©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM
Psych Final Exam NCLEX Questions
With Correct Answers
A 22-year-old patient has a history of panic attacks and is having one in your care right now due
to a recent health diagnosis. What would be your priority intervention?
a. The nurse should sit in silence with the patient
b. The nurse should leave the patient alone until they are calm
c. The nurse should take the patient to a small, quiet, and non-stimulating environment
d.The nurse should offer PRN medications - answer✔✔c. The nurse should take the patient to a
small, quiet, and non-stimulating environment
When a patient is in the midst of a panic attack, which intervention would need interference by
the charge nurse?
a. The nurse is talking to the patient in a comforting manner
b. The nurse is making the patient's safety a priority
c. The nurse is reassuring the patient that this is anxiety and that it will pass
d. The nurse leaves the patient and tells them they will return when they have calmed down -
answer✔✔d. The nurse leaves the patient and tells them they will return when they have calmed
down
A client is experiencing a severe panic attack. Which nursing intervention should be
implemented immediately to meet this client's need?
A. Teach deep breathing relaxation exercises
B. Place the client in a prone position
C. Stay with the client and offer reassurance of safety
D. Administer the ordered PRN buspirone - answer✔✔C. Stay with the client and offer
reassurance of safety
A client is prescribed alprazolam (Xanax) for acute panic attacks. What client history should
cause a nurse to question this order?
,©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM
A. History of alcohol dependence
B. History of personality disorder
C. History of schizophrenia
D. History of hypertension - answer✔✔A. History of alcohol dependence
What is a desired outcome for Major Depressive Disorder?
a. Free from self-harm
b. Independently carrying out ADLs
c. Balance of rest, sleep, activity
d. Medication compliance
e.All of the above - answer✔✔e.All of the above
What is the most frequently prescribed pharmacological intervention for a patient suffering from
Major Depressive Disorder?
a. Selective serotonin reuptake inhibitors
b. Tricyclic Antidepressants
c. Atypical Antidepressants
d.MAOI Antidepressants - answer✔✔a. Selective serotonin reuptake inhibitors
Which statement or action by the patient's partner is indicative of the honeymoon phase?
a.) I've changed and I won't let that happen to you again.
b.) I can't believe you left the dishes in the sink again after I told you to do them yesterday.
c.) I don't even think you care about me anymore.
d.) Giving the silent treatment - answer✔✔a.) I've changed and I won't let that happen to you
again.
Which sequence of events does the nurse recognize as the cycle of violence
a.) Violent episode→ honeymoon phase→ tension building→ violent episode
b.) Abuse→ denial→ anger→ bargaining→ abuse
c.) Abused as a child→ learns from parenting techniques → abuses own children - answer✔✔a.)
Violent episode→ honeymoon phase→ tension building→ violent episode
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM
When caring for a patient with post-traumatic stress disorder (PTSD), the nurse identifies which
of the following medications as an FDA-approved treatment for this disorder?
A. Diazepam
B. Sertraline
C. Risperidone
D.Alprazolam - answer✔✔B. Sertraline
A patient has been diagnosed with post-traumatic stress disorder (PTSD) following a violent
attack that occurred while walking to her vehicle late at night 2 months ago. The patient explains
that she now experiences feelings of fear and stress during the evening, as well as increasing
difficulty falling asleep. The nurse should implement which of the following interventions for
this patient?
A. Encourage the patient to identify details of the event, in order to find specific concerns to
focus the discussion on.
B. Educate the patient on the use of relaxation techniques for times of increased stress and fear.
C. Encourage the patient by stating, "Victims of traumatic events can be successful in learning
new coping techniques for difficult moments."
D. Educate the patient that difficulty sleeping is a common effect experienced by individuals
who experience trauma. - answer✔✔B. Educate the patient on the use of relaxation techniques
for times of increased stress and fear.
A patient has been admitted to the psychiatric unit. The patient is currently experiencing
command hallucinations. The nurse conducts a one-on-one interview and builds a trusting
relationship with the patient. What is the next step for a nursing intervention?
a. Determining if the voices are coming from inside or outside of the patient's head.
b. Identifying the content of the command hallucinations
c. Telling the patient that the hallucinations are not real.
d. Encourage the patient to participate in reality-based activities like playing cards. -
answer✔✔b. Identifying the content of the command hallucinations
A client who is diagnosed with paranoid schizophrenia is currently experiencing auditory
hallucinations states the voices are demanding him to harm himself. Which of the following is an
appropriate nursing intervention?
a. Move the patient to a busy area.
