Psychiatric Mental Health Nursing
Advantages for Essentials of Psychiatric Mental Health
Nursing: Concepts of Care in Evidence-Based Practice,
9th Edition | Newest Update 2025/2026
_____________________________________________________________________________________
A nurse is administering a monoamine oxidase inhibitor (MAOI) to a client with depression. Prior to
administration of the medication, which will the nurse include when providing information? Select all
that apply.
A. If foods with tyramine are ingested, a hypertensive crisis may occur.
B. There may be interactions when taking other MAOIs and antidepressants.
C. There is a reduction in suicidal thoughts in clients with depression.
D. There is a risk for experiencing decreased libido and impotence.
E. Contact the health care provider prior to taking any over-the-counter medications.
A If foods with tyramine are ingested, a hypertensive crisis may occur.
B There may be interactions when taking other MAOIs and antidepressants.
D. There is a risk for experiencing decreased libido and impotence
E. Contact the health care provider prior to taking any over-the-counter medications.
A nurse is recording subjective information from the family of a client with aggressive behaviors
brought to the ED via ambulance. Family member states the client does not adhere to the prescribed
medication regimen. Which statement by the family determines the family member's understanding
of the client's illness?
A. "We know the intention was not to take medications, as it was relayed medication was no longer
needed."
B. "Because of mental illness, my sibling cannot think clearly or understand the need for meds."
C. "This situation occurs because of thoughts that no one cares and to get attention."
D. "This 'mental illness' is used as an excuse to get away with aggressive behavior for years."
B. "Because of mental illness, my sibling cannot think clearly or understand the need for meds."
The nurse is assessing a client weaning from a selective serotonin reuptake inhibitor (SSRI) to a
monoamine oxidase inhibitor (MAOI) with a heart rate of 104, profuse diaphoresis, temperature
102°F (38.9°C), BP 98/58 mm Hg, and hyperreflexia. Which condition will the nurse educate the client
regarding after stabilization of the current acute phase?
A. Tardive dyskinesia
B. Allergic reaction to the MAOI
,C. Malignant hyperthermia
D. Serotonin syndrome
D. Serotonin syndrome
The nurse is assisting a client being treated with phenelzine to choose from a menu for lunch. Which
lunch choice will the nurse educate the client to avoid to prevent the potential for complications?
A. Baked chicken, mashed potatoes, and green peas
B. Lasagna, tossed salad with blue cheese dressing, and garlic bread
C. Pork chop with barbecue sauce, baked sweet potato with butter and cinnamon
D. Hamburger on a bun, French fries, and green beans
B Lasagna, tossed salad with blue cheese dressing, and garlic bread
The nurse is educating a client with anxiety that is prescribed alprazolam by the health care provider.
Which statement made by the client indicates that further education is required? Select all that apply.
A. “Taking this medication will alleviate the problems associated with the anxiety.”
B. “I can still have one or two alcoholic beverages while I am taking this medication.”
C. “When I am feeling better in a few months, I can stop taking this medication.”
D. “I may have slower response time while driving or operating heavy machinery.”
E. “Withdrawing from this medication requires a health care provider’s supervision.”
A. “Taking this medication will alleviate the problems associated with the anxiety.”
B. “I can still have one or two alcoholic beverages while I am taking this medication.”
C. “When I am feeling better in a few months, I can stop taking this medication.”
A client has just been told they have cervical cancer. When asked about how this is impacting them,
they state, "It's just an infection; it will clear up." Which does this statement by the client indicate to
the nurse?
A. There is a need for education on cervical cancer.
B. The client is unable to express their true emotions.
C. The client should be immediately referred to a cancer support group.
D. The client is using denial to protect themself from an emotionally painful
D. The client is using denial to protect themself from an emotionally painful
An adolescent client defies the nurse's repeated requests to turn off the video game and go to sleep.
The client says angrily, "You sound just like my parents!" and continues to play the video game. Which
does the nurse identify this statement indicates?
