Mental Health Nursing Final Review 2025/2026 | Verified Study
Answers, Rationales & Answer 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 orange. 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 094 | Page 1
,1. A learner preparing for a psychiatric nursing assessment encounters interprofessional care. Which explanation is correct?
[Psychiatric Nursing Set 094, Item 001]
A. can impair judgment, coordination, cognition, and respiratory safety at high exposure
B. coordinates nursing, medical, psychological, social, and community services around patient needs
C. channels unacceptable impulses into socially acceptable activities
D. is an abrupt surge of intense fear or discomfort with prominent physical and cognitive symptoms
Correct Answer: B. coordinates nursing, medical, psychological, social, and community services around patient needs
Rationale: Coordinates nursing, medical, psychological, social, and community services around patient needs directly matches the psychiatric
mental health nursing concept being tested for interprofessional care.
Why the other choices are wrong: A. can impair judgment, coordination, cognition, and respiratory safety at high exposure - This describes a different
psychiatric or nursing concept and does not correctly answer the item on interprofessional care. C. channels unacceptable impulses into socially
acceptable activities - This describes a different psychiatric or nursing concept and does not correctly answer the item on interprofessional care. D. is an
abrupt surge of intense fear or discomfort with prominent physical and cognitive symptoms - This describes a different psychiatric or nursing concept and
does not correctly answer the item on interprofessional care.
2. Which response best represents the clinical meaning or priority of circumstantial speech? [Psychiatric Nursing Set 094,
Item 002]
A. is a sudden sustained muscle contraction that can occur after dopamine-blocking medication exposure
B. includes excessive detail but eventually returns to the original point
C. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
D. describes how closely medication-taking behavior follows an agreed treatment plan
Correct Answer: B. includes excessive detail but eventually returns to the original point
Rationale: Includes excessive detail but eventually returns to the original point directly matches the psychiatric mental health nursing concept being
tested for circumstantial speech.
Why the other choices are wrong: A. is a sudden sustained muscle contraction that can occur after dopamine-blocking medication exposure - This
describes a different psychiatric or nursing concept and does not correctly answer the item on circumstantial speech. 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 circumstantial speech. D. describes how closely medication-taking behavior follows an agreed treatment plan -
This describes a different psychiatric or nursing concept and does not correctly answer the item on circumstantial speech.
3. In a mental health nursing knowledge check about schizophrenia, which option is most accurate? [Psychiatric Nursing Set
094, Item 003]
A. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
B. channels unacceptable impulses into socially acceptable activities
C. involves persistent depressive symptoms with clinically significant distress or impairment
D. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
Correct Answer: A. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
Rationale: Is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning directly matches the psychiatric mental
health nursing concept being tested for schizophrenia.
Why the other choices are wrong: B. channels unacceptable impulses into socially acceptable activities - This describes a different psychiatric or
nursing concept and does not correctly answer the item on schizophrenia. C. involves persistent depressive symptoms with clinically significant distress or
impairment - This describes a different psychiatric or nursing concept and does not correctly answer the item on schizophrenia. D. 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 schizophrenia.
4. Which description of opioid withdrawal is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 094,
Item 004]
A. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms
B. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
C. requires at least one manic episode
D. uses plausible explanations to avoid the true reason for a behavior or feeling
Correct Answer: A. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms
Rationale: Is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms directly matches the psychiatric mental
health nursing concept being tested for opioid withdrawal.
Psychiatric Mental Health Nursing Practice Set 094 | Page 2
, Why the other choices are wrong: B. 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 opioid withdrawal. C. requires at least
one manic episode - This describes a different psychiatric or nursing concept and does not correctly answer the item on opioid withdrawal. D. uses
plausible explanations to avoid the true reason for a behavior or feeling - This describes a different psychiatric or nursing concept and does not correctly
answer the item on opioid withdrawal.
5. For a psychiatric mental health nursing practice question on grief, which answer reflects the correct principle?
[Psychiatric Nursing Set 094, Item 005]
A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions
B. is an opioid antagonist used to reverse opioid-induced respiratory depression
C. can produce gastrointestinal, neurologic, and cardiac manifestations and requires prompt evaluation
D. focuses on immediate safety, stabilization, coping, supports, and short-term problem solving
Correct Answer: A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions
Rationale: Is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions directly matches the
psychiatric mental health nursing concept being tested for grief.
