MENTAL HEALTH EXAM 4 TEST BANK EXAM
2025–2026 ACCURATE REAL EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS JUST
RELEASED
Which nursing diagnosis should a nurse identify as appropriate when working with a client
diagnosed with schizoid personality disorder?
1. Altered thought processes R/T increased stress
2. Risk for suicide R/T loneliness
3. Risk for violence: directed toward others R/T paranoid thinking
4. Social isolation R/T inability to relate to others - answer>>>ANS: 4
Rationale: An appropriate nursing diagnosis when working with a client diagnosed with schizoid
personality disorder is social isolation R/T inability to relate to others. Clients diagnosed with
schizoid personality disorder appear cold, aloof, and indifferent to others. They prefer to work in
isolation and are not sociable.
Looking at a slightly bleeding paper cut, the client screams, Somebody help me quick! Im bleeding.
Call 911! A nurse should identify this behavior as characteristic of which personality disorder?
1. Schizoid personality disorder
2. Obsessive-compulsive personality disorder
3. Histrionic personality disorder
4. Paranoid personality disorder - answer>>>3 ~ The nurse should identify this behavior as
characteristic of histrionic personality disorder. Individuals with this disorder tend to be self-
dramatizing, attention seeking, over gregarious, and seductive.
When planning care for a client diagnosed with borderline personality disorder, which self- harm
behavior should a nurse expect the client to exhibit?
1. The use of highly lethal methods to commit suicide
2. The use of suicidal gestures to elicit a rescue response from others
3. The use of isolation and starvation as suicidal methods
4. The use of self-mutilation to decrease endorphins in the body - answer>>>2 ~ The nurse should
expect that a client diagnosed with borderline personality disorder may use suicidal gestures to
elicit a rescue response from others. Repetitive, self-mutilating behaviors are common in
borderline personality disorders that result from feelings of abandonment following separation
from significant others.
A client in the middle stage of Alzheimers disease has difficulty communicating because of
cognitive deterioration. Which nursing intervention is appropriate to improve communication?
1. Discourage attempts at verbal communication owing to increased client frustration.
,2. Increase the volume of the nurses communication responses.
3. Verbalize the nurses perception of the implied communication.
4. Encourage the client to communicate by writing. - answer>>>ANS: 3
Rationale: The most appropriate nursing intervention is to verbalize the nurse's perception of the
implied communication. The nurse should also keep explanations simple, use face-to-face
interaction, and speak slowly without shouting.
An older client is exhibiting symptoms of major depressive disorder. A physician is considering
prescribing an antidepressant. Which physiological problem should make a nurse question this
medication regime?
1. Altered cortical and intellectual functioning
2. Altered respiratory and gastrointestinal functioning
3. Altered liver and kidney functioning
4. Altered endocrine and immune system functioning - answer>>>ANS: 3
Rationale: The nurse should question the use of antidepressant medication in a client with altered
liver and kidney function. Antidepressant medication should be administered with consideration
for age-related physiological changes in absorption, distribution, elimination, and brain receptor
sensitivity. Because of these changes, medications can reach high levels despite moderate oral
dosage.
An older client has met the criteria for a diagnosis of major depressive disorder. The client does
not respond to antidepressant medications. Which therapeutic intervention should a nurse
anticipate will be ordered for this client?
1. Electroconvulsive therapy (ECT)
2. Neuroleptic therapy
3. An antiparkinsonian agent
4. An anxiolytic agent - answer>>>ANS: 1
Rationale: The nurse should anticipate that ECT will be ordered to treat this client's symptoms of
depression. ECT remains one of the safest and most effective treatments for major depression in
older adults. The response to ECT may be slower in older clients, and the effects may be of limited
duration.
A nurse is charting assessment information about a 70-year-old client. According to the U.S.
Census Bureau, what term would the nurse use to describe this client?
1. The nurse should document using the term older.
2. The nurse should document using the term elderly.
3. The nurse should document using the term aged.
4. The nurse should document using the term very old. - answer>>>ANS: 2
Rationale: The U.S. Census Bureau classifies a 70-year-old individual as elderly. The U.S. Census
Bureau has developed a system for classification of older Americans: older: 5564; elderly: 6574;
aged: 7584; very old: 85 years and older.
Which individual is most likely to be below the poverty level in the United States?
