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Capstone Psych Questions with Detailed Verified
Answers
A client with delirium becomes agitated and confused at night. The best initial intervention by the
nurse is to:
1. Move the client next to the nurse's station
2. Use a night light and turn off the television
3. Keep up the television and a soft light on during the night.
4. Play soft music during the night and maintain a well-lit room Ans: ✓ ✓ ✓ 2. Use a night light and
turn off the television
A nurse is collecting data on a client who is actively hallucinating. Which nursing statement would
be therapeutic at this time?
1. "I know you feel they are out to get you, but its not true"
2. "I can hear the voice and she wants you to come to dinner"
3. "sometimes people hear things or voices others can't hear"
4. "I talked to the voices you're hearing and they won't hurt you now" Ans: ✓ ✓ ✓ 3. "Sometimes
people hear things or voices others can't hear"
A client is admitted to the in-patient unit and is being considered for electroconvulsive therapy
(ECT). The client appears calm, but the family is hypervigilant and anxious. the client's mother
begins to cry and states, "my child's brain will be destroyed. How can the doctor do this?" the nurse
makes which therapeutic response?
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1. "It sounds as though you need to speak to the psychiatrist."
2. "Perhaps you'd like to see the ECT room and speak to the staff"
3. "Your child has decided to have this treatment. you should be supportive of the decision"
4. "It sounds as though you have some concerns about the ECT procedure. Why don't we sit down
together and discuss any concerns you may have?" Ans: ✓ ✓ ✓ 4. "It sounds as though you have
some concerns about the ECT procedure. Why don't we sit down together and discuss any concerns
you may have?"
A client who is diagnosed with pedophilia and has been recently paroled as a sex offender says "Im
in treatment and I have served my time. Now this group has posters of me all over the
neighborhood telling about me with my picture on it" which of the following is an appropriate
response by the nurse?
1. "When children are hurt as you hurt them, people want you isolated"
2. "You're lucky it doesn't escalate into something pretty scary after your crime"
3. "You understand that people fear for their children, but you're feeling unfairly treated?"
4. "You seem angry, but you have committed serious crimes against several children, so your
neighbors are frightened?" Ans: ✓ ✓ ✓ 3. "You understand that people fear for their children, but
you're feeling unfairly treated?"
A nurse is preparing for the hospital discharge of a client with a history of command hallucinations
to harm self or others. The nurse instructs the client about about interventions for hallucinations
and anxiety and determines that the client understands the interventions when the client states:
1. "My medications won't make me anxious"
2. "I'll go to a support group and talk so that I won't hurt anyone."
3. "I won't get anxious or hear things if I get enough sleep and eat well"
4. "I can call my therapist when I'm hallucinating so that I can talk about my feelings and plans and
not hurt anyone" Ans: ✓ ✓ ✓ 4. "I can call my therapist when I'm hallucinating so that I can talk
about my feelings and plans and not hurt anyone"
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A nurse observes that a client is psychotic, pacing, and agitated and is making aggressive gestures.
The client's speech pattern is rapid and the client's affect is belligerent. Based on these
observations, the nurse's immediate priority of care is to:
1. Provide safety for the client and other clients on the unit
2. Provide the clients on the unit with a sense of comfort and safety
3. Assist the staff in caring for the client in a controlled environment
4. Offer the client a less-stimulating area to calm down and gain control Ans: ✓ ✓ ✓ 1. Provide
safety for the client and other clients on the unit
A nurse is caring for a client diagnosed with catatonic stupor. the client is lying on the bed, with the
body pulled into a fetal position. the appropriate nursing intervention is which of the following?
1. Ask direct questions to encourage talking.
2. Leave the client alone and intermittently check on him.
3. Sit beside the client in silence and verbalize occasional open-ended questions.
4. Take the client into the dayroom with other clients so they can help watch him. Ans: ✓ ✓ ✓ 3.
Sit beside the client in silence and verbalize occasional open-ended questions.
A mother of a teenage client with an anxiety disorder is concerned about her daughter's progress
on discharge. She states that her daughter "stashes food, eats all the wrong things that make her
hyperactive" and "hangs out with the wrong crowd". In helping the mother prepare for her
daughter's discharge, the nurse suggests that the mother:
1. Restrict the daughters socializing time with her friends.
2. Restrict the amount of chocolate and caffeine products in the home.
3. Keep her daughter out of school until she can adjust to the school environment.
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4. Consider taking time from work to help her daughter readjust to the home environment. Ans: ✓
✓ ✓ 2. Restrict the amount of chocolate and caffeine products in the home.
A manic client announces to everyone in the day room that a stripper is coming to perform that
evening. when the psychiatric nurse's aide firmly states that the client's behavior is not appropriate,
the manic client becomes verbally abusive and threatens physical violence to the nurse's aide.
Based on the analysis of this situation, the nurse determines that the appropriate action would be
to:
1. Escort the manic client to his or her room
2. Orient the client to time, person, and place
3. Tell the client that the behavior is not appropriate
4. Tell the client that smoking privileges are revoked for 24 hours Ans: ✓ ✓ ✓ 1. Escort the manic
client to his or her room
Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting
manipulative behavior?
Select all that apply.
1. Communicate expected behaviors to the client
2. Ensure that the client knows that he or she is not in charge of the nursing unit
3. Assist the client in developing means of setting limits on personal behavior
4. Follow through about the consequences of behavior in a nonpunitive manner
5. Enforce rules and inform the client that he or she will not be allowed to attend therapy groups.
6. Be clear with the client regarding the consequences of exceeding limits set regarding behavior
Ans: ✓ ✓ ✓ 1, 3, 4, 6
1. Communicate expected behaviors to the client
© Get it right 2025 Getaway - Stuvia US All rights reserved
Capstone Psych Questions with Detailed Verified
Answers
A client with delirium becomes agitated and confused at night. The best initial intervention by the
nurse is to:
1. Move the client next to the nurse's station
2. Use a night light and turn off the television
3. Keep up the television and a soft light on during the night.
4. Play soft music during the night and maintain a well-lit room Ans: ✓ ✓ ✓ 2. Use a night light and
turn off the television
A nurse is collecting data on a client who is actively hallucinating. Which nursing statement would
be therapeutic at this time?
