Psychiatric Mental Health Nursing Practice Assessment | Verified
Answers, Detailed Rationales & Comprehensive Review
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 teal. 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 095 | Page 1
,1. Which response best represents the clinical meaning or priority of violence risk assessment? [Psychiatric Nursing Set
095, Item 001]
A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior
B. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
C. is an abrupt surge of intense fear or discomfort with prominent physical and cognitive symptoms
D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Correct Answer: D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Rationale: Considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors directly matches the
psychiatric mental health nursing concept being tested for violence risk assessment.
Why the other choices are wrong: A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior -
This describes a different psychiatric or nursing concept and does not correctly answer the item on violence risk assessment. B. resembles mania but is
less severe and does not cause marked impairment or require hospitalization by itself - This describes a different psychiatric or nursing concept and does
not correctly answer the item on violence risk assessment. C. 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 violence risk assessment.
2. In a mental health nursing knowledge check about tardive dyskinesia, which option is most accurate? [Psychiatric Nursing
Set 095, Item 002]
A. uses the minimum restriction necessary to maintain safety and therapeutic goals
B. is marked fear or anxiety related to a particular object or situation
C. a distinct period of abnormally elevated, expansive, or irritable mood with increased energy and marked functional change
D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Correct Answer: D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Rationale: Involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade directly matches the
psychiatric mental health nursing concept being tested for tardive dyskinesia.
Why the other choices are wrong: A. uses the minimum restriction necessary to maintain safety and therapeutic goals - This describes a different
psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia. B. is marked fear or anxiety related to a particular object or
situation - This describes a different psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia. C. a distinct period of
abnormally elevated, expansive, or irritable mood with increased energy and marked functional change - This describes a different psychiatric or nursing
concept and does not correctly answer the item on tardive dyskinesia.
3. Which description of Alzheimer disease is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 095,
Item 003]
A. is a common progressive neurodegenerative cause of major neurocognitive disorder
B. is an antidepressant class that increases serotonergic and noradrenergic signaling
C. involves hypomanic episodes and major depressive episodes without a history of mania
D. coordinates nursing, medical, psychological, social, and community services around patient needs
Correct Answer: A. is a common progressive neurodegenerative cause of major neurocognitive disorder
Rationale: Is a common progressive neurodegenerative cause of major neurocognitive disorder directly matches the psychiatric mental health
nursing concept being tested for Alzheimer disease.
Why the other choices are wrong: B. 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 Alzheimer disease. C. involves hypomanic episodes and major depressive
episodes without a history of mania - This describes a different psychiatric or nursing concept and does not correctly answer the item on Alzheimer
disease. D. 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 Alzheimer disease.
4. For a psychiatric mental health nursing practice question on sleep hygiene, which answer reflects the correct principle?
[Psychiatric Nursing Set 095, Item 004]
A. classically causes respiratory depression, decreased consciousness, and miosis
B. is an older antidepressant class with anticholinergic, cardiac, and overdose safety concerns
C. uses behavioral and environmental practices that support healthy sleep
D. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
Correct Answer: C. uses behavioral and environmental practices that support healthy sleep
Rationale: Uses behavioral and environmental practices that support healthy sleep directly matches the psychiatric mental health nursing concept
being tested for sleep hygiene.
Psychiatric Mental Health Nursing Practice Set 095 | Page 2
, Why the other choices are wrong: A. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different
psychiatric or nursing concept and does not correctly answer the item on sleep hygiene. B. is an older antidepressant class with anticholinergic, cardiac,
and overdose safety concerns - This describes a different psychiatric or nursing concept and does not correctly answer the item on sleep hygiene. D.
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 sleep hygiene.
5. In a psychiatric mental health nursing review, which statement best explains auditory hallucination? [Psychiatric Nursing
Set 095, Item 005]
A. is an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks
B. is a distressing sense of inner restlessness with an urge to move
C. is an older antidepressant class with anticholinergic, cardiac, and overdose safety concerns
D. a perception of sound or voices without an external auditory stimulus
Correct Answer: D. a perception of sound or voices without an external auditory stimulus
Rationale: A perception of sound or voices without an external auditory stimulus directly matches the psychiatric mental health nursing concept
being tested for auditory hallucination.
