Psychiatric Mental Health Nursing Updated Practice Exam |
Verified Answers, Rationales & Choice Analysis
Description
A comprehensive psychiatric mental health nursing practice resource containing 110 independently authored multiple-choice questions
with identified study answers, detailed rationales, and explanations of why alternative choices are incorrect. Coverage includes
therapeutic communication, mental status assessment, safety, mood and anxiety disorders, psychosis, psychiatric medications,
substance use, neurocognitive disorders, eating disorders, personality disorders, psychotherapy, crisis care, trauma-informed care,
recovery, patient education, and discharge planning.
Abstract
This independently created psychiatric nursing assessment contains 110 unique question formulations for educational review. Correct
answers in this version are highlighted in blue. Each item includes an italicized rationale and distractor analysis. It is original study
material and is not copied from or represented as an official publisher test bank or secure live examination.
Overview
The practice set progresses from communication, boundaries, ethics, and mental status examination through suicide and violence safety,
depressive and bipolar disorders, anxiety and trauma-related disorders, schizophrenia and antipsychotic therapy, mood-stabilizing and
antidepressant medications, substance-related disorders, neurocognitive conditions, eating and personality disorders, psychotherapies,
crisis intervention, recovery, and continuity of care.
Table of Contents
1. Therapeutic Communication, Ethics & Mental Status Assessment
2. Safety, Suicide Risk & Crisis Intervention
3. Depressive, Bipolar & Anxiety Disorders
4. Trauma, OCD & Related Conditions
5. Schizophrenia, Psychosis & Psychiatric Medications
6. Substance Use & Withdrawal
7. Neurocognitive, Eating & Personality Disorders
8. Psychotherapy, Recovery & Patient Education
9. Comprehensive Psychiatric Nursing Review
Study note: Original educational practice material. It is not an official publisher test bank, recalled exam, leaked exam, or live test. “Verified study answers”
refers only to answer checking within this independently authored practice resource.
Psychiatric Mental Health Nursing Practice Set 092 | Page 1
,1. During a psychiatric nursing scenario involving acute stress disorder, which answer should the nurse select? [Psychiatric
Nursing Set 092, Item 001]
A. encourage patients to describe experiences, feelings, and concerns in their own words
B. uses purposeful, patient-centered interaction to support assessment, trust, coping, and recovery
C. a fixed false belief not consistent with the person's cultural context
D. is a trauma-related syndrome occurring in the early period after a traumatic event
Correct Answer: D. is a trauma-related syndrome occurring in the early period after a traumatic event
Rationale: Is a trauma-related syndrome occurring in the early period after a traumatic event directly matches the psychiatric mental health nursing
concept being tested for acute stress disorder.
Why the other choices are wrong: A. encourage patients to describe experiences, feelings, and concerns in their own words - This describes a different
psychiatric or nursing concept and does not correctly answer the item on acute stress disorder. B. uses purposeful, patient-centered interaction to support
assessment, trust, coping, and recovery - This describes a different psychiatric or nursing concept and does not correctly answer the item on acute stress
disorder. C. a fixed false belief not consistent with the person's cultural context - This describes a different psychiatric or nursing concept and does not
correctly answer the item on acute stress disorder.
2. Which statement about delirium tremens best supports therapeutic patient-centered nursing care? [Psychiatric Nursing
Set 092, Item 002]
A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
B. can cause agitation, autonomic instability, hyperreflexia, clonus, and fever after excessive serotonergic activity
C. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
D. a newly created word or expression with meaning primarily to the speaker
Correct Answer: A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
Rationale: Is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity directly matches the psychiatric mental health
nursing concept being tested for delirium tremens.
Why the other choices are wrong: B. can cause agitation, autonomic instability, hyperreflexia, clonus, and fever after excessive serotonergic activity -
This describes a different psychiatric or nursing concept and does not correctly answer the item on delirium tremens. C. enhances GABA activity and can
cause sedation, impaired coordination, tolerance, and dependence - This describes a different psychiatric or nursing concept and does not correctly
answer the item on delirium tremens. D. a newly created word or expression with meaning primarily to the speaker - This describes a different psychiatric
or nursing concept and does not correctly answer the item on delirium tremens.
