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©THEBRIGHT 2025 ALL RIGHTS RESERVED 1:30PM. 1 WCU - MH Final Review Exam Questions And Answers 2025 Update. Transference - Answertendency to assign feelings & attitudes from their childhood onto someone in their present environment. Countertransference - Answerredirecting psychotherapist's f...

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  • March 13, 2025
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©THEBRIGHT 2025 ALL RIGHTS RESERVED 1:30PM.




WCU - MH Final Review Exam Questions
And Answers 2025 Update.


Transference - Answer✔tendency to assign feelings & attitudes from their childhood onto
someone in their present environment.


Countertransference - Answer✔redirecting psychotherapist's feelings towards a client;
therapist's emotional entanglement with a client.


A family brings in a non-responsive client. The family reports the client is catatonic due to
schizophrenia, has a history of diabetes, seizures & COPD. What is the nurse's initial action? -
Answer✔check the client's blood sugar


What is a good activity for a client diagnosed w/ schizophrenia who is paranoid? -
Answer✔allow the client to initiate the activity


A client asks the nurse if he hears the devil talking. What is the nurse's best response? -
Answer✔even though the voice seems real to you, I do not hear the voice speaking
- Ask the Pt what they're experiencing


Which if the below symptoms are positive signs of schizophrenia? Select all that apply. -
Answer✔- visual hallucinations
- making up words
- agitation
- introducing unrelated topics




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A schizophrenia client begins to masturbate in the day room. What is the nurse's initial action? -
Answer✔ask the client if he needs privacy & escort him to his room


In the development of a therapeutic relationship w/ a new admission w/ the Dx of post self-
inflicted GSW to the head. Which of the following is a priority for the nurse? - Answer✔assess
the feelings towards this client
- Therapeutic relationships includes feelings only of the Pt


A 16 y/o Asian client requests an outside provider give her a coining treatment. What is the
RN's best response? - Answer✔respect cultural beliefs, but do not allow the treatment in the
hospital


A terminal CA client states to the nurse, "I wish my family would stop hoping for a cure. I know I
am going to die and I wish they would stop." The nurse's best response is: - Answer✔it sounds
as though you are feeling ...


A client on the psychiatric unit states "I feel like a bird." The best response for the nurse to
make is: - Answer✔that must be distressing for you, you don't look different to me
- Don't argue w/ the Pt


The nurse is deciding if she can restrain an angry, acting out client. The client tells her, "I will
sue you if you tie me down." Her best response would be: - Answer✔if you cannot be kept from
hurting yourself or others except by physical restraint, I will do it


A male client is coming down from a manic period. He states, "I feel bad about cheating on my
wife." What is the nurse's best response? - Answer✔Hyper-sexuality is a part of your illness.
Let's discuss early signs of a manic episode
- Educate Pt on his condition & that hyper-sexuality is a part of Mania


The Rn must inform a family member his mother has just died. When informed of this news, the
35 y/o son smiles & states he is going to the vending area to buy some candy. What is the most
appropriate intervention for the nurse to make at this time? - Answer✔Repeat, "I just told you
your mother died, how do you feel about this?"


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- important to repeat what has happened b/c some people will go into a form of Shock & will
deny the truth


A client is diagnosed w/ Major Depression. What is the most important part of the mental
status exam to assess? - Answer✔mood
- "How are you feeling?"


A client is scheduled for ECT what family teaching should the RN focus on? - Answer✔education
on the client's memory loss


A nurse has observed that the client is still crying often & expresses anger at her deceased
husband after 9 months & has stopped seeing friends and family. She is complaining that she is
feeling helpless to change anything to improve her future. The priority assessment would be: -
Answer✔symptoms of complicated grief, dysfunctional mourning & social isolation


Which client is most at risk for committing suicide? - Answer✔elderly, single male w/ cancer


Which statement shows a nurse has empathy for a patient who made a suicide attempt? -
Answer✔you must have been very upset when you tried to hurt yourself


In a sad voice, an elderly Pt tells the nurse of the recent deaths of a spouse & daughter in an
automobile accident. As the person sadly relates that she has no other family, only a few
acquaintances in the community, she says there is no hope. The nurse's priority is to gather
additional assessment data to determine which nursing diagnosis best directs care for this Pt? -
Answer✔risk for suicide related to hopelessness after recent deaths of significant others


The ED calls the nurse & states a suicidal client needs a bed on her unit. Hospital policy states
suicidal clients must have a room w/ locked windows. The only room w/ locked windows is
occupied by a post-op client who has been in pain all day & is a now finally sleeping. What is the
nurse's best action? - Answer✔move the post-op Pt & put the suicidal client in the room w/
locked windows


Randall is a 36 y/o male admitted to the hospital for symptoms of depression & passive suicidal
thoughts. He tells the nurse upon admission "I know I need to be here, and I'm so happy you

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are going to be my nurse while I'm here. You are such a good listener!" For the remainder of
the shift, Randall... - Answer✔set limits on interactions w/ this Pt & discuss his case w/ fellow
nurses & supervisors


A 20 y/o economics major became severely depressed after failing 2 exams in economics. She
cried for 2 hours, then called her parents who live in the neighboring state, planning to ask if
she could return home. However, her parents were in Europe. When her roommates went
home for the weekend, the Pt gave... - Answer✔giving away her favorite possessions


A Pt w/ a somatic symptom disorder has been started on relaxation & has identified how
negative assumptions make his symptoms worse. Currently, he believes his palpitations in his
chest are due to a heart attack. He has a high pulse rate. The nurse is teaching him cognitive
reframing. Which statement best shows the Pt understandings? - Answer✔a good explanation
of how I'm feeling might be the extra coffee & the stress I am under at work.


A 22y/o woman is seen in the outpatient mental health clinic complaining of frequent
nightmares, feelings of guilt, & poor concentration. During the intake assessment, the nurse
learns that the Pt was physically abused as a child. This Hx & symptoms are most related to: -
Answer✔PTSD


Which client is most at risk for development of PTSD? - Answer✔rescued client trapped under a
collapsed roof of a building
- the client actually experienced near death


The parent of an adolescent diagnosed w/ depression asks the nurse, "Why do you want to do a
family assessment? My teenager is the patient, not the rest of us." Select the nurse's best
response. - Answer✔every family member's perception of events is different and helps in
planning how to improve functioning of the family


Which statement about crisis theory will provide a basis of nursing interventions? - Answer✔a
crisis is an acute, time limited phenomenon experiences as an overwhelming emotional
reaction to a problem perceived as unsolvable




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