Psychiatric Mental Health Nursing Tests 2023
1. Question: Your patient is very dependent and submissive. There are times that the patient is
very clingy. This behavior reflects what type of personality disorder?
- a. Antisocial personality
- b. Dependent Personality
- c. Manic behavior
- d. Anxiety disorder
- Correct Answer: b. Dependent Personality
2. Question: The appropriate therapeutic distance between you and a psychiatric patient is?
- a. 12 inches
- b. 35 inches
- c. 12 feet
- d. 4 feet
- Correct Answer: d. 4 feet
3. Question: Nurse Anna is instructing the new nurse to the psychiatric set-up. She also
reminded her to use her therapeutic communication skills in dealing with clients. Which of the
following techniques enhances therapeutic communication?
- a. What are you thinking about?
- b. What made you think that way?
- c. Why did you say that?
- d. Let’s not talk about that. What do you think?
- Correct Answer: b. What made you think that way?
4. Question: Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should
focus on helping the client be oriented with the physical set-up and daily events. Which of the
,following is the most effective nursing intervention in orienting patients who have Alzheimer’s
disease?
- a. Encourage the client to talk to family members to reminisce things
- b. Provide simple and easily understood directions
- c. Perform tasks with a variety of activities each day
- d. Have the client socialize with other patients
- Correct Answer: b. Provide simple and easily understood directions
5. Question: A therapy that focuses on the remotivation of clients by directing their attention
outside themselves to relieve preoccupation with personal thoughts, feelings, and attitudes is
known as:
- a. Pharmacologic therapy
- b. Music therapy
- c. Occupational therapy
- d. Recreational therapy
- Correct Answer: d. Recreational therapy
6. Question: The 12-year old male patient looks like the nurse’s younger brother who is missing
for years. During assessment and in the implementation of nursing care, the nurse prioritizes
this client. One day, when she found the boy crying in his room, she hugged him and cried with
him. This is an example of:
- a. Counter-transference
- b. Transference
- c. Resistance
- d. Denial
- Correct Answer: a. Counter-transference
7. Question: A schizophrenic client is under your care. In reinforcing the functional behavior of
this client, what will the nurse do?
, - a. Enumerate the symptoms of schizophrenia to the client
- b. Correct delusional thoughts to orient to reality
- c. Compliment the client for cessation of acting out behaviors
- d. Encourage the client to drink his medications religiously
- Correct Answer: c. Compliment the client for cessation of acting out behaviors
8. Question: A client was brought to the ER. Based on the significant others, the client had a
history of shop stealing. However, no self-mutilating activities are committed by the client.
During the interview, the client is very manipulative and aggressive and impulsive. What
personality disorder most likely does the client have?
- a. Antisocial
- b. Histrionic
- c. Narcissistic
- d. Borderline
- Correct Answer: a. Antisocial
9. Question: When the client told the nurse that he feels good when he mutilates or cuts
himself, the novice psychiatric nurse answered, “Do you know the risks involved when you cut
yourself?” What type of nontherapeutic communication is the nurse using?
- a. Defending
- b. Testing
- c. Making stereotyped comments
- d. Disagreeing
- Correct Answer: b. Testing
10. Question: A therapy that assists with discharge planning and rehabilitation, focusing on
vocational skills and activities of daily living (ADL) to raise self-esteem and promote
independence is called:
- a. Behavior modification
, - b. Milieu therapy
- c. Recreational therapy
- d. Occupational therapy
- Correct Answer: d. Occupational therapy
11. Question: Nurse Marie is caring for a patient that underwent alcohol detoxification. Which
of the following symptoms would Nurse Marie be most concerned about?
- a. Fever
- b. Delusions
- c. Excessive sweating
- d. Increase in blood pressure
- Correct Answer: b. Delusions
12. Question: The Distance that is observed when family members or friends are talking is
under what zone:
- a. Intimate
- b. Therapeutic
- c. Personal
- d. Social
- Correct Answer: c. Personal
13. Question: The client says that he is hearing voices. What is the nurse’s initial response?
- a. “I don’t hear any voices.”
- b. “From where are those voices coming from?”
- c. “What are the voices telling you?”
- d. “Are you sure about that?”
