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    Exam Review

    1. A nurse is assisting with the teaching of a group of newly licensed nurses about personality disorders. Which of the following information should be included?
      A)
      Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders.
      B)
      Personality disorders often manifest from childhood emotional trauma.
      C)
      Strict parental guidelines contribute to the development of personality disorders.
      D)
      Personality disorders are often seen in children under the age of 10.
    2. A client with schizophrenia refuses antipsychotic medication despite showing signs of relapse. What should the nurse prioritize to ethically address this situation?
      A)
      Educate the client about the benefits and risks involved
      B)
      Discharge the client for noncompliance
      C)
      Ignore the client's wishes if the family consents
      D)
      Administer medication covertly to ensure compliance
    3. A nurse is caring for an adolescent who has experienced abuse and neglect since early childhood. The nurse should understand that this is an example of which of the following types of trauma?
      A)
      Historical trauma
      B)
      Vicarious trauma
      C)
      Acute trauma
      D)
      Chronic trauma
    4. In a client with depression, which physical health intervention is most important for a nurse to implement during the acute phase?
      A)
      Encourage group therapy participation.
      B)
      Ensure adequate nutrition and hydration.
      C)
      Encourage the client to pursue hobbies.
      D)
      Provide cognitive-behavioral therapy (CBT)
    Page 1 of 24

    Exam Review

    1. How does the principle of nonmaleficence apply when considering the use of restraints in mental health care?
      A)
      Restraints should be used proactively to prevent potential harm from occurring.
      B)
      Restraints should only be used when potential harm to the client or others outweighs the risks of restraint usage.
      C)
      The use of restraints should be determined by family preferences rather than clinical judgment.
      D)
      Restraints should never be used under any circumstances in mental health care.
    2. A client who has been prescribed risperidone displays signs of pseudoparkinsonism. What is the priority action the nurse should take?
      A)
      Increase the dose of risperidone
      B)
      Educate the client about the side effects
      C)
      Monitor the client’s symptoms over time
      D)
      Administer an anticholinergic medication
    3. A patient is experiencing muscle rigidity and altered mental status while taking haloperidol. What complication should the nurse suspect?
      A)
      Tardive dyskinesia
      B)
      Neuroleptic Malignant Syndrome (NMS)
      C)
      Agranulocytosis
      D)
      Akathisia
    4. What is the best course of action for a nurse if a patient with major depression suddenly appears happy and peaceful after expressing suicidal thoughts?
      A)
      Encourage the patient to socialize with peers.
      B)
      Celebrate the patient's improved mood.
      C)
      Start preparing discharge paperwork.
      D)
      Reassess suicide risk and share observations with the healthcare team.
    Page 2 of 24

    Exam Review

    1. Which factor most likely contributes to mental health stigma in communities following deinstitutionalization?
      A)
      Decreased access to mental health care facilities
      B)
      Improvement in community mental health education
      C)
      More emphasis on psychiatric medications
      D)
      Increased visibility of mental illness in the community
    2. Which legal document is crucial in safeguarding the rights of clients within mental health facilities, ensuring they receive ethical treatment?
      A)
      The Patient Bill of Rights
      B)
      The Community Mental Health Act
      C)
      The Mental Health National League for Nursing
      D)
      The Joint Commission
    3. In the treatment of major depressive disorder, why is it important for nurses to regularly assess clients for suicide risk?
      A)
      It is a part of routine documentation for any disorder.
      B)
      Regular assessment helps in early identification and prevention of suicidal actions.
      C)
      Clients with major depressive disorder rarely have suicidal thoughts.
      D)
      Only post-medication suicide risk is important.
    4. The practice of deinstitutionalization in mental health care primarily aims to achieve which of the following goals?
      A)
      Eliminating the stigma associated with mental illness
      B)
      Reducing the cost of maintaining large mental health facilities
      C)
      Strengthening community-based treatment options
      D)
      Increasing the number of psychiatric beds available
    Page 3 of 24

