PSYCHIATRIC AND MENTAL HEALTH NURSING
INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only one answer for each item by making the
box corresponding to the letter of your choice on the answer sheet provided.
1. Which of the following statements best describes a mentally healthy individual?
A. Has ability to make decisions
B. Does not exhibit physical and emotional problems
C. Has self-acceptance and can meet his own basic needs
D. Has absence of anxiety and happy
2. The most important role of the Psychiatric nurse as a member of the team is to:
A. carry out medical orders
B. meet the needs for the physical well-being of the client
C. coordinate the psychological care and management of clients
D. keep a constant monitoring of the clients
3. Therapeutic use of self is essential in relating with psychiatric clients. This is BEST demonstrated in:
A. sympathizing with the miserable feelings of the patient
B. engaging patient in productive activity
C. engaging patient in introspective thinking
D. suppressing her own feelings toward the patient
4. The superego is the part of the psyche which:
A. has sense of punishment
B. contains primitive and instinctual drives
C. makes use of defense mechanism
D. forms adequate solutions to a problem
5. Suppression is best defined as:
A. voluntary exclusion from consciousness unpleasant feelings, experiences, and thoughts
B. involuntary exclusion from consciousness unpleasant feelings, experiences and thoughts
C. channeling unacceptable desires into a socially acceptable behavior
D. excessive reasoning or logic to avoid disturbed feelings
6. The unconscious defense mechanism that keeps highly anxious experiences out of conscious awareness is:
A. Introjection
B. Displacement
C. Regression
D. Repression
7. A defense mechanism wherein the individual dispels an action is:
A. Fantasy
B. Undoing
C. Symbolism
D. Substitution
8. A male college student who wants to become an athlete but fails becomes a well known writer. This is an example of:
A. Compensation
B. Projection
C. Reaction Formation
D. Sublimation
9. A third year student does a postmortem care without being disturbed by thought of death. He is using:
A. Isolation
B. Undoing
C. Introjection
D. Projection
10. A Biological/Medical approach to patient care utilizes which of the following?
A. Milieu Therapy
B. Somatic Therapy
C. Behavioral Therapy
D. Psychotherapy
, B. Educating the public about mental health
C. Handling crisis intervention in an outpatient setting
D. Stress education and psychosocial support
12. Which of these nursing actions belong to the secondary level of prevention?
A. Providing mental health consultation to health care providers
B. Providing emergency psychiatric services
C. Being politically active in relation to mental illness issues
D. Providing mental health education to members of the community
13. The community health nurse was invited by a Principal of an Elementary school and was asked to give a talk to parents. An
appropriate topic would be:
A. the legal aspects of drug abuse
B. disciplining children at home and school
C. marital crisis
D. problems of out of school youth
14. Trust may develop in the nurse-client relationship when the nurse:
A. Avoids limit setting
B. Encourages the client to use “testing” behaviors
C. Tells the client how he should behave
D. Uses consistency in approaching the client
15. In a therapeutic nurse-patient relationship, information about the termination phase is introduced:
A. During the orientation phase
B. During the working phase
C. When the patient can tolerate it
D. As the goals of the relationship are reached
16. Which of the following tasks should occur during working phase of the nurse-patient relationship?
A. establishes trust and open communication
B. assess the patient’s needs and develops plan of care
C. promotes development of insight and self-concept
D. establishes reality of separation and loss
17. Mrs. Reyes remarked, “I am worried about people visiting- with all the media news about child kidnapping and robberies.” The
nurse BEST response would be:
A. “Would you rather wish that I don’t come and visit you? You regard me as a stranger?”
B. “I get that.” The nurse diverts the attention to talk about non-threatening topics
C. “It must be distressing to think and feel the way that you do.”
D. “I acknowledge what you are saying. My concern is the health care of your family and information are strictly confidential.”
18. Mrs. Reyes expressed that her socializing with neighbors is limited because her husband thinks she is getting overly friendly with
a guy next door. Which of the following would the nurse emphasize as basic?
A. Keeping trust in the relationship
B. Avoid relating with neighbors to minimize conflict
C. Be assertive to express her individuality
D. Ignore the husband and just be supportive
19. A client has just begun to discuss important feelings when the time of the interview is up. The next day, when the nurse meets
with the client at the agreed upon time, the initial intervention would be to say:
A. “Good morning, how are you today?”
B. “Yesterday you were talking about some very important feelings. Let’s continue.”
C. “What would you like to talk about today?”
D. Nothing and wait for the client to introduce a topic.
20. A new staff nurse is on orientation tour with the head nurse. A client approaches her and says, “I don’t belong here. Please try to
get me out.” The staff nurse’s best response would be:
A. “What would you do if you were out of the hospital?”
B. “I am new staff member, and I’m on tour. I’ll come back and talk with you later.”
C. “I think you should talk with the head nurse about that.”
D. “I can’t do anything about that.”
21. The nurse is in the day room with a group of clients when a client who has been quietly watching TV suddenly jumps up
screaming and runs out of the room. The nurse’s priority intervention would be to:
A. Turn off the TV, and ask the group what they think about the client’s behavior
B. Follow after the client to see what has happened.
INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only one answer for each item by making the
box corresponding to the letter of your choice on the answer sheet provided.