- Correct Answer: c. “What are the voices telling you?”
1. Question: Your patient is very dependent and submissive. There are times that the patient is
very clingy. This behavior reflects what type of personality disorder?
- a. Antisocial personality
- b. Dependent Personality
- c. Manic behavior
- d. Anxiety disorder
- Correct Answer: b. Dependent Personality
2. Question: The appropriate therapeutic distance between you and a psychiatric patient is?
- a. 12 inches
- b. 35 inches
- c. 12 feet
- d. 4 feet
- Correct Answer: d. 4 feet
3. Question: Nurse Anna is instructing the new nurse to the psychiatric set-up. She also
reminded her to use her therapeutic communication skills in dealing with clients. Which of the
following techniques enhances therapeutic communication?
- a. What are you thinking about?
- b. What made you think that way?
- c. Why did you say that?
- d. Let’s not talk about that. What do you think?
- Correct Answer: b. What made you think that way?
4. Question: Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should
focus on helping the client be oriented with the physical set-up and daily events. Which of the
,following is the most effective nursing intervention in orienting patients who have Alzheimer’s
disease?
- a. Encourage the client to talk to family members to reminisce things
- b. Provide simple and easily understood directions
- c. Perform tasks with a variety of activities each day
- d. Have the client socialize with other patients
- Correct Answer: b. Provide simple and easily understood directions
5. Question: A therapy that focuses on the remotivation of clients by directing their attention
outside themselves to relieve preoccupation with personal thoughts, feelings, and attitudes is
known as:
- a. Pharmacologic therapy
- b. Music therapy
- c. Occupational therapy
- d. Recreational therapy
- Correct Answer: d. Recreational therapy
6. Question: The 12-year old male patient looks like the nurse’s younger brother who is missing
for years. During assessment and in the implementation of nursing care, the nurse prioritizes
this client. One day, when she found the boy crying in his room, she hugged him and cried with
him. This is an example of:
- a. Counter-transference
- b. Transference
- c. Resistance
- d. Denial
- Correct Answer: a. Counter-transference
7. Question: A schizophrenic client is under your care. In reinforcing the functional behavior of
this client, what will the nurse do?
, - a. Enumerate the symptoms of schizophrenia to the client
- b. Correct delusional thoughts to orient to reality
- c. Compliment the client for cessation of acting out behaviors
- d. Encourage the client to drink his medications religiously
- Correct Answer: c. Compliment the client for cessation of acting out behaviors
8. Question: A client was brought to the ER. Based on the significant others, the client had a
history of shop stealing. However, no self-mutilating activities are committed by the client.
During the interview, the client is very manipulative and aggressive and impulsive. What
personality disorder most likely does the client have?
- a. Antisocial
- b. Histrionic
- c. Narcissistic
- d. Borderline
- Correct Answer: a. Antisocial
9. Question: When the client told the nurse that he feels good when he mutilates or cuts
himself, the novice psychiatric nurse answered, “Do you know the risks involved when you cut
yourself?” What type of nontherapeutic communication is the nurse using?
- a. Defending
- b. Testing
- c. Making stereotyped comments
- d. Disagreeing
- Correct Answer: b. Testing
10. Question: A therapy that assists with discharge planning and rehabilitation, focusing on
vocational skills and activities of daily living (ADL) to raise self-esteem and promote
independence is called:
- a. Behavior modification
, - b. Milieu therapy
- c. Recreational therapy
- d. Occupational therapy
- Correct Answer: d. Occupational therapy
11. Question: Nurse Marie is caring for a patient that underwent alcohol detoxification. Which
of the following symptoms would Nurse Marie be most concerned about?
- a. Fever
- b. Delusions
- c. Excessive sweating
- d. Increase in blood pressure
- Correct Answer: b. Delusions
12. Question: The Distance that is observed when family members or friends are talking is
under what zone:
- a. Intimate
- b. Therapeutic
- c. Personal
- d. Social
- Correct Answer: c. Personal
13. Question: The client says that he is hearing voices. What is the nurse’s initial response?
- a. “I don’t hear any voices.”
- b. “From where are those voices coming from?”
- c. “What are the voices telling you?”
- d. “Are you sure about that?”
- Correct Answer: c. “What are the voices telling you?”
