MENTAL HEALTH EXAM 1- MODULE 1-3
WITH THE LATEST SCORE.
· Which diagnosis is written correctly?
A. Risk for social isolation related to low self-esteem evidence by staying in room
during the day
B. Low self-esteem related to major depressive disorder evidenced by childhood
abuse
C. Imbalanced nutrition less than body requirements related to suspiciousness
evidenced by 20-lb weight loss
D. Conduct disorder related to childhood sexual abuse evidence by hostile and
aggressive abuse - Correct Answer- C- Imbalanced nutrition: less than body
requirements related to suspiciousness evidenced by 20 lbs. weight loss is a
correctly written nursing diagnosis. Evidence of a nutritional problem is
documented and the cause of the problem, suspiciousness, is identified.
· Which indicates to the nurse a client is at risk for developing a mental disorder?
A. Express thoughts, feelings, and behaviors included among diagnostics mental
disorder criteria
B. Demonstrates impaired daily functioning and maladaptive responses to stress
C. Communicate significant distress that has not interfered with important activities
D. Employs various defense mechanism to protect the ego from anxiety - Correct
Answer- B - Demonstrates impaired daily functioning and maladaptive response
to stress
· A new nurse states "that clients use of defense mechanisms should be eliminated".
Which is a correct evaluation of the nurse's statement?
A. Defense mechanisms are a self-protective response to stress and do not need to
be eliminated
B. Defense mechanisms are maladaptive attempts of the ego to manage anxiety
and should always be eliminated
C. Defense mechanisms are used by individuals with weak ego integrity and should
not be eliminated
D. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged - Correct Answer- A- Defense mechanisms are self-protective
response to stress and do not need to be eliminated
,A client made a decision to leave her alcoholic husband and reports feeling depressed.
Which nontherapeutic statement represents sympathy?
A. You are depressed. I felt the same way when I decided to leave my husband.
B. I can understand you are feeling depressed, it was difficult decision, I'll sit with
you
C. You seem depressed it was a difficult decision would you like to talk about it
D. I know this is a difficult time would you like medication - Correct Answer-A- You
are depressed I felt the same way when I decided to leave my husband- sharing
things about yourself/personal information- this is sympathy not empathy
A nurse in a long-term care setting enters the room and the client begins berating nurse
stating that "he looks like my ex-husband", this behavior is best described as:
Transference, Conversion, Counter transference, or Regression - Correct Answer-A-
transference
What is the nurses best action when a client demonstrates transference? - Correct
Answer-Help client clarify meaning of current nurse client relationship
A client who was discharged 2 weeks ago sends a thank you card to a psychiatric
nurse. The nurse finds seasons tickets to a football team in the card. Which of the
following must the nurse consider when deciding whether or not to keep the tickets?
Material boundaries, Personal boundaries, Social boundaries, or Professional
boundaries - Correct Answer-D professional boundaries
A hungry homeless client with schizophrenia refuses to participate in the admission
interview. The nurse postpones the interview, verbally assures safety, and provides the
client with a meal. Which of the following does the nurses actions demonstrate?
Sympathy, Trust, Veracity, or Manipulation - Correct Answer-B trust
A nurse is interviewing a newly admitted psychiatric client. Which nursing statement is
an example of offering a general lead?
A. Do you know why you are here?
B. Are you feeling depressed or anxious?
C. Yes, I see, go on
D. Can you chronologically order the events that led to your admission? - Correct
Answer-C- Yes, I see, go on
A nurse is assessing a client with schizophrenia for hallucinations. Which therapeutic
communication exemplifies making an observation?
A. You appear to be talking to someone I don't see
B. Please describe what you are seeing
, C. Why do you continually look in the corner of the room?
D. If you hum a tune the voices may not be so distracting - Correct Answer-A You
appear to be talking to someone I don't see
A client diagnosed with dependent personality disorder states do you think I should
move out from my parents' house and get a job? Which response by the nurse is most
appropriate?
A. It would be best to do that to increase independence
B. Why would you want to leave a secure home?
C. Let’s discuss and explore all of your options
D. I'm afraid you would feel very guilting leaving your parents - Correct Answer-C-
Lest discuss and explore all of your options
A client tells the nurse "I feel bad because my mom doesn't want me to return home
after I leave the hospital. Which response is an example of therapeutic communication?
A. It's quite common for patients to feel that way after a lengthy hospitalization
B. Why don't you talk to your mom, you may find she doesn't feel that way
C. You mother seems like an understanding person, I'll help you approach her
D. You feel that your mom does not want you to come back home? - Correct
Answer-D- You feel that your mom does not want you to come back home?
A client in an inpatient psych unit tells the nurse "I should have died because I am
worthless". To encourage the client to continue talking about their feelings, which should
be the nurse's initial response?
A. How would your family feel if you died?
B. You feel worthless now but that can change with time
C. You've been feeling sad and alone for some time now
D. It is great that you have come in for help - Correct Answer-C- You've been feeling
sad and alone for some time now
A nurse says to newly admitted client "tell me more about what led up to your
hospitalization". What is the purpose of this therapeutic communication technique?
A. Explore a subject, idea, experience, or relationship
B. Reframe clients' thoughts about mental health treatment
C. Put the client at ease
D. Communicate that the nurse is listening to the conversation - Correct Answer-A-
Explore a subject, idea, experience, or relationship
A nurse is caring for a client who tells the nurse he is feeling stressed and
overwhelmed. Which following response should the nurse make?
