NR605 Psychiatric Mental Health 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+|
M
A client asks the nurse, "Because I'm so comfortable talking with you, can we go out for coffee
ED
and movie after I get discharged?" To maintain the boundaries of a therapeutic relationship, how
will the nurse respond?
1
"I'm flattered but that would be professionally unethical."
2
"You feel connected to me now; that will change once you are discharged."
ST
3
"The attention I've giving you is directed towards getting you better; it isn't social."
4
"A social life is important so as your nurse let's talk about how you can form friendships."
U
- Correct Answer :4
Clients often become socially interested in the nursing staff. When this occurs the nurse should
remind the client of the nursing role and take the opportunity to discuss the need for friendships
D
and how to achieve them best. Stating "I'm flattered but that would be professionally unethical,"
"You feel connected to me now; that will change once you are discharged," and "The attention
Y
I've giving you is directed towards getting you better; it isn't social," while not untrue or
inappropriate, do not address best the nursing responsibility in this therapeutic role.
A secretary in a home health agency gossips about coworkers and then writes them notes to tell
them how valuable they are to the organization and how much she likes working with them.
What defense mechanism is being used by the secretary?
1
Denial
2
Undoing
3
Displacement
A+ TEST BANK 1
, NR605 Psychiatric Mental Health Final
Actual Exam
4
Intellectualizatio
- Correct Answer :2
Undoing is atonement for or an attempt to dissipate unacceptable acts or wishes. Denial is the
refusal to accept or perceive unpleasantness as it actually exists. Displacement is the discharge
of pent-up feelings onto something or someone that is less threatening than the original source
of the feelings. Intellectualization is the use of abstract thinking to minimize painful feelings.
A client with diabetes mellitus is able to discuss in detail the diabetic metabolic process while
M
eating a piece of chocolate cake. What defense mechanism does the nurse identify when
evaluating this behavior?
1
ED
Projection
2
Dissociation
3
Displacement
4
ST
Intellectualization
- Correct Answer :4
Intellectualization is the avoidance of a painful emotion with the use of a rational explanation
U
that removes the event from any personal significance. Projection is the attribution of
unacceptable thoughts and feelings to others. Dissociation is a temporary alteration of
consciousness or identity used to handle conflict; amnesia is an example. Displacement is the
D
discharge of a pent-up feeling, generally hostility, on an object or person perceived to be weaker
than the person who aroused the feelings.
Y
A nurse encourages a client to join a self-help group after being discharged from a mental health
facility. What is the purpose of having people work in a group?
1
Support
2
Confrontation
3
Psychotherapy
4
Self-awareness
A+ TEST BANK 2
, NR605 Psychiatric Mental Health Final
Actual Exam
- Correct Answer :1
Members of a self-help group share similar experiences and can provide valuable understanding
and support to one other. Although confrontation and self-awareness may occur, these are not
the primary purposes of self-help groups. Self-help groups provide an opportunity for people to
interact, not to engage in professional psychotherapy.
The wife of a client who is dying tells the nurse that although she wants to visit her husband
daily, she can visit only twice a week because she works and has to take care of the house and
their cat and dog. What defense mechanism does the nurse conclude that the client's wife is
using?
M
1
Projection
2
ED
Sublimation
3
Compensation
4
Rationalization
ST
- Correct Answer :4Rationalization
is offering a socially acceptable or logical explanation to justify an unacceptable feeling or
behavior. Projection is the denial of emotionally unacceptable feelings and the attribution of the
traits to another person. Sublimation is the substitution of a socially acceptable behavior for an
U
unacceptable feeling or drive. Compensation is making up for a perceived deficiency by
emphasizing another feature perceived as an asset.
D
What should the nurse do when determining whether a client is experiencing adverse effects of
risperidone (Risperdal)?
1
Y
Monitor for episodes of diarrhea.
2
Test sensation of lower extremities.
3
Question if dizziness is experienced.
4
Auscultate breath sounds to detect wheezing.
- Correct Answer :3
Hypotension and dizziness are adverse effects of risperidone (Risperdal). Risperidone may cause
constipation, not diarrhea. It does not affect the neuromuscular or cardiovascular function of the
A+ TEST BANK 3
, NR605 Psychiatric Mental Health Final
Actual Exam
legs; numbness and coldness of the feet do not occur. Risperidone does not cause wheezing or
shortness of breath.
What developmental task should the nurse consider when caring for toddlers?
1
Trust
2
Industry
3
Autonomy
M
4
Identification
ED
- Correct Answer :3
Testing the self both physically and psychologically occurs during the toddler stage, after trust
has been achieved. Trust is the task of infancy. The task of industry is accomplished between the
ages of 6 and 12. Identification is not a developmental task. However, between the ages of 3 and
6 a child starts to identify with the parent of the same sex.
ST
trust, autonomy, industry
Donepezil (Aricept) is prescribed for a senior client who has mild dementia of the Alzheimer
type. What information does the nurse include when discussing this medication with the client
and family?
U
1
Fluids should be limited to four large glasses per day.
2
D
Constipation should be reported to the practitioner immediately.
3
Blood tests that reflect liver function will be performed routinely.
Y
4
The client's medication dosage may be self-adjusted according to the client's response.
- Correct Answer :3
Donepezil may affect the liver because alanine aminotransferase (ALT) is found predominantly in
the liver; most ALT increases indicate hepatocellular disease. Clients taking this medication
should have regular liver function tests and report light stools and jaundice to the practitioner.
Fluids should not be limited, because one of the side effects of donepezil (Aricept) is
constipation. A side effect of constipation is expected; therefore fluids, high-fiber foods, and
exercise should be recommended to help keep the stools soft . The client should not abruptly
increase or decrease the dosage; donepezil should be taken exactly as prescribed.