Why the other choices are wrong: B. is an opioid antagonist used to reverse opioid-induced respiratory depression - This describes a different
psychiatric or nursing concept and does not correctly answer the item on grief. C. can produce gastrointestinal, neurologic, and cardiac manifestations
and requires prompt evaluation - This describes a different psychiatric or nursing concept and does not correctly answer the item on grief. D. focuses on
immediate safety, stabilization, coping, supports, and short-term problem solving - This describes a different psychiatric or nursing concept and does not
correctly answer the item on grief.
6. In a psychiatric mental health nursing review, which statement best explains milieu therapy? [Psychiatric Nursing Set 094,
Item 006]
A. is a collaborative communication style that strengthens a person's own motivation for change
B. uses the treatment environment and structured interactions to support therapeutic change
C. describe readiness for behavior change from precontemplation through maintenance
D. is a problematic pattern of substance use causing clinically significant impairment or distress
Correct Answer: B. uses the treatment environment and structured interactions to support therapeutic change
Rationale: Uses the treatment environment and structured interactions to support therapeutic change directly matches the psychiatric mental health
nursing concept being tested for milieu therapy.
Why the other choices are wrong: A. is a collaborative communication style that strengthens a person's own motivation for change - This describes a
different psychiatric or nursing concept and does not correctly answer the item on milieu therapy. C. describe readiness for behavior change from
precontemplation through maintenance - This describes a different psychiatric or nursing concept and does not correctly answer the item on milieu
therapy. 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 milieu therapy.
7. A psychiatric nurse is reviewing hypomania. Which response is most accurate? [Psychiatric Nursing Set 094, Item 007]
A. involves marked fear of social situations involving possible scrutiny
B. a fixed false belief not consistent with the person's cultural context
C. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
D. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
Correct Answer: C. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
Rationale: Resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself directly matches the
psychiatric mental health nursing concept being tested for hypomania.
Why the other choices are wrong: A. involves marked fear of social situations involving possible scrutiny - This describes a different psychiatric or
nursing concept and does not correctly answer the item on hypomania. 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 hypomania. D. identifies warning signs, triggers, coping
strategies, supports, and treatment follow-up - This describes a different psychiatric or nursing concept and does not correctly answer the item on
hypomania.
8. Which option best reflects safe mental health nursing care related to SSRI? [Psychiatric Nursing Set 094, Item 008]
A. is a cognitive or behavioral strategy used to manage stress or difficult emotions
B. communicates understanding of another person's experience without claiming to feel exactly the same way
C. is a commonly used antidepressant class that increases serotonergic signaling
D. is a distressing sense of inner restlessness with an urge to move
Correct Answer: C. is a commonly used antidepressant class that increases serotonergic signaling
Psychiatric Mental Health Nursing Practice Set 094 | Page 3
, Rationale: Is a commonly used antidepressant class that increases serotonergic signaling directly matches the psychiatric mental health nursing
concept being tested for SSRI.
Why the other choices are wrong: A. 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 SSRI. B. communicates understanding of another person's experience without
claiming to feel exactly the same way - This describes a different psychiatric or nursing concept and does not correctly answer the item on SSRI. D. is a
distressing sense of inner restlessness with an urge to move - This describes a different psychiatric or nursing concept and does not correctly answer the
item on SSRI.
9. During a psychiatric nursing scenario involving refeeding syndrome, which answer should the nurse select? [Psychiatric
Nursing Set 094, Item 009]
A. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition
B. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms
C. is an antidepressant class that increases serotonergic and noradrenergic signaling
D. a sudden interruption in the train of thought
Correct Answer: A. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe
malnutrition
Rationale: Is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition directly matches the
psychiatric mental health nursing concept being tested for refeeding syndrome.
Why the other choices are wrong: B. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms - This describes
a different psychiatric or nursing concept and does not correctly answer the item on refeeding syndrome. C. is an antidepressant class that increases
serotonergic and noradrenergic signaling - This describes a different psychiatric or nursing concept and does not correctly answer the item on refeeding
syndrome. D. a sudden interruption in the train of thought - This describes a different psychiatric or nursing concept and does not correctly answer the
item on refeeding syndrome.
