N322 Mental Health Nursing – Exam Practice
Questions and Verified Correct Answers
with Rationales
DESCRIPTION:
This document contains comprehensive exam practice material
for the course N322 Mental Health Nursing. It includes a wide
range of multiple-choice questions covering therapeutic
communication, psychiatric disorders, nursing interventions,
pharmacology, and ethical considerations. Each question is
followed by the correct answer and a detailed rationale, making it
a complete study guide for exam preparation. The material is
designed to strengthen critical thinking and application of nursing
concepts in mental health settings.
QUESTIONS AND ANSWERS WITH RATIONALES:
A client who has coronary artery disease tells the nurse he is
afraid of dying from a heart attack. Which of the following
responses should the nurse make?
A. "Perhaps you should discuss this with your physician."
,B. "Of course you aren't going to die, at least not in the immediate
future."
C. "I recommend you exercise daily and avoid smoking to
decrease your risk."
D. "Tell me more about these fears of dying from a heart attack." -
Answer:-D. "Tell me more about these fears of dying from a heart
attack."
Rationale:With this response, the nurse uses the therapeutic
communication technique of exploring to encourage further
communication about the client's feelings.
A nurse observes a client's spouse sitting alone in the waiting
room crying. When approached, the spouse says, "I am really
concerned about my husband." Which of the following is a
therapeutic nursing response?
A. "Your husband is making really good progress."
B. "Crying helps us let things out and we feel better."
C. "Did your husband say something to upset you?"
D. "Tell me what is concerning you." -Answer:-D. "Tell me what is
concerning you."
,Rationale:This therapeutic response uses the communication
tool of clarification. This response encourages further
communication and expression of feelings.
A male nurse is assigned to care for a female client who was
admitted to the hospital for treatment of injuries following a
domestic abuse incident. The client tells the nurse manager she
does not want a male nurse as her caregiver. Which of the
following nursing responses should the nurse manager make?
A. "I can arrange for a female assistive personnel to do your
personal hygiene care."
B. "The nurse assigned to care for you is very capable and cares
for other women in this situation."
C. "Your doctor is a man, so it seems like this should not be a
problem."
D. "I can review the assignments and arrange for a female nurse
to care for you." -Answer:-D. "I can review the assignments and
arrange for a female nurse to care for you."
, Rationale:In this therapeutic response, the nurse demonstrates
empathy by endeavoring to meet the client's request for a female
caregiver.
A nurse educator is discussing community mental health with a
group of nursing students. Which of the following sites should the
educator identify as a source of secondary prevention?
A. Day care center
B. Outpatient rehabilitation center
C. Community recreational center
D. Crisis center -Answer:-D. Crisis center
Rationale:A crisis center, which has the goal of early detection
and treatment of mental health disorders, is an example of
secondary public health prevention.
A nurse in a mental health clinic is attempting to develop a
therapeutic relationship with a client. Which of the following
actions should the nurse take?
Questions and Verified Correct Answers
with Rationales
DESCRIPTION:
This document contains comprehensive exam practice material
for the course N322 Mental Health Nursing. It includes a wide
range of multiple-choice questions covering therapeutic
communication, psychiatric disorders, nursing interventions,
pharmacology, and ethical considerations. Each question is
followed by the correct answer and a detailed rationale, making it
a complete study guide for exam preparation. The material is
designed to strengthen critical thinking and application of nursing
concepts in mental health settings.
QUESTIONS AND ANSWERS WITH RATIONALES:
A client who has coronary artery disease tells the nurse he is
afraid of dying from a heart attack. Which of the following
responses should the nurse make?
A. "Perhaps you should discuss this with your physician."
,B. "Of course you aren't going to die, at least not in the immediate
future."
C. "I recommend you exercise daily and avoid smoking to
decrease your risk."
D. "Tell me more about these fears of dying from a heart attack." -
Answer:-D. "Tell me more about these fears of dying from a heart
attack."
Rationale:With this response, the nurse uses the therapeutic
communication technique of exploring to encourage further
communication about the client's feelings.
A nurse observes a client's spouse sitting alone in the waiting
room crying. When approached, the spouse says, "I am really
concerned about my husband." Which of the following is a
therapeutic nursing response?
A. "Your husband is making really good progress."
B. "Crying helps us let things out and we feel better."
C. "Did your husband say something to upset you?"
D. "Tell me what is concerning you." -Answer:-D. "Tell me what is
concerning you."
,Rationale:This therapeutic response uses the communication
tool of clarification. This response encourages further
communication and expression of feelings.
A male nurse is assigned to care for a female client who was
admitted to the hospital for treatment of injuries following a
domestic abuse incident. The client tells the nurse manager she
does not want a male nurse as her caregiver. Which of the
following nursing responses should the nurse manager make?
A. "I can arrange for a female assistive personnel to do your
personal hygiene care."
B. "The nurse assigned to care for you is very capable and cares
for other women in this situation."
C. "Your doctor is a man, so it seems like this should not be a
problem."
D. "I can review the assignments and arrange for a female nurse
to care for you." -Answer:-D. "I can review the assignments and
arrange for a female nurse to care for you."
, Rationale:In this therapeutic response, the nurse demonstrates
empathy by endeavoring to meet the client's request for a female
caregiver.
A nurse educator is discussing community mental health with a
group of nursing students. Which of the following sites should the
educator identify as a source of secondary prevention?
A. Day care center
B. Outpatient rehabilitation center
C. Community recreational center
D. Crisis center -Answer:-D. Crisis center
Rationale:A crisis center, which has the goal of early detection
and treatment of mental health disorders, is an example of
secondary public health prevention.
A nurse in a mental health clinic is attempting to develop a
therapeutic relationship with a client. Which of the following
actions should the nurse take?
