1|Page
NR605 PSYCHIATRIC MENTAL HEALTH PRACTICUM
FINAL EXAM WITH QUESTIONS AND 100%
CORRECT ANSWERS|| LATEST AND COMPLETE
VERSION 2025-2026 WITH EXPERT VERIFIED
SOLUTIONS|| ASSURED PASS
A client asks the nurse, "Because I'm so comfortable talking with you, can we go
out for coffee and movie after I get discharged?" To maintain the boundaries of a
therapeutic relationship, how will the nurse respond?
1
"I'm flattered but that would be professionally unethical." 2
"You feel connected to me now; that will change once you are discharged." 3
"The attention I've giving you is directed towards getting you better; it isn't social."
4
"A social life is important so as your nurse let's talk about how you can form
friendships."
- ANSWER: 4
What defense mechanism is being used by the secretary?
1
Denial
2
Undoing
3
Displacement
4
Intellectualizatio
,2|Page
- ANSWER: 2
A client with diabetes mellitus is able to discuss in detail the diabetic metabolic
process while eating a piece of chocolate cake. What defense mechanism does the
nurse identify when evaluating this behavior?
1
Projection
2
Dissociation
3
Displacement
4
Intellectualization
- ANSWER: 4
Intellectualization is the avoidance of a painful emotion with the use of a rational
explanation that removes the event from any personal significance. Projection is
the attribution of unacceptable thoughts and feelings to others. Dissociation is a
temporary alteration of consciousness or identity used to handle conflict; amnesia
is an example. Displacement is the discharge of a pent-up feeling, generally
hostility, on an object or person perceived to be weaker than the person who
aroused the feelings.
A nurse encourages a client to join a self-help group after being discharged from a
mental health facility. What is the purpose of having people work in a group?
1
Support
2
Confrontation
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3
Psychotherapy
4
Self-awareness
- ANSWER: 1
Members of a self-help group share similar experiences and can provide valuable
understanding and support to one other. Although confrontation and self-awareness
may occur, these are not the primary purposes of self-help groups. Self-help groups
provide an opportunity for people to interact, not to engage in professional
psychotherapy.
their cat and dog. What defense mechanism does the nurse conclude that the
client's wife is using?
1
Projection
2
Sublimation
3
Compensation
4
Rationalization
- ANSWER: 4Rationalization
is offering a socially acceptable or logical explanation to justify an unacceptable
feeling or behavior. Projection is the denial of emotionally unacceptable feelings
and the attribution of the traits to another person. Sublimation is the substitution of
a socially acceptable behavior for an unacceptable feeling or drive. Compensation
is making up for a perceived deficiency by emphasizing another feature perceived
as an asset.
, 4|Page
What should the nurse do when determining whether a client is experiencing
adverse effects of risperidone (Risperdal)?
1
Monitor for episodes of diarrhea.
2
Test sensation of lower extremities.
3
Question if dizziness is experienced.
4
Auscultate breath sounds to detect wheezing.
- ANSWER: 3
legs; numbness and coldness of the feet do not occur. Risperidone does not cause
wheezing or shortness of breath.
What developmental task should the nurse consider when caring for toddlers?
1
Trust
2
Industry
3
Autonomy
4
Identification
- ANSWER: 3
NR605 PSYCHIATRIC MENTAL HEALTH PRACTICUM
FINAL EXAM WITH QUESTIONS AND 100%
CORRECT ANSWERS|| LATEST AND COMPLETE
VERSION 2025-2026 WITH EXPERT VERIFIED
SOLUTIONS|| ASSURED PASS
A client asks the nurse, "Because I'm so comfortable talking with you, can we go
out for coffee and movie after I get discharged?" To maintain the boundaries of a
therapeutic relationship, how will the nurse respond?
1
"I'm flattered but that would be professionally unethical." 2
"You feel connected to me now; that will change once you are discharged." 3
"The attention I've giving you is directed towards getting you better; it isn't social."
4
"A social life is important so as your nurse let's talk about how you can form
friendships."
- ANSWER: 4
What defense mechanism is being used by the secretary?
1
Denial
2
Undoing
3
Displacement
4
Intellectualizatio
,2|Page
- ANSWER: 2
A client with diabetes mellitus is able to discuss in detail the diabetic metabolic
process while eating a piece of chocolate cake. What defense mechanism does the
nurse identify when evaluating this behavior?
1
Projection
2
Dissociation
3
Displacement
4
Intellectualization
- ANSWER: 4
Intellectualization is the avoidance of a painful emotion with the use of a rational
explanation that removes the event from any personal significance. Projection is
the attribution of unacceptable thoughts and feelings to others. Dissociation is a
temporary alteration of consciousness or identity used to handle conflict; amnesia
is an example. Displacement is the discharge of a pent-up feeling, generally
hostility, on an object or person perceived to be weaker than the person who
aroused the feelings.
A nurse encourages a client to join a self-help group after being discharged from a
mental health facility. What is the purpose of having people work in a group?
1
Support
2
Confrontation
,3|Page
3
Psychotherapy
4
Self-awareness
- ANSWER: 1
Members of a self-help group share similar experiences and can provide valuable
understanding and support to one other. Although confrontation and self-awareness
may occur, these are not the primary purposes of self-help groups. Self-help groups
provide an opportunity for people to interact, not to engage in professional
psychotherapy.
their cat and dog. What defense mechanism does the nurse conclude that the
client's wife is using?
1
Projection
2
Sublimation
3
Compensation
4
Rationalization
- ANSWER: 4Rationalization
is offering a socially acceptable or logical explanation to justify an unacceptable
feeling or behavior. Projection is the denial of emotionally unacceptable feelings
and the attribution of the traits to another person. Sublimation is the substitution of
a socially acceptable behavior for an unacceptable feeling or drive. Compensation
is making up for a perceived deficiency by emphasizing another feature perceived
as an asset.
, 4|Page
What should the nurse do when determining whether a client is experiencing
adverse effects of risperidone (Risperdal)?
1
Monitor for episodes of diarrhea.
2
Test sensation of lower extremities.
3
Question if dizziness is experienced.
4
Auscultate breath sounds to detect wheezing.
- ANSWER: 3
legs; numbness and coldness of the feet do not occur. Risperidone does not cause
wheezing or shortness of breath.
What developmental task should the nurse consider when caring for toddlers?
1
Trust
2
Industry
3
Autonomy
4
Identification
- ANSWER: 3
