NUR 190 Mental Health Nursing

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Free NUR 190 Mental Health Nursing Questions

1.

A nurse asks an assigned client diagnosed with a Tic disorder, “How are you doing today?” The client responds with, “Doing today, doing today, doing today.” Which of the following speech pattern disturbances is this an example of?

  • Echolalia

  • Selective mutism

  • Stereotypic movement disorder

  • Reactive attachment disorder

Explanation

The Correct Answer is:

A. Echolalia

Detailed Explanation:

Echolalia is a speech disturbance characterized by the involuntary repetition of words or phrases spoken by another person. It is commonly observed in clients with tic disorders, autism spectrum disorders, or schizophrenia. In this case, the client repeats the nurse’s words (“doing today”) multiple times, demonstrating automatic repetition rather than purposeful communication. This behavior reflects a neurological or developmental speech pattern disturbance rather than a conscious choice.


2.

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 ________ will be initiated.

  • Mood

  • Self-efficacy

  • Resilience

  • Abstract thinking

Explanation

The Correct Answer is:

A. Mood

Detailed Explanation:

In a hyperactive and distractible child, the healthcare provider would first evaluate or initiate a trial on mood to determine whether the behaviors are related to a mood disorder such as bipolar disorder or attention-deficit/hyperactivity disorder (ADHD) with emotional dysregulation. Assessing mood helps differentiate between behavioral and emotional causes of hyperactivity. Abstract thinking, resilience, and self-efficacy are developmental or psychological traits—not primary clinical focus areas in early behavioral assessment.


3.

A nurse’s ideas about what is right, worthwhile, or important in life are best described as:

  • Values

  • Attitude

  • Beliefs

  • 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.


4.

A client with schizophrenia tells the nurse, “The people on the news are sending me secret messages through the television.” The nurse recognizes this as which type of thought disturbance?

  • Ideas of reference

  • Circumstantial thinking

  • Delusion

  • Thought blocking

Explanation

The Correct Answer is:

A. Ideas of reference

Detailed Explanation:

Ideas of reference occur when a person misinterprets external events or messages as having personal meaning. In this case, the client believes that the television is communicating directly with him, which reflects a disturbance in perception and thought. It is a common symptom in psychotic disorders such as schizophrenia. This differs from a delusion, which is a fixed false belief not based in reality, or thought blocking, which involves sudden interruption in the flow of thought.


5.

A client with histrionic personality disorder frequently seeks attention by exaggerating emotional responses and displaying dramatic behavior. Which nursing intervention is most appropriate for this client?

  • Assist the client to eliminate passive behavior

  • Set limits on attention-seeking behavior

  • Accept the client’s behavior

  • Try to meet the client’s needs for attention

Explanation

The Correct Answer is:

B. Set limits on attention-seeking behavior

Detailed Explanation:

Clients with histrionic personality disorder often display excessive emotionality and attention-seeking behaviors. The nurse’s role is to set clear, consistent limits while maintaining a supportive but professional relationship. This approach prevents reinforcement of manipulative or dramatic behavior and encourages more appropriate ways of gaining attention. Accepting or catering to such behaviors reinforces dependency, while focusing on eliminating “passive behavior” misses the core issue—managing attention-seeking patterns.


6.

A nurse is caring for a client with Alzheimer’s disease who is unable to recognize familiar objects such as a toothbrush or a spoon, despite having normal sensory function. The nurse identifies this finding as which of the following?

  • Delirium

  • Apraxia

  • Agnosia

  • Aphasia

Explanation

The Correct Answer is:

C. Agnosia

Detailed Explanation:

Agnosia is the inability to recognize familiar objects, people, or sounds despite intact sensory abilities. It results from brain damage, often seen in neurocognitive disorders such as Alzheimer’s disease. The client perceives the object but cannot identify or name it. Apraxia involves difficulty performing purposeful movements, aphasia is impairment in language or speech, and delirium is an acute, reversible state of confusion.


7.

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?

  • Childhood depressive disorder

  • Oppositional disorder

  • Intermittent explosive disorder

  • 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.


8.

A nursing practitioner who has a student assigned to her unit today notices that the nursing student appears to cooperate with the group but repeatedly fails to complete agreed-upon tasks related to client care. Which nursing diagnosis best describes this behavior?

  • Ineffective coping

  • Disturbed personal identity

  • Risk for self-mutilation

  • Social isolation

Explanation

The Correct Answer is:

A. Ineffective coping

Detailed Explanation:

Ineffective coping is demonstrated when an individual uses maladaptive or indirect behaviors to handle stress, frustration, or responsibility. In this scenario, the nursing student’s passive resistance, procrastination, and negativity suggest difficulty managing internal conflict or external expectations appropriately. This behavior indicates underlying stress or anxiety being expressed through indirect actions. The other diagnoses are unrelated—disturbed personal identity involves confusion about self-concept, risk for self-mutilation relates to self-harming behavior, and social isolation refers to withdrawal from others.


9.

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?

  • Cognitive impairment

  • Weight gain

  • Growth suppression

  • 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.


10.

What kind of question is an example of an open-ended one?

  • Have you lost weight recently

  • What is your address

  • Who is the president of the US

  • 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.


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