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Mental Health Exam 1 Review

Total questions: 50

Worksheet time: 25mins

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?

a)

Orientation

b)

Termination

c)

Working

d)

Resolution

4.

Transference occurs when:

a)

Nurse shares personal feelings

b)

Patient projects past feelings onto nurse

c)

Nurse avoids patient

d)

Patient refuses care

5.

Which communication technique is therapeutic?

a)

Giving advice

b)

Asking “Why?”

c)

Reflecting feelings

d)

False reassurance

6.

Which is 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 MSE?

a)

Client’s mood

b)

Outward emotional expression

c)

Thought content

d)

Speech pattern

8.

Excessive detail but eventual point is:

a)

Loose associations

b)

Circumstantial thinking

c)

Flight of ideas

d)

Word salad

9.

Which indicates impaired judgment?

a)

Acknowledging illness

b)

Planning to drive intoxicated

c)

Asking for help

d)

Seeking information

10.

Why is baseline critical in MSE?

a)

Diagnose illness

b)

Compare to textbook

c)

Identify changes

d)

Shorten assessment

11.

What distinguishes group therapy from therapeutic groups?

a)

Group size

b)

Use of psychotherapy frameworks

c)

Location

d)

Length

12.

Advantage of therapeutic groups?

a)

Guaranteed privacy

b)

Individual therapy time

c)

Peer learning

d)

No conflict

13.

Open group means

a)

Fixed members

b)

Ongoing with members joining/leaving

c)

Short-term

d)

Unstructured

14.

Which phase establishes trust

a)

Planning

b)

Orientation

c)

Working

d)

Termination

15.

Leadership style encouraging shared decisions

a)

Autocratic

b)

Democratic

c)

Laissez-faire

d)

Passive

16.

Aggressor role is which type

a)

Task

b)

Maintenance

c)

Individual

d)

Coordinator

17.

Best response to monopolizing member

a)

Confront harshly

b)

Ignore

c)

Set respectful limits

d)

Remove

18.

Crisis best defined as

a)

Chronic stress

b)

Temporary disequilibrium

c)

Mental illness

d)

Personality disorder

19.

Adventitious crisis involves

a)

Development

b)

Divorce

c)

Natural disaster

d)

Retirement

20.

Severe anxiety occurs in which phase

a)

Phase 1

b)

Phase 2

c)

Phase 3

d)

Phase 4

21.

Goal of crisis intervention

a)

Insight

b)

Long-term therapy

c)

Stabilization

d)

Diagnosis

22.

Involuntary commitment requires

a)

Refusal of meds

b)

Homelessness

c)

Danger to self/others

d)

Anxiety

23.

Marchman Act addresses

a)

Suicide

b)

Child abuse

c)

Substance abuse

d)

Domestic violence

24.

Which meds cause EPS risk

a)

SSRIs

b)

Benzodiazepines

c)

Antipsychotics

d)

MAOIs

25.

Anticholinergics treat

a)

Anxiety

b)

Depression

c)

EPS/TD

d)

Insomnia

26.

Professional boundaries best shown by:

a)

Sharing personal info

b)

Accepting gifts

c)

Defining roles early

d)

Extra time with one patient

27.

Countertransference is:

a)

Patient attachment

b)

Nurse projecting feelings

c)

Patient resistance

d)

Avoidance

28.

False reassurance example:

a)

“Tell me more”

b)

“Everything will be fine”

c)

“That’s hard”

d)

“I’m listening”

29.

Therapeutic silence:

a)

Avoids topics

b)

Ends talk

c)

Allows reflection

d)

Creates discomfort

30.

Insight refers to:

a)

Mood

b)

Judgment

c)

Awareness of illness

d)

Affect

31.

Educational groups focus on:

a)

Support

b)

Tasks

c)

Teaching skills

d)

Psychotherapy

32.

Conflict usually arises during:

a)

Planning

b)

Orientation

c)

Working

d)

Termination

33.

Nurse’s role as group leader:

a)

Control

b)

Psychotherapy

c)

Facilitate process

d)

Eliminate conflict

34.

Maintenance role example:

a)

Coordinator

b)

Encourager

c)

Aggressor

d)

Dominator

35.

Laissez-faire leadership:

a)

High control

b)

Shared control

c)

Minimal direction

d)

Strict rules

36.

Priority crisis assessment:

a)

Diagnosis

b)

Coping/supports

c)

History

d)

Family wishes

37.

Voluntary patient requesting release:

a)

Leaves immediately

b)

Loses rights

c)

Evaluated in 24 hours

d)

Detained indefinitely

38.

Least restrictive intervention:

a)

Restraints

b)

Seclusion

c)

Verbal de-escalation

d)

Chemical sedation

39.

Restraint order timing:

a)

Before application

b)

Within 1 hour

c)

At discharge

d)

If injured

40.

Confidentiality exception:

a)

Family request

b)

Med refusal

c)

Duty to warn

d)

Privacy request

41.

Benzodiazepines work by:

a)

Blocking dopamine

b)

Increasing serotonin

c)

Enhancing GABA

d)

Reducing acetylcholine

42.

Long-term benzo risk:

a)

Hypertension

b)

Dependence

c)

Psychosis

d)

Parkinsonism

43.

Lithium treats:

a)

Schizophrenia

b)

Depression

c)

Bipolar disorder

d)

Anxiety

44.

Behavioral therapy assumes:

a)

Insight required

b)

Thoughts drive behavior

c)

Behavior changes without insight

d)

Emotions control actions

45.

CBT focuses on:

a)

Unconscious conflict

b)

Behavior only

c)

Thought modification

d)

Family systems

46.

Maslow's highest need:

a)

Safety

b)

Esteem

c)

Physiological

d)

Self-actualization

47.

Milieu therapy emphasizes:

a)

Medication

b)

Insight

c)

Environment

d)

Counseling

48.

Which professional leads CBT groups?

a)

RN

b)

LPN

c)

APRN

d)

Tech

49.

Which role keeps group focused?

a)

Aggressor

b)

Encourager

c)

Coordinator

d)

Playboy

50.

Termination phase focuses on:

a)

Trust building

b)

Problem ID

c)

Independence

d)

Conflict

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