Page 1 of 96
EXAM 1: NR 326/ NR326 - MENTAL HEALTH
NURSING | FREQUENTLY TESTED QUESTIONS
WITH CORRECT ANSWERS | BRAND NEW!
During a client education group on assertiveness skills, a client
asks a question while some other group members are carrying
on a separate conversation, appearing not to listen. The client
states, "When you appear not to be listening, I feel disrespected. I
need for the group to listen to my question." How should the
nurse respond to this event?
a. Reinforce that the client used assertive communication to
express their needs and support that respect for other group
members includes not having private conversations during the
group.
b. Tell the client to ask the question again and speak louder.
c. Instruct the client that no one is being disrespectful but their
low self-esteem may be influencing their perception.
d. Terminate the group and offer to talk with the client privately
about their questions. - ✔✔✔ Correct Answer > a. Reinforce that the
client used assertive communication to express their needs and
support that respect for other group members includes not
having private conversations during the group.
,Page 2 of 96
A staff nurse on a surgical unit is the leader of a newly
established group of staff nurses organized to determine ways to
decrease the number of medication errors occurring on the unit.
At each meeting, he addresses the group to convince the
members to adopt his ideas. Which type of group and style of
leadership is described in this situation?
a. Task group, autocratic leadership
b. Teaching group, autocratic leadership
c. Self-help group, democratic leadership
d. Supportive-therapeutic group, laissez-faire leadership - ✔✔✔
Correct Answer > a. Task group, autocratic leadership
A nurse is approached by a mental health technician who states,
"I need for you to do 15-minute checks on my clients because I've
got too many other things to do." This has been a regular
occurrence with the mental health technician, and other staff
members have complained that this worker is "just being lazy."
Which of these is the best response by the nurse?
a. Commend the technician for using good "I" communication.
b. Instruct the technician that his peers think he is just being lazy.
c. Reinforce to the technician that everyone is busy.
d. State to the technician the expectation that he will complete
his assigned duties. - ✔✔✔ Correct Answer > d. State to the technician
the expectation that he will complete his assigned duties.
,Page 3 of 96
A physician approaches the nurse, yelling loudly and stating, "You
must be the stupidest person to ever get out of nursing school. I
said I wanted vital signs on this client every 4 hours and there
are no recordings of temperatures. Do I need to teach you what
vital signs are?" Which of these is the best response by the
nurse?
a. "Yes, doctor, I know what vital signs are."
b. "I will try to find the information you are looking for, but I don't
appreciate your belittling comments. I need for you to treat me
with respect."
c. "If you weren't so stupid you would know that the temperatures
are recorded on a separate graph in the electronic health
record."
d. "I'm not doing a thing for you until you treat me with respect." -
✔✔✔ Correct Answer > b. "I will try to find the information you are
looking for, but I don't appreciate your belittling comments. I need
for you to treat me with respect."
A new client on the psychiatric unit is 35 years old. Theoretically,
in which level of psychosocial development (according to
Erikson) would you expect this client to be?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
, Page 4 of 96
d. Autonomy vs. shame and doubt - ✔✔✔ Correct Answer > b.
Generativity vs. self-absorption
A client who has been diagnosed with schizophrenia refuses to
eat and tells the nurse he knew he was "being poisoned."
According to Erikson's theory, in what developmental stage is
this client?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - ✔✔✔ Correct Answer > c. Trust vs.
mistrust
A psychiatric client diagnosed with borderline personality
disorder has just been hospitalized for threatening suicide.
According to Mahler's theory, the client did not receive the
critical "emotional refueling" required during the rapprochement
phase of development. What are the consequences of this
deficiency?
a. She has not yet learned to delay gratification.
b. She does not feel guilt about wrongdoings to others.
c. She is unable to trust others.
EXAM 1: NR 326/ NR326 - MENTAL HEALTH
NURSING | FREQUENTLY TESTED QUESTIONS
WITH CORRECT ANSWERS | BRAND NEW!
During a client education group on assertiveness skills, a client
asks a question while some other group members are carrying
on a separate conversation, appearing not to listen. The client
states, "When you appear not to be listening, I feel disrespected. I
need for the group to listen to my question." How should the
nurse respond to this event?
a. Reinforce that the client used assertive communication to
express their needs and support that respect for other group
members includes not having private conversations during the
group.
b. Tell the client to ask the question again and speak louder.
c. Instruct the client that no one is being disrespectful but their
low self-esteem may be influencing their perception.
d. Terminate the group and offer to talk with the client privately
about their questions. - ✔✔✔ Correct Answer > a. Reinforce that the
client used assertive communication to express their needs and
support that respect for other group members includes not
having private conversations during the group.
,Page 2 of 96
A staff nurse on a surgical unit is the leader of a newly
established group of staff nurses organized to determine ways to
decrease the number of medication errors occurring on the unit.
At each meeting, he addresses the group to convince the
members to adopt his ideas. Which type of group and style of
leadership is described in this situation?
a. Task group, autocratic leadership
b. Teaching group, autocratic leadership
c. Self-help group, democratic leadership
d. Supportive-therapeutic group, laissez-faire leadership - ✔✔✔
Correct Answer > a. Task group, autocratic leadership
A nurse is approached by a mental health technician who states,
"I need for you to do 15-minute checks on my clients because I've
got too many other things to do." This has been a regular
occurrence with the mental health technician, and other staff
members have complained that this worker is "just being lazy."
Which of these is the best response by the nurse?
a. Commend the technician for using good "I" communication.
b. Instruct the technician that his peers think he is just being lazy.
c. Reinforce to the technician that everyone is busy.
d. State to the technician the expectation that he will complete
his assigned duties. - ✔✔✔ Correct Answer > d. State to the technician
the expectation that he will complete his assigned duties.
,Page 3 of 96
A physician approaches the nurse, yelling loudly and stating, "You
must be the stupidest person to ever get out of nursing school. I
said I wanted vital signs on this client every 4 hours and there
are no recordings of temperatures. Do I need to teach you what
vital signs are?" Which of these is the best response by the
nurse?
a. "Yes, doctor, I know what vital signs are."
b. "I will try to find the information you are looking for, but I don't
appreciate your belittling comments. I need for you to treat me
with respect."
c. "If you weren't so stupid you would know that the temperatures
are recorded on a separate graph in the electronic health
record."
d. "I'm not doing a thing for you until you treat me with respect." -
✔✔✔ Correct Answer > b. "I will try to find the information you are
looking for, but I don't appreciate your belittling comments. I need
for you to treat me with respect."
A new client on the psychiatric unit is 35 years old. Theoretically,
in which level of psychosocial development (according to
Erikson) would you expect this client to be?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
, Page 4 of 96
d. Autonomy vs. shame and doubt - ✔✔✔ Correct Answer > b.
Generativity vs. self-absorption
A client who has been diagnosed with schizophrenia refuses to
eat and tells the nurse he knew he was "being poisoned."
According to Erikson's theory, in what developmental stage is
this client?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - ✔✔✔ Correct Answer > c. Trust vs.
mistrust
A psychiatric client diagnosed with borderline personality
disorder has just been hospitalized for threatening suicide.
According to Mahler's theory, the client did not receive the
critical "emotional refueling" required during the rapprochement
phase of development. What are the consequences of this
deficiency?
a. She has not yet learned to delay gratification.
b. She does not feel guilt about wrongdoings to others.
c. She is unable to trust others.
