which of the following effects should the nurse
identify as an acute stress response?
A) Chronic pain
B) Decreased immune system
C) Increased blood pressure
D) Panic attacks
E) Unhappiness - ✔✔✔A, B, E
@ pg. 3
Advanced mental health exam 2025 (study guide)
questions and a 100% approved answers graded a
A nurse working on an acute mental health unit forms a group to focus on self-management of medications.
At each of meetings, two members use the opportunity to discuss their common interest in gambling on
sports. This is an example of which of the following concepts?
A) Hidden agenda
B) Subgroup
C) Group PROCESS
D) – Triangulation ✔✔✔A
A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make
his sister look bad so his parents will think he's the better sibling, which he believes will give him more
privileges. The nurse should identify this dysfunctional behavior as which of the following?
A) Placation
B) Manipulation
C) Blaming
D) Distraction - ✔✔✔B
A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the
following information should the nurse include in the discussion?
A) Excessive stressors cause the client to experience distress
B) The body's initial adaptive response to stress is denial
C) Absence of stressors results in homeostasis
D) Negative, rather than positive, stressors produce a biological response - ✔✔✔A
@ pg. 1
, Advanced mental health 2025
A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates
the client is experiencing depersonalization?
A) I am a superhero and am immortal
B) I am no one, and everyone is me
C) I feel monsters pinching me all over
D) I know that you are stealing my thoughts - ✔✔✔B
A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are telling
her to "kill your doctor." Which of the following actions should the nurse take first?
A) Use therapeutic communication to discuss the hallucination with the client
B) Initiate one-to-one observation of the client
C) Focus the client on reality
D) Notify the provider of the client's statement - ✔✔✔B
A nurse is speaking with a client who has schizophrenia when he suddenly seems to stop focusing on the
nurse's questions and begins looking at the ceiling and talking to himself. Which of the following actions
should the nurse take?
A) Stop the interview at this point, and resume later when the client is better able to concentrate
B) Ask the client, "Are you seeing something on the ceiling?"
C) Tell the client, "You seem to be looking at something on the ceiling. I see something there, too"
D) Continue the interview without comment on the client's behavior - ✔✔✔B
A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A) I can promote my client's sense of control by establishing a schedule
B) I should encourage clients who have a schizoid personality disorder to increase socialization
C) I should practice limit-setting to help prevent client manipulation
D) I should implement assertiveness training with clients who have antisocial personality disorder - ✔✔✔C
@ pg. 2
, Advanced mental health 2025
A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is
expected from a client who has this type of personality disorder?
A) I'm scared that you're going to leave me
B) I'll go to group therapy if you'll let me smoke
C) I need to feel that everyone admires me
D) I sometimes feel better if I cut myself - ✔✔✔A
The nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the
evening shift is always nice! You are the meanest nurse ever! The nurse should recognize the client's
statement as an example of which of the following defense mechanisms?
A) Regression
B) Splitting
C) Undoing
D) Identification - ✔✔✔B
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which
of the following findings should the nurse expect? (Select all that apply)
A) Demonstrates extreme anxiety when placed in a social situation
B) Has difficulty making even simple decisions
C) Attempts to convince other clients to give him their belongings
D) Claiming to be more important than other persons
E) Difficulty understanding why it is inappropriate to have a personal relationship with staff - ✔✔✔A, C, E
A nurse is discussing acute vs prolonged stress with a client. Which of the following effects should the nurse
identify as an acute stress response?
A) Chronic pain
B) Decreased immune system
C) Increased blood pressure
D) Panic attacks
E) Unhappiness - ✔✔✔A, B, E
@ pg. 3
