NR605 Psychiatric-Mental Health
Practicum
NR605 Psychiatric-Mental Health
Practicum Exam 4 Questions and Correct
Answers with Rationales A+ Latest
Versions 2025
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 1
,NR605 Psychiatric-Mental Health
Practicum
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 2
,NR605 Psychiatric-Mental Health
Practicum
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 3
, NR605 Psychiatric-Mental Health
Practicum
not usual or expected side effects. Memory loss is usually restored after a few months of
treatment.
A nurse is caring for a young, hyperactive child with attention deficit-hyperactivity disorder who
engages in self-destructive behavior. What is the most important nursing objective in the
planning of care for this child?
Keeping the child from inflicting any self-injury
Helping the child improve communication skills
Helping the child formulate realistic ego boundaries
Providing the child with opportunities to discharge energy
- Correct Answer :Keeping the child from inflicting any self-injury
Rationale
All nursing care should be directed toward preventing injury, particularly with a self-destructive
child. Although improved communication skills, formulation of realistic ego boundaries, and
opportunities to discharge energy are all important, prevention of injury is the priority.
A nurse is preparing to care for a client who engages in ritualistic behavior. What is the most
appropriate intervention to include in the plan of care?
Redirecting the client's energy into activities to help others
Teaching the client that the behavior is not serving a realistic purpose
Administering antianxiety medications that block out the memory of internal fears
Helping the client understand that the behavior is caused by maladaptive coping with increased
anxiety
- Correct Answer :Helping the client understand that the behavior is caused by maladaptive
coping with increased anxiety
A+ TEST BANK 4
Practicum
NR605 Psychiatric-Mental Health
Practicum Exam 4 Questions and Correct
Answers with Rationales A+ Latest
Versions 2025
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 1
,NR605 Psychiatric-Mental Health
Practicum
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 2
,NR605 Psychiatric-Mental Health
Practicum
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 3
, NR605 Psychiatric-Mental Health
Practicum
not usual or expected side effects. Memory loss is usually restored after a few months of
treatment.
A nurse is caring for a young, hyperactive child with attention deficit-hyperactivity disorder who
engages in self-destructive behavior. What is the most important nursing objective in the
planning of care for this child?
Keeping the child from inflicting any self-injury
Helping the child improve communication skills
Helping the child formulate realistic ego boundaries
Providing the child with opportunities to discharge energy
- Correct Answer :Keeping the child from inflicting any self-injury
Rationale
All nursing care should be directed toward preventing injury, particularly with a self-destructive
child. Although improved communication skills, formulation of realistic ego boundaries, and
opportunities to discharge energy are all important, prevention of injury is the priority.
A nurse is preparing to care for a client who engages in ritualistic behavior. What is the most
appropriate intervention to include in the plan of care?
Redirecting the client's energy into activities to help others
Teaching the client that the behavior is not serving a realistic purpose
Administering antianxiety medications that block out the memory of internal fears
Helping the client understand that the behavior is caused by maladaptive coping with increased
anxiety
- Correct Answer :Helping the client understand that the behavior is caused by maladaptive
coping with increased anxiety
A+ TEST BANK 4
