NURS661 | NURS 661 EXAM 1 | PSYCHIATRIC
MENTAL HEALTH DIAGNOSIS AND
MANAGEMENT EXAM 1 | QUESTIONS AND
VERIFIED ANSWERS | LATEST 2025/2026 |
MARYVILLE
The nurse on the inpatient unit is reviewing the record of a client
admitted the previous day, and notes the client has an Axis I diagnosis.
What inferences can the nurse make about the client?
1. The client has a clinical psychiatric disorder.
2. The client is in need of immediate medical attention.
3. The client has a chronic condition.
4. The client lacks a support system.
- Correct Answer - 1
A client is admitted with the following diagnosis:
Axis I: 300.01 Panic disorder without agoraphobia
Axis II: 301.83 Borderline personality disorder
Axis III: No diagnosis
Axis IV: Unemployment
What conclusions can the nurse make relative to the clients Axis III
information?
,1. This client has problems with environment, but they are not related to
mental disorder.
2. The clients environment has not been evaluated.
3. The clients health status has not been evaluated.
4. The client has no diagnosed physiological health problems relevant to
mental disorder at the time of admission.
- Correct Answer - 4
The school nurse, who must be familiar with mental health issues, will
find child clinical disorders classified under:
1. Axis II.
2. Axis I.
3. Axis X.
4. Axis VII.
- Correct Answer - 2
After interviewing a client for admission, the nurse gives the client a
score of 50 on the Global Assessment of Functioning Scale (GAF). The
nurse selected this score based on the clients level of functioning:
1. Since being given a psychiatric diagnosis.
2. Within the past week.
3. Since beginning the psychotropic medication.
4. Within the past year.
,- Correct Answer - 2
Select the priority nursing diagnosis for a client with a Global
Assessment of Functioning (GAF) score of 10.
1. Risk for Impaired Social Interaction
2. Risk for Injury
3. Knowledge Deficit
4. Risk for Communication Deficit
- Correct Answer - 2
The psychiatric home health nurse is evaluating whether a clients level
of functioning has improved since starting the prescribed psychotropic
medication. What evidence does the nurse look for?
1. There is no change in the GAF score.
2. There is a significant decrease (by 10 or more points) in the clients
GAF score.
3. The client no longer qualifies for a GAF score.
4. There is an increase in the clients GAF score.
- Correct Answer - 4
The nurse is documenting observations of client interactions during a
group session. The nurse strives to document the behaviors of the client
interactions with:
, 1. Objectivity.
2. Serendipity.
3. Sympathy.
4. Empathy.
- Correct Answer - 1
The nurse is validating what was observed before documenting in the
progress note. Validation is used as a mechanism to ensure which of the
following?
1. The clients affect is appropriate to the situation
2. The clients perception of the response is communicated
3. The clients request is clarified
4. The clients need for further intervention is understood
- Correct Answer - 2
The nurse is developing a plan of care for a client. Which of the following
interventions must the nurse be careful to avoid?
1. Discussing expectations with the client
2. Selecting interventions that conflict with the clients value system
3. Identifying the clients perception of the problem
4. Addressing issues related to the clients past experiences
- Correct Answer - 2
MENTAL HEALTH DIAGNOSIS AND
MANAGEMENT EXAM 1 | QUESTIONS AND
VERIFIED ANSWERS | LATEST 2025/2026 |
MARYVILLE
The nurse on the inpatient unit is reviewing the record of a client
admitted the previous day, and notes the client has an Axis I diagnosis.
What inferences can the nurse make about the client?
1. The client has a clinical psychiatric disorder.
2. The client is in need of immediate medical attention.
3. The client has a chronic condition.
4. The client lacks a support system.
- Correct Answer - 1
A client is admitted with the following diagnosis:
Axis I: 300.01 Panic disorder without agoraphobia
Axis II: 301.83 Borderline personality disorder
Axis III: No diagnosis
Axis IV: Unemployment
What conclusions can the nurse make relative to the clients Axis III
information?
,1. This client has problems with environment, but they are not related to
mental disorder.
2. The clients environment has not been evaluated.
3. The clients health status has not been evaluated.
4. The client has no diagnosed physiological health problems relevant to
mental disorder at the time of admission.
- Correct Answer - 4
The school nurse, who must be familiar with mental health issues, will
find child clinical disorders classified under:
1. Axis II.
2. Axis I.
3. Axis X.
4. Axis VII.
- Correct Answer - 2
After interviewing a client for admission, the nurse gives the client a
score of 50 on the Global Assessment of Functioning Scale (GAF). The
nurse selected this score based on the clients level of functioning:
1. Since being given a psychiatric diagnosis.
2. Within the past week.
3. Since beginning the psychotropic medication.
4. Within the past year.
,- Correct Answer - 2
Select the priority nursing diagnosis for a client with a Global
Assessment of Functioning (GAF) score of 10.
1. Risk for Impaired Social Interaction
2. Risk for Injury
3. Knowledge Deficit
4. Risk for Communication Deficit
- Correct Answer - 2
The psychiatric home health nurse is evaluating whether a clients level
of functioning has improved since starting the prescribed psychotropic
medication. What evidence does the nurse look for?
1. There is no change in the GAF score.
2. There is a significant decrease (by 10 or more points) in the clients
GAF score.
3. The client no longer qualifies for a GAF score.
4. There is an increase in the clients GAF score.
- Correct Answer - 4
The nurse is documenting observations of client interactions during a
group session. The nurse strives to document the behaviors of the client
interactions with:
, 1. Objectivity.
2. Serendipity.
3. Sympathy.
4. Empathy.
- Correct Answer - 1
The nurse is validating what was observed before documenting in the
progress note. Validation is used as a mechanism to ensure which of the
following?
1. The clients affect is appropriate to the situation
2. The clients perception of the response is communicated
3. The clients request is clarified
4. The clients need for further intervention is understood
- Correct Answer - 2
The nurse is developing a plan of care for a client. Which of the following
interventions must the nurse be careful to avoid?
1. Discussing expectations with the client
2. Selecting interventions that conflict with the clients value system
3. Identifying the clients perception of the problem
4. Addressing issues related to the clients past experiences
- Correct Answer - 2
