Psychiatric Mental Health Nursing Practice Questions with
Answers
A-mental-health-worker-is-caring-for-a-client-with-escalating-aggressive-behavior.-
Which-action-by-the-MHW-warrant-immediate-intervention-by-the-RN?
A.-Is-attempting-to-physically-restrain-the-patient.
B.-Tells-the-client-to-go-to-the-quiet-area-of-the-unit.
C.-Is-using-a-loud-voice-to-talk-to-the-client.
D.-Remains-at-a-distance-of-4-feet-from-the-client.---CORRECT ANSWER-A.-Is-
attempting-to-physically-restrain-the-patient.
A-client-is-admitted-to-the-mental-health-unit-and-reports-taking-extra-antianxiety-
medication-because,-"I'm-so-stressed-out.-I-just-want-to-go-to-sleep."-The-RN-should-
plan-one-on-one-observation-of-the-client-based-on-which-statement?
A.-"What-should-I-do?-Nothing-seems-to-help."
B.-"I-have-been-so-tired-lately-and-needed-to-sleep."
C.-"I-really-think-that-I-don't-need-to-be-here."
D.-"I-don't-want-to-walk.-Nothing-matters-anymore."---CORRECT ANSWER-D.-"I-
don't-want-to-walk.-Nothing-matters-anymore."
The-RN-is-performing-intake-interviews-at-a-psychiatric-clinic.-A-female-client-with-a-
known-history-of-drug-abuse-reports-that-she-had-a-heart-attack-four-years-ago.-
Useof-which-substance-places-the-client-at-highest-risk-for-myocardial-infarction?
A.-Benzodiazepine
B.-Alcohol
C.-Methamphetamine
D.-Marijuana---CORRECT ANSWER-C.-Methamphetamine
A-male-client-comes-to-the-emergency-center-because-he-has-an-erection-that-will-not-
resolve.-The-client-reports-that-he-is-taking-trazodone-(Desyrel)-for-insomnia.-Which-
information-is-most-important-for-the-nurse-ask-the-client?
A.-When-was-the-last-time-you-drank-alcoholic-beverage?
B.-Have-you-taken-any-medications-for-erectile-dysfunction?
C.-Are-you-having-any-other-sexual-dysfunctions-or-problems?
D.-Do-you-have-a-history-of-angina-or-high-blood-pressure?---CORRECT ANSWER-
B.-Have-you-taken-any-medications-for-erectile-dysfunction?
A-female-client-admitted-to-the-mental-health-unit-starts-to-shout-and-scream-at-the-
RN.-What-is-the-best-approach-for-the-RN-to-take?
A.-Stay-quietly-with-the-patient
B.-Tell-her-that-she-is-out-of-control.
C.-Distract-her-by-offering-her-finger-foods.
D.-Ignore-the-client's-acting-out-behavior.---CORRECT ANSWER-A.-Stay-quietly-
with-the-patient
, Psychiatric Mental Health Nursing Practice Questions with
Answers
When-developing-a-plan-of-care-for-a-client-admitted-to-the-psychiatric-unit-
following-aspiration-of-a-caustic-material-related-to-a-suicide-attempt,-which-nursing-
problem-has-the-highest-priority?
A.-Impaired-comfort.
B.-Risk-for-injury.
C.-Ineffective-breathing-pattern.
D.-Ineffective-coping.---CORRECT ANSWER-C.-Ineffective-breathing-pattern.
A-female-client-on-a-psychiatric-unit-is-sweating-profusely-while-she-vigorously-does-
push-ups-and-then-runs-the-length-of-the-corridor-several-times-before-crashing-into-
furniture-in-the-sitting-room.-Picking-herself-up,-she-begins-to-toss-chairs-aside,-
looking-for-a-red-one-to-sit-in.-When-another-client-objects-to-the-disturbance,-the-
client-shouts,-"I-am-the-boss-here.-I-do-what-I-want."-Which-nursing-problem-best-
supports-these-observations?
A.-Deficient-diversional-activity-related-to-excess-energy-level.
B.-Risk-for-other-related-violence-related-to-disruptive-behavior.
C.-Risk-for-activity-intolerance-related-to-hyperactivity.
D.-Disturbed-personal-identity-related-to-grandiosity.---CORRECT ANSWER-B.-Risk-
for-other-related-violence-related-to-disruptive-behavior.
