Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
A 48-year-old Hispanic woman is seen by a psychiatric clinical
nurse specialist after receiving a call by her son. According to
the son, since his father's death 7 months ago, his mother
has lost 30 pounds and can't sleep. During her initial visit, the
patient states, 'My husband talks to me in his visits, but his
words make no sense to me. I don't understand what he
wants me to do.' What is an appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - Correct Answers ✅D. Grieving.
Reason: Grieving may be characterized by weight loss, sleep
disturbances, and messages from beyond.
Your neighbor's husband comes to talk to you. He says his
wife has not left the house in 2 weeks, has a flat mood, and
has lost interest in her usual activities. You recognize these as
the primary symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - Correct Answers ✅A.
Depression.
,Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
Reason: Depressed mood and anhedonia (loss of interest or
pleasure in activities) are the primary symptoms of major
depression.
Your patient is ready for discharge after a 30-day
hospitalization for manic depression. About 30 minutes
before his discharge, his roommate comes to you and says,
'He is talking crazy.' When you ask your patient how he is
feeling, he states, 'I feel like Superman. I can do anything. I
can fly home today and then become a U.S. Senator.' Which
type of mania-related symptoms is this patient exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. - Correct Answers ✅B. Cognitive.
Reason: Cognitive symptoms include inflated self-esteem and
grandiosity.
You need to assess whether a patient who has a mood
disorder is ready for discharge. Which statement would
indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I feel
good about that.
,Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
B. Going home will be fun, but if it isn't fun, I can always
make my mother help me or tell her to do so. She better help
me.
C. I will take my medicines as I should and know to call the
number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't
want to do anything. - Correct Answers ✅C. I will take my
medicines as I should and know to call the number you gave
me if I have bad thoughts.
Reason: Verbalization of a plan for help and demonstration of
care are realistic discharge criteria.
An angry patient is in the community room. She picks up a
chair and uses it to hit another patient on the head. When
you come into the community room, what should your first
response to the patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair
completely down on the floor.
C. How would you like it if I hit you over the head with a
chair?
D. You're in big trouble now. It's probably prison you are
looking at! - Correct Answers ✅B. Hitting others is
unacceptable. Please put the chair completely down on the
floor.
, Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
Reason: Use words to indicate your lack of acceptance of the
patient's behavior in a nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression as
well as a history of abusing multiple substances and anorexia
nervosa. What is your first nursing priority?
A. Socialization.
B. Contracting for eating behavior.
C. Safety.
D. Administering the Beck depression scale. - Correct
Answers ✅C. Safety.
Reason: Safety is the major principle underlying psychiatric
nursing.
Gerald was admitted to the psychiatric acute care unit
because he stood in the center of a main two-way street in
his underwear and a T-shirt, shouting, 'I am being held
against my will. I have personal rights.' Gerald was diagnosed
with bipolar disorder, manic type. Which of the following
interventions will add to everyone's safety in the acute care
environment?
A. Have hectic surroundings.
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
A 48-year-old Hispanic woman is seen by a psychiatric clinical
nurse specialist after receiving a call by her son. According to
the son, since his father's death 7 months ago, his mother
has lost 30 pounds and can't sleep. During her initial visit, the
patient states, 'My husband talks to me in his visits, but his
words make no sense to me. I don't understand what he
wants me to do.' What is an appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - Correct Answers ✅D. Grieving.
Reason: Grieving may be characterized by weight loss, sleep
disturbances, and messages from beyond.
Your neighbor's husband comes to talk to you. He says his
wife has not left the house in 2 weeks, has a flat mood, and
has lost interest in her usual activities. You recognize these as
the primary symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - Correct Answers ✅A.
Depression.
,Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
Reason: Depressed mood and anhedonia (loss of interest or
pleasure in activities) are the primary symptoms of major
depression.
Your patient is ready for discharge after a 30-day
hospitalization for manic depression. About 30 minutes
before his discharge, his roommate comes to you and says,
'He is talking crazy.' When you ask your patient how he is
feeling, he states, 'I feel like Superman. I can do anything. I
can fly home today and then become a U.S. Senator.' Which
type of mania-related symptoms is this patient exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. - Correct Answers ✅B. Cognitive.
Reason: Cognitive symptoms include inflated self-esteem and
grandiosity.
You need to assess whether a patient who has a mood
disorder is ready for discharge. Which statement would
indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I feel
good about that.
,Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
B. Going home will be fun, but if it isn't fun, I can always
make my mother help me or tell her to do so. She better help
me.
C. I will take my medicines as I should and know to call the
number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't
want to do anything. - Correct Answers ✅C. I will take my
medicines as I should and know to call the number you gave
me if I have bad thoughts.
Reason: Verbalization of a plan for help and demonstration of
care are realistic discharge criteria.
An angry patient is in the community room. She picks up a
chair and uses it to hit another patient on the head. When
you come into the community room, what should your first
response to the patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair
completely down on the floor.
C. How would you like it if I hit you over the head with a
chair?
D. You're in big trouble now. It's probably prison you are
looking at! - Correct Answers ✅B. Hitting others is
unacceptable. Please put the chair completely down on the
floor.
, Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 Exam Q&A 100%
correct Answers- A+ verified
Reason: Use words to indicate your lack of acceptance of the
patient's behavior in a nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression as
well as a history of abusing multiple substances and anorexia
nervosa. What is your first nursing priority?
A. Socialization.
B. Contracting for eating behavior.
C. Safety.
D. Administering the Beck depression scale. - Correct
Answers ✅C. Safety.
Reason: Safety is the major principle underlying psychiatric
nursing.
Gerald was admitted to the psychiatric acute care unit
because he stood in the center of a main two-way street in
his underwear and a T-shirt, shouting, 'I am being held
against my will. I have personal rights.' Gerald was diagnosed
with bipolar disorder, manic type. Which of the following
interventions will add to everyone's safety in the acute care
environment?
A. Have hectic surroundings.
