2026 Mental Health Exam 1 Final Verified
Questions And Correct Detailed Answers With
Detailed Rationales Graded A+ Guaranteed
Pass Ace Your Exam
While interviewing a client, the client reports an intense fear of spiders, stating, I
can't be near them. I get so upset. I start to sweat and hyperventilate if I see one.
The nurse documents this finding as which of the following?
A)Algophobia
B)Entomophobia
C)Arachnophobia
D)Cynophobia - Correct AnswerC)Arachnophobia
A woman diagnosed with obsessive-compulsive disorder comes to the clinic with
her husband. During the visit, the husband states, She's always checking and
rechecking to make sure that all of the appliances are turned off before we go out.
It's nerve-wracking. We can never get out of the house on time. Isn't checking
once enough? An understanding of which of the following would the nurse need
to incorporate into the response?
A) The client is attempting to exert control over the situation.
B) The client performs the ritual to relieve anxiety temporarily.
C) The woman's behavior reflects a need for safety.
Page 1 of 114
,D) The woman is attempting to use thought stopping to decrease her behavior. -
Correct AnswerB) The client performs the ritual to relieve anxiety temporarily.
The nurse is working with the family of a patient with obsessive-compulsive
disorder (OCD). Which concept should the nurse incorporate in the teaching plan?
A) The thoughts, images, and impulses are voluntary.
B) The family should pay immediate attention to symptoms.
C) The thoughts, images, and impulses tend to worsen with stress.
D) OCD is a chronic disorder that does not respond to treatment. - Correct
AnswerC) The thoughts, images, and impulses tend to worsen with stress.
Which assessment finding exhibited by a patient being assessed for posttraumatic
stress disorder (PTSD) would be considered a defining behavior and support such
a diagnosis?
A) Can describe the attack in great detail
B) Experiences dramatic swings in affect
C) Describes vivid 'flashbacks' of being attacked
D) Is preoccupied with the need to 'tell someone about the attack' - Correct
AnswerC) Describes vivid 'flashbacks' of being attacked
4. The nurse working with patients diagnosed with posttraumatic stress disorder
(PTSD) is aware of the need to intervene early in order to de-escalate a patient's
increasing anxiety level. Which patient behavior is likely an early indication of
escalating anxiety?
A) Talking rapidly
B) Pacing around the unit
C) Staring out the window
Page 2 of 114
,D) Refusing to go to therapy - Correct AnswerB) Pacing around the unit
The head nurse in the ED has received word that a major fire in a high-rise office
tower will result in many injured persons being brought to the hospital within the
next few minutes. The head nurse tells the staff, 'You will need to assess for acute
stress reactions as well as treating physical problems.' Which patient is exhibiting
symptoms characteristic of acute stress reaction?
A) A male whose moods swing between mania and depression
B) A female who reports still hearing her daughter's pleas for help
C) A male who keeps repeating 'I don't understand what's going on?'
D) A female who is rocking her young son and repeating 'it will be okay.' - Correct
AnswerC) A male who keeps repeating 'I don't understand what's going on?'
The nurse makes a home visit to a client who has dysthymic disorder. Which of the
following would the nurse expect to assess?
A)Low energy
B)Intense concentration
C)Agitation
D)Normal appetite - Correct AnswerA)Low energy
A client has been diagnosed with major depression. The client reports that he
often wakes up during the night and has trouble returning to sleep. The nurse
interprets this finding as suggesting which of the following?
A)Initial insomnia
B)Terminal insomnia
C)Hypersomnia
D)Middle insomnia - Correct AnswerD)Middle insomnia
Page 3 of 114
, The nurse is caring for a client in the outpatient setting who has been diagnosed
with a depressive disorder. Before the client is given a prescription for a tricyclic
antidepressant, assessment for which of the following would be most important?
A)Suicide
B)Hypersomnia
C)Cardiac arrhythmia
D)Erectile dysfunction - Correct AnswerA)Suicide
The nurse is caring for a client with major depression. The client tells the nurse
that she just isn't sure that life is worth living. The nurse documents which nursing
diagnosis as the priority?
A)Self-esteem, Low, related to depressive episode
B)Hopelessness related to symptoms of depression
C)Anxiety related to lack of energy for self-care activities
D)Thought Processes, Disturbed, related to memory loss and depression - Correct
AnswerB)Hopelessness related to symptoms of depression
A 34-year-old client with depression is admitted to an inpatient psychiatric unit.
The nurse enters her room and initiates interaction with the client. When talking
with the client, which approach would be least appropriate?
