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MENTAL HEALTH & WELLNESS IN NURSING EXAM
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HIGH YIELD S QUES TIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
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QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 45
Final Exam
Phillipe Pinel's contribution to the history of mental health care is BEST
described as:
A. Developing the first antipsychotic medication
B. Removing chains from psychiatric patients and promoting humane
treatment
C. Establishing the first community mental health center in France
D. Writing the first edition of the Diagnostic and Statistical Manual
B. Removing chains from psychiatric patients and promoting humane treatment
rationale: Philippe Pinel (late 1700s, France) is a landmark figure in psychiatric
history who literally removed chains from institutionalized patients at Bicêtre Hospital
and championed moral treatment — the idea that humane, respectful care could aid
recovery (Morrison-Valfre Ch. 4).
According to The Joint Commission's National Patient Safety Goals, which
action is REQUIRED for all patients admitted to a psychiatric setting?
A. Administration of a standardized intelligence test
B. Screening for suicide risk using a validated assessment tool
C. Mandatory family therapy sessions within 24 hours of admission
D. Urine drug screen for all patients regardless of history
B. Screening for suicide risk using a validated assessment tool
rationale: The Joint Commission's NPSG 15.01.01 requires that all patients in
psychiatric settings be screened for suicide risk using a validated tool. This is a
mandatory, standardized safety requirement across accredited facilities (National
Patient Safety Goals, 2023 / Morrison-Valfre Ch. 11).
A nurse is using the SAD PERSONS scale to assess suicide risk. A male
patient, age 68, recently divorced, with a history of a previous attempt, reports
alcohol use and has no social support. Which assessment is MOST accurate?
A. The patient is low risk because he denies current suicidal ideation
B. The patient's risk cannot be determined without a psychiatric consult
, Page 3 of 45
C. The patient has multiple high-risk factors and requires immediate safety
intervention
D. The patient is moderate risk because he has not formulated a specific plan
C. The patient has multiple high-risk factors and requires immediate safety
intervention
rationale: ✓ Why C is correct
This patient has numerous SAD PERSONS risk factors: Sex (male), Age (elderly),
Depression implied, Previous attempt, Ethanol use, Rational thinking loss possible,
Social supports lacking, Organized plan not yet assessed but risk is already very
high. Multiple compounding risk factors indicate HIGH risk requiring immediate
intervention regardless of stated plan or ideation (Morrison-Valfre Ch. 11).
A nurse is caring for an involuntarily committed patient who refuses a
prescribed antipsychotic medication. Under most state laws, the nurse
understands which of the following to be true?
A. Involuntary commitment automatically removes the patient's right to refuse
medication
B. The patient retains the right to refuse medication unless a court order or
emergency exception applies
C. The nurse may administer medication without consent as long as the
physician orders it
D. The patient's family can give consent for medication on behalf of the
committed patient
B. The patient retains the right to refuse medication unless a court order or
emergency exception applies
rationale: In most U.S. states, involuntary psychiatric commitment does not
automatically waive the right to refuse medication. A separate court order (or a
declared psychiatric emergency) is generally required to administer medication
without consent. This is a critical legal protection. A physician order is necessary but
not sufficient. Consent or a legal override is also required except in emergencies.
A patient taking a first-generation antipsychotic develops rhythmic,
involuntary movements of their tongue, lips, and face that have persisted for
over a year. The nurse documents this as:
, Page 4 of 45
A. Acute dystonia
B. Akathisia
C. Tardive dyskinesia
D. Pseudoparkinsonism
C. Tardive dyskinesia
rationale: ✓ Why C is correct
Tardive dyskinesia (TD) is a late-onset, potentially irreversible movement disorder
caused by prolonged dopamine-blocking antipsychotic use. It is characterized by
repetitive, involuntary orofacial movements (lip smacking, tongue protrusion, facial
grimacing) and choreiform limb movements.
When would other options apply?
Option A: Acute dystonia involves sudden, severe muscle spasms (neck, jaw, eyes)
occurring within hours to days of starting therapy — not months/years later.
Option B: Akathisia is subjective motor restlessness — the patient feels they cannot
sit still. Not the same as involuntary facial movements.
Option D: Pseudoparkinsonism presents with tremor, rigidity, and shuffling gait —
mimicking Parkinson's disease. It is reversible and drug-induced.
Which historical event marked a major shift toward deinstitutionalization of
psychiatric patients in the United States?
A. The discovery of penicillin in 1928
B. The passage of the Community Mental Health Act of 1963
C. The introduction of electroconvulsive therapy in 1938
D. The publication of the first DSM in 1952
B. The passage of the Community Mental Health Act of 1963
Why B is correct
The Community Mental Health Act of 1963 (signed by President Kennedy) provided
federal funding for community mental health centers and directly drove the
deinstitutionalization movement — shifting care from large state hospitals to
community-based settings (Morrison-Valfre Ch. 4).
A patient tells the nurse, 'I trust you more than my own doctor. You really get
me.' Which phase of the therapeutic nurse-patient relationship does this
statement MOST likely reflect?
