EXAMINED PSYCHIATRIC o
MENTAL HEALTH NURSING o o
QUESTIONS AND ANSWERS
o o o
A o48-year-old oHispanic owoman ois oseen oby oa opsychiatric oclinical onurse ospecialist oafter oreceiving oa
ocall oby oher oson. oAccording oto othe oson, osince ohis ofather's odeath o7 omonths oago, ohis omother
ohas olost o30 opounds oand o can't osleep. oDuring oher oinitial ovisit, othe opatient ostates, o'My ohusband
otalks oto ome oin ohis ovisits, obut ohis owords omake ono osense oto ome. oI odon't ounderstand owhat ohe
owants ome oto odo.' oWhat ois oan oappropriate onursing odiagnosis?
A. Ineffective odenial.
B. Bipolar omood odisorder.
C. Hyper-religiosity.
D. Grieving. o- oCORRECT oANSWER o-D. oGrieving.
Reason: oGrieving omay obe ocharacterized oby oweight oloss, osleep odisturbances, oand omessages ofrom
obeyond.
Your oneighbor's ohusband ocomes oto otalk oto oyou. oHe osays ohis owife ohas onot oleft othe ohouse oin o2
oweeks, ohas oa oflat omood, oand ohas olost ointerest oin oher ousual oactivities. oYou orecognize othese oas
othe oprimary osymptoms oof
A. Depression.
B. Schizophrenia.
C. Suicidal oideation.
D. Bipolar omanic oepisodes. o- oCORRECT oANSWER o-A. oDepression.
Reason: oDepressed omood oand oanhedonia o(loss oof ointerest oor opleasure oin oactivities) oare othe
oprimary osymptoms oof omajor odepression.
,Your opatient ois oready ofor odischarge oafter oa o30-day ohospitalization ofor omanic odepression. oAbout
o30 ominutes obefore ohis odischarge, ohis oroommate ocomes oto oyou oand osays, o'He ois otalking ocrazy.'
oWhen oyou oask oyour opatient ohow ohe ois ofeeling, ohe ostates, o'I ofeel olike oSuperman. oI ocan odo
oanything. oI ocan ofly ohome otoday oand othen obecome oa oU.S. oSenator.' oWhich otype oof omania-
related osymptoms ois othis opatient oexhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. o- oCORRECT oANSWER o-B. oCognitive.
Reason: oCognitive osymptoms oinclude oinflated oself-esteem oand ograndiosity.
You oneed oto oassess owhether oa opatient owho ohas oa omood odisorder ois oready ofor odischarge.
oWhich ostatement owould oindicate oreadiness ofor odischarge?
A. Right onow, oI ocan't obathe omyself oor odress omyself, obut oI ofeel ogood oabout othat.
B. Going ohome owill obe ofun, obut oif oit oisn't ofun, oI ocan oalways omake omy omother ohelp ome oor
otell oher oto odo oso. oShe obetter ohelp ome.
C. I owill otake omy omedicines oas oI oshould oand oknow oto ocall othe onumber oyou ogave ome oif oI ohave
obad othoughts.
D. Taking ocare oof omyself ois oimportant, obut oit's ookay oif oI odon't owant oto odo oanything. o- oCORRECT
oANSWER o-C. oI owill otake omy omedicines oas oI oshould oand oknow oto ocall othe onumber oyou ogave
ome oif oI ohave obad othoughts.
Reason: oVerbalization oof oa oplan ofor ohelp oand odemonstration oof ocare oare orealistic odischarge
ocriteria.
An oangry opatient ois oin othe ocommunity oroom. oShe opicks oup oa ochair oand ouses oit oto ohit oanother
opatient oon othe ohead. oWhen oyou ocome ointo othe ocommunity oroom, owhat oshould oyour ofirst
oresponse oto othe opatient oholding othe ochair obe?