3. A learner preparing for a psychiatric nursing assessment encounters dialectical behavior therapy. Which explanation is
correct? [Psychiatric Nursing Set 092, Item 003]
A. combines acceptance and change strategies and teaches mindfulness, distress tolerance, emotion regulation, and interpersonal
effectiveness
B. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
C. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
D. is a common progressive neurodegenerative cause of major neurocognitive disorder
Correct Answer: A. combines acceptance and change strategies and teaches mindfulness, distress tolerance, emotion regulation,
and interpersonal effectiveness
Rationale: Combines acceptance and change strategies and teaches mindfulness, distress tolerance, emotion regulation, and interpersonal
effectiveness directly matches the psychiatric mental health nursing concept being tested for dialectical behavior therapy.
Why the other choices are wrong: B. a hallucinated voice directing the person to perform an action and requiring careful safety assessment - This
describes a different psychiatric or nursing concept and does not correctly answer the item on dialectical behavior therapy. C. involves recurrent binge
eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation - This describes a different psychiatric or nursing
concept and does not correctly answer the item on dialectical behavior therapy. D. is a common progressive neurodegenerative cause of major
neurocognitive disorder - This describes a different psychiatric or nursing concept and does not correctly answer the item on dialectical behavior therapy.
4. Which response best represents the clinical meaning or priority of patient autonomy? [Psychiatric Nursing Set 092, Item
004]
A. a repetitive behavior or mental act performed in response to an obsession or rigid rule
B. is a mood stabilizer with a narrow therapeutic range requiring monitoring of serum levels and organ function
C. uses repeated assessment to identify worsening symptoms and guide safe treatment
D. supports a capable patient's right to make informed healthcare decisions
Correct Answer: D. supports a capable patient's right to make informed healthcare decisions
Psychiatric Mental Health Nursing Practice Set 092 | Page 2
, Rationale: Supports a capable patient's right to make informed healthcare decisions directly matches the psychiatric mental health nursing concept
being tested for patient autonomy.
Why the other choices are wrong: A. a repetitive behavior or mental act performed in response to an obsession or rigid rule - This describes a different
psychiatric or nursing concept and does not correctly answer the item on patient autonomy. B. is a mood stabilizer with a narrow therapeutic range
requiring monitoring of serum levels and organ function - This describes a different psychiatric or nursing concept and does not correctly answer the item
on patient autonomy. C. uses repeated assessment to identify worsening symptoms and guide safe treatment - This describes a different psychiatric or
nursing concept and does not correctly answer the item on patient autonomy.
5. In a mental health nursing knowledge check about anhedonia, which option is most accurate? [Psychiatric Nursing Set
092, Item 005]
A. reduced interest or pleasure in activities that were previously enjoyable
B. is a commonly used antidepressant class that increases serotonergic signaling
C. is an antidepressant class requiring attention to major food and drug interactions
D. a sensory perception occurring without an external stimulus
Correct Answer: A. reduced interest or pleasure in activities that were previously enjoyable
Rationale: Reduced interest or pleasure in activities that were previously enjoyable directly matches the psychiatric mental health nursing concept
being tested for anhedonia.
Why the other choices are wrong: B. is a commonly used antidepressant class that increases serotonergic signaling - This describes a different
psychiatric or nursing concept and does not correctly answer the item on anhedonia. C. is an antidepressant class requiring attention to major food and
drug interactions - This describes a different psychiatric or nursing concept and does not correctly answer the item on anhedonia. D. a sensory perception
occurring without an external stimulus - This describes a different psychiatric or nursing concept and does not correctly answer the item on anhedonia.
6. Which description of valproate is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 092, Item 006]
A. examines relationships among thoughts, feelings, and behaviors and develops more adaptive patterns
B. generally affect dopamine and serotonin signaling and may carry significant metabolic risks
C. classically causes respiratory depression, decreased consciousness, and miosis
D. is a mood-stabilizing anticonvulsant requiring monitoring for important hepatic, hematologic, and reproductive risks
Correct Answer: D. is a mood-stabilizing anticonvulsant requiring monitoring for important hepatic, hematologic, and reproductive
risks
Rationale: Is a mood-stabilizing anticonvulsant requiring monitoring for important hepatic, hematologic, and reproductive risks directly matches the
psychiatric mental health nursing concept being tested for valproate.