A. Pre-interaction phase
MENTAL HEALTH & WELLNESS IN NURSING EXAM
Download now
HIGH YIELD S QUES TIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 45
Final Exam
Phillipe Pinel's contribution to the history of mental health care is BEST
described as:
A. Developing the first antipsychotic medication
B. Removing chains from psychiatric patients and promoting humane
treatment
C. Establishing the first community mental health center in France
D. Writing the first edition of the Diagnostic and Statistical Manual
B. Removing chains from psychiatric patients and promoting humane treatment
rationale: Philippe Pinel (late 1700s, France) is a landmark figure in psychiatric
history who literally removed chains from institutionalized patients at Bicêtre Hospital
and championed moral treatment — the idea that humane, respectful care could aid
recovery (Morrison-Valfre Ch. 4).
According to The Joint Commission's National Patient Safety Goals, which
action is REQUIRED for all patients admitted to a psychiatric setting?
A. Administration of a standardized intelligence test
B. Screening for suicide risk using a validated assessment tool
C. Mandatory family therapy sessions within 24 hours of admission
D. Urine drug screen for all patients regardless of history
B. Screening for suicide risk using a validated assessment tool
rationale: The Joint Commission's NPSG 15.01.01 requires that all patients in
psychiatric settings be screened for suicide risk using a validated tool. This is a
mandatory, standardized safety requirement across accredited facilities (National
Patient Safety Goals, 2023 / Morrison-Valfre Ch. 11).
A nurse is using the SAD PERSONS scale to assess suicide risk. A male
patient, age 68, recently divorced, with a history of a previous attempt, reports
alcohol use and has no social support. Which assessment is MOST accurate?
A. The patient is low risk because he denies current suicidal ideation
B. The patient's risk cannot be determined without a psychiatric consult
, Page 3 of 45
C. The patient has multiple high-risk factors and requires immediate safety
intervention
D. The patient is moderate risk because he has not formulated a specific plan
C. The patient has multiple high-risk factors and requires immediate safety
intervention
rationale: ✓ Why C is correct
This patient has numerous SAD PERSONS risk factors: Sex (male), Age (elderly),
Depression implied, Previous attempt, Ethanol use, Rational thinking loss possible,
Social supports lacking, Organized plan not yet assessed but risk is already very
high. Multiple compounding risk factors indicate HIGH risk requiring immediate
intervention regardless of stated plan or ideation (Morrison-Valfre Ch. 11).
A nurse is caring for an involuntarily committed patient who refuses a
prescribed antipsychotic medication. Under most state laws, the nurse
understands which of the following to be true?
A. Involuntary commitment automatically removes the patient's right to refuse
medication
B. The patient retains the right to refuse medication unless a court order or
emergency exception applies
C. The nurse may administer medication without consent as long as the
physician orders it
D. The patient's family can give consent for medication on behalf of the
committed patient
B. The patient retains the right to refuse medication unless a court order or
emergency exception applies
rationale: In most U.S. states, involuntary psychiatric commitment does not
automatically waive the right to refuse medication. A separate court order (or a
declared psychiatric emergency) is generally required to administer medication
without consent. This is a critical legal protection. A physician order is necessary but
not sufficient. Consent or a legal override is also required except in emergencies.
A patient taking a first-generation antipsychotic develops rhythmic,
involuntary movements of their tongue, lips, and face that have persisted for
over a year. The nurse documents this as:
, Page 4 of 45
A. Acute dystonia
B. Akathisia
C. Tardive dyskinesia
D. Pseudoparkinsonism
C. Tardive dyskinesia
rationale: ✓ Why C is correct
Tardive dyskinesia (TD) is a late-onset, potentially irreversible movement disorder
caused by prolonged dopamine-blocking antipsychotic use. It is characterized by
repetitive, involuntary orofacial movements (lip smacking, tongue protrusion, facial
grimacing) and choreiform limb movements.
When would other options apply?
Option A: Acute dystonia involves sudden, severe muscle spasms (neck, jaw, eyes)
occurring within hours to days of starting therapy — not months/years later.
Option B: Akathisia is subjective motor restlessness — the patient feels they cannot
sit still. Not the same as involuntary facial movements.
Option D: Pseudoparkinsonism presents with tremor, rigidity, and shuffling gait —
mimicking Parkinson's disease. It is reversible and drug-induced.
Which historical event marked a major shift toward deinstitutionalization of
psychiatric patients in the United States?
A. The discovery of penicillin in 1928
B. The passage of the Community Mental Health Act of 1963
C. The introduction of electroconvulsive therapy in 1938
D. The publication of the first DSM in 1952
B. The passage of the Community Mental Health Act of 1963
Why B is correct
The Community Mental Health Act of 1963 (signed by President Kennedy) provided
federal funding for community mental health centers and directly drove the
deinstitutionalization movement — shifting care from large state hospitals to
community-based settings (Morrison-Valfre Ch. 4).
A patient tells the nurse, 'I trust you more than my own doctor. You really get
me.' Which phase of the therapeutic nurse-patient relationship does this
statement MOST likely reflect?
A. Pre-interaction phase
