CMN 350 PSYCHIATRIC MENTAL
HEALTH NURSING EXAM 1 2026-2027
NEWEST QUESTIONS AND CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
Key nursing interventions for depressed patients Correct
Answer -Accept patients where they are and focus on their
strengths.
Reinforce decision making by patients.
-Respond to anger therapeutically. Deescalation
techniques include being calm, using a soft voice,
reassuring the patient that you understand.
-Spend time with withdrawn patients.
-Involve patients in activities through which they can
experience success.
Interactions with patients who have violent behavior
Correct Answer • Stay out of striking distance (this also
reduces the threat to the patient).
• Avoid touching patients without approval.
• Change the topic temporarily if a patient's behavior is
escalating.
• Suggest time out for the patient in a quiet area with fewer
stimuli.
,• Avoid entering a room alone with a patient who is not in
control of his or her behavior.
• Leave temporarily if the patient is agitated and asking to
be left alone.
• Call for staff assistance if the patient's behavior
escalates.
Interactions with patients who have hallucinations Correct
Answer 1. The initial approach with patients who appear to
be listening to or talking with voices is to comment on their
behavior: "You look as if you are listening to something.
What do you hear?"
2. If the patient acknowledges hearing something that the
nurse cannot hear, then the nurse can say, "Tell me what
you hear."
3. The next step is assessment of them based on the
content of the messages, which often reveals the
dynamics of the patient's illness and typically revolves
around themes of powerlessness, hatred, guilt, or
loneliness.
4. After the content is known, focusing on how they make
the patient feel may be helpful: "I know the voices are
important to you; can we talk about how them make you
feel?"
5. The nurse can also encourage the patient to utilize
distraction as a method of dealing with them. Distraction
techniques involve the patient becoming engaged in more
productive activities, such as music, art, or physical
exercise.
,The exception is with ____________ that command
patients to harm themselves or others or to engage in
other destructive acts. In such cases, the nurse should
contract with patients to avoid acting on the commands
they hear and to tell the staff. Another exception is with
patients with dementia or severe cognitive impairments.
These patients are not likely to be able to process the
content or themes of them.
Interactions with patients who have delusions Correct
Answer Patients who are experiencing them are
encouraged to share the meaning of them with the nurse.
For example, "Tell me more about what this means to
you." Since the definition of it is a false belief, arguing with
a patient about the truthfulness of them is ineffective and
inappropriate. The underlying themes reflected in them
can be addressed to help patients share their emotional
experiences. For example, "What does it feel like right now
as you are telling me about your distressing thoughts?"
Careful monitoring is needed if they might lead patients to
harm themselves or others; for example, a patient who
does not want to eat because he believes all the food is
poisoned needs to be monitored.
Interactions with patients who have Conflicting Values
Correct Answer Nurses must seek to understand the
patient's point of view as the patient sees it. The better the
nurse understands the lived experience of the patient, the
greater the likelihood the nurse will provide sensitively
attuned quality nursing care. Nurses may assume that
those with mental disorders lack insight and therefore may
, try to argue or convince patients to change their thinking
and/or behavior. Concordance refers to the creation of an
agreement that respects the beliefs and wishes of the
patient, rather than focusing on the patient's ability to
follow the nurse's instructions or see their situation from
the nurse's perspective.
Interactions with patients who have Severe Anxiety and
Incoherent Speech Patterns Correct Answer Disturbed
thought processes are occasionally evident in speech,
especially with patients who are upset, confused, or
psychotic. When these processes occur, the typical
approach is to clarify the meaning of the communications.
However, severely ill or anxious patients might be unable
to be clearer, and repeated questions only increase their
anxiety. It is more effective to key into their feelings and
underlying themes, rather than trying to make sense of the
content of their speech. Spending frequent, brief time
intervals with these patients (without pressuring or
frustrating them) offers support and builds trust.
Interactions with patients who have Manipulation Correct
Answer Some patients may behave in a way that appears
they are looking for attention, sympathy, or control. It can
be difficult for the nurse to properly manage these types of
interactions. Understanding what is behind it can be
helpful. Is a coping strategy that develops typically during
childhood or adolescence. It can be viewed as an attempt
to overconnect with others. Those who are feeling it will
not feel respected. How the nurse responds to these
feelings is important for the nurse-patient relationship. It
HEALTH NURSING EXAM 1 2026-2027
NEWEST QUESTIONS AND CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
Key nursing interventions for depressed patients Correct
Answer -Accept patients where they are and focus on their
strengths.
