Psychiatric Nursing Comprehensive Test Bank Review | Latest
Questions, Verified Answers & Detailed Rationales
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 purple. 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 093 | Page 1
,1. Which statement about delirium best supports therapeutic patient-centered nursing care? [Psychiatric Nursing Set 093,
Item 001]
A. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety
B. is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition
C. is a chronic acquired decline in cognition that interferes with independent functioning
D. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
Correct Answer: B. is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition
Rationale: Is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition directly matches the psychiatric
mental health nursing concept being tested for delirium.
Why the other choices are wrong: A. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety -
This describes a different psychiatric or nursing concept and does not correctly answer the item on delirium. C. 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 delirium.
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 delirium.
2. A learner preparing for a psychiatric nursing assessment encounters medication adherence. Which explanation is
correct? [Psychiatric Nursing Set 093, Item 002]
A. is an emergency restrictive intervention used only when justified for safety and according to law and policy
B. is an enduring inflexible pattern of inner experience and behavior causing impairment or distress
C. describes how closely medication-taking behavior follows an agreed treatment plan
D. directly evaluates suicidal thoughts, intent, plan, access to means, past behavior, protective factors, and immediate safety
Correct Answer: C. describes how closely medication-taking behavior follows an agreed treatment plan
Rationale: Describes how closely medication-taking behavior follows an agreed treatment plan directly matches the psychiatric mental health
nursing concept being tested for medication adherence.
Why the other choices are wrong: A. is an emergency restrictive intervention used only when justified for safety and according to law and policy - This
describes a different psychiatric or nursing concept and does not correctly answer the item on medication adherence. B. is an enduring inflexible pattern
of inner experience and behavior causing impairment or distress - This describes a different psychiatric or nursing concept and does not correctly answer
the item on medication adherence. D. directly evaluates suicidal thoughts, intent, plan, access to means, past behavior, protective factors, and immediate
safety - This describes a different psychiatric or nursing concept and does not correctly answer the item on medication adherence.
3. Which response best represents the clinical meaning or priority of delusion? [Psychiatric Nursing Set 093, Item 003]
A. a fixed false belief not consistent with the person's cultural context
B. a pattern in which connections between ideas become weak or difficult to follow
C. is a problematic pattern of substance use causing clinically significant impairment or distress
D. is a cognitive or behavioral strategy used to manage stress or difficult emotions
Correct Answer: A. a fixed false belief not consistent with the person's cultural context
Rationale: A fixed false belief not consistent with the person's cultural context directly matches the psychiatric mental health nursing concept being
tested for delusion.
Why the other choices are wrong: B. a pattern in which connections between ideas become weak or difficult to follow - This describes a different
psychiatric or nursing concept and does not correctly answer the item on delusion. C. is a problematic pattern of substance use causing clinically
significant impairment or distress - This describes a different psychiatric or nursing concept and does not correctly answer the item on delusion. D. is a
cognitive or behavioral strategy used to manage stress or difficult emotions - This describes a different psychiatric or nursing concept and does not
correctly answer the item on delusion.
4. In a mental health nursing knowledge check about specific phobia, which option is most accurate? [Psychiatric Nursing
Set 093, Item 004]
A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
B. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
C. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
D. is marked fear or anxiety related to a particular object or situation
Correct Answer: D. is marked fear or anxiety related to a particular object or situation
Rationale: Is marked fear or anxiety related to a particular object or situation directly matches the psychiatric mental health nursing concept being
tested for specific phobia.
Why the other choices are wrong: A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity - This describes a
different psychiatric or nursing concept and does not correctly answer the item on specific phobia. B. resembles mania but is less severe and does not
Psychiatric Mental Health Nursing Practice Set 093 | Page 2
, cause marked impairment or require hospitalization by itself - This describes a different psychiatric or nursing concept and does not correctly answer the
item on specific phobia. C. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade - This describes
a different psychiatric or nursing concept and does not correctly answer the item on specific phobia.
5. Which description of buspirone is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 093, Item
005]
A. can progress from tremor and autonomic symptoms to seizures or delirium tremens
B. requires at least one manic episode
C. primarily block dopamine D2 receptors and can cause extrapyramidal adverse effects
D. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief
Correct Answer: D. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief
Rationale: Is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief directly matches the
psychiatric mental health nursing concept being tested for buspirone.
