• Psychiatric-Mental 09/09/2026
Health
NR 605 Diagnosis and Management in
Psychiatric-Mental Health Across the Lifespan I
Practicum Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
A patient who is psychotic has a formed bowel movement on the floor of his room. How should you clean up
this excrement?
A. Use a thick diaper or pad.
B. Wear gloves and use some paper towels or toilet paper.
C. Wear gloves, use toilet paper, and wash the area with a 1:10 bleach solution.
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, • Psychiatric-Mental 09/09/2026
Health
D. Wear a gown, shoe covers, mask, and chemotherapy-impervious gloves, and wash the area with an ammonia
with bleach 1:1 solution. - Correct Answer :C. Wear gloves, use toilet paper, and wash the area with a 1:10 bleach
solution.
Reason: Clean all body fluids with an appropriate disinfectant such as 1:10 bleach solution, using universal
precautions.
Your patient is scheduled for a one-on-one therapy session. Upon his entry into your office, you note that the
patient has a cough, is sweating, is coughing up a small amount of blood, and has a fever. What is your initial
intervention regarding infection control?
A. Wash all of the patient's sheets and clothes.
B. Place a mask on the patient and yourself.
C. Take the patient's temperature.
D. Place resuscitation equipment in the patient's room. - Correct Answer :B. Place a mask on the patient and
yourself.
Reason: The patient might have tuberculosis, so wear a mask, especially given that the patient is coughing.
You have just given your patient an intramuscular injection of fluphenazine (Prolixin) with a syringe that does not
have a safety lock. What is your next step?
A. Recap the needle.
B. Snap the needle off and place it in the needle box.
C. Immediately place the syringe in a nearby impermeable container.
D. Clip the needle off with a syringe needle cutter (SNC). - Correct Answer :C. Immediately place the syringe in a
nearby impermeable container.
Reason: Place the syringe in a nearby container specific for needles. Do not recap, bend, clip, or manipulate the
needle in any way.
In an inpatient acute psychiatric unit, it is important to shut and lock the unit door behind you.
A. TRUE
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, • Psychiatric-Mental 09/09/2026
Health
B. FALSE - Correct Answer :A. TRUE
Reason: This behavior enhances safety.
You drive up to the house of your patient, who is known to have schizophrenia with manic episodes. This is your
fifth visit. On this occasion, the patient is sitting on his front porch in a rocking chair with a shotgun in his arms.
What should your next intervention be?
A. Beep your car horn to get your patient's attention.
B. Yell your patient's name out your car window and wave at him to say hello.
C. Keep driving in a path that is going away from the patient's house.
D. Stop the car in the patient's driveway and call your boss on your cell phone. - Correct Answer :C. Keep driving
in a path that is going away from the patient's house.
Reason: Safety includes not placing yourself in vulnerable situations.
Your patient, who is in a community psychiatric program, shows up at your home peeping through your kitchen
window. You also noticed the patient yesterday when you went to the grocery story and the hairdresser. You
believe he is stalking you. What should you do?
A. Call the local police and report your suspicion of stalking.
B. Call the patient's spouse and discuss his behavior.
C. Invite the patient to have a cup of coffee with you at a local café to discuss his behavior.
D. Wait until the patient's next group meeting to discuss his stalking behavior. - Correct Answer :A. Call the local
police and report your suspicion of stalking.
Reason: Stalking behavior needs to be dealt with by the police for your safety.
Your patient's auditory, visual, and tactile hallucinations are controlled with bimonthly injections of haloperidol
(Haldol) that the community health nurse administers during home visits. You are the new nurse on this case;
the previous nurse has retired. The previous nurse has stated in her care plan that the patient will let the nurse in
the house only if the nurse carries a public health-issued blue bag and wears black pants. You are scheduled to
visit this patient tomorrow. What should you do?
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, • Psychiatric-Mental 09/09/2026
Health
A. Call the patient and tell her that you are a new nurse and will be wearing white pants.
B. Show up as scheduled carrying only a stethoscope, vial, alcohol wipe, and medication syringe.
C. Show up as scheduled with a police officer.
D. Telephone the patient, introduce yourself, and show up carrying a blue bag and wearing black pants. - Correct
Answer :D. Telephone the patient, introduce yourself, and show up carrying a blue bag and wearing black pants.
Reason: The patient needs her medication, and following the care plan is the optimal course of action.
Your patient has an admitting diagnosis of alcohol withdrawal syndrome. You receive a phone call at the nurses'
station from a person who says he is the patient's minister and wants to know if the patient 'fell off the wagon
again' and when visitation hours are. What is your best response?
A. Yes, the patient drank too much, but he should be fine in a few days. Visiting hours are 9 A.M. to 6 P.M.
B. We do not give out any information. Visitation hours in the hospital are from 9 A.M. to 6 P.M. daily.
C. Please pray for the patient; he is in bad shape. You can visit him anytime between 9 A.M. and 6 P.M. daily.
D. Please contact the hospital's chief executive officer, who can give you the information you are requesting. -
Correct Answer :B. We do not give out any information. Visitation hours in the hospital are from 9 A.M. to 6
P.M. daily.
Reason: Patient confidentiality is required, and there is no way to verify the identity of the person calling.
Your patient has been hospitalized for acute alcohol withdrawal. It is the fifth day, and he is having visual
hallucinations followed by a seizure. What is the most likely source of the patient's problem?
A. Autonomic dysreflexia (AD).
B. A brain tumor.
C. Sleep deprivation.
D. Delirium tremens (DTs). - Correct Answer :D. Delirium tremens (DTs).
Reason: Delirium tremens occurs as acute alcohol withdrawal progresses. It includes symptoms such as clouding
of sensorium, hallucinations, seizures, and autonomic hyperactivity.
