NUR2459 / NUR 2459: Final
Exam (Latest )
Mental & Behavioral Health
Nursing - Rasmussen
Section 1: Foundations of Mental Health Nursing (Questions
1–10)
1. What is the main assessment tool used in psychiatric nursing?
A. Glasgow Coma Scale
B. Mental Status Exam (MSE)
C. Mini-Mental State Examination (MMSE)
D. Braden Scale
Answer: Mental Status Exam (MSE)
Rationale: The MSE is the primary tool for assessing mental health, evaluating
appearance, behavior, mood, thought processes, and cognition.
2. Which components are included in the Mental Status Exam? (Select all that apply)
A. Appearance
B. Blood pressure
C. Affect and mood
D. Thought processes
E. Perceptual disturbances
Answer: Appearance, Affect and mood, Thought processes, Perceptual disturbances
Rationale: The MSE includes personal information, appearance, behavior, speech,
affect/mood, thought processes, perceptual disturbances, and cognition (e.g., orientation).
Blood pressure is not part of the MSE.
3. Which nursing intervention is most appropriate for a client with delirium
experiencing illusions?
A. Administer a high-dose antipsychotic
B. Provide a well-lit room without glares or shadows and minimal noise
C. Restrain the client to prevent wandering
D. Encourage group therapy sessions
, Answer: Provide a well-lit room without glares or shadows and minimal noise
Rationale: A calm, well-lit environment reduces sensory misperceptions and agitation in
clients with delirium.
4. What is a key principle of therapeutic communication?
A. Giving advice to guide client decisions
B. Using active listening to encourage expression
C. Providing stereotyped responses
D. Probing for sensitive information
Answer: Using active listening to encourage expression
Rationale: Active listening, a therapeutic communication technique, promotes client
expression and trust, unlike non-therapeutic techniques like giving advice or probing.
5. What is the difference between transference and countertransference in therapy?
A. Transference is the therapist’s emotional reaction; countertransference is the client’s
B. Transference is the client’s projection of feelings; countertransference is the therapist’s
C. Both involve the client’s unconscious feelings
D. Both involve the therapist’s unconscious biases
Answer: Transference is the client’s projection of feelings; countertransference is
the therapist’s
Rationale: Transference occurs when clients project feelings onto the therapist;
countertransference is the therapist’s emotional reaction to the client.
6. Which defense mechanism involves channeling unacceptable impulses into socially
acceptable behaviors?
A. Denial
B. Repression
C. Sublimation
D. Displacement
Answer: Sublimation
Rationale: Sublimation redirects unacceptable impulses (e.g., aggression) into
constructive behaviors (e.g., sports).
7. What is a legal consideration when using restraints for an agitated client?
A. Restraints can be applied without a provider’s order
B. Restraints require a provider’s order after application for safety
C. Restraints are never permitted in mental health settings
D. Restraints can be used indefinitely
Answer: Restraints require a provider’s order after application for safety
Rationale: Restraints may be used for safety but require a provider’s order post-
application, per legal and ethical standards.
Exam (Latest )
Mental & Behavioral Health
Nursing - Rasmussen
Section 1: Foundations of Mental Health Nursing (Questions
1–10)
1. What is the main assessment tool used in psychiatric nursing?
A. Glasgow Coma Scale
B. Mental Status Exam (MSE)
C. Mini-Mental State Examination (MMSE)
D. Braden Scale
Answer: Mental Status Exam (MSE)
Rationale: The MSE is the primary tool for assessing mental health, evaluating
appearance, behavior, mood, thought processes, and cognition.
2. Which components are included in the Mental Status Exam? (Select all that apply)
A. Appearance
B. Blood pressure
C. Affect and mood
D. Thought processes
E. Perceptual disturbances
Answer: Appearance, Affect and mood, Thought processes, Perceptual disturbances
Rationale: The MSE includes personal information, appearance, behavior, speech,
affect/mood, thought processes, perceptual disturbances, and cognition (e.g., orientation).
Blood pressure is not part of the MSE.
3. Which nursing intervention is most appropriate for a client with delirium
experiencing illusions?
A. Administer a high-dose antipsychotic
B. Provide a well-lit room without glares or shadows and minimal noise
C. Restrain the client to prevent wandering
D. Encourage group therapy sessions
, Answer: Provide a well-lit room without glares or shadows and minimal noise
Rationale: A calm, well-lit environment reduces sensory misperceptions and agitation in
clients with delirium.
4. What is a key principle of therapeutic communication?
A. Giving advice to guide client decisions
B. Using active listening to encourage expression
C. Providing stereotyped responses
D. Probing for sensitive information
Answer: Using active listening to encourage expression
Rationale: Active listening, a therapeutic communication technique, promotes client
expression and trust, unlike non-therapeutic techniques like giving advice or probing.
5. What is the difference between transference and countertransference in therapy?
A. Transference is the therapist’s emotional reaction; countertransference is the client’s
B. Transference is the client’s projection of feelings; countertransference is the therapist’s
C. Both involve the client’s unconscious feelings
D. Both involve the therapist’s unconscious biases
Answer: Transference is the client’s projection of feelings; countertransference is
the therapist’s
Rationale: Transference occurs when clients project feelings onto the therapist;
countertransference is the therapist’s emotional reaction to the client.
6. Which defense mechanism involves channeling unacceptable impulses into socially
acceptable behaviors?
A. Denial
B. Repression
C. Sublimation
D. Displacement
Answer: Sublimation
Rationale: Sublimation redirects unacceptable impulses (e.g., aggression) into
constructive behaviors (e.g., sports).
7. What is a legal consideration when using restraints for an agitated client?
A. Restraints can be applied without a provider’s order
B. Restraints require a provider’s order after application for safety
C. Restraints are never permitted in mental health settings
D. Restraints can be used indefinitely
Answer: Restraints require a provider’s order after application for safety
Rationale: Restraints may be used for safety but require a provider’s order post-
application, per legal and ethical standards.
