PsychiatricvbMentalvbHealthvbNursingvbNCLEXvbReviewvbQuestionsvbSe
tvb1
Avb48-year-
oldvbHispanicvbwomanvbisvbseenvbbyvbavbpsychiatricvbclinicalvbnursevbspecialis
tvbaftervbreceivingvbavbcallvbbyvbhervbson.vbAccordingvbtovbthevbson,vbsincevbhisvbf
ather'svbdeathvb7vbmonthsvbago,vbhisvbmothervbhasvblostvb30vbpoundsvbandvbcan't
vbsleep.vbDuring vbhervbinitialvbvisit,vbthevbpatientvbstates,vb'Myvbhusbandvbtalksvb
tovbmevbinvbhisvbvisits,vbbutvbhisvbwordsvbmakevbnovbsensevbtovbme.vbIvbdon'tvbund
erstandvbwhatvbhevbwantsvbmevbtovbdo.'vbWhatvbisvbanvbappropriatevbnursingvbdi
agnosis?
A.vbIneffectivevbdenial.
B.vbBipolarvbmoodvbdisorder.
C.vbHyper-religiosity.
D.vbGrieving.vb-vbcorrectvbanswer✔ ✔ D.vbGrieving.
Reason:vbGrievingvbmayvbbevbcharacterizedvbbyvbweightvbloss,vbsleepvbdisturb
ances,vbandvbmessagesvbfromvbbeyond.
Yourvbneighbor'svbhusbandvbcomesvbtovbtalkvbtovbyou.vbHevbsaysvbhisvbwifevbha
svbnotvbleftvbthevbhousevbinvb2vbweeks,vbhasvbavbflatvbmood,vbandvbhasvblostvbinter
estvbinvbhervbusualvbactivities.vbYouvbrecognizevbthesevbasvbthevbprimaryvbsymp
tomsvbof
A.vbDepression.
,B.vbSchizophrenia.
C.vbSuicidalvbideation.
D.vbBipolarvbmanicvbepisodes.vb-vbcorrectvbanswer✔ ✔ A.vbDepression.
Reason:vbDepressedvbmoodvbandvbanhedoniavb(lossvbofvbinterestvborvbpleasurev
binvbactivities)vbarevbthevbprimaryvbsymptoms vbofvb majorvbdepression.
Yourvbpatientvbisvbreadyvbforvbdischargevbaftervbavb30-
dayvbhospitalizationvbforvbmanicvbdepression.vbAboutvb30vbminutesvbbeforevbh
isvbdischarge,vbhisvbroommatevbcomesvbtovbyouvbandvbsays,vb'Hevbisvbtalkingvbcr
azy.'vbWhenvbyouvbaskvbyourvbpatientvbhowvbhevbisvbfeeling,vbhevbstates,vb'Ivbfeel
vblikevbSuperman.vbIvbcanvbdovbanything.vbIvbcanvbflyvbhomevbtodayvbandvbthenvb
becomevbavbU.S.vbSenator.'vbWhichvbtypevbofvbmania-
relatedvbsymptomsvbisvbthisvbpatientvbexhibiting?
A.vbSocial.
B.vbCognitive.
C.vbBehavioral.
D.vbPerceptual.vb-vbcorrectvbanswer✔ ✔ B.vbCognitive.
Reason:vbCognitivevbsymptomsvbincludevbinflatedvbself-
esteemvbandvbgrandiosity.
,Youvbneedvbtovbassessvbwhethervbavbpatientvbwhovbhasvbavbmoodvbdisordervbisvbr
eadyvbforvbdischarge.vbWhichvbstatementvbwouldvbindicatevbreadinessvbforvbdi
scharge?
A.vbRightvbnow,vbIvbcan'tvbbathevbmyselfvborvbdressvbmyself,vbbutvbIvbfeelvbgoodv
baboutvbthat.
B.vbGoingvbhomevbwillvbbevbfun,vbbutvbifvbitvbisn'tvbfun,vbIvbcanvbalwaysvbmakevb
myvbmothervbhelpvbmevborvbtellvbhervbtovbdovbso.vbShevbbettervbhelpvbme.
C.vbIvbwillvbtakevbmyvbmedicinesvbasvbIvbshouldvbandvbknowvbtovbcallvbthevbnumb
ervbyouvbgavevbmevbifvbIvbhavevbbadvbthoughts.
D.vbTakingvbcarevbofvbmyselfvbisvbimportant,vbbutvbit'svbokayvbifvbIvbdon'tvbwantvb
tovbdovbanything.vb-vbcorrectvbanswer✔ ✔
C.vbIvbwillvbtakevbmyvbmedicinesvbasvbIvbshouldvbandvbknowvbtovbcallvbthevbnu
mbervbyouvbgavevbmevbifvbIvbhavevbbadvbthoughts.
Reason:vbVerbalizationvbofvbavbplanvbforvbhelpvbandvbdemonstrationvbofvbcarevb
arevbrealisticvbdischargevbcriteria.
