Essentials of Psychiatric Mental
Health Nursing Chapter 1 Exam 2025
With 100% Correct Answers
1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet.
The clients appetite, sleep patterns, and daily routine have not
changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form
of depression.
2. The clients behaviors are extensive, which indicates the
presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment,
indicating no mental illness. CORRECT ANSWER 4. The
clients behaviors demonstrate no functional impairment,
indicating no mental illness.
Rationale: The nurse should assess that the clients daily
functioning is not impaired. The client who experiences feelings
of sadness after the loss of a pet is responding within normal
expectations. Without significant impairment, the clients distress
does not indicate a mental illness
, 2. At what point should the nurse determine that a client is at
risk for developing a mental illness?
1. When thoughts, feelings, and behaviors are not reflective of
the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with
interference in daily functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
CORRECT ANSWER 2. When maladaptive responses to stress
are coupled with interference in daily functioning.
Rationale: The nurse should determine that the client is at risk
for mental illness when responses to stress are maladaptive and
interfere with daily functioning. The DSM-5 indicates that in
order to be diagnosed with a mental illness, daily functioning
must be significantly impaired. The clients ability to
communicate distress would be considered a positive attribute.
3. A nurse is assessing a set of 15-year-old identical twins who
respond very differently to stress.One twin becomes anxious and
irritable, and the other withdraws and cries. How should the
nurse explain these different stress responses to the parents?
Health Nursing Chapter 1 Exam 2025
With 100% Correct Answers
1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet.
The clients appetite, sleep patterns, and daily routine have not
changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form
of depression.
2. The clients behaviors are extensive, which indicates the
presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment,
indicating no mental illness. CORRECT ANSWER 4. The
clients behaviors demonstrate no functional impairment,
indicating no mental illness.
Rationale: The nurse should assess that the clients daily
functioning is not impaired. The client who experiences feelings
of sadness after the loss of a pet is responding within normal
expectations. Without significant impairment, the clients distress
does not indicate a mental illness
, 2. At what point should the nurse determine that a client is at
risk for developing a mental illness?
1. When thoughts, feelings, and behaviors are not reflective of
the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with
interference in daily functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
CORRECT ANSWER 2. When maladaptive responses to stress
are coupled with interference in daily functioning.
Rationale: The nurse should determine that the client is at risk
for mental illness when responses to stress are maladaptive and
interfere with daily functioning. The DSM-5 indicates that in
order to be diagnosed with a mental illness, daily functioning
must be significantly impaired. The clients ability to
communicate distress would be considered a positive attribute.
3. A nurse is assessing a set of 15-year-old identical twins who
respond very differently to stress.One twin becomes anxious and
irritable, and the other withdraws and cries. How should the
nurse explain these different stress responses to the parents?