,1. A 70-year-old Hispanic woman living alone
2. A 72-year-old African American man living alone
3. A 68-year-old Asian American woman living with family
4. A 75-year-old Latino American man living with family - answer>>>ANS: 1
Rationale: Approximately 3.5 million persons age 65 or older were below the poverty level in
2010. Older women had a higher poverty rate than older men, and older Hispanic women living
alone had the highest poverty rate.
According to Reichard, Livson, and Peterson, which classification of the personalities of older men
describe passive-dependent individuals who are content to lean on others for support, to
disengage, and to let most of lifes activities pass them by?
1. Mature men personalities
2. Armored men personalities
3. Self-haters personalities
4. Rocking chair personalities - answer>>>ANS: 4
Rationale: In a classic study by Reichard, Livson, and Peterson, the personalities of older men were
classified into five major categories according to their patterns of adjustment to aging. "Rocking
chair" personalities are found in passive-dependent individuals who are content to lean on others
for support, to disengage, and to let most of life's activities pass them by.
According to Reichard, Livson, and Peterson, a client is classified as an armored man. Which
personality description led to this classification?
1. Rigid and stable, presenting a strong silent front
2. Passive-dependent individuals who lean on others for support
3. Aggressiveness is common, as is suspicion of others
4. Animosity is turned inward on themselves - answer>>>ANS: 1
Rationale: In a classic study by Reichard, Livson, and Peterson, the personalities of older men were
classified into five major categories according to their patterns of adjustment to aging. Armored
men have well-integrated defense mechanisms, which serve as adequate protection. Rigid and
stable, they present a strong silent front and often rely on activity as an expression of their
continuing independence.
According to genetic theory, aging is an involuntarily inherited process that operates over time to
alter cellular or tissue structures. Which of the following findings support this theory? (Select all
that apply.)
1. Decreased amounts of adrenocorticotropic hormone, resulting in less-efficient stress response
2. The development of collagen
3. The development of lipofuscin
4. The increased frequency in the occurrence of cancer
5. The increased frequency in the occurrence of autoimmune disorders - answer>>>ANS: 2, 3, 4, 5
Rationale: According to genetic theory, aging is an involuntarily inherited process that operates
over time to alter cellular or tissue structures. This theory suggests that life span and longevity
changes are predetermined. The development of free radicals, collagen, and lipofuscin in the
, aging body, and an increased frequency in the occurrence of cancer and autoimmune disorders,
provide some evidence for this theory and the proposition that error or mutation occurs at the
molecular and cellular level. Decreased amounts of adrenocorticotropic hormone, resulting in
less-efficient stress response is part of the normal aging process of the endocrine system.
The discipline of _______________________ is the branch of clinical medicine specializing in
psychopathology of the elderly population. - answer>>>geropsychiatry
A kindergarten student is frequently violent toward other children. A school nurse notices bruises
and burns on the childs face and arms. What other symptom should indicate to the nurse that the
child may have been physically abused?
1. The child shrinks at the approach of adults.
2. The child begs or steals food or money.
3. The child is frequently absent from school.
4. The child is delayed in physical and emotional development. - answer>>>ANS: 1
Rationale: The nurse should determine that a child who shrinks at the approach of adults in
addition to having bruises and burns may be a victim of abuse. Maltreatment is considered,
whether or not the adult intended to harm the child.
A woman presents with a history of physical and emotional abuse in her intimate relationships.
What should this information lead a nurse to suspect?
1. The woman may be exhibiting a controlled response pattern.
2. The woman may have a history of childhood neglect.
3. The woman may be exhibiting codependent characteristics. 4. The woman may be a victim of
incest. - answer>>>ANS: 4
Rationale: The nurse should suspect that this client may be a victim of incest. Many women who
are battered have low self-esteem and have feelings of guilt, anger, fear, and shame. Women in
abusive relationships often grew up in an abusive home.
A nursing instructor is developing a lesson plan to teach about domestic violence. Which
information should be included?
1. Power and control are central to the dynamic of domestic violence.
2. Poor communication and social isolation are central to the dynamic of domestic violence.
3. Erratic relationships and vulnerability are central to the dynamic of domestic violence.
4. Emotional injury and learned helplessness are central to the dynamic of domestic violence. -
answer>>>ANS: 1
Rationale: The nursing instructor should include the concept that power and control are central to
the dynamic of domestic violence. Battering is defined as a pattern of coercive control founded on
physical and/or sexual violence or threat of violence. The typical abuser is very possessive and
perceives the victim as a possession.
A client is brought to an emergency department after being violently raped. Which nursing action
is appropriate?