Anvbangryvbpatientvbisvbinvbthevbcommunityvbroom.vbShevbpicksvbupvbavbchairvba
ndvbusesvbitvbtovbhitvbanothervbpatientvbonvbthevbhead.vbWhenvbyouvbcomevbintovbt
hevbcommunityvbroom,vbwhatvbshouldvbyourvbfirstvbresponsevbtovbthevbpatientvb
holdingvbthevbchairvbbe?
A.vbArevbyouvbcrazy?vbHittingvbpeoplevbcanvbhurtvbthem!
B.vbHittingvbothersvbisvbunacceptable.vbPleasevbputvbthevbchairvbcompletelyvbdo
wnvbonvbthevbfloor.
C.vbHowvbwouldvbyouvblikevbitvbifvbIvbhitvbyouvbovervbthevbheadvbwithvbavbchair?
, D.vbYou'revbinvbbigvbtroublevbnow.vbIt'svbprobablyvbprisonvbyouvbarevblookingvba
t!vb-vbcorrectvbanswer✔ ✔
B.vbHittingvbothersvbisvbunacceptable.vbPleasevbputvbthevbchairvbcompletelyvb
downvbonvbthevbfloor.
Reason:vbUsevbwordsvbtovbindicatevbyourvblackvbofvbacceptancevbofvbthevbpatien
t'svbbehaviorvbinvbavbnonthreateningvbvoicevborvbtone.
Avb22-year-
oldvbfemalevbisvbadmittedvbtovbthevbunitvbfollowingvbavbsuicidevbattempt.vbShevb
hasvbavb2-
weekvbhistoryvbofvbdepressionvbasvbwellvbasvbavbhistoryvbofvbabusingvbmultiplevb
substancesvbandvbanorexiavbnervosa.vbWhatvbisvbyourvbfirstvbnursingvbpriority?
A.vbSocialization.
B.vbContractingvbforvbeatingvbbehavior.
C.vbSafety.
D.vbAdministeringvbthevbBeckvbdepressionvbscale.vb-vbcorrectvbanswer✔ ✔
C.vbSafety.
Reason:vbSafetyvbisvbthevbmajorvbprinciplevbunderlyingvbpsychiatricvbnursing.
Geraldvbwasvbadmittedvbtovbthevbpsychiatricvbacutevbcarevbunitvbbecausevbhevbst
oodvbinvbthevbcentervbofvbavbmainvbtwo-
wayvbstreetvbinvbhisvbunderwearvbandvbavbT-
tvb1
Avb48-year-
oldvbHispanicvbwomanvbisvbseenvbbyvbavbpsychiatricvbclinicalvbnursevbspecialis
tvbaftervbreceivingvbavbcallvbbyvbhervbson.vbAccordingvbtovbthevbson,vbsincevbhisvbf
ather'svbdeathvb7vbmonthsvbago,vbhisvbmothervbhasvblostvb30vbpoundsvbandvbcan't
vbsleep.vbDuring vbhervbinitialvbvisit,vbthevbpatientvbstates,vb'Myvbhusbandvbtalksvb
tovbmevbinvbhisvbvisits,vbbutvbhisvbwordsvbmakevbnovbsensevbtovbme.vbIvbdon'tvbund
erstandvbwhatvbhevbwantsvbmevbtovbdo.'vbWhatvbisvbanvbappropriatevbnursingvbdi
agnosis?
A.vbIneffectivevbdenial.
B.vbBipolarvbmoodvbdisorder.
C.vbHyper-religiosity.
D.vbGrieving.vb-vbcorrectvbanswer✔ ✔ D.vbGrieving.
Reason:vbGrievingvbmayvbbevbcharacterizedvbbyvbweightvbloss,vbsleepvbdisturb
ances,vbandvbmessagesvbfromvbbeyond.
Yourvbneighbor'svbhusbandvbcomesvbtovbtalkvbtovbyou.vbHevbsaysvbhisvbwifevbha
svbnotvbleftvbthevbhousevbinvb2vbweeks,vbhasvbavbflatvbmood,vbandvbhasvblostvbinter
estvbinvbhervbusualvbactivities.vbYouvbrecognizevbthesevbasvbthevbprimaryvbsymp
tomsvbof
A.vbDepression.
,B.vbSchizophrenia.
C.vbSuicidalvbideation.
D.vbBipolarvbmanicvbepisodes.vb-vbcorrectvbanswer✔ ✔ A.vbDepression.
Reason:vbDepressedvbmoodvbandvbanhedoniavb(lossvbofvbinterestvborvbpleasurev
binvbactivities)vbarevbthevbprimaryvbsymptoms vbofvb majorvbdepression.
