Psychiatric Nursing Exam Two | Most Recent Exam 2026 Actual
Complete Real Exam Questions And Correct Answers (Verified
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A patient displays disorganized, difficult-to-understand
speech, behavioral disorganization, and a silly, inappropriate
affect. The patient prefers to sit alone and be uninvolved in
unit activities, and often appears to be listening and
responding to unseen stimuli. The nurse assesses that this
patient's behavior most closely conforms to the characteristic
behavior of: a. catatonic schizophrenia.
b. paranoid schizophrenia.
c. disorganized schizophrenia.
d. residual schizophrenia. - ANSWER-c. disorganized
schizophrenia.
Rationale: The presence of disorganization and
inappropriate affect
characterizes the disorganized type of
schizophrenia.
A young patient with schizophrenia is standing in his
pajamas next to the shower. The nurse observes that he
seems dazed and indecisive. The most helpful nursing
intervention would be to say: a. "It's time for you to take
your shower."
,b. "Take off your pajamas and step into the shower."
c. "Is something the matter?"
d. "Why are you waiting to get into the shower?" - ANSWER-b.
"Take off your pajamas and step into the shower."
Rationale: Preoccupied patients or patients who have cognitive
dysfunction may have problems with executive functioning.
They may be unable to determine what to do even in simple
situations. When this occurs, they require simple, concrete
directions.
What does ambivalence mean? - ANSWER-A person can
maintain two
opposite beliefs about something that they hold at
the same time
What are some cognitive symptoms of schizophrenia? -
ANSWER-Very distractible, very poor memory, poor problem-
solving and decision-making, poor judgment.
What are the positive symptoms of schizophrenia? - ANSWER-
Hallucinations,
delusions, aggression, disorganized
thinking, paranoia
What are the negative symptoms of schizophrenia? -
ANSWER-Withdrawal,
apathy, lack of energy, poverty of thought,
anhedonia, flat affect
,What types of delusions do people with schizophrenia have? -
ANSWER-Ideas of reference, persecution, grandiosity, jealousy
and control. All our beliefs that cannot be corrected by
reasoning.
What does ideas of reference mean? - ANSWER-When two
people are talking,
the person with ideas of reference thinks that the other people
are talking about
him
What antipsychotics are used for positive symptoms only? -
ANSWER-Haldol
(low dose drug), Prolixin, Thorazine
(start at 75 ml)
Decanoate - ANSWER-Long acting drugs
How do typical antipsychotics/positive symptoms drugs
work? - ANSWER-By
lowering
dopamine
Typical antipsychotics/positive symptoms drugs - ANSWER-
Are very high in sedation and anti-cholinergic properties such
as dryness in sleepiness. Have a lot of bad side effects, is a
reason why people go off meds
, Drug that has high potency/low dosage- is high in EPS -
ANSWER-Haldol
Low potency/high dosage antipsychotics- hi and sedation and
anti-cholinergic
side effects - ANSWER-
Thorazine
Extra pyramidal symptoms (less commonly seen with atypical
antipsychotics) -
ANSWER-Pseudoparkinsonism, akathisia (continualt
restlessness – patien
doesn't know that it's coming from drug),
dystonia (stiffness)
How long is a normal grieving period? - ANSWER-Six months
to two years
What is unresolved grief? - ANSWER-Unfinished business such
as anger that you don't get to talk to them because they are
dead. You can never fix it. If people want to stay stuck they will.
If they want to get better they will try to move on.
What are indications that someone is grieving properly? -
ANSWER-They report
a decrease preoccupation with the deceased, have periods
of stability, are
willing to take on new roles and responsibilities, has more
energy, positive
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Newest Exam | Just Released!!
A patient displays disorganized, difficult-to-understand
speech, behavioral disorganization, and a silly, inappropriate
affect. The patient prefers to sit alone and be uninvolved in
unit activities, and often appears to be listening and
responding to unseen stimuli. The nurse assesses that this
patient's behavior most closely conforms to the characteristic
behavior of: a. catatonic schizophrenia.
b. paranoid schizophrenia.
c. disorganized schizophrenia.
d. residual schizophrenia. - ANSWER-c. disorganized
schizophrenia.
Rationale: The presence of disorganization and
inappropriate affect
characterizes the disorganized type of
schizophrenia.
A young patient with schizophrenia is standing in his
pajamas next to the shower. The nurse observes that he
seems dazed and indecisive. The most helpful nursing
intervention would be to say: a. "It's time for you to take
your shower."
,b. "Take off your pajamas and step into the shower."
c. "Is something the matter?"
d. "Why are you waiting to get into the shower?" - ANSWER-b.
"Take off your pajamas and step into the shower."
Rationale: Preoccupied patients or patients who have cognitive
dysfunction may have problems with executive functioning.
They may be unable to determine what to do even in simple
situations. When this occurs, they require simple, concrete
directions.
What does ambivalence mean? - ANSWER-A person can
maintain two
opposite beliefs about something that they hold at
the same time
What are some cognitive symptoms of schizophrenia? -
ANSWER-Very distractible, very poor memory, poor problem-
solving and decision-making, poor judgment.
What are the positive symptoms of schizophrenia? - ANSWER-
Hallucinations,
delusions, aggression, disorganized
thinking, paranoia
What are the negative symptoms of schizophrenia? -
ANSWER-Withdrawal,
apathy, lack of energy, poverty of thought,
anhedonia, flat affect
,What types of delusions do people with schizophrenia have? -
ANSWER-Ideas of reference, persecution, grandiosity, jealousy
and control. All our beliefs that cannot be corrected by
reasoning.
What does ideas of reference mean? - ANSWER-When two
people are talking,
the person with ideas of reference thinks that the other people
are talking about
him
What antipsychotics are used for positive symptoms only? -
ANSWER-Haldol
(low dose drug), Prolixin, Thorazine
(start at 75 ml)
Decanoate - ANSWER-Long acting drugs
How do typical antipsychotics/positive symptoms drugs
work? - ANSWER-By
lowering
dopamine
Typical antipsychotics/positive symptoms drugs - ANSWER-
Are very high in sedation and anti-cholinergic properties such
as dryness in sleepiness. Have a lot of bad side effects, is a
reason why people go off meds
, Drug that has high potency/low dosage- is high in EPS -
ANSWER-Haldol
Low potency/high dosage antipsychotics- hi and sedation and
anti-cholinergic
side effects - ANSWER-
Thorazine
Extra pyramidal symptoms (less commonly seen with atypical
antipsychotics) -
ANSWER-Pseudoparkinsonism, akathisia (continualt
restlessness – patien
doesn't know that it's coming from drug),
dystonia (stiffness)
How long is a normal grieving period? - ANSWER-Six months
to two years
What is unresolved grief? - ANSWER-Unfinished business such
as anger that you don't get to talk to them because they are
dead. You can never fix it. If people want to stay stuck they will.
If they want to get better they will try to move on.
What are indications that someone is grieving properly? -
ANSWER-They report
a decrease preoccupation with the deceased, have periods
of stability, are
willing to take on new roles and responsibilities, has more
energy, positive
