Mental Health Nursing Final Review 2025/2026 | Verified Study
Answers, Rationales & Answer Analysis
Description
A comprehensive psychiatric mental health nursing practice resource containing 110 independently authored multiple-choice questions
with identified study answers, detailed rationales, and explanations of why alternative choices are incorrect. Coverage includes
therapeutic communication, mental status assessment, safety, mood and anxiety disorders, psychosis, psychiatric medications,
substance use, neurocognitive disorders, eating disorders, personality disorders, psychotherapy, crisis care, trauma-informed care,
recovery, patient education, and discharge planning.
Abstract
This independently created psychiatric nursing assessment contains 110 unique question formulations for educational review. Correct
answers in this version are highlighted in deep green. Each item includes an italicized rationale and distractor analysis. It is original study
material and is not copied from or represented as an official publisher test bank or secure live examination.
Overview
The practice set progresses from communication, boundaries, ethics, and mental status examination through suicide and violence safety,
depressive and bipolar disorders, anxiety and trauma-related disorders, schizophrenia and antipsychotic therapy, mood-stabilizing and
antidepressant medications, substance-related disorders, neurocognitive conditions, eating and personality disorders, psychotherapies,
crisis intervention, recovery, and continuity of care.
Table of Contents
1. Therapeutic Communication, Ethics & Mental Status Assessment
2. Safety, Suicide Risk & Crisis Intervention
3. Depressive, Bipolar & Anxiety Disorders
4. Trauma, OCD & Related Conditions
5. Schizophrenia, Psychosis & Psychiatric Medications
6. Substance Use & Withdrawal
7. Neurocognitive, Eating & Personality Disorders
8. Psychotherapy, Recovery & Patient Education
9. Comprehensive Psychiatric Nursing Review
Study note: Original educational practice material. It is not an official publisher test bank, recalled exam, leaked exam, or live test. “Verified study answers”
refers only to answer checking within this independently authored practice resource.
Psychiatric Mental Health Nursing Practice Set 029 | Page 1
,1. In a psychiatric mental health nursing review, which statement best explains parkinsonism? [Psychiatric Nursing Set 029,
Item 001]
A. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
B. involves persistent depressive symptoms with clinically significant distress or impairment
C. can include rigidity, tremor, bradykinesia, and masked facial expression
D. describes increased confusion or agitation later in the day in some people with neurocognitive disorders
Correct Answer: C. can include rigidity, tremor, bradykinesia, and masked facial expression
Rationale: Can include rigidity, tremor, bradykinesia, and masked facial expression directly matches the psychiatric mental health nursing concept
being tested for parkinsonism.
Why the other choices are wrong: A. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade -
This describes a different psychiatric or nursing concept and does not correctly answer the item on parkinsonism. B. involves persistent depressive
symptoms with clinically significant distress or impairment - This describes a different psychiatric or nursing concept and does not correctly answer the
item on parkinsonism. D. describes increased confusion or agitation later in the day in some people with neurocognitive disorders - This describes a
different psychiatric or nursing concept and does not correctly answer the item on parkinsonism.
2. A psychiatric nurse is reviewing dementia. Which response is most accurate? [Psychiatric Nursing Set 029, Item 002]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief
C. addresses interaction patterns and relationships within the family system
D. is an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks
Correct Answer: A. is a chronic acquired decline in cognition that interferes with independent functioning
Rationale: Is a chronic acquired decline in cognition that interferes with independent functioning directly matches the psychiatric mental health
nursing concept being tested for dementia.
Why the other choices are wrong: B. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief - This
describes a different psychiatric or nursing concept and does not correctly answer the item on dementia. C. addresses interaction patterns and
relationships within the family system - This describes a different psychiatric or nursing concept and does not correctly answer the item on dementia. D. is
an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks - This describes a different psychiatric or nursing concept and
does not correctly answer the item on dementia.
3. Which option best reflects safe mental health nursing care related to relapse prevention? [Psychiatric Nursing Set 029,
Item 003]
A. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
D. is a common progressive neurodegenerative cause of major neurocognitive disorder
Correct Answer: B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
Rationale: Identifies warning signs, triggers, coping strategies, supports, and treatment follow-up directly matches the psychiatric mental health
nursing concept being tested for relapse prevention.
