QUESTIONS WITH VERIFIED ANSWERS 2025/2026
1. A. Counting backward by 7s is an appropriate technique to assess a client's
cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability. - CORRECT ANSWER
CHAPTER 1 Basic Mental Health Nursing Concepts
1. A charge nurse is discussing mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (SATA.)
A. "To assess cognitive ability, I should ask the client to count backward by
sevens."
B. "To assess affect, I should observe the client's facial expression."
C."To assess language ability, I should instruct the client to write a sentence."
D."To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our
most recent presidents."
2. D. Monitoring for adverse effects of medications is an example of a
psychobiological intervention - CORRECT ANSWER 2. A nurse is planning care for a
client who has a mental health disorder. Which of the following actions should the
nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
,D. Monitor the client for adverse effects of medications.
3. B. Identify the client's perception of her mental health status.
Assessment is the priority action when using the
nursing process approach to client care. Identifying the client's
perception of her mental health status provides important
information about the client's psychosocial history. - CORRECT ANSWER 3. A nurse
in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following actions should
the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
4. A. The client arouses briefly in response to a sternal rub..
A client who is stuporous requires vigorous or painful stimuli to elicit a response. -
CORRECT ANSWER 4. A nurse is told during change-of-shift report that a client is
stuporous. When assessing the client, which of the following findings
should the nurse expect?
A. The client arouses briefly in response to a sternal rub.
B. The client has a Glasgow Coma Scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
,5. B. The DSM-5 establishes diagnostic criteria for mental health disorders.
D. Nurses use the DSM-5 to plan, implement, and evaluate care for client's who
have mental health disorders.
E. The DSM-5 identifies expected findings for mental health disorders - CORRECT
ANSWER 5. A nurse is planning a peer group discussion about the Diagnostic
and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). WOTF
information is appropriate to include in the discussion? (SATA)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment
for mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders.
1. C. A client who has borderline personality disorder and assaulted a homeless
man with a metal rod
A client who is a current danger to self or others is a candidate for a temporary
emergency admission. - CORRECT ANSWER CHAPTER 2 Legal and Ethical Issues
1. A nurse in an emergency mental health facility is caring for a group of clients.
The nurse should identify that which of the following clients requires a temporary
emergency admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted
suicide a year ago
, C. A client who has borderline personality disorder and assaulted a homeless man
with a metal rod
D. A client who has bipolar disorder and paces quickly around the room while
talking to himself
2. B. False imprisonment
A civil wrong that violates a client's civil rights is a tort. In this case, it is false
imprisonment, which is the confining of a client to a specific area, such as a
seclusion room, if the reason for such confinement is for the convenience of staff.
- CORRECT ANSWER 2. A nurse decides to put a client who has a psychotic
disorder in
seclusion overnight because the unit is very short-staffed, and the client
frequently fights with other clients. The nurse's actions are an example of which
of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery
3. C. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others.
The information presented by the client is a serious safety issue that the nurse
must report to the health care team. Using the ethical principle of veracity, the
student tells the client truthfully what must be done regarding the issue. -
CORRECT ANSWER 3. A client tells a nurse, "Don't tell anyone, but I hid a sharp
knife under my mattress in order to protect myself from my roommate, who is
always yelling at me and threatening me." Which of the following