A-RN-is-preparing-the-physical-environment-to-interview-a-new-client-for-admission-
to-the-mental-health-unit.-Which-environmental-setting-facilitates-the-best-outcome-of-
the-interview?
A.-Dim-the-lights-in-the-room-to-help-the-patient-feel-calm.
B.-Sit-within-two-feet-of-the-client-to-enhance-level-of-safety-and-security.
C.-Reduce-the-noise-level-in-the-room-by-turning-off-the-television-and-radio.
D.-Position-table-between-the-client-and-the-RN-for-extra-personal-space.---CORRECT
ANSWER-C.-Reduce-the-noise-level-in-the-room-by-turning-off-the-television-and-
radio.
The-RN-is-providing-education-about-strategies-for-a-safety-plan-for-a-female-client-
who-is-a-victim-of-intimate-partner-violence.-Which-strategies-should-be-included-in-
the-safety-plan?-(Select-all-that-apply)
A.-Purchase-a-gun-to-use-for-protection.
B.-Establish-a-code-with-family-and-friends-to-signify-violence.
C.-Take-a-self-defense-course-that-retaliates-the-abuser-with-injury.-
D.-Have-a-bag-ready-that-has-extra-clothes-for-self-and-children.
E.-Plan-an-escape-route-to-use-if-the-abuser-blocks-the-main-exit.---CORRECT
ANSWER-B.-Establish-a-code-with-family-and-friends-to-signify-violence.
D.-Have-a-bag-ready-that-has-extra-clothes-for-self-and-children.
E.-Plan-an-escape-route-to-use-if-the-abuser-blocks-the-main-exit.
, Psychiatric Mental Health Nursing Practice Questions with
Answers
The-RN-is-admitting-a-male-client-who-takes-lithium-carbonate-(Eskalith)-twice-a-
day.-Which-information-should-the-RN-report-to-the-HCP-immediately?
A.-Short-term-memory-loss.
B.-Five-pound-weight-gain
C.-Decreased-affect.
D.-Nausea-and-vomiting.---CORRECT ANSWER-D.-Nausea-and-vomiting.
A-homeless-client-who-reports-feeling-sad-and-depressed-tells-the-mental-health-
nurse-that-in-the-past-2-days-she-has-only-had-4-hours-of-sleep.-Which-action-is-most-
important-for-the-RN-to-implement-within-the-first-24-hours-after-treatment-is-
initiated?
A.-Allow-the-client-to-rest-and-sleep.
B.-Ensure-client-attend-groups-addressing-coping-skills-for-dealing-with-depression.
C.-Begin-planning-for-the-clients-discharge.
D.-Encourage-verbalization-of-feelings.---CORRECT ANSWER-A.-Allow-the-client-to-
rest-and-sleep.
A-RN-is-teaching-a-client-about-initiation-of-a-prescribed-abstinence-therapy-using-
Disulfiram-(Antabuse).-What-information-should-the-client-acknowledge-
understanding?
A.-Admit-to-others-that-he-is-a-substance-abuser.
B.-Remain-alcohol-free-for-12-hours-prior-to-first-dose.
C.-Attend-monthly-meetings-of-alcoholics-anonymous.
D.-Completely-sustain-from-heroin-or-cocaine-use.---CORRECT ANSWER-B.-Remain-
alcohol-free-for-12-hours-prior-to-first-dose.
Which-client-statement-suggests-the-RN-that-the-client-is-using-a-defense-mechanism-
of-projection-to-deal-with-anxiety-related-to-admission-to-a-psychiatricunit?
A.-At-least-I-hit-the-wall-instead-of-hitting-the-psychiatric-aide.
B.-I-am-here-because-the-police-thought-I-was-doing-something-wrong.-
C.-I-want-to-be-here-because-I-know-it-is-the-best-psychiatric-facility.-
D.-Don't-believe-everything-my-family-tells-you,-I-am-not-crazy.---CORRECT
ANSWER-B.-I-am-here-because-the-police-thought-I-was-doing-something-wrong.
The-RN-documents-the-mental-status-of-a-female-client-who-has-been-hospitalized-
for-several-days-by-court-order.-The-client-states"-I-don't-need-to-be-here,"-and-tells-
the-RN-that-she-believes-that-the-T.V.-talks-to-her.-The-RN-should-document-these-
assessment-statements-in-which-section-of-the-mental-status-exam?
A.-Insight-and-judgement.
B.-Mood-and-affect.
C.-Remote-memory.
D.-Level-of-concentration.---CORRECT ANSWER-A.-Insight-and-judgement.