Why the other choices are wrong: A. is an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks - This describes a
different psychiatric or nursing concept and does not correctly answer the item on auditory hallucination. B. 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 auditory hallucination. C. is an
older antidepressant class with anticholinergic, cardiac, and overdose safety concerns - This describes a different psychiatric or nursing concept and does
not correctly answer the item on auditory hallucination.
6. A psychiatric nurse is reviewing obsessive-compulsive disorder. Which response is most accurate? [Psychiatric Nursing
Set 095, Item 006]
A. can include rigidity, tremor, bradykinesia, and masked facial expression
B. involves obsessions, compulsions, or both that are time-consuming or impairing
C. is an opioid antagonist used to reverse opioid-induced respiratory depression
D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Correct Answer: B. involves obsessions, compulsions, or both that are time-consuming or impairing
Rationale: Involves obsessions, compulsions, or both that are time-consuming or impairing directly matches the psychiatric mental health nursing
concept being tested for obsessive-compulsive disorder.
Why the other choices are wrong: A. can include rigidity, tremor, bradykinesia, and masked facial expression - This describes a different psychiatric or
nursing concept and does not correctly answer the item on obsessive-compulsive disorder. C. 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 obsessive-compulsive
disorder. D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors - This describes a different
psychiatric or nursing concept and does not correctly answer the item on obsessive-compulsive disorder.
7. Which option best reflects safe mental health nursing care related to ECT nursing care? [Psychiatric Nursing Set 095, Item
007]
A. examines relationships among thoughts, feelings, and behaviors and develops more adaptive patterns
B. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
C. can progress from tremor and autonomic symptoms to seizures or delirium tremens
D. describes persistent severe grief-related impairment requiring further clinical assessment
Correct Answer: B. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and
cognitive assessment
Rationale: Includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment directly
matches the psychiatric mental health nursing concept being tested for ECT nursing care.
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 ECT nursing care. C. 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
ECT nursing care. D. describes persistent severe grief-related impairment requiring further clinical assessment - This describes a different psychiatric or
nursing concept and does not correctly answer the item on ECT nursing care.
8. During a psychiatric nursing scenario involving sublimation, which answer should the nurse select? [Psychiatric Nursing
Set 095, Item 008]
A. evaluates behavior, intent, triggers, medical severity, and current safety needs
B. channels unacceptable impulses into socially acceptable activities
C. describes how ideas are organized and connected
Psychiatric Mental Health Nursing Practice Set 095 | Page 3
, D. encourage patients to describe experiences, feelings, and concerns in their own words
Correct Answer: B. channels unacceptable impulses into socially acceptable activities
Rationale: Channels unacceptable impulses into socially acceptable activities directly matches the psychiatric mental health nursing concept being
tested for sublimation.
Why the other choices are wrong: A. 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 sublimation. C. describes how ideas are organized and connected - This
describes a different psychiatric or nursing concept and does not correctly answer the item on sublimation. D. 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
sublimation.
9. Which statement about empathy best supports therapeutic patient-centered nursing care? [Psychiatric Nursing Set 095,
Item 009]
A. communicates understanding of another person's experience without claiming to feel exactly the same way
B. classically causes respiratory depression, decreased consciousness, and miosis
C. is a problematic pattern of substance use causing clinically significant impairment or distress
D. awareness and understanding of one's condition or situation
Correct Answer: A. communicates understanding of another person's experience without claiming to feel exactly the same way
Rationale: Communicates understanding of another person's experience without claiming to feel exactly the same way directly matches the
psychiatric mental health nursing concept being tested for empathy.
Why the other choices are wrong: B. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different
psychiatric or nursing concept and does not correctly answer the item on empathy. 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 empathy. D.
awareness and understanding of one's condition or situation - This describes a different psychiatric or nursing concept and does not correctly answer the
item on empathy.
