NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
NR605 Psychiatric-Mental Health
Practicum Final Actual Exam Test Bank
Newest 2025/2026 With Complete
Questions And Correct Answers with
Rationales|Already Graded A+|
A client is found to have generalized anxiety disorder. For what behavior should the nurse assess
the client to determine the effectiveness of therapy?
Participating in activities
Learning how to avoid anxiety
Taking medications as prescribed
Recognizing when anxiety is developing
- Correct Answer :Recognizing when anxiety is developing
Rationale
Recognition of anxiety or symptoms of increasing anxiety is an indication that the client is
improving. Avoidance of anxiety is not a good indication of improvement; there is no guarantee
that anxiety can always be avoided. Participating in activities and taking medications as
prescribed do not indicate improvement or recognition of feelings; the client may be doing what
others expect.
What should a nurse who is caring for a hospitalized older client with dementia consider before
planning care?
Physical contact will increase dependency needs.
Routines provide stability for clients with dementia.
A+ TEST BANK 1
, NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
Regressive behavior should be interrupted immediately.
Procedures do not have to be explained to clients with dementia.
- Correct Answer :Routines provide stability for clients with dementia.
Rationale
Rituals and routines in activities of daily living provide a framework and structure for clients with
dementia, adding to their sense of safety and security. Touch is a universal message that denotes
caring; it can be soothing and will not encourage dependency. Regressive behavior under stress
has a calming effect and should be allowed. Care should be explained to all clients; simple
declarative statements are usually understood.
A client who was recently admitted to the psychiatric unit with the diagnosis of an obsessive-
compulsive disorder engages in a handwashing ritual. When the nurse interrupts the ritual, the
client becomes angry and acts out. What is the most probable cause for this behavior?
The client is feeling overwhelmed in this situation.
The client resents the nurse's authoritarian manner.
The client's personality is clashing with the nurse's.
The client's response reflects an aggressive personality.
- Correct Answer :The client is feeling overwhelmed in this situation.
Rationale
The ritual reduces anxiety; when not permitted to complete the ritual, a client with an obsessive-
compulsive disorder will experience increased anxiety, frustration, and anger and may act out.
The client is experiencing anxiety not related to a personality clash, the nurse's manner, or an
aggressive personality.
he nursing staff is discussing the best way to develop a relationship with a new client who has
antisocial personality disorder. What characteristic of clients with antisocial personality should
the nurses consider when planning care?
A+ TEST BANK 2
, NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
Engages in many rituals
Independence of others
Exhibits lack of empathy for others
Possesses limited communication skills
- Correct Answer :Exhibits lack of empathy for others
Rationale
Self-motivation and self-satisfaction are of paramount concern to people with antisocial
personality disorder, and they have little or no concern for others. Clients with obsessive-
compulsive disorder, not antisocial personality disorder, engage in rituals. Individuals with
antisocial personality disorder are extremely dependent on others; they count on others to
extricate them from their problems. They are usually charming on the surface and can easily con
people into doing what they want.
A client remains depressed even after an 8-week trial on several antidepressant medications. A
decision to initiate electroconvulsive therapy (ECT) is being considered by the treatment team.
Which condition is a contraindication to ECT?
Brain tumor
Type 1 diabetes
Hypothyroid disorder
Urinary tract infection
- Correct Answer :Brain tumor
Rationale
ECT is contraindicated in the presence of a brain tumor, because the treatment causes an
increase in intracranial pressure. ECT is not contraindicated in the presence of diabetes,
hypothyroid, or urinary tract infection.
A+ TEST BANK 3
, NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
A nurse is monitoring a client with the diagnosis of schizophrenia who is experiencing opposing
emotions simultaneously. When providing a change-of-shift report, how should the nurse refer
to this emotional experience of the client?
Double bind
Ambivalence
Loose association
Inappropriate affect
- Correct Answer :Ambivalence
Rationale
Ambivalence is the existence of two conflicting emotions, impulses, or desires. Double bind is
two conflicting messages, not emotions, in a single communication. Loose associations are not
two conflicting emotions but instead the loosening of connections between thoughts.
Inappropriate affect is the inappropriate expression of emotions.
A nurse is assisting with the administration of electroconvulsive therapy (ECT) to a severely
depressed client. What side effect of the therapy should the nurse anticipate?
Loss of appetite
Postural hypotension
Total memory loss
Confusion immediately after the treatment
- Correct Answer :Confusion immediately after the treatment
Rationale
The electrical energy passing through the cerebral cortex during ECT results in a temporary state
of confusion after treatment. Loss of appetite, postural hypotension, and total memory loss are
A+ TEST BANK 4
Practicum Final Actual Exam
NR605 Psychiatric-Mental Health
Practicum Final Actual Exam Test Bank
Newest 2025/2026 With Complete
Questions And Correct Answers with
Rationales|Already Graded A+|
A client is found to have generalized anxiety disorder. For what behavior should the nurse assess
the client to determine the effectiveness of therapy?
