Mental Health CMS Practice Test

These questions are part of the practice quiz. Start practicing

• What are the components of a well-structured case formulation?
• Which CPT code is used for group psychotherapy?
• Which statement about trauma-informed care is true?
• A nurse is monitoring a client who is receiving haloperidol. Which finding is the priority to report to the provider?
• How should you document informed consent for treatment with a minor?
• On an inpatient unit, a client with bipolar disorder behaves disruptively. Which action should the nurse take?
• Which laboratory finding requires urgent notification when caring for a client with anorexia nervosa?
• Which symptom is an urgent extrapyramidal symptom that warrants immediate assessment for a patient on haloperidol?
• What are the DSM-5 criteria for Generalized Anxiety Disorder?
• What is informed consent in psychotherapy?
• Which statement best describes dependent personality disorder?
• A nurse is caring for a male client who is to begin therapy with valproic acid. Which diagnostic result should the nurse plan to review before administering the first dose?
• For a new client, which question best assesses psychosocial status?
• How do you approach treatment for children and adolescents with mental health concerns?
• In crisis management, which action should be prioritized?
• On a mental health unit, which client should the nurse attend to first?
• What is the purpose of clinical supervision in mental health practice?
• A nurse is monitoring a client with major depressive disorder who is taking amitriptyline. Which finding is an adverse effect of this medication?
• Which statement about monitoring for antidepressants is accurate?
• What is the difference between confidentiality and privileged communications in mental health practice?
• What does risk management entail in mental health practice?
• What documentation is essential to demonstrate informed consent and an ongoing treatment plan under CMS guidelines?
• Which risk assessment tools are commonly used in crisis settings to gauge suicide risk?
• What is the role of crisis hotlines in mental health work?
• Which strategy should the nurse suggest to prevent nighttime wandering in a client who has Alzheimer's?
• How is Substance Use Disorder categorized by severity and what criteria define it?
• Which elements constitute a safety plan?
• A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?
• How should you handle a patient who lacks decision-making capacity?
• Which CPT codes are used for family therapy?
• What is the role of self-care and professional boundaries in mental health work?
• What is the difference between HIPAA privacy rules and 42 CFR Part 2 in the context of restricting and sharing a patient’s substance use treatment information?
• Panic-level anxiety: Which intervention is appropriate for a client experiencing panic-level anxiety?
• What is the primary difference between schizophrenia and schizoaffective disorder?
• Which statement best captures CMS's definition of medical necessity in mental health services?
• A nurse is sitting with a client in the dayroom. The client jumps up and states, 'There are snakes coming toward me!' Which of the following responses should the nurse make?
• In an adolescent with conduct disorder, which finding is the priority?
• Why are dual relationships discouraged in mental health practice, and what exceptions exist?
• Which finding indicates that relaxation techniques have been effective for a client with severe anxiety?
• Which statement best describes a concrete component of a suicide safety plan?
• Which statement best captures the variability of the duty to warn or protect?
• What considerations are important when selecting antidepressants for older adults?
• What are three evidence-based therapies for depression?
• For a client in a situational crisis, which action should the nurse take first?
• Which documents are essential for risk management and incident reporting within a CMS-compliant practice?
• Which of the following should be included in an incident management workflow?
• Which is an ICD-10-CM code for Generalized Anxiety Disorder?
• What is the difference between CPT 90791 and 90792?
• How do you ensure culturally responsive assessment tools?
• Which elements should be documented to satisfy CMS treatment planning requirements?
• What is the ICD-10-CM code for Major Depressive Disorder, single episode, severe with psychotic features?
• Which elements are essential in a suicide risk assessment in acute mental health practice?
• Which item is NOT typically monitored with lithium therapy?
• The nurse documents speech as 'Missing levitation magnet organize fields of devotion complete cross-eye arbitrarily.' Which term describes this speech?
• Which MAT medication is an opioid receptor antagonist?
• When initiating antidepressants in older adults, what is recommended?
• What steps are essential when approaching telehealth in mental health practice?
• Clozapine use requires monitoring of which blood parameter due to agranulocytosis risk?
• A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?
• A nurse is contributing in the plan of care for a client who experiences panic attacks. Which of the following strategies should be included for implementation during an attack?
• What is identified as the first step toward successful recovery from alcohol use disorder?
• A nurse is interviewing a client about sexual history. The client responds with a loud laugh and an explicit comment. Which of the following responses demonstrates professional boundaries?
