Health Care 8th Edition by
Morrison-Valfre
Course
Foundations of Mental Health Care 8th Ed
1. A client with generalized anxiety disorder says, “I feel nervous all the time.” Which
nursing response is most therapeutic?
A. “There is nothing to worry about.”
B. “Why do you think you feel nervous?”
C. “Tell me more about what makes you anxious.”
D. “You should try to relax.”
Answer: C
Rationale: Encouraging the client to express feelings promotes therapeutic communication and
helps identify anxiety triggers.
2. Which defense mechanism is demonstrated when a client blames others for personal
failures?
A. Regression
B. Projection
C. Suppression
D. Sublimation
Answer: B
Rationale: Projection occurs when individuals attribute unacceptable thoughts or feelings to
someone else.
3. A nurse caring for a depressed client should prioritize which intervention?
A. Encouraging social isolation
B. Monitoring for suicidal ideation
C. Limiting client communication
D. Avoiding emotional discussions
Answer: B
Rationale: Clients with depression are at increased risk for suicide; safety assessment is the
priority.
, 4. Which symptom is most commonly associated with schizophrenia?
A. Elevated mood
B. Hallucinations
C. Memory loss
D. Increased energy
Answer: B
Rationale: Hallucinations, especially auditory, are common positive symptoms of schizophrenia.
5. During a manic episode, the nurse should:
A. Provide a low-stimulation environment
B. Encourage group activities continuously
C. Allow unlimited physical activity
D. Avoid setting limits
Answer: A
Rationale: Clients experiencing mania benefit from reduced environmental stimuli to decrease
agitation.
6. Which statement by a client indicates effective coping?
A. “I ignore all my problems.”
B. “I talk with trusted friends when stressed.”
C. “I avoid discussing my feelings.”
D. “I blame others for my stress.”
Answer: B
Rationale: Seeking social support is a healthy and adaptive coping strategy.
7. A client experiencing panic-level anxiety may exhibit:
A. Clear decision-making ability
B. Increased concentration
C. Disorganized behavior and loss of control
D. Calm communication