Why the other choices are wrong: A. 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 buspirone. B. requires at least one manic episode - This describes a different
psychiatric or nursing concept and does not correctly answer the item on buspirone. C. primarily block dopamine D2 receptors and can cause
extrapyramidal adverse effects - This describes a different psychiatric or nursing concept and does not correctly answer the item on buspirone.
6. For a psychiatric mental health nursing practice question on displacement, which answer reflects the correct principle?
[Psychiatric Nursing Set 093, Item 006]
A. is an anticonvulsant mood stabilizer with clinically important hematologic, hepatic, and drug-interaction considerations
B. is a mood stabilizer with a narrow therapeutic range requiring monitoring of serum levels and organ function
C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
D. redirects emotion from the original source to a safer substitute
Correct Answer: D. redirects emotion from the original source to a safer substitute
Rationale: Redirects emotion from the original source to a safer substitute directly matches the psychiatric mental health nursing concept being
tested for displacement.
Why the other choices are wrong: A. is an anticonvulsant mood stabilizer with clinically important hematologic, hepatic, and drug-interaction
considerations - This describes a different psychiatric or nursing concept and does not correctly answer the item on displacement. 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 displacement. C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring,
and cognitive assessment - This describes a different psychiatric or nursing concept and does not correctly answer the item on displacement.
7. In a psychiatric mental health nursing review, which statement best explains clarification? [Psychiatric Nursing Set 093,
Item 007]
A. helps confirm the meaning of an unclear or ambiguous patient statement
B. is an antidepressant class requiring attention to major food and drug interactions
C. systematically evaluates appearance, behavior, speech, mood, affect, thought, perception, cognition, insight, and judgment
D. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
Correct Answer: A. helps confirm the meaning of an unclear or ambiguous patient statement
Rationale: Helps confirm the meaning of an unclear or ambiguous patient statement directly matches the psychiatric mental health nursing concept
being tested for clarification.
Why the other choices are wrong: B. 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 clarification. C. systematically evaluates appearance, behavior, speech, mood,
affect, thought, perception, cognition, insight, and judgment - This describes a different psychiatric or nursing concept and does not correctly answer the
item on clarification. D. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning - This describes a different
psychiatric or nursing concept and does not correctly answer the item on clarification.
8. A psychiatric nurse is reviewing self-harm assessment. Which response is most accurate? [Psychiatric Nursing Set 093,
Item 008]
A. evaluates behavior, intent, triggers, medical severity, and current safety needs
B. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition
C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
D. is a problematic pattern of substance use causing clinically significant impairment or distress
Correct Answer: A. evaluates behavior, intent, triggers, medical severity, and current safety needs
Psychiatric Mental Health Nursing Practice Set 093 | Page 3
, Rationale: Evaluates behavior, intent, triggers, medical severity, and current safety needs directly matches the psychiatric mental health nursing
concept being tested for self-harm assessment.
Why the other choices are wrong: B. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition
- This describes a different psychiatric or nursing concept and does not correctly answer the item on self-harm assessment. C. includes informed consent
processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment - This describes a different psychiatric or nursing
concept and does not correctly answer the item on self-harm assessment. D. is a problematic pattern of substance use causing clinically significant
impairment or distress - This describes a different psychiatric or nursing concept and does not correctly answer the item on self-harm assessment.
9. Which option best reflects safe mental health nursing care related to parkinsonism? [Psychiatric Nursing Set 093, Item
009]
A. the patient's sustained internal emotional state
B. can include rigidity, tremor, bradykinesia, and masked facial expression
C. requires focused attention to verbal and nonverbal communication without premature judgment
D. primarily block dopamine D2 receptors and can cause extrapyramidal adverse effects
Correct Answer: B. can include rigidity, tremor, bradykinesia, and masked facial expression
Rationale: Can include rigidity, tremor, bradykinesia, and masked facial expression directly matches the psychiatric mental health nursing concept
being tested for parkinsonism.
Why the other choices are wrong: A. the patient's sustained internal emotional state - This describes a different psychiatric or nursing concept and does
not correctly answer the item on parkinsonism. C. requires focused attention to verbal and nonverbal communication without premature judgment - This
describes a different psychiatric or nursing concept and does not correctly answer the item on parkinsonism. D. primarily block dopamine D2 receptors
and can cause extrapyramidal adverse effects - This describes a different psychiatric or nursing concept and does not correctly answer the item on
parkinsonism.
