Psychiatric Mental Health Nursing NCLEX
Review Questions Set 1 and Answers 2025
AA48-year-
oldAHispanicAwomanAisAseenAbyAaApsychiatricAclinicalAnurseAspecialistAafterAreceivingAaAcal
lAbyAherAson.AAccordingAtoAtheAson,AsinceAhisAfather'sAdeathA7AmonthsAago,AhisAmotherAha
sAlostA30ApoundsAandAcan'tAsleep.ADuringAherAinitialAvisit,AtheApatientAstates,A'MyAhusbandAt
alksAtoAmeAinAhisAvisits,AbutAhisAwordsAmakeAnoAsenseAtoAme.AIAdon'tAunderstandAwhatAheA
wantsAmeAtoAdo.'AWhatAisAanAappropriateAnursingAdiagnosis?
A.AIneffectiveAdenial.
B.ABipolarAmoodAdisorder.
C.AHyper-religiosity.
D.AGrieving.A-AcorrectAanswers-D.AGrieving.
Reason:AGrievingAmayAbeAcharacterizedAbyAweightAloss,AsleepAdisturbances,AandAmessa
gesAfromAbeyond.
YourAneighbor'sAhusbandAcomesAtoAtalkAtoAyou.AHeAsaysAhisAwifeAhasAnotAleftAtheAhouseAin
A2Aweeks,AhasAaAflatAmood,AandAhasAlostAinterestAinAherAusualAactivities.AYouArecognizeAth
eseAasAtheAprimaryAsymptomsAof
A.ADepression.
B.ASchizophrenia.
C.ASuicidalAideation.
D.ABipolarAmanicAepisodes.A-AcorrectAanswers-A.ADepression.
Reason:ADepressedAmoodAandAanhedoniaA(lossAofAinterestAorApleasureAinAactivities)AareAt
heAprimaryAsymptomsAofAmajorAdepression.
YourApatientAisAreadyAforAdischargeAafterAaA30-
dayAhospitalizationAforAmanicAdepression.AAboutA30AminutesAbeforeAhisAdischarge,AhisAroo
mmateAcomesAtoAyouAandAsays,A'HeAisAtalkingAcrazy.'AWhenAyouAaskAyourApatientAhowAheA
isAfeeling,AheAstates,A'IAfeelAlikeASuperman.AIAcanAdoAanything.AIAcanAflyAhomeAtodayAandAth
enAbecomeAaAU.S.ASenator.'AWhichAtypeAofAmania-
relatedAsymptomsAisAthisApatientAexhibiting?
A.ASocial.
B.ACognitive.
C.ABehavioral.
D.APerceptual.A-AcorrectAanswers-B.ACognitive.
Reason:ACognitiveAsymptomsAincludeAinflatedAself-esteemAandAgrandiosity.
YouAneedAtoAassessAwhetherAaApatientAwhoAhasAaAmoodAdisorderAisAreadyAforAdischarge.A
WhichAstatementAwouldAindicateAreadinessAforAdischarge?
A.ARightAnow,AIAcan'tAbatheAmyselfAorAdressAmyself,AbutAIAfeelAgoodAaboutAthat.
B.AGoingAhomeAwillAbeAfun,AbutAifAitAisn'tAfun,AIAcanAalwaysAmakeAmyAmotherAhelpAmeAorAtell
AherAtoAdoAso.ASheAbetterAhelpAme.
, C.AIAwillAtakeAmyAmedicinesAasAIAshouldAandAknowAtoAcallAtheAnumberAyouAgaveAmeAifAIAhav
eAbadAthoughts.
D.ATakingAcareAofAmyselfAisAimportant,AbutAit'sAokayAifAIAdon'tAwantAtoAdoAanything.A-
AcorrectAanswers-
C.AIAwillAtakeAmyAmedicinesAasAIAshouldAandAknowAtoAcallAtheAnumberAyouAgaveAmeAifAIAhav
eAbadAthoughts.
Reason:AVerbalizationAofAaAplanAforAhelpAandAdemonstrationAofAcareAareArealisticAdischarg
eAcriteria.
AnAangryApatientAisAinAtheAcommunityAroom.ASheApicksAupAaAchairAandAusesAitAtoAhitAanoth
erApatientAonAtheAhead.AWhenAyouAcomeAintoAtheAcommunityAroom,AwhatAshouldAyourAfirst
AresponseAtoAtheApatientAholdingAtheAchairAbe?
A.AAreAyouAcrazy?AHittingApeopleAcanAhurtAthem!
B.AHittingAothersAisAunacceptable.APleaseAputAtheAchairAcompletelyAdownAonAtheAfloor.
C.AHowAwouldAyouAlikeAitAifAIAhitAyouAoverAtheAheadAwithAaAchair?
