Concepts Of Mental Health Nursing
Galen College of Nursing
High-Yield Qs & Verified Answers
with Rationales
This Exam Features:
NUR 256 Exam 1 Mental Health Nursing (Galen
College) including 50 high-yield questions
written to mirror actual course exams. Covers core
Mental Health concepts with clear, accurate, and
student-friendly explanations. Perfect for mastering high-priority
topics and boosting exam confidence.
1. A nurse has performed pre-operative care on a client
and is transferring the client to the surgical holding area
when the client states, "I have changed my mind; I do not
,want to have this surgery." Which of the following ethical
principles is the client exercising?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity
Correct Answer: B. Autonomy
Expert Rationale: Autonomy is the client’s right to make
independent decisions about their own healthcare, including
refusing treatment or surgery. Here, the client is exercising control
over their own body and care plan. Nonmaleficence relates to
avoiding harm, justice refers to fairness, and fidelity involves
keeping promises, none of which apply to this client’s decision.
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2. A nurse is preparing to perform a physical examination
on a client. Which of the following interventions should
the nurse perform to ensure client privacy?
A. Close the examination room door but do not pull the curtain in
the examination room
B. Remain in the client's room while the client is getting
undressed
C. Ask the client if they would like to empty their bladder or
bowels before the physical examination begins
D. Do not expose any more of the client's body than required at a
time
Correct Answer: D. Do not expose any more of the client's body
than required at a time
,Expert Rationale: Protecting client privacy during physical
exams involves minimizing unnecessary exposure, providing
gowns or drapes, and exposing only the area being assessed.
While closing doors and curtains helps, option A is incomplete,
option B may violate privacy, and option C is considerate but less
directly related to visual privacy.
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3. A nurse is assisting a client with ambulating around the
nurses' station. Which of the following steps of the
nursing process is the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning
Correct Answer: A. Implementation
Expert Rationale: The implementation phase involves carrying
out nursing interventions such as assisting with ambulation.
Planning is developing a care plan, analysis (or assessment) is
collecting data, and evaluation is assessing the effectiveness of
those interventions.
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4. A nurse is performing an assessment on a client. The
client states, "I have a dry cough every morning when I
wake up." Which of the following is the type of data the
nurse is collecting?
A. Subjective
B. Social determinants of health
C. Objective
, D. Olfactory
Correct Answer: A. Subjective
Expert Rationale: Subjective data are verbal statements made
by the client about feelings, symptoms, or experiences, such as
reporting a dry cough. Objective data are observable or
measurable findings (e.g., cough sounds heard). Social
determinants relate to the client’s environment/socioeconomic
status. Olfactory concerns sense of smell.
5. A nurse is performing a pre-admission assessment on a
client and employs the use of nonverbal and verbal
communication. Which of the following actions
demonstrates the use of a nonverbal communication
technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-ended questions
C. Maintain a fair distance between self and client
D. Stating the name and providing credentials upon entering the
client's room
Correct Answer: C. Maintain a fair distance between self and
client
Expert Rationale: Nonverbal communication includes body
language, facial expressions, eye contact, gestures, posture, and
proxemics (use of space). Maintaining an appropriate physical
distance respects the client’s personal space and conveys
openness or respect without spoken words. Options A and B
involve verbal communication, while option D is a verbal
introduction.