TEST BANK | Mental Health
Nursing, 6th Edition by Linda M.
Gorman & Robynn Anwar |
Complete Chapters 1–22 | Verified
Questions & Rationales
Course
Mental Health Nursing
Question 1
A psychiatric nurse demonstrates therapeutic communication when the nurse:
A. Gives personal advice to a client
B. Changes the subject when emotions arise
C. Encourages the client to express feelings openly
D. Shares personal experiences to build friendship
Correct Answer: C
Rationale:
Therapeutic communication focuses on helping clients express thoughts and feelings while
maintaining professional boundaries. Giving advice or sharing personal experiences shifts focus
away from the client.
Question 2
The primary goal of psychiatric nursing is to:
A. Eliminate all emotional distress
B. Promote mental health and improve functioning
C. Prevent clients from making decisions
D. Control client behaviors
Correct Answer: B
Rationale:
Mental health nursing aims to promote recovery, coping skills, emotional stability, and improved
quality of life.
,Chapter 2: Theories of Personality and Human Behavior
Question 3
A nurse using Maslow’s hierarchy of needs understands that which need must be addressed
first?
A. Self-esteem
B. Love and belonging
C. Physiological needs
D. Self-actualization
Correct Answer: C
Rationale:
Basic physiological needs such as oxygen, food, water, and safety are priorities before higher-
level psychological needs.
Question 4
According to Freud’s theory, the part of personality responsible for moral values is the:
A. Id
B. Ego
C. Superego
D. Libido
Correct Answer: C
Rationale:
The superego represents conscience, morality, and internalized values.
Chapter 3: Assessment in Mental Health Nursing
Question 5
During a psychiatric assessment, the nurse’s priority is to evaluate:
A. Favorite hobbies
B. Safety risks and suicidal thoughts
C. Educational background only
D. Family income
,Correct Answer: B
Rationale:
Safety assessment is the priority, especially evaluating suicide risk, violence risk, and immediate
danger.
Question 6
A client says, “Everyone would be better off without me.” The nurse should first:
A. Ignore the statement
B. Ask about suicidal thoughts and plans
C. Tell the client to think positively
D. Change the topic
Correct Answer: B
Rationale:
Statements suggesting hopelessness require direct suicide assessment.
Chapter 4: Therapeutic Communication
Question 7
Which statement by the nurse is an example of reflection?
A. “Why do you feel that way?”
B. “You seem upset about what happened.”
C. “Everything will be fine.”
D. “I know exactly how you feel.”
Correct Answer: B
Rationale:
Reflection acknowledges and identifies the client’s emotions without judgment.
Question 8
A nurse should avoid which communication technique?
A. Active listening
B. Clarification
, C. False reassurance
D. Open-ended questions
Correct Answer: C
Rationale:
False reassurance minimizes feelings and can damage trust.
Chapter 5: Legal and Ethical Issues
Question 9
Confidentiality may legally be broken when:
A. The nurse is curious about the client
B. A client threatens serious harm to another person
C. A family member requests information
D. The client refuses medication
Correct Answer: B
Rationale:
Healthcare professionals have a duty to protect others when there is a credible threat of harm.
Question 10
Informed consent requires that the client:
A. Understands risks, benefits, and alternatives
B. Always agrees with treatment
C. Follows family wishes
D. Avoids asking questions
Correct Answer: A
Rationale:
Valid consent requires adequate information and voluntary decision-making.
Chapter 6: Stress and Coping
Question 11
Nursing, 6th Edition by Linda M.
Gorman & Robynn Anwar |
Complete Chapters 1–22 | Verified
Questions & Rationales
Course
Mental Health Nursing
Question 1
A psychiatric nurse demonstrates therapeutic communication when the nurse:
A. Gives personal advice to a client
B. Changes the subject when emotions arise
C. Encourages the client to express feelings openly
D. Shares personal experiences to build friendship
Correct Answer: C
Rationale:
Therapeutic communication focuses on helping clients express thoughts and feelings while
maintaining professional boundaries. Giving advice or sharing personal experiences shifts focus
away from the client.
Question 2
The primary goal of psychiatric nursing is to:
A. Eliminate all emotional distress
B. Promote mental health and improve functioning
C. Prevent clients from making decisions
D. Control client behaviors
Correct Answer: B
Rationale:
Mental health nursing aims to promote recovery, coping skills, emotional stability, and improved
quality of life.
,Chapter 2: Theories of Personality and Human Behavior
Question 3
A nurse using Maslow’s hierarchy of needs understands that which need must be addressed
first?
A. Self-esteem
B. Love and belonging
C. Physiological needs
D. Self-actualization
Correct Answer: C
Rationale:
Basic physiological needs such as oxygen, food, water, and safety are priorities before higher-
level psychological needs.
Question 4
According to Freud’s theory, the part of personality responsible for moral values is the:
A. Id
B. Ego
C. Superego
D. Libido
Correct Answer: C
Rationale:
The superego represents conscience, morality, and internalized values.
Chapter 3: Assessment in Mental Health Nursing
Question 5
During a psychiatric assessment, the nurse’s priority is to evaluate:
A. Favorite hobbies
B. Safety risks and suicidal thoughts
C. Educational background only
D. Family income
,Correct Answer: B
Rationale:
Safety assessment is the priority, especially evaluating suicide risk, violence risk, and immediate
danger.
Question 6
A client says, “Everyone would be better off without me.” The nurse should first:
A. Ignore the statement
B. Ask about suicidal thoughts and plans
C. Tell the client to think positively
D. Change the topic
Correct Answer: B
Rationale:
Statements suggesting hopelessness require direct suicide assessment.
Chapter 4: Therapeutic Communication
Question 7
Which statement by the nurse is an example of reflection?
A. “Why do you feel that way?”
B. “You seem upset about what happened.”
C. “Everything will be fine.”
D. “I know exactly how you feel.”
Correct Answer: B
Rationale:
Reflection acknowledges and identifies the client’s emotions without judgment.
Question 8
A nurse should avoid which communication technique?
A. Active listening
B. Clarification
, C. False reassurance
D. Open-ended questions
Correct Answer: C
Rationale:
False reassurance minimizes feelings and can damage trust.
Chapter 5: Legal and Ethical Issues
Question 9
Confidentiality may legally be broken when:
A. The nurse is curious about the client
B. A client threatens serious harm to another person
C. A family member requests information
D. The client refuses medication
Correct Answer: B
Rationale:
Healthcare professionals have a duty to protect others when there is a credible threat of harm.
Question 10
Informed consent requires that the client:
A. Understands risks, benefits, and alternatives
B. Always agrees with treatment
C. Follows family wishes
D. Avoids asking questions
Correct Answer: A
Rationale:
Valid consent requires adequate information and voluntary decision-making.
Chapter 6: Stress and Coping
Question 11
