Psychiatric Nursing Exam 2 (test bank) Most Recent Exam 2026
Actual Complete Real Exam Questions And Correct Answers
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Which statement regarding behaviors of psychotic clients made
by a float nurse requires follow-up by the mental health unit's
nurse manager?
a. "It must be so frightening to be psychotic since no one
else can understand what you are feeling."
b. "Psychotic individuals are difficult to manage since they
are unpredictable and dangerous."
c. "You must monitor psychotic clients closely since they
are at risk for hurting themselves."
d. "Individuals demonstrating psychotic tendencies are
usually out of touch with reality." - ANSWER-b. "Psychotic
individuals are difficult to manage since they are unpredictable
and dangerous."
Rationale: Psychosis refers to the mental state of not being in
touch with reality. During an episode of psychosis, the person
does not realize that others are not experiencing the same
things and wonders why others are not reacting in the same
way. One should be watchful but not assume the psychotic
individual is unpredictable or dangerous. The statements in the
incorrect options are true and do not require follow-up.
,The nurse demonstrates an understanding of the most
common co-morbid condition observed in a schizophrenic
individual when asking: a. "Have you ever been diagnosed
with an eating disorder?"
b. "How often do you drink enough alcohol to get drunk?"
c. "How old were you when you became sexually active?"
d. "Would you describe yourself as being depressed?" -
ANSWER-b. "How often do you drink enough alcohol to get
drunk?"
Rationale: About 50% of patients with schizophrenia have a co-
occurring substance abuse disorder, most frequently alcohol or
cannabis. Assessing alcohol consumption patterns will help
identify this co-morbid condition. While depression may occur,
it is not a primary co-morbid condition.
The nurse documents that a client is demonstrating a
negative symptom of
schizophrenia when observing
the client:
a. refusing to eat anything that is not tasted by
the staff first.
b. reporting hearing voices telling him that the world
will end soon.
c. communicating using a pattern of speech identified as
"word salad."
d. having difficulty focusing on any task for more than a
few minutes. -
,ANSWER-d. having difficulty focusing on any task for more than
a few minutes.
Rationale: Attention impairment is considered a negative
symptom since it represents a diminution or loss of normal
brain function. Paranoia, hallucinations, and distorted speech
are considered positive symptoms since they are an
exaggeration or distortion of normal brain function.
The nurse is confident that an individual prescribed
antipsychotic medication has been experiencing medication
efficacy and showing insight when he: a. has been regularly
attending his prescribed therapy sessions.
b. is able to effectively assess the reality of his thinking
processes.
c. can restate the importance of medication compliance.
d. no longer experiences hallucinations or delusional thinking. -
ANSWER-b. is able to effectively assess the reality of his
thinking processes.
Rationale: Attaining insight is demonstrated by the ability to
make reliable reality checks. This takes 6 to 18 months and
depends on medication efficacy and ongoing support. While
attending therapy sessions and restating the important of
medication compliance are positive behaviors, they do not
show insight since there is no critical thinking involved. The
lack of hallucinations or delusion thinking reflects positive
outcomes but not necessarily insight since there is no critical
thinking involved
, Which statement made by a nurse interviewing a client who
reports the fear that people are trying to poison him requires
follow-up by the nurse's unit manager? a. "Have other members
of your family ever experienced this kind of thing?"
b. "Tell me more about how someone keeps trying to poison
your food."
c. "How has this affected your ability to keep a job or care for
yourself?"
d. "Let's discuss the stressors you have in your life right now." -
ANSWER-b. "Tell me more about how someone keeps trying
to poison your food."
Rationale: It is nontherapeutic to reinforce the delusion by
encouraging the individual to focus on the details such as
suggested in the correct option. The incorrect options do not
reinforce the delusion. Rather, they help gain knowledge about
the history of the disorder in the family, the extent of the
dysfunction the fear is causing, and the triggers that may have
resulted in this behavior.
A therapeutic benefit of fluphenazine decanoate (Prolixin
Decanoate) is that the
individual:
a. does not have to remember to take
medication daily.
b. will not experience extrapyramidal side
effects (EPSEs).
Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Newest Exam | Just
Released!!
Which statement regarding behaviors of psychotic clients made
by a float nurse requires follow-up by the mental health unit's
nurse manager?
a. "It must be so frightening to be psychotic since no one
else can understand what you are feeling."
b. "Psychotic individuals are difficult to manage since they
are unpredictable and dangerous."
c. "You must monitor psychotic clients closely since they
are at risk for hurting themselves."
d. "Individuals demonstrating psychotic tendencies are
usually out of touch with reality." - ANSWER-b. "Psychotic
individuals are difficult to manage since they are unpredictable
and dangerous."
Rationale: Psychosis refers to the mental state of not being in
touch with reality. During an episode of psychosis, the person
does not realize that others are not experiencing the same
things and wonders why others are not reacting in the same
way. One should be watchful but not assume the psychotic
individual is unpredictable or dangerous. The statements in the
incorrect options are true and do not require follow-up.
,The nurse demonstrates an understanding of the most
common co-morbid condition observed in a schizophrenic
individual when asking: a. "Have you ever been diagnosed
with an eating disorder?"
b. "How often do you drink enough alcohol to get drunk?"
c. "How old were you when you became sexually active?"
d. "Would you describe yourself as being depressed?" -
ANSWER-b. "How often do you drink enough alcohol to get
drunk?"
Rationale: About 50% of patients with schizophrenia have a co-
occurring substance abuse disorder, most frequently alcohol or
cannabis. Assessing alcohol consumption patterns will help
identify this co-morbid condition. While depression may occur,
it is not a primary co-morbid condition.
The nurse documents that a client is demonstrating a
negative symptom of
schizophrenia when observing
the client:
a. refusing to eat anything that is not tasted by
the staff first.
b. reporting hearing voices telling him that the world
will end soon.
c. communicating using a pattern of speech identified as
"word salad."
d. having difficulty focusing on any task for more than a
few minutes. -
,ANSWER-d. having difficulty focusing on any task for more than
a few minutes.
Rationale: Attention impairment is considered a negative
symptom since it represents a diminution or loss of normal
brain function. Paranoia, hallucinations, and distorted speech
are considered positive symptoms since they are an
exaggeration or distortion of normal brain function.
The nurse is confident that an individual prescribed
antipsychotic medication has been experiencing medication
efficacy and showing insight when he: a. has been regularly
attending his prescribed therapy sessions.
b. is able to effectively assess the reality of his thinking
processes.
c. can restate the importance of medication compliance.
d. no longer experiences hallucinations or delusional thinking. -
ANSWER-b. is able to effectively assess the reality of his
thinking processes.
Rationale: Attaining insight is demonstrated by the ability to
make reliable reality checks. This takes 6 to 18 months and
depends on medication efficacy and ongoing support. While
attending therapy sessions and restating the important of
medication compliance are positive behaviors, they do not
show insight since there is no critical thinking involved. The
lack of hallucinations or delusion thinking reflects positive
outcomes but not necessarily insight since there is no critical
thinking involved
, Which statement made by a nurse interviewing a client who
reports the fear that people are trying to poison him requires
follow-up by the nurse's unit manager? a. "Have other members
of your family ever experienced this kind of thing?"
b. "Tell me more about how someone keeps trying to poison
your food."
c. "How has this affected your ability to keep a job or care for
yourself?"
d. "Let's discuss the stressors you have in your life right now." -
ANSWER-b. "Tell me more about how someone keeps trying
to poison your food."
Rationale: It is nontherapeutic to reinforce the delusion by
encouraging the individual to focus on the details such as
suggested in the correct option. The incorrect options do not
reinforce the delusion. Rather, they help gain knowledge about
the history of the disorder in the family, the extent of the
dysfunction the fear is causing, and the triggers that may have
resulted in this behavior.
A therapeutic benefit of fluphenazine decanoate (Prolixin
Decanoate) is that the
individual:
a. does not have to remember to take
medication daily.
b. will not experience extrapyramidal side
effects (EPSEs).