A. Life is rough isn't it
WITH THE LATEST SCORE.
· Which diagnosis is written correctly?
A. Risk for social isolation related to low self-esteem evidence by staying in room
during the day
B. Low self-esteem related to major depressive disorder evidenced by childhood
abuse
C. Imbalanced nutrition less than body requirements related to suspiciousness
evidenced by 20-lb weight loss
D. Conduct disorder related to childhood sexual abuse evidence by hostile and
aggressive abuse - Correct Answer- C- Imbalanced nutrition: less than body
requirements related to suspiciousness evidenced by 20 lbs. weight loss is a
correctly written nursing diagnosis. Evidence of a nutritional problem is
documented and the cause of the problem, suspiciousness, is identified.
· Which indicates to the nurse a client is at risk for developing a mental disorder?
A. Express thoughts, feelings, and behaviors included among diagnostics mental
disorder criteria
B. Demonstrates impaired daily functioning and maladaptive responses to stress
C. Communicate significant distress that has not interfered with important activities
D. Employs various defense mechanism to protect the ego from anxiety - Correct
Answer- B - Demonstrates impaired daily functioning and maladaptive response
to stress
· A new nurse states "that clients use of defense mechanisms should be eliminated".
Which is a correct evaluation of the nurse's statement?
A. Defense mechanisms are a self-protective response to stress and do not need to
be eliminated
B. Defense mechanisms are maladaptive attempts of the ego to manage anxiety
and should always be eliminated
C. Defense mechanisms are used by individuals with weak ego integrity and should
not be eliminated
D. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged - Correct Answer- A- Defense mechanisms are self-protective
response to stress and do not need to be eliminated
,A client made a decision to leave her alcoholic husband and reports feeling depressed.
Which nontherapeutic statement represents sympathy?
A. You are depressed. I felt the same way when I decided to leave my husband.
B. I can understand you are feeling depressed, it was difficult decision, I'll sit with
you
C. You seem depressed it was a difficult decision would you like to talk about it
D. I know this is a difficult time would you like medication - Correct Answer-A- You
are depressed I felt the same way when I decided to leave my husband- sharing
things about yourself/personal information- this is sympathy not empathy
A nurse in a long-term care setting enters the room and the client begins berating nurse
stating that "he looks like my ex-husband", this behavior is best described as:
Transference, Conversion, Counter transference, or Regression - Correct Answer-A-
transference
What is the nurses best action when a client demonstrates transference? - Correct
Answer-Help client clarify meaning of current nurse client relationship
A client who was discharged 2 weeks ago sends a thank you card to a psychiatric
nurse. The nurse finds seasons tickets to a football team in the card. Which of the
following must the nurse consider when deciding whether or not to keep the tickets?
Material boundaries, Personal boundaries, Social boundaries, or Professional
boundaries - Correct Answer-D professional boundaries
A hungry homeless client with schizophrenia refuses to participate in the admission
interview. The nurse postpones the interview, verbally assures safety, and provides the
client with a meal. Which of the following does the nurses actions demonstrate?
Sympathy, Trust, Veracity, or Manipulation - Correct Answer-B trust
A nurse is interviewing a newly admitted psychiatric client. Which nursing statement is
an example of offering a general lead?
A. Do you know why you are here?
B. Are you feeling depressed or anxious?
C. Yes, I see, go on
D. Can you chronologically order the events that led to your admission? - Correct
Answer-C- Yes, I see, go on
A nurse is assessing a client with schizophrenia for hallucinations. Which therapeutic
communication exemplifies making an observation?
A. You appear to be talking to someone I don't see
B. Please describe what you are seeing
, C. Why do you continually look in the corner of the room?
D. If you hum a tune the voices may not be so distracting - Correct Answer-A You
appear to be talking to someone I don't see
A client diagnosed with dependent personality disorder states do you think I should
move out from my parents' house and get a job? Which response by the nurse is most
appropriate?
A. It would be best to do that to increase independence
B. Why would you want to leave a secure home?
C. Let’s discuss and explore all of your options
D. I'm afraid you would feel very guilting leaving your parents - Correct Answer-C-
Lest discuss and explore all of your options
A client tells the nurse "I feel bad because my mom doesn't want me to return home
after I leave the hospital. Which response is an example of therapeutic communication?
A. It's quite common for patients to feel that way after a lengthy hospitalization
B. Why don't you talk to your mom, you may find she doesn't feel that way
C. You mother seems like an understanding person, I'll help you approach her
D. You feel that your mom does not want you to come back home? - Correct
Answer-D- You feel that your mom does not want you to come back home?
A client in an inpatient psych unit tells the nurse "I should have died because I am
worthless". To encourage the client to continue talking about their feelings, which should
be the nurse's initial response?
A. How would your family feel if you died?
B. You feel worthless now but that can change with time
C. You've been feeling sad and alone for some time now
D. It is great that you have come in for help - Correct Answer-C- You've been feeling
sad and alone for some time now
A nurse says to newly admitted client "tell me more about what led up to your
hospitalization". What is the purpose of this therapeutic communication technique?
A. Explore a subject, idea, experience, or relationship
B. Reframe clients' thoughts about mental health treatment
C. Put the client at ease
D. Communicate that the nurse is listening to the conversation - Correct Answer-A-
Explore a subject, idea, experience, or relationship
A nurse is caring for a client who tells the nurse he is feeling stressed and
overwhelmed. Which following response should the nurse make?
A. Life is rough isn't it