Why the other choices are wrong: A. examines relationships among thoughts, feelings, and behaviors and develops more adaptive patterns - This
describes a different psychiatric or nursing concept and does not correctly answer the item on valproate. B. generally affect dopamine and serotonin
signaling and may carry significant metabolic risks - This describes a different psychiatric or nursing concept and does not correctly answer the item on
valproate. C. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different psychiatric or nursing concept
and does not correctly answer the item on valproate.
7. For a psychiatric mental health nursing practice question on bulimia nervosa, which answer reflects the correct principle?
[Psychiatric Nursing Set 092, Item 007]
A. addresses interaction patterns and relationships within the family system
B. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
C. a misinterpretation of a real external stimulus
D. evaluates behavior, intent, triggers, medical severity, and current safety needs
Correct Answer: B. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on
self-evaluation
Rationale: Involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation directly
matches the psychiatric mental health nursing concept being tested for bulimia nervosa.
Why the other choices are wrong: A. addresses interaction patterns and relationships within the family system - This describes a different psychiatric or
nursing concept and does not correctly answer the item on bulimia nervosa. C. a misinterpretation of a real external stimulus - This describes a different
psychiatric or nursing concept and does not correctly answer the item on bulimia nervosa. D. evaluates behavior, intent, triggers, medical severity, and
current safety needs - This describes a different psychiatric or nursing concept and does not correctly answer the item on bulimia nervosa.
8. In a psychiatric mental health nursing review, which statement best explains psychiatric nursing assessment? [Psychiatric
Nursing Set 092, Item 008]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. can progress from tremor and autonomic symptoms to seizures or delirium tremens
C. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety
Psychiatric Mental Health Nursing Practice Set 092 | Page 3
, D. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
Correct Answer: C. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and
safety
Rationale: Integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety directly matches the
psychiatric mental health nursing concept being tested for psychiatric nursing assessment.
Why the other choices are wrong: A. is a chronic acquired decline in cognition that interferes with independent functioning - This describes a different
psychiatric or nursing concept and does not correctly answer the item on psychiatric nursing assessment. B. can progress from tremor and autonomic
symptoms to seizures or delirium tremens - This describes a different psychiatric or nursing concept and does not correctly answer the item on psychiatric
nursing assessment. D. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence - This describes a different
psychiatric or nursing concept and does not correctly answer the item on psychiatric nursing assessment.
9. A psychiatric nurse is reviewing tangential speech. Which response is most accurate? [Psychiatric Nursing Set 092, Item
009]
A. a repetitive behavior or mental act performed in response to an obsession or rigid rule
B. a fixed false belief not consistent with the person's cultural context
C. coordinates nursing, medical, psychological, social, and community services around patient needs
D. moves away from the question and does not return to the original point
Correct Answer: D. moves away from the question and does not return to the original point
Rationale: Moves away from the question and does not return to the original point directly matches the psychiatric mental health nursing concept
being tested for tangential speech.
Why the other choices are wrong: A. a repetitive behavior or mental act performed in response to an obsession or rigid rule - This describes a different
psychiatric or nursing concept and does not correctly answer the item on tangential speech. B. a fixed false belief not consistent with the person's cultural
context - This describes a different psychiatric or nursing concept and does not correctly answer the item on tangential speech. C. coordinates nursing,
medical, psychological, social, and community services around patient needs - This describes a different psychiatric or nursing concept and does not
correctly answer the item on tangential speech.