A. The need for stricter discipline at home
B. Early signs of oppositional defiant disorder
, C. The presence of transference
D. Expression of developing autonomy
C. The presence of transference
The nurse is counseling a client with alcoholism who has been abusive to their children. The nurse
experienced a similar situation in childhood and states to the client, "How can you mistreat a child?"
Which is the best way for the nurse to deal with the countertransference displayed? Select all that
apply.
A. Request that another nurse take over the counseling session with the client.
B. Discuss with the client the issues surrounding the response made.
C. The nurse should examine feelings and responses prior to counseling.
D. Talking about feelings and emotions with a trusted colleague.
E. Consider a transfer to a unit that does not require counseling of clients.
A. Request that another nurse take over the counseling session with the client.
C. The nurse should examine feelings and responses prior to counseling.
D. Talking about feelings and emotions with a trusted colleague.
The nurse has established a therapeutic relationship with a client. Which behaviors identified will
indicate that the client has entered into the identification phase of the nurse-client relationship?
A. The client is answering questions related to the plan of care.
B. The client is sharing feelings and emotions with the nurse.
C. The client is attending all therapy sessions and utilizing the services provided.
D. The client states that they feel the issues have been resolved and no longer need to come.
B. The client is sharing feelings and emotions with the nurse.
A nursing supervisor reprimands an employee for being chronically late for work. If the employee
handles the reprimand using the defense mechanism of displacement, which behavior by the
employee will be observed?
A. Arguing with the supervisor that the employee is usually on time
B. Making a special effort to be on time tomorrow
C. Telling fellow employees that the supervisor is picking on the employee
D. Telling the unit housekeeper that the unit housekeeper's work is sloppy
D. Telling the unit housekeeper that the unit housekeeper's work is sloppy
The nurse is assessing a client who is talking about the client's child's recent death but shows no
emotion of any kind. The client describes the physiologic events that occurred as the son died. The
nurse identifies that the client is using which defense mechanism?
A. Dissociation
B. Displacement
Advantages for Essentials of Psychiatric Mental Health
Nursing: Concepts of Care in Evidence-Based Practice,
9th Edition | Newest Update 2025/2026
_____________________________________________________________________________________
A nurse is administering a monoamine oxidase inhibitor (MAOI) to a client with depression. Prior to
administration of the medication, which will the nurse include when providing information? Select all
that apply.
A. If foods with tyramine are ingested, a hypertensive crisis may occur.
B. There may be interactions when taking other MAOIs and antidepressants.
C. There is a reduction in suicidal thoughts in clients with depression.
D. There is a risk for experiencing decreased libido and impotence.
E. Contact the health care provider prior to taking any over-the-counter medications.
A If foods with tyramine are ingested, a hypertensive crisis may occur.
B There may be interactions when taking other MAOIs and antidepressants.
D. There is a risk for experiencing decreased libido and impotence
E. Contact the health care provider prior to taking any over-the-counter medications.
A nurse is recording subjective information from the family of a client with aggressive behaviors
brought to the ED via ambulance. Family member states the client does not adhere to the prescribed
medication regimen. Which statement by the family determines the family member's understanding
of the client's illness?
A. "We know the intention was not to take medications, as it was relayed medication was no longer
needed."
B. "Because of mental illness, my sibling cannot think clearly or understand the need for meds."
C. "This situation occurs because of thoughts that no one cares and to get attention."
D. "This 'mental illness' is used as an excuse to get away with aggressive behavior for years."
B. "Because of mental illness, my sibling cannot think clearly or understand the need for meds."
The nurse is assessing a client weaning from a selective serotonin reuptake inhibitor (SSRI) to a
monoamine oxidase inhibitor (MAOI) with a heart rate of 104, profuse diaphoresis, temperature
102°F (38.9°C), BP 98/58 mm Hg, and hyperreflexia. Which condition will the nurse educate the client
regarding after stabilization of the current acute phase?
