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Concept of Mental Health and Mental illness | Principles of Mental Health Nursing | Mock Test | Staff Nurse | Guides Academy
Concept of mental health and mental illness, Principles of mental health nursing.
Time: 15:00
Which statement best defines mental health according to the World Health Organization (WHO)?
[a] The complete absence of any psychological distress or conflict.
[b] A state of happiness and contentment that remains constant over time.
[c] A state of well-being where an individual realizes their own abilities, can cope with normal stresses, work productively, and contribute to their community.
[d] The ability to function in society without the need for medication or therapy.
The mental health-mental illness continuum illustrates that:
[a] An individual is either completely mentally healthy or completely mentally ill.
[b] An individual's state of mental well-being can shift over time depending on various factors.
[c] Mental illness is a permanent condition that cannot be improved.
[d] Mental health is achieved only after all signs of mental illness are eradicated.
Which phase of the therapeutic nurse-client relationship involves establishing trust, setting boundaries, and agreeing on a contract for care?
[a] Pre-interaction phase.
[b] Working phase.
[c] Termination phase.
[d] Orientation phase.
A client states, "I'm worthless and a failure." The nurse responds, "It sounds like you are feeling very discouraged right now." This response is an example of which therapeutic communication technique?
[a] Reflecting.
[b] Giving advice.
[c] Challenging.
[d] Giving false reassurance.
The negative stereotype and discrimination directed toward individuals with mental health conditions is known as:
[a] Anosognosia.
[b] Stigma.
[c] Resilience.
[d] Transference.
The legal and ethical principle of providing care in a setting that allows for the greatest degree of freedom consistent with the client's safety is called:
[a] Beneficence.
[b] Confidentiality.
[c] The least restrictive environment.
[d] Duty to warn.
What is the primary purpose of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)?
[a] To dictate specific nursing interventions for psychiatric clients.
[b] To provide a standardized set of diagnostic criteria for mental disorders.
[c] To explain the neurobiological causes of all mental illnesses.
[d] To list all approved psychotropic medications for treatment.
A client expresses intense anger toward the nurse during a session, stating, "You are just like my father, always controlling me!" The nurse recognizes this as an example of:
[a] Countertransference.
[d] Transference.
[b] Splitting.
[c] Empathy.
Which statement best distinguishes empathy from sympathy in a nursing context?
[a] Empathy is feeling sorry for the client, while sympathy is understanding their feelings.
[b] Sympathy is a therapeutic tool, while empathy is a barrier to communication.
[c] Empathy is the ability to perceive a client's feelings from their perspective, while sympathy is feeling pity for the client's situation.
[d] Empathy and sympathy are identical concepts used interchangeably in mental health nursing.
The ability to adapt and recover from adversity, stress, or trauma is referred to as:
[a] Apathy.
[b] Avoidance.
[c] Resilience.
[d] Denial.
A nurse says to a newly admitted, withdrawn client, "Tell me what was happening that led to you coming to the hospital." This is an example of which therapeutic technique?
[a] Giving reassurance.
[b] Requesting an explanation ("why" question).
[c] Using a broad opening.
[d] Disapproving.
The most intensive work of the nurse-client relationship, where problems are explored and coping skills are developed, occurs during the:
[a] Orientation phase.
[b] Pre-interaction phase.
[c] Working phase.
[d] Termination phase.
Genetic predisposition, neurotransmitter imbalance, and brain structure abnormalities are considered which type of factors influencing mental health?
[a] Sociocultural factors.
[b] Biological factors.
[c] Psychological factors.
[d] Spiritual factors.
Which of the following is an example of a non-therapeutic communication technique?
[a] "I'll sit with you for a while."
[b] "That must have been very difficult for you."
[c] "This feeling will pass. You shouldn't worry so much."
[c] "You shouldn't feel that way; things will get better."
When a mental health nurse speaks on behalf of a client to ensure their rights are protected and their needs are met, the nurse is acting as a(n):
[a] Milieu manager.
[b] Health teacher.
[c] Advocate.
[d] Counselor.
Which of the following is a common but harmful misconception about mental illness?
[a] Mental illness can affect anyone.
[b] People with mental illness are often violent and dangerous.
[c] Recovery from mental illness is possible.
[d] Mental illness is a treatable medical condition.
A client tells the nurse about a specific, credible plan to harm a family member after discharge. The nurse's priority action is to:
[a] Maintain strict confidentiality as promised to the client.
[b] Report the threat to the treatment team and follow the facility's "duty to warn" protocol.
[c] Call the family member directly without informing the treatment team.
[d] Advise the client that these thoughts are wrong and should be ignored.
A nurse finds herself becoming angry with a client who is non-compliant with their medication, as the client's behavior reminds the nurse of a difficult family member. This emotional reaction is known as:
[a] Countertransference.
[b] Transference.
[c] A professional boundary violation.
[d] A therapeutic alliance.
The primary goal of milieu therapy in an inpatient psychiatric setting is to:
[a] Ensure clients remain isolated to minimize conflict.
[b] Focus solely on medication management.
[c] Use the total environment to provide a safe space for clients to test new behaviors and social skills.
[d] Enforce a rigid structure with no client input.
In a mental status examination, what is the key difference between mood and affect?
[a] Mood is the client's pervasive emotional state, while affect is the observable expression of that emotion.
[b] Affect is the client's long-term emotional baseline, while mood is the temporary expression.
[c] Mood and affect are interchangeable terms for a client's feelings.
Which action by a mental health nurse constitutes a professional boundary violation?
[a] Shaking a client's hand at the beginning of a session.
[b] Documenting a client's progress in their chart.
[c] Accepting a friend request from a current client on a personal social media account.
[d] Encouraging a client to express their feelings about their treatment plan.
A nurse and client mutually agree on the goal of "attending at least two group therapy sessions this week." This occurs during which step of the nursing process?
[a] Assessment.
[b] Diagnosis.
[c] Planning.
[d] Evaluation.
Which of the following is considered a protective factor that can enhance mental health?
[a] A family history of substance abuse.
[b] Having a strong social support system.
[c] Experiencing chronic stress and poverty.
[d] A history of unresolved trauma.
A primary task for the nurse during the termination phase of the nurse-client relationship is to:
[a] Gather initial assessment data.
[b] Establish trust and a formal contract.
[c] Review the client's progress toward goals and process feelings about the relationship ending.
[d] Confront the client's maladaptive behaviors for the first time.
A client admitted involuntarily to a psychiatric unit retains the right to refuse psychotropic medication, unless:
[a] Their family gives consent for the medication.
[b] The nurse believes the medication would be highly effective.
[c] The client has been on the unit for more than 72 hours.
[d] A court determines they are incompetent to make decisions and they pose a danger to self or others.
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