Exams 1–4)– NUR 256 Study Guide Mental Health
Nursing Bundle | Galen College
1. A nurse is planning care for a client with major
depressive disorder. Which level of prevention is being
implemented when teaching stress reduction techniques to
a community group?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Answer: A
Rationale: Primary prevention aims to prevent mental
health problems before they occur by reducing risk
factors (e.g., stress). Secondary involves early detection,
tertiary focuses on rehabilitation.
2. Which statement by a client best indicates positive
mental health?
1
,A. “I have no problems at all.”
B. “I can cope with stress effectively and maintain
relationships.”
C. “I never feel sad or anxious.”
D. “I rely on others to make decisions for me.”
Answer: B
Rationale: Mental health involves effective coping,
resilience, and maintaining relationships, not absence of
distress or dependence.
3. A client tells the nurse, “I feel like dying.” What is the
nurse’s priority response?
A. “You have so much to live for.”
B. “Are you thinking of harming yourself?”
C. “Why do you feel that way?”
D. “Let’s talk about something positive.”
Answer: B
Rationale: Direct assessment of suicidal ideation is priority;
ask clearly and nonjudgmentally.
2
,4. A nurse uses silence during a conversation with a
depressed client. This technique is therapeutic because it:
A. Forces the client to speak.
B. Allows the client time to organize thoughts.
C. Shows the nurse is uninterested.
D. Increases client anxiety.
Answer: B
Rationale: Silence gives the client space to reflect and
initiate conversation.
5. Which ethical principle is violated when a nurse
restrains a client without a physician’s order?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C
Rationale: Nonmaleficence means “do no harm”;
unnecessary restraint causes harm.
3
, 6. A client refuses medication. The nurse administers it
anyway, citing “it’s for their own good.” This is an
example of:
A. Battery
B. Negligence
C. Slander
D. Assault
Answer: A
Rationale: Battery is unlawful touching without consent.
Assault is threatening touch.
7. Which client statement shows an understanding of
confidentiality?
A. “My nurse can tell my employer about my depression.”
B. “The treatment team can share my info for my care.”
C. “My family can see my chart anytime.”
D. “The hospital can release my records to the
newspaper.”
4
Nursing Bundle | Galen College
1. A nurse is planning care for a client with major
depressive disorder. Which level of prevention is being
implemented when teaching stress reduction techniques to
a community group?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Answer: A
Rationale: Primary prevention aims to prevent mental
health problems before they occur by reducing risk
factors (e.g., stress). Secondary involves early detection,
tertiary focuses on rehabilitation.
2. Which statement by a client best indicates positive
mental health?
1
,A. “I have no problems at all.”
B. “I can cope with stress effectively and maintain
relationships.”
C. “I never feel sad or anxious.”
D. “I rely on others to make decisions for me.”
Answer: B
Rationale: Mental health involves effective coping,
resilience, and maintaining relationships, not absence of
distress or dependence.
3. A client tells the nurse, “I feel like dying.” What is the
nurse’s priority response?
A. “You have so much to live for.”
B. “Are you thinking of harming yourself?”
C. “Why do you feel that way?”
D. “Let’s talk about something positive.”
Answer: B
Rationale: Direct assessment of suicidal ideation is priority;
ask clearly and nonjudgmentally.
2
,4. A nurse uses silence during a conversation with a
depressed client. This technique is therapeutic because it:
A. Forces the client to speak.
B. Allows the client time to organize thoughts.
C. Shows the nurse is uninterested.
D. Increases client anxiety.
Answer: B
Rationale: Silence gives the client space to reflect and
initiate conversation.
5. Which ethical principle is violated when a nurse
restrains a client without a physician’s order?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C
Rationale: Nonmaleficence means “do no harm”;
unnecessary restraint causes harm.
3
, 6. A client refuses medication. The nurse administers it
anyway, citing “it’s for their own good.” This is an
example of:
A. Battery
B. Negligence
C. Slander
D. Assault
Answer: A
Rationale: Battery is unlawful touching without consent.
Assault is threatening touch.
7. Which client statement shows an understanding of
confidentiality?
A. “My nurse can tell my employer about my depression.”
B. “The treatment team can share my info for my care.”
C. “My family can see my chart anytime.”
D. “The hospital can release my records to the
newspaper.”
4
