Mental Health Final Exam Questions &
Answers
All of the following are nursing diagnoses identified for a client who is living with Schizophrenia.
The student nurse correctly anticipates which diagnosis will resolve when the client's negative
symptoms improve?:
a) Impaired verbal communication
b) Risk of other directed violence
c) Disturbed thought processes
d) Social isolation - ANSWERSd) Social isolation
The nurse understands that empathy is essential to the therapeutic relationship. When a patient
makes the statement, "I am just devastated that my marriage is falling apart," the nurse can
best show empathy through which of the following responses?:
a) "I have been divorced too. I know how hard it is."
b) "At least you have support from your family"
c) "You feel like your world is falling apart right now."
d) "I feel sorry for what you are going through." - ANSWERSc) "You feel like your world is falling
apart right now."
Which would be a reason for a student nurse to use the DSM?
a) Obtain a framework to evaluate treatments
b) Understand the reason for the admission and the nature of psychiatric illnesses.
c) Identifying the medical diagnosis and research evidence
d) Identify guidelines to treat clients - ANSWERSc) Identifying the medical diagnosis and
research evidence
,Which of the following treatment modalities is most effective for OCD?
a) Behavioral techniques
b) Medication
c) Behavioral techniques and medication
d) Ignoring it - ANSWERSc) Behavioural techniques and medication
Annika , a 27 year old young woman on your unit, cries and states, "I'm really sick of feeling this
way. Nothing ever seems to go right in my life." Which response that you could make would be
most therapeutic:
a) "Annika I can see you are sad. Try to look at the positive side of things"
b) "You are feeling really sad right now. It's a hard time for you."
c) "Hang in there, Your medication will start in a few days".
d) "Annika, nothing every goes right. That is life". - ANSWERSb) "You are feeling really sad right
now. It's a hard time for you."
The following clients are waiting to be seen in the Emergency Department. Which client should
the nurse assess first?
a) A person who has used cocaine and has chest pain
b) An intoxicated client with a long history of alcholism
c) A client who recently experienced a "bad trip" from LSD.
d) A woman who thinks she was given ketamine - ANSWERSa) A person who has used cocaine
and has chest pain
You are completing a mental status exam (MSE) on Susan , who is 10 years old. You recognize
that the MSE is a brief narrative that reflects observations and impressions that:
a) remain relatively stable over time.
b) are used exclusively in mental health settings.
c) are variable over time.
,d) are objective of the interviewer. - ANSWERSc) are variable over time.
Which is a nursing intervention that would best promote the development of trust in the nurse-
client relationship?:
a) Simply and clearly providing reasons for policies and procedures
b) Calling the client by name and title ( Mr. Hawkins)
c) Taking the client's ideas into consideration when planning care
d) Striving to understand the motivations behind the client's behaviour - ANSWERSa) Simply and
clearly providing reasons for policies and procedures
Which of the following statements is True about mental illness? Mental illness is:
a) often caused by bad parenting
b) a major cause of violent behaviour
c) a flaw in one's personality
d) an illness from which one can recover - ANSWERSd) an illness from which one can recover
Wernicke's Syndrome is caused by:
a) increased dopamine levels.
b) increased calcium levels.
c) deficient adrenergic stimulation.
d) deficient GI absorption of thiamine. - ANSWERSd) deficient GI absorption of thiamine.
Which of the following symptoms presented by the client requires the nurse's immediate
attention?
a) Outlandish behaviors, nonstop chatter, and inappropriate dress.
b) Grandiose delusions of being a royal descendent of King Arthur.
c) Nonstop physical activity and poor nutritional intake.
, d) Incessant talking that includes sexual innuendo and teasing of the staff. - ANSWERSc)
Nonstop physical activity and poor nutritional intake.
Which of the following factors influencing the Mental Status assessment is under the nurse's
control?
a) Client participation and feedback
b) Nurse's attitude and approach
c) Client's ability to understand
d) Client's health status - ANSWERSb) Nurse's attitude and approach
All of the following are included in the plan of care for a client with schizophrenia. Which
nursing intervention should the nurse perform first when caring for this client?
a) Observe for signs of fear or agitation
b) Maintain reality through frequent contact
c) Encourage to participate in the treatment milieu
d) Assess community support systems - ANSWERSa) Observe for signs of fear or agitation
One of the primary differences between social and therapeutic relationships is the
a) amount of emotion invested.
b) kind of information given.
c) type of responsibility involved.
d) degree of satisfaction obtained. - ANSWERSb) kind of information given.
What is the goal for the orientation phase of the nurse-client relationship?:
a) Explore self-perceptions
b) Establish trust
c) Promote healthy change
Answers
All of the following are nursing diagnoses identified for a client who is living with Schizophrenia.