10. A learner preparing for a psychiatric nursing assessment encounters de-escalation. Which explanation is correct?
[Psychiatric Nursing Set 095, Item 010]
A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior
B. coordinates nursing, medical, psychological, social, and community services around patient needs
C. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
D. is a sudden sustained muscle contraction that can occur after dopamine-blocking medication exposure
Correct Answer: A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating
behavior
Rationale: Uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior directly matches the
psychiatric mental health nursing concept being tested for de-escalation.
Why the other choices are wrong: B. 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 de-escalation. C. 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
de-escalation. D. 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 de-escalation.
11. Which response best represents the clinical meaning or priority of neuroleptic malignant syndrome? [Psychiatric Nursing
Set 095, Item 011]
A. classically causes respiratory depression, decreased consciousness, and miosis
B. a sensory perception occurring without an external stimulus
C. is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status
D. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
Correct Answer: C. is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status
Rationale: Is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status directly matches the
psychiatric mental health nursing concept being tested for neuroleptic malignant syndrome.
Why the other choices are wrong: A. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different
psychiatric or nursing concept and does not correctly answer the item on neuroleptic malignant syndrome. B. a sensory perception occurring without an
external stimulus - This describes a different psychiatric or nursing concept and does not correctly answer the item on neuroleptic malignant syndrome. 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 neuroleptic malignant syndrome.
12. In a mental health nursing knowledge check about sundowning, which option is most accurate? [Psychiatric Nursing Set
095, Item 012]
Psychiatric Mental Health Nursing Practice Set 095 | Page 4
Answers, Detailed Rationales & Comprehensive Review
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 teal. 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 095 | Page 1
,1. Which response best represents the clinical meaning or priority of violence risk assessment? [Psychiatric Nursing Set
095, Item 001]
A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior
B. resembles mania but is less severe and does not cause marked impairment or require hospitalization by itself
C. is an abrupt surge of intense fear or discomfort with prominent physical and cognitive symptoms
D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Correct Answer: D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Rationale: Considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors directly matches the
psychiatric mental health nursing concept being tested for violence risk assessment.
Why the other choices are wrong: A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior -
This describes a different psychiatric or nursing concept and does not correctly answer the item on violence risk assessment. B. resembles mania but is
less severe and does not cause marked impairment or require hospitalization by itself - This describes a different psychiatric or nursing concept and does
not correctly answer the item on violence risk assessment. C. 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 violence risk assessment.
2. In a mental health nursing knowledge check about tardive dyskinesia, which option is most accurate? [Psychiatric Nursing
Set 095, Item 002]
A. uses the minimum restriction necessary to maintain safety and therapeutic goals
B. is marked fear or anxiety related to a particular object or situation
C. a distinct period of abnormally elevated, expansive, or irritable mood with increased energy and marked functional change
D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Correct Answer: D. involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade
Rationale: Involves potentially persistent involuntary movements associated with long-term dopamine receptor blockade directly matches the
psychiatric mental health nursing concept being tested for tardive dyskinesia.
Why the other choices are wrong: A. uses the minimum restriction necessary to maintain safety and therapeutic goals - This describes a different
psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia. B. is marked fear or anxiety related to a particular object or
situation - This describes a different psychiatric or nursing concept and does not correctly answer the item on tardive dyskinesia. C. a distinct period of
abnormally elevated, expansive, or irritable mood with increased energy and marked functional change - This describes a different psychiatric or nursing
concept and does not correctly answer the item on tardive dyskinesia.
3. Which description of Alzheimer disease is most appropriate in psychiatric nursing practice? [Psychiatric Nursing Set 095,
Item 003]
A. is a common progressive neurodegenerative cause of major neurocognitive disorder
B. is an antidepressant class that increases serotonergic and noradrenergic signaling
C. involves hypomanic episodes and major depressive episodes without a history of mania
D. coordinates nursing, medical, psychological, social, and community services around patient needs
Correct Answer: A. is a common progressive neurodegenerative cause of major neurocognitive disorder
Rationale: Is a common progressive neurodegenerative cause of major neurocognitive disorder directly matches the psychiatric mental health
nursing concept being tested for Alzheimer disease.
