OpenStax Psychiatric-Mental Health Nursing Student Guide (All chapters
covered) (Multiple Choice Questions with Answers, Complete Guide) (Graded
A+)|NEW 2026
,OpenStax Psychiatric-Mental Health Nursing Student Answer Guide
x x x x x x
OpenStaxPsychiatric-MentalHealth x x
NursingStudentAnswerGuide
x x x x
Chapter 1: Foundations of Psychiatric-Mental Health Nursing ........................................................3
x x x x x x
Chapter 2: Fundamentals of Theories and Therapies .......................................................................7
x x x x x x
Chapter 3: Communication, Perception, and Assessment .............................................................13
x x x x x
Chapter 4: Neurology and Pharmacology Standards .....................................................................17
x x x x x
Chapter 5: Therapeutic Settings .....................................................................................................22
x x x
Chapter 6: Therapeutic Relationships ............................................................................................27
x x x
Chapter 7: Interprofessional Care ..................................................................................................31
x x x
Chapter 8: Cultural Considerations.................................................................................................41
x x x
Chapter 9: Social and Emotional Concerns.....................................................................................47
x x x x x
Chapter 10: Legal and Ethical Guidelines .......................................................................................54
x x x x x
Chapter 11: Court Involvement ......................................................................................................58
x x x
Chapter 12: Self-Determination and Advocacy ..............................................................................65
x x x x
Chapter 13: Clinical Guidelines and Practice ..................................................................................72
x x x x x
Chapter 14: Neurocognitive Disorders ...........................................................................................84
x x x
Chapter 15: Schizophrenia Spectrum Disorder and Other Psychotic Disorders .............................89
x x x x x x x x
Chapter 16: Mood Disorders and Suicide .......................................................................................93
x x x x x
Chapter 17: Anxiety, OCD, and Trauma-Stressor Disorders ...........................................................99
x x x x x x
Chapter 18: Personality Disorders ................................................................................................107
x x x
Chapter 19: Substance Use and Misuse .......................................................................................112
x x x x x
Chapter 20: Eating Disorders ........................................................................................................117
x x x
Chapter 21: Somatic Symptom Disorders ....................................................................................123
x x x x
Chapter 22: Sexual Dysfunction and Gender Dysphoria...............................................................128
x x x x x x
Chapter 23: Children and Adolescents .........................................................................................134
x x x x
Chapter 24: Older Adults ..............................................................................................................141
x x x
Chapter 25: Community Mental Health Treatment .....................................................................147
x x x x x
Chapter 26: Adjuncts to Treatments ............................................................................................151
x x x x
Chapter 27: Current Trends and Growing Needs .........................................................................157
x x x x x x
Chapter 28: Critical Thinking in Psychiatric-Mental Health Nursing .............................................162
x x x x x x x
2
For xmore xpeer-reviewed, xopenly xlicensed xresources xvisit
OpenStax.org.
5/8/2025
,OpenStax Psychiatric-Mental Health Nursing Student Answer Guide
x x x x x x
Chapter 1: Foundations of Psychiatric-Mental Health Nursing
x x x x x x
Review Questions x
1. Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so
x x x x x x x x x x x x x x x
much that the client is unable to go to work. Nurse Jon realizes that according to the mental
x x x x x x x x x x x x x x x x x x
health to mental illness continuum, this client is in the category of:
x x x x x x x x x x x x
a. emotional problems or concerns x x x
b. well-being
c. mental illness x
d. between well-being and emotional problems x x x x
Answer: C] x
3. What is the scope of psychiatric-mental health nursing practice?
x x x x x x x x
a. assessment, education, medication administration, and screening for suicide risk x x x x x x x x
b. assessment, medical diagnosis, giving orders, writing prescriptions, admitting, and x x x x x x x x
discharging
x
c. assisting providers, assisting with ADLs, monitoring clients, offering support, promoting
x x x x x x x x x
safety x
d. assessment, counseling, teaching coping skills, giving advice, listening x x x x x x x
[
Answer: A] x
5. A client of the local mental health clinic arrives for their appointment out of breath, hair a
x x x x x x x x x x x x x x x x
mess, and clothing askew. The receptionist tells the client, “You are fifteen minutes late. I
x x x x x x x x x x x x x x x
will have to see if the doctor can still see you.” The client responds, “I know I am late. I can
x x x x x x x x x x x x x x x x x x x x x
explain, my mother-in-law had a bad night. She lives with my husband and me. I am just so
x x x x x x x x x x x x x x x x x x
tired of taking care of her.” This example falls under which category of risk factors?
x x x x x x x x x x x x x x x
a. genetic comorbidities x
b. psychological factors x
c. social factors x
d. victimization
Answer: C] x x
7. To keep the plan of care client-centered, what important assessment should the nurse do
x x x x x x x x x x x x x
after identifying several risk factors for substance abuse in a client?
