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NURS 661 PSYCHIATRIC MENTAL HEALTH
DIAGNOSIS AND MANAGEMENT REVIEW 2026 2027
VERIFIED QUESTIONS AND ANSWERS WITH 100
PERCENT ACCURACY HIGH YIELD STUDY GUIDE
ACTUAL UPDATED PRACTICE QUESTIONS EXAM
PREPARATION NURSING SUCCESS REVIEW BRAND
NEW VERSION
A 40-year-old female bank teller has recently been diagnosed with
obsessivecompulsive disorder by her therapist.
Which of the following symptoms characterize this disorder?
a) Ritualistic behaviors that the patient feels compelled to repeat
b) Increased anxiety when attempting to ignore or suppress the repetitive behaviors
c) Frequent intrusive and repetitive thoughts and impulses
d) All of the above - CORRECT ANSWER=D - Obsessive-compulsive
disorder is an anxiety disorder in which people have unwanted and repeated
thoughts, feelings, ideas, sensations (obsessions), or behaviors that make them
feel driven to do something (compulsions). Often the person carries out the
behaviors to get rid of the obsessive thoughts, but this only provides temporary
relief. Not performing the obsessive rituals can cause great anxiety. Signs and
symptoms of obsessivecompulsive disorder include ritualistic behaviors that are
repeated, increased anxiety when the patient attempts to ignore repetitive
behaviors, and frequent intrusive and repetitive thoughts and impulses.
Which of the following statements regarding the rehabilitation of alcoholics is
correct?
a) Al-Anon is not designed for family members of alcoholics
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b) Disulfiram (Antabuse) is always effective
c) Alcoholics Anonymous is not an effective method for treating this condition
d) Patients should avoid foods or drinks that contain alcohol, such as cough syrups
- CORRECT ANSWER=D - The intake of foods and medications that
contain alcohol must be avoided because it can precipitate a relapse in a
recovering alcoholic. This includes everyday products that contain alcohol, such
as mouthwashes and cough syrups. Al-Anon (for adults) and Alateen (for teens)
are 12-step programs for families and friends of alcoholics. Antabuse is effective
for some patients. Alcoholics Anonymous (AA) is a 12-step program that is
designed to help alcoholics.
A 30-year-old male patient with bipolar disorder refuses to take his afternoon dose
of pills. The nurse tells him of the possible consequences of his action, but the
patient still refuses to cooperate. Which of the following is the best course for the
nurse to follow?
a) Document the patient's behavior in his record and the action taken by the nurse
b) Reassure the patient that he will be fine after taking the medicine
c) Document only the patient behavior
d) Document only the nurse's action - CORRECT ANSWER=A - Patients have
the right to refuse their medications. Bipolar disorder tends to worsen if it is not
treated. Explain that there is a good chance that manic and depressive episodes
will become more frequent and severe over time. If a patient is noncompliant,
the patient behavior and the actions taken by the nurse both must be
documented.
All of the following patients are at higher risk for suicide except:
a) A 66-year-old White man whose wife of 40 years recently died
b) A high school student with a history of bipolar disorder
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c) A depressed 45-year-old woman with family history of suicide
d) A 17-year-old teen who has only one close friend in school - CORRECT
ANSWER=D - Risk factors for suicide include (a) elderly White men
(especially after the death of a spouse); (b) past history of suicide; (c) family
history of suicide; (d) plans for use of a lethal weapon such as a gun or knife; (e)
gender (higher attempt rate in females, but higher success rate in males); and (f)
personal history of bipolar disorder or depression.
All of the following are true statements regarding Munchausen syndrome except:
a) It is considered a mental illness
b) The patient has a medical illness that causes an anxiety reaction and denial
c) The patient fakes an illness in order to gain attention from health care providers
d) The patient has an inconsi - CORRECT ANSWER=B - Munchausen
syndrome is a psychiatric disorder in which the patient fakes a medical illness or
disorder to gain attention from health care providers. These patients often use
the emergency department to gain attention.