A. Are oyou ocrazy? oHitting opeople ocan ohurt othem!
B. Hitting oothers ois ounacceptable. oPlease oput othe ochair ocompletely odown oon othe ofloor.
C. How owould oyou olike oit oif oI ohit oyou oover othe ohead owith oa ochair?
, D. You're oin obig otrouble onow. oIt's oprobably oprison oyou oare olooking oat! o- oCORRECT oANSWER
o-B. oHitting oothers ois ounacceptable. oPlease oput othe ochair ocompletely odown oon othe ofloor.
Reason: oUse owords oto oindicate oyour olack oof oacceptance oof othe opatient's obehavior oin oa
ononthreatening ovoice oor otone.
A o22-year-old ofemale ois oadmitted oto othe ounit ofollowing oa osuicide oattempt. oShe ohas oa o2-week
ohistory oof odepression oas owell oas oa ohistory oof oabusing omultiple osubstances oand oanorexia onervosa.
oWhat ois oyour ofirst onursing opriority?
A. Socialization.
B. Contracting ofor oeating obehavior.
C. Safety.
D. Administering othe oBeck odepression oscale. o- oCORRECT oANSWER o-C. oSafety.
Reason: oSafety ois othe omajor oprinciple ounderlying opsychiatric onursing.
Gerald owas oadmitted oto othe opsychiatric oacute ocare ounit obecause ohe ostood oin othe ocenter oof oa
omain otwo- oway ostreet oin ohis ounderwear oand oa oT-shirt, oshouting, o'I oam obeing oheld oagainst
omy owill. oI ohave opersonal orights.' oGerald owas odiagnosed owith obipolar odisorder, omanic otype.
oWhich oof othe ofollowing ointerventions owill oadd oto oeveryone's osafety oin othe oacute ocare
oenvironment?
A. Have ohectic osurroundings.
B. Have oconsistent ounit oroutines.
C. Minimize ostaff ointerventions.
D. Medicate othe opatient oonly oif ohe ohas oprivate ohealth oinsurance. o- oCORRECT oANSWER o-B. oHave
oconsistent ounit oroutines.
Reason: oQuiet oenvironments owith oconsistent oroutines owill ohelp ocalm opatients oand oadd oto osafety.
MENTAL HEALTH NURSING o o
QUESTIONS AND ANSWERS
o o o
A o48-year-old oHispanic owoman ois oseen oby oa opsychiatric oclinical onurse ospecialist oafter oreceiving oa
ocall oby oher oson. oAccording oto othe oson, osince ohis ofather's odeath o7 omonths oago, ohis omother
ohas olost o30 opounds oand o can't osleep. oDuring oher oinitial ovisit, othe opatient ostates, o'My ohusband
otalks oto ome oin ohis ovisits, obut ohis owords omake ono osense oto ome. oI odon't ounderstand owhat ohe
owants ome oto odo.' oWhat ois oan oappropriate onursing odiagnosis?
A. Ineffective odenial.
B. Bipolar omood odisorder.
C. Hyper-religiosity.
D. Grieving. o- oCORRECT oANSWER o-D. oGrieving.
Reason: oGrieving omay obe ocharacterized oby oweight oloss, osleep odisturbances, oand omessages ofrom
obeyond.
Your oneighbor's ohusband ocomes oto otalk oto oyou. oHe osays ohis owife ohas onot oleft othe ohouse oin o2
oweeks, ohas oa oflat omood, oand ohas olost ointerest oin oher ousual oactivities. oYou orecognize othese oas
othe oprimary osymptoms oof
A. Depression.
B. Schizophrenia.
C. Suicidal oideation.
D. Bipolar omanic oepisodes. o- oCORRECT oANSWER o-A. oDepression.
Reason: oDepressed omood oand oanhedonia o(loss oof ointerest oor opleasure oin oactivities) oare othe
oprimary osymptoms oof omajor odepression.
,Your opatient ois oready ofor odischarge oafter oa o30-day ohospitalization ofor omanic odepression. oAbout
o30 ominutes obefore ohis odischarge, ohis oroommate ocomes oto oyou oand osays, o'He ois otalking ocrazy.'
oWhen oyou oask oyour opatient ohow ohe ois ofeeling, ohe ostates, o'I ofeel olike oSuperman. oI ocan odo
oanything. oI ocan ofly ohome otoday oand othen obecome oa oU.S. oSenator.' oWhich otype oof omania-
related osymptoms ois othis opatient oexhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. o- oCORRECT oANSWER o-B. oCognitive.