1. "I know you feel they are out to get you, but its not true"
2. "I can hear the voice and she wants you to come to dinner"
3. "sometimes people hear things or voices others can't hear"
4. "I talked to the voices you're hearing and they won't hurt you now" Ans: ✓ ✓ ✓ 3. "Sometimes
people hear things or voices others can't hear"
A client is admitted to the in-patient unit and is being considered for electroconvulsive therapy
(ECT). The client appears calm, but the family is hypervigilant and anxious. the client's mother
begins to cry and states, "my child's brain will be destroyed. How can the doctor do this?" the nurse
makes which therapeutic response?
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
1. "It sounds as though you need to speak to the psychiatrist."
2. "Perhaps you'd like to see the ECT room and speak to the staff"
3. "Your child has decided to have this treatment. you should be supportive of the decision"
4. "It sounds as though you have some concerns about the ECT procedure. Why don't we sit down
together and discuss any concerns you may have?" Ans: ✓ ✓ ✓ 4. "It sounds as though you have
some concerns about the ECT procedure. Why don't we sit down together and discuss any concerns
you may have?"
A client who is diagnosed with pedophilia and has been recently paroled as a sex offender says "Im
in treatment and I have served my time. Now this group has posters of me all over the
neighborhood telling about me with my picture on it" which of the following is an appropriate
response by the nurse?
1. "When children are hurt as you hurt them, people want you isolated"
2. "You're lucky it doesn't escalate into something pretty scary after your crime"
3. "You understand that people fear for their children, but you're feeling unfairly treated?"
4. "You seem angry, but you have committed serious crimes against several children, so your
neighbors are frightened?" Ans: ✓ ✓ ✓ 3. "You understand that people fear for their children, but
you're feeling unfairly treated?"
A nurse is preparing for the hospital discharge of a client with a history of command hallucinations
to harm self or others. The nurse instructs the client about about interventions for hallucinations
and anxiety and determines that the client understands the interventions when the client states:
1. "My medications won't make me anxious"
2. "I'll go to a support group and talk so that I won't hurt anyone."
3. "I won't get anxious or hear things if I get enough sleep and eat well"
4. "I can call my therapist when I'm hallucinating so that I can talk about my feelings and plans and
not hurt anyone" Ans: ✓ ✓ ✓ 4. "I can call my therapist when I'm hallucinating so that I can talk
about my feelings and plans and not hurt anyone"
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
A nurse observes that a client is psychotic, pacing, and agitated and is making aggressive gestures.
The client's speech pattern is rapid and the client's affect is belligerent. Based on these
observations, the nurse's immediate priority of care is to:
1. Provide safety for the client and other clients on the unit
2. Provide the clients on the unit with a sense of comfort and safety
3. Assist the staff in caring for the client in a controlled environment
4. Offer the client a less-stimulating area to calm down and gain control Ans: ✓ ✓ ✓ 1. Provide
safety for the client and other clients on the unit
A nurse is caring for a client diagnosed with catatonic stupor. the client is lying on the bed, with the
body pulled into a fetal position. the appropriate nursing intervention is which of the following?
1. Ask direct questions to encourage talking.
2. Leave the client alone and intermittently check on him.
3. Sit beside the client in silence and verbalize occasional open-ended questions.
4. Take the client into the dayroom with other clients so they can help watch him. Ans: ✓ ✓ ✓ 3.
Sit beside the client in silence and verbalize occasional open-ended questions.
A mother of a teenage client with an anxiety disorder is concerned about her daughter's progress
on discharge. She states that her daughter "stashes food, eats all the wrong things that make her
hyperactive" and "hangs out with the wrong crowd". In helping the mother prepare for her
daughter's discharge, the nurse suggests that the mother:
1. Restrict the daughters socializing time with her friends.
2. Restrict the amount of chocolate and caffeine products in the home.
3. Keep her daughter out of school until she can adjust to the school environment.
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, Click here for more: Scholars nexus
4. Consider taking time from work to help her daughter readjust to the home environment. Ans: ✓
✓ ✓ 2. Restrict the amount of chocolate and caffeine products in the home.
A manic client announces to everyone in the day room that a stripper is coming to perform that
evening. when the psychiatric nurse's aide firmly states that the client's behavior is not appropriate,
the manic client becomes verbally abusive and threatens physical violence to the nurse's aide.
Based on the analysis of this situation, the nurse determines that the appropriate action would be
to:
1. Escort the manic client to his or her room
2. Orient the client to time, person, and place
3. Tell the client that the behavior is not appropriate
4. Tell the client that smoking privileges are revoked for 24 hours Ans: ✓ ✓ ✓ 1. Escort the manic
client to his or her room
Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting
manipulative behavior?
Select all that apply.
1. Communicate expected behaviors to the client
2. Ensure that the client knows that he or she is not in charge of the nursing unit
3. Assist the client in developing means of setting limits on personal behavior
4. Follow through about the consequences of behavior in a nonpunitive manner
5. Enforce rules and inform the client that he or she will not be allowed to attend therapy groups.
6. Be clear with the client regarding the consequences of exceeding limits set regarding behavior
Ans: ✓ ✓ ✓ 1, 3, 4, 6
1. Communicate expected behaviors to the client
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