Mental Health Nursing TESTBANK WITH 250 PLUS
QUESTIONS AND VERIFIED ANSWERS 2025/2026
Touching other people without their permission, reading someone else's mail,
and using personal possessions without asking permission are all examples of:
1. antisocial behavior.
2. manipulation.
3. poor boundaries.
4. passive-aggressive behavior. - CORRECT ANSWER-3. poor boundaries.
The described behaviors indicate poor personal boundaries, which is the inability
to differentiate between self and others. Poor boundaries are symptoms of
antisocial and passive-aggressive behavior. Manipulation is an attempt to control
another person.
Unhealthy personal boundaries are a product of dysfunctional families and a lack
of positive role models. Unhealthy boundaries may also be a result of:
1. structured limit setting.
2. supportive environment.
3. abuse and neglect.
4. direction and attention. - CORRECT ANSWER-3. abuse and neglect.
Abuse and neglect lead to poor self-concept and role confusion, the basis for
unhealthy personal boundaries. Healthy boundaries are established in childhood
when parents provide consistent, supportive limits and attention.
The nurse can use self-disclosure with a client if:
,1. the nurse has experienced the same situation as the client.
2. the client asks the nurse directly about the experience.
3. it helps the client to talk more easily.
4. it achieves a specific therapeutic goal. - CORRECT ANSWER-4. it achieves a
specific therapeutic goal.
Self-disclosure (making personal statements about oneself) can be a useful tool
for the nurse. However, the nurse should use self-disclosure judiciously and with a
specific therapeutic purpose in mind. The nurse should listen to the client closely
and remember that experiences for different people are sometimes similar but
never identical. Using too many self-disclosures is unethical and can shift the
focus from the client to the nurse. Self-disclosure that distracts the client from
treatment issues doesn't benefit the client and may alienate the client from the
nurse.
A client is transferred to the locked psychiatric unit from the emergency
department after attempting suicide by taking 200 acetaminophen (Tylenol)
tablets. The client is now awake and alert but refuses to speak with the nurse. In
this situation, the nurse's first priority is to:
1. establish a rapport to foster trust.
2. place the client in full leather restraints.
3. try to communicate with the client in writing.
4. ensure safety by initiating suicide precautions. - CORRECT ANSWER-4. ensure
safety by initiating suicide precautions.
The nurse's first priority is to keep a suicidal client safe and alive. Although
establishing a rapport and promoting trust are important in psychiatric nursing,
neither is the highest priority. Using restraints is inappropriate and could be
,interpreted as punishment of the client or a convenience for the nurse. Trying to
communicate in writing is also inappropriate because the client can hear.
A client in an acute care center lacerates her wrists. She has a history of conflicts
and acting out. The client tells the nurse, "I did a good job, didn't I?" Which
response would be best?
1. "You sure did. You're going to have a scar now."
2. "How many times have you done this before?"
3. "What were you feeling before you hurt yourself?"
4. "It seems to me you are trying to get attention in a negative way." - CORRECT
ANSWER-3. "What were you feeling before you hurt yourself?"
Self-mutilation is the client's way of defending herself against feelings she isn't
able to express. It's important to shift focus from the mutilation and to help the
client express feelings in a more acceptable manner. All other answers are
judgmental.
The nurse's goal in crisis intervention is to provide:
1. problem-solving techniques and structured activities.
2. an insight-oriented analytic approach.
3. medication to sedate the client.
4. nondirective techniques such as free association. - CORRECT ANSWER-1.
problem-solving techniques and structured activities.
Individuals in a crisis need immediate assistance. They are unable to solve
problems and need structure and assistance in accessing resources. Clients in a
crisis don't need lengthy explanations or have time to develop insight on their
, own. They might need medication but, in most cases, support and direction can
be most helpful.
Which psychological or personality factor is most likely to predispose an individual
to medication abuse?
1. Low self-esteem and unresolved rage
2. Desire to inflict pain upon one's self
3. Dependent personality disorder
4. Antisocial personality disorder - CORRECT ANSWER-1. Low self-esteem and
unresolved rage
Low self-esteem and repressed rage as well as depression can predispose an
individual to search for solace in addictive medications. Commonly, medications
are used to minimize or blot out pain, rather than inflict additional pain.
Personality disorders don't predispose a client to medication abuse; however,
personality disorders, especially the antisocial ones, may be intensified by abuse.
A client is presented with the treatment option of electroconvulsive therapy
(ECT). After discussing the treatment with the staff, the client requests that a
family member come in to help him decide whether or not to undergo this
treatment. Which document must the client sign before undergoing ECT?
