MENTAL HEALTH EXAM 1 | COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS WITH
EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | NEWEST VERSION 2025
A new bill introduced in Congress would reduce funding for care of persons
with mental illness. Groups of nurses write letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice ---------CORRECT ANSWER-----------------a
An advocate defends or asserts another's cause, particularly when
the other person lacks the ability to do that for self. Examples of
individual advocacy include helping patients understand their rights
or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving
the human condition. Since funding is necessary to deliver quality
programming for persons with mental illness, the letter-writing
campaign advocates for that cause on behalf of patients who are
unable to articulate their own needs.
An informal group of patients discusses their perceptions of nursing care.
Which comment best indicates a patient perceived the nurse was caring?
"My nurse:
a. always asks me which type of juice I want to help me swallow my
medication."
b. explained my treatment plan to me and asked for my ideas about how to
make it better."
c. told me that if I take all the medicines the doctor prescribes, then I will
get discharged soon."
d. spends time listening to me talk about my problems. That helps me feel
like I'm not alone." ---------CORRECT ANSWER-----------------d
,Caring evidences empathetic understanding as well as competency. It
helps change pain and suffering into a shared experience, creating a
human connection that alleviates feelings of isolation. The distracters
give examples of statements that demonstrate advocacy or giving
advice.
Which finding best indicates that a patient has a mental illness? The
patient:
a. responds to rules, routines, and customs of a group.
b. reports mood is consistently sad, discouraged, and hopeless.
c. performs tasks attempted within the limits set by own abilities.
d. is able to see the difference between the "as if" and the "for real." ---------
CORRECT ANSWER-----------------b
The correct response describes a mood alteration, which further
reflects mental illness. The distracters describe mentally healthy
behaviors.
Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
a. sees self as approaching ideals and capable of meeting demands.
b. seeks others to assume responsibility for major areas of own life.
c. behaves without considering the consequences of personal actions.
d. aggressively meets own needs without considering the rights of others. --
-------CORRECT ANSWER-----------------a
The correct response describes an adaptive, healthy behavior. The
distracters describe maladaptive behaviors.
A nurse encounters an unfamiliar psychiatric disorder on a new patient's
admission form. To determine criteria used to establish this diagnosis, the
nurse should consult which resource?
a. Diagnostic and Statistical Manual of Mental Disorders
,b. A nursing diagnosis handbook
c. A psychiatric nursing textbook
d. A behavioral health reference manual ---------CORRECT ANSWER--------
---------a
The DSM-IV-TR gives the criteria used to diagnose each mental
disorder. The distracters may not contain diagnostic criteria for a
psychiatric illness.
After several therapeutic encounters with a patient who recently attempted
suicide, which behavior should cause the nurse to consider the possibility
of countertransference?
a. The patient's reactions toward the nurse seem realistic and appropriate.
b. The nurse feels very happy when the patient's mood begins to lift.
c. The patient states, "Talking to you is like talking to my parents."
d. The nurse develops a trusting relationship with the patient. ---------
CORRECT ANSWER-----------------b
Strong positive or negative reactions to a patient or overidentification
with the patient signals possible countertransference. Nurses must
carefully monitor their own feelings and reactions to detect
countertransference, then seek supervision. The distracters identify
desirable outcomes or transference.
How should the nurse respond if a patient says, "Please don't share
information about me with the other people"?
a. "I cannot tell anyone about you. We can help each other by keeping it
between us."
b. "I won't share information with your family or friends without your
permission, but I will share information with other staff."
c. "It depends on what you choose to tell me. I will be glad to disclose at
the end of each session what I will report to other staff."
d. "Therapeutic relationships are between the nurse and the patient. It's up
to you to tell others what you want them to know." ---------CORRECT
ANSWER-----------------b
, A patient has the right to know with whom the nurse will share
information and that confidentiality will be protected. Although the
relationship is primarily between the nurse and patient, other staff
needs to know pertinent data. The relationship must be patient
centered and have clear boundaries.
A patient who recently attempted suicide talks with the nurse about wanting
to take a walk on hospital grounds. The nurse responds by telling the
patient, "I will talk with the psychiatrist on your behalf." Select the accurate
analysis of this interaction.
a. The nurse is behaving in an overly helpful way.
b. The nurse is showing positive regard for the patient.
c. The nurse is modeling healthy behaviors for the patient.
d. The patient has manipulated the nurse into taking this action. ---------
CORRECT ANSWER-----------------a
Being overly helpful is a classic example of role boundary blurring.
The nurse's response does not reflect the modeling of healthy
behavior. There is no data to indicate the patient has manipulated the
nurse.
Termination of a therapeutic nurse-patient relationship has been successful
when the nurse:
a. discusses with the patient changes that happened during the relationship
and evaluates outcomes.
b. gives the patient the nurse's cell phone number and permission to call
after discharge.
c. avoids upsetting the patient by shifting focus to other patients before the
patient's discharge.
d. offers to meet the patient for conversation after discharge. ---------
CORRECT ANSWER-----------------a
Summarizing and evaluating progress help validate the experience for
the patient and the nurse and facilitate closure. Termination must be
discussed; avoiding discussion by spending little time with the
patient promotes feelings of abandonment. Successful termination
QUESTIONS AND CORRECT ANSWERS WITH
EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | NEWEST VERSION 2025
A new bill introduced in Congress would reduce funding for care of persons
with mental illness. Groups of nurses write letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice ---------CORRECT ANSWER-----------------a
An advocate defends or asserts another's cause, particularly when
the other person lacks the ability to do that for self. Examples of
individual advocacy include helping patients understand their rights
or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving
the human condition. Since funding is necessary to deliver quality
programming for persons with mental illness, the letter-writing
campaign advocates for that cause on behalf of patients who are
unable to articulate their own needs.
