N222 Final Exam Prep 2026/2027 | Verified Q&A | Latest
Update | Graded A+
1. In a scenario where a patient is expressing feelings of guilt and shame, which
response should a nurse prioritize to facilitate effective communication?
Let's discuss what you're feeling and why it matters to you.
Don't worry, everyone feels guilty sometimes.
You should stop feeling guilty; it's not helpful.
Why do you think you feel this way?
2. If a patient expresses concern about their family history of mental illness, how
should a nurse respond to address both the patient's fears and the role of life
experiences?
The nurse should explain that both family history and personal life
experiences can influence mental health.
The nurse should tell the patient that their family history guarantees
they will develop a mental illness.
The nurse should suggest that the patient ignore their family history
and focus solely on medication.
The nurse should reassure the patient that family history is irrelevant to
their current situation.
3. If a patient presents with suicidal ideation and has a plan to harm themselves,
what action should a psychiatric nurse take?
Refer the patient to a support group.
Initiate involuntary hospitalization if the patient is at imminent risk.
Suggest the patient take a break from their medication.
, Encourage the patient to talk about their feelings.
4. A nurse is collecting data from a client who has schizophrenia. The client
suddenly stops talking and begins staring intently at a chair in the corner of
the room. Which of the following responses should the nurse make?
"Please try to focus on our conversation."
"Tell me what you are seeing by that chair."
"There is nothing over there except a chair."
"Whatever you are seeing by chair is not real."
5. Which of the following is considered a positive symptom of schizophrenia?
Delusion of persecution
Social withdrawal
Anhedonia
Affective flattening
6. A client who was admitted to a hospital two days ago for disrupting a town
meeting, shouting religious delusional remarks, and fighting with police now
refuses to take prescribed haloperidol, saying, "It will hurt me. I don't want it."
Which response by the nurse would be best?
"What are you so afraid of?"
"This medicine will help you feel better."
"You must take it or get an injection."
"You sound apprehensive. Let's talk about it."
7. In a scenario where a patient demonstrates aggressive behavior to meet their
needs, what intervention would best support the goal of achieving mentally
, healthy behavior?
Encourage the patient to explore the consequences of their actions
and consider the rights of others.
Advise the patient to avoid seeking help from others.
Support the patient in justifying their aggressive behavior as a means
of self-advocacy.
Reinforce the idea that their needs should come first in all situations.
8. The nurse is administering the medication to an elderly woman. The woman
asked why she was taking this medication. The nurse administers the
medication without answering the patient's question. Which patient right is
being violated?
The right indication
The right to know
The right to refuse
9. Describe the significance of neurotransmitters in mental health treatment.
Neurotransmitters are only important for physical health, not mental
health.
Neurotransmitters are primarily responsible for digestion and
metabolism.
Neurotransmitters play a crucial role in communication between
brain cells, affecting mood and behavior.
Neurotransmitters have no impact on mental health treatment.
10. Why is the right to confidentiality important for patients in psychiatric care?
It guarantees patients access to all medical records.
, It allows patients to choose their treatment plan.
It ensures that patients can leave the facility at any time.
It protects patients' privacy and encourages open communication.
11. A patient with depression asks, "How did I get this illness?" Which response
by the nurse is appropriate?
"Drinking excessively has led to this diagnosis."
"Your past drug use may have contributed to this diagnosis."
"Your brain is different than most people's."
"There is most likely a history of depression in your family."
12. A client asks if the nurse can keep a secret. What is the best response by the
nurse?
"Of course I can keep a secret."
"No, anything you tell me I must report."
"I will only tell your psychiatrist what you give me permission to
share."
"I cannot keep any secrets that might harm you or someone else"
13. In a situation where a patient with dementia cannot communicate effectively,
how should a nurse approach gathering information about the patient's care
needs?
By relying solely on the patient's verbal communication.
By seeking information from family members or caregivers as
secondary sources.