• Which factor places a child at risk for abuse?
• What is trauma-informed care and its core principles?
• Which of the following is not a PTSD symptom cluster?
• Which condition should prompt notifying the provider before electroconvulsive therapy?
• What does cultural competence entail in mental health care, and how does CMS encourage it?
• What is MAT (medication-assisted treatment) and which medications are commonly used for opioid use disorder?
• A nurse is on the elevator and overhears two nurses discussing a client on the unit. Which of the following actions should the nurse take?
• What distinguishes Bipolar I disorder from Bipolar II disorder?
• A client with borderline personality disorder has a history of childhood trauma. Which of the following is a risk factor?
• Which finding would you anticipate in a client with dependent personality disorder?
• What is mental health parity, and how does CMS enforce parity?
• Which scenario best demonstrates somatization?
• What is the duty to warn and duty to protect?
• On an inpatient unit, which task is the nurse's priority when caring for a client taking phenelzine who ate cheese and salami?
• Which situations justify breaching confidentiality without patient consent in many jurisdictions?
• What is the role of family therapy and when is it appropriate?
• Which of the following conditions is commonly considered for ECT when other treatments have failed?
• What benefits does linkage to community resources provide in discharge planning?
• What are the DSM-5 criteria for schizophrenia?
• What are mandatory monitoring requirements for clozapine use?
• What is the purpose of discussing confidentiality limits with both the minor and guardians in pediatric care?
• Which CMS quality measure assesses follow-up after hospitalization for mental illness and what is its purpose?
• In a clinical assessment of a new client, which question best evaluates psychosocial status?
• Why is progress notes alignment with treatment goals important?
• Under CMS rules, what right do patients have regarding grievances and appeals?
• A nurse is caring for a client who has a new prescription for lithium. Which of the following should the nurse monitor during treatment?
• A nurse is caring for a client who has antisocial personality disorder and is exhibiting manipulative behaviors during group therapy. Which action should the nurse take to intervene?
• How do CPT codes 90832, 90834, and 90837 differ?
• To promote sleep in a client with depression, which instruction should the nurse give?
• Involuntary commitment rights: Which statement correctly describes a patient's rights?
• Which statement about depression treatment options is accurate?
• A nurse is collecting data from a client who has borderline personality disorder. Which of the following findings should the nurse identify as a risk factor for this disorder?
• A client with bulimia nervosa is likely to exhibit which of the following manifestations?
• How do social determinants of health impact mental health care, and how should clinicians respond?
• Which statement best describes the difference between a diagnosis and a prognosis in mental health records?
• According to DSM-5 criteria, how many symptoms are required for Major Depressive Disorder, and which two core symptoms must be present?
• A nurse is evaluating a client who has a new diagnosis of bipolar disorder. Which of the following behaviors supports this diagnosis?
• How does CMS classification of mental health parity influence coverage for outpatient psychotherapy?
• In an older adult with heart failure, which observation most strongly suggests delirium rather than dementia?
• Which finding is most consistent with tardive dyskinesia in a client taking an antipsychotic medication?
• What is the role of the treatment plan/problem list in CMS quality improvement and how should progress be documented?
• Which component is emphasized by CMS to support culturally competent mental health care?
• List core principles of trauma-informed care.
• What is trauma-informed assessment and what questions might you ask?
• The GAD-7 is used to screen for and monitor the severity of which condition?
• Which statement best describes the primary aim of a safety plan?
• What is the duration criterion for schizophrenia in DSM-5?
• What are three evidence-based therapies for PTSD?
• A newly hired nurse asks, "You take your medications at a different time than prescribed?" Which communication technique is the nurse using?
• Which statement best reflects the DSM-5 exclusion criteria for mood disorders?
• What does dual diagnosis refer to and why is integrated treatment important?
• Which term best describes a disorganized speech pattern consisting of unrelated words?
• How does cognitive impairment affect decision-making capacity for treatment in older adults with dementia, and how should clinicians assess capacity?
• What is the purpose of ongoing risk monitoring when using digital mental health tools?
• What are the standard limits of confidentiality in mental health care, and what situations create a duty to warn or inform?
• A nurse in a mental health facility is contributing to the plan of care for a new client. Which of the following actions should the nurse plan to include in the working phase of the nurse-client relationship?
• When does mandatory reporting apply and to whom, in mental health practice?