10. Which option best reflects safe mental health nursing care related to dissociation? [Psychiatric Nursing Set 092, Item
010]
A. is a defense mechanism involving polarized all-good or all-bad perceptions
B. involves disruption in the normal integration of consciousness, memory, identity, emotion, perception, or behavior
C. classically causes respiratory depression, decreased consciousness, and miosis
D. uses planned safe exposure to feared cues to reduce avoidance and anxiety
Correct Answer: B. involves disruption in the normal integration of consciousness, memory, identity, emotion, perception, or
behavior
Rationale: Involves disruption in the normal integration of consciousness, memory, identity, emotion, perception, or behavior directly matches the
psychiatric mental health nursing concept being tested for dissociation.
Why the other choices are wrong: A. is a defense mechanism involving polarized all-good or all-bad perceptions - This describes a different psychiatric
or nursing concept and does not correctly answer the item on dissociation. C. classically causes respiratory depression, decreased consciousness, and
miosis - This describes a different psychiatric or nursing concept and does not correctly answer the item on dissociation. D. uses planned safe exposure to
feared cues to reduce avoidance and anxiety - This describes a different psychiatric or nursing concept and does not correctly answer the item on
dissociation.
11. During a psychiatric nursing scenario involving opioid intoxication, which answer should the nurse select? [Psychiatric
Nursing Set 092, Item 011]
A. a misinterpretation of a real external stimulus
B. classically causes respiratory depression, decreased consciousness, and miosis
C. supports hope, autonomy, strengths, meaningful goals, and community participation
D. is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions
Correct Answer: B. classically causes respiratory depression, decreased consciousness, and miosis
Rationale: Classically causes respiratory depression, decreased consciousness, and miosis directly matches the psychiatric mental health nursing
concept being tested for opioid intoxication.
Why the other choices are wrong: A. a misinterpretation of a real external stimulus - This describes a different psychiatric or nursing concept and does
not correctly answer the item on opioid intoxication. C. supports hope, autonomy, strengths, meaningful goals, and community participation - This
describes a different psychiatric or nursing concept and does not correctly answer the item on opioid intoxication. D. is a controlled medical treatment that
can be effective for severe mood disorders and selected other conditions - This describes a different psychiatric or nursing concept and does not correctly
answer the item on opioid intoxication.
Psychiatric Mental Health Nursing Practice Set 092 | Page 4
Verified Answers, Rationales & Choice Analysis
Description
A comprehensive psychiatric mental health nursing practice resource containing 110 independently authored multiple-choice questions
with identified study answers, detailed rationales, and explanations of why alternative choices are incorrect. Coverage includes
therapeutic communication, mental status assessment, safety, mood and anxiety disorders, psychosis, psychiatric medications,
substance use, neurocognitive disorders, eating disorders, personality disorders, psychotherapy, crisis care, trauma-informed care,
recovery, patient education, and discharge planning.
Abstract
This independently created psychiatric nursing assessment contains 110 unique question formulations for educational review. Correct
answers in this version are highlighted in blue. Each item includes an italicized rationale and distractor analysis. It is original study
material and is not copied from or represented as an official publisher test bank or secure live examination.
Overview
The practice set progresses from communication, boundaries, ethics, and mental status examination through suicide and violence safety,
depressive and bipolar disorders, anxiety and trauma-related disorders, schizophrenia and antipsychotic therapy, mood-stabilizing and
antidepressant medications, substance-related disorders, neurocognitive conditions, eating and personality disorders, psychotherapies,
crisis intervention, recovery, and continuity of care.
Table of Contents
1. Therapeutic Communication, Ethics & Mental Status Assessment
2. Safety, Suicide Risk & Crisis Intervention
3. Depressive, Bipolar & Anxiety Disorders
4. Trauma, OCD & Related Conditions
5. Schizophrenia, Psychosis & Psychiatric Medications
6. Substance Use & Withdrawal
7. Neurocognitive, Eating & Personality Disorders
8. Psychotherapy, Recovery & Patient Education
9. Comprehensive Psychiatric Nursing Review
Study note: Original educational practice material. It is not an official publisher test bank, recalled exam, leaked exam, or live test. “Verified study answers”
refers only to answer checking within this independently authored practice resource.