2025–2026 ACCURATE REAL EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS JUST
RELEASED
Which nursing diagnosis should a nurse identify as appropriate when working with a client
diagnosed with schizoid personality disorder?
1. Altered thought processes R/T increased stress
2. Risk for suicide R/T loneliness
3. Risk for violence: directed toward others R/T paranoid thinking
4. Social isolation R/T inability to relate to others - answer>>>ANS: 4
Rationale: An appropriate nursing diagnosis when working with a client diagnosed with schizoid
personality disorder is social isolation R/T inability to relate to others. Clients diagnosed with
schizoid personality disorder appear cold, aloof, and indifferent to others. They prefer to work in
isolation and are not sociable.
Looking at a slightly bleeding paper cut, the client screams, Somebody help me quick! Im bleeding.
Call 911! A nurse should identify this behavior as characteristic of which personality disorder?
1. Schizoid personality disorder
2. Obsessive-compulsive personality disorder
3. Histrionic personality disorder
4. Paranoid personality disorder - answer>>>3 ~ The nurse should identify this behavior as
characteristic of histrionic personality disorder. Individuals with this disorder tend to be self-
dramatizing, attention seeking, over gregarious, and seductive.
When planning care for a client diagnosed with borderline personality disorder, which self- harm
behavior should a nurse expect the client to exhibit?
1. The use of highly lethal methods to commit suicide
2. The use of suicidal gestures to elicit a rescue response from others
3. The use of isolation and starvation as suicidal methods
4. The use of self-mutilation to decrease endorphins in the body - answer>>>2 ~ The nurse should
expect that a client diagnosed with borderline personality disorder may use suicidal gestures to
elicit a rescue response from others. Repetitive, self-mutilating behaviors are common in
borderline personality disorders that result from feelings of abandonment following separation
from significant others.
A client in the middle stage of Alzheimers disease has difficulty communicating because of
cognitive deterioration. Which nursing intervention is appropriate to improve communication?
1. Discourage attempts at verbal communication owing to increased client frustration.
,2. Increase the volume of the nurses communication responses.
3. Verbalize the nurses perception of the implied communication.
4. Encourage the client to communicate by writing. - answer>>>ANS: 3
Rationale: The most appropriate nursing intervention is to verbalize the nurse's perception of the
implied communication. The nurse should also keep explanations simple, use face-to-face
interaction, and speak slowly without shouting.
An older client is exhibiting symptoms of major depressive disorder. A physician is considering
prescribing an antidepressant. Which physiological problem should make a nurse question this
medication regime?
1. Altered cortical and intellectual functioning
2. Altered respiratory and gastrointestinal functioning
3. Altered liver and kidney functioning
4. Altered endocrine and immune system functioning - answer>>>ANS: 3
Rationale: The nurse should question the use of antidepressant medication in a client with altered
liver and kidney function. Antidepressant medication should be administered with consideration
for age-related physiological changes in absorption, distribution, elimination, and brain receptor
sensitivity. Because of these changes, medications can reach high levels despite moderate oral
dosage.
An older client has met the criteria for a diagnosis of major depressive disorder. The client does
not respond to antidepressant medications. Which therapeutic intervention should a nurse
anticipate will be ordered for this client?
1. Electroconvulsive therapy (ECT)
2. Neuroleptic therapy
3. An antiparkinsonian agent
4. An anxiolytic agent - answer>>>ANS: 1
Rationale: The nurse should anticipate that ECT will be ordered to treat this client's symptoms of
depression. ECT remains one of the safest and most effective treatments for major depression in
older adults. The response to ECT may be slower in older clients, and the effects may be of limited
duration.
A nurse is charting assessment information about a 70-year-old client. According to the U.S.
Census Bureau, what term would the nurse use to describe this client?
1. The nurse should document using the term older.
2. The nurse should document using the term elderly.
3. The nurse should document using the term aged.
4. The nurse should document using the term very old. - answer>>>ANS: 2
Rationale: The U.S. Census Bureau classifies a 70-year-old individual as elderly. The U.S. Census
Bureau has developed a system for classification of older Americans: older: 5564; elderly: 6574;
aged: 7584; very old: 85 years and older.
Which individual is most likely to be below the poverty level in the United States?