10. During a psychiatric nursing scenario involving dementia, which answer should the nurse select? [Psychiatric Nursing
Set 093, Item 010]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. maintain a professional relationship focused on the patient's needs and safety
C. addresses interaction patterns and relationships within the family system
D. can develop after trauma exposure and involves intrusion, avoidance, negative mood or cognition, and arousal changes
Correct Answer: A. is a chronic acquired decline in cognition that interferes with independent functioning
Rationale: Is a chronic acquired decline in cognition that interferes with independent functioning directly matches the psychiatric mental health
nursing concept being tested for dementia.
Why the other choices are wrong: B. maintain a professional relationship focused on the patient's needs and safety - This describes a different
psychiatric or nursing concept and does not correctly answer the item on dementia. C. 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 dementia. D. can develop after trauma
exposure and involves intrusion, avoidance, negative mood or cognition, and arousal changes - This describes a different psychiatric or nursing concept
and does not correctly answer the item on dementia.
11. Which statement about relapse prevention best supports therapeutic patient-centered nursing care? [Psychiatric Nursing
Set 093, Item 011]
A. rapid shifting between topics with understandable but accelerated connections
B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
C. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
D. helps confirm the meaning of an unclear or ambiguous patient statement
Correct Answer: B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
Rationale: Identifies warning signs, triggers, coping strategies, supports, and treatment follow-up directly matches the psychiatric mental health
nursing concept being tested for relapse prevention.
Why the other choices are wrong: A. rapid shifting between topics with understandable but accelerated connections - This describes a different
psychiatric or nursing concept and does not correctly answer the item on relapse prevention. C. 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
relapse prevention. D. helps confirm the meaning of an unclear or ambiguous patient statement - This describes a different psychiatric or nursing concept
and does not correctly answer the item on relapse prevention.
12. A learner preparing for a psychiatric nursing assessment encounters hallucination. Which explanation is correct?
[Psychiatric Nursing Set 093, Item 012]
A. a sensory perception occurring without an external stimulus
B. is an emergency restrictive intervention used only when justified for safety and according to law and policy
Psychiatric Mental Health Nursing Practice Set 093 | Page 4
Questions, Verified Answers & Detailed Rationales
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 purple. 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 093 | Page 1
,1. Which statement about delirium best supports therapeutic patient-centered nursing care? [Psychiatric Nursing Set 093,
Item 001]
A. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety
B. is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition
C. is a chronic acquired decline in cognition that interferes with independent functioning
D. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
Correct Answer: B. is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition
Rationale: Is an acute fluctuating disturbance in attention and cognition usually caused by an underlying condition directly matches the psychiatric
mental health nursing concept being tested for delirium.
Why the other choices are wrong: A. integrates mental status, physical health, medications, substance use, psychosocial factors, function, and safety -
This describes a different psychiatric or nursing concept and does not correctly answer the item on delirium. C. 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 delirium.
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 delirium.
2. A learner preparing for a psychiatric nursing assessment encounters medication adherence. Which explanation is
correct? [Psychiatric Nursing Set 093, Item 002]
A. is an emergency restrictive intervention used only when justified for safety and according to law and policy
B. is an enduring inflexible pattern of inner experience and behavior causing impairment or distress
C. describes how closely medication-taking behavior follows an agreed treatment plan
D. directly evaluates suicidal thoughts, intent, plan, access to means, past behavior, protective factors, and immediate safety
Correct Answer: C. describes how closely medication-taking behavior follows an agreed treatment plan
Rationale: Describes how closely medication-taking behavior follows an agreed treatment plan directly matches the psychiatric mental health
nursing concept being tested for medication adherence.
Why the other choices are wrong: A. is an emergency restrictive intervention used only when justified for safety and according to law and policy - This
describes a different psychiatric or nursing concept and does not correctly answer the item on medication adherence. B. is an enduring inflexible pattern
of inner experience and behavior causing impairment or distress - This describes a different psychiatric or nursing concept and does not correctly answer
the item on medication adherence. D. directly evaluates suicidal thoughts, intent, plan, access to means, past behavior, protective factors, and immediate
safety - This describes a different psychiatric or nursing concept and does not correctly answer the item on medication adherence.