P 4
Health
NR 605 Diagnosis and Management in
Psychiatric-Mental Health Across the Lifespan I
Practicum Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
A patient who is psychotic has a formed bowel movement on the floor of his room. How should you clean up
this excrement?
A. Use a thick diaper or pad.
B. Wear gloves and use some paper towels or toilet paper.
C. Wear gloves, use toilet paper, and wash the area with a 1:10 bleach solution.
P 1
, • Psychiatric-Mental 09/09/2026
Health
D. Wear a gown, shoe covers, mask, and chemotherapy-impervious gloves, and wash the area with an ammonia
with bleach 1:1 solution. - Correct Answer :C. Wear gloves, use toilet paper, and wash the area with a 1:10 bleach
solution.
Reason: Clean all body fluids with an appropriate disinfectant such as 1:10 bleach solution, using universal
precautions.
Your patient is scheduled for a one-on-one therapy session. Upon his entry into your office, you note that the
patient has a cough, is sweating, is coughing up a small amount of blood, and has a fever. What is your initial
intervention regarding infection control?
A. Wash all of the patient's sheets and clothes.
B. Place a mask on the patient and yourself.
C. Take the patient's temperature.
D. Place resuscitation equipment in the patient's room. - Correct Answer :B. Place a mask on the patient and
yourself.
Reason: The patient might have tuberculosis, so wear a mask, especially given that the patient is coughing.
You have just given your patient an intramuscular injection of fluphenazine (Prolixin) with a syringe that does not
have a safety lock. What is your next step?
A. Recap the needle.
B. Snap the needle off and place it in the needle box.
C. Immediately place the syringe in a nearby impermeable container.
D. Clip the needle off with a syringe needle cutter (SNC). - Correct Answer :C. Immediately place the syringe in a
nearby impermeable container.
Reason: Place the syringe in a nearby container specific for needles. Do not recap, bend, clip, or manipulate the
needle in any way.
In an inpatient acute psychiatric unit, it is important to shut and lock the unit door behind you.
A. TRUE
P 2
, • Psychiatric-Mental 09/09/2026
Health
B. FALSE - Correct Answer :A. TRUE
Reason: This behavior enhances safety.
You drive up to the house of your patient, who is known to have schizophrenia with manic episodes. This is your
fifth visit. On this occasion, the patient is sitting on his front porch in a rocking chair with a shotgun in his arms.
What should your next intervention be?
A. Beep your car horn to get your patient's attention.
B. Yell your patient's name out your car window and wave at him to say hello.
C. Keep driving in a path that is going away from the patient's house.
D. Stop the car in the patient's driveway and call your boss on your cell phone. - Correct Answer :C. Keep driving
in a path that is going away from the patient's house.
Reason: Safety includes not placing yourself in vulnerable situations.
Your patient, who is in a community psychiatric program, shows up at your home peeping through your kitchen
window. You also noticed the patient yesterday when you went to the grocery story and the hairdresser. You
believe he is stalking you. What should you do?
A. Call the local police and report your suspicion of stalking.
B. Call the patient's spouse and discuss his behavior.
C. Invite the patient to have a cup of coffee with you at a local café to discuss his behavior.
D. Wait until the patient's next group meeting to discuss his stalking behavior. - Correct Answer :A. Call the local
police and report your suspicion of stalking.
Reason: Stalking behavior needs to be dealt with by the police for your safety.
Your patient's auditory, visual, and tactile hallucinations are controlled with bimonthly injections of haloperidol
(Haldol) that the community health nurse administers during home visits. You are the new nurse on this case;
the previous nurse has retired. The previous nurse has stated in her care plan that the patient will let the nurse in
the house only if the nurse carries a public health-issued blue bag and wears black pants. You are scheduled to
visit this patient tomorrow. What should you do?
P 3
, • Psychiatric-Mental 09/09/2026
Health
A. Call the patient and tell her that you are a new nurse and will be wearing white pants.
B. Show up as scheduled carrying only a stethoscope, vial, alcohol wipe, and medication syringe.
C. Show up as scheduled with a police officer.
D. Telephone the patient, introduce yourself, and show up carrying a blue bag and wearing black pants. - Correct
Answer :D. Telephone the patient, introduce yourself, and show up carrying a blue bag and wearing black pants.
Reason: The patient needs her medication, and following the care plan is the optimal course of action.
Your patient has an admitting diagnosis of alcohol withdrawal syndrome. You receive a phone call at the nurses'
station from a person who says he is the patient's minister and wants to know if the patient 'fell off the wagon
again' and when visitation hours are. What is your best response?
A. Yes, the patient drank too much, but he should be fine in a few days. Visiting hours are 9 A.M. to 6 P.M.
B. We do not give out any information. Visitation hours in the hospital are from 9 A.M. to 6 P.M. daily.
C. Please pray for the patient; he is in bad shape. You can visit him anytime between 9 A.M. and 6 P.M. daily.
D. Please contact the hospital's chief executive officer, who can give you the information you are requesting. -
Correct Answer :B. We do not give out any information. Visitation hours in the hospital are from 9 A.M. to 6
P.M. daily.
Reason: Patient confidentiality is required, and there is no way to verify the identity of the person calling.
Your patient has been hospitalized for acute alcohol withdrawal. It is the fifth day, and he is having visual
hallucinations followed by a seizure. What is the most likely source of the patient's problem?
A. Autonomic dysreflexia (AD).
B. A brain tumor.
C. Sleep deprivation.
D. Delirium tremens (DTs). - Correct Answer :D. Delirium tremens (DTs).
Reason: Delirium tremens occurs as acute alcohol withdrawal progresses. It includes symptoms such as clouding
of sensorium, hallucinations, seizures, and autonomic hyperactivity.
P 4
