Mental Health Exam 4 Practice Questions with
Actual Complete Questions and Correct Verified
Answer with Detailed Rationales Already Graded
A+ | 2025-2026 Updated
1. Sharon, a woman with multiple cuts and abrasions, arrives at the emergency department
with her three small children. She tells the nurse that her husband inflicted these wounds on
her. She says, "I didn't want to come. I'm really okay. He only does this when he has too much to
drink. I just shouldn't have yelled at him." Which of the following is the best response by the
nurse?
a. "How often does he drink too much?"
b. "It is not your fault. You did the right thing by coming here."
c. "How many times has he done this to you?"
d. "He is not a good husband. You have to leave him before he kills you."
b. "It is not your fault. You did the right thing by coming here." T
2. Sharon, a woman with multiple cuts and abrasions, arrives at the emergency department
with her three small children. She tells the nurse that her husband inflicted these wounds on
her. In the interview, Sharon tells the nurse, “He’s been getting more and more violent lately.
He’s been under a lot of stress at work the last few weeks, so he drinks a lot when he gets
home. He always gets mean when he drinks. I was getting scared. So I just finally told him I was
going to take the kids and leave. He got furious when I said that and began beating me with his
fists.” With knowledge about the cycle of battering, what does this situation represent?
,a. Phase I. Sharon was desperately trying to stay out of his way and keep everything calm.
b. Phase I. A minor battering incident for which Sharon assumes all the blame.
c. Phase II. The acute battering incident that was provoked by her threat to leave.
d. Phase III. The honeymoon phase when the husband believes that he has “taught her a lesson
and she won’t act up again.”
c. Phase II. The acute battering incident that was provoked by her threat to leave.
3. A battered woman presents to the emergency department with multiple cuts and abrasions.
Her right eye is swollen shut. She says that her husband did this to her. Which of the following is
the priority nursing intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her husband
a. Tending to the immediate care of her wounds
4. A woman who has a long history of being battered by her husband is staying at the woman’s
shelter. She has received emotional support from staff and peers and has been made aware of
the alternatives open to her. Nevertheless, she decides to return to her home and marriage.
Which of the following is the best response by the nurse to the woman’s decision?
a. “I just can’t believe you have decided to go back to that horrible man.”
b. “I’m just afraid he will kill you or the children when you go back.”
c. “What makes you think things have changed with him?”
d. “I hope you have made the right decision. Call this number if you need help.”
d. "I hope you have made the right decision. Call this number if you need help."
5. Jana, age 5, is sent to the school nurse’s office with an upset stomach. She has vomited and
soiled her blouse. When the nurse removes her blouse, she notices that Jana has numerous
bruises on her arms and torso in various stages of healing. She also notices some small scars.
Jana’s abdomen protrudes on her small, thin frame. From the objective physical assessment, the
nurse suspects that:
a. Jana is experiencing physical and sexual abuse.
, b. Jana is experiencing physical abuse and neglect.
c. Jana is experiencing emotional neglect.
d. Jana is experiencing sexual and emotional abuse.
b. Jana is experiencing physical abuse and neglect.
6. A school nurse notices bruises and scars on a child’s body, but the child refuses to say how
she received them. What is another way in which the nurse can get information from the child?
a. Have her evaluated by the school psychologist.
b. Tell her she may select a “treat” from the treat box (e.g., sucker, balloon, junk jewelry) if she
answers the nurse’s questions.
c. Explain to her that if she answers the questions, she may stay in the nurse’s office and not
have to go back to class.
d. Use a “family” of dolls to role-play the child’s family with her.
d. Use a "family" of dolls to role-play the child's family with her.
7. A school nurse notices bruises and scars on Jana’s body. The nurse suspects that the child is
being physically abused. How should the nurse proceed with this information?
a. As a healthcare worker, report the suspicion to child protective services.
b. Check Jana again in a week and see if there are any new bruises.
c. Meet with Jana’s parents and ask them how Jana got the bruises.
d. Initiate paperwork to have Jana placed in foster care.
a. As a healthcare worker, report the suspicion to child protective services.
8. Kate is an 18-year-old freshman at the state university. She was extremely flattered when
Don, a senior star football player, invited her to a party. On the way home, he parked the car in a
secluded area by the lake. He became angry when she refused his sexual advances. He began to
beat her and finally raped her. She tried to fight him, but his physical strength overpowered her.
He dumped her in the dorm parking lot and left. The dorm supervisor rushed Kate to the
emergency department. Kate says to the nurse, “It’s all my fault. I shouldn’t have allowed him to
stop at the lake.” Which of the following is the nurse’s best response?
a. “Yes, you’re right. You put yourself in a very vulnerable position when you allowed him to
stop at the lake.”
