MENTAL HEALTH EXAM 1 QUESTIONS AND ANSWERS
A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died.
I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates
therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" - CORRECT ANSWER✅✅4
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which
response by the nurse demonstrates therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too." - CORRECT ANSWER✅✅3
A client experiencing disturbed thought processes believes that his food is being poisoned. Which
communication technique should the nurse use to encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
,3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition - CORRECT ANSWER✅✅1
A client admitted voluntarily for treatment of an anxiety disorder demands to be released from the
hospital. Which action should the nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. - CORRECT
ANSWER✅✅1
When reviewing the admission assessment, the nurse notes that a client was admitted to the mental
health unit involuntarily. Based on this type of admission, the nurse should provide which intervention
for this client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
3. Supply the client with written information about his or her mental illness.
4. Provide an opportunity for the family to discuss why they felt the admission was needed. - CORRECT
ANSWER✅✅1
, When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a
cognitive behavioral approach is used as part of the treatment plan. The nurse plans care based on
which purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
4. Helping the client to examine dysfunctional thoughts and beliefs - CORRECT ANSWER✅✅4
A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell
the client that which is the first step in this 12-step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
3. Stating that the gambling will be stopped
4. Discontinuing relationships with people who gamble - CORRECT ANSWER✅✅1
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The
neighbor says to the nurse, "How is Carol doing? She is my best friend and is seen at your clinic every
week." Which is the most appropriate nursing response?
1. "I cannot discuss any client situation with you."
2. "If you want to know about Carol, you need to ask her yourself."
A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died.
I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates
therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?" - CORRECT ANSWER✅✅4
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which
response by the nurse demonstrates therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too." - CORRECT ANSWER✅✅3
A client experiencing disturbed thought processes believes that his food is being poisoned. Which
communication technique should the nurse use to encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
,3. Documenting reasons why the client does not want to eat
4. Offering opinions about the necessity of adequate nutrition - CORRECT ANSWER✅✅1
A client admitted voluntarily for treatment of an anxiety disorder demands to be released from the
hospital. Which action should the nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. - CORRECT
ANSWER✅✅1
When reviewing the admission assessment, the nurse notes that a client was admitted to the mental
health unit involuntarily. Based on this type of admission, the nurse should provide which intervention
for this client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
3. Supply the client with written information about his or her mental illness.
4. Provide an opportunity for the family to discuss why they felt the admission was needed. - CORRECT
ANSWER✅✅1
, When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a
cognitive behavioral approach is used as part of the treatment plan. The nurse plans care based on
which purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
4. Helping the client to examine dysfunctional thoughts and beliefs - CORRECT ANSWER✅✅4
A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell
the client that which is the first step in this 12-step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
3. Stating that the gambling will be stopped
4. Discontinuing relationships with people who gamble - CORRECT ANSWER✅✅1
The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The
neighbor says to the nurse, "How is Carol doing? She is my best friend and is seen at your clinic every
week." Which is the most appropriate nursing response?
1. "I cannot discuss any client situation with you."
2. "If you want to know about Carol, you need to ask her yourself."
