PSYCHIATRIC & COMMUNITY HEALTH
NURSING COMPLETE EXAM PACK
NCLEX-STYLE Q&AS WITH MASTER
RATIONALES
Maximize your study efficiency with this comprehensive NCLEX-
style test bank specifically tailored for the Open RN Mental Health
and Community Concepts curriculum. Every practice problem
features clear multiple-choice formatting alongside detailed
bolded rationales and italicized answer keys to guarantee deep
conceptual mastery. Perfect for nursing students seeking an edge
in their course exams and long-term licensing preparation.
Question 1
A client diagnosed with major depressive disorder is
admitted to the psychiatric unit. The nurse notes that
the client has a disheveled appearance, poor
hygiene, and sits alone in the dayroom staring out
the window. Which initial nursing intervention is most
appropriate?
A. Encourage the client to join an advanced
group therapy session.
B. Gently sit with the client for short, frequent
intervals without demanding conversation.
C. Remind the client politely that hygiene is
mandatory for common spaces.
, D. Leave the client alone until they indicate
readiness to talk.
Answer: B. Gently sit with the client for short,
frequent intervals without demanding conversation.
Rationale: For a severely depressed, withdrawn
client, a non-demanding, supportive presence
establishes trust and security without
overwhelming the client's depleted emotional
energy.
Question 2
The nurse is preparing to administer the first dose of
olanzapine to a client with an acute exacerbation of
schizophrenia. What is the priority baseline
assessment?
A. Renal function panel
B. Full body skin assessment for rashes
C. Fasting blood glucose, lipid profile, and
weight
D. Serum sodium levels
Answer: C. Fasting blood glucose, lipid profile, and
weight.
Rationale: Second-generation (atypical)
antipsychotics like olanzapine carry a high risk
,of metabolic syndrome, including significant
weight gain, hyperlipidemia, and type 2 diabetes
mellitus.
Question 3
An older adult client is brought to the emergency
department by family members who report that the
client has suddenly become confused, disoriented,
and is seeing "bugs on the wall." The nurse suspects
delirium rather than dementia. Which finding
confirms delirium?
A. The client exhibits progressive memory loss
over the past two years.
B. The symptoms developed abruptly over a 48-
hour period.
C. The client uses confabulation to fill in memory
gaps.
D. The client’s mood remains entirely stable and
flat.
Answer: B. The symptoms developed abruptly over
a 48-hour period.
Rationale: Delirium is characterized by an acute,
abrupt onset and a fluctuating course, whereas
, dementia involves a slow, progressive, and
irreversible decline in cognitive function.
Question 4
A nurse is assessing a community for environmental
health hazards. Which framework should the
community health nurse use to structure this
assessment systematically?
A. The Maslow's Hierarchy Assessment Tool
B. The "I PREPARE" mnemonic
C. The Transtheoretical Model of Change
D. The Omaha System Model
Answer: B. The "I PREPARE" mnemonic.
Rationale: The "I PREPARE" mnemonic
(Investigate, Present work, Residence,
Environmental concerns, Past work, Activities,
Referrals/Resources, Educate) is a specific
framework used by nurses to systematically
gather environmental exposure history from
individuals or communities.
Question 5
A client with a history of alcohol use disorder is
admitted to a medical unit for an unrelated surgical
procedure. Which clinical tool should the nurse
NURSING COMPLETE EXAM PACK
NCLEX-STYLE Q&AS WITH MASTER
RATIONALES
Maximize your study efficiency with this comprehensive NCLEX-
style test bank specifically tailored for the Open RN Mental Health
and Community Concepts curriculum. Every practice problem
features clear multiple-choice formatting alongside detailed
bolded rationales and italicized answer keys to guarantee deep
conceptual mastery. Perfect for nursing students seeking an edge
in their course exams and long-term licensing preparation.
Question 1
A client diagnosed with major depressive disorder is
admitted to the psychiatric unit. The nurse notes that
the client has a disheveled appearance, poor
hygiene, and sits alone in the dayroom staring out
the window. Which initial nursing intervention is most
appropriate?
A. Encourage the client to join an advanced
group therapy session.
B. Gently sit with the client for short, frequent
intervals without demanding conversation.
C. Remind the client politely that hygiene is
mandatory for common spaces.
, D. Leave the client alone until they indicate
readiness to talk.
Answer: B. Gently sit with the client for short,
frequent intervals without demanding conversation.
Rationale: For a severely depressed, withdrawn
client, a non-demanding, supportive presence
establishes trust and security without
overwhelming the client's depleted emotional
energy.
Question 2
The nurse is preparing to administer the first dose of
olanzapine to a client with an acute exacerbation of
schizophrenia. What is the priority baseline
assessment?
A. Renal function panel
B. Full body skin assessment for rashes
C. Fasting blood glucose, lipid profile, and
weight
D. Serum sodium levels
Answer: C. Fasting blood glucose, lipid profile, and
weight.
Rationale: Second-generation (atypical)
antipsychotics like olanzapine carry a high risk
,of metabolic syndrome, including significant
weight gain, hyperlipidemia, and type 2 diabetes
mellitus.
Question 3
An older adult client is brought to the emergency
department by family members who report that the
client has suddenly become confused, disoriented,
and is seeing "bugs on the wall." The nurse suspects
delirium rather than dementia. Which finding
confirms delirium?
A. The client exhibits progressive memory loss
over the past two years.
B. The symptoms developed abruptly over a 48-
hour period.
C. The client uses confabulation to fill in memory
gaps.
D. The client’s mood remains entirely stable and
flat.
Answer: B. The symptoms developed abruptly over
a 48-hour period.
Rationale: Delirium is characterized by an acute,
abrupt onset and a fluctuating course, whereas
, dementia involves a slow, progressive, and
irreversible decline in cognitive function.
Question 4
A nurse is assessing a community for environmental
health hazards. Which framework should the
community health nurse use to structure this
assessment systematically?
A. The Maslow's Hierarchy Assessment Tool
B. The "I PREPARE" mnemonic
C. The Transtheoretical Model of Change
D. The Omaha System Model
Answer: B. The "I PREPARE" mnemonic.
Rationale: The "I PREPARE" mnemonic
(Investigate, Present work, Residence,
Environmental concerns, Past work, Activities,
Referrals/Resources, Educate) is a specific
framework used by nurses to systematically
gather environmental exposure history from
individuals or communities.
Question 5
A client with a history of alcohol use disorder is
admitted to a medical unit for an unrelated surgical
procedure. Which clinical tool should the nurse
