NU160 | NU160 Mental Health Concepts Midterm
v1 | Questions with Correct Answers and Expert
Explanation for Each Question | Galen
1. A client is voluntarily admitted to a psychiatric unit. Which statement accurately
describes the client’s status regarding their right to leave?
A. The client can leave at any time against medical advice without restriction.
B. The client must remain for a minimum of 72 hours before requesting discharge.
C. The client forfeits the right to leave until the psychiatrist signs a release.
D. The client may request discharge but can be held if they are deemed a danger to
self or others.
Correct Answer: D
Expert Explanation: Voluntary admission means the patient sought treatment
willingly and maintains their civil rights. While they can request discharge, the
facility has the right to re-evaluate them if there is a concern for safety. If the patient
is found to be a danger, the status can be changed to involuntary to ensure safety.
2. During the orientation phase of the nurse-client relationship, which of the following
is the primary focus?
A. Promoting the client’s problem-solving skills.
B. Evaluating the progress toward goals.
,C. Establishing trust and setting parameters of the relationship.
D. Discussing the client’s feelings regarding termination.
Correct Answer: C
Expert Explanation: The orientation phase is the initial meeting where the
foundation of the relationship is laid. It involves establishing rapport, defining
boundaries, and identifying the reasons for seeking help. Without a strong
orientation phase, the working phase cannot be successful in achieving therapeutic
goals.
3. A nurse is practicing the ethical principle of ‘beneficence.’ Which action best
demonstrates this?
A. Allowing the client to choose their own activities for the day.
B. Providing the same level of care to all clients regardless of status.
C. Spending extra time with a client who is feeling lonely and anxious.
D. Keeping a promise to return and speak with a client in 10 minutes.
Correct Answer: C
Expert Explanation: Beneficence refers to the duty to act in ways that benefit or
promote the good of others. Spending extra time with an anxious client directly aims
,to improve their well-being and provide comfort. This differs from justice (fairness)
or autonomy (self-determination).
4. Which neurotransmitter is most commonly associated with the ‘fight or flight’
response and alertness?
A. Norepinephrine
B. GABA
C. Serotonin
D. Acetylcholine
Correct Answer: A
Expert Explanation: Norepinephrine plays a major role in the body’s stress
response and mediates arousal. High levels are often associated with anxiety and
hyper-vigilance. It is a catecholamine produced by the adrenal glands and the brain.
5. A client states, ‘I don’t think I should take this medication because I’m not sick.’ This
is an example of which barrier to mental health treatment?
A. Anosognosia
B. Stigma
C. Psychosis
D. Aphasia
, Correct Answer: A
Expert Explanation: Anosognosia is a condition in which a person with a mental
illness is unable to recognize their condition. It is not a simple denial but a
physiological deficit in the brain’s ability to self-monitor. This lack of insight often
leads to non-adherence with treatment regimens.
6. Which of the following describes the therapeutic communication technique of
‘Restating’?
A. Repeating the main idea the client has expressed to ensure understanding.
B. Pointing out inconsistencies in the client’s behavior.
C. Using a question to direct the client’s focus back to an earlier topic.
D. Providing the nurse’s opinion on the client’s situation.
Correct Answer: A
Expert Explanation: Restating involves the nurse repeating the client’s words in a
slightly different way to confirm what was said. This technique encourages the
client to continue and provides clarity. It demonstrates that the nurse is actively
listening and following the client’s line of thought.
7. A nurse is working with a client who exhibits ‘transference.’ What is occurring?
A. The nurse is projecting their own feelings onto the client.
v1 | Questions with Correct Answers and Expert
Explanation for Each Question | Galen
1. A client is voluntarily admitted to a psychiatric unit. Which statement accurately
describes the client’s status regarding their right to leave?
A. The client can leave at any time against medical advice without restriction.
B. The client must remain for a minimum of 72 hours before requesting discharge.
C. The client forfeits the right to leave until the psychiatrist signs a release.
D. The client may request discharge but can be held if they are deemed a danger to
self or others.
Correct Answer: D
Expert Explanation: Voluntary admission means the patient sought treatment
willingly and maintains their civil rights. While they can request discharge, the
facility has the right to re-evaluate them if there is a concern for safety. If the patient
is found to be a danger, the status can be changed to involuntary to ensure safety.
2. During the orientation phase of the nurse-client relationship, which of the following
is the primary focus?
A. Promoting the client’s problem-solving skills.
B. Evaluating the progress toward goals.
,C. Establishing trust and setting parameters of the relationship.
D. Discussing the client’s feelings regarding termination.
Correct Answer: C
Expert Explanation: The orientation phase is the initial meeting where the
foundation of the relationship is laid. It involves establishing rapport, defining
boundaries, and identifying the reasons for seeking help. Without a strong
orientation phase, the working phase cannot be successful in achieving therapeutic
goals.
3. A nurse is practicing the ethical principle of ‘beneficence.’ Which action best
demonstrates this?
A. Allowing the client to choose their own activities for the day.
B. Providing the same level of care to all clients regardless of status.
C. Spending extra time with a client who is feeling lonely and anxious.
D. Keeping a promise to return and speak with a client in 10 minutes.
Correct Answer: C
Expert Explanation: Beneficence refers to the duty to act in ways that benefit or
promote the good of others. Spending extra time with an anxious client directly aims
,to improve their well-being and provide comfort. This differs from justice (fairness)
or autonomy (self-determination).
4. Which neurotransmitter is most commonly associated with the ‘fight or flight’
response and alertness?
A. Norepinephrine
B. GABA
C. Serotonin
D. Acetylcholine
Correct Answer: A
Expert Explanation: Norepinephrine plays a major role in the body’s stress
response and mediates arousal. High levels are often associated with anxiety and
hyper-vigilance. It is a catecholamine produced by the adrenal glands and the brain.
5. A client states, ‘I don’t think I should take this medication because I’m not sick.’ This
is an example of which barrier to mental health treatment?
A. Anosognosia
B. Stigma
C. Psychosis
D. Aphasia
, Correct Answer: A
Expert Explanation: Anosognosia is a condition in which a person with a mental
illness is unable to recognize their condition. It is not a simple denial but a
physiological deficit in the brain’s ability to self-monitor. This lack of insight often
leads to non-adherence with treatment regimens.
6. Which of the following describes the therapeutic communication technique of
‘Restating’?
A. Repeating the main idea the client has expressed to ensure understanding.
B. Pointing out inconsistencies in the client’s behavior.
C. Using a question to direct the client’s focus back to an earlier topic.
D. Providing the nurse’s opinion on the client’s situation.
Correct Answer: A
Expert Explanation: Restating involves the nurse repeating the client’s words in a
slightly different way to confirm what was said. This technique encourages the
client to continue and provides clarity. It demonstrates that the nurse is actively
listening and following the client’s line of thought.
7. A nurse is working with a client who exhibits ‘transference.’ What is occurring?
A. The nurse is projecting their own feelings onto the client.