10. Which statement about discharge planning best supports therapeutic patient-centered nursing care? [Psychiatric
Nursing Set 094, Item 010]
A. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
B. includes excessive detail but eventually returns to the original point
C. addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity needs
D. is a common progressive neurodegenerative cause of major neurocognitive disorder
Correct Answer: C. addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity
needs
Rationale: Addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity needs directly matches the
psychiatric mental health nursing concept being tested for discharge planning.
Why the other choices are wrong: A. 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 discharge planning. B. includes excessive detail but
eventually returns to the original point - This describes a different psychiatric or nursing concept and does not correctly answer the item on discharge
planning. 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 discharge planning.
11. A learner preparing for a psychiatric nursing assessment encounters thought blocking. Which explanation is correct?
[Psychiatric Nursing Set 094, Item 011]
A. a sudden interruption in the train of thought
B. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
C. involves restriction leading to significantly low weight with intense fear of weight gain or persistent behavior interfering with weight gain
D. redirects emotion from the original source to a safer substitute
Correct Answer: A. a sudden interruption in the train of thought
Rationale: A sudden interruption in the train of thought directly matches the psychiatric mental health nursing concept being tested for thought
blocking.
Why the other choices are wrong: B. 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 thought blocking. C. involves restriction leading to
significantly low weight with intense fear of weight gain or persistent behavior interfering with weight gain - This describes a different psychiatric or nursing
concept and does not correctly answer the item on thought blocking. D. redirects emotion from the original source to a safer substitute - This describes a
different psychiatric or nursing concept and does not correctly answer the item on thought blocking.
12. Which response best represents the clinical meaning or priority of positive symptoms of schizophrenia? [Psychiatric
Nursing Set 094, Item 012]
A. include hallucinations, delusions, and disorganized speech or behavior
Psychiatric Mental Health Nursing Practice Set 094 | Page 4
Answers, Rationales & Answer 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 orange. 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 094 | Page 1
,1. A learner preparing for a psychiatric nursing assessment encounters interprofessional care. Which explanation is correct?
[Psychiatric Nursing Set 094, Item 001]
A. can impair judgment, coordination, cognition, and respiratory safety at high exposure
B. coordinates nursing, medical, psychological, social, and community services around patient needs
C. channels unacceptable impulses into socially acceptable activities
D. is an abrupt surge of intense fear or discomfort with prominent physical and cognitive symptoms
Correct Answer: B. coordinates nursing, medical, psychological, social, and community services around patient needs
Rationale: Coordinates nursing, medical, psychological, social, and community services around patient needs directly matches the psychiatric
mental health nursing concept being tested for interprofessional care.
Why the other choices are wrong: A. can impair judgment, coordination, cognition, and respiratory safety at high exposure - This describes a different
psychiatric or nursing concept and does not correctly answer the item on interprofessional care. C. channels unacceptable impulses into socially
acceptable activities - This describes a different psychiatric or nursing concept and does not correctly answer the item on interprofessional care. D. is an
abrupt surge of intense fear or discomfort with prominent physical and cognitive symptoms - This describes a different psychiatric or nursing concept and
does not correctly answer the item on interprofessional care.
2. Which response best represents the clinical meaning or priority of circumstantial speech? [Psychiatric Nursing Set 094,
Item 002]
A. is a sudden sustained muscle contraction that can occur after dopamine-blocking medication exposure
B. includes excessive detail but eventually returns to the original point
C. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
D. describes how closely medication-taking behavior follows an agreed treatment plan
Correct Answer: B. includes excessive detail but eventually returns to the original point
Rationale: Includes excessive detail but eventually returns to the original point directly matches the psychiatric mental health nursing concept being
tested for circumstantial speech.
Why the other choices are wrong: A. is a sudden sustained muscle contraction that can occur after dopamine-blocking medication exposure - This
describes a different psychiatric or nursing concept and does not correctly answer the item on circumstantial speech. 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 circumstantial speech. D. describes how closely medication-taking behavior follows an agreed treatment plan -
This describes a different psychiatric or nursing concept and does not correctly answer the item on circumstantial speech.
