NUR 222 PSYCH FINAL EXAM (HFCN)
NEWEST 2026/ 2027 ACTUAL EXAM TEST
BANK| NUR222 PSYCHIATRIC/MENTAL
HEALTH NURSING FINAL EXAM REVIEW
WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT 100%
VERIFIED ANSWERSWITH RATIONALES/
GRADED A+ PASS GUARANTEED PASS
Question 1
A client with major depressive disorder tells the nurse, “My
family would be better off without me.” What is the nurse’s
priority response?
A. “Your family would miss you very much.”
B. “Why do you think your family feels that way?”
C. “Are you thinking about killing yourself?”
D. “You should focus on the positive things in your life.”
Answer: C. “Are you thinking about killing yourself?”
Rationale: Directly assessing suicidal thoughts is appropriate
when a client makes a statement suggesting hopelessness or
perceived burdensomeness. Asking about suicide does not cause
suicidal behavior and helps determine immediate safety needs.
,Question 2
Which finding is most characteristic of a manic episode?
A. Social withdrawal
B. Decreased need for sleep
C. Psychomotor retardation
D. Persistent feelings of worthlessness
Answer: B. Decreased need for sleep
Rationale: Mania commonly involves elevated or irritable mood,
increased energy, decreased need for sleep, pressured speech,
racing thoughts, and increased goal-directed activity.
Question 3
A client experiencing a panic attack is breathing rapidly and
reports feeling as though they are going to die. What should the
nurse do first?
A. Leave the client alone to reduce stimulation.
B. Ask the client to describe childhood experiences.
C. Remain with the client and use short, calm statements.
D. Encourage the client to analyze the cause of the panic.
Answer: C. Remain with the client and use short, calm
statements.
,Rationale: During severe anxiety or panic, concentration and
problem-solving are impaired. The nurse should remain with the
client, reduce stimuli, and provide simple, reassuring
communication.
Question 4
Which communication technique is most therapeutic when a
client says, “Nobody understands what I’m going through”?
A. “I understand exactly how you feel.”
B. “Everything will be fine.”
C. “Tell me more about what you’re experiencing.”
D. “Other people have problems too.”
Answer: C. “Tell me more about what you’re experiencing.”
Rationale: An open-ended invitation encourages the client to
express feelings and experiences without the nurse making
assumptions or minimizing the client’s concerns.
Question 5
A client taking lithium reports severe diarrhea, vomiting, coarse
hand tremors, and difficulty walking. What should the nurse do?
A. Administer the next dose with food.
B. Encourage increased caffeine intake.
C. Hold the medication and notify the provider.
D. Tell the client these are expected effects.
, _Answer: C. Hold the medication and notify the provider.
Rationale: Severe gastrointestinal symptoms, coarse tremor, and
ataxia can indicate lithium toxicity. The medication should be
withheld and the client promptly evaluated.
Question 6
Which intervention is appropriate for a client experiencing
auditory hallucinations?
A. “The voices are not real, so ignore them.”
B. “I do not hear the voices, but I understand that you hear
them.”
C. “You need to stop listening to the voices.”
D. “What are the voices telling you about me?”
_Answer: B. “I do not hear the voices, but I understand that
you hear them.”
Rationale: The nurse should acknowledge the client’s
experience without validating the hallucination as reality. This
approach maintains therapeutic communication and promotes
trust.
Question 7
A client with schizophrenia says, “The television is sending me
secret messages.” Which type of symptom is this?
NEWEST 2026/ 2027 ACTUAL EXAM TEST
BANK| NUR222 PSYCHIATRIC/MENTAL
HEALTH NURSING FINAL EXAM REVIEW
WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT 100%
VERIFIED ANSWERSWITH RATIONALES/
GRADED A+ PASS GUARANTEED PASS
Question 1
A client with major depressive disorder tells the nurse, “My
family would be better off without me.” What is the nurse’s
priority response?
A. “Your family would miss you very much.”
B. “Why do you think your family feels that way?”
C. “Are you thinking about killing yourself?”
D. “You should focus on the positive things in your life.”
Answer: C. “Are you thinking about killing yourself?”
Rationale: Directly assessing suicidal thoughts is appropriate
when a client makes a statement suggesting hopelessness or
perceived burdensomeness. Asking about suicide does not cause
suicidal behavior and helps determine immediate safety needs.
,Question 2
Which finding is most characteristic of a manic episode?
A. Social withdrawal
B. Decreased need for sleep
C. Psychomotor retardation
D. Persistent feelings of worthlessness
Answer: B. Decreased need for sleep
Rationale: Mania commonly involves elevated or irritable mood,
increased energy, decreased need for sleep, pressured speech,
racing thoughts, and increased goal-directed activity.
Question 3
A client experiencing a panic attack is breathing rapidly and
reports feeling as though they are going to die. What should the
nurse do first?
A. Leave the client alone to reduce stimulation.
B. Ask the client to describe childhood experiences.
C. Remain with the client and use short, calm statements.
D. Encourage the client to analyze the cause of the panic.
Answer: C. Remain with the client and use short, calm
statements.
,Rationale: During severe anxiety or panic, concentration and
problem-solving are impaired. The nurse should remain with the
client, reduce stimuli, and provide simple, reassuring
communication.
Question 4
Which communication technique is most therapeutic when a
client says, “Nobody understands what I’m going through”?
A. “I understand exactly how you feel.”
B. “Everything will be fine.”
C. “Tell me more about what you’re experiencing.”
D. “Other people have problems too.”
Answer: C. “Tell me more about what you’re experiencing.”
Rationale: An open-ended invitation encourages the client to
express feelings and experiences without the nurse making
assumptions or minimizing the client’s concerns.
Question 5
A client taking lithium reports severe diarrhea, vomiting, coarse
hand tremors, and difficulty walking. What should the nurse do?
A. Administer the next dose with food.
B. Encourage increased caffeine intake.
C. Hold the medication and notify the provider.
D. Tell the client these are expected effects.
, _Answer: C. Hold the medication and notify the provider.
Rationale: Severe gastrointestinal symptoms, coarse tremor, and
ataxia can indicate lithium toxicity. The medication should be
withheld and the client promptly evaluated.
Question 6
Which intervention is appropriate for a client experiencing
auditory hallucinations?
A. “The voices are not real, so ignore them.”
B. “I do not hear the voices, but I understand that you hear
them.”
C. “You need to stop listening to the voices.”
D. “What are the voices telling you about me?”
_Answer: B. “I do not hear the voices, but I understand that
you hear them.”
Rationale: The nurse should acknowledge the client’s
experience without validating the hallucination as reality. This
approach maintains therapeutic communication and promotes
trust.
Question 7
A client with schizophrenia says, “The television is sending me
secret messages.” Which type of symptom is this?
