Mental Health Exam 1 Actual Exam Questions
with 100% Correct Answers Completed 2025
A nurse is working for an acute mental health facility is caring for a 35-year-old female
client who has manifestations of depression. The client lives at home with her partner
and two young children. She currently smokes and has a history of chronic asthma.
Which of the following factors put the client at risk for depression? (Select all that apply.)
A. Age
B. Gender
C. History of chronic asthma
D. Smoking
E. Being married - answers-A. Age
B. Gender
C. History of chronic asthma
D. Smoking
A nurse working on an acute mental health unit is admitting a client who has major
depressive disorder and comorbid anxiety disorder. Which of the following actions is the
nurse's priority?
A. Placing the client on one-to-one observation.
B. Assisting the client to perform ADLs.
C. Encouraging the client to participate in counseling.
D. Teaching the client about medication adverse effects. - answers-A. Placing the client
on one-to-one observation.
A nurse working in an outpatient clinic is providing teaching to a client who has a new
diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following
statements by the client indicates understanding of the teaching?
A. "I can expect my problems with PMDD to be worst when I'm menstruating."
B. "I will use light therapy 30 min/day to prevent further recurrences of PMDD."
C. "I am aware that PMDD causes me to have rapid mood swings."
D. "I should increase my caloric intake with a nutritional supplement when my PMDD is
active." - answers-C. "I am aware that PMDD causes me to have rapid mood swings."
A charge nurse is discussing the care of a client who has major depressive disorder
(MDD) with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "Care during continuation phase focuses on treating continued manifestations of
MDD."
B. "The treatment of MDD during maintenance phase lasts for 6-12 weeks."
C. "Client is at greatest risk for suicide during first weeks of MDD episode."
,D. "Medication and psychotherapy are more effective during acute phase of MDD." -
answers-C. "Client is at greatest risk for suicide during first weeks of MDD episode."
What can withdrawal from Xanax lead to? - answers-Death
If a patient has OCD related to hand washing, what can the nurse do to help them? -
answers-Limit the amount of times they wash their hands, wean
A nurse observes a client who has OCD repeatedly applying, removing, and then
reapplying makeup. The nurse identifies that repetitive behavior in a client who has
OCD is due to which of the following underlying reasons?
A. Narcissistic behavior
B. Fear of rejection from staff
C. Attempt to reduce anxiety
D. Adverse effect of antidepressant medication - answers-C. Attempt to reduce anxiety
A nurse is caring for a client who is experiencing a panic attack. Which of the following
actions should the nurse take?
A. Discuss new relaxation techniques
B. Show the client how to change his behavior
C. Distract the client with a TV show
D. Stay with the client and remain quiet - answers-D. Stay with the client and remain
quiet
A nurse is assessing a client who has generalized anxiety disorder. Which of the
following findings should the nurse expect? (Select all that apply.)
A. Excessive worry for 6 months
B. Impulsive decision making
C. Delayed reflexes
D. Restlessness
E. Need for reassurance - answers-A. Excessive worry for 6 months
D. Restlessness
E. Need for reassurance
A nurse is planning care for a client who has body dysmorphic disorder. Which of the
following actions should the nurse plan to take first?
A. Assessing the client's risk for self harm
B. Instilling hope for positive outcomes
C. Encouraging the client to participate in group therapy sessions
D. Encouraging the client to participate in treatment decisions - answers-A. Assessing
the client's risk for self harm
A nurse is caring for a client who has acute stress disorder and is experiencing severe
anxiety. Which of the following statements should the nurse make?
,A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Lets discuss the medications your provider is prescribing to decrease your anxiety."
- answers-A. "Tell me about how you are feeling right now."
A nurse is working on an acute mental health unit is caring for a client who has post-
traumatic stress disorder (PTSD). Which of the following findings should the nurse
expect? (Select all that apply.)
A. Difficulty concentrating on tasks
B. Obsessive need to talk about the event
C. Negative self-image
D. Recurring nightmares
E. Diminished reflexes - answers-A. Difficulty concentrating on tasks
C. Negative self-image
D. Recurring nightmares
A nurse is usually involved in a serious prolonged mass casualty incident in the
emergency department. Which of the following strategies should the nurse use to help
prevent developing a trauma-related disorder? (Select all that apply.)
A. Avoid thinking about the actual incident when it is over
B. Take breaks during the incident for food and water
C. Debrief with others following the incident
D. Hold emotions in check in days following
E. Take advantage of offered counseling - answers-B. Take breaks during the incident
for food and water
C. Debrief with others following the incident
E. Take advantage of offered counseling
A nurse is collecting an admission history for a client who has acute stress disorder
(ASD). Which of the following information should the nurse expect to collect?
A. The client remembers many details about the traumatic incident.
B. The client expresses heightened elation about what is happening.
C. The client states he first noticed manifestations of the disorder 6 weeks after the
traumatic incident occurred.
