Foundation of Psychiatric Mental Health Nursing Exam 1A (2025) comprehensive questions
and verified answers ( detailed & elaborated) 2025-2026 TEST
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals
on Wheels, coach teen sports, and do church visitation." Another laughs and
says, "I'm too busy taking care of myself to volunteer to help others." Which
developmental task do these statements contrast?
a.
Trust and mistrust
c.
Industry and inferiority
b.
Intimacy and isolation
d.
Generativity and self-absorption
d.
Generativity and self-absorption
Although ego defense mechanisms and security operations are mainly
unconscious and designed to relieve anxiety, the major difference is that:
a.
defense mechanisms are intrapsychic and not observable.
b.
defense mechanisms cause arrested personal development.
c.
security operations are masterminded by the id and superego.
d.
security operations address interpersonal relationship activities.
d.
security operations address interpersonal relationship activities.
A student nurse says, "I don't need to interact with my patients. I learn what I
need to know by observation." An instructor can best interpret the nursing
implications of Sullivan's theory to this student by responding:
a.
"Interactions are required in order to help you develop therapeutic
communication skills."
b.
"Nurses cannot be isolated. We must interact to provide patients with
opportunities to practice interpersonal skills."
c.
"Observing patient interactions will help you formulate priority nursing
diagnoses and appropriate interventions."
d.
"It is important to pay attention to patients' behavioral changes, because these
signify adjustments in personality."
,b.
"Nurses cannot be isolated. We must interact to provide patients with opportunities to
practice interpersonal skills."
A nurse consistently encourages patient to do his or her own activities of daily
living (ADLs). If the patient is unable to complete an activity, the nurse helps
until the patient is once again independent. This nurse's practice is most
influenced by which theorist?
a.
Betty Neuman
c.
Dorothea Orem
b.
Patricia Benner
d.
Joyce Travelbee
c.
Dorothea Orem
A nurse uses Maslow's hierarchy of needs to plan care for a patient with
mental illness. Which problem will receive priority? The patient:
a.
refuses to eat or bathe.
b.
reports feelings of alienation from family.
c.
is reluctant to participate in unit social activities.
d.
is unaware of medication action and side effects.
a.
refuses to eat or bathe.
Operant conditioning is part of the treatment plan to encourage speech in a
child who is nearly mute. Which technique applies?
a.
Encourage the child to observe others talking.
b.
Include the child in small group activities.
c.
Give the child a small treat for speaking.
d.
Teach the child relaxation techniques.
c.
Give the child a small treat for speaking.
A staff nurse completes orientation to a psychiatric unit. This nurse may
expect an advanced practice nurse to perform which additional intervention?
a.
Conduct mental health assessments.
c.
Establish therapeutic relationships.
b.
Prescribe psychotropic medication.
, d.
Individualize nursing care plans.
b.
Prescribe psychotropic medication
When a nursing student expresses concerns about how mental health nurses
"lose all their nursing skills," the best response by the mental health nurse is:
a.
"Psychiatric nurses practice in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients'
problems."
b.
"Psychiatric nurses use complex communication skills as well as critical
thinking to solve multidimensional problems. I am challenged by those
situations."
c.
"That's a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies."
d.
"Psychiatric nurses do not have to deal with as much pain and suffering as
medical-surgical nurses do. That appeals to me."
b.
"Psychiatric nurses use complex communication skills as well as critical thinking to
solve multidimensional problems. I am challenged by those situations."
When a new bill introduced in Congress reduces funding for care of persons
with mental illness, a group of nurses writes letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a.
Recovery
c.
Advocacy
b.
Attending
d.
Evidence-based practice
c.
Advocacy
Which comment best indicates that a patient perceived the nurse was caring?
