NRNP 6665 EXAM / PSYCHIATRIC MENTAL HEALTH NRNP 6665
FINAL EXAM ACTUAL TEST 2026 EXAM ALL COMPLETE 75
APPROVED QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (DETAILED SOLUTIONS) NEWEST UPDATED VERSION
2026 |ALREADY GRADED A+
The nurse knows that which neurotransmitter is most commonly associated with
depression?
a) Dopamine
b) Norepinephrine
c) Serotonin
d) Acetylcholine
Correct answer: c) serotonin
Rationale: Serotonin deficits are linked to depressive disorders, influencing mood,
sleep, and appetite.
The main goal of the biopsychosocial model in psychiatric nursing is:
a) To treat only the biological aspects of mental illness
b) To focus solely on psychotherapy
c) To integrate biological, psychological, and social factors in patient care
d) To prescribe medications without therapy
Correct answer: c) to integrate biological, psychological, and social factors in
patient care
Rationale: It emphasizes a holistic approach to mental health care.
Which best describes transference in therapy?
,a) Patient projecting feelings about others onto the nurse
b) Nurse projecting feelings onto the patient
c) Patient resisting therapy
d) A defense mechanism to avoid anxiety
Correct answer: a) patient projecting feelings about others onto the nurse
Rationale: Transference is an unconscious redirection of feelings from past
relationships.
Which defense mechanism is used when a patient refuse to acknowledge a painful
reality?
a) Sublimation
b) Denial
c) Regression
d) Projection
Correct answer: b) denial
Rationale: Denial protects from anxiety by refusing to accept reality.
A patient pacing and wringing hands most likely indicates:
a) Depression
b) Anxiety
c) Psychosis
d) Mania
Correct answer: b) anxiety
, Rationale: Agitation and repetitive movements are classic signs of anxiety.
An example of assertive communication in psychiatric nursing is:
a) Avoiding patient requests
b) Setting clear boundaries while respecting the patient
c) Giving in to patient demands
d) Using sarcasm to redirect behavior
Correct answer: b) setting clear boundaries while respecting the patient
Rationale: Assertiveness communicates needs respectfully and maintains
professional boundaries.
The most reliable method to assess suicide risk is:
a) Observing mood during rounds
b) Asking directly about suicidal thoughts and plans
c) Reviewing family history only
d) Checking past medical records
Correct answer: b) asking directly about suicidal thoughts and plans
Rationale: Direct questioning is evidence-based and critical for safety assessment.
The mental status exam (MSE) includes all EXCEPT:
a) Appearance
b) Thought processes
c) Vital signs
d) Mood and affect
FINAL EXAM ACTUAL TEST 2026 EXAM ALL COMPLETE 75
APPROVED QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (DETAILED SOLUTIONS) NEWEST UPDATED VERSION
2026 |ALREADY GRADED A+
The nurse knows that which neurotransmitter is most commonly associated with
depression?
a) Dopamine
b) Norepinephrine
c) Serotonin
d) Acetylcholine
Correct answer: c) serotonin
Rationale: Serotonin deficits are linked to depressive disorders, influencing mood,
sleep, and appetite.
The main goal of the biopsychosocial model in psychiatric nursing is:
a) To treat only the biological aspects of mental illness
b) To focus solely on psychotherapy
c) To integrate biological, psychological, and social factors in patient care
d) To prescribe medications without therapy
Correct answer: c) to integrate biological, psychological, and social factors in
patient care
Rationale: It emphasizes a holistic approach to mental health care.
Which best describes transference in therapy?
,a) Patient projecting feelings about others onto the nurse
b) Nurse projecting feelings onto the patient
c) Patient resisting therapy
d) A defense mechanism to avoid anxiety
Correct answer: a) patient projecting feelings about others onto the nurse
Rationale: Transference is an unconscious redirection of feelings from past
relationships.
Which defense mechanism is used when a patient refuse to acknowledge a painful
reality?
a) Sublimation
b) Denial
c) Regression
d) Projection
Correct answer: b) denial
Rationale: Denial protects from anxiety by refusing to accept reality.
A patient pacing and wringing hands most likely indicates:
a) Depression
b) Anxiety
c) Psychosis
d) Mania
Correct answer: b) anxiety
, Rationale: Agitation and repetitive movements are classic signs of anxiety.
An example of assertive communication in psychiatric nursing is:
a) Avoiding patient requests
b) Setting clear boundaries while respecting the patient
c) Giving in to patient demands
d) Using sarcasm to redirect behavior
Correct answer: b) setting clear boundaries while respecting the patient
Rationale: Assertiveness communicates needs respectfully and maintains
professional boundaries.
The most reliable method to assess suicide risk is:
a) Observing mood during rounds
b) Asking directly about suicidal thoughts and plans
c) Reviewing family history only
d) Checking past medical records
Correct answer: b) asking directly about suicidal thoughts and plans
Rationale: Direct questioning is evidence-based and critical for safety assessment.
The mental status exam (MSE) includes all EXCEPT:
a) Appearance
b) Thought processes
c) Vital signs
d) Mood and affect