D. The client expresses a sense of unreality about the traumatic incident. - answers-D.
The client expresses a sense of unreality about the traumatic incident.
A nurse is caring for a client who has derealization disorder. Which of the following
findings should the nurse identify as an indication of derealization?
A. The client explains that her body seems to be floating above the ground.
B. The client has the idea that someone is trying to kill her and steal her money.
C. The client states that the furniture in the room seems to be small and far away.
D. The client cannot recall anything that happened in the past two weeks. - answers-C.
The client states that the furniture in the room seems to be small and far away.
, A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to the plan
of care?
A. Teach the client to recognize how stress brings on a personality change in the client.
B. Repeatedly present the client with information about past events.
C. Make decisions for the client regarding routine daily activities.
D. Work with client on grounding techniques. - answers-D. Work with client on
grounding techniques.
A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthmic
disorder. Which of the following findings should the nurse expect?
A. Wide fluctuations in mood
B. Report of a minimum of 5 clinical findings of depression
C. Presence of manifestations for at least 2 years
D. Inflated sense of self-esteem - answers-C. Presence of manifestations for at least 2
years
A nurse is planning care for a client who has bipolar disorder and is experiencing a
manic episode. Which of the following interventions should the nurse include in the plan
of care? (Select all that apply.)
A. Provide flexible client behavior expectations
B. Offer concise explanations
C. Establish consistent limits
D. Disregard client complaints
E. Use a firm approach with communication - answers-B. Offer concise explanations
C. Establish consistent limits
E. Use a firm approach with communication
A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy
(ECT) for the treatment of bipolar disease. Which of the following statements by the
newly licensed nurse indicates understanding?
A. "ECT is the recommended initial treatment for bipolar disease."
B. "ECT is contraindicated for clients who have suicidal ideation."
C. "ECT is effective for clients who are experiencing severe mania."
D. "ECT is prescribed to prevent relapse of bipolar disease." - answers-C. "ECT is
effective for clients who are experiencing severe mania."
A nurse in an acute metal health facility is caring for a client who has bipolar disorder.
Which of the following is the priority nursing action?
A. Set consistent limits for expected behavior.
B. Administer prescribed medications as scheduled.
C. Provide the client with step-by-step instructions during hygiene activities.
D. Monitor the client for escalating behavior. - answers-D. Monitor the client for
escalating behavior.
with 100% Correct Answers Completed 2025
A nurse is working for an acute mental health facility is caring for a 35-year-old female
client who has manifestations of depression. The client lives at home with her partner
and two young children. She currently smokes and has a history of chronic asthma.
Which of the following factors put the client at risk for depression? (Select all that apply.)
A. Age
B. Gender
C. History of chronic asthma
D. Smoking
E. Being married - answers-A. Age
B. Gender
C. History of chronic asthma
D. Smoking
A nurse working on an acute mental health unit is admitting a client who has major
depressive disorder and comorbid anxiety disorder. Which of the following actions is the
nurse's priority?
A. Placing the client on one-to-one observation.
B. Assisting the client to perform ADLs.
C. Encouraging the client to participate in counseling.
D. Teaching the client about medication adverse effects. - answers-A. Placing the client
on one-to-one observation.
A nurse working in an outpatient clinic is providing teaching to a client who has a new
diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following
statements by the client indicates understanding of the teaching?
A. "I can expect my problems with PMDD to be worst when I'm menstruating."
B. "I will use light therapy 30 min/day to prevent further recurrences of PMDD."
C. "I am aware that PMDD causes me to have rapid mood swings."
D. "I should increase my caloric intake with a nutritional supplement when my PMDD is
active." - answers-C. "I am aware that PMDD causes me to have rapid mood swings."
A charge nurse is discussing the care of a client who has major depressive disorder
(MDD) with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "Care during continuation phase focuses on treating continued manifestations of
MDD."
B. "The treatment of MDD during maintenance phase lasts for 6-12 weeks."
C. "Client is at greatest risk for suicide during first weeks of MDD episode."
,D. "Medication and psychotherapy are more effective during acute phase of MDD." -
answers-C. "Client is at greatest risk for suicide during first weeks of MDD episode."
What can withdrawal from Xanax lead to? - answers-Death
If a patient has OCD related to hand washing, what can the nurse do to help them? -
answers-Limit the amount of times they wash their hands, wean
A nurse observes a client who has OCD repeatedly applying, removing, and then
reapplying makeup. The nurse identifies that repetitive behavior in a client who has
OCD is due to which of the following underlying reasons?
A. Narcissistic behavior
B. Fear of rejection from staff
C. Attempt to reduce anxiety
D. Adverse effect of antidepressant medication - answers-C. Attempt to reduce anxiety
A nurse is caring for a client who is experiencing a panic attack. Which of the following
actions should the nurse take?