3. Which response best represents the clinical meaning or priority of delusion? [Psychiatric Nursing Set 093, Item 003]
A. a fixed false belief not consistent with the person's cultural context
B. a pattern in which connections between ideas become weak or difficult to follow
C. is a problematic pattern of substance use causing clinically significant impairment or distress
D. is a cognitive or behavioral strategy used to manage stress or difficult emotions
Correct Answer: A. a fixed false belief not consistent with the person's cultural context
Rationale: A fixed false belief not consistent with the person's cultural context directly matches the psychiatric mental health nursing concept being
tested for delusion.
Why the other choices are wrong: B. a pattern in which connections between ideas become weak or difficult to follow - This describes a different
psychiatric or nursing concept and does not correctly answer the item on delusion. C. is a problematic pattern of substance use causing clinically
significant impairment or distress - This describes a different psychiatric or nursing concept and does not correctly answer the item on delusion. D. is a
cognitive or behavioral strategy used to manage stress or difficult emotions - This describes a different psychiatric or nursing concept and does not
correctly answer the item on delusion.
4. In a mental health nursing knowledge check about specific phobia, which option is most accurate? [Psychiatric Nursing
Set 093, Item 004]
A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
B. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
C. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
D. is marked fear or anxiety related to a particular object or situation
Correct Answer: D. is marked fear or anxiety related to a particular object or situation
Rationale: Is marked fear or anxiety related to a particular object or situation directly matches the psychiatric mental health nursing concept being
tested for specific phobia.
Why the other choices are wrong: A. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity - This describes a
different psychiatric or nursing concept and does not correctly answer the item on specific phobia. B. resembles mania but is less severe and does not
Psychiatric Mental Health Nursing Practice Set 093 | Page 2
, cause marked impairment or require hospitalization by itself - This describes a different psychiatric or nursing concept and does not correctly answer the
item on specific phobia. C. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade - This describes
a different psychiatric or nursing concept and does not correctly answer the item on specific phobia.
5. Which description of buspirone is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 093, Item
005]
A. can progress from tremor and autonomic symptoms to seizures or delirium tremens
B. requires at least one manic episode
C. primarily block dopamine D2 receptors and can cause extrapyramidal adverse effects
D. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief
Correct Answer: D. is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief
Rationale: Is a non-benzodiazepine anxiolytic used for ongoing anxiety management rather than immediate panic relief directly matches the
psychiatric mental health nursing concept being tested for buspirone.
Why the other choices are wrong: A. 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 buspirone. B. requires at least one manic episode - This describes a different
psychiatric or nursing concept and does not correctly answer the item on buspirone. C. primarily block dopamine D2 receptors and can cause
extrapyramidal adverse effects - This describes a different psychiatric or nursing concept and does not correctly answer the item on buspirone.
6. For a psychiatric mental health nursing practice question on displacement, which answer reflects the correct principle?
[Psychiatric Nursing Set 093, Item 006]
A. is an anticonvulsant mood stabilizer with clinically important hematologic, hepatic, and drug-interaction considerations
B. is a mood stabilizer with a narrow therapeutic range requiring monitoring of serum levels and organ function
C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
D. redirects emotion from the original source to a safer substitute
Correct Answer: D. redirects emotion from the original source to a safer substitute
Rationale: Redirects emotion from the original source to a safer substitute directly matches the psychiatric mental health nursing concept being
tested for displacement.
Why the other choices are wrong: A. is an anticonvulsant mood stabilizer with clinically important hematologic, hepatic, and drug-interaction
considerations - This describes a different psychiatric or nursing concept and does not correctly answer the item on displacement. 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 displacement. C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring,
and cognitive assessment - This describes a different psychiatric or nursing concept and does not correctly answer the item on displacement.
7. In a psychiatric mental health nursing review, which statement best explains clarification? [Psychiatric Nursing Set 093,
Item 007]
A. helps confirm the meaning of an unclear or ambiguous patient statement
B. is an antidepressant class requiring attention to major food and drug interactions
C. systematically evaluates appearance, behavior, speech, mood, affect, thought, perception, cognition, insight, and judgment
D. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
Correct Answer: A. helps confirm the meaning of an unclear or ambiguous patient statement
Rationale: Helps confirm the meaning of an unclear or ambiguous patient statement directly matches the psychiatric mental health nursing concept
being tested for clarification.
Why the other choices are wrong: B. 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 clarification. C. systematically evaluates appearance, behavior, speech, mood,
affect, thought, perception, cognition, insight, and judgment - This describes a different psychiatric or nursing concept and does not correctly answer the
item on clarification. D. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning - This describes a different
psychiatric or nursing concept and does not correctly answer the item on clarification.
