Psychiatric Mental Health Nursing NCLEX
Review Questions and Answers A+ Guide
A 48-year-old Hispanic woman is seen by a psychiatric clinical
nurse specialist after receiving a call by her son. According to the
son, since his father's death 7 months ago, his mother has lost 30
pounds and can't sleep. During her initial visit, the patient states,
'My husband talks to me in his visits, but his words make no sense
to me. I don't understand what he wants me to do.' What is an
appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - correct answers✅✅D. Grieving.
Reason: Grieving may be characterized by weight loss, sleep
disturbances, and messages from beyond.
Your neighbor's husband comes to talk to you. He says his wife
has not left the house in 2 weeks, has a flat mood, and has lost
interest in her usual activities. You recognize these as the primary
symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - correct answers✅✅A. Depression.
,Psychiatric Mental Health Nursing NCLEX
Review Questions and Answers A+ Guide
Reason: Depressed mood and anhedonia (loss of interest or
pleasure in activities) are the primary symptoms of major
depression.
Your patient is ready for discharge after a 30-day hospitalization
for manic depression. About 30 minutes before his discharge, his
roommate comes to you and says, 'He is talking crazy.' When you
ask your patient how he is feeling, he states, 'I feel like Superman.
I can do anything. I can fly home today and then become a U.S.
Senator.' Which type of mania-related symptoms is this patient
exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. - correct answers✅✅B. Cognitive.
Reason: Cognitive symptoms include inflated self-esteem and
grandiosity.
You need to assess whether a patient who has a mood disorder is
ready for discharge. Which statement would indicate readiness for
discharge?
A. Right now, I can't bathe myself or dress myself, but I feel good
about that.
B. Going home will be fun, but if it isn't fun, I can always make my
mother help me or tell her to do so. She better help me.
, Psychiatric Mental Health Nursing NCLEX
Review Questions and Answers A+ Guide
C. I will take my medicines as I should and know to call the
number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't want
to do anything. - correct answers✅✅C. I will take my
medicines as I should and know to call the number you gave me if
I have bad thoughts.
Reason: Verbalization of a plan for help and demonstration of care
are realistic discharge criteria.
An angry patient is in the community room. She picks up a chair
and uses it to hit another patient on the head. When you come
into the community room, what should your first response to the
patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair completely
down on the floor.
C. How would you like it if I hit you over the head with a chair?
D. You're in big trouble now. It's probably prison you are looking
at! - correct answers✅✅B. Hitting others is unacceptable.
Please put the chair completely down on the floor.
Reason: Use words to indicate your lack of acceptance of the
patient's behavior in a nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a suicide
attempt. She has a 2-week history of depression as well as a
Review Questions and Answers A+ Guide
A 48-year-old Hispanic woman is seen by a psychiatric clinical
nurse specialist after receiving a call by her son. According to the
son, since his father's death 7 months ago, his mother has lost 30
pounds and can't sleep. During her initial visit, the patient states,
'My husband talks to me in his visits, but his words make no sense
to me. I don't understand what he wants me to do.' What is an
appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - correct answers✅✅D. Grieving.
Reason: Grieving may be characterized by weight loss, sleep
disturbances, and messages from beyond.
Your neighbor's husband comes to talk to you. He says his wife
has not left the house in 2 weeks, has a flat mood, and has lost
interest in her usual activities. You recognize these as the primary
symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - correct answers✅✅A. Depression.
,Psychiatric Mental Health Nursing NCLEX
Review Questions and Answers A+ Guide
Reason: Depressed mood and anhedonia (loss of interest or
pleasure in activities) are the primary symptoms of major
depression.
Your patient is ready for discharge after a 30-day hospitalization
for manic depression. About 30 minutes before his discharge, his
roommate comes to you and says, 'He is talking crazy.' When you
ask your patient how he is feeling, he states, 'I feel like Superman.
I can do anything. I can fly home today and then become a U.S.
Senator.' Which type of mania-related symptoms is this patient
exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual. - correct answers✅✅B. Cognitive.
Reason: Cognitive symptoms include inflated self-esteem and
grandiosity.
You need to assess whether a patient who has a mood disorder is
ready for discharge. Which statement would indicate readiness for
discharge?
A. Right now, I can't bathe myself or dress myself, but I feel good
about that.
B. Going home will be fun, but if it isn't fun, I can always make my
mother help me or tell her to do so. She better help me.
, Psychiatric Mental Health Nursing NCLEX
Review Questions and Answers A+ Guide
C. I will take my medicines as I should and know to call the
number you gave me if I have bad thoughts.
D. Taking care of myself is important, but it's okay if I don't want
to do anything. - correct answers✅✅C. I will take my
medicines as I should and know to call the number you gave me if
I have bad thoughts.
Reason: Verbalization of a plan for help and demonstration of care
are realistic discharge criteria.
An angry patient is in the community room. She picks up a chair
and uses it to hit another patient on the head. When you come
into the community room, what should your first response to the
patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair completely
down on the floor.
C. How would you like it if I hit you over the head with a chair?
D. You're in big trouble now. It's probably prison you are looking
at! - correct answers✅✅B. Hitting others is unacceptable.
Please put the chair completely down on the floor.
Reason: Use words to indicate your lack of acceptance of the
patient's behavior in a nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a suicide
attempt. She has a 2-week history of depression as well as a
