NSG 3450 Mental Health Exam Review Questions and Correct
Answers
Question 1
A client expresses a desire to be cared for by others and often behaves in a helpless fashion. Which stage of psychosexual
development is most relevant to the client's needs?
a. Latency
b. Phallic
c. Anal
d. Oral
Correct Answer
d. Oral
Page 1 of 171
,Question 2
A nurse wants to find information on current evidence-based research, programs, and practices regarding mental illness
and addictions. Which resource should the nurse consult?
a. American Psychiatric Association
b. American Psychological Association (APA)
c. Clinician's Quick Guide to Interpersonal Psychotherapy
d. Substance Abuse and Mental Health Services Administration (SAMHSA)
Correct Answer
d. Substance Abuse and Mental Health Services Administration (SAMHSA)
QUESTION 3: Considering the many criteria for good mental health, the nursing student has been instructed to list four of these
criteria. The student’s list consists of the following: (1) an appropriate perception of reality, (2) the ability to accept oneself, (3) the
ability to establish relationships, and (4) the ability to request privacy as needed. How would the nurse evaluate the nursing
student’s list?
1. All the student’s criteria are correct.
2. Three of the four criteria are correct.
3. Two of the four criteria are correct.
4. All four of the criteria are incorrect.
An 84 y/o F is being seen by a therapist after the death of her spouse of 50 years. Which statement below illustrates resilience?
1. “It’s been a year, and I still just can’t bear the thought of leaving the house without him.”
2. “I enjoy a weekly lunch and bridge game at the senior center. I couldn’t do that while I was taking care of my
husband.”
3. “I still feel so much anger towards him for leaving me here alone.”
Page 2 of 171
, 4. “We used to walk the dog every evening together. Now I just sit in my chair.” Which statement about
mental illness is true?
1. Mental illness is a matter of individual nonconformity with societal norms.
2. Mental illness is present when irrational and illogical behavior occurs.
3. Mental illness changes with culture, time in history, political systems, and the groups defining it.
4. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.
The World Health Organization describes health as “a state of complete physical, mental, and social well-being and not merely
the absence of disease or infirmity.” Which statement is true regarding overall health? Select all that apply.
1. There is no relationship between physical and mental health.
2. Poor physical health can lead to mental distress and disorders.
3. Poor mental health does not lead to physical illness.
4. There is a strong relationship between physical health and mental health.
5. Mental health needs take precedence over physical health needs.
Which of the following actions reflect the nurse’s role of
advocate in an inpatient psychiatric setting? Select all that apply.
1. The nurse speaks on behalf of a mentally ill client to ensure adequate access to needed mental health
services.
Page 3 of 171
, 2. The nurse focuses on improving the mentally ill client’s and family members’ self-care knowledge and skills.
3. The nurse explains unit rules and ensures that new clients fit comfortably into the therapeutic environment.
4. The nurse continually monitors the client in the milieu for side effects of a new psychotropic medication.
5. The nurse talks with the treatment team to support a shy client’s request for less-sedating medications.
A new RN is caring for a population of clients with severe,
persistent mental illness. He notices that most of his clients are
also heavy smokers. He engages in a literature review to learn
more about this common comorbidity and best-practice
interventions. Based on research findings he begins offering
referrals for smoking cessation med consults to interested
clients. Which QSEN principle did the RN apply to this
situation?
1. Teamwork
2. Safety
3. Evidence-based practice
4. Quality improvement
Page 4 of 171
Answers
Question 1
A client expresses a desire to be cared for by others and often behaves in a helpless fashion. Which stage of psychosexual
development is most relevant to the client's needs?
a. Latency
b. Phallic
c. Anal
d. Oral
Correct Answer
d. Oral
Page 1 of 171
,Question 2
A nurse wants to find information on current evidence-based research, programs, and practices regarding mental illness
and addictions. Which resource should the nurse consult?
a. American Psychiatric Association
b. American Psychological Association (APA)
c. Clinician's Quick Guide to Interpersonal Psychotherapy
d. Substance Abuse and Mental Health Services Administration (SAMHSA)
Correct Answer
d. Substance Abuse and Mental Health Services Administration (SAMHSA)
QUESTION 3: Considering the many criteria for good mental health, the nursing student has been instructed to list four of these
criteria. The student’s list consists of the following: (1) an appropriate perception of reality, (2) the ability to accept oneself, (3) the
ability to establish relationships, and (4) the ability to request privacy as needed. How would the nurse evaluate the nursing
student’s list?
1. All the student’s criteria are correct.
2. Three of the four criteria are correct.
3. Two of the four criteria are correct.
4. All four of the criteria are incorrect.
An 84 y/o F is being seen by a therapist after the death of her spouse of 50 years. Which statement below illustrates resilience?
1. “It’s been a year, and I still just can’t bear the thought of leaving the house without him.”
2. “I enjoy a weekly lunch and bridge game at the senior center. I couldn’t do that while I was taking care of my
husband.”
3. “I still feel so much anger towards him for leaving me here alone.”
Page 2 of 171
, 4. “We used to walk the dog every evening together. Now I just sit in my chair.” Which statement about
mental illness is true?
1. Mental illness is a matter of individual nonconformity with societal norms.
2. Mental illness is present when irrational and illogical behavior occurs.
3. Mental illness changes with culture, time in history, political systems, and the groups defining it.
4. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.
The World Health Organization describes health as “a state of complete physical, mental, and social well-being and not merely
the absence of disease or infirmity.” Which statement is true regarding overall health? Select all that apply.
1. There is no relationship between physical and mental health.
2. Poor physical health can lead to mental distress and disorders.
3. Poor mental health does not lead to physical illness.
4. There is a strong relationship between physical health and mental health.
5. Mental health needs take precedence over physical health needs.
Which of the following actions reflect the nurse’s role of
advocate in an inpatient psychiatric setting? Select all that apply.
1. The nurse speaks on behalf of a mentally ill client to ensure adequate access to needed mental health
services.
Page 3 of 171
, 2. The nurse focuses on improving the mentally ill client’s and family members’ self-care knowledge and skills.
3. The nurse explains unit rules and ensures that new clients fit comfortably into the therapeutic environment.
4. The nurse continually monitors the client in the milieu for side effects of a new psychotropic medication.
5. The nurse talks with the treatment team to support a shy client’s request for less-sedating medications.
A new RN is caring for a population of clients with severe,
persistent mental illness. He notices that most of his clients are
also heavy smokers. He engages in a literature review to learn
more about this common comorbidity and best-practice
interventions. Based on research findings he begins offering
referrals for smoking cessation med consults to interested
clients. Which QSEN principle did the RN apply to this
situation?
1. Teamwork
2. Safety
3. Evidence-based practice
4. Quality improvement
Page 4 of 171