Why the other choices are wrong: A. a hallucinated voice directing the person to perform an action and requiring careful safety assessment - This
describes a different psychiatric or nursing concept and does not correctly answer the item on relapse prevention. C. includes informed consent
processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment - This describes a different psychiatric or nursing
concept and does not correctly answer the item on relapse prevention. D. is a common progressive neurodegenerative cause of major neurocognitive
disorder - This describes a different psychiatric or nursing concept and does not correctly answer the item on relapse prevention.
4. During a psychiatric nursing scenario involving hallucination, which answer should the nurse select? [Psychiatric Nursing
Set 029, Item 004]
A. uses plausible explanations to avoid the true reason for a behavior or feeling
B. describe readiness for behavior change from precontemplation through maintenance
C. communicates understanding of another person's experience without claiming to feel exactly the same way
D. a sensory perception occurring without an external stimulus
Correct Answer: D. a sensory perception occurring without an external stimulus
Rationale: A sensory perception occurring without an external stimulus directly matches the psychiatric mental health nursing concept being tested
for hallucination.
Why the other choices are wrong: A. uses plausible explanations to avoid the true reason for a behavior or feeling - This describes a different
psychiatric or nursing concept and does not correctly answer the item on hallucination. B. describe readiness for behavior change from precontemplation
Psychiatric Mental Health Nursing Practice Set 029 | Page 2
, through maintenance - This describes a different psychiatric or nursing concept and does not correctly answer the item on hallucination. C. communicates
understanding of another person's experience without claiming to feel exactly the same way - This describes a different psychiatric or nursing concept and
does not correctly answer the item on hallucination.
5. Which statement about social anxiety disorder best supports therapeutic patient-centered nursing care? [Psychiatric
Nursing Set 029, Item 005]
A. a sensory perception occurring without an external stimulus
B. involves marked fear of social situations involving possible scrutiny
C. uses plausible explanations to avoid the true reason for a behavior or feeling
D. addresses interaction patterns and relationships within the family system
Correct Answer: B. involves marked fear of social situations involving possible scrutiny
Rationale: Involves marked fear of social situations involving possible scrutiny directly matches the psychiatric mental health nursing concept being
tested for social anxiety disorder.
Why the other choices are wrong: A. a sensory perception occurring without an external stimulus - This describes a different psychiatric or nursing
concept and does not correctly answer the item on social anxiety disorder. C. uses plausible explanations to avoid the true reason for a behavior or feeling
- This describes a different psychiatric or nursing concept and does not correctly answer the item on social anxiety disorder. D. addresses interaction
patterns and relationships within the family system - This describes a different psychiatric or nursing concept and does not correctly answer the item on
social anxiety disorder.
6. A learner preparing for a psychiatric nursing assessment encounters electroconvulsive therapy. Which explanation is
correct? [Psychiatric Nursing Set 029, Item 006]
A. ability to make reasonable decisions based on available information
B. a recurrent intrusive unwanted thought, urge, or image
C. is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions
D. is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition
Correct Answer: C. is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions
Rationale: Is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions directly matches the
psychiatric mental health nursing concept being tested for electroconvulsive therapy.
Why the other choices are wrong: A. ability to make reasonable decisions based on available information - This describes a different psychiatric or
nursing concept and does not correctly answer the item on electroconvulsive therapy. B. a recurrent intrusive unwanted thought, urge, or image - This
describes a different psychiatric or nursing concept and does not correctly answer the item on electroconvulsive therapy. D. is an acute fluctuating
disturbance in attention and cognition usually caused by an underlying condition - This describes a different psychiatric or nursing concept and does not
correctly answer the item on electroconvulsive therapy.
7. Which response best represents the clinical meaning or priority of rationalization? [Psychiatric Nursing Set 029, Item 007]
A. involves hypomanic episodes and major depressive episodes without a history of mania
B. uses plausible explanations to avoid the true reason for a behavior or feeling
C. requires at least one manic episode
D. addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity needs
Correct Answer: B. uses plausible explanations to avoid the true reason for a behavior or feeling
Rationale: Uses plausible explanations to avoid the true reason for a behavior or feeling directly matches the psychiatric mental health nursing
concept being tested for rationalization.
Why the other choices are wrong: A. involves hypomanic episodes and major depressive episodes without a history of mania - This describes a
different psychiatric or nursing concept and does not correctly answer the item on rationalization. C. requires at least one manic episode - This describes a
different psychiatric or nursing concept and does not correctly answer the item on rationalization. D. addresses medication, follow-up, warning signs, crisis
resources, support, housing, and other continuity needs - This describes a different psychiatric or nursing concept and does not correctly answer the item
on rationalization.
