Test Bank for Psychiatric Mental Health Actual Exam 4 (2025)
comprehensive questions and verified answers ( detailed &
elaborated) 2025-2026 TEST
THE PRACTICE OF MENTAL HEALTH/ PSYCHIATRIC NURSING
The psychiatric nurse teaches clients in a medication education group that
photosensitization is a side effect associated with the use of:
1. Sertraline (Zoloft)
2. Lithium carbonate (Lithane)
3. Methylphenidate hydrochloride (Ritalin)
4. Chlorpromazine hydrochloride (Thorazine)
4. Chlorpromazine hydrochloride (Thorazine)
Clients taking chlorpromazine should be told to stay out of the sun. Photosensitivity
makes the skin more susceptible to burning.
After 2 weeks of neuroleptic drug therapy, the nurse notices that the client has
become jaundiced. The nurse continues to give the neuroleptic until the
psychiatrist can be consulted. In situations such as this:
1. Jaundice is a benign side effect and has little significance
2. Jaundice is sufficient reason to discontinue the neuroleptic
3. The blood level of neuroleptics must be maintained once established
4. The psychiatrist's orders for the neuroleptic should be reduced by the nurse
2. Jaundice is sufficient reason to discontinue the neuroleptic
Liver damage is a well-documented toxic side effect of neuroleptics. By continuing to
administer the drug, the nurse failed to use professional knowledge in the
performance of responsibilities as outlined in the Nurse Practice Act.
An acting-out, older client has been receiving fluphenazine (Prolixin) for
several months. After identifying that the client sits rigidly in a chair, the nurse
assesses the client closely for other evidence of adverse side effects of the
drug, including:
1. Inability to concentrate, excess salivation
2. Uncoordinated movements, tremors
3. Reluctance of converse, nonverbal clues indicating fear
4. Minimal use of nonverbal expressions, rambling speech
2. Uncoordinated movements, tremors
Acute dystonic reactions, parkinsonian syndrome, dyskinesia, and akathisia are
observable side effects of fluphenazine (Prolixin) therapy.
,The nurse monitors a client with chronic undifferentiated schizophrenia for the
side effects of an antipsychotic drug. For which potentially irreversible
extrapyramidal side effects should the nurse monitor the client?
1. Torticollis
2. Oculogyric crisis
3. Tardive dyskinesia
4. Pseudoparkinsonism
3. Tardive Dyskinesia
The occurs as a late of persistent extrapyramidal complication of long-
termantipsychotic therapy. It can take many forms (e.g. torsion spasm, opisthotonos,
oculogyric crisis, drooping of the head, protrusion of the tongue).
A monoamine oxidase inhibitor (MAOI) is prescribed. What should the nurse
teach the client to avoid?
1. Prolonged exposure to the sun
2. Ingesting wines and aged cheeses
3. Engaging in active physical exercise
4. Over-the-counter NSAID medication
2. Ingesting wines and aged cheeses
A nurse working on a unit in a psychiatric hospital is responsible for
performing a variety of functions. Which are the ones that a registered nurse is
legally permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses
2. Health promotion
3. Case management
5. Treating human responses
The psychiatrist orders "Restraints PRN" for a client who has a history of
violent behavior. Then nurse should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the restraint order
4. Recognize that PRN orders for restraints are unacceptable
4. Recognize that PRN orders for restraints are unacceptable
New orders must be written each time a client requires restraints. When a client is
, acting-out, the nurse may use restraints or a seclusion room and then obtain the
necessary order.
A client on the psychiatric unit asks the nurse about psychiatric advance
directives (PAD). The nurse explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the future
hospitalizations
3. Eliminate the need for involuntary admissions when the client is a threat to
self or others
4. Allow the client, while having the capacity, to consent or refuse potential
psychiatric treatments in the event of a future incapacitating mental health
crisis
4. Allow the client, while having the capacity, to consent or refuse potential
psychiatric treatments in the event of a future incapacitating mental health crisis
The purpose of a PAD is to allow psychiatric clients the opportunity to provide input
into future treatment decisions.
The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional problems
4. Acts in a therapeutic way with people who are diagnosed as having a mental
disorder
1. Helps people with present or potential mental health problems
An important aspect of the role of the psychiatric nurse is primary, secondary, and
tertiary interventions to promote emotional equilibrium.
A 45-year-old physician is admitted to the psychiatric unit of a community
hospital. The client is restless, loud, aggressive, and resistive during the
admission procedure and states, "I will take my own blood pressure." What is
the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
This simply states facts without getting involved in role conflict.
