NURS 222 | Mental Health/Psychiatric Nursing: Promoting Wellness in
the Mentally Ill | Week 7 Quiz Questions and Answers 2026 |WCU
1. Which core concept of the Recovery Model differentiates it from the
traditional Medical Model?
A. Emphasis on the patient’s individual goals and self-determination
B. Focus on symptom stabilization and pharmacological compliance
C. The belief that clinicians are the primary decision-makers in treatment
D. The requirement for complete clinical remission before community reintegration
Answer: A
Rationale: The Recovery Model is patient-centered and focuses on the individual’s ability
to live a fulfilling life regardless of symptoms, emphasizing autonomy and personal goals
over clinician-driven symptom management.
2. A nurse is educating a patient with schizophrenia about metabolic syndrome.
Which assessment finding requires immediate intervention?
A. A body mass index (BMI) of 24.5
B. Blood pressure reading of 118/78 mmHg
C. High-density lipoprotein (HDL) cholesterol of 60 mg/dL
D. A fasting blood glucose level of 126 mg/dL
Answer: D
Rationale: A fasting blood glucose of 126 mg/dL or higher indicates diabetes, a key
component of metabolic syndrome frequently associated with second-generation
antipsychotics. A BMI of 24.5 and the provided BP/HDL are within normal limits.
,3. What is the primary objective of Assertive Community Treatment (ACT)?
A. To provide short-term crisis stabilization in an inpatient setting
B. To transition all patients from medication to holistic therapy alone
C. To offer intensive, multi-disciplinary support to prevent hospitalization for those with severe illness
D. To provide legal advocacy for patients in the criminal justice system
Answer: C
Rationale: ACT is a community-based program designed for patients with serious mental
illness (SMI) who have high service needs, aiming to reduce hospital recidivism through
24/7 team-based support.
4. Which component of the Wellness Recovery Action Plan (WRAP) helps a
patient identify behaviors indicating their condition is worsening?
A. Early Warning Signs
B. The Crisis Plan
C. The Daily Maintenance List
D. Post-Crisis Plan
Answer: A
Rationale: Early Warning Signs in WRAP are subtle changes in thought or behavior that
signify a decrease in wellness, allowing the individual to take action before a full crisis
occurs.
5. When using Motivational Interviewing, what does the ‘Developing
Discrepancy’ technique involve?
A. Arguing with the patient about the dangers of their current behavior
B. Telling the patient why their family is disappointed in them
C. Identifying the gap between the patient’s current behavior and their personal goals
D. Providing a list of rules for the patient to follow to achieve wellness
Answer: C
, Rationale: Developing discrepancy helps the patient see how their current behaviors (e.g.,
substance use) conflict with their long-term goals (e.g., keeping a job), which fosters
internal motivation for change.
6. A patient on Clozapine reports a sore throat and fever. What is the nurse’s
priority action?
A. Obtain a STAT Complete Blood Count (CBC) with differential
B. Encourage increased fluid intake and rest
C. Administer acetaminophen and monitor for 24 hours
D. Document the findings as a common side effect of the medication
Answer: A
Rationale: Sore throat and fever are clinical signs of agranulocytosis, a life-threatening
drop in white blood cells associated with Clozapine. A CBC is mandatory to assess the
Absolute Neutrophil Count (ANC).
7. Which wellness strategy is most effective for a patient experiencing the
negative symptoms of schizophrenia, such as avolition?
A. Isolation to reduce sensory overload
B. Participation in social skills training and structured activity groups
C. High-dose stimulant therapy to increase energy
D. Daily cognitive behavioral therapy focused only on past trauma
Answer: B
Rationale: Avolition (lack of motivation) is best managed through structured activities and
social skills training which provide external cues and social reinforcement to help the
patient engage in daily life.
the Mentally Ill | Week 7 Quiz Questions and Answers 2026 |WCU
1. Which core concept of the Recovery Model differentiates it from the
traditional Medical Model?
A. Emphasis on the patient’s individual goals and self-determination
B. Focus on symptom stabilization and pharmacological compliance
C. The belief that clinicians are the primary decision-makers in treatment
D. The requirement for complete clinical remission before community reintegration
Answer: A
Rationale: The Recovery Model is patient-centered and focuses on the individual’s ability
to live a fulfilling life regardless of symptoms, emphasizing autonomy and personal goals
over clinician-driven symptom management.
2. A nurse is educating a patient with schizophrenia about metabolic syndrome.
Which assessment finding requires immediate intervention?
A. A body mass index (BMI) of 24.5
B. Blood pressure reading of 118/78 mmHg
C. High-density lipoprotein (HDL) cholesterol of 60 mg/dL
D. A fasting blood glucose level of 126 mg/dL
Answer: D
Rationale: A fasting blood glucose of 126 mg/dL or higher indicates diabetes, a key
component of metabolic syndrome frequently associated with second-generation
antipsychotics. A BMI of 24.5 and the provided BP/HDL are within normal limits.
,3. What is the primary objective of Assertive Community Treatment (ACT)?
A. To provide short-term crisis stabilization in an inpatient setting
B. To transition all patients from medication to holistic therapy alone
C. To offer intensive, multi-disciplinary support to prevent hospitalization for those with severe illness
D. To provide legal advocacy for patients in the criminal justice system
Answer: C
Rationale: ACT is a community-based program designed for patients with serious mental
illness (SMI) who have high service needs, aiming to reduce hospital recidivism through
24/7 team-based support.
4. Which component of the Wellness Recovery Action Plan (WRAP) helps a
patient identify behaviors indicating their condition is worsening?
A. Early Warning Signs
B. The Crisis Plan
C. The Daily Maintenance List
D. Post-Crisis Plan
Answer: A
Rationale: Early Warning Signs in WRAP are subtle changes in thought or behavior that
signify a decrease in wellness, allowing the individual to take action before a full crisis
occurs.
5. When using Motivational Interviewing, what does the ‘Developing
Discrepancy’ technique involve?
A. Arguing with the patient about the dangers of their current behavior
B. Telling the patient why their family is disappointed in them
C. Identifying the gap between the patient’s current behavior and their personal goals
D. Providing a list of rules for the patient to follow to achieve wellness
Answer: C
, Rationale: Developing discrepancy helps the patient see how their current behaviors (e.g.,
substance use) conflict with their long-term goals (e.g., keeping a job), which fosters
internal motivation for change.
6. A patient on Clozapine reports a sore throat and fever. What is the nurse’s
priority action?
A. Obtain a STAT Complete Blood Count (CBC) with differential
B. Encourage increased fluid intake and rest
C. Administer acetaminophen and monitor for 24 hours
D. Document the findings as a common side effect of the medication
Answer: A
Rationale: Sore throat and fever are clinical signs of agranulocytosis, a life-threatening
drop in white blood cells associated with Clozapine. A CBC is mandatory to assess the
Absolute Neutrophil Count (ANC).
7. Which wellness strategy is most effective for a patient experiencing the
negative symptoms of schizophrenia, such as avolition?
A. Isolation to reduce sensory overload
B. Participation in social skills training and structured activity groups
C. High-dose stimulant therapy to increase energy
D. Daily cognitive behavioral therapy focused only on past trauma
Answer: B
Rationale: Avolition (lack of motivation) is best managed through structured activities and
social skills training which provide external cues and social reinforcement to help the
patient engage in daily life.
