NR605 Psychiatric Mental Health Final
Actual Exam
NR605 Psychiatric-Mental Health
Practicum Exam 5 Newest 2025 With
Complete Questions and Correct
Answers with Rationales Already
Graded A+
A nurse is assessing a client recently admitted with severe anxiety. Which of the following
findings would be expected?
A. The client is alert and able to concentrate on tasks
B. The client reports muscle tension and difficulty sleeping
C. The client shows appropriate affect and clear thought patterns
D. The client demonstrates logical decision-making
- Correct Answer :B. The client reports muscle tension and difficulty sleeping
Rationale: Severe anxiety often manifests with somatic complaints such as muscle tension,
insomnia, and difficulty concentrating. Mild anxiety may enhance performance, but severe
impairs functioning.
Which of the following ethical principles is demonstrated when a nurse respects a client's
decision to refuse medication?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Fidelity
- Correct Answer :C. Autonomy
Rationale: Autonomy refers to respecting a client's right to make decisions about their own care,
even if the healthcare provider disagrees.
A+ TEST BANK 1
, NR605 Psychiatric Mental Health Final
Actual Exam
A nurse is leading a group therapy session. Which client statement indicates a benefit of group
therapy?
A+ TEST BANK 2
, NR605 Psychiatric Mental Health Final
Actual Exam
A. "I feel like I'm the only one with this problem."
B. "Others here understand exactly what I'm going through."
C. "I don't want to share my experiences with strangers."
D. "I'm not comfortable talking in front of people."
- Correct Answer :B. "Others here understand exactly what I'm going through."
Rationale: One of the therapeutic factors of group therapy is universality—realizing others share
similar problems, which fosters support and decreases isolation.
A client with borderline personality disorder engages in splitting behavior. What is the best
nursing response?
A. "You are wrong to think your doctor doesn't care."
B. "Let's talk about how you're feeling rather than labeling people."
C. "You should trust that the doctor is trying to help you."
D. "Why would you say that the nurse is bad?"
- Correct Answer :B. "Let's talk about how you're feeling rather than labeling people."
Rationale: Splitting involves viewing others as all good or all bad. Redirecting to emotional
processing without reinforcing distorted perceptions is most therapeutic.
A nurse observes a client with schizophrenia laughing and talking to himself when no one is
around. What is the best initial response?
A. "You need to stop that behavior."
B. "Are you hearing voices right now?"
C. "You should take your medication now."
D. "Why are you acting that way?
- Correct Answer :B. "Are you hearing voices right now?"
Rationale: This response assesses for auditory hallucinations in a nonjudgmental and therapeutic
manner, allowing for further evaluation and safety planning.
A nurse is caring for a client newly admitted for anorexia nervosa. Which finding requires
immediate attention?
A. Lanugo
B. Bradycardia
C. Distorted body image
D. Hypokalemia
A+ TEST BANK 3
, NR605 Psychiatric Mental Health Final
Actual Exam
- Correct Answer :D. Hypokalemia
Rationale: Hypokalemia is a potentially life-threatening electrolyte imbalance common in eating
disorders due to purging or starvation and requires prompt correction.
A client experiencing a manic episode is interrupting other group members and pacing
frequently. What is the nurse's priority intervention?
A. Redirect the client to a quieter environment
B. Ignore the behavior to avoid confrontation
C. Ask the client to leave the group permanently
D. Encourage the client to discuss his thoughts in group
- Correct Answer :A. Redirect the client to a quieter environment
Rationale: Clients in manic episodes need redirection to a less stimulating environment to reduce
agitation and prevent disruption or escalation.
Which of the following symptoms is characteristic of PTSD?
A. Repetitive checking of locks
B. Flashbacks of the traumatic event
C. Fear of social embarrassment
D. Compulsive hair pulling
- Correct Answer :B. Flashbacks of the traumatic event
Rationale: Flashbacks are a hallmark symptom of PTSD, involving re-experiencing the traumatic
event through vivid memories or nightmares.
A nurse is planning care for a client with antisocial personality disorder. Which intervention is
most appropriate?
A. Allow the client to set their own rules
B. Use a punitive approach when behavior is inappropriate
C. Set clear, consistent boundaries and enforce rules
D. Provide excessive praise to promote self-esteem
- Correct Answer :C. Set clear, consistent boundaries and enforce rules
Rationale: Clients with antisocial behavior benefit from firm limit-setting and consistency to
address manipulative or aggressive behavior.