• Which are core components of Cognitive Behavioral Therapy?
• A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?
• Which statement is NOT a core diagnostic criterion for PTSD?
• Which option best describes the first step in communicating with a client who is deaf and has schizophrenia?
• What rights do patients have under CMS rules in mental health care?
• Which CPT codes are used for group and family psychotherapy, and what are their typical session lengths?
• During data collection from parents of a child started on methylphenidate, which statement suggests an adverse effect?
• What strategy reduces aggression in clinical settings?
• What best describes the DSM-5 criteria for Substance Use Disorder?
• In planning care for a client with acute delirium, which intervention should the nurse include?
• What are the DSM-5 criteria for Major Depressive Disorder without psychotic features?
• A legally emancipated minor has adult status for purposes of consent; under what condition can they consent to their own mental health treatment?
• Which of the following is NOT typically included in a well-structured case formulation?
• In youth mental health, what is the role of monitoring school functioning?
• A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?
• What are the steps of a practical suicide safety plan?
• In the context of informed consent for minors, what does assent mean?
• How do DSM-5 criteria differentiate Bipolar I disorder from Bipolar II disorder?
• When treating a minor in mental health care, what is the general rule regarding confidentiality and consent?
• Under 42 CFR Part 2, redisclosure of substance use treatment records generally requires what?
• A nurse is asked by a colleague about a patient’s psychiatric diagnosis. Which action demonstrates proper confidentiality?
• What should a telehealth visit documentation include?
• What CMS considerations apply to delivering mental health services via telehealth?
• A client who delivered a healthy newborn 4 weeks ago reports that the baby cries constantly and the mother feels overwhelmed. What is the nurse's priority response?
• What is the purpose of a discharge summary in mental health care?
• What best describes burnout and its mitigation in clinical settings?
• Which statement best describes medication-assisted treatment (MAT) for opioid use disorder?
• How do you assess functional outcomes in mental health treatment?
• What are the DSM-5 criteria for posttraumatic stress disorder?
• Under 42 CFR Part 2, which statements correctly describe disclosures?
• Which of the following is NOT a commonly assessed risk factor for self-harm or safety incidents?
• In urgent care, which client is at risk for a maturational crisis?
• A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?
• A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication. The client has prescriptions for an anxiolytic and an SSRI antidepressant. Which precaution should the nurse take?
• What are common pharmacologic side effects to monitor for antidepressants?
• A nurse is treating a client with opioid use disorder. Which medication is commonly used as a partial opioid agonist for treatment?
• Which DBT module focuses on crisis tolerance during distress?
• Which CPT code is used for family therapy sessions?
• In trauma-informed care, which principle relates to safety and trustworthiness?
• A client admitted voluntarily asks not to take meds. Which response should the nurse give?
• Which criterion best differentiates generalized anxiety disorder from normal worry?
• A patient on a psychiatric unit becomes verbally aggressive. Which intervention is safest and most therapeutic?
• Which finding is most characteristic of antisocial personality disorder?
• Which ICD-10-CM code represents Bipolar disorder, unspecified?
• A nurse is planning care for a client with bipolar disorder who was voluntarily admitted. For which intervention should informed consent be obtained?
• What describes measurable objectives in a treatment plan?
• Which of the following describes the role of follow-up appointments in discharge planning?
• What are typical components of a treatment plan update?
• Which action is not recommended for delirium care?
• Which statement best describes when to involve family in treatment?
• A client with an anxiety disorder converts anxiety into physical symptoms. This manifestation is called?
• What ethical considerations arise with digital mental health tools (apps, online testing)?
• A nurse collects data from a client with schizophrenia. Which statement indicates the client is experiencing a command hallucination?
• How do you assess for agitation and aggression risk?
• A client says, 'My family won't let me come home if I cannot control my anger.' Which response best addresses this situation?
• What are key monitoring parameters for lithium therapy in mood disorders?
• What differentiates evidence-based practice from best practice?
• A nurse is reinforcing teaching with a client about fluoxetine. Which outcome indicates therapeutic effect?
• What are early signs of lithium toxicity and when should the dose be adjusted?
• What are core considerations when working with diverse populations?
• Which of the following are criteria used to define Substance Use Disorder severity?
• Which factor is NOT a risk factor for child abuse?
• A client who has terminal cancer and is receiving palliative care says, "/I should start making my funeral arrangements/." Which statement indicates effective coping?