Reinforce decision making by patients.
-Respond to anger therapeutically. Deescalation
techniques include being calm, using a soft voice,
reassuring the patient that you understand.
-Spend time with withdrawn patients.
-Involve patients in activities through which they can
experience success.
Interactions with patients who have violent behavior
Correct Answer • Stay out of striking distance (this also
reduces the threat to the patient).
• Avoid touching patients without approval.
• Change the topic temporarily if a patient's behavior is
escalating.
• Suggest time out for the patient in a quiet area with fewer
stimuli.
,• Avoid entering a room alone with a patient who is not in
control of his or her behavior.
• Leave temporarily if the patient is agitated and asking to
be left alone.
• Call for staff assistance if the patient's behavior
escalates.
Interactions with patients who have hallucinations Correct
Answer 1. The initial approach with patients who appear to
be listening to or talking with voices is to comment on their
behavior: "You look as if you are listening to something.
What do you hear?"
2. If the patient acknowledges hearing something that the
nurse cannot hear, then the nurse can say, "Tell me what
you hear."
3. The next step is assessment of them based on the
content of the messages, which often reveals the
dynamics of the patient's illness and typically revolves
around themes of powerlessness, hatred, guilt, or
loneliness.
4. After the content is known, focusing on how they make
the patient feel may be helpful: "I know the voices are
important to you; can we talk about how them make you
feel?"
5. The nurse can also encourage the patient to utilize
distraction as a method of dealing with them. Distraction
techniques involve the patient becoming engaged in more
productive activities, such as music, art, or physical
exercise.
,The exception is with ____________ that command
patients to harm themselves or others or to engage in
other destructive acts. In such cases, the nurse should
contract with patients to avoid acting on the commands
they hear and to tell the staff. Another exception is with
patients with dementia or severe cognitive impairments.
These patients are not likely to be able to process the
content or themes of them.
Interactions with patients who have delusions Correct
Answer Patients who are experiencing them are
encouraged to share the meaning of them with the nurse.
For example, "Tell me more about what this means to
you." Since the definition of it is a false belief, arguing with
a patient about the truthfulness of them is ineffective and
inappropriate. The underlying themes reflected in them
can be addressed to help patients share their emotional
experiences. For example, "What does it feel like right now
as you are telling me about your distressing thoughts?"
Careful monitoring is needed if they might lead patients to
harm themselves or others; for example, a patient who
does not want to eat because he believes all the food is
poisoned needs to be monitored.
Interactions with patients who have Conflicting Values
Correct Answer Nurses must seek to understand the
patient's point of view as the patient sees it. The better the
nurse understands the lived experience of the patient, the
greater the likelihood the nurse will provide sensitively
attuned quality nursing care. Nurses may assume that
those with mental disorders lack insight and therefore may
, try to argue or convince patients to change their thinking
and/or behavior. Concordance refers to the creation of an
agreement that respects the beliefs and wishes of the
patient, rather than focusing on the patient's ability to
follow the nurse's instructions or see their situation from
the nurse's perspective.
Interactions with patients who have Severe Anxiety and
Incoherent Speech Patterns Correct Answer Disturbed
thought processes are occasionally evident in speech,
especially with patients who are upset, confused, or
psychotic. When these processes occur, the typical
approach is to clarify the meaning of the communications.
However, severely ill or anxious patients might be unable
to be clearer, and repeated questions only increase their
anxiety. It is more effective to key into their feelings and
underlying themes, rather than trying to make sense of the
content of their speech. Spending frequent, brief time
intervals with these patients (without pressuring or
frustrating them) offers support and builds trust.
Interactions with patients who have Manipulation Correct
Answer Some patients may behave in a way that appears
they are looking for attention, sympathy, or control. It can
be difficult for the nurse to properly manage these types of
interactions. Understanding what is behind it can be
helpful. Is a coping strategy that develops typically during
childhood or adolescence. It can be viewed as an attempt
to overconnect with others. Those who are feeling it will
not feel respected. How the nurse responds to these
feelings is important for the nurse-patient relationship. It
