Mental Health Nursing Exam #1
A nursing instructor is preparing a class discussion about the development of mental health care over
time. Which of the following would the instructor include as occurring first?
A. Development of psychoanalytic theory
B. Establishment of the National Institute of Mental Health
C. Use of medical treatments such as bloodletting and immobilization
D. Emphasis on supportive, sympathetic care in a clean, quiet environment - Answer-C. Use of medical
treatments such as bloodletting and immobilization
A group of nursing students are reviewing information related to the development of psychiatric-mental
health nursing. The students demonstrate understanding of the information when they identify which
person as emphasizing the use of the interpersonal process?
A. Florence Nightingale
B. Linda Richards
C. Dorothea Dix
D. Hildegard Peplau - Answer-D. Hildegard Peplau
A psychiatric-mental health nurse (PMHN) is preparing a presentation for a group of student nurses
about psychiatric-mental health nursing. Which statement would the nurse include in the presentation
about this specialty?
A. A PMHN needs to obtain a graduate-level degree for practice
B. Advanced practice PMHNs may practice psychotherapy
,C. Basic-level PMHNs mainly focus on the patient's medication compliance
D. PMHNs work only in acute inpatient settings - Answer-B. Advanced practice PMHNs may practice
psychotherapy
When describing the results of integrating interpersonal models in psychiatric-mental health nursing,
which of the following would be least appropriate to include?
A. Therapeutic communication
B. Milieu management
C. Psychopharmacology
D. Process groups - Answer-C. Psychopharmacology
Deinstitutionalization occurred as a result of which of the following?
A. Mental Retardation Facilities and Community Mental Health Centers Act
B. National Mental Health Act
C. Omnibus Budget Reconciliation Act (OBRA)
D. Mental Health: A Report of the Surgeon General - Answer-A. Mental Retardation Facilities and
Community Mental Health Centers Act
A nurse who will be providing care to a psychiatric-mental health patient is in the orientation phase of
the relationship. The nurse would most likely assume which role?
A. Counselor
B. Teacher
C. Stranger
D. Surrogate - Answer-C. Stranger
A group of nursing students are reviewing information about Peplau's phases of the nurse-patient
relationship and how they apply to the nursing process. The students demonstrate understanding of the
,information when they identify which of Peplau's phases as correlating to the implementation step of
the nursing process?
A. Orientation
B. Identification
C. Exploitation/working
D. Resolution - Answer-C. Exploitation/working
During the identification phase of Peplau's nurse-patient relationship, the nurse focuses communication
on which of the following?
A. Clear understanding and identification of the problem
B. The patient as a whole
C. Expected routines
D. Time frame for interaction - Answer-A. Clear understanding and identification of the problem
A group of nursing students in a psychiatric-mental health rotation are reviewing information on
therapeutic communication. Which of the following do they correctly identify as a nontherapeutic
communication technique?
A. Using nonjudgmental language
B. Asking open-ended questions
C. Giving false reassurance
D. Offering self - Answer-C. Giving false reassurance
A psychiatric-mental health nurse is engaged in a dialogue with a patient. The patient states, "My wife
has left me. I feel like nobody wants me." Which of the following responses by the nurse would be most
therapeutic?
A. "Can you talk more about this feeling?"
B. "These things happen all the time, things will get better."
C. "My first husband left me, and I got over it."
, D. "What did you do wrong to cause this?" - Answer-A. "Can you talk more about this feeling?"
When engaging in therapeutic communication for the first encounter with the patient who is upset,
which of the following would be most appropriate for the nurse to do?
A. Use silence.
B. Sit next to the client and put your arm around them, offering them comfort.
C. Say, "I know you are upset, but if you don't calm down, I will have to call the doctor for something to
give you."
D. Say, "You seem upset; can you begin to share with me what's going on so I can understand your
situation better?" - Answer-D. Say, "You seem upset; can you begin to share with me what's going on so
I can understand your situation better?"
A patient states, "You have been so helpful to me while I've been here, I'd like to take you to dinner
after I get out to show my thanks." Which of the following would be the best response by the nurse?
A. "Are you kidding, I would never go out with a mental patient."
B. "That's very kind of you to offer. We have to remember, though, that our relationship is professional,
not personal, so I will have to decline."
C. "Sure, but we will have to keep it a secret or I could get into trouble."
D. "Let me think about it and I'll get back to you before you are discharged." - Answer-B. "That's very
kind of you to offer. We have to remember, though, that our relationship is professional, not personal,
so I will have to decline."
When describing physical boundaries to a group of nursing students, which of the following would the
instructor use as an example of this type of boundary?
