2026/2027 Actual Exam With Complete Real
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SECTION 1: FOUNDATIONS OF MENTAL HEALTH NURSING (Questions 1–30)
1. A nurse is caring for a client newly diagnosed with a mental health disorder.
Which statement best defines mental illness?
A. A temporary emotional response to a stressful event
B. A disturbance or change to a person's normal way of being or functioning that affects
thinking, mood, interactions, and/or behavior
C. A personality trait that develops in childhood
D. A condition that only affects individuals with a family history of mental illness
Answer: B
Rationale: Mental illness is defined as a disturbance or change to a person's normal way
of being or functioning that affects thinking, mood, interactions, and/or behavior. It is
not simply a temporary emotional response or a personality trait .
2. Which of the following is a component of mental health?
A. Ability to cope with stress
B. Ability to form relationships
C. Positive self-concept
D. All of the above
Answer: D
Rationale: Mental health includes the ability to cope with stress, form relationships,
maintain a positive self-concept, and function effectively in daily life.
3. The DSM-5 is used for:
A. Diagnosing mental health disorders
B. Prescribing medications
,C. Documenting nursing care
D. Billing insurance companies
Answer: A
Rationale: The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition) is the standard classification system used by mental health professionals to
diagnose mental health disorders.
4. Which of the following is a biological factor that contributes to mental illness?
A. Genetics
B. Neurotransmitter imbalances
C. Brain structure abnormalities
D. All of the above
Answer: D
Rationale: Biological factors contributing to mental illness include genetics,
neurotransmitter imbalances, and brain structure abnormalities.
5. Which of the following is a psychological factor that contributes to mental
illness?
A. Childhood trauma
B. Personality traits
C. Coping skills
D. All of the above
Answer: D
Rationale: Psychological factors include childhood trauma, personality traits, coping
skills, and cognitive patterns.
6. Which of the following is a social factor that contributes to mental illness?
A. Poverty
B. Social isolation
C. Discrimination
D. All of the above
,Answer: D
Rationale: Social factors include poverty, social isolation, discrimination, and lack of
social support.
7. The recovery model in mental health nursing emphasizes:
A. Chronic illness management
B. Patient empowerment and hope
C. Medication compliance
D. Institutional care
Answer: B
Rationale: The recovery model emphasizes patient empowerment, hope, and the belief
that individuals can recover and lead meaningful lives.
8. Which of the following is a principle of the recovery model?
A. Person-centered care
B. Patient autonomy
C. Strengths-based approach
D. All of the above
Answer: D
Rationale: The recovery model is person-centered, respects patient autonomy, and uses
a strengths-based approach.
9. Which of the following is a goal of mental health nursing?
A. Promote mental health
B. Prevent mental illness
C. Restore mental health
D. All of the above
Answer: D
Rationale: Mental health nursing aims to promote mental health, prevent mental illness,
and restore mental health.
, 10. Which of the following is a role of the mental health nurse?
A. Advocate
B. Educator
C. Counselor
D. All of the above
Answer: D
Rationale: Mental health nurses serve as advocates, educators, counselors, and care
coordinators.
11. Which of the following is a level of prevention in mental health?
A. Primary
B. Secondary
C. Tertiary
D. All of the above
Answer: D
Rationale: Mental health prevention includes primary (preventing illness), secondary
(early detection and treatment), and tertiary (rehabilitation and recovery).
12. Primary prevention in mental health includes:
A. Stress management programs
B. Early intervention
C. Rehabilitation
D. Medication management
Answer: A
Rationale: Primary prevention aims to prevent mental illness before it occurs, such as
through stress management programs, education, and support.
13. Secondary prevention in mental health includes:
A. Stress management programs