3. In a mental health nursing knowledge check about schizophrenia, which option is most accurate? [Psychiatric Nursing Set
094, Item 003]
A. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
B. channels unacceptable impulses into socially acceptable activities
C. involves persistent depressive symptoms with clinically significant distress or impairment
D. is a severe alcohol withdrawal syndrome involving delirium and autonomic hyperactivity
Correct Answer: A. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
Rationale: Is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning directly matches the psychiatric mental
health nursing concept being tested for schizophrenia.
Why the other choices are wrong: B. channels unacceptable impulses into socially acceptable activities - This describes a different psychiatric or
nursing concept and does not correctly answer the item on schizophrenia. C. involves persistent depressive symptoms with clinically significant distress or
impairment - This describes a different psychiatric or nursing concept and does not correctly answer the item on schizophrenia. D. 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 schizophrenia.
4. Which description of opioid withdrawal is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 094,
Item 004]
A. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms
B. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
C. requires at least one manic episode
D. uses plausible explanations to avoid the true reason for a behavior or feeling
Correct Answer: A. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms
Rationale: Is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms directly matches the psychiatric mental
health nursing concept being tested for opioid withdrawal.
Psychiatric Mental Health Nursing Practice Set 094 | Page 2
, Why the other choices are wrong: B. 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 opioid withdrawal. C. requires at least
one manic episode - This describes a different psychiatric or nursing concept and does not correctly answer the item on opioid withdrawal. D. uses
plausible explanations to avoid the true reason for a behavior or feeling - This describes a different psychiatric or nursing concept and does not correctly
answer the item on opioid withdrawal.
5. For a psychiatric mental health nursing practice question on grief, which answer reflects the correct principle?
[Psychiatric Nursing Set 094, Item 005]
A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions
B. is an opioid antagonist used to reverse opioid-induced respiratory depression
C. can produce gastrointestinal, neurologic, and cardiac manifestations and requires prompt evaluation
D. focuses on immediate safety, stabilization, coping, supports, and short-term problem solving
Correct Answer: A. is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions
Rationale: Is a natural response to loss with highly individual emotional, cognitive, behavioral, and physical expressions directly matches the
psychiatric mental health nursing concept being tested for grief.
Why the other choices are wrong: B. is an opioid antagonist used to reverse opioid-induced respiratory depression - This describes a different
psychiatric or nursing concept and does not correctly answer the item on grief. C. can produce gastrointestinal, neurologic, and cardiac manifestations
and requires prompt evaluation - This describes a different psychiatric or nursing concept and does not correctly answer the item on grief. D. focuses on
immediate safety, stabilization, coping, supports, and short-term problem solving - This describes a different psychiatric or nursing concept and does not
correctly answer the item on grief.
6. In a psychiatric mental health nursing review, which statement best explains milieu therapy? [Psychiatric Nursing Set 094,
Item 006]
A. is a collaborative communication style that strengthens a person's own motivation for change
B. uses the treatment environment and structured interactions to support therapeutic change
C. describe readiness for behavior change from precontemplation through maintenance
D. is a problematic pattern of substance use causing clinically significant impairment or distress
Correct Answer: B. uses the treatment environment and structured interactions to support therapeutic change
Rationale: Uses the treatment environment and structured interactions to support therapeutic change directly matches the psychiatric mental health
nursing concept being tested for milieu therapy.
Why the other choices are wrong: A. is a collaborative communication style that strengthens a person's own motivation for change - This describes a
different psychiatric or nursing concept and does not correctly answer the item on milieu therapy. C. describe readiness for behavior change from
precontemplation through maintenance - This describes a different psychiatric or nursing concept and does not correctly answer the item on milieu
therapy. 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 milieu therapy.
7. A psychiatric nurse is reviewing hypomania. Which response is most accurate? [Psychiatric Nursing Set 094, Item 007]
A. involves marked fear of social situations involving possible scrutiny
B. a fixed false belief not consistent with the person's cultural context
C. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
D. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
Correct Answer: C. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
Rationale: Resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself directly matches the
psychiatric mental health nursing concept being tested for hypomania.
Why the other choices are wrong: A. involves marked fear of social situations involving possible scrutiny - This describes a different psychiatric or
nursing concept and does not correctly answer the item on hypomania. 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 hypomania. D. identifies warning signs, triggers, coping
strategies, supports, and treatment follow-up - This describes a different psychiatric or nursing concept and does not correctly answer the item on
hypomania.