The student nurse correctly anticipates which diagnosis will resolve when the client's negative
symptoms improve?:
a) Impaired verbal communication
b) Risk of other directed violence
c) Disturbed thought processes
d) Social isolation - ANSWERSd) Social isolation
The nurse understands that empathy is essential to the therapeutic relationship. When a patient
makes the statement, "I am just devastated that my marriage is falling apart," the nurse can
best show empathy through which of the following responses?:
a) "I have been divorced too. I know how hard it is."
b) "At least you have support from your family"
c) "You feel like your world is falling apart right now."
d) "I feel sorry for what you are going through." - ANSWERSc) "You feel like your world is falling
apart right now."
Which would be a reason for a student nurse to use the DSM?
a) Obtain a framework to evaluate treatments
b) Understand the reason for the admission and the nature of psychiatric illnesses.
c) Identifying the medical diagnosis and research evidence
d) Identify guidelines to treat clients - ANSWERSc) Identifying the medical diagnosis and
research evidence
,Which of the following treatment modalities is most effective for OCD?
a) Behavioral techniques
b) Medication
c) Behavioral techniques and medication
d) Ignoring it - ANSWERSc) Behavioural techniques and medication
Annika , a 27 year old young woman on your unit, cries and states, "I'm really sick of feeling this
way. Nothing ever seems to go right in my life." Which response that you could make would be
most therapeutic:
a) "Annika I can see you are sad. Try to look at the positive side of things"
b) "You are feeling really sad right now. It's a hard time for you."
c) "Hang in there, Your medication will start in a few days".
d) "Annika, nothing every goes right. That is life". - ANSWERSb) "You are feeling really sad right
now. It's a hard time for you."
The following clients are waiting to be seen in the Emergency Department. Which client should
the nurse assess first?
a) A person who has used cocaine and has chest pain
b) An intoxicated client with a long history of alcholism
c) A client who recently experienced a "bad trip" from LSD.
d) A woman who thinks she was given ketamine - ANSWERSa) A person who has used cocaine
and has chest pain
You are completing a mental status exam (MSE) on Susan , who is 10 years old. You recognize
that the MSE is a brief narrative that reflects observations and impressions that:
a) remain relatively stable over time.
b) are used exclusively in mental health settings.
c) are variable over time.
,d) are objective of the interviewer. - ANSWERSc) are variable over time.
Which is a nursing intervention that would best promote the development of trust in the nurse-
client relationship?:
a) Simply and clearly providing reasons for policies and procedures
b) Calling the client by name and title ( Mr. Hawkins)
c) Taking the client's ideas into consideration when planning care
d) Striving to understand the motivations behind the client's behaviour - ANSWERSa) Simply and
clearly providing reasons for policies and procedures
Which of the following statements is True about mental illness? Mental illness is:
a) often caused by bad parenting
b) a major cause of violent behaviour
c) a flaw in one's personality
d) an illness from which one can recover - ANSWERSd) an illness from which one can recover
Wernicke's Syndrome is caused by:
a) increased dopamine levels.
b) increased calcium levels.
c) deficient adrenergic stimulation.
d) deficient GI absorption of thiamine. - ANSWERSd) deficient GI absorption of thiamine.
Which of the following symptoms presented by the client requires the nurse's immediate
attention?
a) Outlandish behaviors, nonstop chatter, and inappropriate dress.
b) Grandiose delusions of being a royal descendent of King Arthur.
c) Nonstop physical activity and poor nutritional intake.
, d) Incessant talking that includes sexual innuendo and teasing of the staff. - ANSWERSc)
Nonstop physical activity and poor nutritional intake.
Which of the following factors influencing the Mental Status assessment is under the nurse's
control?
a) Client participation and feedback
b) Nurse's attitude and approach
c) Client's ability to understand
d) Client's health status - ANSWERSb) Nurse's attitude and approach
All of the following are included in the plan of care for a client with schizophrenia. Which
nursing intervention should the nurse perform first when caring for this client?
a) Observe for signs of fear or agitation
b) Maintain reality through frequent contact
c) Encourage to participate in the treatment milieu
d) Assess community support systems - ANSWERSa) Observe for signs of fear or agitation
One of the primary differences between social and therapeutic relationships is the
a) amount of emotion invested.
b) kind of information given.
c) type of responsibility involved.
d) degree of satisfaction obtained. - ANSWERSb) kind of information given.
What is the goal for the orientation phase of the nurse-client relationship?:
a) Explore self-perceptions
b) Establish trust
c) Promote healthy change
