NUR 190 Mental Health Nursing
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Free NUR 190 Mental Health Nursing Questions
A nurse’s ideas about what is right, worthwhile, or important in life are best described as:
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Values
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Attitude
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Beliefs
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Personal philosophy
Explanation
The Correct Answer is:
A. Values
Detailed Explanation:
Values are deeply held principles or standards that guide a person’s behavior, decisions, and interactions. They reflect what an individual considers morally right, meaningful, or important—such as honesty, compassion, or respect. In nursing, understanding one’s own values helps maintain professionalism and ethical care. Attitudes are feelings or opinions about something, while beliefs are convictions accepted as true. A personal philosophy is the broader framework shaped by one’s values and beliefs.
After being arrested for prostitution, an adolescent client has been referred to a mental health clinic by a juvenile officer. The client has a history of truancy and being physically abusive to siblings. From the history gathered during assessment, the nurse might anticipate which diagnosis?
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Childhood depressive disorder
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Oppositional disorder
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Intermittent explosive disorder
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Conduct disorder
Explanation
The Correct Answer is:
D. Conduct disorder
Detailed Explanation:
Conduct disorder is characterized by a repetitive and persistent pattern of behavior that violates societal norms or the rights of others. Common symptoms include truancy, aggression, theft, destruction of property, lying, and sexual promiscuity. The client’s involvement in prostitution, physical aggression toward siblings, and chronic rule-breaking behavior are hallmark signs of this disorder.
Oppositional disorder involves defiance and argumentativeness without serious violations of others’ rights, while intermittent explosive disorder features isolated episodes of uncontrolled aggression rather than a consistent pattern.
A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:
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"If you refuse these pills, you'll have to get an injection."
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"I can see that you are uncomfortable now, so we can wait until tomorrow."
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"What is it about the medicine that you don't like?"
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"You know you have to take this medicine for your own good."
Explanation
The Correct Answer is:
C. "What is it about the medicine that you don't like?"
Detailed Explanation:
The most therapeutic approach is to explore the client’s concerns to understand the reason for the refusal. Clients with schizophrenia may fear side effects, feel paranoid, or misunderstand the medication’s purpose. By asking, “What is it about the medicine that you don’t like?” the nurse uses therapeutic communication to build trust, encourage expression, and identify barriers to adherence. The other options are nontherapeutic because they either threaten, dismiss, or coerce the client, which damages rapport and increases resistance.
A nurse is caring for clients in a behavioral health unit. Which approach is most therapeutic when managing clients who display manipulative or attention-seeking behaviors?
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Overlooking inappropriate behaviors to avoid providing secondary gains
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Being firm, consistent, and empathic while addressing specific client behaviors
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Using authoritative leadership to help clients learn to conform to society norms
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Promoting client self-expression by implementing laissez-faire leadership
Explanation
The Correct Answer is:
B. Being firm, consistent, and empathic while addressing specific client behaviors
Detailed Explanation:
The most therapeutic approach for managing manipulative or attention-seeking clients is to remain firm, consistent, and empathetic while setting clear behavioral expectations. This establishes boundaries and accountability while maintaining respect and therapeutic rapport. Inconsistent or overly authoritarian approaches can escalate conflict, and ignoring behaviors reinforces manipulation. Empathy with structure helps clients develop trust and self-control within a safe environment.
Hospitals established by Dorothea Dix were designed to provide which of the following?
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Public safety
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Confinement
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Therapeutic milieu
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Asylum
Explanation
The Correct Answer is:
C. Therapeutic milieu
Detailed Explanation:
Dorothea Dix was a pioneering advocate for humane treatment of the mentally ill in the 19th century. Her efforts led to the creation of state mental hospitals aimed at providing a therapeutic milieu—a structured, compassionate environment promoting dignity, rest, and recovery rather than punishment or confinement. These institutions focused on moral treatment and rehabilitation, marking a major shift from earlier practices of isolating individuals with mental illness in prisons or poorhouses.
When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?
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You will have gradual improvement in symptoms over the next few weeks, but the changes may be subtle that you may not notice them for a while. It is important for you to keep taking the medication.
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If you believe it will work, then it will.
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It will probably take months for the medication to work. In the meantime, you should work on your attitude
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This is a good medication; it will be effective within 20 minutes of the first dose.
Explanation
The Correct Answer is:
A. You will have gradual improvement in symptoms over the next few weeks, but the changes may be subtle that you may not notice them for a while. It is important for you to keep taking the medication.
Detailed Explanation:
Selective serotonin reuptake inhibitors (SSRIs) typically require 2 to 4 weeks before therapeutic effects are noticeable. This response sets realistic expectations and encourages adherence despite delayed results. It also provides reassurance while emphasizing the importance of continuing the medication consistently. The other responses are nontherapeutic—either dismissive, inaccurate, or misleading about the medication’s onset of action.
The nurse says to a client, "Tell me about your accident." This is an example of which therapeutic communication technique?
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Making observations
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General lead
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Offering self
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Reflection
Explanation
The Correct Answer is:
B. General lead
Detailed Explanation:
A general lead is a therapeutic communication technique that encourages the client to begin or continue sharing thoughts, feelings, or experiences. By saying, “Tell me about your accident,” the nurse invites the client to elaborate in an open and supportive way without directing the conversation. This technique promotes trust and helps the nurse gather meaningful information for assessment and emotional support.
A nurse caring for several clients notices that two of them are having a heated argument. Both clients are impulsive but have learned to refrain from hitting each other. The nurse understands this type of behavior is an example of which human response?
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Behavior modification
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Desensitization
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Operant conditioning
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Negative behavior
Explanation
The Correct Answer is:
C. Operant conditioning
Detailed Explanation:
Refraining from hitting despite strong impulses reflects learned behavior shaped by consequences (rewards for self-control, limits, or sanctions for aggression). That learning process is operant conditioning—behavior increases or decreases based on reinforcement or punishment. While behavior modification uses these principles as a treatment approach, the underlying human response shown here is the operant conditioning that led to inhibiting aggression during conflict.
Client: "I was so upset about my sister ignoring my pain when I broke my leg."
Nurse: "When are you going to your next diabetes education program?"
This is a nontherapeutic response because the nurse has
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Used testing to evaluate the client's insight
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Advised the client what to do
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Changed the topic
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Exhibited an egocentric focus
Explanation
The Correct Answer is:
C. Changed the topic
Detailed Explanation:
By abruptly shifting the conversation from the client’s emotional statement about her sister to an unrelated topic, the nurse has changed the subject, which blocks communication and invalidates the client’s feelings. This nontherapeutic technique prevents the client from exploring important emotions or concerns. Therapeutic communication would involve acknowledging the client’s feelings and encouraging expression, such as responding with, “It sounds like you felt hurt when your sister didn’t respond to your pain.”
A nurse is monitoring a child who has recently started taking stimulant medication for Attention-Deficit/Hyperactivity Disorder (ADHD). Which potential side effect should the nurse closely assess for during follow-up visits?
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Cognitive impairment
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Weight gain
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Growth suppression
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Drowsiness
Explanation
The Correct Answer is:
C. Growth suppression
Detailed Explanation:
Stimulant medications, such as methylphenidate or amphetamine-based drugs, may cause appetite suppression, leading to decreased calorie intake and, over time, growth suppression in children. The nurse should regularly monitor height, weight, and nutritional intake to detect early signs of slowed growth. Encouraging high-calorie meals and snacks outside medication peak times can help minimize this effect. The other options are not common adverse effects of stimulant therapy.
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