8. In a mental health nursing knowledge check about silence, which option is most accurate? [Psychiatric Nursing Set 029,
Item 008]
A. can provide time for reflection and communicate willingness to remain present
B. the patient's sustained internal emotional state
C. reduced interest or pleasure in activities that were previously enjoyable
D. communicates understanding of another person's experience without claiming to feel exactly the same way
Correct Answer: A. can provide time for reflection and communicate willingness to remain present
Psychiatric Mental Health Nursing Practice Set 029 | Page 3
, Rationale: Can provide time for reflection and communicate willingness to remain present directly matches the psychiatric mental health nursing
concept being tested for silence.
Why the other choices are wrong: B. the patient's sustained internal emotional state - This describes a different psychiatric or nursing concept and does
not correctly answer the item on silence. C. reduced interest or pleasure in activities that were previously enjoyable - This describes a different psychiatric
or nursing concept and does not correctly answer the item on silence. D. communicates understanding of another person's experience without claiming to
feel exactly the same way - This describes a different psychiatric or nursing concept and does not correctly answer the item on silence.
9. Which description of violence risk assessment is most appropriate in psychiatric nursing practice? [Psychiatric Nursing
Set 029, Item 009]
A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions
B. coordinates nursing, medical, psychological, social, and community services around patient needs
C. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
D. uses calm reminders and environmental cues to support a confused patient's awareness
Correct Answer: C. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Rationale: Considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors directly matches the
psychiatric mental health nursing concept being tested for violence risk assessment.
Why the other choices are wrong: A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions -
This describes a different psychiatric or nursing concept and does not correctly answer the item on violence risk assessment. B. coordinates nursing,
medical, psychological, social, and community services around patient needs - This describes a different psychiatric or nursing concept and does not
correctly answer the item on violence risk assessment. D. uses calm reminders and environmental cues to support a confused patient's awareness - This
describes a different psychiatric or nursing concept and does not correctly answer the item on violence risk assessment.
10. For a psychiatric mental health nursing practice question on tardive dyskinesia, which answer reflects the correct
principle? [Psychiatric Nursing Set 029, Item 010]
A. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
B. provides understandable information about illness, treatment, coping, relapse prevention, and resources
C. involves persistent disturbances in eating behavior with significant health or psychosocial consequences
D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Correct Answer: D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Rationale: Involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade directly matches the
psychiatric mental health nursing concept being tested for tardive dyskinesia.
Why the other choices are wrong: A. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive
assessment - This describes a different psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia. B. provides
understandable information about illness, treatment, coping, relapse prevention, and resources - This describes a different psychiatric or nursing concept
and does not correctly answer the item on tardive dyskinesia. C. involves persistent disturbances in eating behavior with significant health or psychosocial
consequences - This describes a different psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia.
11. In a psychiatric mental health nursing review, which statement best explains Alzheimer disease? [Psychiatric Nursing Set
029, Item 011]
A. reduced interest or pleasure in activities that were previously enjoyable
B. supports a capable patient's right to make informed healthcare decisions
C. is a common progressive neurodegenerative cause of major neurocognitive disorder
D. is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status
Correct Answer: C. is a common progressive neurodegenerative cause of major neurocognitive disorder
Rationale: Is a common progressive neurodegenerative cause of major neurocognitive disorder directly matches the psychiatric mental health
nursing concept being tested for Alzheimer disease.
Why the other choices are wrong: A. reduced interest or pleasure in activities that were previously enjoyable - This describes a different psychiatric or
nursing concept and does not correctly answer the item on Alzheimer disease. B. supports a capable patient's right to make informed healthcare
decisions - This describes a different psychiatric or nursing concept and does not correctly answer the item on Alzheimer disease. D. is a life-threatening
reaction involving severe rigidity, fever, autonomic instability, and altered mental status - This describes a different psychiatric or nursing concept and
does not correctly answer the item on Alzheimer disease.
