Psychiatric-mental health nurse practitioner 4th edition
PRACTICE QUESTIONS |ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE EXAM PREP
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,
,1. Which component of the mental status examination assesses a
patient's ability to identify the date, location, and situation?
A. Attention
B. Insight
C. Orientation
D. Judgment
Orientation evaluates awareness of person, place, time, and
situation.
2. A patient says, “I know the voices aren't real, but they keep telling
me I'm worthless.” Which finding is most consistent with this
statement?
A. Delusion
B. Hallucination
C. Confabulation
D. Flight of ideas
Hallucinations are perceptual experiences occurring without an
external stimulus.
3. Which question is most appropriate for assessing suicidal
ideation?
A. “You aren't thinking about suicide, are you?”
B. “Why would you want to hurt yourself?”
C. “Have you had thoughts about killing yourself?”
D. “You wouldn't actually attempt suicide, correct?”
Direct, nonjudgmental questioning is recommended when assessing
suicide risk.
4. Which finding represents a patient's thought process rather than
thought content?
A. Paranoia
B. Grandiosity
, C. Obsession
D. Loose associations
Loose associations describe how thoughts are connected, making
them a thought-process abnormality.
5. A patient repeatedly checks whether the door is locked despite
knowing it is locked. This behavior is most characteristic of:
A. Mania
B. Psychosis
C. Obsessive-compulsive disorder
D. Delusional disorder
Compulsive checking is a repetitive behavior performed to reduce
anxiety associated with an obsession.
6. Which symptom is considered a negative symptom of
schizophrenia?
A. Hallucination
B. Delusion
C. Disorganized speech
D. Avolition
Avolition is diminished motivation and is considered a negative
symptom.
7. Which finding most strongly suggests delirium rather than
dementia?
A. Gradual memory loss
B. Stable cognitive impairment
C. Acute onset with fluctuating attention
D. Progressive impairment over several years
Delirium typically develops rapidly and is characterized by fluctuating
attention and awareness.
PRACTICE QUESTIONS |ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE EXAM PREP
GRADED A+*INSTANT DOWNLOAD PDF
,
,1. Which component of the mental status examination assesses a
patient's ability to identify the date, location, and situation?
A. Attention
B. Insight
C. Orientation
D. Judgment
Orientation evaluates awareness of person, place, time, and
situation.
2. A patient says, “I know the voices aren't real, but they keep telling
me I'm worthless.” Which finding is most consistent with this
statement?
A. Delusion
B. Hallucination
C. Confabulation
D. Flight of ideas
Hallucinations are perceptual experiences occurring without an
external stimulus.
3. Which question is most appropriate for assessing suicidal
ideation?
A. “You aren't thinking about suicide, are you?”
B. “Why would you want to hurt yourself?”
C. “Have you had thoughts about killing yourself?”
D. “You wouldn't actually attempt suicide, correct?”
Direct, nonjudgmental questioning is recommended when assessing
suicide risk.
4. Which finding represents a patient's thought process rather than
thought content?
A. Paranoia
B. Grandiosity
, C. Obsession
D. Loose associations
Loose associations describe how thoughts are connected, making
them a thought-process abnormality.
5. A patient repeatedly checks whether the door is locked despite
knowing it is locked. This behavior is most characteristic of:
A. Mania
B. Psychosis
C. Obsessive-compulsive disorder
D. Delusional disorder
Compulsive checking is a repetitive behavior performed to reduce
anxiety associated with an obsession.
6. Which symptom is considered a negative symptom of
schizophrenia?
A. Hallucination
B. Delusion
C. Disorganized speech
D. Avolition
Avolition is diminished motivation and is considered a negative
symptom.
7. Which finding most strongly suggests delirium rather than
dementia?
A. Gradual memory loss
B. Stable cognitive impairment
C. Acute onset with fluctuating attention
D. Progressive impairment over several years
Delirium typically develops rapidly and is characterized by fluctuating
attention and awareness.