1
PSYCH NURSING EXAM LATEST UPDATES -2025/2026- ACTUAL
QUESTIONS WITH VERIFIED ANSWERS ALREADY GRADED A+
GUARANTEED SUCCESS
A child was admitted to the children's unit, having been sexually abused by an
acquaintance of her family. The child refuses to talk and participate in unit
activities, choosing to stay in her room with her stuffed animals. Which
therapeutic intervention will best help the child release pent-up feelings about
the abuse?
a. Family therapy
b. Play therapy
c. Individual communication with the nurse
d. Role-play with other children on the unit
ANS: B
Play helps communicate and release feelings about the child's problems. A child
may have difficulty expressing feelings verbally. Family therapy may be useful, but
it is not designed for releasing feelings. Role-playing is more effective with older
children or adults.
Nurses coping with angry clients may find it helpful to remember that anger and
aggression begin as feelings of which personal characteristic?
A. Isolation
B. Confidence
C. Hopelessness
D. Vulnerability
, 2
D. Vulnerability
A young child is being evaluated in the Emergency Department for injuries her
mother reports resulted from a fall down the stairs. Which of these findings
indicates that physical abuse may be a chronic problem for the child?
a. The mother's description of the child as being 'clumsy'
b. Several fractures revealed on x-ray in varying degrees of healing
c. Clinging to her mother as she attempted to leave the examining room
d. Struggling with the staff when attempts to obtain a blood specimen were made
ANS: B Unhealed fractures indicate both numerous injuries and that medical
intervention was not sought at the time of injury. Although unkind, the mother's
description of the child is not reason to believe chronic abuse has occurred. The
remaining options reflect normal behavior, especially if pain or separation is
suspected.
Child Abuse and Neglect
The intentional harm or mistreatment of a child under 18 years old; it involves
any recent act or failure to act on the part of a parent or caregiver; it results in
death, serious physical or emotional harm, sexual abuse, or exploitation; and it
presents a likely or immediate risk for harm
spousal abuse
domestic violence or any other form of abuse directed at a spouse
, 3
Risk factors for aggression
Past history of aggression, poor impulse control, and violence. Poor coping skills,
limited support systems. Comorbidity that leads to acts of violence (psychotic
delusions, command hallucinations, violent angry reactions with cognitive
disorders).Living in a violent environment.
Signs and symptoms of impending aggression
Hyperactivity such as pacing, restlessness. Defensive response when criticized,
easily offended. Eye contact that is intense, or no eye contact at all. Facial
expressions such as frowning or grimacing. Body language such as clenching fists,
waving arms. Rapid breathing. Aggressive postures such as leaning forward,
appearing tense. Verbal clues such as loud rapid talking. Drug or alcohol
intoxication.
The nurse is leading a support group for women who have experienced
interpersonal violence. When a patient asks about the characteristics of the
perpetrators of interpersonal violence, the nurse accurately responds that they
are:
a. Usually under the influence of alcohol
b. Most often someone the victim knows
c. A stranger to the victim in most cases
d. Often in a psychotic state during the act
ANS: B
Statistics show that interpersonal violence is usually committed by someone the
victim knows. Drugs and alcohol are not necessarily involved. The victim usually
knows the perpetrator. The perpetrators are aware of what they are doing.
, 4
The nurse is considering making a child abuse or neglect report to protective
services. To make the report, the nurse needs to:
a. Have strong evidence that the abuse/neglect has occurred.
b. Obtain the supervisor's permission to make the report.
c. Notify the parents of the intent to file the report.
d. Have suspicions that the abuse has occurred.
ANS D
Suspicions are all that are required by state mandatory child abuse and neglect
reporting laws. The agency bears the burden of collecting evidence. As a
mandated reporter, the nurse does not need anyone's permission to make the
report. Only a suspicion is required. Parent notification is unnecessary
Medications (Commonly) used for aggression and impulsivity
Olanzapine (Zyprexa).Ziprasidone (Geodon).Haloperidol (Haldol).Other
medications to treat underlying disorder such as SSRIs, mood stabilizers,
sedative/hypnotics.
Phases in cycle of violence in families
Tension-building phase
Acute battering phase
Honeymoon phase Eventually, cycle begins again.
