NURS 354: PSYCHIATRIC-MENTAL
HEALTH NURSING QUIZ 1 QUESTIONS
AND ANSWERS
1. A patient with schizophrenia is displaying signs of extreme motor agitation and begins
pacing rapidly. Which nursing intervention should be prioritized to maintain safety?
A. Accompany the patient to a quiet area with low stimulation.
B. Place the patient in a mechanical restraint immediately.
C. Administer a PRN dose of a stimulant medication.
D. Ask the patient to explain the reason for their agitation.
Answer: A
Conceptual Explanation: Reducing environmental stimuli is a primary intervention for
agitation in psychotic patients to prevent escalation. Restraints are a last resort, and
stimulants would worsen agitation.
2. Which therapeutic communication technique is being used when the nurse states, ‘It
sounds like you are feeling overwhelmed by your current living situation’?
A. Restating
B. Reflecting
,C. Focusing
D. Summarizing
Answer: B
Conceptual Explanation: Reflection involves repeating back the feelings or emotional
undertones of the client’s message to encourage further expression.
3. A client is admitted involuntarily after threatening self-harm. Which right does this client
retain despite the involuntary status?
A. The right to leave the hospital at any time.
B. The right to keep all personal belongings in their room.
C. The right to refuse psychotropic medications.
D. The right to bypass the intake assessment.
Answer: C
Conceptual Explanation: Involuntary commitment does not automatically strip a patient
of the right to refuse medication, except in emergency situations where they pose an
immediate threat.
4. During the orientation phase of the nurse-client relationship, which task is the primary
focus?
A. Establishing trust and defining boundaries.
B. Developing a plan for termination.
, C. Overcoming resistance to change.
D. Implementing nursing interventions.
Answer: A
Conceptual Explanation: The orientation phase is dedicated to building rapport,
establishing trust, and setting the parameters of the relationship.
5. A patient uses the defense mechanism of ‘Sublimation’. Which behavior is an example of
this?
A. A man who is angry at his boss goes home and yells at his wife.
B. A woman who is unable to have children opens a daycare center.
C. A student blames a poor grade on the teacher’s lack of clarity.
D. An individual with aggressive impulses takes up professional boxing.
Answer: D
Conceptual Explanation: Sublimation is the process of channeling socially unacceptable
impulses into constructive and socially acceptable activities.
6. Which level of anxiety is characterized by a ‘tunnel vision’ focus where the individual can
only concentrate on one specific detail?
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
HEALTH NURSING QUIZ 1 QUESTIONS
AND ANSWERS
1. A patient with schizophrenia is displaying signs of extreme motor agitation and begins
pacing rapidly. Which nursing intervention should be prioritized to maintain safety?
A. Accompany the patient to a quiet area with low stimulation.
B. Place the patient in a mechanical restraint immediately.
C. Administer a PRN dose of a stimulant medication.
D. Ask the patient to explain the reason for their agitation.
Answer: A
Conceptual Explanation: Reducing environmental stimuli is a primary intervention for
agitation in psychotic patients to prevent escalation. Restraints are a last resort, and
stimulants would worsen agitation.
2. Which therapeutic communication technique is being used when the nurse states, ‘It
sounds like you are feeling overwhelmed by your current living situation’?
A. Restating
B. Reflecting
,C. Focusing
D. Summarizing
Answer: B
Conceptual Explanation: Reflection involves repeating back the feelings or emotional
undertones of the client’s message to encourage further expression.
3. A client is admitted involuntarily after threatening self-harm. Which right does this client
retain despite the involuntary status?
A. The right to leave the hospital at any time.
B. The right to keep all personal belongings in their room.
C. The right to refuse psychotropic medications.
D. The right to bypass the intake assessment.
Answer: C
Conceptual Explanation: Involuntary commitment does not automatically strip a patient
of the right to refuse medication, except in emergency situations where they pose an
immediate threat.
4. During the orientation phase of the nurse-client relationship, which task is the primary
focus?
A. Establishing trust and defining boundaries.
B. Developing a plan for termination.
, C. Overcoming resistance to change.
D. Implementing nursing interventions.
Answer: A
Conceptual Explanation: The orientation phase is dedicated to building rapport,
establishing trust, and setting the parameters of the relationship.
5. A patient uses the defense mechanism of ‘Sublimation’. Which behavior is an example of
this?
A. A man who is angry at his boss goes home and yells at his wife.
B. A woman who is unable to have children opens a daycare center.
C. A student blames a poor grade on the teacher’s lack of clarity.
D. An individual with aggressive impulses takes up professional boxing.
Answer: D
Conceptual Explanation: Sublimation is the process of channeling socially unacceptable
impulses into constructive and socially acceptable activities.
6. Which level of anxiety is characterized by a ‘tunnel vision’ focus where the individual can
only concentrate on one specific detail?
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
