PSYCHIATRIC-MENTAL HEALTH NURSING
STUDY GUIDE 2026 QUESTIONS AND
ANSWERS GRADED A+
◉An adolescent with a conduct disorder is undergoing behavioral
therapy in an attempt to limit behaviors that violate societal norms.
A specific outcome criterion unique to adolescents with this
problem is: Answer: Demonstration of respect for the rights of
others
◉A client tells a nurse, "I have been having trouble sleeping and feel
wide awake as soon as I get into bed." Which strategies should the
nurse teach the client that will promote sleep? (Select all that apply.)
Answer: Leaving the bedroom when unable to sleep
Exercising in the afternoon rather than in the evening
Counting backward from 100 to 0 when his mind is racing
◉A client with schizophrenia repeatedly says to the nurse, "No
moley, jandu!" The nurse determines that the client is exhibiting:
Answer: Neologism
,◉What is important when the nurse plans care for a client with
paranoid ideation? Answer: Providing the client with opportunities
for nonthreatening social interaction
◉A client who is in a manic phase of bipolar disorder threatens staff
and clients on a psychiatric acute care unit. Place the following
interventions in priority order, from the least to the most restrictive.
Answer: Diversional activities
Limit-setting
Medication administration
Seclusion
Restraints
◉During the orientation tour for three new staff members, a young,
hyperactive manic client greets them by saying, "Welcome to the
funny farm. I'm Jo-Jo, the head yo-yo." Which meaning can the nurse
assign to the client's statement? Answer: Anxious over the arrival of
new staff members
◉When a nurse sits next to a depressed client and begins to talk, the
client responds, "I'm stupid and useless. Talk with the other people
who are more important." Which response is most therapeutic?
Answer: Imitating and participating in the child's activities
, ◉People who are involved in a bioterrorism attack exhibit
immediate reactions to the traumatic event. Which responses can a
nurse expect in survivors during the period immediately following a
traumatic event? (Select all that apply.) Answer: Denial
Confusion
Helplessness
◉A client newly admitted to the psychiatric unit because of an acute
psychotic episode is actively hallucinating. The admitting nurse has
documented the content of the auditory hallucinations, which center
on the theme of powerlessness. Later the primary nurse approaches
the client, who appears to be listening to voices, and comments, "You
seem to be listening to something. Tell me what you hear." The
primary nurse requests feedback from the psychiatric clinical
specialist regarding this nursing intervention. How should the
clinical specialist respond? Answer: By reminding the nurse that
once the content is known, there is no need to focus on the
hallucinations because doing so reinforces them
◉Which client characteristic is an initial concern for the nurse when
caring for a client with the diagnosis of paranoid schizophrenia?
Answer: Suspicious feelings
◉A client with a history of alcoholism is found to have Wernicke
encephalopathy associated with Korsakoff syndrome. What does the
nurse anticipate will be prescribed? Answer: Intramuscular
injections of thiamine
STUDY GUIDE 2026 QUESTIONS AND
ANSWERS GRADED A+
◉An adolescent with a conduct disorder is undergoing behavioral
therapy in an attempt to limit behaviors that violate societal norms.
A specific outcome criterion unique to adolescents with this
problem is: Answer: Demonstration of respect for the rights of
others
◉A client tells a nurse, "I have been having trouble sleeping and feel
wide awake as soon as I get into bed." Which strategies should the
nurse teach the client that will promote sleep? (Select all that apply.)
Answer: Leaving the bedroom when unable to sleep
Exercising in the afternoon rather than in the evening
Counting backward from 100 to 0 when his mind is racing
◉A client with schizophrenia repeatedly says to the nurse, "No
moley, jandu!" The nurse determines that the client is exhibiting:
Answer: Neologism
,◉What is important when the nurse plans care for a client with
paranoid ideation? Answer: Providing the client with opportunities
for nonthreatening social interaction
◉A client who is in a manic phase of bipolar disorder threatens staff
and clients on a psychiatric acute care unit. Place the following
interventions in priority order, from the least to the most restrictive.
Answer: Diversional activities
Limit-setting
Medication administration
Seclusion
Restraints
◉During the orientation tour for three new staff members, a young,
hyperactive manic client greets them by saying, "Welcome to the
funny farm. I'm Jo-Jo, the head yo-yo." Which meaning can the nurse
assign to the client's statement? Answer: Anxious over the arrival of
new staff members
◉When a nurse sits next to a depressed client and begins to talk, the
client responds, "I'm stupid and useless. Talk with the other people
who are more important." Which response is most therapeutic?
Answer: Imitating and participating in the child's activities
, ◉People who are involved in a bioterrorism attack exhibit
immediate reactions to the traumatic event. Which responses can a
nurse expect in survivors during the period immediately following a
traumatic event? (Select all that apply.) Answer: Denial
Confusion
Helplessness
◉A client newly admitted to the psychiatric unit because of an acute
psychotic episode is actively hallucinating. The admitting nurse has
documented the content of the auditory hallucinations, which center
on the theme of powerlessness. Later the primary nurse approaches
the client, who appears to be listening to voices, and comments, "You
seem to be listening to something. Tell me what you hear." The
primary nurse requests feedback from the psychiatric clinical
specialist regarding this nursing intervention. How should the
clinical specialist respond? Answer: By reminding the nurse that
once the content is known, there is no need to focus on the
hallucinations because doing so reinforces them
◉Which client characteristic is an initial concern for the nurse when
caring for a client with the diagnosis of paranoid schizophrenia?
Answer: Suspicious feelings
◉A client with a history of alcoholism is found to have Wernicke
encephalopathy associated with Korsakoff syndrome. What does the
nurse anticipate will be prescribed? Answer: Intramuscular
injections of thiamine
