Mental Health CMS Practice Test

These questions are part of the practice quiz. Start practicing

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