NSG 350 Mental Health Week 1 Exam |
Psychiatric Nursing Foundations |
Verified Questions with Detailed
Rationale
Question 1
A nurse is caring for a client with severe anxiety. What is the priority nursing intervention?
A. Encourage discussion of past trauma
B. Remain with the client and provide a calm environment
C. Teach relaxation techniques immediately
D. Ask the client to explain feelings in detail
Correct Answer
✅ B. Remain with the client and provide a calm environment
Rationale
Severe anxiety impairs cognition. Priority is safety and presence, not teaching or deep
exploration.
Question 2
,Which behavior is consistent with mild anxiety?
A. Panic and loss of reality
B. Increased alertness and problem-solving ability
C. Hallucinations
D. Complete withdrawal
Correct Answer
✅ B. Increased alertness and problem-solving ability
Question 3
A client is experiencing a panic attack. What is the priority nursing action?
A. Leave the client alone
B. Stay with the client and provide reassurance
C. Explore childhood trauma
D. Increase stimulation
Correct Answer
✅ B. Stay with the client and provide reassurance
Question 4
Which defense mechanism involves unconscious blocking of unpleasant thoughts?
A. Projection
B. Repression
C. Sublimation
D. Rationalization
Correct Answer
✅ B. Repression
,Question 5
A client says, “I’m not angry, you are the one who is angry.” This is an example of:
A. Denial
B. Projection
C. Regression
D. Suppression
Correct Answer
✅ B. Projection
Question 6
Which communication technique is most therapeutic?
A. “Why did you do that?”
B. “Tell me more about your feelings.”
C. “You shouldn’t feel that way.”
D. “Everything will be fine.”
Correct Answer
✅ B. “Tell me more about your feelings.”
Question 7
Which finding indicates risk for suicide?
A. Talking about future plans
B. Giving away possessions
C. Increased appetite
D. Sleeping normally
Correct Answer
✅ B. Giving away possessions
, Question 8
What is the priority action for a client with suicidal ideation?
A. Assign group therapy
B. Ensure safety and remove harmful objects
C. Encourage journaling
D. Allow privacy
Correct Answer
✅ B. Ensure safety and remove harmful objects
Question 9
Which symptom is characteristic of major depression?
A. Elevated mood
B. Anhedonia
C. Increased energy
D. Flight of ideas
Correct Answer
✅ B. Anhedonia
Question 10
Which finding is consistent with mania?
A. Fatigue and sadness
B. Decreased need for sleep and grandiosity
C. Flat affect
D. Social withdrawal
Correct Answer
✅ B. Decreased need for sleep and grandiosity
Psychiatric Nursing Foundations |
Verified Questions with Detailed
Rationale
Question 1
A nurse is caring for a client with severe anxiety. What is the priority nursing intervention?
A. Encourage discussion of past trauma
B. Remain with the client and provide a calm environment
C. Teach relaxation techniques immediately
D. Ask the client to explain feelings in detail
Correct Answer
✅ B. Remain with the client and provide a calm environment
Rationale
Severe anxiety impairs cognition. Priority is safety and presence, not teaching or deep
exploration.
Question 2
,Which behavior is consistent with mild anxiety?
A. Panic and loss of reality
B. Increased alertness and problem-solving ability
C. Hallucinations
D. Complete withdrawal
Correct Answer
✅ B. Increased alertness and problem-solving ability
Question 3
A client is experiencing a panic attack. What is the priority nursing action?
A. Leave the client alone
B. Stay with the client and provide reassurance
C. Explore childhood trauma
D. Increase stimulation
Correct Answer
✅ B. Stay with the client and provide reassurance
Question 4
Which defense mechanism involves unconscious blocking of unpleasant thoughts?
A. Projection
B. Repression
C. Sublimation
D. Rationalization
Correct Answer
✅ B. Repression
,Question 5
A client says, “I’m not angry, you are the one who is angry.” This is an example of:
A. Denial
B. Projection
C. Regression
D. Suppression
Correct Answer
✅ B. Projection
Question 6
Which communication technique is most therapeutic?
A. “Why did you do that?”
B. “Tell me more about your feelings.”
C. “You shouldn’t feel that way.”
D. “Everything will be fine.”
Correct Answer
✅ B. “Tell me more about your feelings.”
Question 7
Which finding indicates risk for suicide?
A. Talking about future plans
B. Giving away possessions
C. Increased appetite
D. Sleeping normally
Correct Answer
✅ B. Giving away possessions
, Question 8
What is the priority action for a client with suicidal ideation?
A. Assign group therapy
B. Ensure safety and remove harmful objects
C. Encourage journaling
D. Allow privacy
Correct Answer
✅ B. Ensure safety and remove harmful objects
Question 9
Which symptom is characteristic of major depression?
A. Elevated mood
B. Anhedonia
C. Increased energy
D. Flight of ideas
Correct Answer
✅ B. Anhedonia
Question 10
Which finding is consistent with mania?
A. Fatigue and sadness
B. Decreased need for sleep and grandiosity
C. Flat affect
D. Social withdrawal
Correct Answer
✅ B. Decreased need for sleep and grandiosity