Psychiatric Mental Health Nursing Practice Set 092 | Page 1
,1. During a psychiatric nursing scenario involving acute stress disorder, which answer should the nurse select? [Psychiatric
Nursing Set 092, Item 001]
A. encourage patients to describe experiences, feelings, and concerns in their own words
B. uses purposeful, patient-centered interaction to support assessment, trust, coping, and recovery
C. a fixed false belief not consistent with the person's cultural context
D. is a trauma-related syndrome occurring in the early period after a traumatic event
Correct Answer: D. is a trauma-related syndrome occurring in the early period after a traumatic event
Rationale: Is a trauma-related syndrome occurring in the early period after a traumatic event directly matches the psychiatric mental health nursing
concept being tested for acute stress disorder.
Why the other choices are wrong: A. encourage patients to describe experiences, feelings, and concerns in their own words - This describes a different
psychiatric or nursing concept and does not correctly answer the item on acute stress disorder. B. uses purposeful, patient-centered interaction to support
assessment, trust, coping, and recovery - This describes a different psychiatric or nursing concept and does not correctly answer the item on acute stress
disorder. C. a fixed false belief not consistent with the person's cultural context - This describes a different psychiatric or nursing concept and does not
correctly answer the item on acute stress disorder.
2. Which statement about delirium tremens best supports therapeutic patient-centered nursing care? [Psychiatric Nursing
Set 092, Item 002]
A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
B. can cause agitation, autonomic instability, hyperreflexia, clonus, and fever after excessive serotonergic activity
C. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
D. a newly created word or expression with meaning primarily to the speaker
Correct Answer: A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
Rationale: Is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity directly matches the psychiatric mental health
nursing concept being tested for delirium tremens.
Why the other choices are wrong: B. can cause agitation, autonomic instability, hyperreflexia, clonus, and fever after excessive serotonergic activity -
This describes a different psychiatric or nursing concept and does not correctly answer the item on delirium tremens. C. enhances GABA activity and can
cause sedation, impaired coordination, tolerance, and dependence - This describes a different psychiatric or nursing concept and does not correctly
answer the item on delirium tremens. D. a newly created word or expression with meaning primarily to the speaker - This describes a different psychiatric
or nursing concept and does not correctly answer the item on delirium tremens.
3. A learner preparing for a psychiatric nursing assessment encounters dialectical behavior therapy. Which explanation is
correct? [Psychiatric Nursing Set 092, Item 003]
A. combines acceptance and change strategies and teaches mindfulness, distress tolerance, emotion regulation, and interpersonal
effectiveness
B. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
C. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
D. is a common progressive neurodegenerative cause of major neurocognitive disorder
Correct Answer: A. combines acceptance and change strategies and teaches mindfulness, distress tolerance, emotion regulation,
and interpersonal effectiveness
Rationale: Combines acceptance and change strategies and teaches mindfulness, distress tolerance, emotion regulation, and interpersonal
effectiveness directly matches the psychiatric mental health nursing concept being tested for dialectical behavior therapy.
Why the other choices are wrong: B. a hallucinated voice directing the person to perform an action and requiring careful safety assessment - This
describes a different psychiatric or nursing concept and does not correctly answer the item on dialectical behavior therapy. C. involves recurrent binge
eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation - This describes a different psychiatric or nursing
concept and does not correctly answer the item on dialectical behavior therapy. D. is a common progressive neurodegenerative cause of major
neurocognitive disorder - This describes a different psychiatric or nursing concept and does not correctly answer the item on dialectical behavior therapy.
4. Which response best represents the clinical meaning or priority of patient autonomy? [Psychiatric Nursing Set 092, Item
004]
A. a repetitive behavior or mental act performed in response to an obsession or rigid rule
B. is a mood stabilizer with a narrow therapeutic range requiring monitoring of serum levels and organ function
C. uses repeated assessment to identify worsening symptoms and guide safe treatment
D. supports a capable patient's right to make informed healthcare decisions
Correct Answer: D. supports a capable patient's right to make informed healthcare decisions
Psychiatric Mental Health Nursing Practice Set 092 | Page 2
, Rationale: Supports a capable patient's right to make informed healthcare decisions directly matches the psychiatric mental health nursing concept
being tested for patient autonomy.
