NCLEX Questions (Mental Health Exam
1) Latest Update
The nurse introduces the matter of a contract during the first session because contracts:
a) specify what the nurse will do for the client
b) are indicative of the feeling tone established between the participants
c) are binding and prevent either party from prematurely ending the relationship
d) spell out the participation and responsibilities of both parties - CORRECT ANSWERS
-d) spell out the participation and responsibilities of both parties
The remark by a client that would indicate passage into the working phase of the nurse-
client relationship is
a) "I don't have any problems"
b) "it is so difficult for me to talk about problems"
c) "I don't know how talking about things twice a week can help"
d) "I think I would like to find a way to deal with my anger without blowing up" -
CORRECT ANSWERS -d) "I think I would like to find a way to deal with my anger
without blowing up"
The nurse attempts to explain to the family of a mentally ill client how the nurse-client
relationship differs from other interpersonal relationships. The best explanation is that:
a) the focus is on the client; problems are discussed by the nurse and client; and
solutions are implemented by the client
b) the focus shifts from nurse to client; advice is given by both parties; and solutions are
implemented by each
c) the focus is socialization; mutual needs are met; and feelings are shared
d) the focus is creation of a partnership in which each member is concerned with growth
and satisfaction of the other - CORRECT ANSWERS -a) the focus is on the client;
problems are discussed by the nurse and client; and solutions are implemented by the
client
The nurse wishes to demonstrate genuineness within the context of the nurse-client
relationship with his client who has been diagnosed with schizophrenia. The nurse will
need to:
a) use extensive self-revelation in client interactions
b) encourage the client to depend on him for support and reassurance
c) consistently make value judgements about client behaviors
d) be aware of his own feelings and use congruent communication strategies -
CORRECT ANSWERS -d) be aware of his own feelings and use congruent
communication strategies
, The nurse caring for a withdrawn, suspicious client finds himself feeling angry with the
client. The nurse should:
a) suppress the angry feelings
b) express the anger openly and directly
c) tell the nurse manager to assign the client to another nurse
d) discuss the anger with a clinician during a supervisory session - CORRECT
ANSWERS -d) discuss the anger with a clinician during a supervisory session
Which statement about mental illness is true?
a) mental illness is a matter of individual nonconformity with social norms
b) mental illness is present when individual irrational and illogical behavior occurs
c) mental illness changes with culture, time in history, political system, and group
defining it
d) mental illness is evaluated solely by considering individual control over behavior and
appraisal of reality - CORRECT ANSWERS -c) mental illness changes with culture, time
in history, political system, and group defining it
A nursing student new to psychiatric nursing asks a peer what resource he/she can use
to figure out which symptoms are part of the picture of a specific psychiatric disorder.
The best answer would be:
a) nursing intervention classifications
b) nursing interventions outcomes
c) NANDA nursing diagnosis
d) DSM-V - CORRECT ANSWERS -d) DSM-V
Why is it important for the nurse to be aware of the multiple factors that can influence an
individual's mental health?
a) rates of illness differ among various groups
b) the DSM-V cannot be used without the information
c) a holistic nursing assessment requires this awareness
d) the nurse must contribute this data for epidemiological research - CORRECT
ANSWERS -c) a holistic nursing assessment requires this awareness
Which statement best describes a major difference between a DSM-V diagnosis and a
nursing diagnosis?
a) there is no functional difference between the two. Both serve to identify a human
deviance
b) the DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture
into account
1) Latest Update
The nurse introduces the matter of a contract during the first session because contracts:
a) specify what the nurse will do for the client
b) are indicative of the feeling tone established between the participants
c) are binding and prevent either party from prematurely ending the relationship
d) spell out the participation and responsibilities of both parties - CORRECT ANSWERS
-d) spell out the participation and responsibilities of both parties
The remark by a client that would indicate passage into the working phase of the nurse-
client relationship is
a) "I don't have any problems"
b) "it is so difficult for me to talk about problems"
c) "I don't know how talking about things twice a week can help"
d) "I think I would like to find a way to deal with my anger without blowing up" -
CORRECT ANSWERS -d) "I think I would like to find a way to deal with my anger
without blowing up"
The nurse attempts to explain to the family of a mentally ill client how the nurse-client
relationship differs from other interpersonal relationships. The best explanation is that:
a) the focus is on the client; problems are discussed by the nurse and client; and
solutions are implemented by the client
b) the focus shifts from nurse to client; advice is given by both parties; and solutions are
implemented by each
c) the focus is socialization; mutual needs are met; and feelings are shared
d) the focus is creation of a partnership in which each member is concerned with growth
and satisfaction of the other - CORRECT ANSWERS -a) the focus is on the client;
problems are discussed by the nurse and client; and solutions are implemented by the
client
The nurse wishes to demonstrate genuineness within the context of the nurse-client
relationship with his client who has been diagnosed with schizophrenia. The nurse will
need to:
a) use extensive self-revelation in client interactions
b) encourage the client to depend on him for support and reassurance
c) consistently make value judgements about client behaviors
d) be aware of his own feelings and use congruent communication strategies -
CORRECT ANSWERS -d) be aware of his own feelings and use congruent
communication strategies
, The nurse caring for a withdrawn, suspicious client finds himself feeling angry with the
client. The nurse should:
a) suppress the angry feelings
b) express the anger openly and directly
c) tell the nurse manager to assign the client to another nurse
d) discuss the anger with a clinician during a supervisory session - CORRECT
ANSWERS -d) discuss the anger with a clinician during a supervisory session
Which statement about mental illness is true?
a) mental illness is a matter of individual nonconformity with social norms
b) mental illness is present when individual irrational and illogical behavior occurs
c) mental illness changes with culture, time in history, political system, and group
defining it
d) mental illness is evaluated solely by considering individual control over behavior and
appraisal of reality - CORRECT ANSWERS -c) mental illness changes with culture, time
in history, political system, and group defining it
A nursing student new to psychiatric nursing asks a peer what resource he/she can use
to figure out which symptoms are part of the picture of a specific psychiatric disorder.
The best answer would be:
a) nursing intervention classifications
b) nursing interventions outcomes
c) NANDA nursing diagnosis
d) DSM-V - CORRECT ANSWERS -d) DSM-V
Why is it important for the nurse to be aware of the multiple factors that can influence an
individual's mental health?
a) rates of illness differ among various groups
b) the DSM-V cannot be used without the information
c) a holistic nursing assessment requires this awareness
d) the nurse must contribute this data for epidemiological research - CORRECT
ANSWERS -c) a holistic nursing assessment requires this awareness
Which statement best describes a major difference between a DSM-V diagnosis and a
nursing diagnosis?
a) there is no functional difference between the two. Both serve to identify a human
deviance
b) the DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture
into account
