Psychiatric Mental Health Nursing NCLEX Review Questions Set 1 Questions
with Verified Answers
A 48-year-old Hispanic woman is seen by a psychiatric
clinical nurse specialist after receiving a call by her son.
According to the son, since his father's death 7 months
ago, his mother has lost 30 pounds and can't sleep. Dur-
ing her initial visit, the patient states, 'My husband talks D. Grieving.
to me in his visits, but his words make no sense to me.
I don't understand what he wants me to do.' What is an Reason: Grieving may be characterized by weight loss,
appropriate nursing diagnosis? sleep disturbances, and messages from beyond.
A. Inettective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving.
Your neighbor's husband comes to talk to you. He says his
wife has not left the house in 2 weeks, has a flat mood,
A. Depression.
and has lost interest in her usual activities. You recognize
these as the primary symptoms of
Reason: Depressed mood and anhedonia (loss of interest
A. Depression.
or pleasure in activities) are the primary symptoms of
B. Schizophrenia.
major depression.
C. Suicidal ideation.
D. Bipolar manic episodes.
Your patient is ready for discharge after a 30-day hospi-
talization for manic depression. About 30 minutes before
his discharge, his roommate comes to you and says, 'He is
talking crazy.' When you ask your patient how he is feeling,
B. Cognitive.
he states, 'I feel like Superman. I can do anything. I can fly
home today and then become a U.S. Senator.' Which type
Reason: Cognitive symptoms include inflated self-esteem
of mania-related symptoms is this patient exhibiting?
and grandiosity.
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual.
,Psychiatric Mental Health Nursing NCLEX Review Questions Set 1 Questions
with Verified Answers
You need to assess whether a patient who has a mood
disorder is ready for discharge. Which statement would
indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I feel
C. I will take my medicines as I should and know to call the
good about that.
number you gave me if I have bad thoughts.
B. Going home will be fun, but if it isn't fun, I can always
make my mother help me or tell her to do so. She better
Reason: Verbalization of a plan for help and demonstra-
help me.
tion of care are realistic discharge criteria.
C. I will take my medicines as I should and know to call the
number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't
want to do anything.
An angry patient is in the community room. She picks up a
chair and uses it to hit another patient on the head. When
you come into the community room, what should your first
response to the patient holding the chair be? B. Hitting others is unacceptable. Please put the chair
A. Are you crazy? Hitting people can hurt them! completely down on the floor.
B. Hitting others is unacceptable. Please put the chair
completely down on the floor. Reason: Use words to indicate your lack of acceptance of
C. How would you like it if I hit you over the head with a the patient's behavior in a nonthreatening voice or tone.
chair?
D. You're in big trouble now. It's probably prison you are
looking at!
A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression
as well as a history of abusing multiple substances and C. Safety.
anorexia nervosa. What is your first nursing priority?
A. Socialization. Reason: Safety is the major principle underlying psychi-
B. Contracting for eating behavior. atric nursing.
C. Safety.
D. Administering the Beck depression scale.
, Gerald was admitted to the psychiatric acute care unit
because he stood in the center of a main two-way street
in his underwear and a T-shirt, shouting, 'I am being
held against my will. I have personal rights.' Gerald was
diagnosed with bipolar disorder, manic type. Which of the B. Have consistent unit routines.
following interventions will add to everyone's safety in the
acute care environment? Reason: Quiet environments with consistent routines will
A. Have hectic surroundings. help calm patients and add to safety.
B. Have consistent unit routines.
C. Minimize statt interventions.
D. Medicate the patient only if he has private health insur-
ance.
Your patient has just been physically cleaned up after
slicing his left arm 8 times. To show an appropriate evalu-
ative response, which of the following would be your best
statement? D. The behavior of cutting is not acceptable.
A. I could care less if you cut yourself. It doesn't hurt me.
B. If you wouldn't cut yourself, you would have a much Reason: Focus on the behavior, not the person. Be neutral,
happier life. but not inditterent.
C. You are lucky someone found you in time. Now you can
help us make you better.
D. The behavior of cutting is not acceptable.
A 22-year-old female was admitted to the mental health
unit with major depression and suicidal ideation. She has
a history of cutting her wrists intermittently throughout
the last 2 years. On days 1 and 2, the patient stays in her A. Showing improvement.
room and eats only 20% of her meals. On day 3, she eats
Reason: The patient improvement is based on increased
80% of her meals and is talking to others in group. The
socialization and increased appetite.
nurse should consider that the patient is
A. Showing improvement.
B. Highly suicidal.
with Verified Answers
A 48-year-old Hispanic woman is seen by a psychiatric
clinical nurse specialist after receiving a call by her son.
