NR 605 Psychiatric Mental Health Midterm Exam 2026-180 QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% Verified Solutions Updated Per Latest
Guidelines Graded A+......
NR 605 Psychiatric Mental Health Midterm Exam Practice Questions
200 Multiple-Choice Questions with Answers and Rationales
SECTION 1: FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING
(Questions 1-25)
1. A PMHNP is establishing a therapeutic relationship with a new patient. Which
statement best demonstrates the core condition of "unconditional positive
regard"?
A) "I will help you change your behaviors that are causing problems in your life."
B) "I accept you as a person regardless of your past decisions or current
symptoms."
C) "You need to understand that your actions have consequences for your family."
D) "I can only help you if you are committed to making significant changes."
Answer: B
Rationale: Unconditional positive regard, a concept from Carl Rogers' person-
centered therapy, involves accepting and respecting the patient as a person
,without judgment, regardless of their behaviors or symptoms . Option A focuses
on behavior change rather than acceptance. Option C introduces judgment about
consequences. Option D places conditions on the therapeutic relationship. The
therapeutic alliance is built on acceptance, agreement on goals, and the bond
between provider and patient .
2. A patient tells the PMHNP, "You remind me of my older sister who always tried
to control me." This statement is an example of:
A) Countertransference
B) Transference
C) Projection
D) Sublimation
Answer: B
Rationale: Transference occurs when a patient unconsciously redirects feelings
and attitudes from a significant figure in their life (such as a sibling) onto the
therapist . Countertransference refers to the provider's emotional responses
toward the patient based on the provider's own past relationships . Projection
involves attributing one's own unacceptable feelings to others. Sublimation is a
,mature defense mechanism where unacceptable impulses are channeled into
socially acceptable behaviors.
3. The PMHNP recognizes that a patient's comment "I am the Messiah sent to
save the world" represents:
A) An obsession
B) A grandiose delusion
C) An overvalued idea
D) An illusion
Answer: B
Rationale: Grandiose delusions are fixed, false beliefs involving inflated worth,
power, or identity that are not amenable to logic or contrary evidence . An
obsession is a recurrent, intrusive thought. An overvalued idea is an unreasonable
belief maintained with less than delusional intensity. An illusion is a
misperception of a real external stimulus.
4. During a mental status examination, a patient speaks very little and appears
disinterested. This finding is best described as:
, A) Pressured speech
B) Poverty of speech (alogia)
C) Circumstantiality
D) Tangentiality
Answer: B
Rationale: Poverty of speech (alogia) refers to a reduced quantity of speech and is
often seen as a negative symptom of schizophrenia . Pressured speech involves
rapid, increased speech often seen in mania. Circumstantiality involves
unnecessary detail but eventually reaching the point. Tangentiality involves
veering off-topic without returning to the original point.
5. A patient reports hearing a voice saying "You are worthless" when alone. This is
best described as:
A) Pseudo-hallucination
B) True auditory hallucination
C) Illusion
ANSWERS ALREADY GRADED A+. 100% Verified Solutions Updated Per Latest
Guidelines Graded A+......
NR 605 Psychiatric Mental Health Midterm Exam Practice Questions
200 Multiple-Choice Questions with Answers and Rationales
SECTION 1: FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING
(Questions 1-25)
1. A PMHNP is establishing a therapeutic relationship with a new patient. Which
statement best demonstrates the core condition of "unconditional positive
regard"?
A) "I will help you change your behaviors that are causing problems in your life."
B) "I accept you as a person regardless of your past decisions or current
symptoms."
C) "You need to understand that your actions have consequences for your family."
D) "I can only help you if you are committed to making significant changes."
Answer: B
Rationale: Unconditional positive regard, a concept from Carl Rogers' person-
centered therapy, involves accepting and respecting the patient as a person
,without judgment, regardless of their behaviors or symptoms . Option A focuses
on behavior change rather than acceptance. Option C introduces judgment about
consequences. Option D places conditions on the therapeutic relationship. The
therapeutic alliance is built on acceptance, agreement on goals, and the bond
between provider and patient .
2. A patient tells the PMHNP, "You remind me of my older sister who always tried
to control me." This statement is an example of:
A) Countertransference
B) Transference
C) Projection
D) Sublimation
Answer: B
Rationale: Transference occurs when a patient unconsciously redirects feelings
and attitudes from a significant figure in their life (such as a sibling) onto the
therapist . Countertransference refers to the provider's emotional responses
toward the patient based on the provider's own past relationships . Projection
involves attributing one's own unacceptable feelings to others. Sublimation is a
,mature defense mechanism where unacceptable impulses are channeled into
socially acceptable behaviors.
3. The PMHNP recognizes that a patient's comment "I am the Messiah sent to
save the world" represents:
A) An obsession
B) A grandiose delusion
C) An overvalued idea
D) An illusion
Answer: B
Rationale: Grandiose delusions are fixed, false beliefs involving inflated worth,
power, or identity that are not amenable to logic or contrary evidence . An
obsession is a recurrent, intrusive thought. An overvalued idea is an unreasonable
belief maintained with less than delusional intensity. An illusion is a
misperception of a real external stimulus.
4. During a mental status examination, a patient speaks very little and appears
disinterested. This finding is best described as:
, A) Pressured speech
B) Poverty of speech (alogia)
C) Circumstantiality
D) Tangentiality
Answer: B
Rationale: Poverty of speech (alogia) refers to a reduced quantity of speech and is
often seen as a negative symptom of schizophrenia . Pressured speech involves
rapid, increased speech often seen in mania. Circumstantiality involves
unnecessary detail but eventually reaching the point. Tangentiality involves
veering off-topic without returning to the original point.
5. A patient reports hearing a voice saying "You are worthless" when alone. This is
best described as:
A) Pseudo-hallucination
B) True auditory hallucination
C) Illusion