A 38-year-old male veteran is diagnosed with posttraumatic stress disorder
(PTSD). He attends group therapy sessions once per week, but reports that his
symptoms remain the same. He is requesting treatment for his condition. Which of
the following is the first-line medication for PTSD?
a) Selective serotonin reuptake inhibitors (SSRIs)
b) Benzodiazepines
c) Tricyclic antidepressants (TCAs)
d) Selective norepinephrine reuptake inhibitors (SNRIs) - CORRECT
ANSWER=A - First-line drug treatment for posttraumatic stress disorder (PTSD) is
SSRIs. The Food and Drug Administration has approved sertraline (Zoloft) and
paroxetine (Paxil) for PTSD.
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A nurse practitioner is giving dietary counseling to a 30-year-old male alcoholic
who has recently been diagnosed with folic acid deficiency anemia. Which of the
following foods should the nurse practitioner recommend to this patient?
a) Tomatoes, oranges, and bananas
b) Cheese, yogurt, and milk
c) Lettuce, beef, and dairy products
d) Spinach, liver, and beans - CORRECT ANSWER=D - Folic acid deficiency
is associated with excessive alcohol intake and malnutrition. Folate is a water-
soluble B vitamin (vitamin B9). Folate is present in the following foods: liver,
dark leafy vegetables (spinach, turnip, broccoli), beans (soy, lentils, peas), pasta,
breads, and cereals.
A 21-year-old new mother reports that she has been feeling irritable and jittery
almost daily for the past few months. She complains of frequent palpitations and
more frequent bowel movements along with weight loss. Her blood pressure is
160/70 mmHg, pulse is 110 beats/min, and she is afebrile. All of the following
conditions should be considered in the differential diagnosis for this patient except:
a) Mitral regurgitation
b) Graves' disease
c) Generalized anxiety disorder
d) Illicit drug use - CORRECT ANSWER=A - Signs and symptoms of mitral
regurgitation do not include frequent bowel movements with weight loss.
A 68-year-old woman is suspected of having Alzheimer's disease. Which of the
following is the best initial method for assessing the condition?
Select All That Apply
NURS 661 PSYCHIATRIC MENTAL HEALTH
DIAGNOSIS AND MANAGEMENT REVIEW 2026 2027
VERIFIED QUESTIONS AND ANSWERS WITH 100
PERCENT ACCURACY HIGH YIELD STUDY GUIDE
ACTUAL UPDATED PRACTICE QUESTIONS EXAM
PREPARATION NURSING SUCCESS REVIEW BRAND
NEW VERSION
A 40-year-old female bank teller has recently been diagnosed with
obsessivecompulsive disorder by her therapist.
Which of the following symptoms characterize this disorder?
a) Ritualistic behaviors that the patient feels compelled to repeat
b) Increased anxiety when attempting to ignore or suppress the repetitive behaviors
c) Frequent intrusive and repetitive thoughts and impulses
d) All of the above - CORRECT ANSWER=D - Obsessive-compulsive
disorder is an anxiety disorder in which people have unwanted and repeated
thoughts, feelings, ideas, sensations (obsessions), or behaviors that make them
feel driven to do something (compulsions). Often the person carries out the
behaviors to get rid of the obsessive thoughts, but this only provides temporary
relief. Not performing the obsessive rituals can cause great anxiety. Signs and
symptoms of obsessivecompulsive disorder include ritualistic behaviors that are
repeated, increased anxiety when the patient attempts to ignore repetitive
behaviors, and frequent intrusive and repetitive thoughts and impulses.
Which of the following statements regarding the rehabilitation of alcoholics is
correct?
a) Al-Anon is not designed for family members of alcoholics
,2 | Page
b) Disulfiram (Antabuse) is always effective
c) Alcoholics Anonymous is not an effective method for treating this condition
d) Patients should avoid foods or drinks that contain alcohol, such as cough syrups
- CORRECT ANSWER=D - The intake of foods and medications that
contain alcohol must be avoided because it can precipitate a relapse in a
recovering alcoholic. This includes everyday products that contain alcohol, such
as mouthwashes and cough syrups. Al-Anon (for adults) and Alateen (for teens)
are 12-step programs for families and friends of alcoholics. Antabuse is effective
for some patients. Alcoholics Anonymous (AA) is a 12-step program that is
designed to help alcoholics.
