NR547 MENTAL HEALTH EXAM 2 PRACTICE
QUESTIONS AND VERIFIED ANSWERS LATEST
REVISED AND COMPREHENSIVE STUDY GUIDE 2026
1. A patient has a mass in the left upper lobe and a biopsy is scheduled. As the nurse
plans the procedure, the patient has difficulty understanding the information and ask
the question “what do you mean I am going to have surgery? What are they going to
do? Assessment findings include tremulous voice, respiratory 28, and pulse 110. What
is the patient level of anxiety? Moderate
2. A nurse implement medication education for a client who takes phenlzine?(MAOIs) for
depression. Which information indicate the patient has effectively implemented the
information provided? The patient checks with the pharmacist or his physician
before selecting over the counter medication.
3. A patient tells the nurse “I wanted my health care provider to prescribe diazepam for my
anxiety disorder, but buspirone was prescribed instead.” Why is this better? The
nurse replies that buspirone does not cause dependence.
4. The nurse is caring for a female client diagnosed with schizophrenia who believes that
her thoughts are broadcast to others. What is the most appropriate nursing diagnosis
for this patient? Disturbed thought process.
5. A veteran of the Iraq war describes that he is having intuitive thought of missiles,
screaming, explosions, and the same feelings of terror first experienced in combat.
Which of the following clinical disorder would the patient most likely be describing
symptoms of? Post traumatic stress disorder.
6. If a cruel and abusive person often uses rationalized to explain the behavior.
Which comment would be the most characteristic of rationalization as a
defense mechanism? “That person shouldn’t have proved me”.
7. The nurse receives this laboratory result Lithium level 1.6MEq/L. How should the nurse
interpret this lab value? Above therapeutic limits.
8. At a unit meeting, staff discusses décor for a special bedroom manic patient. Which
is the best suggestion related to caring for an acutely manic patient? Neutral
colors for walls and upholstery.
9. Which statement by the patient in the continuation phase of treatment for bipolar disorder
indicate that referral may still be needed? It is difficult to live down all the crazy stuff
I did during my last manic episode (It is difficult to live down everything).
10. A patient with depression is evaluated at the clinic and stated on citalopram. The patient
tells the nurse “I have some pills I previously took for depression. They’re called MAOIs I
think. I should them along with the new medication. Which information is essential for
the nurse to communicate regarding her statement? The risk of a serious reaction of
SSRI and MOAs are combined.
11. Your patient is very stress about work and stated taking yoga classes. Which comment
would indicate that this physical activity has been successful? My doctor said my
blood pressure has gone down.
12. The nurse is caring for a patient who takes anti-psychotic medications and has developed
muscle
, rigidity hyperpyrexia, diaphoresis and drooling. which of the following adverse effects of
antipsychotic medications is most likely causing these symptoms? Neuroleptic
malignant syndrome (NMS).
13. A patient with suicidal impulses is placed on the highest level of suicidal precautions.
Which measure should be incorporated into the plan of care by the nurse caring for this
patient? Select all that apply. (1) Remove all harmful objects from patient
possession (2) Maintain arms length distance, institute one-one nursing
observation around the clock (3) Allow no glass or metal on meal tray.
14. A patient with catatonic schizophrenia exhibits little spontaneous movement and
demonstrate waxy flexibility according to Maslow’s hierarchy of needs. Which needs are
priority important to this patient? Physical
15. The nurse is caring for a patient who experiences orthostatic hypotension related to
taking chlorpromazine. The nurse should suggest which of the following intervention for
managing this side effects? Sit on the side of the bed before standing up.
16. A patient with acute mania approaches the nurse, waves a newspaper and says “I
must make a phone call right this minute, I need to call a store while their sale is going
on. I need to order a dress and a pair of shoes. Which of the following would be the
most appropriate intervention for the nurse to implement? Invite the patient to sit with
the nurse, and look at new fashion magazines as a distraction.
17. A nurse works at a telephone suicide crisis line. A caller says “I live alone in a house
several miles from my nearest neighbor. I have been considering suicide for 2
months. I have several drinks and my shotgun is loaded. I am going to shot myself in
the heart. How would the nurse assess the lethality of this plan? High level.
18. A patient with depression is receiving imipramine 200 mg everyday at bedtime. Which
assessment findings would require the nurse to promptly collaborate with the health care
provider regarding side effects of this drug? Urinary retention.
19. The nurse is evaluating the effectiveness of an antipsychotic on negative
symptoms of psychosis. Which of the following symptoms would be classified as
negative symptoms of psychosis? Affective flattening.
20. Which statement made by a client who has agoraphobia and does not leave her home
identifies the thinking typical of a client with this disorder? Being afraid to go out
sounds ridiculous, but I can’t go out the door.
21. Which documentation indicates that the treatment plan for a patient with acute mania
has been effective? Converse without interrupting, clothing matched,
participate in activities.
