NSG 221
Mental Health Nursing
Comprehensive Exam Review (Qns & Ans)
2025
1. Which of the following is a key component of therapeutic
communication in mental health nursing?
- A. Giving advice
- B. Active listening
- C. Interrupting the patient
- D. Using medical jargon
©2024/2025
, - ANS: B. Active listening
- Rationale: Active listening involves fully concentrating,
understanding, responding, and remembering what the patient is
saying, which is essential for effective therapeutic
communication.
2. What is the primary goal of cognitive-behavioral therapy
(CBT)?
- A. To explore past traumas
- B. To change negative thought patterns and behaviors
- C. To prescribe medications
- D. To conduct physical assessments
- ANS: B. To change negative thought patterns and
behaviors
- Rationale: CBT focuses on identifying and changing
negative thought patterns and behaviors to improve mental health.
3. Which of the following is a common symptom of major
depressive disorder?
- A. Euphoria
- B. Insomnia
- C. Hyperactivity
- D. Increased energy
©2024/2025
, - ANS: B. Insomnia
- Rationale: Insomnia, or difficulty sleeping, is a common
symptom of major depressive disorder.
4. What is the primary purpose of a mental status examination
(MSE)?
- A. To diagnose physical illnesses
- B. To assess a patient's cognitive, emotional, and behavioral
functioning
- C. To conduct laboratory tests
- D. To prescribe medications
- ANS: B. To assess a patient's cognitive, emotional, and
behavioral functioning
- Rationale: An MSE evaluates a patient's cognitive,
emotional, and behavioral functioning to aid in diagnosis and
treatment planning.
5. Which of the following is an example of a positive symptom
of schizophrenia?
- A. Apathy
- B. Anhedonia
- C. Hallucinations
- D. Social withdrawal
©2024/2025
, - ANS: C. Hallucinations
- Rationale: Positive symptoms of schizophrenia include
hallucinations, delusions, and disorganized thinking.
Fill-in-the-Blank Questions
6. The process of developing a therapeutic relationship with a
patient is known as __________.
- ANS: Rapport building
- Rationale: Rapport building involves establishing trust and
understanding between the nurse and the patient, which is
essential for effective therapeutic communication.
7. A __________ is a false belief that is firmly held despite
evidence to the contrary.
- ANS: Delusion
- Rationale: A delusion is a false belief that is resistant to
reason or confrontation with actual facts.
8. The __________ model emphasizes the interaction between
biological, psychological, and social factors in mental health.
- ANS: Biopsychosocial
- Rationale: The biopsychosocial model considers the
complex interplay between biological, psychological, and social
factors in understanding mental health and illness.
©2024/2025
Mental Health Nursing
Comprehensive Exam Review (Qns & Ans)
2025
1. Which of the following is a key component of therapeutic
communication in mental health nursing?
- A. Giving advice
- B. Active listening
- C. Interrupting the patient
- D. Using medical jargon
©2024/2025
, - ANS: B. Active listening
- Rationale: Active listening involves fully concentrating,
understanding, responding, and remembering what the patient is
saying, which is essential for effective therapeutic
communication.
2. What is the primary goal of cognitive-behavioral therapy
(CBT)?
- A. To explore past traumas
- B. To change negative thought patterns and behaviors
- C. To prescribe medications
- D. To conduct physical assessments
- ANS: B. To change negative thought patterns and
behaviors
- Rationale: CBT focuses on identifying and changing
negative thought patterns and behaviors to improve mental health.
3. Which of the following is a common symptom of major
depressive disorder?
- A. Euphoria
- B. Insomnia
- C. Hyperactivity
- D. Increased energy
©2024/2025
, - ANS: B. Insomnia
- Rationale: Insomnia, or difficulty sleeping, is a common
symptom of major depressive disorder.
4. What is the primary purpose of a mental status examination
(MSE)?
- A. To diagnose physical illnesses
- B. To assess a patient's cognitive, emotional, and behavioral
functioning
- C. To conduct laboratory tests
- D. To prescribe medications
- ANS: B. To assess a patient's cognitive, emotional, and
behavioral functioning
- Rationale: An MSE evaluates a patient's cognitive,
emotional, and behavioral functioning to aid in diagnosis and
treatment planning.
5. Which of the following is an example of a positive symptom
of schizophrenia?
- A. Apathy
- B. Anhedonia
- C. Hallucinations
- D. Social withdrawal
©2024/2025
, - ANS: C. Hallucinations
- Rationale: Positive symptoms of schizophrenia include
hallucinations, delusions, and disorganized thinking.
Fill-in-the-Blank Questions
6. The process of developing a therapeutic relationship with a
patient is known as __________.
- ANS: Rapport building
- Rationale: Rapport building involves establishing trust and
understanding between the nurse and the patient, which is
essential for effective therapeutic communication.
7. A __________ is a false belief that is firmly held despite
evidence to the contrary.
- ANS: Delusion
- Rationale: A delusion is a false belief that is resistant to
reason or confrontation with actual facts.
8. The __________ model emphasizes the interaction between
biological, psychological, and social factors in mental health.
- ANS: Biopsychosocial
- Rationale: The biopsychosocial model considers the
complex interplay between biological, psychological, and social
factors in understanding mental health and illness.
©2024/2025