1. Informed consent
2. Durable power of attorney
3. Voluntary commitment form
4. Outpatient commitment form - CORRECT ANSWER-1. Informed consent
QUESTIONS AND VERIFIED ANSWERS 2025/2026
Touching other people without their permission, reading someone else's mail,
and using personal possessions without asking permission are all examples of:
1. antisocial behavior.
2. manipulation.
3. poor boundaries.
4. passive-aggressive behavior. - CORRECT ANSWER-3. poor boundaries.
The described behaviors indicate poor personal boundaries, which is the inability
to differentiate between self and others. Poor boundaries are symptoms of
antisocial and passive-aggressive behavior. Manipulation is an attempt to control
another person.
Unhealthy personal boundaries are a product of dysfunctional families and a lack
of positive role models. Unhealthy boundaries may also be a result of:
1. structured limit setting.
2. supportive environment.
3. abuse and neglect.
4. direction and attention. - CORRECT ANSWER-3. abuse and neglect.
Abuse and neglect lead to poor self-concept and role confusion, the basis for
unhealthy personal boundaries. Healthy boundaries are established in childhood
when parents provide consistent, supportive limits and attention.
The nurse can use self-disclosure with a client if:
,1. the nurse has experienced the same situation as the client.
2. the client asks the nurse directly about the experience.
3. it helps the client to talk more easily.
4. it achieves a specific therapeutic goal. - CORRECT ANSWER-4. it achieves a
specific therapeutic goal.
Self-disclosure (making personal statements about oneself) can be a useful tool
for the nurse. However, the nurse should use self-disclosure judiciously and with a
specific therapeutic purpose in mind. The nurse should listen to the client closely
and remember that experiences for different people are sometimes similar but
never identical. Using too many self-disclosures is unethical and can shift the
focus from the client to the nurse. Self-disclosure that distracts the client from
treatment issues doesn't benefit the client and may alienate the client from the
nurse.
A client is transferred to the locked psychiatric unit from the emergency
department after attempting suicide by taking 200 acetaminophen (Tylenol)
tablets. The client is now awake and alert but refuses to speak with the nurse. In
this situation, the nurse's first priority is to:
1. establish a rapport to foster trust.
2. place the client in full leather restraints.
3. try to communicate with the client in writing.
4. ensure safety by initiating suicide precautions. - CORRECT ANSWER-4. ensure
safety by initiating suicide precautions.
The nurse's first priority is to keep a suicidal client safe and alive. Although
establishing a rapport and promoting trust are important in psychiatric nursing,
neither is the highest priority. Using restraints is inappropriate and could be
,interpreted as punishment of the client or a convenience for the nurse. Trying to
communicate in writing is also inappropriate because the client can hear.
A client in an acute care center lacerates her wrists. She has a history of conflicts
and acting out. The client tells the nurse, "I did a good job, didn't I?" Which
response would be best?
1. "You sure did. You're going to have a scar now."
2. "How many times have you done this before?"
3. "What were you feeling before you hurt yourself?"
4. "It seems to me you are trying to get attention in a negative way." - CORRECT
ANSWER-3. "What were you feeling before you hurt yourself?"
Self-mutilation is the client's way of defending herself against feelings she isn't
able to express. It's important to shift focus from the mutilation and to help the
client express feelings in a more acceptable manner. All other answers are
judgmental.
The nurse's goal in crisis intervention is to provide:
1. problem-solving techniques and structured activities.
2. an insight-oriented analytic approach.
3. medication to sedate the client.
4. nondirective techniques such as free association. - CORRECT ANSWER-1.
problem-solving techniques and structured activities.
Individuals in a crisis need immediate assistance. They are unable to solve
problems and need structure and assistance in accessing resources. Clients in a
crisis don't need lengthy explanations or have time to develop insight on their
, own. They might need medication but, in most cases, support and direction can
be most helpful.
Which psychological or personality factor is most likely to predispose an individual
to medication abuse?
1. Low self-esteem and unresolved rage
2. Desire to inflict pain upon one's self
3. Dependent personality disorder
4. Antisocial personality disorder - CORRECT ANSWER-1. Low self-esteem and
unresolved rage
Low self-esteem and repressed rage as well as depression can predispose an
individual to search for solace in addictive medications. Commonly, medications
are used to minimize or blot out pain, rather than inflict additional pain.
Personality disorders don't predispose a client to medication abuse; however,
personality disorders, especially the antisocial ones, may be intensified by abuse.
A client is presented with the treatment option of electroconvulsive therapy
(ECT). After discussing the treatment with the staff, the client requests that a
family member come in to help him decide whether or not to undergo this
treatment. Which document must the client sign before undergoing ECT?
1. Informed consent
2. Durable power of attorney
3. Voluntary commitment form
4. Outpatient commitment form - CORRECT ANSWER-1. Informed consent