PSYCH NURSING EXAM LATEST UPDATES -2025/2026- ACTUAL
QUESTIONS WITH VERIFIED ANSWERS ALREADY GRADED A+
GUARANTEED SUCCESS
A child was admitted to the children's unit, having been sexually abused by an
acquaintance of her family. The child refuses to talk and participate in unit
activities, choosing to stay in her room with her stuffed animals. Which
therapeutic intervention will best help the child release pent-up feelings about
the abuse?
a. Family therapy
b. Play therapy
c. Individual communication with the nurse
d. Role-play with other children on the unit
ANS: B
Play helps communicate and release feelings about the child's problems. A child
may have difficulty expressing feelings verbally. Family therapy may be useful, but
it is not designed for releasing feelings. Role-playing is more effective with older
children or adults.
Nurses coping with angry clients may find it helpful to remember that anger and
aggression begin as feelings of which personal characteristic?
A. Isolation
B. Confidence
C. Hopelessness
D. Vulnerability
, 2
D. Vulnerability
A young child is being evaluated in the Emergency Department for injuries her
mother reports resulted from a fall down the stairs. Which of these findings
indicates that physical abuse may be a chronic problem for the child?
a. The mother's description of the child as being 'clumsy'
b. Several fractures revealed on x-ray in varying degrees of healing
c. Clinging to her mother as she attempted to leave the examining room
d. Struggling with the staff when attempts to obtain a blood specimen were made
ANS: B Unhealed fractures indicate both numerous injuries and that medical
intervention was not sought at the time of injury. Although unkind, the mother's
description of the child is not reason to believe chronic abuse has occurred. The
remaining options reflect normal behavior, especially if pain or separation is
suspected.
Child Abuse and Neglect
The intentional harm or mistreatment of a child under 18 years old; it involves
any recent act or failure to act on the part of a parent or caregiver; it results in
death, serious physical or emotional harm, sexual abuse, or exploitation; and it
presents a likely or immediate risk for harm
spousal abuse
domestic violence or any other form of abuse directed at a spouse
, 3
Risk factors for aggression
Past history of aggression, poor impulse control, and violence. Poor coping skills,
limited support systems. Comorbidity that leads to acts of violence (psychotic
delusions, command hallucinations, violent angry reactions with cognitive
disorders).Living in a violent environment.
Signs and symptoms of impending aggression
Hyperactivity such as pacing, restlessness. Defensive response when criticized,
easily offended. Eye contact that is intense, or no eye contact at all. Facial
expressions such as frowning or grimacing. Body language such as clenching fists,
waving arms. Rapid breathing. Aggressive postures such as leaning forward,
appearing tense. Verbal clues such as loud rapid talking. Drug or alcohol
intoxication.
The nurse is leading a support group for women who have experienced
interpersonal violence. When a patient asks about the characteristics of the
perpetrators of interpersonal violence, the nurse accurately responds that they
are:
a. Usually under the influence of alcohol
b. Most often someone the victim knows
c. A stranger to the victim in most cases
d. Often in a psychotic state during the act
ANS: B
Statistics show that interpersonal violence is usually committed by someone the
victim knows. Drugs and alcohol are not necessarily involved. The victim usually
knows the perpetrator. The perpetrators are aware of what they are doing.
, 4
The nurse is considering making a child abuse or neglect report to protective
services. To make the report, the nurse needs to:
a. Have strong evidence that the abuse/neglect has occurred.
b. Obtain the supervisor's permission to make the report.
c. Notify the parents of the intent to file the report.
d. Have suspicions that the abuse has occurred.
ANS D
Suspicions are all that are required by state mandatory child abuse and neglect
reporting laws. The agency bears the burden of collecting evidence. As a
mandated reporter, the nurse does not need anyone's permission to make the
report. Only a suspicion is required. Parent notification is unnecessary
Medications (Commonly) used for aggression and impulsivity
Olanzapine (Zyprexa).Ziprasidone (Geodon).Haloperidol (Haldol).Other
medications to treat underlying disorder such as SSRIs, mood stabilizers,
sedative/hypnotics.
Phases in cycle of violence in families
Tension-building phase
Acute battering phase
Honeymoon phase Eventually, cycle begins again.