Actual Complete Questions and Correct Verified
Answer with Detailed Rationales Already Graded
A+ | 2025-2026 Updated
1. Sharon, a woman with multiple cuts and abrasions, arrives at the emergency department
with her three small children. She tells the nurse that her husband inflicted these wounds on
her. She says, "I didn't want to come. I'm really okay. He only does this when he has too much to
drink. I just shouldn't have yelled at him." Which of the following is the best response by the
nurse?
a. "How often does he drink too much?"
b. "It is not your fault. You did the right thing by coming here."
c. "How many times has he done this to you?"
d. "He is not a good husband. You have to leave him before he kills you."
b. "It is not your fault. You did the right thing by coming here." T
2. Sharon, a woman with multiple cuts and abrasions, arrives at the emergency department
with her three small children. She tells the nurse that her husband inflicted these wounds on
her. In the interview, Sharon tells the nurse, “He’s been getting more and more violent lately.
He’s been under a lot of stress at work the last few weeks, so he drinks a lot when he gets
home. He always gets mean when he drinks. I was getting scared. So I just finally told him I was
going to take the kids and leave. He got furious when I said that and began beating me with his
fists.” With knowledge about the cycle of battering, what does this situation represent?
,a. Phase I. Sharon was desperately trying to stay out of his way and keep everything calm.
b. Phase I. A minor battering incident for which Sharon assumes all the blame.
c. Phase II. The acute battering incident that was provoked by her threat to leave.
d. Phase III. The honeymoon phase when the husband believes that he has “taught her a lesson
and she won’t act up again.”
c. Phase II. The acute battering incident that was provoked by her threat to leave.
3. A battered woman presents to the emergency department with multiple cuts and abrasions.
Her right eye is swollen shut. She says that her husband did this to her. Which of the following is
the priority nursing intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her husband
a. Tending to the immediate care of her wounds
4. A woman who has a long history of being battered by her husband is staying at the woman’s
shelter. She has received emotional support from staff and peers and has been made aware of
the alternatives open to her. Nevertheless, she decides to return to her home and marriage.
Which of the following is the best response by the nurse to the woman’s decision?
a. “I just can’t believe you have decided to go back to that horrible man.”
b. “I’m just afraid he will kill you or the children when you go back.”
c. “What makes you think things have changed with him?”
d. “I hope you have made the right decision. Call this number if you need help.”
d. "I hope you have made the right decision. Call this number if you need help."
5. Jana, age 5, is sent to the school nurse’s office with an upset stomach. She has vomited and
soiled her blouse. When the nurse removes her blouse, she notices that Jana has numerous
bruises on her arms and torso in various stages of healing. She also notices some small scars.
Jana’s abdomen protrudes on her small, thin frame. From the objective physical assessment, the
nurse suspects that:
a. Jana is experiencing physical and sexual abuse.
, b. Jana is experiencing physical abuse and neglect.
c. Jana is experiencing emotional neglect.
d. Jana is experiencing sexual and emotional abuse.
b. Jana is experiencing physical abuse and neglect.
6. A school nurse notices bruises and scars on a child’s body, but the child refuses to say how
she received them. What is another way in which the nurse can get information from the child?
a. Have her evaluated by the school psychologist.
b. Tell her she may select a “treat” from the treat box (e.g., sucker, balloon, junk jewelry) if she
answers the nurse’s questions.
c. Explain to her that if she answers the questions, she may stay in the nurse’s office and not
have to go back to class.
d. Use a “family” of dolls to role-play the child’s family with her.
d. Use a "family" of dolls to role-play the child's family with her.
7. A school nurse notices bruises and scars on Jana’s body. The nurse suspects that the child is
being physically abused. How should the nurse proceed with this information?
a. As a healthcare worker, report the suspicion to child protective services.
b. Check Jana again in a week and see if there are any new bruises.
c. Meet with Jana’s parents and ask them how Jana got the bruises.
d. Initiate paperwork to have Jana placed in foster care.
a. As a healthcare worker, report the suspicion to child protective services.
8. Kate is an 18-year-old freshman at the state university. She was extremely flattered when
Don, a senior star football player, invited her to a party. On the way home, he parked the car in a
secluded area by the lake. He became angry when she refused his sexual advances. He began to
beat her and finally raped her. She tried to fight him, but his physical strength overpowered her.
He dumped her in the dorm parking lot and left. The dorm supervisor rushed Kate to the
emergency department. Kate says to the nurse, “It’s all my fault. I shouldn’t have allowed him to
stop at the lake.” Which of the following is the nurse’s best response?
a. “Yes, you’re right. You put yourself in a very vulnerable position when you allowed him to
stop at the lake.”