Why the other choices are wrong: A. a repetitive behavior or mental act performed in response to an obsession or rigid rule - This describes a different
psychiatric or nursing concept and does not correctly answer the item on patient autonomy. B. is a mood stabilizer with a narrow therapeutic range
requiring monitoring of serum levels and organ function - This describes a different psychiatric or nursing concept and does not correctly answer the item
on patient autonomy. C. uses repeated assessment to identify worsening symptoms and guide safe treatment - This describes a different psychiatric or
nursing concept and does not correctly answer the item on patient autonomy.
5. In a mental health nursing knowledge check about anhedonia, which option is most accurate? [Psychiatric Nursing Set
092, Item 005]
A. reduced interest or pleasure in activities that were previously enjoyable
B. is a commonly used antidepressant class that increases serotonergic signaling
C. is an antidepressant class requiring attention to major food and drug interactions
D. a sensory perception occurring without an external stimulus
Correct Answer: A. reduced interest or pleasure in activities that were previously enjoyable
Rationale: Reduced interest or pleasure in activities that were previously enjoyable directly matches the psychiatric mental health nursing concept
being tested for anhedonia.
Why the other choices are wrong: B. is a commonly used antidepressant class that increases serotonergic signaling - This describes a different
psychiatric or nursing concept and does not correctly answer the item on anhedonia. C. is an antidepressant class requiring attention to major food and
drug interactions - This describes a different psychiatric or nursing concept and does not correctly answer the item on anhedonia. D. a sensory perception
occurring without an external stimulus - This describes a different psychiatric or nursing concept and does not correctly answer the item on anhedonia.
6. Which description of valproate is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 092, Item 006]
A. examines relationships among thoughts, feelings, and behaviors and develops more adaptive patterns
B. generally affect dopamine and serotonin signaling and may carry significant metabolic risks
C. classically causes respiratory depression, decreased consciousness, and miosis
D. is a mood-stabilizing anticonvulsant requiring monitoring for important hepatic, hematologic, and reproductive risks
Correct Answer: D. is a mood-stabilizing anticonvulsant requiring monitoring for important hepatic, hematologic, and reproductive
risks
Rationale: Is a mood-stabilizing anticonvulsant requiring monitoring for important hepatic, hematologic, and reproductive risks directly matches the
psychiatric mental health nursing concept being tested for valproate.
Why the other choices are wrong: A. examines relationships among thoughts, feelings, and behaviors and develops more adaptive patterns - This
describes a different psychiatric or nursing concept and does not correctly answer the item on valproate. B. generally affect dopamine and serotonin
signaling and may carry significant metabolic risks - This describes a different psychiatric or nursing concept and does not correctly answer the item on
valproate. C. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different psychiatric or nursing concept
and does not correctly answer the item on valproate.
7. For a psychiatric mental health nursing practice question on bulimia nervosa, which answer reflects the correct principle?
[Psychiatric Nursing Set 092, Item 007]
A. addresses interaction patterns and relationships within the family system
B. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
C. a misinterpretation of a real external stimulus
D. evaluates behavior, intent, triggers, medical severity, and current safety needs
Correct Answer: B. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on
self-evaluation
Rationale: Involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation directly
matches the psychiatric mental health nursing concept being tested for bulimia nervosa.
Why the other choices are wrong: A. addresses interaction patterns and relationships within the family system - This describes a different psychiatric or
nursing concept and does not correctly answer the item on bulimia nervosa. C. a misinterpretation of a real external stimulus - This describes a different
psychiatric or nursing concept and does not correctly answer the item on bulimia nervosa. D. evaluates behavior, intent, triggers, medical severity, and
current safety needs - This describes a different psychiatric or nursing concept and does not correctly answer the item on bulimia nervosa.
8. In a psychiatric mental health nursing review, which statement best explains psychiatric nursing assessment? [Psychiatric
Nursing Set 092, Item 008]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. can progress from tremor and autonomic symptoms to seizures or delirium tremens
C. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety
Psychiatric Mental Health Nursing Practice Set 092 | Page 3
, D. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
Correct Answer: C. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and
safety
Rationale: Integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety directly matches the
psychiatric mental health nursing concept being tested for psychiatric nursing assessment.
