GALEN NUR 253 MENTAL HEALTH NURSING
COMPLETE EXAM 1-4 BUNDLE STUDY GUIDE
(2026-2027) 300 HIGH-YIELD MULTIPLE CHOICE
QUESTIONS WITH ANSWERS & RATIONALES
# Table of Contents
| Section | Topic | Question Count | Corresponding Exam |
|---------|-------|----------------|--------------------|
| 1 | Therapeutic Communication & Nurse-Patient Relationship | 25 |
Exam 1 |
| 2 | Legal & Ethical Issues in Psychiatric Nursing | 20 | Exam 1 |
| 3 | Neurobiology & Psychopharmacology Basics | 20 | Exam 1 |
| 4 | Mood Disorders (Depression, Bipolar) | 25 | Exam 1 |
| 5 | Anxiety Disorders, OCD, & Trauma-Related Disorders | 20 | Exam 1
|
| 6 | Schizophrenia Spectrum & Psychotic Disorders | 20 | Exam 1 |
| 7 | Personality Disorders | 15 | Exam 1 |
| 8 | Somatic Symptom & Dissociative Disorders | 10 | Exam 1 |
| 9 | Eating Disorders | 10 | Exam 1 |
| 10 | Substance Use Disorders (Alcohol, Opioids, Stimulants, Sedatives)
| 20 | Exam 2 |
,2|Page
| 11 | Crisis Intervention & Disaster Response | 10 | Exam 2 |
| 12 | Suicide Prevention & Risk Assessment | 15 | Exam 2 |
| 13 | Child & Adolescent Psychiatric Disorders (ADHD, Autism,
Conduct Disorder) | 15 | Exam 2 |
| 14 | Older Adult Mental Health (Dementia, Delirium, Depression) | 15 |
Exam 2 |
| 15 | Family Violence, Abuse, & Trauma | 10 | Exam 2 |
| 16 | Sexual Disorders & Gender Dysphoria | 5 | Exam 2 |
| 17 | Sleep Disorders (Insomnia, Narcolepsy, Sleep Apnea) | 5 | Exam 2 |
| 18 | Psychiatric Emergencies (Agitation, NMS, Serotonin Syndrome) |
10 | Exam 2 |
| 19 | Comprehensive Psychopharmacology (Antidepressants,
Antipsychotics, Mood Stabilizers, Anxiolytics) | 15 | Exam 3 |
| 20 | Somatic Therapies (ECT, TMS, VNS, Light Therapy) | 5 | Exam 3 |
| 21 | Psychotherapy & Treatment Modalities (CBT, DBT, MI, Group,
Family) | 10 | Exam 3 |
| 22 | Community Mental Health & Recovery Model | 5 | Exam 3 |
| 23 | Legal & Ethical Issues (Advanced: Informed Consent,
Guardianship, Criminal Justice) | 5 | Exam 3 |
| 24 | Cognitive Disorders (Delirium, Dementia, Alzheimer's,
Neurocognitive Disorders) | 10 | Exam 4 |
| 25 | Advanced Psychiatric Emergencies (NMS, Serotonin Syndrome,
Malignant Catatonia, Withdrawal) | 5 | Exam 4 |
,3|Page
| 26 | Forensic Psychiatry (Competency, Insanity, Risk Assessment, Civil
Commitment) | 5 | Exam 4 |
| 27 | Violence & Aggression Management (De-escalation, Restraints,
Workplace Violence) | 5 | Exam 4 |
| 28 | End-of-Life & Palliative Care in Psychiatry (Grief, Terminal
Illness, Assisted Dying) | 5 | Exam 4 |
| 29 | Telepsychiatry & Digital Mental Health | 5 | Exam 4 |
| 30 | Professional Burnout, Self-Care, & Resilience | 5 | Exam 4 |
| **Total** | | **300** | |
---
# SECTION 1: Therapeutic Communication & Nurse-Patient
Relationship (25 Questions)
**1. A patient says, "I feel like nobody cares about me." Which response
by the nurse is most therapeutic?**
A. "That's not true. Your family loves you."
B. "Why do you feel that way?"
C. "You feel that nobody cares about you?"
D. "Everyone feels that way sometimes."
**Answer: C – "You feel that nobody cares about you?"**
, 4|Page
*Rationale:* Restating/paraphrasing validates the patient's feelings
without judgment. Avoid "why" (defensive), false reassurance, or
minimizing.
**2. Which non-therapeutic communication technique involves giving
advice or telling the patient what to do?**
A. Giving approval
B. Reassuring
C. Advising
D. Requesting an explanation
**Answer: C – Advising**
*Rationale:* Advising implies the nurse knows best and undermines
patient autonomy. Use problem-solving instead.
**3. A patient with depression says, "I'm worthless. I can't do anything
right." The nurse responds, "You've been feeling hopeless about your
abilities." This is an example of:**
A. Validation
B. Interpreting
C. Reflecting (feeling)
D. Paraphrasing content
**Answer: C – Reflecting**