12. A psychiatric nurse is reviewing sleep hygiene. Which response is most accurate? [Psychiatric Nursing Set 029, Item
012]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. uses behavioral and environmental practices that support healthy sleep
C. primarily block dopamine D2 receptors and can cause extrapyramidal adverse effects
Psychiatric Mental Health Nursing Practice Set 029 | Page 4
Answers, Rationales & Answer Analysis
Description
A comprehensive psychiatric mental health nursing practice resource containing 110 independently authored multiple-choice questions
with identified study answers, detailed rationales, and explanations of why alternative choices are incorrect. Coverage includes
therapeutic communication, mental status assessment, safety, mood and anxiety disorders, psychosis, psychiatric medications,
substance use, neurocognitive disorders, eating disorders, personality disorders, psychotherapy, crisis care, trauma-informed care,
recovery, patient education, and discharge planning.
Abstract
This independently created psychiatric nursing assessment contains 110 unique question formulations for educational review. Correct
answers in this version are highlighted in deep green. Each item includes an italicized rationale and distractor analysis. It is original study
material and is not copied from or represented as an official publisher test bank or secure live examination.
Overview
The practice set progresses from communication, boundaries, ethics, and mental status examination through suicide and violence safety,
depressive and bipolar disorders, anxiety and trauma-related disorders, schizophrenia and antipsychotic therapy, mood-stabilizing and
antidepressant medications, substance-related disorders, neurocognitive conditions, eating and personality disorders, psychotherapies,
crisis intervention, recovery, and continuity of care.
Table of Contents
1. Therapeutic Communication, Ethics & Mental Status Assessment
2. Safety, Suicide Risk & Crisis Intervention
3. Depressive, Bipolar & Anxiety Disorders
4. Trauma, OCD & Related Conditions
5. Schizophrenia, Psychosis & Psychiatric Medications
6. Substance Use & Withdrawal
7. Neurocognitive, Eating & Personality Disorders
8. Psychotherapy, Recovery & Patient Education
9. Comprehensive Psychiatric Nursing Review
Study note: Original educational practice material. It is not an official publisher test bank, recalled exam, leaked exam, or live test. “Verified study answers”
refers only to answer checking within this independently authored practice resource.
Psychiatric Mental Health Nursing Practice Set 029 | Page 1
,1. In a psychiatric mental health nursing review, which statement best explains parkinsonism? [Psychiatric Nursing Set 029,
Item 001]
A. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
B. involves persistent depressive symptoms with clinically significant distress or impairment
C. can include rigidity, tremor, bradykinesia, and masked facial expression
D. describes increased confusion or agitation later in the day in some people with neurocognitive disorders
Correct Answer: C. can include rigidity, tremor, bradykinesia, and masked facial expression
Rationale: Can include rigidity, tremor, bradykinesia, and masked facial expression directly matches the psychiatric mental health nursing concept
being tested for parkinsonism.
Why the other choices are wrong: A. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade -
This describes a different psychiatric or nursing concept and does not correctly answer the item on parkinsonism. B. involves persistent depressive
symptoms with clinically significant distress or impairment - This describes a different psychiatric or nursing concept and does not correctly answer the
item on parkinsonism. D. describes increased confusion or agitation later in the day in some people with neurocognitive disorders - This describes a
different psychiatric or nursing concept and does not correctly answer the item on parkinsonism.
2. A psychiatric nurse is reviewing dementia. Which response is most accurate? [Psychiatric Nursing Set 029, Item 002]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief
C. addresses interaction patterns and relationships within the family system
D. is an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks
Correct Answer: A. is a chronic acquired decline in cognition that interferes with independent functioning
Rationale: Is a chronic acquired decline in cognition that interferes with independent functioning directly matches the psychiatric mental health
nursing concept being tested for dementia.
Why the other choices are wrong: B. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief - This
describes a different psychiatric or nursing concept and does not correctly answer the item on dementia. C. addresses interaction patterns and
relationships within the family system - This describes a different psychiatric or nursing concept and does not correctly answer the item on dementia. D. is
an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks - This describes a different psychiatric or nursing concept and
does not correctly answer the item on dementia.
3. Which option best reflects safe mental health nursing care related to relapse prevention? [Psychiatric Nursing Set 029,
Item 003]
A. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
D. is a common progressive neurodegenerative cause of major neurocognitive disorder
Correct Answer: B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
Rationale: Identifies warning signs, triggers, coping strategies, supports, and treatment follow-up directly matches the psychiatric mental health
nursing concept being tested for relapse prevention.