D.AYou'reAinAbigAtroubleAnow.AIt'sAprobablyAprisonAyouAareAlookingAat!A-AcorrectAanswers-
B.AHittingAothersAisAunacceptable.APleaseAputAtheAchairAcompletelyAdownAonAtheAfloor.
Reason:AUseAwordsAtoAindicateAyourAlackAofAacceptanceAofAtheApatient'sAbehaviorAinAaAno
nthreateningAvoiceAorAtone.
AA22-year-oldAfemaleAisAadmittedAtoAtheAunitAfollowingAaAsuicideAattempt.ASheAhasAaA2-
weekAhistoryAofAdepressionAasAwellAasAaAhistoryAofAabusingAmultipleAsubstancesAandAanor
exiaAnervosa.AWhatAisAyourAfirstAnursingApriority?
A.ASocialization.
B.AContractingAforAeatingAbehavior.
C.ASafety.
D.AAdministeringAtheABeckAdepressionAscale.A-AcorrectAanswers-C.ASafety.
Reason:ASafetyAisAtheAmajorAprincipleAunderlyingApsychiatricAnursing.
GeraldAwasAadmittedAtoAtheApsychiatricAacuteAcareAunitAbecauseAheAstoodAinAtheAcenterAof
AaAmainAtwo-wayAstreetAinAhisAunderwearAandAaAT-
shirt,Ashouting,A'IAamAbeingAheldAagainstAmyAwill.AIAhaveApersonalArights.'AGeraldAwasAdiag
nosedAwithAbipolarAdisorder,AmanicAtype.AWhichAofAtheAfollowingAinterventionsAwillAaddAtoA
everyone'sAsafetyAinAtheAacuteAcareAenvironment?
A.AHaveAhecticAsurroundings.
B.AHaveAconsistentAunitAroutines.
C.AMinimizeAstaffAinterventions.
D.AMedicateAtheApatientAonlyAifAheAhasAprivateAhealthAinsurance.A-AcorrectAanswers-
B.AHaveAconsistentAunitAroutines.
Reason:AQuietAenvironmentsAwithAconsistentAroutinesAwillAhelpAcalmApatientsAandAaddAtoA
safety.
YourApatientAhasAjustAbeenAphysicallyAcleanedAupAafterAslicingAhisAleftAarmA8Atimes.AToAsh
owAanAappropriateAevaluativeAresponse,AwhichAofAtheAfollowingAwouldAbeAyourAbestAstate
ment?
A.AIAcouldAcareAlessAifAyouAcutAyourself.AItAdoesn'tAhurtAme.
Review Questions Set 1 and Answers 2025
AA48-year-
oldAHispanicAwomanAisAseenAbyAaApsychiatricAclinicalAnurseAspecialistAafterAreceivingAaAcal
lAbyAherAson.AAccordingAtoAtheAson,AsinceAhisAfather'sAdeathA7AmonthsAago,AhisAmotherAha
sAlostA30ApoundsAandAcan'tAsleep.ADuringAherAinitialAvisit,AtheApatientAstates,A'MyAhusbandAt
alksAtoAmeAinAhisAvisits,AbutAhisAwordsAmakeAnoAsenseAtoAme.AIAdon'tAunderstandAwhatAheA
wantsAmeAtoAdo.'AWhatAisAanAappropriateAnursingAdiagnosis?
A.AIneffectiveAdenial.
B.ABipolarAmoodAdisorder.
C.AHyper-religiosity.
D.AGrieving.A-AcorrectAanswers-D.AGrieving.
Reason:AGrievingAmayAbeAcharacterizedAbyAweightAloss,AsleepAdisturbances,AandAmessa
gesAfromAbeyond.
YourAneighbor'sAhusbandAcomesAtoAtalkAtoAyou.AHeAsaysAhisAwifeAhasAnotAleftAtheAhouseAin
A2Aweeks,AhasAaAflatAmood,AandAhasAlostAinterestAinAherAusualAactivities.AYouArecognizeAth
eseAasAtheAprimaryAsymptomsAof
A.ADepression.
B.ASchizophrenia.
C.ASuicidalAideation.
D.ABipolarAmanicAepisodes.A-AcorrectAanswers-A.ADepression.
Reason:ADepressedAmoodAandAanhedoniaA(lossAofAinterestAorApleasureAinAactivities)AareAt
heAprimaryAsymptomsAofAmajorAdepression.
YourApatientAisAreadyAforAdischargeAafterAaA30-
dayAhospitalizationAforAmanicAdepression.AAboutA30AminutesAbeforeAhisAdischarge,AhisAroo
mmateAcomesAtoAyouAandAsays,A'HeAisAtalkingAcrazy.'AWhenAyouAaskAyourApatientAhowAheA
isAfeeling,AheAstates,A'IAfeelAlikeASuperman.AIAcanAdoAanything.AIAcanAflyAhomeAtodayAandAth
enAbecomeAaAU.S.ASenator.'AWhichAtypeAofAmania-
relatedAsymptomsAisAthisApatientAexhibiting?