8. Which option best reflects safe mental health nursing care related to SSRI? [Psychiatric Nursing Set 094, Item 008]
A. is a cognitive or behavioral strategy used to manage stress or difficult emotions
B. communicates understanding of another person's experience without claiming to feel exactly the same way
C. is a commonly used antidepressant class that increases serotonergic signaling
D. is a distressing sense of inner restlessness with an urge to move
Correct Answer: C. is a commonly used antidepressant class that increases serotonergic signaling
Psychiatric Mental Health Nursing Practice Set 094 | Page 3
, Rationale: Is a commonly used antidepressant class that increases serotonergic signaling directly matches the psychiatric mental health nursing
concept being tested for SSRI.
Why the other choices are wrong: A. 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 SSRI. B. communicates understanding of another person's experience without
claiming to feel exactly the same way - This describes a different psychiatric or nursing concept and does not correctly answer the item on SSRI. D. is a
distressing sense of inner restlessness with an urge to move - This describes a different psychiatric or nursing concept and does not correctly answer the
item on SSRI.
9. During a psychiatric nursing scenario involving refeeding syndrome, which answer should the nurse select? [Psychiatric
Nursing Set 094, Item 009]
A. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition
B. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms
C. is an antidepressant class that increases serotonergic and noradrenergic signaling
D. a sudden interruption in the train of thought
Correct Answer: A. is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe
malnutrition
Rationale: Is a potentially dangerous metabolic shift that can occur when nutrition is rapidly restored after severe malnutrition directly matches the
psychiatric mental health nursing concept being tested for refeeding syndrome.
Why the other choices are wrong: B. is highly uncomfortable and commonly causes autonomic, gastrointestinal, and flu-like symptoms - This describes
a different psychiatric or nursing concept and does not correctly answer the item on refeeding syndrome. C. is an antidepressant class that increases
serotonergic and noradrenergic signaling - This describes a different psychiatric or nursing concept and does not correctly answer the item on refeeding
syndrome. D. a sudden interruption in the train of thought - This describes a different psychiatric or nursing concept and does not correctly answer the
item on refeeding syndrome.
10. Which statement about discharge planning best supports therapeutic patient-centered nursing care? [Psychiatric
Nursing Set 094, Item 010]
A. a hallucinated voice directing the person to perform an action and requiring careful safety assessment
B. includes excessive detail but eventually returns to the original point
C. addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity needs
D. is a common progressive neurodegenerative cause of major neurocognitive disorder
Correct Answer: C. addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity
needs
Rationale: Addresses medication, follow-up, warning signs, crisis resources, support, housing, and other continuity needs directly matches the
psychiatric mental health nursing concept being tested for discharge planning.
Why the other choices are wrong: A. 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 discharge planning. B. includes excessive detail but
eventually returns to the original point - This describes a different psychiatric or nursing concept and does not correctly answer the item on discharge
planning. 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 discharge planning.
11. A learner preparing for a psychiatric nursing assessment encounters thought blocking. Which explanation is correct?
[Psychiatric Nursing Set 094, Item 011]
A. a sudden interruption in the train of thought
B. enhances GABA activity and can cause sedation, impaired coordination, tolerance, and dependence
C. involves restriction leading to significantly low weight with intense fear of weight gain or persistent behavior interfering with weight gain
D. redirects emotion from the original source to a safer substitute
Correct Answer: A. a sudden interruption in the train of thought
Rationale: A sudden interruption in the train of thought directly matches the psychiatric mental health nursing concept being tested for thought
blocking.
Why the other choices are wrong: B. 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 thought blocking. C. involves restriction leading to
significantly low weight with intense fear of weight gain or persistent behavior interfering with weight gain - This describes a different psychiatric or nursing
concept and does not correctly answer the item on thought blocking. D. redirects emotion from the original source to a safer substitute - This describes a
different psychiatric or nursing concept and does not correctly answer the item on thought blocking.
12. Which response best represents the clinical meaning or priority of positive symptoms of schizophrenia? [Psychiatric
Nursing Set 094, Item 012]
A. include hallucinations, delusions, and disorganized speech or behavior
Psychiatric Mental Health Nursing Practice Set 094 | Page 4