A 30-year-old male patient with bipolar disorder refuses to take his afternoon dose
of pills. The nurse tells him of the possible consequences of his action, but the
patient still refuses to cooperate. Which of the following is the best course for the
nurse to follow?
a) Document the patient's behavior in his record and the action taken by the nurse
b) Reassure the patient that he will be fine after taking the medicine
c) Document only the patient behavior
d) Document only the nurse's action - CORRECT ANSWER=A - Patients have
the right to refuse their medications. Bipolar disorder tends to worsen if it is not
treated. Explain that there is a good chance that manic and depressive episodes
will become more frequent and severe over time. If a patient is noncompliant,
the patient behavior and the actions taken by the nurse both must be
documented.
All of the following patients are at higher risk for suicide except:
a) A 66-year-old White man whose wife of 40 years recently died
b) A high school student with a history of bipolar disorder
,3 | Page
c) A depressed 45-year-old woman with family history of suicide
d) A 17-year-old teen who has only one close friend in school - CORRECT
ANSWER=D - Risk factors for suicide include (a) elderly White men
(especially after the death of a spouse); (b) past history of suicide; (c) family
history of suicide; (d) plans for use of a lethal weapon such as a gun or knife; (e)
gender (higher attempt rate in females, but higher success rate in males); and (f)
personal history of bipolar disorder or depression.
All of the following are true statements regarding Munchausen syndrome except:
a) It is considered a mental illness
b) The patient has a medical illness that causes an anxiety reaction and denial
c) The patient fakes an illness in order to gain attention from health care providers
d) The patient has an inconsi - CORRECT ANSWER=B - Munchausen
syndrome is a psychiatric disorder in which the patient fakes a medical illness or
disorder to gain attention from health care providers. These patients often use
the emergency department to gain attention.
A 38-year-old male veteran is diagnosed with posttraumatic stress disorder
(PTSD). He attends group therapy sessions once per week, but reports that his
symptoms remain the same. He is requesting treatment for his condition. Which of
the following is the first-line medication for PTSD?
a) Selective serotonin reuptake inhibitors (SSRIs)
b) Benzodiazepines
c) Tricyclic antidepressants (TCAs)
d) Selective norepinephrine reuptake inhibitors (SNRIs) - CORRECT
ANSWER=A - First-line drug treatment for posttraumatic stress disorder (PTSD) is
SSRIs. The Food and Drug Administration has approved sertraline (Zoloft) and
paroxetine (Paxil) for PTSD.
, 4 | Page
A nurse practitioner is giving dietary counseling to a 30-year-old male alcoholic
who has recently been diagnosed with folic acid deficiency anemia. Which of the
following foods should the nurse practitioner recommend to this patient?
a) Tomatoes, oranges, and bananas
b) Cheese, yogurt, and milk
c) Lettuce, beef, and dairy products
d) Spinach, liver, and beans - CORRECT ANSWER=D - Folic acid deficiency
is associated with excessive alcohol intake and malnutrition. Folate is a water-
soluble B vitamin (vitamin B9). Folate is present in the following foods: liver,
dark leafy vegetables (spinach, turnip, broccoli), beans (soy, lentils, peas), pasta,
breads, and cereals.
A 21-year-old new mother reports that she has been feeling irritable and jittery
almost daily for the past few months. She complains of frequent palpitations and
more frequent bowel movements along with weight loss. Her blood pressure is
160/70 mmHg, pulse is 110 beats/min, and she is afebrile. All of the following
conditions should be considered in the differential diagnosis for this patient except:
a) Mitral regurgitation
b) Graves' disease
c) Generalized anxiety disorder
d) Illicit drug use - CORRECT ANSWER=A - Signs and symptoms of mitral
regurgitation do not include frequent bowel movements with weight loss.
A 68-year-old woman is suspected of having Alzheimer's disease. Which of the
following is the best initial method for assessing the condition?
Select All That Apply