x x x x x x x x x x x
a. contact a rehab center for an intake assessment x x x x x x x
b. perform a client strengths assessment x x x x
c. ask the psychiatrist to screen for depression
x x x x x x
d. complete a health assessment x x x
Answer: B]
x x
3
, OpenStax Psychiatric-Mental Health Nursing Student Answer Guide
x x x x x x
9. A person with mental illness does not want to seek care because of the shame they feel for
x x x x x x x x x x x x x x x x x
being sick. What type of stigma is this related to?
x x x x x x x x x x
a. self-stigma
b. caregiver stigma x
c. institutional stigma x
d. public stigma x
Answer: A]
x x
11 A student nurse is studying for an exam on the recovery process. It is evident that they
x x x x x x x x x x x x x x x x x
understand the concept when they explain to their study group:
x x x x x x x x x x
a. “The majority of people with mental illness or substance use do not recover.”
x x x x x x x x x x x x
b. “The recovery process is dictated by the health-care team.”
x x x x x x x x
c. “Recovery is a nonlinear process based on instilling hope.” x x x x x x x x
d. “In recovery, a client needs to advocate for themselves right from the start.”
x x x x x x x x x x x x
Answer: C] x
13. What should the psychiatric nurse do to assist individuals and families to understand the
x x x x x x x x x x x x x
recovery process and the resources available to them?
x x x x x x x x
a. psychoeducation
b. create a care plan for them x x x x x
c. refer them to a psychiatrist x x x x
d. refer them to a website to read on their own
x x x x x x x x x
Answer: A]
x x
15. Nurse Sheila makes adjustments to the client’s plan of care after talking with the client. This
x x x x x x x x x x x x x x x
is most likely an example of the
x x component of the EBP model. x x x x x x x x x
a. best available research x x
b. client preferences x
c. nursing expertise x
d. review of evidence x x
Answer: B] x
17. What should the nurse do to locate credible sources of research in order to practice
x x x x x x x x x x x x x x
evidence-based interventions?
x x
a. The nurse should ask a supervisor for help locating credible sources.
x x x x x x x x x x
b. The nurse should access CINAHL or another professional database.
x x x x x x x x
c. The nurse should perform a Wikipedia search.
x x x x x x
4
For xmore xpeer-reviewed, xopenly xlicensed xresources xvisit
OpenStax.org.
5/8/2025
covered) (Multiple Choice Questions with Answers, Complete Guide) (Graded
A+)|NEW 2026
,OpenStax Psychiatric-Mental Health Nursing Student Answer Guide
x x x x x x
OpenStaxPsychiatric-MentalHealth x x
NursingStudentAnswerGuide
x x x x
Chapter 1: Foundations of Psychiatric-Mental Health Nursing ........................................................3
x x x x x x
Chapter 2: Fundamentals of Theories and Therapies .......................................................................7
x x x x x x
Chapter 3: Communication, Perception, and Assessment .............................................................13
x x x x x
Chapter 4: Neurology and Pharmacology Standards .....................................................................17
x x x x x
Chapter 5: Therapeutic Settings .....................................................................................................22
x x x
Chapter 6: Therapeutic Relationships ............................................................................................27
x x x
Chapter 7: Interprofessional Care ..................................................................................................31
x x x
Chapter 8: Cultural Considerations.................................................................................................41
x x x
Chapter 9: Social and Emotional Concerns.....................................................................................47
x x x x x
Chapter 10: Legal and Ethical Guidelines .......................................................................................54
x x x x x
Chapter 11: Court Involvement ......................................................................................................58
x x x
Chapter 12: Self-Determination and Advocacy ..............................................................................65
x x x x
Chapter 13: Clinical Guidelines and Practice ..................................................................................72
x x x x x
Chapter 14: Neurocognitive Disorders ...........................................................................................84
x x x
Chapter 15: Schizophrenia Spectrum Disorder and Other Psychotic Disorders .............................89
x x x x x x x x
Chapter 16: Mood Disorders and Suicide .......................................................................................93
x x x x x
Chapter 17: Anxiety, OCD, and Trauma-Stressor Disorders ...........................................................99
x x x x x x
Chapter 18: Personality Disorders ................................................................................................107
x x x
Chapter 19: Substance Use and Misuse .......................................................................................112
x x x x x
Chapter 20: Eating Disorders ........................................................................................................117
x x x
Chapter 21: Somatic Symptom Disorders ....................................................................................123
x x x x
Chapter 22: Sexual Dysfunction and Gender Dysphoria...............................................................128
x x x x x x
Chapter 23: Children and Adolescents .........................................................................................134
x x x x
Chapter 24: Older Adults ..............................................................................................................141
x x x
Chapter 25: Community Mental Health Treatment .....................................................................147
x x x x x
Chapter 26: Adjuncts to Treatments ............................................................................................151
x x x x
Chapter 27: Current Trends and Growing Needs .........................................................................157
x x x x x x
Chapter 28: Critical Thinking in Psychiatric-Mental Health Nursing .............................................162
x x x x x x x
2
For xmore xpeer-reviewed, xopenly xlicensed xresources xvisit
OpenStax.org.