Answers
A-mental-health-worker-is-caring-for-a-client-with-escalating-aggressive-behavior.-
Which-action-by-the-MHW-warrant-immediate-intervention-by-the-RN?
A.-Is-attempting-to-physically-restrain-the-patient.
B.-Tells-the-client-to-go-to-the-quiet-area-of-the-unit.
C.-Is-using-a-loud-voice-to-talk-to-the-client.
D.-Remains-at-a-distance-of-4-feet-from-the-client.---CORRECT ANSWER-A.-Is-
attempting-to-physically-restrain-the-patient.
A-client-is-admitted-to-the-mental-health-unit-and-reports-taking-extra-antianxiety-
medication-because,-"I'm-so-stressed-out.-I-just-want-to-go-to-sleep."-The-RN-should-
plan-one-on-one-observation-of-the-client-based-on-which-statement?
A.-"What-should-I-do?-Nothing-seems-to-help."
B.-"I-have-been-so-tired-lately-and-needed-to-sleep."
C.-"I-really-think-that-I-don't-need-to-be-here."
D.-"I-don't-want-to-walk.-Nothing-matters-anymore."---CORRECT ANSWER-D.-"I-
don't-want-to-walk.-Nothing-matters-anymore."
The-RN-is-performing-intake-interviews-at-a-psychiatric-clinic.-A-female-client-with-a-
known-history-of-drug-abuse-reports-that-she-had-a-heart-attack-four-years-ago.-
Useof-which-substance-places-the-client-at-highest-risk-for-myocardial-infarction?
A.-Benzodiazepine
B.-Alcohol
C.-Methamphetamine
D.-Marijuana---CORRECT ANSWER-C.-Methamphetamine
A-male-client-comes-to-the-emergency-center-because-he-has-an-erection-that-will-not-
resolve.-The-client-reports-that-he-is-taking-trazodone-(Desyrel)-for-insomnia.-Which-
information-is-most-important-for-the-nurse-ask-the-client?
A.-When-was-the-last-time-you-drank-alcoholic-beverage?
B.-Have-you-taken-any-medications-for-erectile-dysfunction?
C.-Are-you-having-any-other-sexual-dysfunctions-or-problems?
D.-Do-you-have-a-history-of-angina-or-high-blood-pressure?---CORRECT ANSWER-
B.-Have-you-taken-any-medications-for-erectile-dysfunction?
A-female-client-admitted-to-the-mental-health-unit-starts-to-shout-and-scream-at-the-
RN.-What-is-the-best-approach-for-the-RN-to-take?
A.-Stay-quietly-with-the-patient
B.-Tell-her-that-she-is-out-of-control.
C.-Distract-her-by-offering-her-finger-foods.
D.-Ignore-the-client's-acting-out-behavior.---CORRECT ANSWER-A.-Stay-quietly-
with-the-patient
, Psychiatric Mental Health Nursing Practice Questions with
Answers
When-developing-a-plan-of-care-for-a-client-admitted-to-the-psychiatric-unit-
following-aspiration-of-a-caustic-material-related-to-a-suicide-attempt,-which-nursing-
problem-has-the-highest-priority?
A.-Impaired-comfort.
B.-Risk-for-injury.
C.-Ineffective-breathing-pattern.
D.-Ineffective-coping.---CORRECT ANSWER-C.-Ineffective-breathing-pattern.
A-female-client-on-a-psychiatric-unit-is-sweating-profusely-while-she-vigorously-does-
push-ups-and-then-runs-the-length-of-the-corridor-several-times-before-crashing-into-
furniture-in-the-sitting-room.-Picking-herself-up,-she-begins-to-toss-chairs-aside,-
looking-for-a-red-one-to-sit-in.-When-another-client-objects-to-the-disturbance,-the-
client-shouts,-"I-am-the-boss-here.-I-do-what-I-want."-Which-nursing-problem-best-
supports-these-observations?
A.-Deficient-diversional-activity-related-to-excess-energy-level.
B.-Risk-for-other-related-violence-related-to-disruptive-behavior.
C.-Risk-for-activity-intolerance-related-to-hyperactivity.
D.-Disturbed-personal-identity-related-to-grandiosity.---CORRECT ANSWER-B.-Risk-
for-other-related-violence-related-to-disruptive-behavior.
A-RN-is-preparing-the-physical-environment-to-interview-a-new-client-for-admission-
to-the-mental-health-unit.-Which-environmental-setting-facilitates-the-best-outcome-of-
the-interview?