Psych Final Exam NCLEX Questions
With Correct Answers
A 22-year-old patient has a history of panic attacks and is having one in your care right now due
to a recent health diagnosis. What would be your priority intervention?
a. The nurse should sit in silence with the patient
b. The nurse should leave the patient alone until they are calm
c. The nurse should take the patient to a small, quiet, and non-stimulating environment
d.The nurse should offer PRN medications - answer✔✔c. The nurse should take the patient to a
small, quiet, and non-stimulating environment
When a patient is in the midst of a panic attack, which intervention would need interference by
the charge nurse?
a. The nurse is talking to the patient in a comforting manner
b. The nurse is making the patient's safety a priority
c. The nurse is reassuring the patient that this is anxiety and that it will pass
d. The nurse leaves the patient and tells them they will return when they have calmed down -
answer✔✔d. The nurse leaves the patient and tells them they will return when they have calmed
down
A client is experiencing a severe panic attack. Which nursing intervention should be
implemented immediately to meet this client's need?
A. Teach deep breathing relaxation exercises
B. Place the client in a prone position
C. Stay with the client and offer reassurance of safety
D. Administer the ordered PRN buspirone - answer✔✔C. Stay with the client and offer
reassurance of safety
A client is prescribed alprazolam (Xanax) for acute panic attacks. What client history should
cause a nurse to question this order?
,©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM
A. History of alcohol dependence
B. History of personality disorder
C. History of schizophrenia
D. History of hypertension - answer✔✔A. History of alcohol dependence
What is a desired outcome for Major Depressive Disorder?
a. Free from self-harm
b. Independently carrying out ADLs
c. Balance of rest, sleep, activity
d. Medication compliance
e.All of the above - answer✔✔e.All of the above
What is the most frequently prescribed pharmacological intervention for a patient suffering from
Major Depressive Disorder?
a. Selective serotonin reuptake inhibitors
b. Tricyclic Antidepressants
c. Atypical Antidepressants
d.MAOI Antidepressants - answer✔✔a. Selective serotonin reuptake inhibitors
Which statement or action by the patient's partner is indicative of the honeymoon phase?
a.) I've changed and I won't let that happen to you again.
b.) I can't believe you left the dishes in the sink again after I told you to do them yesterday.
c.) I don't even think you care about me anymore.
d.) Giving the silent treatment - answer✔✔a.) I've changed and I won't let that happen to you
again.
Which sequence of events does the nurse recognize as the cycle of violence
a.) Violent episode→ honeymoon phase→ tension building→ violent episode
b.) Abuse→ denial→ anger→ bargaining→ abuse
c.) Abused as a child→ learns from parenting techniques → abuses own children - answer✔✔a.)
Violent episode→ honeymoon phase→ tension building→ violent episode
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM
When caring for a patient with post-traumatic stress disorder (PTSD), the nurse identifies which
of the following medications as an FDA-approved treatment for this disorder?
A. Diazepam
B. Sertraline
C. Risperidone
D.Alprazolam - answer✔✔B. Sertraline
A patient has been diagnosed with post-traumatic stress disorder (PTSD) following a violent
attack that occurred while walking to her vehicle late at night 2 months ago. The patient explains
that she now experiences feelings of fear and stress during the evening, as well as increasing
difficulty falling asleep. The nurse should implement which of the following interventions for
this patient?
A. Encourage the patient to identify details of the event, in order to find specific concerns to
focus the discussion on.
B. Educate the patient on the use of relaxation techniques for times of increased stress and fear.
C. Encourage the patient by stating, "Victims of traumatic events can be successful in learning
new coping techniques for difficult moments."
D. Educate the patient that difficulty sleeping is a common effect experienced by individuals
who experience trauma. - answer✔✔B. Educate the patient on the use of relaxation techniques
for times of increased stress and fear.
A patient has been admitted to the psychiatric unit. The patient is currently experiencing
command hallucinations. The nurse conducts a one-on-one interview and builds a trusting
relationship with the patient. What is the next step for a nursing intervention?
a. Determining if the voices are coming from inside or outside of the patient's head.
b. Identifying the content of the command hallucinations
c. Telling the patient that the hallucinations are not real.
d. Encourage the patient to participate in reality-based activities like playing cards. -
answer✔✔b. Identifying the content of the command hallucinations
A client who is diagnosed with paranoid schizophrenia is currently experiencing auditory
hallucinations states the voices are demanding him to harm himself. Which of the following is an
appropriate nursing intervention?
a. Move the patient to a busy area.
