NURSING FINAL EXAM 2026/2027 TEST BANK PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE REAL EXAM
ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED ANSWERS) NEWEST
UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+ |JUST
RELEASED |GRAND CANYON UNIVERSITY
1. Which of the following best describes the historical recognition of
psychiatric nursing as a specialty?
A. It was recognized in the early 1900s when the first nursing
textbooks included mental health content
B. It was recognized in the late 1800s, with formal training in
nursing schools beginning in the 1950s
C. It was recognized in the 1960s following the passage of the
Community Mental Health Center Act
D. It was recognized in the 1970s when the DSM was first published
Correct Answer: B. Psychiatric nursing was recognized as a
specialty in the late 1800s. However, psychiatric nursing content
was not formally taught in nursing schools until the 1950s. The
development of psychotropic drugs in the early 1950s further
advanced the field and expanded the role of psychiatric nurses.
,2. A nurse is applying Peplau's interpersonal theory when working
with a patient. During which phase does the nurse and patient work
together to resolve problems and achieve goals?
A. Orientation phase
B. Working phase
C. Termination phase
D. Pre-orientation phase
Correct Answer: B. Peplau's interpersonal theory identifies three
phases of the nurse-patient relationship: orientation (establishing
trust and defining the problem), working (actively working
together to resolve problems and achieve goals), and termination
(concluding the relationship). The working phase is where the
therapeutic work occurs.
3. Which of the following is a key principle of trauma-informed care
according to SAMHSA?
A. Focusing only on the patient's current symptoms without
exploring past trauma
,B. Maintaining a strictly hierarchical relationship between provider
and patient
C. Emphasizing safety, trustworthiness, peer support, collaboration,
empowerment, and cultural awareness
D. Prioritizing medication management over psychosocial
interventions
Correct Answer: C. SAMHSA's 6 key principles of trauma-
informed care are: safety; trustworthiness and transparency; peer
support; collaboration and mutuality; empowerment, voice, and
choice; and cultural, historical, and gender issues.
4. Which of the following best characterizes personality disorders
according to the DSM-5?
A. Acute episodes of psychosis that resolve with medication
B. Enduring patterns of behavior, cognition, and inner experience
that deviate from cultural expectations
C. Temporary changes in mood and behavior during times of stress
D. Developmental delays that improve with age and maturity
, Correct Answer: B. Personality disorders are defined by enduring,
inflexible patterns of behavior, cognition, and inner experience
that deviate markedly from cultural expectations. These patterns
are pervasive across contexts and lead to significant distress or
impairment.
5. A patient diagnosed with paranoid personality disorder is
admitted to the unit. Which nursing intervention is most
appropriate?
A. Use a warm, friendly approach to build trust quickly
B. Maintain a matter-of-fact, straightforward approach and respect
the patient's need for personal space
C. Confront the patient's suspicious beliefs directly to challenge them
D. Assign the patient to a room with a highly sociable roommate
Correct Answer: B. Patients with paranoid personality disorder
are suspicious and mistrustful. A matter-of-fact, straightforward
approach that respects their need for personal space helps build
trust without overwhelming the patient or confirming their
suspicions. Confrontation would increase anxiety and distrust.