NUR2459 Mental Health Exam 1/ Actual Exam
Questions with 100% Verified Answers/ Guaranteed
A+
1. A client with a mental illness tells the nurse, "I don't think I'll
ever get better." Which nursing response demonstrates the
therapeutic use of self?
A) "You just need to think positively and things will improve."
B) "Your doctor wouldn't have prescribed that medication if it
wasn't going to help."
C) "Tell me more about what makes you feel that way."
D) "I know exactly how you feel; I've been there myself."
Correct Answer: C
Rationale: Therapeutic use of self involves using one's personality
consciously to establish a therapeutic relationship. Asking "Tell me
more" demonstrates empathy and encourages exploration of
1
,feelings. Options A and B dismiss the client's feelings, and D shifts
focus to the nurse rather than the client.
2. According to the mental health-illness continuum, mental health
is best described as:
A) The absence of mental illness symptoms
B) A state of complete physical, mental, and social well-being
C) The ability to cope with stress and function effectively in daily
life
D) A diagnosis based on DSM-5 criteria
Correct Answer: C
Rationale: Mental health exists on a continuum from health to
illness. Mental health involves the ability to cope with stress,
function effectively, and maintain relationships. It is not merely
the absence of illness, and it encompasses more than just not
having symptoms.
2
,3. Which of the following is an adaptive coping mechanism?
A) Denial
B) Sublimation
C) Projection
D) Regression
Correct Answer: B
Rationale: Sublimation is an adaptive or healthy defense
mechanism where unacceptable impulses are channeled into
socially acceptable behaviors. Denial, projection, and regression
are maladaptive coping mechanisms.
4. The nurse is assessing a client who has been using alcohol to
cope with job loss. This represents a:
A) Predisposing factor
B) Precipitating event
C) Adaptive coping strategy
D) Cultural syndrome
3
, Correct Answer: B
Rationale: A precipitating event is a reaction to an event or
trigger that leads to maladaptive responses. Job loss triggered
the alcohol use, making it the precipitating event. Predisposing
factors include genetics or pre-existing conditions that increase
vulnerability.
5. A student states, "I'll worry about that exam tomorrow." This is
an example of which defense mechanism?
A) Repression
B) Suppression
C) Denial
D) Rationalization
Correct Answer: B
Rationale: Suppression is the conscious choice to delay dealing
with an issue. The student is intentionally postponing worry about
the exam. Repression involves unconscious forgetting, denial
4
Questions with 100% Verified Answers/ Guaranteed
A+
1. A client with a mental illness tells the nurse, "I don't think I'll
ever get better." Which nursing response demonstrates the
therapeutic use of self?
A) "You just need to think positively and things will improve."
B) "Your doctor wouldn't have prescribed that medication if it
wasn't going to help."
C) "Tell me more about what makes you feel that way."
D) "I know exactly how you feel; I've been there myself."
Correct Answer: C
Rationale: Therapeutic use of self involves using one's personality
consciously to establish a therapeutic relationship. Asking "Tell me
more" demonstrates empathy and encourages exploration of
1
,feelings. Options A and B dismiss the client's feelings, and D shifts
focus to the nurse rather than the client.
2. According to the mental health-illness continuum, mental health
is best described as:
A) The absence of mental illness symptoms
B) A state of complete physical, mental, and social well-being
C) The ability to cope with stress and function effectively in daily
life
D) A diagnosis based on DSM-5 criteria
Correct Answer: C
Rationale: Mental health exists on a continuum from health to
illness. Mental health involves the ability to cope with stress,
function effectively, and maintain relationships. It is not merely
the absence of illness, and it encompasses more than just not
having symptoms.
2
,3. Which of the following is an adaptive coping mechanism?
A) Denial
B) Sublimation
C) Projection
D) Regression
Correct Answer: B
Rationale: Sublimation is an adaptive or healthy defense
mechanism where unacceptable impulses are channeled into
socially acceptable behaviors. Denial, projection, and regression
are maladaptive coping mechanisms.
4. The nurse is assessing a client who has been using alcohol to
cope with job loss. This represents a:
A) Predisposing factor
B) Precipitating event
C) Adaptive coping strategy
D) Cultural syndrome
3
, Correct Answer: B
Rationale: A precipitating event is a reaction to an event or
trigger that leads to maladaptive responses. Job loss triggered
the alcohol use, making it the precipitating event. Predisposing
factors include genetics or pre-existing conditions that increase
vulnerability.
5. A student states, "I'll worry about that exam tomorrow." This is
an example of which defense mechanism?
A) Repression
B) Suppression
C) Denial
D) Rationalization
Correct Answer: B
Rationale: Suppression is the conscious choice to delay dealing
with an issue. The student is intentionally postponing worry about
the exam. Repression involves unconscious forgetting, denial
4
