NUR 253 EXAM 1
MENTAL HEALTH
Galen College of Nursing.
Actual 50 Questions and Answers
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. The nurse is engaging in the therapeutic communication technique of focusing
with a client. Which of the following statements by the nurse indicates that the
nurse is trying to use this technique?
A. You say you are angry but I notice that you are smiling.
B. Why do you feel so angry about your family?
C. Lets go back and talk about the effect this had on you.
D. I can only imagine how hard this must be for you.
Correct Answer: C
Expert rationale: Focusing helps the client concentrate on a specific point/issue.
“Let’s go back and talk about the effect this had on you” narrows the discussion to
one area. A is making an observation (noting incongruence). B is a “why”
question (can sound accusatory). D is empathy.
2. The nurse is caring for a client who was involuntarily admitted to an inpatient
psych unit. The client appears angry, is verbally abusive to the staff, and is
repeatedly threatening to sue various staff members. Which action is most
appropriate for the nurse to take?
A. Warn the client that threats of legal action are inappropriate and unwelcome.
B. Continue attempts to establish a good working relationship with the client.
C. Verbally redirect the client and refuse to interact on a one-on-one basis.
D. Consult the hospital's legal advisor as soon as possible.
Correct Answer: B
Expert rationale: The priority is therapeutic rapport while maintaining
professional boundaries. Threats and hostility often reflect fear/loss of control;
the nurse continues calm, consistent engagement and de-escalation. A escalates
power struggle. C is non-therapeutic abandonment (still need safe interaction; use
team approach as needed). D is not a first-line nursing response.
, 3. The mental health nurse manager and newly hired nurse are discussing the
levels of psychiatric care for a client. The nurse manager anticipates the client
will need care delivered by an advanced practice registered nurse. Which level
of care should the newly hired nurse expect to be performed only by the APRN?
A. Milieu therapy
B. Pharmacological educational therapy
C. Health teaching and maintenance
D. Psychotherapy
Correct Answer: D
Expert rationale: In many settings, psychotherapy (formal psychotherapy) is
delivered by providers with advanced training/licensure (e.g., APRN/therapist).
Milieu therapy, health teaching, and medication education are within RN scope.
4. A nurse working on an inpatient psych unit has just received the change-of-
shift report. The nurse should first plan to assess the client
A. Who has schizophrenia and is having visual hallucinations
B. Whose most recent lithium level was 1.0
C. Who will undergo ECT in 2 hours
D. Who has a WBC of 7.5
Correct Answer: A
Expert rationale: Immediate priority is safety. Active hallucinations (especially
visual) can be associated with impaired reality testing and potential risk
(command hallucinations/behavioral escalation). Lithium 1.0 is typically
therapeutic. ECT in 2 hours requires preparation but is not as urgent as current
psych symptoms. WBC 7.5 is normal.
5. The nurse preceptor is teaching a student nurse how to identify clients
experiencing mental illness. Which assessment finding reported by the student
demonstrates teaching has been effective?
MENTAL HEALTH
Galen College of Nursing.
Actual 50 Questions and Answers
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. The nurse is engaging in the therapeutic communication technique of focusing
with a client. Which of the following statements by the nurse indicates that the
nurse is trying to use this technique?
A. You say you are angry but I notice that you are smiling.
B. Why do you feel so angry about your family?
C. Lets go back and talk about the effect this had on you.
D. I can only imagine how hard this must be for you.
Correct Answer: C
Expert rationale: Focusing helps the client concentrate on a specific point/issue.
“Let’s go back and talk about the effect this had on you” narrows the discussion to
one area. A is making an observation (noting incongruence). B is a “why”
question (can sound accusatory). D is empathy.
2. The nurse is caring for a client who was involuntarily admitted to an inpatient
psych unit. The client appears angry, is verbally abusive to the staff, and is
repeatedly threatening to sue various staff members. Which action is most
appropriate for the nurse to take?
A. Warn the client that threats of legal action are inappropriate and unwelcome.
B. Continue attempts to establish a good working relationship with the client.
C. Verbally redirect the client and refuse to interact on a one-on-one basis.
D. Consult the hospital's legal advisor as soon as possible.
Correct Answer: B
Expert rationale: The priority is therapeutic rapport while maintaining
professional boundaries. Threats and hostility often reflect fear/loss of control;
the nurse continues calm, consistent engagement and de-escalation. A escalates
power struggle. C is non-therapeutic abandonment (still need safe interaction; use
team approach as needed). D is not a first-line nursing response.
, 3. The mental health nurse manager and newly hired nurse are discussing the
levels of psychiatric care for a client. The nurse manager anticipates the client
will need care delivered by an advanced practice registered nurse. Which level
of care should the newly hired nurse expect to be performed only by the APRN?
A. Milieu therapy
B. Pharmacological educational therapy
C. Health teaching and maintenance
D. Psychotherapy
Correct Answer: D
Expert rationale: In many settings, psychotherapy (formal psychotherapy) is
delivered by providers with advanced training/licensure (e.g., APRN/therapist).
Milieu therapy, health teaching, and medication education are within RN scope.
4. A nurse working on an inpatient psych unit has just received the change-of-
shift report. The nurse should first plan to assess the client
A. Who has schizophrenia and is having visual hallucinations
B. Whose most recent lithium level was 1.0
C. Who will undergo ECT in 2 hours
D. Who has a WBC of 7.5
Correct Answer: A
Expert rationale: Immediate priority is safety. Active hallucinations (especially
visual) can be associated with impaired reality testing and potential risk
(command hallucinations/behavioral escalation). Lithium 1.0 is typically
therapeutic. ECT in 2 hours requires preparation but is not as urgent as current
psych symptoms. WBC 7.5 is normal.
5. The nurse preceptor is teaching a student nurse how to identify clients
experiencing mental illness. Which assessment finding reported by the student
demonstrates teaching has been effective?