A. Tardive dyskinesia
B. Allergic reaction to the MAOI
,C. Malignant hyperthermia
D. Serotonin syndrome
D. Serotonin syndrome
The nurse is assisting a client being treated with phenelzine to choose from a menu for lunch. Which
lunch choice will the nurse educate the client to avoid to prevent the potential for complications?
A. Baked chicken, mashed potatoes, and green peas
B. Lasagna, tossed salad with blue cheese dressing, and garlic bread
C. Pork chop with barbecue sauce, baked sweet potato with butter and cinnamon
D. Hamburger on a bun, French fries, and green beans
B Lasagna, tossed salad with blue cheese dressing, and garlic bread
The nurse is educating a client with anxiety that is prescribed alprazolam by the health care provider.
Which statement made by the client indicates that further education is required? Select all that apply.
A. “Taking this medication will alleviate the problems associated with the anxiety.”
B. “I can still have one or two alcoholic beverages while I am taking this medication.”
C. “When I am feeling better in a few months, I can stop taking this medication.”
D. “I may have slower response time while driving or operating heavy machinery.”
E. “Withdrawing from this medication requires a health care provider’s supervision.”
A. “Taking this medication will alleviate the problems associated with the anxiety.”
B. “I can still have one or two alcoholic beverages while I am taking this medication.”
C. “When I am feeling better in a few months, I can stop taking this medication.”
A client has just been told they have cervical cancer. When asked about how this is impacting them,
they state, "It's just an infection; it will clear up." Which does this statement by the client indicate to
the nurse?
A. There is a need for education on cervical cancer.
B. The client is unable to express their true emotions.
C. The client should be immediately referred to a cancer support group.
D. The client is using denial to protect themself from an emotionally painful
D. The client is using denial to protect themself from an emotionally painful
An adolescent client defies the nurse's repeated requests to turn off the video game and go to sleep.
The client says angrily, "You sound just like my parents!" and continues to play the video game. Which
does the nurse identify this statement indicates?
A. The need for stricter discipline at home
B. Early signs of oppositional defiant disorder
, C. The presence of transference
D. Expression of developing autonomy
C. The presence of transference
The nurse is counseling a client with alcoholism who has been abusive to their children. The nurse
experienced a similar situation in childhood and states to the client, "How can you mistreat a child?"
Which is the best way for the nurse to deal with the countertransference displayed? Select all that
apply.
A. Request that another nurse take over the counseling session with the client.
B. Discuss with the client the issues surrounding the response made.
C. The nurse should examine feelings and responses prior to counseling.
D. Talking about feelings and emotions with a trusted colleague.
E. Consider a transfer to a unit that does not require counseling of clients.
A. Request that another nurse take over the counseling session with the client.
C. The nurse should examine feelings and responses prior to counseling.
D. Talking about feelings and emotions with a trusted colleague.
The nurse has established a therapeutic relationship with a client. Which behaviors identified will
indicate that the client has entered into the identification phase of the nurse-client relationship?
A. The client is answering questions related to the plan of care.
B. The client is sharing feelings and emotions with the nurse.
C. The client is attending all therapy sessions and utilizing the services provided.
D. The client states that they feel the issues have been resolved and no longer need to come.
B. The client is sharing feelings and emotions with the nurse.
A nursing supervisor reprimands an employee for being chronically late for work. If the employee
handles the reprimand using the defense mechanism of displacement, which behavior by the
employee will be observed?
A. Arguing with the supervisor that the employee is usually on time
B. Making a special effort to be on time tomorrow
C. Telling fellow employees that the supervisor is picking on the employee
D. Telling the unit housekeeper that the unit housekeeper's work is sloppy
D. Telling the unit housekeeper that the unit housekeeper's work is sloppy
The nurse is assessing a client who is talking about the client's child's recent death but shows no
emotion of any kind. The client describes the physiologic events that occurred as the son died. The
nurse identifies that the client is using which defense mechanism?
A. Dissociation
B. Displacement