Reason: oCognitive osymptoms oinclude oinflated oself-esteem oand ograndiosity.
You oneed oto oassess owhether oa opatient owho ohas oa omood odisorder ois oready ofor odischarge.
oWhich ostatement owould oindicate oreadiness ofor odischarge?
A. Right onow, oI ocan't obathe omyself oor odress omyself, obut oI ofeel ogood oabout othat.
B. Going ohome owill obe ofun, obut oif oit oisn't ofun, oI ocan oalways omake omy omother ohelp ome oor
otell oher oto odo oso. oShe obetter ohelp ome.
C. I owill otake omy omedicines oas oI oshould oand oknow oto ocall othe onumber oyou ogave ome oif oI ohave
obad othoughts.
D. Taking ocare oof omyself ois oimportant, obut oit's ookay oif oI odon't owant oto odo oanything. o- oCORRECT
oANSWER o-C. oI owill otake omy omedicines oas oI oshould oand oknow oto ocall othe onumber oyou ogave
ome oif oI ohave obad othoughts.
Reason: oVerbalization oof oa oplan ofor ohelp oand odemonstration oof ocare oare orealistic odischarge
ocriteria.
An oangry opatient ois oin othe ocommunity oroom. oShe opicks oup oa ochair oand ouses oit oto ohit oanother
opatient oon othe ohead. oWhen oyou ocome ointo othe ocommunity oroom, owhat oshould oyour ofirst
oresponse oto othe opatient oholding othe ochair obe?
A. Are oyou ocrazy? oHitting opeople ocan ohurt othem!
B. Hitting oothers ois ounacceptable. oPlease oput othe ochair ocompletely odown oon othe ofloor.
C. How owould oyou olike oit oif oI ohit oyou oover othe ohead owith oa ochair?
, D. You're oin obig otrouble onow. oIt's oprobably oprison oyou oare olooking oat! o- oCORRECT oANSWER
o-B. oHitting oothers ois ounacceptable. oPlease oput othe ochair ocompletely odown oon othe ofloor.
Reason: oUse owords oto oindicate oyour olack oof oacceptance oof othe opatient's obehavior oin oa
ononthreatening ovoice oor otone.
A o22-year-old ofemale ois oadmitted oto othe ounit ofollowing oa osuicide oattempt. oShe ohas oa o2-week
ohistory oof odepression oas owell oas oa ohistory oof oabusing omultiple osubstances oand oanorexia onervosa.
oWhat ois oyour ofirst onursing opriority?
A. Socialization.
B. Contracting ofor oeating obehavior.
C. Safety.
D. Administering othe oBeck odepression oscale. o- oCORRECT oANSWER o-C. oSafety.
Reason: oSafety ois othe omajor oprinciple ounderlying opsychiatric onursing.
Gerald owas oadmitted oto othe opsychiatric oacute ocare ounit obecause ohe ostood oin othe ocenter oof oa
omain otwo- oway ostreet oin ohis ounderwear oand oa oT-shirt, oshouting, o'I oam obeing oheld oagainst
omy owill. oI ohave opersonal orights.' oGerald owas odiagnosed owith obipolar odisorder, omanic otype.
oWhich oof othe ofollowing ointerventions owill oadd oto oeveryone's osafety oin othe oacute ocare
oenvironment?
A. Have ohectic osurroundings.
B. Have oconsistent ounit oroutines.
C. Minimize ostaff ointerventions.
D. Medicate othe opatient oonly oif ohe ohas oprivate ohealth oinsurance. o- oCORRECT oANSWER o-B. oHave
oconsistent ounit oroutines.
Reason: oQuiet oenvironments owith oconsistent oroutines owill ohelp ocalm opatients oand oadd oto osafety.