By asking other patients in the facility.
Update | Graded A+
1. In a scenario where a patient is expressing feelings of guilt and shame, which
response should a nurse prioritize to facilitate effective communication?
Let's discuss what you're feeling and why it matters to you.
Don't worry, everyone feels guilty sometimes.
You should stop feeling guilty; it's not helpful.
Why do you think you feel this way?
2. If a patient expresses concern about their family history of mental illness, how
should a nurse respond to address both the patient's fears and the role of life
experiences?
The nurse should explain that both family history and personal life
experiences can influence mental health.
The nurse should tell the patient that their family history guarantees
they will develop a mental illness.
The nurse should suggest that the patient ignore their family history
and focus solely on medication.
The nurse should reassure the patient that family history is irrelevant to
their current situation.
3. If a patient presents with suicidal ideation and has a plan to harm themselves,
what action should a psychiatric nurse take?
Refer the patient to a support group.
Initiate involuntary hospitalization if the patient is at imminent risk.
Suggest the patient take a break from their medication.
, Encourage the patient to talk about their feelings.
4. A nurse is collecting data from a client who has schizophrenia. The client
suddenly stops talking and begins staring intently at a chair in the corner of
the room. Which of the following responses should the nurse make?
"Please try to focus on our conversation."
"Tell me what you are seeing by that chair."
"There is nothing over there except a chair."
"Whatever you are seeing by chair is not real."
5. Which of the following is considered a positive symptom of schizophrenia?
Delusion of persecution
Social withdrawal
Anhedonia
Affective flattening
6. A client who was admitted to a hospital two days ago for disrupting a town
meeting, shouting religious delusional remarks, and fighting with police now
refuses to take prescribed haloperidol, saying, "It will hurt me. I don't want it."
Which response by the nurse would be best?
"What are you so afraid of?"
"This medicine will help you feel better."
"You must take it or get an injection."
"You sound apprehensive. Let's talk about it."
7. In a scenario where a patient demonstrates aggressive behavior to meet their
needs, what intervention would best support the goal of achieving mentally
, healthy behavior?
Encourage the patient to explore the consequences of their actions
and consider the rights of others.
Advise the patient to avoid seeking help from others.
Support the patient in justifying their aggressive behavior as a means
of self-advocacy.
Reinforce the idea that their needs should come first in all situations.
8. The nurse is administering the medication to an elderly woman. The woman
asked why she was taking this medication. The nurse administers the
medication without answering the patient's question. Which patient right is
being violated?
The right indication
The right to know
The right to refuse
9. Describe the significance of neurotransmitters in mental health treatment.
Neurotransmitters are only important for physical health, not mental
health.
Neurotransmitters are primarily responsible for digestion and
metabolism.
Neurotransmitters play a crucial role in communication between
brain cells, affecting mood and behavior.
Neurotransmitters have no impact on mental health treatment.
10. Why is the right to confidentiality important for patients in psychiatric care?
It guarantees patients access to all medical records.
, It allows patients to choose their treatment plan.
It ensures that patients can leave the facility at any time.
It protects patients' privacy and encourages open communication.
11. A patient with depression asks, "How did I get this illness?" Which response
by the nurse is appropriate?
"Drinking excessively has led to this diagnosis."
"Your past drug use may have contributed to this diagnosis."
"Your brain is different than most people's."
"There is most likely a history of depression in your family."
12. A client asks if the nurse can keep a secret. What is the best response by the
nurse?
"Of course I can keep a secret."
"No, anything you tell me I must report."
"I will only tell your psychiatrist what you give me permission to
share."
"I cannot keep any secrets that might harm you or someone else"
13. In a situation where a patient with dementia cannot communicate effectively,
how should a nurse approach gathering information about the patient's care
needs?
By relying solely on the patient's verbal communication.
By seeking information from family members or caregivers as
secondary sources.
By asking other patients in the facility.
