Mental Health CMS Practice Test

These questions are part of the practice quiz. Start practicing

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