NUR 190 PSYCHIATRIC-MENTAL HEALTH NURSING
FINAL EXAM (2025/2026)
Real 130 Questions & Answers with Rationales | Comprehensive Assessment | DSM-5-TR
Aligned
Overview
This 2025/2026 validated resource contains 130 actual NUR 190 final exam questions
with 100% verified answers and detailed rationales, directly aligned with current
psychiatric-mental health nursing standards and DSM-5-TR criteria. Essential for nursing
students demonstrating comprehensive competency in mental health nursing principles.
Key Features
✓ 130-Question Comprehensive Exam matching course final format
✓ Therapeutic communication analysis with response evaluation
✓ Psychopharmacology applications with mechanism and side effects
✓ Updated 2025/2026 mental health treatment protocols
✓ Legal and ethical decision-making scenarios
Content Domains
● Therapeutic Relationships & Communication (20 Qs)
● Schizophrenia & Psychotic Disorders (18 Qs)
● Mood Disorders & Suicide Prevention (20 Qs)
● Anxiety & Trauma-Related Disorders (15 Qs)
● Substance Use & Addictive Disorders (15 Qs)
● Personality & Cognitive Disorders (12 Qs)
● Crisis Intervention & Legal Issues (15 Qs)
● Psychopharmacology & Somatic Therapies (15 Qs)
Answer Format
Correct answers in bold green with:
● DSM-5-TR diagnostic criteria applications
● Medication therapeutic actions and adverse effects
● Legal precedence and ethical principle citations
● Milieu management and safety interventions
🔹
Critical Updates 2025/2026
🔹
New trauma-informed care models
🔹
Revised suicide risk assessment tools
🔹
Updated antipsychotic medication protocols
Modified patient rights documentation standards
,Therapeutic Relationships & Communication (Questions 1–20)
1. A client says, “I feel like no one cares.” What is the nurse’s best
therapeutic response?
a) “You have family who loves you.”
b) “Tell me more about feeling uncared for.”
c) “That’s not true; we care here.”
d) “Let’s focus on your treatment plan.”
b) “Tell me more about feeling uncared for.”
Rationale: Open-ended questions encourage exploration of feelings, building trust (therapeutic
communication).
2. The nurse observes a client pacing and muttering. What is the priority
action?
a) Administer PRN haloperidol
b) Assess for escalating agitation
c) Place in seclusion
d) Ignore to avoid reinforcement
b) Assess for escalating agitation
Rationale: De-escalation begins with assessment; prevents harm (milieu safety).
3. A client with depression refuses group therapy. What should the nurse
do?
a) Force attendance
b) Explore reasons and offer alternatives
c) Document noncompliance
d) Cancel all activities
b) Explore reasons and offer alternatives
Rationale: Respects autonomy while promoting engagement.
4. What is the primary goal of the orientation phase?
a) Termination planning
b) Establish trust and boundaries
c) Deep emotional work
d) Evaluate outcomes
b) Establish trust and boundaries
Rationale: Foundation for therapeutic alliance.
5. A client says, “You don’t understand me.” What is the best response?
a) “I’m trying my best.”
b) “Help me understand your experience.”
c) “Many clients feel that way.”
d) “Let’s change the subject.”
b) “Help me understand your experience.”
Rationale: Demonstrates empathy and invites collaboration.
, 6. Which statement violates confidentiality?
a) Sharing with treatment team
b) Discussing in public hallway
c) Documenting in chart
d) Reporting abuse
b) Discussing in public hallway
Rationale: Breaches HIPAA and patient rights.
7. The nurse uses silence effectively when the client is:
a) Agitated
b) Crying
c) Hostile
d) Withdrawn
b) Crying
Rationale: Allows emotional processing.
8. What is an example of countertransference?
a) Client reminds nurse of sibling
b) Client refuses medication
c) Nurse sets limits
d) Client improves
a) Client reminds nurse of sibling
Rationale: Nurse’s unresolved feelings affect care.
9. A client asks for personal advice. What should the nurse say?
a) “I can’t give personal advice.”
b) “What do you think you should do?”
c) “Follow the doctor’s orders.”
d) “Let me tell you what I did.”
b) “What do you think you should do?”
Rationale: Promotes autonomy and maintains boundaries.
10. Which is a non-therapeutic response?
a) “Why did you do that?”
b) “How are you feeling?”
c) “Tell me more.”
d) “I understand.”
a) “Why did you do that?”
Rationale: “Why” questions are judgmental.
