NSG 3113 RN MENTAL HEALTH ONLINE PRACTICE
2023 – PSYCHIATRIC NURSING QUESTIONS WITH
ANSWERS AND RATIONALES
A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
Behave in a friendly manner toward the client
Set realistic limits on the client's behavior
Show respect for the client's need for isolation
Act as a role model for assertiveness
Set realistic limits on the clients behavior
Clients who have antisocial personality disorder can seem to be in control of their behavior,
but are manipulative and impulsive and can suddenly become aggressive and assaultive.
The nurse should establish clear limits on specific aggressive and demanding behaviors.
A nurse is caring for a child who has conducted disorder and is behaving in a destructive
manner, throwing objects, and kicking others. Which of the following therapeutic nursing
interventions is the priority?
Encourage expression of feelings
,Support the child's attendance at an assertiveness training group
Assist the child to perform relaxation breathing
Reduce environmental stimuli
Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention
is to reduce environmental stimuli in an attempt to de-escalate the behavior and prevent
injury.
A nurse in a community health center is working with a group of clients who have post-
traumatic stress disorder. Which of the following interventions should the nurse include to
reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
Guided imagery
Guided imagery involves assisting the client to imagine a restful and safe place. This
method is effective in reducing anxiety in clients who have post-traumatic stress disorder.
,A nurse is performing a cognitive assessment to distinguish delirium from dementia in a
client whose family reports episodes of confusion. Which of the following assessment
findings supports the nurse's suspicion of delirium?
Slow onset
Aphasia
Confabulation
Easily distracted
Easily distracted
Extreme distractibility is a hallmark manifestation of delirium.
A nurse is caring for an older adult client who begins to cry and states, "I knew God would
punish me and I deserve this horrible sickness!" Which of the following responses should
the nurse make?
"Why do you think you deserve this punishment?"
"Don't worry about being punished by God."
"Let's talk about what is upsetting you."
, "You shouldn't say things that will upset you so much."
"Let's talk about what is upsetting you."
The nurse is acknowledging the client's concerns and is showing a desire to understand
what the client is thinking and feeling.
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who
has severe depression. The client who has depression reports to the nurse, "My roommate
never sleeps and keeps me up, too." Which of the following actions should the nurse take?
Move the client who has bipolar disorder to a private room
Administer sleep medication to the client who has bipolar disorder.
Move the client who has severe depression to a private room.
Administer sleep medication to the client who has severe depression.
Move the client who has bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the therapeutic milieu for other clients.
Therefore, the nurse should move this client to a private room.
A nurse is caring for a group of clients. Which of the following findings is he nurse required
to report?
2023 – PSYCHIATRIC NURSING QUESTIONS WITH
ANSWERS AND RATIONALES
A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
Behave in a friendly manner toward the client
Set realistic limits on the client's behavior
Show respect for the client's need for isolation
Act as a role model for assertiveness
Set realistic limits on the clients behavior
Clients who have antisocial personality disorder can seem to be in control of their behavior,
but are manipulative and impulsive and can suddenly become aggressive and assaultive.
The nurse should establish clear limits on specific aggressive and demanding behaviors.
A nurse is caring for a child who has conducted disorder and is behaving in a destructive
manner, throwing objects, and kicking others. Which of the following therapeutic nursing
interventions is the priority?
Encourage expression of feelings
,Support the child's attendance at an assertiveness training group
Assist the child to perform relaxation breathing
Reduce environmental stimuli
Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention
is to reduce environmental stimuli in an attempt to de-escalate the behavior and prevent
injury.
A nurse in a community health center is working with a group of clients who have post-
traumatic stress disorder. Which of the following interventions should the nurse include to
reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
Guided imagery
Guided imagery involves assisting the client to imagine a restful and safe place. This
method is effective in reducing anxiety in clients who have post-traumatic stress disorder.
,A nurse is performing a cognitive assessment to distinguish delirium from dementia in a
client whose family reports episodes of confusion. Which of the following assessment
findings supports the nurse's suspicion of delirium?
Slow onset
Aphasia
Confabulation
Easily distracted
Easily distracted
Extreme distractibility is a hallmark manifestation of delirium.
A nurse is caring for an older adult client who begins to cry and states, "I knew God would
punish me and I deserve this horrible sickness!" Which of the following responses should
the nurse make?
"Why do you think you deserve this punishment?"
"Don't worry about being punished by God."
"Let's talk about what is upsetting you."
, "You shouldn't say things that will upset you so much."
"Let's talk about what is upsetting you."
The nurse is acknowledging the client's concerns and is showing a desire to understand
what the client is thinking and feeling.
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who
has severe depression. The client who has depression reports to the nurse, "My roommate
never sleeps and keeps me up, too." Which of the following actions should the nurse take?
Move the client who has bipolar disorder to a private room
Administer sleep medication to the client who has bipolar disorder.
Move the client who has severe depression to a private room.
Administer sleep medication to the client who has severe depression.
Move the client who has bipolar disorder to a private room.
Clients who have bipolar disorder can disrupt the therapeutic milieu for other clients.
Therefore, the nurse should move this client to a private room.
A nurse is caring for a group of clients. Which of the following findings is he nurse required
to report?
