Robynn Anwar Chapters 1 - 22. 200 questions with correct answers and
rationales
Here is the complete 200-question test bank for Neeb's Mental Health Nursing,
6th Edition (Gorman & Anwar), Chapters 1–22. Each question includes the correct
answer and rationale. The questions are written at LPN/LVN level, with NCLEX-PN
style and clinical application.
Chapters 1–3: History, Ethics, Legal, Communication
1. The mentally ill were once housed in institutions known as:
A. Hospitals
B. Long-term care facilities
C. Asylums
D. Free-standing treatment centers
Answer: C
Rationale: Before psychotropic drugs and reform, individuals with mental illness
were confined in asylums, which focused on custodial care rather than active
treatment.
,2. A clean environment and proper sanitation as essential to healing is a
contribution from:
A. Benner
B. Swanson
C. Nightingale
D. King
Answer: C
Rationale: Florence Nightingale emphasized the impact of environment on health
outcomes, founding modern infection control and holistic care.
3. A nurse sits with a depressed, withdrawn patient. After silence, the patient
says, “I wish I were dead.” The most therapeutic response is:
A. “Everyone feels sad sometimes.”
B. “Why would you say that?”
C. “You feel like you want to die right now?”
D. “Let’s be positive.”
Answer: C
,Rationale: This uses restating/clarifying, validating the patient’s emotion and
encouraging elaboration without judgment.
4. Which response is an example of “focusing”?
A. “Let’s discuss your father.”
B. “You mentioned your children. Tell me more about your oldest son.”
C. “That must have been frightening.”
D. “Are you saying you feel angry?”
Answer: B
Rationale: Focusing helps the patient concentrate on a specific relevant issue
introduced by the patient.
5. A patient with suicidal ideation is involuntarily admitted and says, “I want to
leave now.” The nurse explains the patient must stay based on:
A. Negligence
B. Duty to warn
C. Least restrictive alternative
D. False imprisonment
, Answer: C
Rationale: Involuntary admission is justified when the patient poses danger to
self/others; the locked unit is restrictive but necessary for safety.
6. A patient threatens to “break my neighbor’s legs” after discharge. The nurse
must:
A. Document the statement only
B. Ignore it
C. Warn the potential victim and notify the team
D. Place the patient in seclusion
Answer: C
Rationale: Following Tarasoff (duty to warn), the nurse must identify and protect
the intended victim.
7. A patient refuses medication but is not suicidal or homicidal. The nurse should:
A. Administer it by force
B. Respect the refusal and document
C. Call the provider for a court order
D. Hide it in food