PSYCHIATRIC MENTAL HEALTH NURSING PAPER 2 – 40
EXAM-STYLE QUESTIONS WITH VERIFIED ANSWERS &
DETAILED RATIONALES | NCLEX/ATI/HESI REVISION
PACK
1. A client diagnosed with schizophrenia exhibits social withdrawal and lack
of motivation. These are classified as:
A. Positive symptoms
B. Negative symptoms
C. Cognitive distortions
D. Mood symptoms
Answer B
Negative symptoms involve the absence or reduction of normal behaviors,
including social withdrawal, apathy, and lack of motivation.
2. Which nursing intervention is most appropriate for a client experiencing
auditory hallucinations?
A. Argue that the voices are not real
B. Reinforce the hallucinations
C. Present reality and assess the hallucinations
D. Ignore the client
Answer C
Presenting reality while assessing the content of hallucinations promotes safety
and therapeutic communication.
3. A client taking clozapine should be monitored closely for:
A. Agranulocytosis
B. Hypertension
C. Hyperglycemia only
D. Hearing loss
, Answer A
Clozapine can cause agranulocytosis, a potentially life-threatening decrease in
white blood cells.
4. Which statement by a client suggests a delusion of grandeur?
A. “The FBI is following me.”
B. “I am the most powerful person in the world.”
C. “The TV is talking to me.”
D. “Someone poisoned my food.”
Answer B
Grandiose delusions involve exaggerated beliefs about one's importance, power,
or abilities.
5. A nurse is caring for a client experiencing severe anxiety. Which symptom
is expected?
A. Improved concentration
B. Inability to focus
C. Increased problem-solving ability
D. Calm behavior
Answer B
Severe anxiety significantly impairs concentration and decision-making.
6. Which finding is most characteristic of mania?
A. Slow speech
B. Excessive sleep
C. Flight of ideas
D. Social isolation
EXAM-STYLE QUESTIONS WITH VERIFIED ANSWERS &
DETAILED RATIONALES | NCLEX/ATI/HESI REVISION
PACK
1. A client diagnosed with schizophrenia exhibits social withdrawal and lack
of motivation. These are classified as:
A. Positive symptoms
B. Negative symptoms
C. Cognitive distortions
D. Mood symptoms
Answer B
Negative symptoms involve the absence or reduction of normal behaviors,
including social withdrawal, apathy, and lack of motivation.
2. Which nursing intervention is most appropriate for a client experiencing
auditory hallucinations?
A. Argue that the voices are not real
B. Reinforce the hallucinations
C. Present reality and assess the hallucinations
D. Ignore the client
Answer C
Presenting reality while assessing the content of hallucinations promotes safety
and therapeutic communication.
3. A client taking clozapine should be monitored closely for:
A. Agranulocytosis
B. Hypertension
C. Hyperglycemia only
D. Hearing loss
, Answer A
Clozapine can cause agranulocytosis, a potentially life-threatening decrease in
white blood cells.
4. Which statement by a client suggests a delusion of grandeur?
A. “The FBI is following me.”
B. “I am the most powerful person in the world.”
C. “The TV is talking to me.”
D. “Someone poisoned my food.”
Answer B
Grandiose delusions involve exaggerated beliefs about one's importance, power,
or abilities.
5. A nurse is caring for a client experiencing severe anxiety. Which symptom
is expected?
A. Improved concentration
B. Inability to focus
C. Increased problem-solving ability
D. Calm behavior
Answer B
Severe anxiety significantly impairs concentration and decision-making.
6. Which finding is most characteristic of mania?
A. Slow speech
B. Excessive sleep
C. Flight of ideas
D. Social isolation