A+ TEST BANK 4
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+|
M
A client asks the nurse, "Because I'm so comfortable talking with you, can we go out for coffee
ED
and movie after I get discharged?" To maintain the boundaries of a therapeutic relationship, how
will the nurse respond?
1
"I'm flattered but that would be professionally unethical."
2
"You feel connected to me now; that will change once you are discharged."
ST
3
"The attention I've giving you is directed towards getting you better; it isn't social."
4
"A social life is important so as your nurse let's talk about how you can form friendships."
U
- Correct Answer :4
Clients often become socially interested in the nursing staff. When this occurs the nurse should
remind the client of the nursing role and take the opportunity to discuss the need for friendships
D
and how to achieve them best. Stating "I'm flattered but that would be professionally unethical,"
"You feel connected to me now; that will change once you are discharged," and "The attention
Y
I've giving you is directed towards getting you better; it isn't social," while not untrue or
inappropriate, do not address best the nursing responsibility in this therapeutic role.
A secretary in a home health agency gossips about coworkers and then writes them notes to tell
them how valuable they are to the organization and how much she likes working with them.
What defense mechanism is being used by the secretary?
1
Denial
2
Undoing
3
Displacement
A+ TEST BANK 1
, NR605 Psychiatric Mental Health Final
Actual Exam
4
Intellectualizatio
- Correct Answer :2
Undoing is atonement for or an attempt to dissipate unacceptable acts or wishes. Denial is the
refusal to accept or perceive unpleasantness as it actually exists. Displacement is the discharge
of pent-up feelings onto something or someone that is less threatening than the original source
of the feelings. Intellectualization is the use of abstract thinking to minimize painful feelings.
A client with diabetes mellitus is able to discuss in detail the diabetic metabolic process while
M
eating a piece of chocolate cake. What defense mechanism does the nurse identify when
evaluating this behavior?
1
ED
Projection
2
Dissociation
3
Displacement
4
ST
Intellectualization
- Correct Answer :4
Intellectualization is the avoidance of a painful emotion with the use of a rational explanation
U
that removes the event from any personal significance. Projection is the attribution of
unacceptable thoughts and feelings to others. Dissociation is a temporary alteration of
consciousness or identity used to handle conflict; amnesia is an example. Displacement is the
D
discharge of a pent-up feeling, generally hostility, on an object or person perceived to be weaker
than the person who aroused the feelings.
Y
A nurse encourages a client to join a self-help group after being discharged from a mental health
facility. What is the purpose of having people work in a group?
1
Support
2
Confrontation
3
Psychotherapy
4
Self-awareness
A+ TEST BANK 2
, NR605 Psychiatric Mental Health Final
Actual Exam
- Correct Answer :1
Members of a self-help group share similar experiences and can provide valuable understanding
and support to one other. Although confrontation and self-awareness may occur, these are not
the primary purposes of self-help groups. Self-help groups provide an opportunity for people to
interact, not to engage in professional psychotherapy.
The wife of a client who is dying tells the nurse that although she wants to visit her husband
daily, she can visit only twice a week because she works and has to take care of the house and
their cat and dog. What defense mechanism does the nurse conclude that the client's wife is
using?
M
1
Projection
2
ED
Sublimation
3
Compensation
4
Rationalization
ST
- Correct Answer :4Rationalization
is offering a socially acceptable or logical explanation to justify an unacceptable feeling or
behavior. Projection is the denial of emotionally unacceptable feelings and the attribution of the
traits to another person. Sublimation is the substitution of a socially acceptable behavior for an
U
unacceptable feeling or drive. Compensation is making up for a perceived deficiency by
emphasizing another feature perceived as an asset.
D
What should the nurse do when determining whether a client is experiencing adverse effects of
risperidone (Risperdal)?
1
Y
Monitor for episodes of diarrhea.
2
Test sensation of lower extremities.
3
Question if dizziness is experienced.
4
Auscultate breath sounds to detect wheezing.
- Correct Answer :3
Hypotension and dizziness are adverse effects of risperidone (Risperdal). Risperidone may cause
constipation, not diarrhea. It does not affect the neuromuscular or cardiovascular function of the
A+ TEST BANK 3
, NR605 Psychiatric Mental Health Final
Actual Exam
legs; numbness and coldness of the feet do not occur. Risperidone does not cause wheezing or
shortness of breath.
What developmental task should the nurse consider when caring for toddlers?
1
Trust
2
Industry
3
Autonomy
M
4
Identification
ED
- Correct Answer :3
Testing the self both physically and psychologically occurs during the toddler stage, after trust
has been achieved. Trust is the task of infancy. The task of industry is accomplished between the
ages of 6 and 12. Identification is not a developmental task. However, between the ages of 3 and
6 a child starts to identify with the parent of the same sex.
ST
trust, autonomy, industry
Donepezil (Aricept) is prescribed for a senior client who has mild dementia of the Alzheimer
type. What information does the nurse include when discussing this medication with the client
and family?
U
1
Fluids should be limited to four large glasses per day.
2
D
Constipation should be reported to the practitioner immediately.
3
Blood tests that reflect liver function will be performed routinely.
Y
4
The client's medication dosage may be self-adjusted according to the client's response.
- Correct Answer :3
Donepezil may affect the liver because alanine aminotransferase (ALT) is found predominantly in
the liver; most ALT increases indicate hepatocellular disease. Clients taking this medication
should have regular liver function tests and report light stools and jaundice to the practitioner.
Fluids should not be limited, because one of the side effects of donepezil (Aricept) is
constipation. A side effect of constipation is expected; therefore fluids, high-fiber foods, and
exercise should be recommended to help keep the stools soft . The client should not abruptly
increase or decrease the dosage; donepezil should be taken exactly as prescribed.
A+ TEST BANK 4