"My nurse:
a.
always asks me which type of juice I want to help me swallow my medication."
b.
explained my treatment plan to me and asked for my ideas about how to make
it better."
c.
spends time listening to me talk about my problems. That helps me feel like I
am not alone."
d.
told me that if I take all the medicines the doctor prescribes, then I will get
discharged sooner."
and verified answers ( detailed & elaborated) 2025-2026 TEST
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals
on Wheels, coach teen sports, and do church visitation." Another laughs and
says, "I'm too busy taking care of myself to volunteer to help others." Which
developmental task do these statements contrast?
a.
Trust and mistrust
c.
Industry and inferiority
b.
Intimacy and isolation
d.
Generativity and self-absorption
d.
Generativity and self-absorption
Although ego defense mechanisms and security operations are mainly
unconscious and designed to relieve anxiety, the major difference is that:
a.
defense mechanisms are intrapsychic and not observable.
b.
defense mechanisms cause arrested personal development.
c.
security operations are masterminded by the id and superego.
d.
security operations address interpersonal relationship activities.
d.
security operations address interpersonal relationship activities.
A student nurse says, "I don't need to interact with my patients. I learn what I
need to know by observation." An instructor can best interpret the nursing
implications of Sullivan's theory to this student by responding:
a.
"Interactions are required in order to help you develop therapeutic
communication skills."
b.
"Nurses cannot be isolated. We must interact to provide patients with
opportunities to practice interpersonal skills."
c.
"Observing patient interactions will help you formulate priority nursing
diagnoses and appropriate interventions."
d.
"It is important to pay attention to patients' behavioral changes, because these
signify adjustments in personality."
,b.
"Nurses cannot be isolated. We must interact to provide patients with opportunities to
practice interpersonal skills."
A nurse consistently encourages patient to do his or her own activities of daily
living (ADLs). If the patient is unable to complete an activity, the nurse helps
until the patient is once again independent. This nurse's practice is most
influenced by which theorist?
a.
Betty Neuman
c.
Dorothea Orem
b.
Patricia Benner
d.
Joyce Travelbee
c.
Dorothea Orem
A nurse uses Maslow's hierarchy of needs to plan care for a patient with
mental illness. Which problem will receive priority? The patient:
a.
refuses to eat or bathe.
b.
reports feelings of alienation from family.
c.
is reluctant to participate in unit social activities.
d.
is unaware of medication action and side effects.
a.
refuses to eat or bathe.
Operant conditioning is part of the treatment plan to encourage speech in a
child who is nearly mute. Which technique applies?
a.
Encourage the child to observe others talking.
b.
Include the child in small group activities.
c.
Give the child a small treat for speaking.
d.
Teach the child relaxation techniques.
c.
Give the child a small treat for speaking.
A staff nurse completes orientation to a psychiatric unit. This nurse may
expect an advanced practice nurse to perform which additional intervention?
a.
Conduct mental health assessments.
c.
Establish therapeutic relationships.
b.
Prescribe psychotropic medication.
, d.
Individualize nursing care plans.
b.
Prescribe psychotropic medication
When a nursing student expresses concerns about how mental health nurses
"lose all their nursing skills," the best response by the mental health nurse is:
a.
"Psychiatric nurses practice in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients'
problems."
b.
"Psychiatric nurses use complex communication skills as well as critical
thinking to solve multidimensional problems. I am challenged by those
situations."
c.
"That's a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies."
d.
"Psychiatric nurses do not have to deal with as much pain and suffering as
medical-surgical nurses do. That appeals to me."
b.
"Psychiatric nurses use complex communication skills as well as critical thinking to
solve multidimensional problems. I am challenged by those situations."
When a new bill introduced in Congress reduces funding for care of persons
with mental illness, a group of nurses writes letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a.
Recovery
c.
Advocacy
b.
Attending
d.
Evidence-based practice
c.
Advocacy
Which comment best indicates that a patient perceived the nurse was caring?
"My nurse:
a.
always asks me which type of juice I want to help me swallow my medication."
b.
explained my treatment plan to me and asked for my ideas about how to make
it better."
c.
spends time listening to me talk about my problems. That helps me feel like I
am not alone."
d.
told me that if I take all the medicines the doctor prescribes, then I will get
discharged sooner."