For most nurses the most difficult part of the nurse-client relationship is:
1. Remaining therapeutic and professional
comprehensive questions and verified answers ( detailed &
elaborated) 2025-2026 TEST
THE PRACTICE OF MENTAL HEALTH/ PSYCHIATRIC NURSING
The psychiatric nurse teaches clients in a medication education group that
photosensitization is a side effect associated with the use of:
1. Sertraline (Zoloft)
2. Lithium carbonate (Lithane)
3. Methylphenidate hydrochloride (Ritalin)
4. Chlorpromazine hydrochloride (Thorazine)
4. Chlorpromazine hydrochloride (Thorazine)
Clients taking chlorpromazine should be told to stay out of the sun. Photosensitivity
makes the skin more susceptible to burning.
After 2 weeks of neuroleptic drug therapy, the nurse notices that the client has
become jaundiced. The nurse continues to give the neuroleptic until the
psychiatrist can be consulted. In situations such as this:
1. Jaundice is a benign side effect and has little significance
2. Jaundice is sufficient reason to discontinue the neuroleptic
3. The blood level of neuroleptics must be maintained once established
4. The psychiatrist's orders for the neuroleptic should be reduced by the nurse
2. Jaundice is sufficient reason to discontinue the neuroleptic
Liver damage is a well-documented toxic side effect of neuroleptics. By continuing to
administer the drug, the nurse failed to use professional knowledge in the
performance of responsibilities as outlined in the Nurse Practice Act.
An acting-out, older client has been receiving fluphenazine (Prolixin) for
several months. After identifying that the client sits rigidly in a chair, the nurse
assesses the client closely for other evidence of adverse side effects of the
drug, including:
1. Inability to concentrate, excess salivation
2. Uncoordinated movements, tremors
3. Reluctance of converse, nonverbal clues indicating fear
4. Minimal use of nonverbal expressions, rambling speech
2. Uncoordinated movements, tremors
Acute dystonic reactions, parkinsonian syndrome, dyskinesia, and akathisia are
observable side effects of fluphenazine (Prolixin) therapy.
,The nurse monitors a client with chronic undifferentiated schizophrenia for the
side effects of an antipsychotic drug. For which potentially irreversible
extrapyramidal side effects should the nurse monitor the client?
1. Torticollis
2. Oculogyric crisis
3. Tardive dyskinesia
4. Pseudoparkinsonism
3. Tardive Dyskinesia
The occurs as a late of persistent extrapyramidal complication of long-
termantipsychotic therapy. It can take many forms (e.g. torsion spasm, opisthotonos,
oculogyric crisis, drooping of the head, protrusion of the tongue).
A monoamine oxidase inhibitor (MAOI) is prescribed. What should the nurse
teach the client to avoid?
1. Prolonged exposure to the sun
2. Ingesting wines and aged cheeses
3. Engaging in active physical exercise
4. Over-the-counter NSAID medication
2. Ingesting wines and aged cheeses
A nurse working on a unit in a psychiatric hospital is responsible for
performing a variety of functions. Which are the ones that a registered nurse is
legally permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses
2. Health promotion
3. Case management
5. Treating human responses
The psychiatrist orders "Restraints PRN" for a client who has a history of
violent behavior. Then nurse should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the restraint order
4. Recognize that PRN orders for restraints are unacceptable
4. Recognize that PRN orders for restraints are unacceptable
New orders must be written each time a client requires restraints. When a client is
, acting-out, the nurse may use restraints or a seclusion room and then obtain the
necessary order.
A client on the psychiatric unit asks the nurse about psychiatric advance
directives (PAD). The nurse explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the future
hospitalizations
3. Eliminate the need for involuntary admissions when the client is a threat to
self or others
4. Allow the client, while having the capacity, to consent or refuse potential
psychiatric treatments in the event of a future incapacitating mental health
crisis
4. Allow the client, while having the capacity, to consent or refuse potential
psychiatric treatments in the event of a future incapacitating mental health crisis
The purpose of a PAD is to allow psychiatric clients the opportunity to provide input
into future treatment decisions.
The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional problems
4. Acts in a therapeutic way with people who are diagnosed as having a mental
disorder
1. Helps people with present or potential mental health problems
An important aspect of the role of the psychiatric nurse is primary, secondary, and
tertiary interventions to promote emotional equilibrium.
A 45-year-old physician is admitted to the psychiatric unit of a community
hospital. The client is restless, loud, aggressive, and resistive during the
admission procedure and states, "I will take my own blood pressure." What is
the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
This simply states facts without getting involved in role conflict.
For most nurses the most difficult part of the nurse-client relationship is:
1. Remaining therapeutic and professional