A+ TEST BANK 4
Actual Exam
NR605 Psychiatric-Mental Health
Practicum Exam 5 Newest 2025 With
Complete Questions and Correct
Answers with Rationales Already
Graded A+
A nurse is assessing a client recently admitted with severe anxiety. Which of the following
findings would be expected?
A. The client is alert and able to concentrate on tasks
B. The client reports muscle tension and difficulty sleeping
C. The client shows appropriate affect and clear thought patterns
D. The client demonstrates logical decision-making
- Correct Answer :B. The client reports muscle tension and difficulty sleeping
Rationale: Severe anxiety often manifests with somatic complaints such as muscle tension,
insomnia, and difficulty concentrating. Mild anxiety may enhance performance, but severe
impairs functioning.
Which of the following ethical principles is demonstrated when a nurse respects a client's
decision to refuse medication?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Fidelity
- Correct Answer :C. Autonomy
Rationale: Autonomy refers to respecting a client's right to make decisions about their own care,
even if the healthcare provider disagrees.
A+ TEST BANK 1
, NR605 Psychiatric Mental Health Final
Actual Exam
A nurse is leading a group therapy session. Which client statement indicates a benefit of group
therapy?
A+ TEST BANK 2
, NR605 Psychiatric Mental Health Final
Actual Exam
A. "I feel like I'm the only one with this problem."
B. "Others here understand exactly what I'm going through."
C. "I don't want to share my experiences with strangers."
D. "I'm not comfortable talking in front of people."
- Correct Answer :B. "Others here understand exactly what I'm going through."
Rationale: One of the therapeutic factors of group therapy is universality—realizing others share
similar problems, which fosters support and decreases isolation.
A client with borderline personality disorder engages in splitting behavior. What is the best
nursing response?
A. "You are wrong to think your doctor doesn't care."
B. "Let's talk about how you're feeling rather than labeling people."
C. "You should trust that the doctor is trying to help you."
D. "Why would you say that the nurse is bad?"
- Correct Answer :B. "Let's talk about how you're feeling rather than labeling people."
Rationale: Splitting involves viewing others as all good or all bad. Redirecting to emotional
processing without reinforcing distorted perceptions is most therapeutic.
A nurse observes a client with schizophrenia laughing and talking to himself when no one is
around. What is the best initial response?
A. "You need to stop that behavior."
B. "Are you hearing voices right now?"
C. "You should take your medication now."
D. "Why are you acting that way?
- Correct Answer :B. "Are you hearing voices right now?"
Rationale: This response assesses for auditory hallucinations in a nonjudgmental and therapeutic
manner, allowing for further evaluation and safety planning.
A nurse is caring for a client newly admitted for anorexia nervosa. Which finding requires
immediate attention?
A. Lanugo
B. Bradycardia
C. Distorted body image
D. Hypokalemia
A+ TEST BANK 3
, NR605 Psychiatric Mental Health Final
Actual Exam
- Correct Answer :D. Hypokalemia
Rationale: Hypokalemia is a potentially life-threatening electrolyte imbalance common in eating
disorders due to purging or starvation and requires prompt correction.
A client experiencing a manic episode is interrupting other group members and pacing
frequently. What is the nurse's priority intervention?
A. Redirect the client to a quieter environment
B. Ignore the behavior to avoid confrontation
C. Ask the client to leave the group permanently
D. Encourage the client to discuss his thoughts in group
- Correct Answer :A. Redirect the client to a quieter environment
Rationale: Clients in manic episodes need redirection to a less stimulating environment to reduce
agitation and prevent disruption or escalation.
Which of the following symptoms is characteristic of PTSD?
A. Repetitive checking of locks
B. Flashbacks of the traumatic event
C. Fear of social embarrassment
D. Compulsive hair pulling
- Correct Answer :B. Flashbacks of the traumatic event
Rationale: Flashbacks are a hallmark symptom of PTSD, involving re-experiencing the traumatic
event through vivid memories or nightmares.
A nurse is planning care for a client with antisocial personality disorder. Which intervention is
most appropriate?
A. Allow the client to set their own rules
B. Use a punitive approach when behavior is inappropriate
C. Set clear, consistent boundaries and enforce rules
D. Provide excessive praise to promote self-esteem
- Correct Answer :C. Set clear, consistent boundaries and enforce rules
Rationale: Clients with antisocial behavior benefit from firm limit-setting and consistency to
address manipulative or aggressive behavior.
A+ TEST BANK 4