,1. A 70-year-old Hispanic woman living alone
2. A 72-year-old African American man living alone
3. A 68-year-old Asian American woman living with family
4. A 75-year-old Latino American man living with family - answer>>>ANS: 1
Rationale: Approximately 3.5 million persons age 65 or older were below the poverty level in
2010. Older women had a higher poverty rate than older men, and older Hispanic women living
alone had the highest poverty rate.
According to Reichard, Livson, and Peterson, which classification of the personalities of older men
describe passive-dependent individuals who are content to lean on others for support, to
disengage, and to let most of lifes activities pass them by?
1. Mature men personalities
2. Armored men personalities
3. Self-haters personalities
4. Rocking chair personalities - answer>>>ANS: 4
Rationale: In a classic study by Reichard, Livson, and Peterson, the personalities of older men were
classified into five major categories according to their patterns of adjustment to aging. "Rocking
chair" personalities are found in passive-dependent individuals who are content to lean on others
for support, to disengage, and to let most of life's activities pass them by.
According to Reichard, Livson, and Peterson, a client is classified as an armored man. Which
personality description led to this classification?
1. Rigid and stable, presenting a strong silent front
2. Passive-dependent individuals who lean on others for support
3. Aggressiveness is common, as is suspicion of others
4. Animosity is turned inward on themselves - answer>>>ANS: 1
Rationale: In a classic study by Reichard, Livson, and Peterson, the personalities of older men were
classified into five major categories according to their patterns of adjustment to aging. Armored
men have well-integrated defense mechanisms, which serve as adequate protection. Rigid and
stable, they present a strong silent front and often rely on activity as an expression of their
continuing independence.
According to genetic theory, aging is an involuntarily inherited process that operates over time to
alter cellular or tissue structures. Which of the following findings support this theory? (Select all
that apply.)
1. Decreased amounts of adrenocorticotropic hormone, resulting in less-efficient stress response
2. The development of collagen
3. The development of lipofuscin
4. The increased frequency in the occurrence of cancer
5. The increased frequency in the occurrence of autoimmune disorders - answer>>>ANS: 2, 3, 4, 5
Rationale: According to genetic theory, aging is an involuntarily inherited process that operates
over time to alter cellular or tissue structures. This theory suggests that life span and longevity
changes are predetermined. The development of free radicals, collagen, and lipofuscin in the
, aging body, and an increased frequency in the occurrence of cancer and autoimmune disorders,
provide some evidence for this theory and the proposition that error or mutation occurs at the
molecular and cellular level. Decreased amounts of adrenocorticotropic hormone, resulting in
less-efficient stress response is part of the normal aging process of the endocrine system.
The discipline of _______________________ is the branch of clinical medicine specializing in
psychopathology of the elderly population. - answer>>>geropsychiatry
A kindergarten student is frequently violent toward other children. A school nurse notices bruises
and burns on the childs face and arms. What other symptom should indicate to the nurse that the
child may have been physically abused?
1. The child shrinks at the approach of adults.
2. The child begs or steals food or money.
3. The child is frequently absent from school.
4. The child is delayed in physical and emotional development. - answer>>>ANS: 1
Rationale: The nurse should determine that a child who shrinks at the approach of adults in
addition to having bruises and burns may be a victim of abuse. Maltreatment is considered,
whether or not the adult intended to harm the child.
A woman presents with a history of physical and emotional abuse in her intimate relationships.
What should this information lead a nurse to suspect?
1. The woman may be exhibiting a controlled response pattern.
2. The woman may have a history of childhood neglect.
3. The woman may be exhibiting codependent characteristics. 4. The woman may be a victim of
incest. - answer>>>ANS: 4
Rationale: The nurse should suspect that this client may be a victim of incest. Many women who
are battered have low self-esteem and have feelings of guilt, anger, fear, and shame. Women in
abusive relationships often grew up in an abusive home.
A nursing instructor is developing a lesson plan to teach about domestic violence. Which
information should be included?
1. Power and control are central to the dynamic of domestic violence.
2. Poor communication and social isolation are central to the dynamic of domestic violence.
3. Erratic relationships and vulnerability are central to the dynamic of domestic violence.
4. Emotional injury and learned helplessness are central to the dynamic of domestic violence. -
answer>>>ANS: 1
Rationale: The nursing instructor should include the concept that power and control are central to
the dynamic of domestic violence. Battering is defined as a pattern of coercive control founded on
physical and/or sexual violence or threat of violence. The typical abuser is very possessive and
perceives the victim as a possession.
A client is brought to an emergency department after being violently raped. Which nursing action
is appropriate?