An informal group of patients discusses their perceptions of nursing care.
Which comment best indicates a patient perceived the nurse was caring?
"My nurse:
a. always asks me which type of juice I want to help me swallow my
medication."
b. explained my treatment plan to me and asked for my ideas about how to
make it better."
c. told me that if I take all the medicines the doctor prescribes, then I will
get discharged soon."
d. spends time listening to me talk about my problems. That helps me feel
like I'm not alone." ---------CORRECT ANSWER-----------------d
,Caring evidences empathetic understanding as well as competency. It
helps change pain and suffering into a shared experience, creating a
human connection that alleviates feelings of isolation. The distracters
give examples of statements that demonstrate advocacy or giving
advice.
Which finding best indicates that a patient has a mental illness? The
patient:
a. responds to rules, routines, and customs of a group.
b. reports mood is consistently sad, discouraged, and hopeless.
c. performs tasks attempted within the limits set by own abilities.
d. is able to see the difference between the "as if" and the "for real." ---------
CORRECT ANSWER-----------------b
The correct response describes a mood alteration, which further
reflects mental illness. The distracters describe mentally healthy
behaviors.
Which finding best indicates that the goal "Demonstrate mentally healthy
behavior" was achieved? A patient:
a. sees self as approaching ideals and capable of meeting demands.
b. seeks others to assume responsibility for major areas of own life.
c. behaves without considering the consequences of personal actions.
d. aggressively meets own needs without considering the rights of others. --
-------CORRECT ANSWER-----------------a
The correct response describes an adaptive, healthy behavior. The
distracters describe maladaptive behaviors.
A nurse encounters an unfamiliar psychiatric disorder on a new patient's
admission form. To determine criteria used to establish this diagnosis, the
nurse should consult which resource?
a. Diagnostic and Statistical Manual of Mental Disorders
,b. A nursing diagnosis handbook
c. A psychiatric nursing textbook
d. A behavioral health reference manual ---------CORRECT ANSWER--------
---------a
The DSM-IV-TR gives the criteria used to diagnose each mental
disorder. The distracters may not contain diagnostic criteria for a
psychiatric illness.
After several therapeutic encounters with a patient who recently attempted
suicide, which behavior should cause the nurse to consider the possibility
of countertransference?
a. The patient's reactions toward the nurse seem realistic and appropriate.
b. The nurse feels very happy when the patient's mood begins to lift.
c. The patient states, "Talking to you is like talking to my parents."
d. The nurse develops a trusting relationship with the patient. ---------
CORRECT ANSWER-----------------b
Strong positive or negative reactions to a patient or overidentification
with the patient signals possible countertransference. Nurses must
carefully monitor their own feelings and reactions to detect
countertransference, then seek supervision. The distracters identify
desirable outcomes or transference.
How should the nurse respond if a patient says, "Please don't share
information about me with the other people"?
a. "I cannot tell anyone about you. We can help each other by keeping it
between us."
b. "I won't share information with your family or friends without your
permission, but I will share information with other staff."
c. "It depends on what you choose to tell me. I will be glad to disclose at
the end of each session what I will report to other staff."
d. "Therapeutic relationships are between the nurse and the patient. It's up
to you to tell others what you want them to know." ---------CORRECT
ANSWER-----------------b
, A patient has the right to know with whom the nurse will share
information and that confidentiality will be protected. Although the
relationship is primarily between the nurse and patient, other staff
needs to know pertinent data. The relationship must be patient
centered and have clear boundaries.
A patient who recently attempted suicide talks with the nurse about wanting
to take a walk on hospital grounds. The nurse responds by telling the
patient, "I will talk with the psychiatrist on your behalf." Select the accurate
analysis of this interaction.
a. The nurse is behaving in an overly helpful way.
b. The nurse is showing positive regard for the patient.
c. The nurse is modeling healthy behaviors for the patient.
d. The patient has manipulated the nurse into taking this action. ---------
CORRECT ANSWER-----------------a
Being overly helpful is a classic example of role boundary blurring.
The nurse's response does not reflect the modeling of healthy
behavior. There is no data to indicate the patient has manipulated the
nurse.
Termination of a therapeutic nurse-patient relationship has been successful
when the nurse:
a. discusses with the patient changes that happened during the relationship
and evaluates outcomes.
b. gives the patient the nurse's cell phone number and permission to call
after discharge.
c. avoids upsetting the patient by shifting focus to other patients before the
patient's discharge.
d. offers to meet the patient for conversation after discharge. ---------
CORRECT ANSWER-----------------a
Summarizing and evaluating progress help validate the experience for
the patient and the nurse and facilitate closure. Termination must be
discussed; avoiding discussion by spending little time with the
patient promotes feelings of abandonment. Successful termination