22. Which statement indicates a patient with major depression is most likely outlook to life
during the acute phase of the illness? “I deserve to be this way”
23. During the maintenance phase of treatment, a patient with bipolar disorder asks the
nurse, do I have to keep taking Lithium even though my mood is stable now? What is
the most appropriate response? Taking this medication everyday helps prevent
relapses and recurrences. 24. A
, patient with schizophrenia anxiously says “I can see the left side of my body merging
with the wall, then my face appears and disappears in the mirror. Which of the
following best describes what the nurse should do while actively listening to this
patient? Maintain at least an arms length form the patient.
25. Which of the following are potential complications that the patient receiving Lithium
should be assessed for? Diaphoresis, weakness and nausea.
26. Which of the following intervention should the nurse patronize for a patient with
severe depression? Careful unobtrusive observation around the clock.
27. Which instructions should the nurse prioritize to be given to a patient with depression
and his family when the patient begins SSRI antidepressant therapy? Report
increase suicidal thoughts.
28. A sales person has had difficulty keeping a job because of arguing with co-workers and
accusing them of conspiracy. Today the salesperson was hospitalized after threatening
a co-worker. When greeted by the nurse, the person shouts. They’re all plotting to
destroy me. Isn’t that true? Select the nurse’s most therapeutic response; Thinking
that people want to destroy you must be frightening.
29. A nurse encourages an anxious patient to talk about feelings and concerns. What is/are
the rationale(s) to the intervention? (Select all that apply) (1) Concerns stated aloud
become less overwhelming and help problem solving begin (2) Encourage patient
to explore alternatives increases the sense of control and lessen anxiety (3)
Anxiety can be reduced by focusing on and validating what is occurring in the
environment.
30. Bases on the understanding risk factor of suicide. Which individual in the emergency
department should be considered at highest risk for complementing suicide? A 79-
year-old single white male with cancer of the prostate.
31. A 39-year-old woman is recently divorced and is learning to cope with additional
stressor. Which of the following best demonstrate that she is utilizing positive coping
strategies to manage her stress?
(1) Starting and exercise program (2) Using cognitive behavioral therapy techniques.
32. A patient with schizophrenia begins to talk about “volmer’s “hiding in the warehouse
at work. Which of the following term volmer’s be assessed as? A neologism
33. Which beverage should be offered to a patient with depression who has been refusing
to eat solid food because it provides the most nutrients? Milk
34. An adult with depression has been treated with medication and cognitive behavioral
therapy. The patient now verbalizes that being passive and letting others make decision
for her contributed to the
depression. What referrals could the nurse make to help the patient prevent
recurrence or depression? Social skills training
35. A patient with bipolar disorder commands another patient to “get me that book”. Take
the other stuff out there and make other similar demands. The nurse wants to interrupt
this behavior without entering into a power struggle with the patient. Which is the best
approach? Providing a
QUESTIONS AND VERIFIED ANSWERS LATEST
REVISED AND COMPREHENSIVE STUDY GUIDE 2026
1. A patient has a mass in the left upper lobe and a biopsy is scheduled. As the nurse
plans the procedure, the patient has difficulty understanding the information and ask
the question “what do you mean I am going to have surgery? What are they going to
do? Assessment findings include tremulous voice, respiratory 28, and pulse 110. What
is the patient level of anxiety? Moderate
2. A nurse implement medication education for a client who takes phenlzine?(MAOIs) for
depression. Which information indicate the patient has effectively implemented the
information provided? The patient checks with the pharmacist or his physician
before selecting over the counter medication.
3. A patient tells the nurse “I wanted my health care provider to prescribe diazepam for my
anxiety disorder, but buspirone was prescribed instead.” Why is this better? The
nurse replies that buspirone does not cause dependence.
4. The nurse is caring for a female client diagnosed with schizophrenia who believes that
her thoughts are broadcast to others. What is the most appropriate nursing diagnosis
for this patient? Disturbed thought process.
5. A veteran of the Iraq war describes that he is having intuitive thought of missiles,
screaming, explosions, and the same feelings of terror first experienced in combat.
Which of the following clinical disorder would the patient most likely be describing
symptoms of? Post traumatic stress disorder.
6. If a cruel and abusive person often uses rationalized to explain the behavior.
Which comment would be the most characteristic of rationalization as a
defense mechanism? “That person shouldn’t have proved me”.
7. The nurse receives this laboratory result Lithium level 1.6MEq/L. How should the nurse
interpret this lab value? Above therapeutic limits.
8. At a unit meeting, staff discusses décor for a special bedroom manic patient. Which
is the best suggestion related to caring for an acutely manic patient? Neutral
colors for walls and upholstery.
9. Which statement by the patient in the continuation phase of treatment for bipolar disorder
indicate that referral may still be needed? It is difficult to live down all the crazy stuff
I did during my last manic episode (It is difficult to live down everything).
10. A patient with depression is evaluated at the clinic and stated on citalopram. The patient
tells the nurse “I have some pills I previously took for depression. They’re called MAOIs I
think. I should them along with the new medication. Which information is essential for
the nurse to communicate regarding her statement? The risk of a serious reaction of
SSRI and MOAs are combined.
11. Your patient is very stress about work and stated taking yoga classes. Which comment
would indicate that this physical activity has been successful? My doctor said my
blood pressure has gone down.
