NP PSYCHIATRIC NURSING EXAM 2025 ||90
QUESTIONS ANSWERED
1. If a patient with PTSD states, 'I feel like I have nothing to live for,' what
would be the most appropriate nursing intervention?
A. Encourage the patient to focus on positive aspects of their life.
B. Schedule a follow-up appointment in a week.
C. Conduct a thorough risk assessment for suicidal thoughts.
D. Suggest the patient engage in physical activities.
2. Explain how rational emotive therapy connects affect, cognition, and
behavior in the treatment of depression and anxiety.
It emphasizes the importance of medication in managing symptoms.
It focuses on changing negative thoughts to improve emotional
responses and behaviors.
It encourages patients to avoid confronting their feelings.
It relies solely on behavioral reinforcement techniques.
3. A nurse clinician uses rational-emotive therapy with a patient who is
chronically depressed. The initial step in this process is to help the patient:
identify developmental tasks and progress.
manage environmental stressors more effectively.
explore childhood influences on the patient's emotional state.
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recognize how irrational beliefs are related to painful feelings.
4. In a clinical setting, a patient expresses feelings of isolation and
meaninglessness. Which therapeutic approach would best align with
existentially oriented therapy principles?
A. Providing medication to alleviate symptoms
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B. Encouraging the patient to confront their fears directly
C. Engaging in a dialogue to explore the patient's feelings and
experiences
D. Setting up a structured plan to improve social interactions
5. A patient presents with severe anxiety and panic attacks. As a psychiatric
nurse, you are considering treatment options. Which of the following
interventions would most directly target the neurochemical imbalance
associated with their symptoms?
A. Prescribing a selective serotonin reuptake inhibitor (SSRI)
B. Initiating cognitive-behavioral therapy (CBT)
C. Administering a benzodiazepine to enhance GABA activity
D. Recommending lifestyle changes such as exercise and diet
6. A psychiatric nurse is working with a teenager who exhibits aggressive
behavior in response to academic stress. Using a cognitive-behavioral
approach, which intervention would be most effective in helping the
patient develop healthier coping mechanisms?
A. Discussing the consequences of failing grades with the patient.
B. Encouraging the patient to avoid academic challenges
altogether.
C. Teaching the patient to recognize and challenge irrational
thoughts about their academic abilities.
D. Suggesting the patient take a break from school to relieve stress.
7. A nurse is teaching a client who has a depressive disorder about fluoxetine.
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Which of the following information should the nurse include in the
teaching?
"You might notice an increase in saliva while taking this medication."
"You might experience difficulties with sexual functioning while
taking this medication."
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