Why the other choices are wrong: B. 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 Alzheimer disease. C. involves hypomanic episodes and major depressive
episodes without a history of mania - This describes a different psychiatric or nursing concept and does not correctly answer the item on Alzheimer
disease. D. 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 Alzheimer disease.
4. For a psychiatric mental health nursing practice question on sleep hygiene, which answer reflects the correct principle?
[Psychiatric Nursing Set 095, Item 004]
A. classically causes respiratory depression, decreased consciousness, and miosis
B. is an older antidepressant class with anticholinergic, cardiac, and overdose safety concerns
C. uses behavioral and environmental practices that support healthy sleep
D. involves recurrent binge eating with compensatory behaviors and undue influence of body shape or weight on self-evaluation
Correct Answer: C. uses behavioral and environmental practices that support healthy sleep
Rationale: Uses behavioral and environmental practices that support healthy sleep directly matches the psychiatric mental health nursing concept
being tested for sleep hygiene.
Psychiatric Mental Health Nursing Practice Set 095 | Page 2
, Why the other choices are wrong: A. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different
psychiatric or nursing concept and does not correctly answer the item on sleep hygiene. B. is an older antidepressant class with anticholinergic, cardiac,
and overdose safety concerns - This describes a different psychiatric or nursing concept and does not correctly answer the item on sleep hygiene. D.
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 sleep hygiene.
5. In a psychiatric mental health nursing review, which statement best explains auditory hallucination? [Psychiatric Nursing
Set 095, Item 005]
A. is an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks
B. is a distressing sense of inner restlessness with an urge to move
C. is an older antidepressant class with anticholinergic, cardiac, and overdose safety concerns
D. a perception of sound or voices without an external auditory stimulus
Correct Answer: D. a perception of sound or voices without an external auditory stimulus
Rationale: A perception of sound or voices without an external auditory stimulus directly matches the psychiatric mental health nursing concept
being tested for auditory hallucination.
Why the other choices are wrong: A. is an antipsychotic requiring specific safety monitoring because of serious adverse-effect risks - This describes a
different psychiatric or nursing concept and does not correctly answer the item on auditory hallucination. B. 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 auditory hallucination. C. is an
older antidepressant class with anticholinergic, cardiac, and overdose safety concerns - This describes a different psychiatric or nursing concept and does
not correctly answer the item on auditory hallucination.
6. A psychiatric nurse is reviewing obsessive-compulsive disorder. Which response is most accurate? [Psychiatric Nursing
Set 095, Item 006]
A. can include rigidity, tremor, bradykinesia, and masked facial expression
B. involves obsessions, compulsions, or both that are time-consuming or impairing
C. is an opioid antagonist used to reverse opioid-induced respiratory depression
D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors
Correct Answer: B. involves obsessions, compulsions, or both that are time-consuming or impairing
Rationale: Involves obsessions, compulsions, or both that are time-consuming or impairing directly matches the psychiatric mental health nursing
concept being tested for obsessive-compulsive disorder.
Why the other choices are wrong: A. can include rigidity, tremor, bradykinesia, and masked facial expression - This describes a different psychiatric or
nursing concept and does not correctly answer the item on obsessive-compulsive disorder. C. 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 obsessive-compulsive
disorder. D. considers threats, intent, access to weapons, history, agitation, substance use, and other relevant factors - This describes a different
psychiatric or nursing concept and does not correctly answer the item on obsessive-compulsive disorder.
7. Which option best reflects safe mental health nursing care related to ECT nursing care? [Psychiatric Nursing Set 095, Item
007]
A. examines relationships among thoughts, feelings, and behaviors and develops more adaptive patterns
B. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment
C. can progress from tremor and autonomic symptoms to seizures or delirium tremens
D. describes persistent severe grief-related impairment requiring further clinical assessment
Correct Answer: B. includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and
cognitive assessment
Rationale: Includes informed consent processes, preprocedure preparation, airway and recovery monitoring, and cognitive assessment directly
matches the psychiatric mental health nursing concept being tested for ECT nursing care.
