ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
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1. A patient with major depressive disorder reports persistent sadness and loss of interest in
activities. Which nursing diagnosis is most appropriate?
A. Ineffective coping
B. Risk for self-directed violence
C. Chronic low self-esteem
D. Social isolation
✔ Answer: A
Rationale: Persistent sadness and loss of interest indicate difficulty coping with life stressors.
Risk for self-directed violence may be secondary if suicidal ideation is present.
2. Which symptom is characteristic of mania in bipolar disorder?
A. Decreased need for sleep and pressured speech
B. Persistent sadness
C. Psychomotor retardation
D. Social withdrawal
✔ Answer: A
Rationale: Mania typically includes elevated mood, decreased need for sleep, rapid speech,
and impulsivity. Persistent sadness is more indicative of depression.
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,3. A patient with schizophrenia reports auditory hallucinations. What is the priority nursing
intervention?
A. Assess the content of the hallucination and ensure safety
B. Ignore the hallucination
C. Encourage the patient to read a book
D. Administer sedatives immediately
✔ Answer: A
Rationale: Safety first and understanding hallucination content helps prevent harm and guides
interventions. Immediate sedation is not always appropriate.
4. When conducting a mental health assessment, which is most important to assess first?
A. Suicidal or homicidal ideation
B. Dietary habits
C. Sleep preferences
D. Social activities
✔ Answer: A
Rationale: Safety is the priority. Risk for harm must be assessed before other psychosocial
factors.
5. Which defense mechanism involves attributing one’s unacceptable thoughts to another
person?
A. Projection
B. Regression
C. Sublimation
D. Reaction formation
✔ Answer: A
Rationale: Projection occurs when a person transfers feelings, thoughts, or impulses onto
someone else.
6. Which is a primary goal of therapeutic communication in psychiatric nursing?
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, A. Establishing trust and rapport
B. Providing personal advice
C. Sharing personal experiences
D. Controlling patient behavior
✔ Answer: A
Rationale: Building trust and rapport is essential for effective patient engagement and
intervention.
7. A patient with anxiety disorder presents with tachycardia and restlessness. Which nursing
intervention is most appropriate?
A. Encourage deep breathing and grounding techniques
B. Administer an antipsychotic immediately
C. Isolate the patient
D. Ignore the symptoms
✔ Answer: A
Rationale: Non-pharmacologic anxiety reduction techniques are first-line for mild to moderate
symptoms. Immediate medications or isolation are unnecessary unless severe.
8. Which assessment finding suggests post-traumatic stress disorder (PTSD)?
A. Flashbacks, hypervigilance, and avoidance of triggers
B. Mania and impulsivity
C. Low mood and social withdrawal only
D. Disorganized speech
✔ Answer: A
Rationale: Re-experiencing trauma, hyperarousal, and avoidance are hallmark PTSD
symptoms.
9. A patient refuses to participate in group therapy. How should the nurse respond?
A. Respect the patient’s choice and explore reasons for refusal
B. Force participation
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