• Which strategies can CMS providers use to address barriers to mental health care access?
• What is the recommended role of security in aggression management?
• Which statement best reflects the ethical principle of veracity?
• In assessing safety risk in a client with conduct disorder, which finding indicates imminent danger?
• What elements must be present for informed consent in mental health treatment, and under what circumstances can treatment proceed without explicit consent?
• Clozapine therapy requires monitoring for agranulocytosis. Which lab finding would warrant immediate attention?
• A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?
• Before placing a patient in restraints, which requirement must be met?
• What non-pharmacologic crisis interventions can help reduce agitation?
• A client who has four-point restraints requires ongoing care after a violent episode. Which action should the nurse take?
• How should ethical dilemmas be handled when a patient requests disclosure beyond their consent?
• Mandatory reporting usually involves which agencies?
• Who is authorized to consent to mental health treatment for minors when parents are unavailable, and what are the exceptions?
• Which comorbid conditions are common with substance use disorders?
• What is a key component of crisis intervention planning besides risk assessment and safety planning?
• A nurse is visiting the home of a client who has alcohol use disorder. The client smells heavily of alcohol and his clothes are unclean. Which of the following responses should the nurse make?
• What are the four modules of Dialectical Behavior Therapy and their primary aims?
• In which clinical situations is Electroconvulsive Therapy (ECT) typically considered?
• Which CPT code is used for initial diagnostic evaluation?
• A nurse is collecting data from a client regarding the client's sexual behavior. The client laughs and makes an inappropriate sexual comment. Which of the following is an appropriate response by the nurse?
• What is the importance of discharge planning in mental health care?
• A patient on a monoamine oxidase inhibitor who consumes tyramine-rich foods is at greatest risk for which complication?
• What is the purpose of the CMS quality measure that tracks follow-up after hospitalization for mental illness?
• A nurse reviewing labs for a client with anorexia nervosa sees a potassium value of 2.8 mEq/L. Which finding should be reported to the provider?
• What are key privacy and security considerations for storing and transmitting mental health records in cloud-based systems?
• A nurse is speaking with the sibling of a client who refuses to see visitors. Which action is appropriate?
• Under Tarasoff-style duty to warn, when may a clinician breach confidentiality?
• What is cultural humility and why is it important in mental health care?
• A nurse in a mental health facility is discussing client rights with an adult client who was involuntarily committed. Which statement should the nurse make?
• A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?
• In bipolar disorder, which behavior is most indicative of mania?
• An older adult with heart failure is being assessed. Which finding indicates delirium?
• What is the role of medication management in mental health care and what common monitoring is required?
• A newly admitted client who has schizophrenia and hearing loss: which action should the nurse take first when communicating with the client?
• Which defense mechanism is demonstrated by postponing thinking about a stressful issue?
• A nurse is establishing rapport with a client who has paranoid personality disorder. Which strategy should the nurse plan to use?
• A nurse reviews lab findings for a client taking clozapine. Which finding requires notifying the provider?
• Which action best respects a client's autonomy when they do not want visitors?
• The PHQ-9 is used to screen for and monitor the severity of which condition?
• What are key elements of an effective crisis intervention plan in outpatient settings?
• A client states, "I'm overwhelmed, and no one understands. I can't take it anymore." Which response should the nurse make first?
• Why is integrated care emphasized in comorbidity with substance use?
• Which statement accurately describes schizoaffective disorder?
• Which CPT code corresponds to a 60-minute individual psychotherapy session?
• An outpatient clinic nurse is assessing for a maturational crisis. Which scenario represents a maturational crisis?
• What are common barriers to access to mental health care and how can CMS providers address them?
• A nurse is caring for a client who has dementia and asks to see her partner, who died several years ago. Which of the following responses should the nurse make when using validation therapy?
• Which action demonstrates the ethical principle of veracity in nursing?
• Under 42 CFR Part 2, when may disclosures be allowed without patient consent?
• What metabolic monitoring is recommended after initiating a second-generation antipsychotic?
• Which tools are commonly used for screening depression and anxiety in primary care?
• Which are the core ethical principles guiding mental health practice?
• When should collateral information be obtained, and what privacy considerations apply?
• Trauma-informed assessment practice to avoid retraumatization?
• During a staff education session on legal issues in mental health care, which example indicates libel?
• What are the key components of PTSD criteria in adults, including duration?
• What is Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and when is it indicated?