1|Page
Psychiatric Nursing Actual Exam Version 1,2,3 And 4
Newest 2026 Complete Questions And Correct
Answers |Already Graded A+||Newest Exam Version!!!
A 48-year-old Hispanic woman is seen by a psychiatric
clinical nurse specialist after receiving a call by her son.
According to the son, since his father's death 7 months
ago, his mother has lost 30 pounds and can't sleep.
During her initial visit, the patient states, 'My husband talks
to me in his visits, but his words make no sense to me. I
don't understand what he wants me to do.' What is an
appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - Answer-D. Grieving.
Reason: Grieving may be characterized by weight loss,
sleep disturbances, and messages from beyond.
Your neighbor's husband comes to talk to you. He says his
wife has not left the house in 2 weeks, has a flat mood,
,2|Page
and has lost interest in her usual activities. You recognize
these as the primary symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - Answer-A. Depression.
Reason: Depressed mood and anhedonia (loss of interest
or pleasure in activities) are the primary symptoms of
major depression.
Your patient is ready for discharge after a 30-day
hospitalization for manic depression. About 30 minutes
before his discharge, his roommate comes to you and
says, 'He is talking crazy.' When you ask your patient how
he is feeling, he states, 'I feel like Superman. I can do
anything. I can fly home today and then become a U.S.
Senator.' Which type of mania-related symptoms is this
patient exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. - Answer-B. Cognitive.
,3|Page
Reason: Cognitive symptoms include inflated self-esteem
and grandiosity.
You need to assess whether a patient who has a mood
disorder is ready for discharge. Which statement would
indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I
feel good about that.
B. Going home will be fun, but if it isn't fun, I can always
make my mother help me or tell her to do so. She better
help me.
C. I will take my medicines as I should and know to call
the number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't
want to do anything. - Answer-C. I will take my medicines
as I should and know to call the number you gave me if I
have bad thoughts.
Reason: Verbalization of a plan for help and
demonstration of care are realistic discharge criteria.
, 4|Page
An angry patient is in the community room. She picks up a
chair and uses it to hit another patient on the head. When
you come into the community room, what should your first
response to the patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair
completely down on the floor.
C. How would you like it if I hit you over the head with a
chair?
D. You're in big trouble now. It's probably prison you are
looking at! - Answer-B. Hitting others is unacceptable.
Please put the chair completely down on the floor.
Reason: Use words to indicate your lack of acceptance of
the patient's behavior in a nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression
as well as a history of abusing multiple substances and
anorexia nervosa. What is your first nursing priority?
A. Socialization.
B. Contracting for eating behavior.
C. Safety.
Psychiatric Nursing Actual Exam Version 1,2,3 And 4
Newest 2026 Complete Questions And Correct
Answers |Already Graded A+||Newest Exam Version!!!
A 48-year-old Hispanic woman is seen by a psychiatric
clinical nurse specialist after receiving a call by her son.
According to the son, since his father's death 7 months
ago, his mother has lost 30 pounds and can't sleep.
During her initial visit, the patient states, 'My husband talks
to me in his visits, but his words make no sense to me. I
don't understand what he wants me to do.' What is an
appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - Answer-D. Grieving.
Reason: Grieving may be characterized by weight loss,
sleep disturbances, and messages from beyond.
Your neighbor's husband comes to talk to you. He says his
wife has not left the house in 2 weeks, has a flat mood,
,2|Page
and has lost interest in her usual activities. You recognize
these as the primary symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - Answer-A. Depression.
Reason: Depressed mood and anhedonia (loss of interest
or pleasure in activities) are the primary symptoms of
major depression.
Your patient is ready for discharge after a 30-day
hospitalization for manic depression. About 30 minutes
before his discharge, his roommate comes to you and
says, 'He is talking crazy.' When you ask your patient how
he is feeling, he states, 'I feel like Superman. I can do
anything. I can fly home today and then become a U.S.
Senator.' Which type of mania-related symptoms is this
patient exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. - Answer-B. Cognitive.
,3|Page
Reason: Cognitive symptoms include inflated self-esteem
and grandiosity.
You need to assess whether a patient who has a mood
disorder is ready for discharge. Which statement would
indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I
feel good about that.
B. Going home will be fun, but if it isn't fun, I can always
make my mother help me or tell her to do so. She better
help me.
C. I will take my medicines as I should and know to call
the number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't
want to do anything. - Answer-C. I will take my medicines
as I should and know to call the number you gave me if I
have bad thoughts.
Reason: Verbalization of a plan for help and
demonstration of care are realistic discharge criteria.
, 4|Page
An angry patient is in the community room. She picks up a
chair and uses it to hit another patient on the head. When
you come into the community room, what should your first
response to the patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair
completely down on the floor.
C. How would you like it if I hit you over the head with a
chair?
D. You're in big trouble now. It's probably prison you are
looking at! - Answer-B. Hitting others is unacceptable.
Please put the chair completely down on the floor.
Reason: Use words to indicate your lack of acceptance of
the patient's behavior in a nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression
as well as a history of abusing multiple substances and
anorexia nervosa. What is your first nursing priority?
A. Socialization.
B. Contracting for eating behavior.
C. Safety.