5/8/2025
,OpenStax Psychiatric-Mental Health Nursing Student Answer Guide
x x x x x x
Chapter 1: Foundations of Psychiatric-Mental Health Nursing
x x x x x x
Review Questions x
1. Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so
x x x x x x x x x x x x x x x
much that the client is unable to go to work. Nurse Jon realizes that according to the mental
x x x x x x x x x x x x x x x x x x
health to mental illness continuum, this client is in the category of:
x x x x x x x x x x x x
a. emotional problems or concerns x x x
b. well-being
c. mental illness x
d. between well-being and emotional problems x x x x
Answer: C] x
3. What is the scope of psychiatric-mental health nursing practice?
x x x x x x x x
a. assessment, education, medication administration, and screening for suicide risk x x x x x x x x
b. assessment, medical diagnosis, giving orders, writing prescriptions, admitting, and x x x x x x x x
discharging
x
c. assisting providers, assisting with ADLs, monitoring clients, offering support, promoting
x x x x x x x x x
safety x
d. assessment, counseling, teaching coping skills, giving advice, listening x x x x x x x
[
Answer: A] x
5. A client of the local mental health clinic arrives for their appointment out of breath, hair a
x x x x x x x x x x x x x x x x
mess, and clothing askew. The receptionist tells the client, “You are fifteen minutes late. I
x x x x x x x x x x x x x x x
will have to see if the doctor can still see you.” The client responds, “I know I am late. I can
x x x x x x x x x x x x x x x x x x x x x
explain, my mother-in-law had a bad night. She lives with my husband and me. I am just so
x x x x x x x x x x x x x x x x x x
tired of taking care of her.” This example falls under which category of risk factors?
x x x x x x x x x x x x x x x
a. genetic comorbidities x
b. psychological factors x
c. social factors x
d. victimization
Answer: C] x x
7. To keep the plan of care client-centered, what important assessment should the nurse do
x x x x x x x x x x x x x
after identifying several risk factors for substance abuse in a client?
x x x x x x x x x x x
a. contact a rehab center for an intake assessment x x x x x x x
b. perform a client strengths assessment x x x x
c. ask the psychiatrist to screen for depression
x x x x x x
d. complete a health assessment x x x
Answer: B]
x x
3
, OpenStax Psychiatric-Mental Health Nursing Student Answer Guide
x x x x x x
9. A person with mental illness does not want to seek care because of the shame they feel for
x x x x x x x x x x x x x x x x x
being sick. What type of stigma is this related to?
x x x x x x x x x x
a. self-stigma
b. caregiver stigma x
c. institutional stigma x
d. public stigma x
Answer: A]
x x
11 A student nurse is studying for an exam on the recovery process. It is evident that they
x x x x x x x x x x x x x x x x x
understand the concept when they explain to their study group:
x x x x x x x x x x
a. “The majority of people with mental illness or substance use do not recover.”
x x x x x x x x x x x x
b. “The recovery process is dictated by the health-care team.”
x x x x x x x x
c. “Recovery is a nonlinear process based on instilling hope.” x x x x x x x x
d. “In recovery, a client needs to advocate for themselves right from the start.”
x x x x x x x x x x x x
Answer: C] x
13. What should the psychiatric nurse do to assist individuals and families to understand the
x x x x x x x x x x x x x
recovery process and the resources available to them?
x x x x x x x x
a. psychoeducation
b. create a care plan for them x x x x x
c. refer them to a psychiatrist x x x x
d. refer them to a website to read on their own
x x x x x x x x x
Answer: A]
x x
15. Nurse Sheila makes adjustments to the client’s plan of care after talking with the client. This
x x x x x x x x x x x x x x x
is most likely an example of the
x x component of the EBP model. x x x x x x x x x
a. best available research x x
b. client preferences x
c. nursing expertise x
d. review of evidence x x
Answer: B] x
17. What should the nurse do to locate credible sources of research in order to practice
x x x x x x x x x x x x x x
evidence-based interventions?
x x
a. The nurse should ask a supervisor for help locating credible sources.
x x x x x x x x x x
b. The nurse should access CINAHL or another professional database.
x x x x x x x x
c. The nurse should perform a Wikipedia search.
x x x x x x
4
For xmore xpeer-reviewed, xopenly xlicensed xresources xvisit
OpenStax.org.
5/8/2025
