Mental Health Comprehensive Exam 2026
Latest Updated Questions With Answers
Success Guide.
At the first meeting of a group of older adults at a daycare
center for the elderly, the nurse asks one of the members
what kind of things she would like to do with the group.
The older women shrugs her shoulders and says. "You tell
me, you're the leader". What is the best response for the
nurse to make?
A. "Yes I am the leader today. Would you like to be the
leader tomorrow."
B. "Yes, I will be leading this group. What would you like to
accomplish during this time."
C. "Yes, I have been assigned to be the leader of this
group. I will be here for the next 6 weeks.
D. "Yes, I am the leader. You seem angry about not being
the leader yourself." -
Correct Answer -B. "Yes. I will be leading this group. What
would you like to accomplish during this time?"
Over a period of several weeks. one male participant of a
socialization group at a community daycare center for the
elderly monopolizes most of the groups time and
interrupts others when they are talking. What is the best
action for the nurse to take in this situation.
A. Talk to the client outside the group about his behavior
during group meetings.
B. Remind the client to allow others in the group a chance
to talk
C. Allow the group to handle the problem
D. Ask the client to join another group -
Correct Answer -Allow the group to handle the problem
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,Mental Health Comprehensive Exam
An 86-year-old female client with Alzheimer's disease is
wandering the busy halls of the extended care facility and
asks the nurse, "Where should I stand for the parade?"
Which response is best for the nurse to provide?
A. Anywhere you want to stand as long as you don't get
hurt by those in the parade
B. You are confused because of all the activity in the hall.
There is no parade
C. Let's go back to the activity room and see whats going
on in there
D. Remember I told you that this is a nursing home and I
am your nurse -
Correct Answer -"Let's go back to the activity room and
see whats going on in there"
Physical examination of a 6 year old reveals several bite
marks in various locations on his body. X-ray examination
revealed healed fractures of the ribs. The mother tells the
nurse that her child is always having accidents. Which
initial response by the nurse is most important.
A. I need to inform the health care provider about your
child's tendency to be accident prone.
B. Tell me more specifically about your child's accidents
C. I must report these injuries to the authorities because
they do not seem accidental.
D. Boys this age always to require more supervision and
can be quite accident prone. -
Correct Answer -"Tell me more specifically about your
child's accidents."
A child is brought to the emergency room with a broken
arm. Because of these injuries, the nurse suspects the
child may be a victim of abuse. When the nurse tries to
give the child an injection, the child mother becomes very
loud and shouts."I won't leave my son! Don't you touch
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, Mental Health Comprehensive Exam
him! You'll hurt my child." What is the best interpretation of
the mother's statement? The mother is
A. Regressing to an earlier behavior pattern
B. Sublimating her anger
C. Projecting her feelings onto the nurse
D. Suppressing her fear -
Correct Answer -Projecting her feelings onto the nurse
A 38-year-old female client is admitted with a diagnosis of
paranoid schizophrenia. When her tray is brought to her,
she refuses to eat and tells the nurse. "i know you are
trying to poison me with food." Which response would be
most important for the nurse to make?
A. I'll leave your tray here. I am available if you need
anything else
B. You are not being poisoned. Why do you think
someone is trying to poison you
C. No one on this unit has ever died from poisoning. You
are safe here.
D. I will talk to your healthcare provider about the
possibility of changing your diet -
Correct Answer -I'll leave your tray here. I am available if
you need anything else.
A 25-year-old female client has been particularly restless
and the nurse finds her trying to leave the psychiatric unit.
She tells the nurse "Please let me go I must leave
because the secret police are after me." which is best for
the nurse to make?
A. No one is after you. You are safe here
B. You will feel better after you have rested
C. I know you must feel lonely and frightened
D. Come with me to your room and I will sit with you -
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