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 ECT nursing care. C. 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
ECT nursing care. D. describes persistent severe grief-related impairment requiring further clinical assessment - This describes a different psychiatric or
nursing concept and does not correctly answer the item on ECT nursing care.
8. During a psychiatric nursing scenario involving sublimation, which answer should the nurse select? [Psychiatric Nursing
Set 095, Item 008]
A. evaluates behavior, intent, triggers, medical severity, and current safety needs
B. channels unacceptable impulses into socially acceptable activities
C. describes how ideas are organized and connected
Psychiatric Mental Health Nursing Practice Set 095 | Page 3
, D. encourage patients to describe experiences, feelings, and concerns in their own words
Correct Answer: B. channels unacceptable impulses into socially acceptable activities
Rationale: Channels unacceptable impulses into socially acceptable activities directly matches the psychiatric mental health nursing concept being
tested for sublimation.
Why the other choices are wrong: A. 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 sublimation. C. describes how ideas are organized and connected - This
describes a different psychiatric or nursing concept and does not correctly answer the item on sublimation. D. 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
sublimation.
9. Which statement about empathy best supports therapeutic patient-centered nursing care? [Psychiatric Nursing Set 095,
Item 009]
A. communicates understanding of another person's experience without claiming to feel exactly the same way
B. classically causes respiratory depression, decreased consciousness, and miosis
C. is a problematic pattern of substance use causing clinically significant impairment or distress
D. awareness and understanding of one's condition or situation
Correct Answer: A. communicates understanding of another person's experience without claiming to feel exactly the same way
Rationale: Communicates understanding of another person's experience without claiming to feel exactly the same way directly matches the
psychiatric mental health nursing concept being tested for empathy.
Why the other choices are wrong: B. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different
psychiatric or nursing concept and does not correctly answer the item on empathy. 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 empathy. D.
awareness and understanding of one's condition or situation - This describes a different psychiatric or nursing concept and does not correctly answer the
item on empathy.
10. A learner preparing for a psychiatric nursing assessment encounters de-escalation. Which explanation is correct?
[Psychiatric Nursing Set 095, Item 010]
A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior
B. coordinates nursing, medical, psychological, social, and community services around patient needs
C. identifies warning signs, triggers, coping strategies, supports, and treatment follow-up
D. is a sudden sustained muscle contraction that can occur after dopamine-blocking medication exposure
Correct Answer: A. uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating
behavior
Rationale: Uses calm communication, personal space, clear choices, and reduced stimulation to lower escalating behavior directly matches the
psychiatric mental health nursing concept being tested for de-escalation.
Why the other choices are wrong: B. 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 de-escalation. C. 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
de-escalation. D. 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 de-escalation.
11. Which response best represents the clinical meaning or priority of neuroleptic malignant syndrome? [Psychiatric Nursing
Set 095, Item 011]
A. classically causes respiratory depression, decreased consciousness, and miosis
B. a sensory perception occurring without an external stimulus
C. is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status
D. is a psychotic disorder involving disturbances in thought, perception, behavior, and functioning
Correct Answer: C. is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status
Rationale: Is a life-threatening reaction involving severe rigidity, fever, autonomic instability, and altered mental status directly matches the
psychiatric mental health nursing concept being tested for neuroleptic malignant syndrome.
Why the other choices are wrong: A. classically causes respiratory depression, decreased consciousness, and miosis - This describes a different
psychiatric or nursing concept and does not correctly answer the item on neuroleptic malignant syndrome. B. a sensory perception occurring without an
external stimulus - This describes a different psychiatric or nursing concept and does not correctly answer the item on neuroleptic malignant syndrome. 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 neuroleptic malignant syndrome.
12. In a mental health nursing knowledge check about sundowning, which option is most accurate? [Psychiatric Nursing Set
095, Item 012]
Psychiatric Mental Health Nursing Practice Set 095 | Page 4
