Psychiatric Mental Health Nursing
NCLEX Review Questions Set 1/ Latest
Update
As a nurse, you wish to reinforce functional behavior in your schizophrenic patient.
Which intervention will accomplish reinforcement?
A. Praise the patient for reality-based perceptions and cessation of acting-out
behaviors.
B. Educate the patient about the symptoms of schizophrenia.
C. Facilitate learning about the importance of medication compliance using written
materials for reinforcing medication use.
D. Focus on the feelings of delusion to reinforce reality and decrease false beliefs by
talking to the patient. - CORRECT ANSWERS -A. Praise the patient for reality-based
perceptions and cessation of acting-out behaviors.
Reason: Reinforcement by praise increases functional behavior.
Your patient is preoccupied with perfection and control, has difficulty relaxing, exhibits
rule-conscious behavior, and cannot discard anything. What type of personality disorder
does this behavior reflect?
A. Antisocial personality.
B. Obsessive-compulsive personality.
C. Manic behavior.
D. Anxiety disorder. - CORRECT ANSWERS -B. Obsessive-compulsive personality.
Reason: Obsessive-compulsive disorder is a personality disorder that includes
perfection, control, procrastination, excessive devotion to work, difficulty relaxing, rule-
conscious behavior, and inability to discard anything.
Which of the following questions is appropriate to assess for disturbances in a patient's
relationships?
A. What are your main worries?
B. Have you ever used alcohol or illegal drugs?
C. How has your appetite been in the past month?
D. What do you talk about with friends? - CORRECT ANSWERS -D. What do you talk
about with friends?
Reason: Asking what the patient talks about with family or friends and what types of
activities he or she engages in can help assess relationships.
Which type of therapy helps patients with personality disorders explore ways to enjoy
themselves and increase their socialization skills?
A. Occupational therapy.
, B. Recreational therapy.
C. Music therapy.
D. Medication therapy. - CORRECT ANSWERS -B. Recreational therapy.
Reason: Recreational therapy helps patients explore ways to enjoy themselves without
using alcohol or drugs and strengthens social skills.
Which of the following symptoms of alcohol detoxification would you be most concerned
about?
A. Vitamin and mineral depletion.
B. Diaphoresis.
C. Increased heart rate.
D. Hallucinations and delusions. - CORRECT ANSWERS -D. Hallucinations and
delusions.
Reason: Hallucinations and delusions can result in problems with safety and possibly
lead to suicide.
A 48-year-old Hispanic woman is seen by a psychiatric clinical nurse specialist after
receiving a call by her son. According to the son, since his father's death 7 months ago,
his mother has lost 30 pounds and can't sleep. During her initial visit, the patient states,
'My husband talks to me in his visits, but his words make no sense to me. I don't
understand what he wants me to do.' What is an appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - CORRECT ANSWERS -D. Grieving.
Reason: Grieving may be characterized by weight loss, sleep disturbances, and
messages from beyond.
Your neighbor's husband comes to talk to you. He says his wife has not left the house in
2 weeks, has a flat mood, and has lost interest in her usual activities. You recognize
these as the primary symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - CORRECT ANSWERS -A. Depression.
Reason: Depressed mood and anhedonia (loss of interest or pleasure in activities) are
the primary symptoms of major depression.
Your patient is ready for discharge after a 30-day hospitalization for manic depression.
About 30 minutes before his discharge, his roommate comes to you and says, 'He is
talking crazy.' When you ask your patient how he is feeling, he states, 'I feel like
Superman. I can do anything. I can fly home today and then become a U.S. Senator.'
Which type of mania-related symptoms is this patient exhibiting?
NCLEX Review Questions Set 1/ Latest
Update
As a nurse, you wish to reinforce functional behavior in your schizophrenic patient.
Which intervention will accomplish reinforcement?
A. Praise the patient for reality-based perceptions and cessation of acting-out
behaviors.
B. Educate the patient about the symptoms of schizophrenia.
C. Facilitate learning about the importance of medication compliance using written
materials for reinforcing medication use.
D. Focus on the feelings of delusion to reinforce reality and decrease false beliefs by
talking to the patient. - CORRECT ANSWERS -A. Praise the patient for reality-based
perceptions and cessation of acting-out behaviors.
Reason: Reinforcement by praise increases functional behavior.
Your patient is preoccupied with perfection and control, has difficulty relaxing, exhibits
rule-conscious behavior, and cannot discard anything. What type of personality disorder
does this behavior reflect?
A. Antisocial personality.
B. Obsessive-compulsive personality.
C. Manic behavior.
D. Anxiety disorder. - CORRECT ANSWERS -B. Obsessive-compulsive personality.
Reason: Obsessive-compulsive disorder is a personality disorder that includes
perfection, control, procrastination, excessive devotion to work, difficulty relaxing, rule-
conscious behavior, and inability to discard anything.
Which of the following questions is appropriate to assess for disturbances in a patient's
relationships?
A. What are your main worries?
B. Have you ever used alcohol or illegal drugs?
C. How has your appetite been in the past month?
D. What do you talk about with friends? - CORRECT ANSWERS -D. What do you talk
about with friends?
Reason: Asking what the patient talks about with family or friends and what types of
activities he or she engages in can help assess relationships.
Which type of therapy helps patients with personality disorders explore ways to enjoy
themselves and increase their socialization skills?
A. Occupational therapy.
, B. Recreational therapy.
C. Music therapy.
D. Medication therapy. - CORRECT ANSWERS -B. Recreational therapy.
Reason: Recreational therapy helps patients explore ways to enjoy themselves without
using alcohol or drugs and strengthens social skills.
Which of the following symptoms of alcohol detoxification would you be most concerned
about?
A. Vitamin and mineral depletion.
B. Diaphoresis.
C. Increased heart rate.
D. Hallucinations and delusions. - CORRECT ANSWERS -D. Hallucinations and
delusions.
Reason: Hallucinations and delusions can result in problems with safety and possibly
lead to suicide.
A 48-year-old Hispanic woman is seen by a psychiatric clinical nurse specialist after
receiving a call by her son. According to the son, since his father's death 7 months ago,
his mother has lost 30 pounds and can't sleep. During her initial visit, the patient states,
'My husband talks to me in his visits, but his words make no sense to me. I don't
understand what he wants me to do.' What is an appropriate nursing diagnosis?
A. Ineffective denial.
B. Bipolar mood disorder.
C. Hyper-religiosity.
D. Grieving. - CORRECT ANSWERS -D. Grieving.
Reason: Grieving may be characterized by weight loss, sleep disturbances, and
messages from beyond.
Your neighbor's husband comes to talk to you. He says his wife has not left the house in
2 weeks, has a flat mood, and has lost interest in her usual activities. You recognize
these as the primary symptoms of
A. Depression.
B. Schizophrenia.
C. Suicidal ideation.
D. Bipolar manic episodes. - CORRECT ANSWERS -A. Depression.
Reason: Depressed mood and anhedonia (loss of interest or pleasure in activities) are
the primary symptoms of major depression.
Your patient is ready for discharge after a 30-day hospitalization for manic depression.
About 30 minutes before his discharge, his roommate comes to you and says, 'He is
talking crazy.' When you ask your patient how he is feeling, he states, 'I feel like
Superman. I can do anything. I can fly home today and then become a U.S. Senator.'
Which type of mania-related symptoms is this patient exhibiting?