8. A psychiatric nurse is reviewing self-harm assessment. Which response is most accurate? [Psychiatric Nursing Set 093,
Item 008]
A. evaluates behavior, intent, triggers, medical severity, and current safety needs
B. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition
C. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
D. is a problematic pattern of substance use causing clinically significant impairment or distress
Correct Answer: A. evaluates behavior, intent, triggers, medical severity, and current safety needs
Psychiatric Mental Health Nursing Practice Set 093 | Page 3
, Rationale: Evaluates behavior, intent, triggers, medical severity, and current safety needs directly matches the psychiatric mental health nursing
concept being tested for self-harm assessment.
Why the other choices are wrong: B. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition
- This describes a different psychiatric or nursing concept and does not correctly answer the item on self-harm assessment. C. includes informed consent
processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment - This describes a different psychiatric or nursing
concept and does not correctly answer the item on self-harm assessment. D. is a problematic pattern of substance use causing clinically significant
impairment or distress - This describes a different psychiatric or nursing concept and does not correctly answer the item on self-harm assessment.
9. Which option best reflects safe mental health nursing care related to parkinsonism? [Psychiatric Nursing Set 093, Item
009]
A. the patient's sustained internal emotional state
B. can include rigidity, tremor, bradykinesia, and masked facial expression
C. requires focused attention to verbal and nonverbal communication without premature judgment
D. primarily block dopamine D2 receptors and can cause extrapyramidal adverse effects
Correct Answer: B. can include rigidity, tremor, bradykinesia, and masked facial expression
Rationale: Can include rigidity, tremor, bradykinesia, and masked facial expression directly matches the psychiatric mental health nursing concept
being tested for parkinsonism.
Why the other choices are wrong: A. the patient's sustained internal emotional state - This describes a different psychiatric or nursing concept and does
not correctly answer the item on parkinsonism. C. requires focused attention to verbal and nonverbal communication without premature judgment - This
describes a different psychiatric or nursing concept and does not correctly answer the item on parkinsonism. D. primarily block dopamine D2 receptors
and can cause extrapyramidal adverse effects - This describes a different psychiatric or nursing concept and does not correctly answer the item on
parkinsonism.
10. During a psychiatric nursing scenario involving dementia, which answer should the nurse select? [Psychiatric Nursing
Set 093, Item 010]
A. is a chronic acquired decline in cognition that interferes with independent functioning
B. maintain a professional relationship focused on the patient's needs and safety
C. addresses interaction patterns and relationships within the family system
D. can develop after trauma exposure and involves intrusion, avoidance, negative mood or cognition, and arousal changes
Correct Answer: A. is a chronic acquired decline in cognition that interferes with independent functioning
Rationale: Is a chronic acquired decline in cognition that interferes with independent functioning directly matches the psychiatric mental health
nursing concept being tested for dementia.
Why the other choices are wrong: B. maintain a professional relationship focused on the patient's needs and safety - This describes a different
psychiatric or nursing concept and does not correctly answer the item on dementia. C. 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 dementia. D. can develop after trauma
exposure and involves intrusion, avoidance, negative mood or cognition, and arousal changes - This describes a different psychiatric or nursing concept
and does not correctly answer the item on dementia.
11. Which statement about relapse prevention best supports therapeutic patient-centered nursing care? [Psychiatric Nursing
Set 093, Item 011]
A. rapid shifting between topics with understandable but accelerated connections
B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
C. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
D. helps confirm the meaning of an unclear or ambiguous patient statement
Correct Answer: B. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
Rationale: Identifies warning signs, triggers, coping strategies, supports, and treatment follow-up directly matches the psychiatric mental health
nursing concept being tested for relapse prevention.
Why the other choices are wrong: A. rapid shifting between topics with understandable but accelerated connections - This describes a different
psychiatric or nursing concept and does not correctly answer the item on relapse prevention. C. 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
relapse prevention. D. helps confirm the meaning of an unclear or ambiguous patient statement - This describes a different psychiatric or nursing concept
and does not correctly answer the item on relapse prevention.
12. A learner preparing for a psychiatric nursing assessment encounters hallucination. Which explanation is correct?
[Psychiatric Nursing Set 093, Item 012]
A. a sensory perception occurring without an external stimulus
B. is an emergency restrictive intervention used only when justified for safety and according to law and policy
Psychiatric Mental Health Nursing Practice Set 093 | Page 4