A. Feelings
B. Choices
C. Touching
D. Spirituality - Answer-C. Touching
A nursing instructor is preparing a class discussion about the development of mental health care over
time. Which of the following would the instructor include as occurring first?
A. Development of psychoanalytic theory
B. Establishment of the National Institute of Mental Health
C. Use of medical treatments such as bloodletting and immobilization
D. Emphasis on supportive, sympathetic care in a clean, quiet environment - Answer-C. Use of medical
treatments such as bloodletting and immobilization
A group of nursing students are reviewing information related to the development of psychiatric-mental
health nursing. The students demonstrate understanding of the information when they identify which
person as emphasizing the use of the interpersonal process?
A. Florence Nightingale
B. Linda Richards
C. Dorothea Dix
D. Hildegard Peplau - Answer-D. Hildegard Peplau
A psychiatric-mental health nurse (PMHN) is preparing a presentation for a group of student nurses
about psychiatric-mental health nursing. Which statement would the nurse include in the presentation
about this specialty?
A. A PMHN needs to obtain a graduate-level degree for practice
B. Advanced practice PMHNs may practice psychotherapy
,C. Basic-level PMHNs mainly focus on the patient's medication compliance
D. PMHNs work only in acute inpatient settings - Answer-B. Advanced practice PMHNs may practice
psychotherapy
When describing the results of integrating interpersonal models in psychiatric-mental health nursing,
which of the following would be least appropriate to include?
A. Therapeutic communication
B. Milieu management
C. Psychopharmacology
D. Process groups - Answer-C. Psychopharmacology
Deinstitutionalization occurred as a result of which of the following?
A. Mental Retardation Facilities and Community Mental Health Centers Act
B. National Mental Health Act
C. Omnibus Budget Reconciliation Act (OBRA)
D. Mental Health: A Report of the Surgeon General - Answer-A. Mental Retardation Facilities and
Community Mental Health Centers Act
A nurse who will be providing care to a psychiatric-mental health patient is in the orientation phase of
the relationship. The nurse would most likely assume which role?
A. Counselor
B. Teacher
C. Stranger
D. Surrogate - Answer-C. Stranger
A group of nursing students are reviewing information about Peplau's phases of the nurse-patient
relationship and how they apply to the nursing process. The students demonstrate understanding of the
,information when they identify which of Peplau's phases as correlating to the implementation step of
the nursing process?
A. Orientation
B. Identification
C. Exploitation/working
D. Resolution - Answer-C. Exploitation/working
During the identification phase of Peplau's nurse-patient relationship, the nurse focuses communication
on which of the following?
A. Clear understanding and identification of the problem
B. The patient as a whole
C. Expected routines
D. Time frame for interaction - Answer-A. Clear understanding and identification of the problem
A group of nursing students in a psychiatric-mental health rotation are reviewing information on
therapeutic communication. Which of the following do they correctly identify as a nontherapeutic
communication technique?
A. Using nonjudgmental language
B. Asking open-ended questions
C. Giving false reassurance
D. Offering self - Answer-C. Giving false reassurance
A psychiatric-mental health nurse is engaged in a dialogue with a patient. The patient states, "My wife
has left me. I feel like nobody wants me." Which of the following responses by the nurse would be most
therapeutic?
A. "Can you talk more about this feeling?"
B. "These things happen all the time, things will get better."
C. "My first husband left me, and I got over it."
, D. "What did you do wrong to cause this?" - Answer-A. "Can you talk more about this feeling?"
When engaging in therapeutic communication for the first encounter with the patient who is upset,
which of the following would be most appropriate for the nurse to do?
A. Use silence.
B. Sit next to the client and put your arm around them, offering them comfort.
C. Say, "I know you are upset, but if you don't calm down, I will have to call the doctor for something to
give you."
D. Say, "You seem upset; can you begin to share with me what's going on so I can understand your
situation better?" - Answer-D. Say, "You seem upset; can you begin to share with me what's going on so
I can understand your situation better?"
A patient states, "You have been so helpful to me while I've been here, I'd like to take you to dinner
after I get out to show my thanks." Which of the following would be the best response by the nurse?
A. "Are you kidding, I would never go out with a mental patient."
B. "That's very kind of you to offer. We have to remember, though, that our relationship is professional,
not personal, so I will have to decline."
C. "Sure, but we will have to keep it a secret or I could get into trouble."
D. "Let me think about it and I'll get back to you before you are discharged." - Answer-B. "That's very
kind of you to offer. We have to remember, though, that our relationship is professional, not personal,
so I will have to decline."
When describing physical boundaries to a group of nursing students, which of the following would the
instructor use as an example of this type of boundary?
A. Feelings
B. Choices
C. Touching
D. Spirituality - Answer-C. Touching