Yourvbpatientvbisvbreadyvbforvbdischargevbaftervbavb30-
dayvbhospitalizationvbforvbmanicvbdepression.vbAboutvb30vbminutesvbbeforevbh
isvbdischarge,vbhisvbroommatevbcomesvbtovbyouvbandvbsays,vb'Hevbisvbtalkingvbcr
azy.'vbWhenvbyouvbaskvbyourvbpatientvbhowvbhevbisvbfeeling,vbhevbstates,vb'Ivbfeel
vblikevbSuperman.vbIvbcanvbdovbanything.vbIvbcanvbflyvbhomevbtodayvbandvbthenvb
becomevbavbU.S.vbSenator.'vbWhichvbtypevbofvbmania-
relatedvbsymptomsvbisvbthisvbpatientvbexhibiting?
A.vbSocial.
B.vbCognitive.
C.vbBehavioral.
D.vbPerceptual.vb-vbcorrectvbanswer✔ ✔ B.vbCognitive.
Reason:vbCognitivevbsymptomsvbincludevbinflatedvbself-
esteemvbandvbgrandiosity.
,Youvbneedvbtovbassessvbwhethervbavbpatientvbwhovbhasvbavbmoodvbdisordervbisvbr
eadyvbforvbdischarge.vbWhichvbstatementvbwouldvbindicatevbreadinessvbforvbdi
scharge?
A.vbRightvbnow,vbIvbcan'tvbbathevbmyselfvborvbdressvbmyself,vbbutvbIvbfeelvbgoodv
baboutvbthat.
B.vbGoingvbhomevbwillvbbevbfun,vbbutvbifvbitvbisn'tvbfun,vbIvbcanvbalwaysvbmakevb
myvbmothervbhelpvbmevborvbtellvbhervbtovbdovbso.vbShevbbettervbhelpvbme.
C.vbIvbwillvbtakevbmyvbmedicinesvbasvbIvbshouldvbandvbknowvbtovbcallvbthevbnumb
ervbyouvbgavevbmevbifvbIvbhavevbbadvbthoughts.
D.vbTakingvbcarevbofvbmyselfvbisvbimportant,vbbutvbit'svbokayvbifvbIvbdon'tvbwantvb
tovbdovbanything.vb-vbcorrectvbanswer✔ ✔
C.vbIvbwillvbtakevbmyvbmedicinesvbasvbIvbshouldvbandvbknowvbtovbcallvbthevbnu
mbervbyouvbgavevbmevbifvbIvbhavevbbadvbthoughts.
Reason:vbVerbalizationvbofvbavbplanvbforvbhelpvbandvbdemonstrationvbofvbcarevb
arevbrealisticvbdischargevbcriteria.
Anvbangryvbpatientvbisvbinvbthevbcommunityvbroom.vbShevbpicksvbupvbavbchairvba
ndvbusesvbitvbtovbhitvbanothervbpatientvbonvbthevbhead.vbWhenvbyouvbcomevbintovbt
hevbcommunityvbroom,vbwhatvbshouldvbyourvbfirstvbresponsevbtovbthevbpatientvb
holdingvbthevbchairvbbe?
A.vbArevbyouvbcrazy?vbHittingvbpeoplevbcanvbhurtvbthem!
B.vbHittingvbothersvbisvbunacceptable.vbPleasevbputvbthevbchairvbcompletelyvbdo
wnvbonvbthevbfloor.
C.vbHowvbwouldvbyouvblikevbitvbifvbIvbhitvbyouvbovervbthevbheadvbwithvbavbchair?
, D.vbYou'revbinvbbigvbtroublevbnow.vbIt'svbprobablyvbprisonvbyouvbarevblookingvba
t!vb-vbcorrectvbanswer✔ ✔
B.vbHittingvbothersvbisvbunacceptable.vbPleasevbputvbthevbchairvbcompletelyvb
downvbonvbthevbfloor.
Reason:vbUsevbwordsvbtovbindicatevbyourvblackvbofvbacceptancevbofvbthevbpatien
t'svbbehaviorvbinvbavbnonthreateningvbvoicevborvbtone.
Avb22-year-
oldvbfemalevbisvbadmittedvbtovbthevbunitvbfollowingvbavbsuicidevbattempt.vbShevb
hasvbavb2-
weekvbhistoryvbofvbdepressionvbasvbwellvbasvbavbhistoryvbofvbabusingvbmultiplevb
substancesvbandvbanorexiavbnervosa.vbWhatvbisvbyourvbfirstvbnursingvbpriority?
A.vbSocialization.
B.vbContractingvbforvbeatingvbbehavior.
C.vbSafety.
D.vbAdministeringvbthevbBeckvbdepressionvbscale.vb-vbcorrectvbanswer✔ ✔
C.vbSafety.
Reason:vbSafetyvbisvbthevbmajorvbprinciplevbunderlyingvbpsychiatricvbnursing.
Geraldvbwasvbadmittedvbtovbthevbpsychiatricvbacutevbcarevbunitvbbecausevbhevbst
oodvbinvbthevbcentervbofvbavbmainvbtwo-
wayvbstreetvbinvbhisvbunderwearvbandvbavbT-