Why the other choices are wrong: A. a hallucinated voice directing the person to perform an action and requiring careful safety assessment - This
describes a different psychiatric or nursing concept and does not correctly answer the item on relapse prevention. C. includes informed consent
processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment - This describes a different psychiatric or nursing
concept and does not correctly answer the item on relapse prevention. D. is a common progressive neurodegenerative cause of major neurocognitive
disorder - This describes a different psychiatric or nursing concept and does not correctly answer the item on relapse prevention.
4. During a psychiatric nursing scenario involving hallucination, which answer should the nurse select? [Psychiatric Nursing
Set 029, Item 004]
A. uses plausible explanations to avoid the true reason for a behavior or feeling
B. describe readiness for behavior change from precontemplation through maintenance
C. communicates understanding of another person's experience without claiming to feel exactly the same way
D. a sensory perception occurring without an external stimulus
Correct Answer: D. a sensory perception occurring without an external stimulus
Rationale: A sensory perception occurring without an external stimulus directly matches the psychiatric mental health nursing concept being tested
for hallucination.
Why the other choices are wrong: A. uses plausible explanations to avoid the true reason for a behavior or feeling - This describes a different
psychiatric or nursing concept and does not correctly answer the item on hallucination. B. describe readiness for behavior change from precontemplation
Psychiatric Mental Health Nursing Practice Set 029 | Page 2
, through maintenance - This describes a different psychiatric or nursing concept and does not correctly answer the item on hallucination. C. communicates
understanding of another person's experience without claiming to feel exactly the same way - This describes a different psychiatric or nursing concept and
does not correctly answer the item on hallucination.
5. Which statement about social anxiety disorder best supports therapeutic patient-centered nursing care? [Psychiatric
Nursing Set 029, Item 005]
A. a sensory perception occurring without an external stimulus
B. involves marked fear of social situations involving possible scrutiny
C. uses plausible explanations to avoid the true reason for a behavior or feeling
D. addresses interaction patterns and relationships within the family system
Correct Answer: B. involves marked fear of social situations involving possible scrutiny
Rationale: Involves marked fear of social situations involving possible scrutiny directly matches the psychiatric mental health nursing concept being
tested for social anxiety disorder.
Why the other choices are wrong: A. a sensory perception occurring without an external stimulus - This describes a different psychiatric or nursing
concept and does not correctly answer the item on social anxiety disorder. C. uses plausible explanations to avoid the true reason for a behavior or feeling
- This describes a different psychiatric or nursing concept and does not correctly answer the item on social anxiety disorder. D. addresses interaction
patterns and relationships within the family system - This describes a different psychiatric or nursing concept and does not correctly answer the item on
social anxiety disorder.
6. A learner preparing for a psychiatric nursing assessment encounters electroconvulsive therapy. Which explanation is
correct? [Psychiatric Nursing Set 029, Item 006]
A. ability to make reasonable decisions based on available information
B. a recurrent intrusive unwanted thought, urge, or image
C. is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions
D. is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition
Correct Answer: C. is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions
Rationale: Is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions directly matches the
psychiatric mental health nursing concept being tested for electroconvulsive therapy.
Why the other choices are wrong: A. ability to make reasonable decisions based on available information - This describes a different psychiatric or
nursing concept and does not correctly answer the item on electroconvulsive therapy. B. a recurrent intrusive unwanted thought, urge, or image - This
describes a different psychiatric or nursing concept and does not correctly answer the item on electroconvulsive therapy. D. is an acute fluctuating
disturbance in attention and cognition usually caused by an underlying condition - This describes a different psychiatric or nursing concept and does not
correctly answer the item on electroconvulsive therapy.
7. Which response best represents the clinical meaning or priority of rationalization? [Psychiatric Nursing Set 029, Item 007]
A. involves hypomanic episodes and major depressive episodes without a history of mania
B. uses plausible explanations to avoid the true reason for a behavior or feeling
C. requires at least one manic episode
D. addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity needs
Correct Answer: B. uses plausible explanations to avoid the true reason for a behavior or feeling
Rationale: Uses plausible explanations to avoid the true reason for a behavior or feeling directly matches the psychiatric mental health nursing
concept being tested for rationalization.
Why the other choices are wrong: A. involves hypomanic episodes and major depressive episodes without a history of mania - This describes a
different psychiatric or nursing concept and does not correctly answer the item on rationalization. C. requires at least one manic episode - This describes a
different psychiatric or nursing concept and does not correctly answer the item on rationalization. D. addresses medication, follow-up, warning signs, crisis
resources, support, housing, and other continuity needs - This describes a different psychiatric or nursing concept and does not correctly answer the item
on rationalization.
