Test Bank for Psychiatric Mental Health Actual Exam 5 (2025)
comprehensive questions and verified answers ( detailed &
elaborated) 2025-2026 TEST
Psychiatric/Mental Health Nursing - Psychobiological Disorders
A client with the diagnosis of bulimia nervosa, purging type, is admitted to the
mental health unit after an acute episode of bingeing. Which clinical
manifestation is most important for the nurse to evaluate?
Dehydration
An older resident in a nursing home who has a diagnosis of dementia hoards
leftover food from the meal tray and other seemingly valueless articles and
stuffs them into pockets "so the others won't steal them." What should the
nurse plan to do?
Give the resident a small bag in which to place selected personal articles and food
Which nursing intervention is indicated for a client with an anxiety disorder?
A nurse begins a therapeutic relationship with a client with the diagnosis of
schizotypal personality disorder. What is the best initial nursing action?
Respecting the client's need for social isolation
A client is admitted to the psychiatric unit of the hospital with a diagnosis of
conversion disorder. The client is unable to move either leg. Which finding
should the nurse consider consistent with this diagnosis?
Appearing composed
A constructive but lengthy method of confronting the stress of adolescence
and preventing a negative and unhealthy developmental outcome is:
Role experimentation
A client tells the nurse, "I used to believe that I was a princess, but now I know
that that's not true." What is the best response by the nurse?
That's is a sign that you're getting better.
How should a nurse expect a client's anxiety to be manifested physiologically?
ncreased blood glucose level
A nurse is caring for a client who has been experiencing delusions. According
to psychodynamic theory, delusions are
, A defense against anxiety
Risk for assaultive behavior is highest in the mental health client who:
Experiences command hallucinations
A nurse knows individuals who are alcoholics use alcohol to:
Blunt reality
A housekeeping staff member in a mental health unit reports to the nurse that
food was found hidden in a client's room. Knowing that the client was admitted
with a fluid and electrolyte imbalance because of anorexia nervosa, the nurse
should ask housekeeping personnel to:
Report it to the nursing staff if this happens again
A client has been receiving oxycodone (OxyContin) for moderate pain
associated with multiple injuries sustained in a motor vehicle collision. The
client has returned three times for refills of the prescription. What behavior, in
addition to the client's slurred speech, leads the nurse to suspect opioid
intoxication?
Constricted pupils
A client in the outpatient clinic is denying that he is addicted to alcohol. He
tells the nurse that he is not an alcoholic and that it is his nagging wife who
causes him to drink. What is the most therapeutic response by the nurse?
"Everyone is responsible for his own actions."
Why is observation an especially important aspect of nursing care for a
withdrawn client?
It helps the nurse understand the client's behavior
A client is admitted to a mental health facility for depression. What action
should a nurse take to help the client develop a positive self-regard?
Involve the client in activities that promote success
A 5-foot 5-inch 15-year-old girl who weighs 80 lb is admitted to a mental health
facility with a diagnosis of anorexia nervosa. The nurse recognizes that her
problem most likely is caused by:
A desire to control her life
A client is admitted to the psychiatric hospital after many self-inflicted
nonlethal injuries over the preceding month. Of which level of suicidal
behavior is the client's behavior reflective?
Gestures
comprehensive questions and verified answers ( detailed &
elaborated) 2025-2026 TEST
Psychiatric/Mental Health Nursing - Psychobiological Disorders
A client with the diagnosis of bulimia nervosa, purging type, is admitted to the
mental health unit after an acute episode of bingeing. Which clinical
manifestation is most important for the nurse to evaluate?
Dehydration
An older resident in a nursing home who has a diagnosis of dementia hoards
leftover food from the meal tray and other seemingly valueless articles and
stuffs them into pockets "so the others won't steal them." What should the
nurse plan to do?
Give the resident a small bag in which to place selected personal articles and food
Which nursing intervention is indicated for a client with an anxiety disorder?
A nurse begins a therapeutic relationship with a client with the diagnosis of
schizotypal personality disorder. What is the best initial nursing action?
Respecting the client's need for social isolation
A client is admitted to the psychiatric unit of the hospital with a diagnosis of
conversion disorder. The client is unable to move either leg. Which finding
should the nurse consider consistent with this diagnosis?
Appearing composed
A constructive but lengthy method of confronting the stress of adolescence
and preventing a negative and unhealthy developmental outcome is:
Role experimentation
A client tells the nurse, "I used to believe that I was a princess, but now I know
that that's not true." What is the best response by the nurse?
That's is a sign that you're getting better.
How should a nurse expect a client's anxiety to be manifested physiologically?
ncreased blood glucose level
A nurse is caring for a client who has been experiencing delusions. According
to psychodynamic theory, delusions are
, A defense against anxiety
Risk for assaultive behavior is highest in the mental health client who:
Experiences command hallucinations
A nurse knows individuals who are alcoholics use alcohol to:
Blunt reality
A housekeeping staff member in a mental health unit reports to the nurse that
food was found hidden in a client's room. Knowing that the client was admitted
with a fluid and electrolyte imbalance because of anorexia nervosa, the nurse
should ask housekeeping personnel to:
Report it to the nursing staff if this happens again
A client has been receiving oxycodone (OxyContin) for moderate pain
associated with multiple injuries sustained in a motor vehicle collision. The
client has returned three times for refills of the prescription. What behavior, in
addition to the client's slurred speech, leads the nurse to suspect opioid
intoxication?
Constricted pupils
A client in the outpatient clinic is denying that he is addicted to alcohol. He
tells the nurse that he is not an alcoholic and that it is his nagging wife who
causes him to drink. What is the most therapeutic response by the nurse?
"Everyone is responsible for his own actions."
Why is observation an especially important aspect of nursing care for a
withdrawn client?
It helps the nurse understand the client's behavior
A client is admitted to a mental health facility for depression. What action
should a nurse take to help the client develop a positive self-regard?
Involve the client in activities that promote success
A 5-foot 5-inch 15-year-old girl who weighs 80 lb is admitted to a mental health
facility with a diagnosis of anorexia nervosa. The nurse recognizes that her
problem most likely is caused by:
A desire to control her life
A client is admitted to the psychiatric hospital after many self-inflicted
nonlethal injuries over the preceding month. Of which level of suicidal
behavior is the client's behavior reflective?
Gestures