A.-Dim-the-lights-in-the-room-to-help-the-patient-feel-calm.
B.-Sit-within-two-feet-of-the-client-to-enhance-level-of-safety-and-security.
C.-Reduce-the-noise-level-in-the-room-by-turning-off-the-television-and-radio.
D.-Position-table-between-the-client-and-the-RN-for-extra-personal-space.---CORRECT
ANSWER-C.-Reduce-the-noise-level-in-the-room-by-turning-off-the-television-and-
radio.
The-RN-is-providing-education-about-strategies-for-a-safety-plan-for-a-female-client-
who-is-a-victim-of-intimate-partner-violence.-Which-strategies-should-be-included-in-
the-safety-plan?-(Select-all-that-apply)
A.-Purchase-a-gun-to-use-for-protection.
B.-Establish-a-code-with-family-and-friends-to-signify-violence.
C.-Take-a-self-defense-course-that-retaliates-the-abuser-with-injury.-
D.-Have-a-bag-ready-that-has-extra-clothes-for-self-and-children.
E.-Plan-an-escape-route-to-use-if-the-abuser-blocks-the-main-exit.---CORRECT
ANSWER-B.-Establish-a-code-with-family-and-friends-to-signify-violence.
D.-Have-a-bag-ready-that-has-extra-clothes-for-self-and-children.
E.-Plan-an-escape-route-to-use-if-the-abuser-blocks-the-main-exit.
, Psychiatric Mental Health Nursing Practice Questions with
Answers
The-RN-is-admitting-a-male-client-who-takes-lithium-carbonate-(Eskalith)-twice-a-
day.-Which-information-should-the-RN-report-to-the-HCP-immediately?
A.-Short-term-memory-loss.
B.-Five-pound-weight-gain
C.-Decreased-affect.
D.-Nausea-and-vomiting.---CORRECT ANSWER-D.-Nausea-and-vomiting.
A-homeless-client-who-reports-feeling-sad-and-depressed-tells-the-mental-health-
nurse-that-in-the-past-2-days-she-has-only-had-4-hours-of-sleep.-Which-action-is-most-
important-for-the-RN-to-implement-within-the-first-24-hours-after-treatment-is-
initiated?
A.-Allow-the-client-to-rest-and-sleep.
B.-Ensure-client-attend-groups-addressing-coping-skills-for-dealing-with-depression.
C.-Begin-planning-for-the-clients-discharge.
D.-Encourage-verbalization-of-feelings.---CORRECT ANSWER-A.-Allow-the-client-to-
rest-and-sleep.
A-RN-is-teaching-a-client-about-initiation-of-a-prescribed-abstinence-therapy-using-
Disulfiram-(Antabuse).-What-information-should-the-client-acknowledge-
understanding?
A.-Admit-to-others-that-he-is-a-substance-abuser.
B.-Remain-alcohol-free-for-12-hours-prior-to-first-dose.
C.-Attend-monthly-meetings-of-alcoholics-anonymous.
D.-Completely-sustain-from-heroin-or-cocaine-use.---CORRECT ANSWER-B.-Remain-
alcohol-free-for-12-hours-prior-to-first-dose.
Which-client-statement-suggests-the-RN-that-the-client-is-using-a-defense-mechanism-
of-projection-to-deal-with-anxiety-related-to-admission-to-a-psychiatricunit?
A.-At-least-I-hit-the-wall-instead-of-hitting-the-psychiatric-aide.
B.-I-am-here-because-the-police-thought-I-was-doing-something-wrong.-
C.-I-want-to-be-here-because-I-know-it-is-the-best-psychiatric-facility.-
D.-Don't-believe-everything-my-family-tells-you,-I-am-not-crazy.---CORRECT
ANSWER-B.-I-am-here-because-the-police-thought-I-was-doing-something-wrong.
The-RN-documents-the-mental-status-of-a-female-client-who-has-been-hospitalized-
for-several-days-by-court-order.-The-client-states"-I-don't-need-to-be-here,"-and-tells-
the-RN-that-she-believes-that-the-T.V.-talks-to-her.-The-RN-should-document-these-
assessment-statements-in-which-section-of-the-mental-status-exam?
A.-Insight-and-judgement.
B.-Mood-and-affect.
C.-Remote-memory.
D.-Level-of-concentration.---CORRECT ANSWER-A.-Insight-and-judgement.