8. In a mental health nursing knowledge check about silence, which option is most accurate? [Psychiatric Nursing Set 029,
Item 008]
A. can provide time for reflection and communicate willingness to remain present
B. the patient's sustained internal emotional state
C. reduced interest or pleasure in activities that were previously enjoyable
D. communicates understanding of another person's experience without claiming to feel exactly the same way
Correct Answer: A. can provide time for reflection and communicate willingness to remain present
Psychiatric Mental Health Nursing Practice Set 029 | Page 3
, Rationale: Can provide time for reflection and communicate willingness to remain present directly matches the psychiatric mental health nursing
concept being tested for silence.
Why the other choices are wrong: B. the patient's sustained internal emotional state - This describes a different psychiatric or nursing concept and does
not correctly answer the item on silence. C. reduced interest or pleasure in activities that were previously enjoyable - This describes a different psychiatric
or nursing concept and does not correctly answer the item on silence. D. communicates understanding of another person's experience without claiming to
feel exactly the same way - This describes a different psychiatric or nursing concept and does not correctly answer the item on silence.
9. Which description of violence risk assessment is most appropriate in psychiatric nursing practice? [Psychiatric Nursing
Set 029, Item 009]
A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions
B. coordinates nursing, medical, psychological, social, and community services around patient needs
C. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
D. uses calm reminders and environmental cues to support a confused patient's awareness
Correct Answer: C. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Rationale: Considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors directly matches the
psychiatric mental health nursing concept being tested for violence risk assessment.
Why the other choices are wrong: A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions -
This describes a different psychiatric or nursing concept and does not correctly answer the item on violence risk assessment. B. coordinates nursing,
medical, psychological, social, and community services around patient needs - This describes a different psychiatric or nursing concept and does not
correctly answer the item on violence risk assessment. D. uses calm reminders and environmental cues to support a confused patient's awareness - This
describes a different psychiatric or nursing concept and does not correctly answer the item on violence risk assessment.
10. For a psychiatric mental health nursing practice question on tardive dyskinesia, which answer reflects the correct
principle? [Psychiatric Nursing Set 029, Item 010]
A. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
B. provides understandable information about illness, treatment, coping, relapse prevention, and resources
C. involves persistent disturbances in eating behavior with significant health or psychosocial consequences
D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Correct Answer: D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Rationale: Involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade directly matches the
psychiatric mental health nursing concept being tested for tardive dyskinesia.
Why the other choices are wrong: A. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive
assessment - This describes a different psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia. B. provides
understandable information about illness, treatment, coping, relapse prevention, and resources - This describes a different psychiatric or nursing concept
and does not correctly answer the item on tardive dyskinesia. C. involves persistent disturbances in eating behavior with significant health or psychosocial
consequences - This describes a different psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia.
11. In a psychiatric mental health nursing review, which statement best explains Alzheimer disease? [Psychiatric Nursing Set
029, Item 011]
A. reduced interest or pleasure in activities that were previously enjoyable
B. supports a capable patient's right to make informed healthcare decisions
C. is a common progressive neurodegenerative cause of major neurocognitive disorder
D. is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status
Correct Answer: C. is a common progressive neurodegenerative cause of major neurocognitive disorder
Rationale: Is a common progressive neurodegenerative cause of major neurocognitive disorder directly matches the psychiatric mental health
nursing concept being tested for Alzheimer disease.
Why the other choices are wrong: A. reduced interest or pleasure in activities that were previously enjoyable - This describes a different psychiatric or
nursing concept and does not correctly answer the item on Alzheimer disease. B. supports a capable patient's right to make informed healthcare
decisions - This describes a different psychiatric or nursing concept and does not correctly answer the item on Alzheimer disease. D. is a life-threatening
reaction involving severe rigidity, fever, autonomic instability, and altered mental status - This describes a different psychiatric or nursing concept and
does not correctly answer the item on Alzheimer disease.
12. A psychiatric nurse is reviewing sleep hygiene. Which response is most accurate? [Psychiatric Nursing Set 029, Item
012]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. uses behavioral and environmental practices that support healthy sleep
C. primarily block dopamine D2 receptors and can cause extrapyramidal adverse effects
Psychiatric Mental Health Nursing Practice Set 029 | Page 4