Participating in activities
Learning how to avoid anxiety
Taking medications as prescribed
Recognizing when anxiety is developing
- Correct Answer :Recognizing when anxiety is developing
Rationale
Recognition of anxiety or symptoms of increasing anxiety is an indication that the client is
improving. Avoidance of anxiety is not a good indication of improvement; there is no guarantee
that anxiety can always be avoided. Participating in activities and taking medications as
prescribed do not indicate improvement or recognition of feelings; the client may be doing what
others expect.
What should a nurse who is caring for a hospitalized older client with dementia consider before
planning care?
Physical contact will increase dependency needs.
Routines provide stability for clients with dementia.
A+ TEST BANK 1
, NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
Regressive behavior should be interrupted immediately.
Procedures do not have to be explained to clients with dementia.
- Correct Answer :Routines provide stability for clients with dementia.
Rationale
Rituals and routines in activities of daily living provide a framework and structure for clients with
dementia, adding to their sense of safety and security. Touch is a universal message that denotes
caring; it can be soothing and will not encourage dependency. Regressive behavior under stress
has a calming effect and should be allowed. Care should be explained to all clients; simple
declarative statements are usually understood.
A client who was recently admitted to the psychiatric unit with the diagnosis of an obsessive-
compulsive disorder engages in a handwashing ritual. When the nurse interrupts the ritual, the
client becomes angry and acts out. What is the most probable cause for this behavior?
The client is feeling overwhelmed in this situation.
The client resents the nurse's authoritarian manner.
The client's personality is clashing with the nurse's.
The client's response reflects an aggressive personality.
- Correct Answer :The client is feeling overwhelmed in this situation.
Rationale
The ritual reduces anxiety; when not permitted to complete the ritual, a client with an obsessive-
compulsive disorder will experience increased anxiety, frustration, and anger and may act out.
The client is experiencing anxiety not related to a personality clash, the nurse's manner, or an
aggressive personality.
he nursing staff is discussing the best way to develop a relationship with a new client who has
antisocial personality disorder. What characteristic of clients with antisocial personality should
the nurses consider when planning care?
A+ TEST BANK 2
, NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
Engages in many rituals
Independence of others
Exhibits lack of empathy for others
Possesses limited communication skills
- Correct Answer :Exhibits lack of empathy for others
Rationale
Self-motivation and self-satisfaction are of paramount concern to people with antisocial
personality disorder, and they have little or no concern for others. Clients with obsessive-
compulsive disorder, not antisocial personality disorder, engage in rituals. Individuals with
antisocial personality disorder are extremely dependent on others; they count on others to
extricate them from their problems. They are usually charming on the surface and can easily con
people into doing what they want.
A client remains depressed even after an 8-week trial on several antidepressant medications. A
decision to initiate electroconvulsive therapy (ECT) is being considered by the treatment team.
Which condition is a contraindication to ECT?
Brain tumor
Type 1 diabetes
Hypothyroid disorder
Urinary tract infection
- Correct Answer :Brain tumor
Rationale
ECT is contraindicated in the presence of a brain tumor, because the treatment causes an
increase in intracranial pressure. ECT is not contraindicated in the presence of diabetes,
hypothyroid, or urinary tract infection.
A+ TEST BANK 3
, NR605 Psychiatric-Mental Health
Practicum Final Actual Exam
A nurse is monitoring a client with the diagnosis of schizophrenia who is experiencing opposing
emotions simultaneously. When providing a change-of-shift report, how should the nurse refer
to this emotional experience of the client?
Double bind
Ambivalence
Loose association
Inappropriate affect
- Correct Answer :Ambivalence
Rationale
Ambivalence is the existence of two conflicting emotions, impulses, or desires. Double bind is
two conflicting messages, not emotions, in a single communication. Loose associations are not
two conflicting emotions but instead the loosening of connections between thoughts.
Inappropriate affect is the inappropriate expression of emotions.
A nurse is assisting with the administration of electroconvulsive therapy (ECT) to a severely
depressed client. What side effect of the therapy should the nurse anticipate?
Loss of appetite
Postural hypotension
Total memory loss
Confusion immediately after the treatment
- Correct Answer :Confusion immediately after the treatment
Rationale
The electrical energy passing through the cerebral cortex during ECT results in a temporary state
of confusion after treatment. Loss of appetite, postural hypotension, and total memory loss are
A+ TEST BANK 4