A. Discuss new relaxation techniques
B. Show the client how to change his behavior
C. Distract the client with a TV show
D. Stay with the client and remain quiet - answers-D. Stay with the client and remain
quiet
A nurse is assessing a client who has generalized anxiety disorder. Which of the
following findings should the nurse expect? (Select all that apply.)
A. Excessive worry for 6 months
B. Impulsive decision making
C. Delayed reflexes
D. Restlessness
E. Need for reassurance - answers-A. Excessive worry for 6 months
D. Restlessness
E. Need for reassurance
A nurse is planning care for a client who has body dysmorphic disorder. Which of the
following actions should the nurse plan to take first?
A. Assessing the client's risk for self harm
B. Instilling hope for positive outcomes
C. Encouraging the client to participate in group therapy sessions
D. Encouraging the client to participate in treatment decisions - answers-A. Assessing
the client's risk for self harm
A nurse is caring for a client who has acute stress disorder and is experiencing severe
anxiety. Which of the following statements should the nurse make?
,A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Lets discuss the medications your provider is prescribing to decrease your anxiety."
- answers-A. "Tell me about how you are feeling right now."
A nurse is working on an acute mental health unit is caring for a client who has post-
traumatic stress disorder (PTSD). Which of the following findings should the nurse
expect? (Select all that apply.)
A. Difficulty concentrating on tasks
B. Obsessive need to talk about the event
C. Negative self-image
D. Recurring nightmares
E. Diminished reflexes - answers-A. Difficulty concentrating on tasks
C. Negative self-image
D. Recurring nightmares
A nurse is usually involved in a serious prolonged mass casualty incident in the
emergency department. Which of the following strategies should the nurse use to help
prevent developing a trauma-related disorder? (Select all that apply.)
A. Avoid thinking about the actual incident when it is over
B. Take breaks during the incident for food and water
C. Debrief with others following the incident
D. Hold emotions in check in days following
E. Take advantage of offered counseling - answers-B. Take breaks during the incident
for food and water
C. Debrief with others following the incident
E. Take advantage of offered counseling
A nurse is collecting an admission history for a client who has acute stress disorder
(ASD). Which of the following information should the nurse expect to collect?
A. The client remembers many details about the traumatic incident.
B. The client expresses heightened elation about what is happening.
C. The client states he first noticed manifestations of the disorder 6 weeks after the
traumatic incident occurred.
D. The client expresses a sense of unreality about the traumatic incident. - answers-D.
The client expresses a sense of unreality about the traumatic incident.
A nurse is caring for a client who has derealization disorder. Which of the following
findings should the nurse identify as an indication of derealization?
A. The client explains that her body seems to be floating above the ground.
B. The client has the idea that someone is trying to kill her and steal her money.
C. The client states that the furniture in the room seems to be small and far away.
D. The client cannot recall anything that happened in the past two weeks. - answers-C.
The client states that the furniture in the room seems to be small and far away.
, A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to the plan
of care?
A. Teach the client to recognize how stress brings on a personality change in the client.
B. Repeatedly present the client with information about past events.
C. Make decisions for the client regarding routine daily activities.
D. Work with client on grounding techniques. - answers-D. Work with client on
grounding techniques.
A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthmic
disorder. Which of the following findings should the nurse expect?
A. Wide fluctuations in mood
B. Report of a minimum of 5 clinical findings of depression
C. Presence of manifestations for at least 2 years
D. Inflated sense of self-esteem - answers-C. Presence of manifestations for at least 2
years
A nurse is planning care for a client who has bipolar disorder and is experiencing a
manic episode. Which of the following interventions should the nurse include in the plan
of care? (Select all that apply.)
A. Provide flexible client behavior expectations
B. Offer concise explanations
C. Establish consistent limits
D. Disregard client complaints
E. Use a firm approach with communication - answers-B. Offer concise explanations
C. Establish consistent limits
E. Use a firm approach with communication
A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy
(ECT) for the treatment of bipolar disease. Which of the following statements by the
newly licensed nurse indicates understanding?
A. "ECT is the recommended initial treatment for bipolar disease."
B. "ECT is contraindicated for clients who have suicidal ideation."
C. "ECT is effective for clients who are experiencing severe mania."
D. "ECT is prescribed to prevent relapse of bipolar disease." - answers-C. "ECT is
effective for clients who are experiencing severe mania."
A nurse in an acute metal health facility is caring for a client who has bipolar disorder.
Which of the following is the priority nursing action?
A. Set consistent limits for expected behavior.
B. Administer prescribed medications as scheduled.
C. Provide the client with step-by-step instructions during hygiene activities.
D. Monitor the client for escalating behavior. - answers-D. Monitor the client for
escalating behavior.
