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Mental Health Exam 1 Game Review Modules 1–5

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

What is the primary goal of a therapeutic nurse–patient relationship?

a)

Establish friendship

b)

Promote patient growth and insight

c)

Provide advice

d)

Reduce nurse workload

2.

Which feature differentiates a therapeutic relationship from a social relationship?

a)

Mutual self-disclosure

b)

Time-limited with professional boundaries

c)

Equal power

d)

Focus on nurse needs

3.

According to Peplau, which phase focuses on problem identification and coping skill development?

a)

Orientation

b)

Termination

c)

Working

d)

Resolution

4.

Transference occurs when:

a)

The nurse shares personal feelings

b)

The patient projects past feelings onto the nurse

c)

The nurse avoids the patient

d)

The patient refuses care

5.

Which communication technique is therapeutic?

a)

Giving advice

b)

Asking “Why?”

c)

Reflecting feelings

d)

False reassurance

6.

Which is considered a non-therapeutic communication pitfall?

a)

Silence

b)

Active listening

c)

Giving approval or disapproval

d)

Open-ended questions

7.

What does “affect” describe in the Mental Status Exam?

a)

Client’s reported mood

b)

Outward emotional expression

c)

Thought content

d)

Speech pattern

8.

A thought process with excessive detail but eventual point is:

a)

Loose associations

b)

Circumstantial thinking

c)

Flight of ideas

d)

Word salad

9.

Which finding demonstrates impaired judgment?

a)

Acknowledging illness

b)

Planning to drive while intoxicated

c)

Asking for help

d)

Seeking information

10.

Why is knowing a patient’s baseline critical during an MSE?

a)

Diagnose mental illness

b)

Compare to textbook norms

c)

Identify individual changes

d)

Shorten assessment time

11.

What distinguishes group therapy from therapeutic groups?

a)

Group size

b)

Use of psychotherapy frameworks

c)

Location

d)

Length of meetings

12.

An advantage of therapeutic groups is:

a)

Guaranteed privacy

b)

Individualized therapy time

c)

Learning from peer experiences

d)

Elimination of conflict

13.

An open group is:

a)

Fixed membership

b)

Ongoing with members joining or leaving

c)

Short-term only

d)

Unstructured

14.

Which group phase establishes trust?

a)

Planning

b)

Orientation

c)

Working

d)

Termination

15.

Which leadership style promotes shared decision-making?

a)

Autocratic

b)

Democratic

c)

Laissez-faire

d)

Passive

16.

A disruptive group member role is:

a)

Task

b)

Maintenance

c)

Individual (aggressor)

d)

Coordinator

17.

Best response to monopolizing behavior:

a)

Confront harshly

b)

Ignore

c)

Set respectful limits

d)

Remove from group

18.

A crisis is best defined as:

a)

Chronic stress

b)

Temporary disequilibrium from failed coping

c)

Mental illness

d)

Personality disorder

19.

Unexpected external crisis events are:

a)

Maturational

b)

Situational

c)

Adventitious

d)

Developmental

20.

Severe anxiety occurs in which crisis phase?

a)

Phase 1

b)

Phase 2

c)

Phase 3

d)

Phase 4

21.

Primary goal of crisis intervention:

a)

Insight

b)

Long-term therapy

c)

Stabilization and safety

d)

Diagnosis

22.

Involuntary commitment is appropriate when a patient:

a)

Refuses meds

b)

Is homeless

c)

Is a danger to self or others

d)

Has anxiety

23.

The Marchman Act addresses:

a)

Suicide prevention

b)

Child abuse

c)

Substance abuse commitment

d)

Domestic violence

24.

Which meds require monitoring for abnormal movements?

a)

SSRIs

b)

Benzodiazepines

25.

Anticholinergics treat:

a)

Anxiety

b)

Depression

c)

EPS and tardive dyskinesia

d)

Insomnia

26.

Which theory emphasizes nurse–patient interaction?

a)

Psychoanalytic

b)

Behavioral

c)

Interpersonal

d)

Cognitive

27.

How many phases are in Peplau’s model?

a)

Three

b)

Four

c)

Five

d)

Six

28.

CBT focuses on:

a)

Unconscious conflict

b)

Behavior only

c)

Identifying/modifying negative thoughts

d)

Family roles

29.

Maslow’s first priority:

a)

Esteem

b)

Safety

c)

Self-actualization

d)

Physiological

30.

Milieu therapy emphasizes:

a)

Medication

b)

Insight

c)

Therapeutic environment

d)

Individual counseling