According to the son, since his father's death 7 months
ago, his mother has lost 30 pounds and can't sleep. Dur-
ing her initial visit, the patient states, 'My husband talks D. Grieving.
to me in his visits, but his words make no sense to me.
I don't understand what he wants me to do.' What is an Reason: Grieving may be characterized by weight loss,
appropriate nursing diagnosis? sleep disturbances, and messages from beyond.
A. Inettective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving.
Your neighbor's husband comes to talk to you. He says his
wife has not left the house in 2 weeks, has a flat mood,
A. Depression.
and has lost interest in her usual activities. You recognize
these as the primary symptoms of
Reason: Depressed mood and anhedonia (loss of interest
A. Depression.
or pleasure in activities) are the primary symptoms of
B. Schizophrenia.
major depression.
C. Suicidal ideation.
D. Bipolar manic episodes.
Your patient is ready for discharge after a 30-day hospi-
talization for manic depression. About 30 minutes before
his discharge, his roommate comes to you and says, 'He is
talking crazy.' When you ask your patient how he is feeling,
B. Cognitive.
he states, 'I feel like Superman. I can do anything. I can fly
home today and then become a U.S. Senator.' Which type
Reason: Cognitive symptoms include inflated self-esteem
of mania-related symptoms is this patient exhibiting?
and grandiosity.
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual.
,Psychiatric Mental Health Nursing NCLEX Review Questions Set 1 Questions
with Verified Answers
You need to assess whether a patient who has a mood
disorder is ready for discharge. Which statement would
indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I feel
C. I will take my medicines as I should and know to call the
good about that.
number you gave me if I have bad thoughts.
B. Going home will be fun, but if it isn't fun, I can always
make my mother help me or tell her to do so. She better
Reason: Verbalization of a plan for help and demonstra-
help me.
tion of care are realistic discharge criteria.
C. I will take my medicines as I should and know to call the
number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't
want to do anything.
An angry patient is in the community room. She picks up a
chair and uses it to hit another patient on the head. When
you come into the community room, what should your first
response to the patient holding the chair be? B. Hitting others is unacceptable. Please put the chair
A. Are you crazy? Hitting people can hurt them! completely down on the floor.
B. Hitting others is unacceptable. Please put the chair
completely down on the floor. Reason: Use words to indicate your lack of acceptance of
C. How would you like it if I hit you over the head with a the patient's behavior in a nonthreatening voice or tone.
chair?
D. You're in big trouble now. It's probably prison you are
looking at!
A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression
as well as a history of abusing multiple substances and C. Safety.
anorexia nervosa. What is your first nursing priority?
A. Socialization. Reason: Safety is the major principle underlying psychi-
B. Contracting for eating behavior. atric nursing.
C. Safety.
D. Administering the Beck depression scale.
, Gerald was admitted to the psychiatric acute care unit
because he stood in the center of a main two-way street
in his underwear and a T-shirt, shouting, 'I am being
held against my will. I have personal rights.' Gerald was
diagnosed with bipolar disorder, manic type. Which of the B. Have consistent unit routines.
following interventions will add to everyone's safety in the
acute care environment? Reason: Quiet environments with consistent routines will
A. Have hectic surroundings. help calm patients and add to safety.
B. Have consistent unit routines.
C. Minimize statt interventions.
D. Medicate the patient only if he has private health insur-
ance.
Your patient has just been physically cleaned up after
slicing his left arm 8 times. To show an appropriate evalu-
ative response, which of the following would be your best
statement? D. The behavior of cutting is not acceptable.
A. I could care less if you cut yourself. It doesn't hurt me.
B. If you wouldn't cut yourself, you would have a much Reason: Focus on the behavior, not the person. Be neutral,
happier life. but not inditterent.
C. You are lucky someone found you in time. Now you can
help us make you better.
D. The behavior of cutting is not acceptable.
A 22-year-old female was admitted to the mental health
unit with major depression and suicidal ideation. She has
a history of cutting her wrists intermittently throughout
the last 2 years. On days 1 and 2, the patient stays in her A. Showing improvement.
room and eats only 20% of her meals. On day 3, she eats
Reason: The patient improvement is based on increased
80% of her meals and is talking to others in group. The
socialization and increased appetite.
nurse should consider that the patient is
A. Showing improvement.
B. Highly suicidal.