12. The nurse is caring for a patient who takes anti-psychotic medications and has developed
muscle
, rigidity hyperpyrexia, diaphoresis and drooling. which of the following adverse effects of
antipsychotic medications is most likely causing these symptoms? Neuroleptic
malignant syndrome (NMS).
13. A patient with suicidal impulses is placed on the highest level of suicidal precautions.
Which measure should be incorporated into the plan of care by the nurse caring for this
patient? Select all that apply. (1) Remove all harmful objects from patient
possession (2) Maintain arms length distance, institute one-one nursing
observation around the clock (3) Allow no glass or metal on meal tray.
14. A patient with catatonic schizophrenia exhibits little spontaneous movement and
demonstrate waxy flexibility according to Maslow’s hierarchy of needs. Which needs are
priority important to this patient? Physical
15. The nurse is caring for a patient who experiences orthostatic hypotension related to
taking chlorpromazine. The nurse should suggest which of the following intervention for
managing this side effects? Sit on the side of the bed before standing up.
16. A patient with acute mania approaches the nurse, waves a newspaper and says “I
must make a phone call right this minute, I need to call a store while their sale is going
on. I need to order a dress and a pair of shoes. Which of the following would be the
most appropriate intervention for the nurse to implement? Invite the patient to sit with
the nurse, and look at new fashion magazines as a distraction.
17. A nurse works at a telephone suicide crisis line. A caller says “I live alone in a house
several miles from my nearest neighbor. I have been considering suicide for 2
months. I have several drinks and my shotgun is loaded. I am going to shot myself in
the heart. How would the nurse assess the lethality of this plan? High level.
18. A patient with depression is receiving imipramine 200 mg everyday at bedtime. Which
assessment findings would require the nurse to promptly collaborate with the health care
provider regarding side effects of this drug? Urinary retention.
19. The nurse is evaluating the effectiveness of an antipsychotic on negative
symptoms of psychosis. Which of the following symptoms would be classified as
negative symptoms of psychosis? Affective flattening.
20. Which statement made by a client who has agoraphobia and does not leave her home
identifies the thinking typical of a client with this disorder? Being afraid to go out
sounds ridiculous, but I can’t go out the door.
21. Which documentation indicates that the treatment plan for a patient with acute mania
has been effective? Converse without interrupting, clothing matched,
participate in activities.
22. Which statement indicates a patient with major depression is most likely outlook to life
during the acute phase of the illness? “I deserve to be this way”
23. During the maintenance phase of treatment, a patient with bipolar disorder asks the
nurse, do I have to keep taking Lithium even though my mood is stable now? What is
the most appropriate response? Taking this medication everyday helps prevent
relapses and recurrences. 24. A
, patient with schizophrenia anxiously says “I can see the left side of my body merging
with the wall, then my face appears and disappears in the mirror. Which of the
following best describes what the nurse should do while actively listening to this
patient? Maintain at least an arms length form the patient.
25. Which of the following are potential complications that the patient receiving Lithium
should be assessed for? Diaphoresis, weakness and nausea.
26. Which of the following intervention should the nurse patronize for a patient with
severe depression? Careful unobtrusive observation around the clock.
27. Which instructions should the nurse prioritize to be given to a patient with depression
and his family when the patient begins SSRI antidepressant therapy? Report
increase suicidal thoughts.
28. A sales person has had difficulty keeping a job because of arguing with co-workers and
accusing them of conspiracy. Today the salesperson was hospitalized after threatening
a co-worker. When greeted by the nurse, the person shouts. They’re all plotting to
destroy me. Isn’t that true? Select the nurse’s most therapeutic response; Thinking
that people want to destroy you must be frightening.
29. A nurse encourages an anxious patient to talk about feelings and concerns. What is/are
the rationale(s) to the intervention? (Select all that apply) (1) Concerns stated aloud
become less overwhelming and help problem solving begin (2) Encourage patient
to explore alternatives increases the sense of control and lessen anxiety (3)
Anxiety can be reduced by focusing on and validating what is occurring in the
environment.
30. Bases on the understanding risk factor of suicide. Which individual in the emergency
department should be considered at highest risk for complementing suicide? A 79-
year-old single white male with cancer of the prostate.
31. A 39-year-old woman is recently divorced and is learning to cope with additional
stressor. Which of the following best demonstrate that she is utilizing positive coping
strategies to manage her stress?
(1) Starting and exercise program (2) Using cognitive behavioral therapy techniques.
32. A patient with schizophrenia begins to talk about “volmer’s “hiding in the warehouse
at work. Which of the following term volmer’s be assessed as? A neologism
33. Which beverage should be offered to a patient with depression who has been refusing
to eat solid food because it provides the most nutrients? Milk
34. An adult with depression has been treated with medication and cognitive behavioral
therapy. The patient now verbalizes that being passive and letting others make decision
for her contributed to the
depression. What referrals could the nurse make to help the patient prevent
recurrence or depression? Social skills training
35. A patient with bipolar disorder commands another patient to “get me that book”. Take
the other stuff out there and make other similar demands. The nurse wants to interrupt
this behavior without entering into a power struggle with the patient. Which is the best
approach? Providing a