    Exam Review

    1. In managing stress for a client with a psychotic disorder, why might deep breathing exercises be recommended?
      A)
      They reduce physiological arousal through relaxation.
      B)
      They are primarily used to increase alertness.
      C)
      They increase dopamine receptor activation.
      D)
      They mimic the physiological state of high stress.
    2. A patient with bipolar disorder displays symptoms of labile mood and euphoria. What would be the most appropriate nursing action?
      A)
      Encourage the patient to rest and hydrate adequately.
      B)
      Provide concise and calm communication while setting firm limits.
      C)
      Transfer the patient to a quiet care setting with minimal stimuli.
      D)
      Reassess the patient's symptoms in 24 hours to see if they diminish.
    3. A nurse is debating whether to disclose a client’s refusal of treatment to their care team. Which principle primarily guides this decision?
      A)
      Justice
      B)
      Beneficence
      C)
      Autonomy
      D)
      Confidentiality
    4. A client diagnosed with somatic symptom disorder expresses frustration about their healthcare providers not finding a physiological cause for their symptoms. What is the best nursing response to address this concern?
      A)
      Encouraging acceptance that the symptoms are psychological.
      B)
      Reassuring the client that their symptoms are real and distressing, warranting a comprehensive approach to care.
      C)
      Suggesting the client try alternative therapies, like acupuncture or herbal remedies.
      D)
      Explaining that their symptoms will resolve with time and patience.
      E)
      The correct answer is: b) Reassuring the client that their symptoms are real and distressing, warranting a comprehensive approach to care.
    Page 4 of 24

    Exam Review

    1. A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as the priority when collecting data? (Select all that apply)
      A)
      Statement regarding outlook on living.
      B)
      Statement related to feelings of sadness and anger.
      C)
      Knowledge of expectations during group meetings.
      D)
      Awareness of the therapist's role.
      E)
      Statement related to use of pharmacological interventions.
    2. A nurse is caring for a client who has post-traumatic stress disorder and is considering prolonged exposure therapy. The client asks, "How does this therapy work?“ Which of the following responses by the nurse accurately describes this type of therapy?
      A)
      "A therapist encourages you to talk as a way developing self-awareness; this can help you change old behaviors by taking charge of your life."
      B)
      "A therapist simulates your eye movement while you focus on your traumatic experience to reduce the connection of your memories to the trauma."
      C)
      "A therapist helps you safely and gradually face memories or situations related to your trauma that evoke fear."
      D)
      "A therapist teaches you to understand the connection between what you think and feel, and how it affects your behavior."
    3. A client with bipolar disorder is in the maintenance phase of treatment. What focus should the nurse have during this period to prevent further episodes?
      A)
      Encouraging the cessation of medication post-therapy.
      B)
      Limiting engagement in social activities to avoid stress.
      C)
      Educating the client about signs of relapse and medication adherence.
      D)
      Increasing therapy sessions to daily visits.
    4. Which historical figure is credited with the founding of the modern mental health nursing practice by linking clinical medicine with mental health?
      A)
      Mary Mahoney
      B)
      Florence Nightingale
      C)
      Dorothea Dix
      D)
      Linda Richards
    Page 5 of 24

    Exam Review

    1. A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?
      A)
      To develop and acknowledge understanding of a relapse plan prior to discharge
      B)
      To ensure the client participates in a walk with staff on a daily basis
      C)
      To be reoriented to their current environment as needed
      D)
      To keep the client's environment calm and with minimal daily stimuli
    2. Which of the following strategies best supports a client's autonomy when they refuse a prescribed medication in a mental health setting?
      A)
      Administering the medication without informing the client
      B)
      Documenting the client's reason for refusal
      C)
      Explaining the possible side effects of the medication
      D)
      Discussing alternative treatments with the client
    3. A nurse is assessing a client on haloperidol who has developed uncontrollable movements of the face and mouth. What condition is likely being observed?
      A)
      Pseudoparkinsonism
      B)
      Tardive dyskinesia
      C)
      Acute dystonia
      D)
      Akathisia
    4. In which situation would the ethical principle of fidelity be most relevant for a mental health nurse?
      A)
      Ensuring medication administration accuracy.
      B)
      When documenting patient care.
      C)
      Ensuring all patient information is kept confidential.
      D)
      Maintaining consistent involvement in patient therapy sessions.
    Page 6 of 24