NR 548 EXAM 2 -PSYCHIATRIC ASSESSMENT FOR
PMHNP |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A patient became severely depressed when the last of six children moved out of the home
4 months ago. The patient repeatedly says, No one cares about me. Im not worth
anything. Which response by the nurse would be the most helpful?
A. Things will look brighter soon. Everyone feels down once in a while.
B. The staff here cares about you and wants to try to help you get better.
C. It is difficult for others to care about you when you repeatedly say negative things about
yourself.
D. Ill sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at
2:30 this afternoon.
CORRECT ANSWER
D
Question 2
A patient became depressed after the last of six children moved out of the home 4 months
ago. The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, No
one cares about me anymore. Im not worth anything. Select an appropriate initial
outcome for the nursing diagnosis: Situational low self-esteem, related to feelings of
abandonment. The patient will:
A. Verbalize realistic positive characteristics about self by (date)
B. Consent to take antidepressant medication regularly by (date)
C. Initiate social interaction with another person daily by (date)
D. Identify two personal behaviors that alienate others by (date).
CORRECT ANSWER
1
, A
Question 3
A nurse wants to reinforce positive self-esteem for a patient diagnosed with major
depressive disorder. Today, the patient is wearing a new shirt and has neat, clean hair.
Which remark is most appropriate?
A. You look nice this morning.
B. You are wearing a new shirt.
C. I like the shirt youre wearing.
D. You must be feeling better today.
CORRECT ANSWER
B
Question 4
An adult diagnosed with major depressive disorder was treated with medication and
cognitive behavioral therapy. The patient now recognizes how passivity contributed to the
depression. Which intervention should the nurse suggest?
A. Social skills training
B. Relaxation training classes
C. Use of complementary therapy
D. Learning desensitization techniques
CORRECT ANSWER
A
Question 5
2
,A priority nursing intervention for a patient diagnosed with major depressive disorder is:
A. Distracting the patient from self-absorption.
B. Carefully and inconspicuously observing the patient around the clock.
C. Allowing the patient to spend long periods alone in self-reflection.
D. Offering opportunities for the patient to assume a leadership role in the therapeutic
milieu.
CORRECT ANSWER
B
Question 6
When counseling patients diagnosed with major depressive disorder, an advanced practice
nurse will address the negative thought patterns by using:
A. Psychoanalytic therapy.
B. Desensitization therapy.
C. Cognitive behavioral therapy.
D. Alternative and complementary therapies.
CORRECT ANSWER
C
Question 7
A patient says to the nurse, My life does not have any happiness in it anymore. I once
enjoyed holidays, but now theyre just another day. How would the nurse document the
complaint?
A. Vegetative symptom
B. Anhedonia
C. Euphoria
D. Anergia
3
, CORRECT ANSWER
B
Question 8
A patient diagnosed with major depressive disorder is taking a tricyclic antidepressant.
The patient says, I dont think I can keep taking these pills. They make me so dizzy,
especially when I stand up. The nurse should:
A. Explain how to manage postural hypotension, and educate the patient that side effects go
away after several weeks.
B. Tell the patient that the side effects are a minor inconvenience compared with the
feelings of depression.
C. Withhold the drug, force oral fluids, and notify the health care provider to examine the
patient.
D. Teach the patient how to use pursed-lip breathing.
CORRECT ANSWER
A
Question 9
A patient diagnosed with major depressive disorder is receiving imipramine (Tofranil) 200
mg every night at bedtime. Which assessment finding would prompt the nurse to
collaborate with the health care provider regarding potentially hazardous side effects of
this drug?
A. Dry mouth
B. Blurred vision
C. Nasal congestion
D. Urinary retention
CORRECT ANSWER
D
4
PMHNP |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A patient became severely depressed when the last of six children moved out of the home
4 months ago. The patient repeatedly says, No one cares about me. Im not worth
anything. Which response by the nurse would be the most helpful?
A. Things will look brighter soon. Everyone feels down once in a while.
B. The staff here cares about you and wants to try to help you get better.
C. It is difficult for others to care about you when you repeatedly say negative things about
yourself.
D. Ill sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at
2:30 this afternoon.
CORRECT ANSWER
D
Question 2
A patient became depressed after the last of six children moved out of the home 4 months
ago. The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, No
one cares about me anymore. Im not worth anything. Select an appropriate initial
outcome for the nursing diagnosis: Situational low self-esteem, related to feelings of
abandonment. The patient will:
A. Verbalize realistic positive characteristics about self by (date)
B. Consent to take antidepressant medication regularly by (date)
C. Initiate social interaction with another person daily by (date)
D. Identify two personal behaviors that alienate others by (date).
CORRECT ANSWER
1
, A
Question 3
A nurse wants to reinforce positive self-esteem for a patient diagnosed with major
depressive disorder. Today, the patient is wearing a new shirt and has neat, clean hair.
Which remark is most appropriate?
A. You look nice this morning.
B. You are wearing a new shirt.
C. I like the shirt youre wearing.
D. You must be feeling better today.
CORRECT ANSWER
B
Question 4
An adult diagnosed with major depressive disorder was treated with medication and
cognitive behavioral therapy. The patient now recognizes how passivity contributed to the
depression. Which intervention should the nurse suggest?
A. Social skills training
B. Relaxation training classes
C. Use of complementary therapy
D. Learning desensitization techniques
CORRECT ANSWER
A
Question 5
2
,A priority nursing intervention for a patient diagnosed with major depressive disorder is:
A. Distracting the patient from self-absorption.
B. Carefully and inconspicuously observing the patient around the clock.
C. Allowing the patient to spend long periods alone in self-reflection.
D. Offering opportunities for the patient to assume a leadership role in the therapeutic
milieu.
CORRECT ANSWER
B
Question 6
When counseling patients diagnosed with major depressive disorder, an advanced practice
nurse will address the negative thought patterns by using:
A. Psychoanalytic therapy.
B. Desensitization therapy.
C. Cognitive behavioral therapy.
D. Alternative and complementary therapies.
CORRECT ANSWER
C
Question 7
A patient says to the nurse, My life does not have any happiness in it anymore. I once
enjoyed holidays, but now theyre just another day. How would the nurse document the
complaint?
A. Vegetative symptom
B. Anhedonia
C. Euphoria
D. Anergia
3
, CORRECT ANSWER
B
Question 8
A patient diagnosed with major depressive disorder is taking a tricyclic antidepressant.
The patient says, I dont think I can keep taking these pills. They make me so dizzy,
especially when I stand up. The nurse should:
A. Explain how to manage postural hypotension, and educate the patient that side effects go
away after several weeks.
B. Tell the patient that the side effects are a minor inconvenience compared with the
feelings of depression.
C. Withhold the drug, force oral fluids, and notify the health care provider to examine the
patient.
D. Teach the patient how to use pursed-lip breathing.
CORRECT ANSWER
A
Question 9
A patient diagnosed with major depressive disorder is receiving imipramine (Tofranil) 200
mg every night at bedtime. Which assessment finding would prompt the nurse to
collaborate with the health care provider regarding potentially hazardous side effects of
this drug?
A. Dry mouth
B. Blurred vision
C. Nasal congestion
D. Urinary retention
CORRECT ANSWER
D
4
