LMR GEORGETTE 2026 SPRING-SEMESTER EXAM PRACTICE TEST QUESTION BANK
WITH ACCURATE SOLUTIONS (WITH VERIFIED RATIONALE)
Which of the following best demonstrates evidence-based practice in psychiatric nursing?
· A. Using treatments based on tradition only
· B. Applying interventions supported by research, clinical expertise, and patient
preferences
· C. Relying solely on anecdotal experience
· D. Implementing care without patient consent
Correct Answer: B
Rationale: Evidence-based practice integrates research evidence, clinical expertise, and
patient preferences.
Which of the following theorists emphasized the interpersonal relationship as the
foundation for psychiatric nursing practice?
A. Erik Erikson
B. Jean Piaget
C. Harry Stack Sullivan
D. Abraham Maslow
Correct Answer: C
Rationale: Harry Stack Sullivan’s Interpersonal Theory focuses on the importance of
relationships in mental health.
,A patient on clozapine reports flu-like symptoms and sore throat. What should the PMHNP
do first?
A. Reassure the patient that this is normal
B. Discontinue clozapine immediately and check WBC count
C. Decrease the dose by half
D. Advise increased fluid intake only
Correct Answer: B
Rationale: Clozapine carries a risk of agranulocytosis; sudden flu-like symptoms require
immediate evaluation of WBC.
Which principle underlies the PMHNP's duty to report child abuse?
A. Fidelity
B. Veracity
C. Nonmaleficence
D. Justice
Correct Answer: C
Rationale: Nonmaleficence (do no harm) supports protecting vulnerable individuals by
reporting suspected abuse.
A patient with opioid use disorder asks about treatment options. Which medication
prevents opioid euphoria?
A. Methadone
B. Naltrexone
C. Diazepam
D. Clonidine
,Correct Answer: B
Rationale: Naltrexone is an opioid antagonist that blocks the effects of opioids.
A PMHNP wants to reduce medication errors in practice. Which strategy best supports this
goal?
A. Rely solely on memory for dosing
B. Use evidence-based prescribing guidelines and double-check orders
C. Avoid consulting with pharmacists
D. Write unclear prescriptions
Correct Answer: B
Rationale: Evidence-based guidelines and safety checks reduce medication errors.
Which patient statement best reflects a negative symptom of schizophrenia?
A. "I hear voices telling me to leave."
B. "I feel so motivated to go out today."
C. "I have no interest in doing anything."
D. "I believe the FBI is watching me."
Correct Answer: C
Rationale: Avolition (lack of motivation) is a negative symptom.
Which approach demonstrates evidence-based practice in medication selection?
A. Choosing a drug based on personal bias
B. Using the cheapest drug regardless of evidence
, C. Considering research, clinical guidelines, and patient factors
D. Ignoring patient preferences
Correct Answer: C
Rationale: EBP integrates research evidence, clinical expertise, and patient preferences.
A PMHNP is caring for a patient on carbamazepine. Which lab should be checked
regularly?
A. Vitamin D
B. White blood cell count
C. TSH
D. Fasting blood glucose only
Correct Answer: B
Rationale: Carbamazepine can cause agranulocytosis; regular CBC monitoring is needed.
Which statement reflects the principle of justice in PMHNP practice?
A. "I treat each patient fairly and equitably."
B. "I promise to do no harm."
C. "I will tell the patient only what they want to hear."
D. "I will respect confidentiality even if a threat exists."
Correct Answer: A
Rationale: Justice means treating patients fairly, regardless of background or
circumstances.
WITH ACCURATE SOLUTIONS (WITH VERIFIED RATIONALE)
Which of the following best demonstrates evidence-based practice in psychiatric nursing?
· A. Using treatments based on tradition only
· B. Applying interventions supported by research, clinical expertise, and patient
preferences
· C. Relying solely on anecdotal experience
· D. Implementing care without patient consent
Correct Answer: B
Rationale: Evidence-based practice integrates research evidence, clinical expertise, and
patient preferences.
Which of the following theorists emphasized the interpersonal relationship as the
foundation for psychiatric nursing practice?
A. Erik Erikson
B. Jean Piaget
C. Harry Stack Sullivan
D. Abraham Maslow
Correct Answer: C
Rationale: Harry Stack Sullivan’s Interpersonal Theory focuses on the importance of
relationships in mental health.
,A patient on clozapine reports flu-like symptoms and sore throat. What should the PMHNP
do first?
A. Reassure the patient that this is normal
B. Discontinue clozapine immediately and check WBC count
C. Decrease the dose by half
D. Advise increased fluid intake only
Correct Answer: B
Rationale: Clozapine carries a risk of agranulocytosis; sudden flu-like symptoms require
immediate evaluation of WBC.
Which principle underlies the PMHNP's duty to report child abuse?
A. Fidelity
B. Veracity
C. Nonmaleficence
D. Justice
Correct Answer: C
Rationale: Nonmaleficence (do no harm) supports protecting vulnerable individuals by
reporting suspected abuse.
A patient with opioid use disorder asks about treatment options. Which medication
prevents opioid euphoria?
A. Methadone
B. Naltrexone
C. Diazepam
D. Clonidine
,Correct Answer: B
Rationale: Naltrexone is an opioid antagonist that blocks the effects of opioids.
A PMHNP wants to reduce medication errors in practice. Which strategy best supports this
goal?
A. Rely solely on memory for dosing
B. Use evidence-based prescribing guidelines and double-check orders
C. Avoid consulting with pharmacists
D. Write unclear prescriptions
Correct Answer: B
Rationale: Evidence-based guidelines and safety checks reduce medication errors.
Which patient statement best reflects a negative symptom of schizophrenia?
A. "I hear voices telling me to leave."
B. "I feel so motivated to go out today."
C. "I have no interest in doing anything."
D. "I believe the FBI is watching me."
Correct Answer: C
Rationale: Avolition (lack of motivation) is a negative symptom.
Which approach demonstrates evidence-based practice in medication selection?
A. Choosing a drug based on personal bias
B. Using the cheapest drug regardless of evidence
, C. Considering research, clinical guidelines, and patient factors
D. Ignoring patient preferences
Correct Answer: C
Rationale: EBP integrates research evidence, clinical expertise, and patient preferences.
A PMHNP is caring for a patient on carbamazepine. Which lab should be checked
regularly?
A. Vitamin D
B. White blood cell count
C. TSH
D. Fasting blood glucose only
Correct Answer: B
Rationale: Carbamazepine can cause agranulocytosis; regular CBC monitoring is needed.
Which statement reflects the principle of justice in PMHNP practice?
A. "I treat each patient fairly and equitably."
B. "I promise to do no harm."
C. "I will tell the patient only what they want to hear."
D. "I will respect confidentiality even if a threat exists."
Correct Answer: A
Rationale: Justice means treating patients fairly, regardless of background or
circumstances.