1. Which of the following statements best describes a mentally healthy individual?
A. Has ability to make decisions
B. Does not exhibit physical and emotional problems
C. Has self-acceptance and can meet his own basic needs
D. Has absence of anxiety and happy
2. The most important role of the Psychiatric nurse as a member of the team is to:
A. carry out medical orders
B. meet the needs for the physical well-being of the client
C. coordinate the psychological care and management of clients
D. keep a constant monitoring of the clients
3. Therapeutic use of self is essential in relating with psychiatric clients. This is BEST demonstrated in:
A. sympathizing with the miserable feelings of the patient
B. engaging patient in productive activity
C. engaging patient in introspective thinking
D. suppressing her own feelings toward the patient
4. The superego is the part of the psyche which:
A. has sense of punishment
B. contains primitive and instinctual drives
C. makes use of defense mechanism
D. forms adequate solutions to a problem
5. Suppression is best defined as:
A. voluntary exclusion from consciousness unpleasant feelings, experiences, and thoughts
B. involuntary exclusion from consciousness unpleasant feelings, experiences and thoughts
C. channeling unacceptable desires into a socially acceptable behavior
D. excessive reasoning or logic to avoid disturbed feelings
6. The unconscious defense mechanism that keeps highly anxious experiences out of conscious awareness is:
A. Introjection
B. Displacement
C. Regression
D. Repression
7. A defense mechanism wherein the individual dispels an action is:
A. Fantasy
B. Undoing
C. Symbolism
D. Substitution
8. A male college student who wants to become an athlete but fails becomes a well known writer. This is an example of:
A. Compensation
B. Projection
C. Reaction Formation
D. Sublimation
9. A third year student does a postmortem care without being disturbed by thought of death. He is using:
A. Isolation
B. Undoing
C. Introjection
D. Projection
10. A Biological/Medical approach to patient care utilizes which of the following?
A. Milieu Therapy
B. Somatic Therapy
C. Behavioral Therapy
D. Psychotherapy
, B. Educating the public about mental health
C. Handling crisis intervention in an outpatient setting
D. Stress education and psychosocial support
12. Which of these nursing actions belong to the secondary level of prevention?
A. Providing mental health consultation to health care providers
B. Providing emergency psychiatric services
C. Being politically active in relation to mental illness issues
D. Providing mental health education to members of the community
13. The community health nurse was invited by a Principal of an Elementary school and was asked to give a talk to parents. An
appropriate topic would be:
A. the legal aspects of drug abuse
B. disciplining children at home and school
C. marital crisis
D. problems of out of school youth
14. Trust may develop in the nurse-client relationship when the nurse:
A. Avoids limit setting
B. Encourages the client to use “testing” behaviors
C. Tells the client how he should behave
D. Uses consistency in approaching the client
15. In a therapeutic nurse-patient relationship, information about the termination phase is introduced:
A. During the orientation phase
B. During the working phase
C. When the patient can tolerate it
D. As the goals of the relationship are reached
16. Which of the following tasks should occur during working phase of the nurse-patient relationship?
A. establishes trust and open communication
B. assess the patient’s needs and develops plan of care
C. promotes development of insight and self-concept
D. establishes reality of separation and loss
17. Mrs. Reyes remarked, “I am worried about people visiting- with all the media news about child kidnapping and robberies.” The
nurse BEST response would be:
A. “Would you rather wish that I don’t come and visit you? You regard me as a stranger?”
B. “I get that.” The nurse diverts the attention to talk about non-threatening topics
C. “It must be distressing to think and feel the way that you do.”
D. “I acknowledge what you are saying. My concern is the health care of your family and information are strictly confidential.”
18. Mrs. Reyes expressed that her socializing with neighbors is limited because her husband thinks she is getting overly friendly with
a guy next door. Which of the following would the nurse emphasize as basic?
A. Keeping trust in the relationship
B. Avoid relating with neighbors to minimize conflict
C. Be assertive to express her individuality
D. Ignore the husband and just be supportive
19. A client has just begun to discuss important feelings when the time of the interview is up. The next day, when the nurse meets
with the client at the agreed upon time, the initial intervention would be to say:
A. “Good morning, how are you today?”
B. “Yesterday you were talking about some very important feelings. Let’s continue.”
C. “What would you like to talk about today?”
D. Nothing and wait for the client to introduce a topic.
20. A new staff nurse is on orientation tour with the head nurse. A client approaches her and says, “I don’t belong here. Please try to
get me out.” The staff nurse’s best response would be:
A. “What would you do if you were out of the hospital?”
B. “I am new staff member, and I’m on tour. I’ll come back and talk with you later.”
C. “I think you should talk with the head nurse about that.”
D. “I can’t do anything about that.”
21. The nurse is in the day room with a group of clients when a client who has been quietly watching TV suddenly jumps up
screaming and runs out of the room. The nurse’s priority intervention would be to:
A. Turn off the TV, and ask the group what they think about the client’s behavior
B. Follow after the client to see what has happened.
