ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING EXAM 2 FINAL PAPER 2026 FULL
STUDY GUIDE
◉ Which intervention would the nurse perform while caring for a
client with a psychiatric illness who is reluctant to be with friends
and expresses a fear of rejection? Answer: Offer to remain with the
client during activities
◉ While caring for a client with a psychotic disorder, the nurse finds
that the client has severe delusions, hallucinations, and frequent
derailment. What does the nurse infer from these findings? Answer:
The client is in the active psychotic phase.
◉ A client writes, "My kolege konducts unikornth festewel evry year.
I vant this buk for studying." Which symptoms would the nurse
document in the client record after reading this writing? Select all
that apply. Answer: Neologisms
Associative looseness
◉ Which treatment strategy emphasizes vocational expectations
and sheltered workshops that provide rehabilitation to a client with
schizophrenia? Answer: Community support programs
,◉ While monitoring the blood pressure of a client who is on
antipsychotic therapy, the nurse finds that the client has orthostatic
hypotension. Which nursing intervention is beneficial for the client
in this situation? Answer: Instruct the client to rise slowly when
going from sitting to standing.
◉ The nurse asks a client with schizophrenia, "When was your left
leg amputated?" Which response by the client indicates a somatic
delusion? Answer: "It was removed last month, but it is growing
again and I will be walking shortly."
◉ The nurse is caring for a client who always wants to be alone due
to a lack of trust in other individuals. While caring for the client, the
nurse plans to recognize and encourage the client's voluntary
interaction with others. What outcome does the nurse expect out of
this intervention? Answer: The client develops self-esteem.
◉ The nurse observes that a client has schizoid and schizotypal
personalities. The nurse concludes that the client in is which phase
of schizophrenia? Answer: The client is in the premorbid phase of
schizophrenia.
◉ The nurse is conveying the news of a family member's death to a
client with schizophrenia. The nurse finds that the client is laughing
, after listening to the news. What does the nurse infer from the
client's behavior? Answer: Inappropriate affect
◉ While assessing a client with psychiatric illness, the nurse finds
that the client is unable to work and build relationships with friends.
The nurse also finds that the client has a very weak emotional tone
and is expressionless. Which phase of schizophrenia is the client
experiencing? Answer: Phase IV
◉ Which instructions would the nurse provide to a client who is
undergoing antipsychotic therapy to overcome anticholinergic
effects? Select all that apply. Answer: Have sugarless candies and
frequent sips of water
Do not drive a vehicle
◉ A client with schizophrenia tells the nurse, "When I eat this
pungent ice cream, I hear the voice of god." What does the nurse
infer from this statement by the client? Select all that apply. Answer:
The client has an auditory type of hallucination.
The client has a gustatory type of hallucination.
◉ Which are the positive symptoms of schizophrenia? Select all that
apply. Answer: Echolalia
NURSING EXAM 2 FINAL PAPER 2026 FULL
STUDY GUIDE
◉ Which intervention would the nurse perform while caring for a
client with a psychiatric illness who is reluctant to be with friends
and expresses a fear of rejection? Answer: Offer to remain with the
client during activities
◉ While caring for a client with a psychotic disorder, the nurse finds
that the client has severe delusions, hallucinations, and frequent
derailment. What does the nurse infer from these findings? Answer:
The client is in the active psychotic phase.
◉ A client writes, "My kolege konducts unikornth festewel evry year.
I vant this buk for studying." Which symptoms would the nurse
document in the client record after reading this writing? Select all
that apply. Answer: Neologisms
Associative looseness
◉ Which treatment strategy emphasizes vocational expectations
and sheltered workshops that provide rehabilitation to a client with
schizophrenia? Answer: Community support programs
,◉ While monitoring the blood pressure of a client who is on
antipsychotic therapy, the nurse finds that the client has orthostatic
hypotension. Which nursing intervention is beneficial for the client
in this situation? Answer: Instruct the client to rise slowly when
going from sitting to standing.
◉ The nurse asks a client with schizophrenia, "When was your left
leg amputated?" Which response by the client indicates a somatic
delusion? Answer: "It was removed last month, but it is growing
again and I will be walking shortly."
◉ The nurse is caring for a client who always wants to be alone due
to a lack of trust in other individuals. While caring for the client, the
nurse plans to recognize and encourage the client's voluntary
interaction with others. What outcome does the nurse expect out of
this intervention? Answer: The client develops self-esteem.
◉ The nurse observes that a client has schizoid and schizotypal
personalities. The nurse concludes that the client in is which phase
of schizophrenia? Answer: The client is in the premorbid phase of
schizophrenia.
◉ The nurse is conveying the news of a family member's death to a
client with schizophrenia. The nurse finds that the client is laughing
, after listening to the news. What does the nurse infer from the
client's behavior? Answer: Inappropriate affect
◉ While assessing a client with psychiatric illness, the nurse finds
that the client is unable to work and build relationships with friends.
The nurse also finds that the client has a very weak emotional tone
and is expressionless. Which phase of schizophrenia is the client
experiencing? Answer: Phase IV
◉ Which instructions would the nurse provide to a client who is
undergoing antipsychotic therapy to overcome anticholinergic
effects? Select all that apply. Answer: Have sugarless candies and
frequent sips of water
Do not drive a vehicle
◉ A client with schizophrenia tells the nurse, "When I eat this
pungent ice cream, I hear the voice of god." What does the nurse
infer from this statement by the client? Select all that apply. Answer:
The client has an auditory type of hallucination.
The client has a gustatory type of hallucination.
◉ Which are the positive symptoms of schizophrenia? Select all that
apply. Answer: Echolalia