A.ASocial.
B.ACognitive.
C.ABehavioral.
D.APerceptual.A-AcorrectAanswers-B.ACognitive.
Reason:ACognitiveAsymptomsAincludeAinflatedAself-esteemAandAgrandiosity.
YouAneedAtoAassessAwhetherAaApatientAwhoAhasAaAmoodAdisorderAisAreadyAforAdischarge.A
WhichAstatementAwouldAindicateAreadinessAforAdischarge?
A.ARightAnow,AIAcan'tAbatheAmyselfAorAdressAmyself,AbutAIAfeelAgoodAaboutAthat.
B.AGoingAhomeAwillAbeAfun,AbutAifAitAisn'tAfun,AIAcanAalwaysAmakeAmyAmotherAhelpAmeAorAtell
AherAtoAdoAso.ASheAbetterAhelpAme.
, C.AIAwillAtakeAmyAmedicinesAasAIAshouldAandAknowAtoAcallAtheAnumberAyouAgaveAmeAifAIAhav
eAbadAthoughts.
D.ATakingAcareAofAmyselfAisAimportant,AbutAit'sAokayAifAIAdon'tAwantAtoAdoAanything.A-
AcorrectAanswers-
C.AIAwillAtakeAmyAmedicinesAasAIAshouldAandAknowAtoAcallAtheAnumberAyouAgaveAmeAifAIAhav
eAbadAthoughts.
Reason:AVerbalizationAofAaAplanAforAhelpAandAdemonstrationAofAcareAareArealisticAdischarg
eAcriteria.
AnAangryApatientAisAinAtheAcommunityAroom.ASheApicksAupAaAchairAandAusesAitAtoAhitAanoth
erApatientAonAtheAhead.AWhenAyouAcomeAintoAtheAcommunityAroom,AwhatAshouldAyourAfirst
AresponseAtoAtheApatientAholdingAtheAchairAbe?
A.AAreAyouAcrazy?AHittingApeopleAcanAhurtAthem!
B.AHittingAothersAisAunacceptable.APleaseAputAtheAchairAcompletelyAdownAonAtheAfloor.
C.AHowAwouldAyouAlikeAitAifAIAhitAyouAoverAtheAheadAwithAaAchair?
D.AYou'reAinAbigAtroubleAnow.AIt'sAprobablyAprisonAyouAareAlookingAat!A-AcorrectAanswers-
B.AHittingAothersAisAunacceptable.APleaseAputAtheAchairAcompletelyAdownAonAtheAfloor.
Reason:AUseAwordsAtoAindicateAyourAlackAofAacceptanceAofAtheApatient'sAbehaviorAinAaAno
nthreateningAvoiceAorAtone.
AA22-year-oldAfemaleAisAadmittedAtoAtheAunitAfollowingAaAsuicideAattempt.ASheAhasAaA2-
weekAhistoryAofAdepressionAasAwellAasAaAhistoryAofAabusingAmultipleAsubstancesAandAanor
exiaAnervosa.AWhatAisAyourAfirstAnursingApriority?
A.ASocialization.
B.AContractingAforAeatingAbehavior.
C.ASafety.
D.AAdministeringAtheABeckAdepressionAscale.A-AcorrectAanswers-C.ASafety.
Reason:ASafetyAisAtheAmajorAprincipleAunderlyingApsychiatricAnursing.
GeraldAwasAadmittedAtoAtheApsychiatricAacuteAcareAunitAbecauseAheAstoodAinAtheAcenterAof
AaAmainAtwo-wayAstreetAinAhisAunderwearAandAaAT-
shirt,Ashouting,A'IAamAbeingAheldAagainstAmyAwill.AIAhaveApersonalArights.'AGeraldAwasAdiag
nosedAwithAbipolarAdisorder,AmanicAtype.AWhichAofAtheAfollowingAinterventionsAwillAaddAtoA
everyone'sAsafetyAinAtheAacuteAcareAenvironment?
A.AHaveAhecticAsurroundings.
B.AHaveAconsistentAunitAroutines.
C.AMinimizeAstaffAinterventions.
D.AMedicateAtheApatientAonlyAifAheAhasAprivateAhealthAinsurance.A-AcorrectAanswers-
B.AHaveAconsistentAunitAroutines.
Reason:AQuietAenvironmentsAwithAconsistentAroutinesAwillAhelpAcalmApatientsAandAaddAtoA
safety.
YourApatientAhasAjustAbeenAphysicallyAcleanedAupAafterAslicingAhisAleftAarmA8Atimes.AToAsh
owAanAappropriateAevaluativeAresponse,AwhichAofAtheAfollowingAwouldAbeAyourAbestAstate
ment?
A.AIAcouldAcareAlessAifAyouAcutAyourself.AItAdoesn'tAhurtAme.