Why the other choices are wrong: A. is a chronic acquired decline in cognition that interferes with independent functioning - This describes a different
psychiatric or nursing concept and does not correctly answer the item on psychiatric nursing assessment. B. can progress from tremor and autonomic
symptoms to seizures or delirium tremens - This describes a different psychiatric or nursing concept and does not correctly answer the item on psychiatric
nursing assessment. D. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence - This describes a different
psychiatric or nursing concept and does not correctly answer the item on psychiatric nursing assessment.
9. A psychiatric nurse is reviewing tangential speech. Which response is most accurate? [Psychiatric Nursing Set 092, Item
009]
A. a repetitive behavior or mental act performed in response to an obsession or rigid rule
B. a fixed false belief not consistent with the person's cultural context
C. coordinates nursing, medical, psychological, social, and community services around patient needs
D. moves away from the question and does not return to the original point
Correct Answer: D. moves away from the question and does not return to the original point
Rationale: Moves away from the question and does not return to the original point directly matches the psychiatric mental health nursing concept
being tested for tangential speech.
Why the other choices are wrong: A. a repetitive behavior or mental act performed in response to an obsession or rigid rule - This describes a different
psychiatric or nursing concept and does not correctly answer the item on tangential speech. B. a fixed false belief not consistent with the person's cultural
context - This describes a different psychiatric or nursing concept and does not correctly answer the item on tangential speech. C. coordinates nursing,
medical, psychological, social, and community services around patient needs - This describes a different psychiatric or nursing concept and does not
correctly answer the item on tangential speech.
10. Which option best reflects safe mental health nursing care related to dissociation? [Psychiatric Nursing Set 092, Item
010]
A. is a defense mechanism involving polarized all-good or all-bad perceptions
B. involves disruption in the normal integration of consciousness, memory, identity, emotion, perception, or behavior
C. classically causes respiratory depression, decreased consciousness, and miosis
D. uses planned safe exposure to feared cues to reduce avoidance and anxiety
Correct Answer: B. involves disruption in the normal integration of consciousness, memory, identity, emotion, perception, or
behavior
Rationale: Involves disruption in the normal integration of consciousness, memory, identity, emotion, perception, or behavior directly matches the
psychiatric mental health nursing concept being tested for dissociation.
Why the other choices are wrong: A. is a defense mechanism involving polarized all-good or all-bad perceptions - This describes a different psychiatric
or nursing concept and does not correctly answer the item on dissociation. C. classically causes respiratory depression, decreased consciousness, and
miosis - This describes a different psychiatric or nursing concept and does not correctly answer the item on dissociation. D. uses planned safe exposure to
feared cues to reduce avoidance and anxiety - This describes a different psychiatric or nursing concept and does not correctly answer the item on
dissociation.
11. During a psychiatric nursing scenario involving opioid intoxication, which answer should the nurse select? [Psychiatric
Nursing Set 092, Item 011]
A. a misinterpretation of a real external stimulus
B. classically causes respiratory depression, decreased consciousness, and miosis
C. supports hope, autonomy, strengths, meaningful goals, and community participation
D. is a controlled medical treatment that can be effective for severe mood disorders and selected other conditions
Correct Answer: B. classically causes respiratory depression, decreased consciousness, and miosis
Rationale: Classically causes respiratory depression, decreased consciousness, and miosis directly matches the psychiatric mental health nursing
concept being tested for opioid intoxication.
Why the other choices are wrong: A. a misinterpretation of a real external stimulus - This describes a different psychiatric or nursing concept and does
not correctly answer the item on opioid intoxication. C. supports hope, autonomy, strengths, meaningful goals, and community participation - This
describes a different psychiatric or nursing concept and does not correctly answer the item on opioid intoxication. D. is a controlled medical treatment that
can be effective for severe mood disorders and selected other conditions - This describes a different psychiatric or nursing concept and does not correctly
answer the item on opioid intoxication.
Psychiatric Mental Health Nursing Practice Set 092 | Page 4
