NUR 190 Mental Health Nursing
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Free NUR 190 Mental Health Nursing Questions
Which of the following is an example of a closed-ended question?
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Have you had any health problems recently
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How is your relationship with your wife
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Where are you employed
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How have you been lately
Explanation
The Correct Answer is:
C. Where are you employed
Detailed Explanation:
A closed-ended question can be answered with a single word or short factual response, limiting further discussion. “Where are you employed” requires only a brief, specific answer—such as the name of a workplace—without inviting elaboration. In contrast, open-ended questions like “How have you been lately?” or “How is your relationship with your wife?” encourage clients to express thoughts and feelings, providing more insight into their emotional and psychological state.
What kind of question is an example of an open-ended one?
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Have you lost weight recently
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What is your address
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Who is the president of the US
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What concerns you most about your health
Explanation
The Correct Answer is:
D. What concerns you most about your health
Detailed Explanation:
An open-ended question invites the client to elaborate and share more about their thoughts, feelings, or experiences. “What concerns you most about your health” encourages discussion and allows the nurse to gather comprehensive information about the client’s perspective and priorities. The other options are closed-ended questions, which can be answered briefly with specific facts or “yes” or “no” responses, providing limited insight into the client’s overall condition or concerns.
A decrease in which neurotransmitter is most commonly associated with symptoms of Parkinson’s disease such as tremors, rigidity, and bradykinesia?
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Norepinephrine
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Epinephrine
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Dopamine
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GABA
Explanation
The Correct Answer is:
C. Dopamine
Detailed Explanation:
Dopamine is a key neurotransmitter responsible for regulating movement, coordination, and emotional responses. In Parkinson’s disease, dopamine-producing neurons in the substantia nigra degenerate, leading to motor symptoms like tremors, muscle rigidity, and slow movement. Restoring dopamine balance through medications such as levodopa-carbidopa helps relieve these symptoms. Norepinephrine and epinephrine are involved in the body’s stress response, while GABA is an inhibitory neurotransmitter that promotes relaxation and reduces anxiety.
A young woman has stopped attending classes and withdrawn from friends and family, spending most of her time in her room without speaking to anyone. Which of the following is the highest priority for this client?
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Obtaining more data about her college experiences
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Assessing fluid intake and outpu
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Completing an assessment of mental status
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Providing for adequate rest
Explanation
The Correct Answer is:
C. Completing an assessment of mental status
Detailed Explanation:
The highest priority for a client showing signs of social withdrawal, isolation, and possible depression is to complete a thorough mental status assessment. This helps determine the client’s level of functioning, mood, thought processes, and risk for self-harm or suicidal ideation. Understanding the client’s mental state ensures appropriate interventions and safety measures are implemented. While rest, nutrition, and history are important, mental status evaluation directly addresses potential psychiatric risk.
For which is a hyperactive, distractible child who was removed from preschool and referred to the mental health clinic. J's healthcare provider mentions to the nurse that a trial on because she does not listen to him
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Rationalization
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Reaction formation
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Projection
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Regression
Explanation
The Correct Answer is:
D. Regression
Detailed Explanation:
Regression is a defense mechanism in which a person reverts to behaviors typical of an earlier developmental stage when faced with stress or conflict. A hyperactive, distractible child who is struggling emotionally may show regressive behaviors such as acting out or refusing to listen. This behavior reflects difficulty coping with expectations or frustration rather than intentional disobedience.
The nurse knows child abuse is defined as: (Select all that apply)
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Physical abuse or injuries
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Abandonment
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Neglect or failure to prevent from harm
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Sexual assault
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Overt torture or maiming
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Nurturing and loving
Explanation
The Correct Answer is:
A, B, C, D, E
A. Physical abuse or injuries
Explanation: Physical abuse involves the intentional infliction of bodily harm on a child. This includes actions such as hitting, kicking, burning, or any physical act that results in injury or pain. Visible marks, bruises, or fractures may indicate physical abuse.
B. Abandonment
Explanation: Abandonment occurs when a parent or caregiver deserts or fails to provide supervision or basic needs for the child. Leaving a child without appropriate care or support constitutes a form of abuse because it endangers the child’s safety and well-being.
C. Neglect or failure to prevent from harm
Explanation: Neglect is the most common form of child abuse and involves failure to provide food, shelter, medical care, education, or protection from harm. It can be physical, emotional, or educational neglect, all of which impair a child’s healthy development.
D. Sexual assault
Explanation: Sexual abuse includes any sexual contact or exploitation of a child, such as fondling, intercourse, or exposure to inappropriate sexual acts. It is a serious criminal offense and can cause long-term emotional and psychological trauma.
E. Overt torture or maiming
Explanation: Overt torture or maiming refers to extreme physical abuse that intentionally inflicts severe pain or permanent injury. It demonstrates deliberate cruelty and is considered one of the most severe forms of child abuse.
Which of the following statements about the biological factors contributing to mental illness is most accurate?
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Several mental disorders may be linked to genetic and nongenetic factors
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There is no evidence that the immune system is related to mental illness
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Viral infections have been proven to be the cause of schizophrenia
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Genetics and heredity can explain all causes of mental illness
Explanation
The Correct Answer is:
A. Several mental disorders may be linked to genetic and nongenetic factors
Detailed Explanation:
Mental illness results from a complex interaction of genetic, biological, and environmental influences. While heredity may increase vulnerability, factors such as stress, infections, trauma, or chemical imbalances also play important roles. Disorders like schizophrenia, depression, and bipolar disorder often show both genetic and environmental links. Therefore, it is inaccurate to attribute mental illness solely to genetics or to claim a single proven cause such as viral infection.
A client alternates between praising one nurse as “the best” and criticizing another as “completely incompetent,” showing extreme shifts in perception. The nurse recognizes this behavior as an example of which defense mechanism?
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Splitting
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Denial
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Passive aggression
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Altruism
Explanation
The Correct Answer is:
A. Splitting
Detailed Explanation:
Splitting is a defense mechanism commonly seen in borderline personality disorder, where individuals view others or themselves as entirely good or entirely bad—with no middle ground. It reflects difficulty integrating positive and negative aspects of others. This leads to unstable relationships, rapid shifts in emotion, and idealization followed by devaluation, depending on the person’s current feelings or perceived interactions.
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.
A nurse is assessing a client with schizophrenia who speaks in a jumble of words and phrases that have no logical connection or meaning. The nurse recognizes this speech pattern as which of the following?
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Loose associations
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Word salad
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Tangential thinking
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Flight of ideas
Explanation
The Correct Answer is:
B. Word salad
Detailed Explanation:
Word salad refers to a disorganized, incoherent mixture of words and phrases that lack logical connection or meaning. It is a severe form of disordered thinking often seen in clients with schizophrenia. This speech disturbance reflects a breakdown in thought organization, making communication nearly impossible to follow. In contrast, loose associations involve illogical connections between ideas, tangential thinking means never reaching the point, and flight of ideas is rapid shifting from topic to topic.
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