Psychiatric-Mental Health Nursing Review & Resource Manual,
Exam 2026-2027 BANK QUESTIONS WITH DETAILED
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1. A new graduate nurse is orienting to a psychiatric unit. The
preceptor asks, "What is the primary focus of psychiatric–mental health
nursing?" Which response by the graduate indicates a correct
understanding?
A. "Promoting physical health and preventing illness in patients with
mental disorders."
B. "Providing psychotherapy to individuals, families, and groups."
C. "Helping individuals, families, and communities achieve or
maintain mental health."
D. "Managing acute episodes of mental illness with medication and
seclusion."
Answer: C
Rationale: The primary focus of psychiatric-mental health nursing is
the promotion of mental health and the prevention of mental illness for
individuals, families, and communities. This is a broad, holistic goal that
encompasses care and rehabilitation, whereas the other options
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describe narrower aspects of the role, such as medical management or
specific therapeutic interventions .
2. A nurse is explaining the recovery model to a patient recently
diagnosed with a serious mental illness. Which statement best captures
the essence of the recovery model?
A. "Recovery means returning to the exact level of functioning you
had before your illness."
B. "Recovery is a process of regaining a meaningful and satisfying life,
even with continuing symptoms."
C. "Full recovery is unlikely for most people with a serious mental
illness."
D. "Recovery is achieved when all medications are discontinued."
Answer: B
Rationale: The recovery model in mental health emphasizes hope,
self-direction, and empowerment. It posits that a meaningful and
satisfying life is possible despite persistent symptoms. It is not defined
by a return to a previous baseline or the absence of medication, and it
rejects a pessimistic view of outcomes .
3. A psychiatric nurse is applying the biopsychosocial model to a
patient with major depressive disorder. Which intervention best
reflects the social domain?
A. Administering a prescribed antidepressant.
B. Exploring the patient’s family support system and community
resources.
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C. Examining the patient’s dysfunctional thought patterns.
D. Obtaining a complete blood count to rule out anemia.
Answer: B
Rationale: The biopsychosocial model considers biological,
psychological, and social factors. The social domain encompasses a
patient's environment, including family dynamics, support systems, and
community resources. Medication and laboratory tests address the
biological domain, while examining thought patterns addresses the
psychological domain .
4. A patient with borderline personality disorder is admitted after a
suicide attempt. The most essential nursing action during the first 24
hours is:
A. Developing a therapeutic relationship.
B. Placing the patient on one-to-one observation.
C. Administering a depot antipsychotic injection.
D. Discharging the patient to outpatient therapy.
Answer: B
Rationale: The priority in any situation involving a patient who has
attempted suicide is safety. Continuous one-to-one observation is a
critical intervention to ensure the patient's immediate safety and
prevent further self-harm. While therapeutic relationships and
appropriate medication management are vital, they are secondary to
ensuring physical safety in the acute period .
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5. A patient with schizophrenia tells the nurse, "The radio is sending
secret messages to me." Which response is most therapeutic?
A. "That’s not true. There are no secret messages in the radio."
B. "That must be frightening. Can you tell me what the messages are
saying?"
C. "You’re being paranoid again. Let’s go to group therapy."
D. "I’ll turn off the radio so you don’t have to hear the messages."
Answer: B
Rationale: This response validates the patient's feelings without
reinforcing or challenging the delusion. It is therapeutic to acknowledge
the emotion associated with the belief and to gently explore the
patient's perspective. Arguing, dismissing, or accommodating the
delusion is not helpful and can damage the therapeutic alliance .
6. A nurse is evaluating a patient’s understanding of the therapeutic
relationship. Which statement indicates a correct grasp?
A. "The nurse will be my friend and socialize with me outside the
hospital."
B. "The relationship is professional and focused on my treatment
goals."
C. "The nurse’s personal problems are an important part of our work
together."
D. "The relationship ends as soon as I am discharged."
Answer: B