11. The nurse promotes milieu therapy by:
a) Isolating aggressive clients
b) Encouraging group activities
c) Limiting visitor hours
d) Reducing staff presence
FINAL EXAM (2025/2026)
Real 130 Questions & Answers with Rationales | Comprehensive Assessment | DSM-5-TR
Aligned
Overview
This 2025/2026 validated resource contains 130 actual NUR 190 final exam questions
with 100% verified answers and detailed rationales, directly aligned with current
psychiatric-mental health nursing standards and DSM-5-TR criteria. Essential for nursing
students demonstrating comprehensive competency in mental health nursing principles.
Key Features
✓ 130-Question Comprehensive Exam matching course final format
✓ Therapeutic communication analysis with response evaluation
✓ Psychopharmacology applications with mechanism and side effects
✓ Updated 2025/2026 mental health treatment protocols
✓ Legal and ethical decision-making scenarios
Content Domains
● Therapeutic Relationships & Communication (20 Qs)
● Schizophrenia & Psychotic Disorders (18 Qs)
● Mood Disorders & Suicide Prevention (20 Qs)
● Anxiety & Trauma-Related Disorders (15 Qs)
● Substance Use & Addictive Disorders (15 Qs)
● Personality & Cognitive Disorders (12 Qs)
● Crisis Intervention & Legal Issues (15 Qs)
● Psychopharmacology & Somatic Therapies (15 Qs)
Answer Format
Correct answers in bold green with:
● DSM-5-TR diagnostic criteria applications
● Medication therapeutic actions and adverse effects
● Legal precedence and ethical principle citations
● Milieu management and safety interventions
🔹
Critical Updates 2025/2026
🔹
New trauma-informed care models
🔹
Revised suicide risk assessment tools
🔹
Updated antipsychotic medication protocols
Modified patient rights documentation standards
,Therapeutic Relationships & Communication (Questions 1–20)
1. A client says, “I feel like no one cares.” What is the nurse’s best
therapeutic response?
a) “You have family who loves you.”
b) “Tell me more about feeling uncared for.”
c) “That’s not true; we care here.”
d) “Let’s focus on your treatment plan.”
b) “Tell me more about feeling uncared for.”
Rationale: Open-ended questions encourage exploration of feelings, building trust (therapeutic
communication).
2. The nurse observes a client pacing and muttering. What is the priority
action?
a) Administer PRN haloperidol
b) Assess for escalating agitation
c) Place in seclusion
d) Ignore to avoid reinforcement
b) Assess for escalating agitation
Rationale: De-escalation begins with assessment; prevents harm (milieu safety).
3. A client with depression refuses group therapy. What should the nurse
do?
a) Force attendance
b) Explore reasons and offer alternatives
c) Document noncompliance
d) Cancel all activities
b) Explore reasons and offer alternatives
Rationale: Respects autonomy while promoting engagement.
4. What is the primary goal of the orientation phase?
a) Termination planning
b) Establish trust and boundaries
c) Deep emotional work
d) Evaluate outcomes
b) Establish trust and boundaries
Rationale: Foundation for therapeutic alliance.
5. A client says, “You don’t understand me.” What is the best response?
a) “I’m trying my best.”
b) “Help me understand your experience.”
c) “Many clients feel that way.”
d) “Let’s change the subject.”
b) “Help me understand your experience.”
Rationale: Demonstrates empathy and invites collaboration.
, 6. Which statement violates confidentiality?
a) Sharing with treatment team
b) Discussing in public hallway
c) Documenting in chart
d) Reporting abuse
b) Discussing in public hallway
Rationale: Breaches HIPAA and patient rights.
7. The nurse uses silence effectively when the client is:
a) Agitated
b) Crying
c) Hostile
d) Withdrawn
b) Crying
Rationale: Allows emotional processing.
8. What is an example of countertransference?
a) Client reminds nurse of sibling
b) Client refuses medication
c) Nurse sets limits
d) Client improves
a) Client reminds nurse of sibling
Rationale: Nurse’s unresolved feelings affect care.
9. A client asks for personal advice. What should the nurse say?
a) “I can’t give personal advice.”
b) “What do you think you should do?”
c) “Follow the doctor’s orders.”
d) “Let me tell you what I did.”
b) “What do you think you should do?”
Rationale: Promotes autonomy and maintains boundaries.
10. Which is a non-therapeutic response?
a) “Why did you do that?”
b) “How are you feeling?”
c) “Tell me more.”
d) “I understand.”
a) “Why did you do that?”
Rationale: “Why” questions are judgmental.
11. The nurse promotes milieu therapy by:
a) Isolating aggressive clients
b) Encouraging group activities
c) Limiting visitor hours
d) Reducing staff presence
