All Free Mental Health Nursing MCQs with Answers

Every Mental Health Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.

320 questions · page 2 of 16

  • A. Ask the child to describe feelings through play or drawing
  • B. Require the child to answer every question without help
  • C. Focus only on physical symptoms reported by the parents
  • D. Avoid discussing frightening experiences during assessment

Explanation: Play and drawing can help a child communicate thoughts and feelings in an age-appropriate way.

Correct answer: Ask the child to describe feelings through play or drawing
Fairly easy
  • A. Provide a clear explanation and visual preparation for the change
  • B. Use loud verbal instructions to gain the child's attention
  • C. Remove all familiar objects from the child's environment
  • D. Change activities frequently to improve adaptability

Explanation: Children with autism often benefit from predictable routines, simple explanations, and visual schedules.

Correct answer: Provide a clear explanation and visual preparation for the change
Fairly easy
  • A. Break tasks into short steps with brief planned breaks
  • B. Allow the child to choose any time and place for work
  • C. Give several instructions at the same time to save time
  • D. Remove all recreational activities until homework is complete

Explanation: Short tasks, one instruction at a time, and planned breaks improve attention and task completion.

Correct answer: Break tasks into short steps with brief planned breaks
Moderate
  • A. Practise slow breathing and identify the feeling without judgment
  • B. Tell the child to stop thinking about the frightening situation
  • C. Advise the child to avoid all activities that cause nervousness
  • D. Explain that strong feelings should be kept private from adults

Explanation: Slow breathing and naming emotions can reduce physiological arousal and build coping skills.

Correct answer: Practise slow breathing and identify the feeling without judgment
Fairly easy
  • A. Reduce noise and maintain a consistent evening routine
  • B. Keep the patient awake all night to prevent daytime sleep
  • C. Move the patient to a different room each evening
  • D. Use physical restraints whenever agitation begins

Explanation: A calm environment, adequate lighting, and a consistent routine may reduce late-day confusion and agitation.

Correct answer: Reduce noise and maintain a consistent evening routine
  • A. The patient reports memory difficulty and gives up during testing
  • B. The patient gradually loses orientation over several years
  • C. The patient has impaired recognition of familiar family members
  • D. The patient shows progressive difficulty managing personal care

Explanation: A person with depression may report memory problems and make little effort during testing, sometimes called depressive pseudodementia.

Correct answer: The patient reports memory difficulty and gives up during testing
  • A. Assess airway, breathing, circulation, and immediate safety risks
  • B. Ask the patient to explain the reason for leaving the bed
  • C. Place the patient in a dark room to reduce stimulation
  • D. Administer a sedative before completing any assessment

Explanation: Delirium is an acute medical emergency, so the nurse first assesses physiological stability and protects the patient from immediate harm.

Correct answer: Assess airway, breathing, circulation, and immediate safety risks
  • A. Assess decision-making ability for the specific choice being made
  • B. Assume the patient lacks capacity for every decision
  • C. Allow the family to make all decisions without patient input
  • D. Withhold information because the patient may become confused

Explanation: Decision-making capacity is assessed for a particular decision and may vary with its complexity and the patient's condition.

Correct answer: Assess decision-making ability for the specific choice being made
Easy
  • A. Have you had thoughts of harming yourself or ending your life?
  • B. Do you think your family understands your medical problems?
  • C. Are you satisfied with the activities available on the ward?
  • D. Have you felt tired since your appetite became poor?

Explanation: A direct, clear question about self-harm or suicide is necessary to identify immediate risk and does not create suicidal thoughts.

Correct answer: Have you had thoughts of harming yourself or ending your life?
  • A. Use short sentences, allow extra time, and confirm the meaning
  • B. Correct every incorrect word before continuing the conversation
  • C. Speak to the family member instead of addressing the patient
  • D. Raise the voice and repeat the same sentence rapidly

Explanation: Short statements, patience, and checking understanding support communication while preserving dignity.

Correct answer: Use short sentences, allow extra time, and confirm the meaning
Moderate
  • A. Symptoms occur only during mathematics lessons
  • B. Symptoms occur in more than one setting
  • C. Symptoms began after a recent family move
  • D. Symptoms occur only when the child is tired

Explanation: ADHD symptoms should be persistent and present in more than one setting, such as home and school.

Correct answer: Symptoms occur in more than one setting
  • A. Expose the child to noise until the reaction stops
  • B. Reduce unnecessary noise and provide a quiet area
  • C. Ask the parents to leave during noisy procedures
  • D. Use louder speech so the child follows instructions

Explanation: Many children with autism have sensory sensitivities, so reducing noise and offering a quiet space can prevent distress.

Correct answer: Reduce unnecessary noise and provide a quiet area
Moderate
  • A. The child's preferred television programmes
  • B. The child's thoughts about self-harm or death
  • C. The child's usual number of daily snacks
  • D. The child's favourite school subject

Explanation: Persistent depressive symptoms and functional decline require direct assessment of suicidal thoughts, plans, and access to means.

Correct answer: The child's thoughts about self-harm or death
  • A. Use complex explanations to test understanding
  • B. Speak at eye level using simple concrete words
  • C. Ask the parent to answer every question
  • D. Promise that no procedure will cause discomfort

Explanation: Simple, concrete language at the child's eye level supports understanding and trust.

Correct answer: Speak at eye level using simple concrete words
  • A. A gradual decline in memory over two years
  • B. Stable difficulty recalling familiar information
  • C. Acute onset with fluctuating awareness
  • D. Progressive loss of language over many months

Explanation: Delirium usually develops rapidly and fluctuates, with impaired attention and awareness.

Correct answer: Acute onset with fluctuating awareness
Moderate
  • A. Choose all clothing without asking the patient
  • B. Offer two simple choices and allow time to decide
  • C. Ask several family members to make the decision
  • D. Explain that the patient can no longer make choices

Explanation: Offering limited, clear choices supports autonomy while reducing cognitive demand.

Correct answer: Offer two simple choices and allow time to decide
Hard
  • A. Document the change as expected dementia
  • B. Assess airway, breathing, circulation, and level of consciousness
  • C. Encourage the patient to sleep without further assessment
  • D. Begin memory-training activities immediately

Explanation: Sudden altered consciousness after a medicine may indicate delirium or excessive sedation and requires an immediate safety and ABC…

Correct answer: Assess airway, breathing, circulation, and level of consciousness
  • A. Normal aging commonly causes loss of personal identity
  • B. Normal aging may slow recall but preserves daily functioning
  • C. Normal aging causes frequent disorientation to familiar places
  • D. Normal aging prevents learning any new information

Explanation: Older adults may take longer to recall information, but orientation, identity, and usual daily function are generally preserved.

Correct answer: Normal aging may slow recall but preserves daily functioning
Moderate
  • A. The patient's preferred room temperature
  • B. Weight, nutrition, medicines, and physical health
  • C. The patient's favourite type of exercise
  • D. The number of visitors during the week

Explanation: Late-life depression may occur with medical illness, poor nutrition, and medicine effects, so these factors should be assessed together.

Correct answer: Weight, nutrition, medicines, and physical health
  • A. Leave the patient alone to promote privacy
  • B. Ask the patient to promise not to act
  • C. Remain with the patient and initiate urgent safety measures
  • D. Suggest that the patient discuss the plan at the next appointment

Explanation: A specific plan, time, and access to means indicate immediate suicide risk, so the nurse must stay with the patient and obtain urgent…

Correct answer: Remain with the patient and initiate urgent safety measures