A)Quiet and empathetic manner B)Animated and cheerful manner C)Matter-of-
fact manner D)Respectful, direct manner - Correct AnswerB)Animated and
cheerful manner
Page 4 of 114
Questions And Correct Detailed Answers With
Detailed Rationales Graded A+ Guaranteed
Pass Ace Your Exam
While interviewing a client, the client reports an intense fear of spiders, stating, I
can't be near them. I get so upset. I start to sweat and hyperventilate if I see one.
The nurse documents this finding as which of the following?
A)Algophobia
B)Entomophobia
C)Arachnophobia
D)Cynophobia - Correct AnswerC)Arachnophobia
A woman diagnosed with obsessive-compulsive disorder comes to the clinic with
her husband. During the visit, the husband states, She's always checking and
rechecking to make sure that all of the appliances are turned off before we go out.
It's nerve-wracking. We can never get out of the house on time. Isn't checking
once enough? An understanding of which of the following would the nurse need
to incorporate into the response?
A) The client is attempting to exert control over the situation.
B) The client performs the ritual to relieve anxiety temporarily.
C) The woman's behavior reflects a need for safety.
Page 1 of 114
,D) The woman is attempting to use thought stopping to decrease her behavior. -
Correct AnswerB) The client performs the ritual to relieve anxiety temporarily.
The nurse is working with the family of a patient with obsessive-compulsive
disorder (OCD). Which concept should the nurse incorporate in the teaching plan?
A) The thoughts, images, and impulses are voluntary.
B) The family should pay immediate attention to symptoms.
C) The thoughts, images, and impulses tend to worsen with stress.
D) OCD is a chronic disorder that does not respond to treatment. - Correct
AnswerC) The thoughts, images, and impulses tend to worsen with stress.
Which assessment finding exhibited by a patient being assessed for posttraumatic
stress disorder (PTSD) would be considered a defining behavior and support such
a diagnosis?
A) Can describe the attack in great detail
B) Experiences dramatic swings in affect
C) Describes vivid 'flashbacks' of being attacked
D) Is preoccupied with the need to 'tell someone about the attack' - Correct
AnswerC) Describes vivid 'flashbacks' of being attacked
4. The nurse working with patients diagnosed with posttraumatic stress disorder
(PTSD) is aware of the need to intervene early in order to de-escalate a patient's
increasing anxiety level. Which patient behavior is likely an early indication of
escalating anxiety?
A) Talking rapidly
B) Pacing around the unit
C) Staring out the window
Page 2 of 114
,D) Refusing to go to therapy - Correct AnswerB) Pacing around the unit
The head nurse in the ED has received word that a major fire in a high-rise office
tower will result in many injured persons being brought to the hospital within the
next few minutes. The head nurse tells the staff, 'You will need to assess for acute
stress reactions as well as treating physical problems.' Which patient is exhibiting
symptoms characteristic of acute stress reaction?
A) A male whose moods swing between mania and depression
B) A female who reports still hearing her daughter's pleas for help
C) A male who keeps repeating 'I don't understand what's going on?'
D) A female who is rocking her young son and repeating 'it will be okay.' - Correct
AnswerC) A male who keeps repeating 'I don't understand what's going on?'
The nurse makes a home visit to a client who has dysthymic disorder. Which of the
following would the nurse expect to assess?
A)Low energy
B)Intense concentration
C)Agitation
D)Normal appetite - Correct AnswerA)Low energy
A client has been diagnosed with major depression. The client reports that he
often wakes up during the night and has trouble returning to sleep. The nurse
interprets this finding as suggesting which of the following?
A)Initial insomnia
B)Terminal insomnia
C)Hypersomnia
D)Middle insomnia - Correct AnswerD)Middle insomnia
Page 3 of 114
, The nurse is caring for a client in the outpatient setting who has been diagnosed
with a depressive disorder. Before the client is given a prescription for a tricyclic
antidepressant, assessment for which of the following would be most important?
A)Suicide
B)Hypersomnia
C)Cardiac arrhythmia
D)Erectile dysfunction - Correct AnswerA)Suicide
The nurse is caring for a client with major depression. The client tells the nurse
that she just isn't sure that life is worth living. The nurse documents which nursing
diagnosis as the priority?
A)Self-esteem, Low, related to depressive episode
B)Hopelessness related to symptoms of depression
C)Anxiety related to lack of energy for self-care activities
D)Thought Processes, Disturbed, related to memory loss and depression - Correct
AnswerB)Hopelessness related to symptoms of depression
A 34-year-old client with depression is admitted to an inpatient psychiatric unit.
The nurse enters her room and initiates interaction with the client. When talking
with the client, which approach would be least appropriate?
A)Quiet and empathetic manner B)Animated and cheerful manner C)Matter-of-
fact manner D)Respectful, direct manner - Correct AnswerB)Animated and
cheerful manner
Page 4 of 114
