NR605 Psychiatric Mental Health Final
Actual Exam
NR605 Psychiatric-Mental Health
Practicum Final Actual Exam Test Bank
With Complete
Questions And Correct Answers with
Rationales|Already Graded A+|
1. When she appeared for lunch in the dining room following admission, she was embarrassed when
several of the other clients laughed out loud and call her "fatso." What would be an empathetic response
by the nurse?
A. "I can certainly identify with what you are feeling. I've been overweight most of my life, too."
B. "I just get so angry when people act like that. They are so insensitive!"
C. "You feel angry and embarrassed by what happened at lunch today."
D. "It's just so typical of skinny people to act that way. You have a right to want to stay away from
them." -
Correct Answer :C. "You feel angry and embarrassed by what happened at lunch today."
A. Shows sympathy
B & D - agreeing
2. Which of the following statements is true of empathy? Select all that apply.
1) It is the ability to place oneself into the experience of another for a moment in time.
2) It involves interjecting the nurse's personal experiences and interpretations of the situation.
3) It is developed by gathering information from the client.
4) It results in negative therapeutic outcomes.
, NR605 Psychiatric Mental Health Final
Actual Exam
5) The client must learn to develop empathy for the nurse.
A. 1 & 3 only
B. 2, 3 & 4 only
C. 1 only
D. 5 only - Correct Answer :A. 1 & 3 only
3. Periwinkle expresses frustration that the doctor does not spend enough time with her when making
rounds which made her think that it might be because she is fat. The nurse replies, "The doctors are very
busy. What can I help you with?" The nurse incorporated which nontherapeutic technique in this
response?
A. Belittling
B. Defending
C. Disagreeing
D. Offering one's self - Correct Answer :B. Defending
34. The nurse is sitting with Periwinkle who is crying. After a few minutes the nurse places one hand
on
the patient's shoulder. This is considered which type of touch?
A. Social-polite
B. Functional-professional
C. Friendship-warmth
D. Love-intimacy - Correct Answer :B. Functional-professional
5. The nurse asks Periwinkle, "What was it like for you when you first knew you had no place to go?"
Periwinkle looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
A. Change the subject to something the patient will discuss
B. Encourage the patient to express any unpleasant feelings
, NR605 Psychiatric Mental Health Final
Actual Exam
C. Apologize for asking such a personal question
D. Sit quietly until the patient responds - Correct Answer :D. Sit quietly until the patient responds
SITUATION 8. The purpose of the psychosocial assessment is to construct a picture of the client's current
emotional state, mental capacity, and behavioral function. This assessment serves as the basis for
developing a plan of care to meet the client's needs.
6. The nurse is preparing herself for assessment of a psychiatric client. Which of the following factors
influencing assessment is under the nurse's control? A. Client participation and feedback B. Client's
health status
C. Nurse's attitude and approach
D. Client's ability to understand - Correct Answer :C. Nurse's attitude and approach
7. During the assessment, the nurse asks the client to describe his problems. The purpose of this
question is to obtain information about the client's: A. admitting diagnosis.
B. communication skills.
C. perception of the problem.
D. personal needs. - Correct Answer :C. perception of the problem.
38. The psychotic patient tells the nurse that she is the "queen of the universe" and that everyone
should "do her bidding." A delusion represents a problem in which of the following areas? A. Memory
B. Motivation
C. Orientation
D. Thinking - Correct Answer :D. Thinking
9. The client tells the nurse "I never do anything right. I make a mess of everything. Ask anyone; they'll
tell you the same thing." The nurse recognizes these statements as examples of: A. emotional issues.
B. negative thinking
, NR605 Psychiatric Mental Health Final
Actual Exam
C. poor problem-solving.
D. relationship difficulties. - Correct Answer :B. negative thinking
10. Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for
nurses to deal with this discomfort includes
A. recognizing that these areas may also be uncomfortable for the patient to discuss.
B. share feelings of discomfort with the patient.
C. defer assessing these areas to a more experienced nurse.
D. develop a standard question to ask of all patients during this area of assessment - Correct Answer
:A.
recognizing that these areas may also be uncomfortable for the patient to discuss.
SITUATION 9. Mauve is a 54-year-old man struggling with the recent unexpected death of his wife in an
automobile accident. He has two grown children, aged 28 and 26, who have families of their own and
live in another state.
11. Mauve is seeking short-term counseling to assist in grieving this loss. Which type of loss best describes
what Mauve is experiencing?
A. Safety loss
B. Loss of security and sense of belonging
C. Loss of self-esteem
D. Loss related to self-actualization - Correct Answer :B. Loss of security and sense of belonging
12. The nurse is working with Mauve. When the nurse approaches, Mauve yells, "I don't want to talk to
you. You have no idea what it's like to lose the love of your life" The nurse bases her response to the
client on the understanding of which of the following? A. Hostility is a common behavioral response
to
grief.
B. It is too soon after the loss to empathize with the client.
C. Personality traits such as aggressiveness are exaggerated during the grief process.
Actual Exam
NR605 Psychiatric-Mental Health
Practicum Final Actual Exam Test Bank
With Complete
Questions And Correct Answers with
Rationales|Already Graded A+|
1. When she appeared for lunch in the dining room following admission, she was embarrassed when
several of the other clients laughed out loud and call her "fatso." What would be an empathetic response
by the nurse?
A. "I can certainly identify with what you are feeling. I've been overweight most of my life, too."
B. "I just get so angry when people act like that. They are so insensitive!"
C. "You feel angry and embarrassed by what happened at lunch today."
D. "It's just so typical of skinny people to act that way. You have a right to want to stay away from
them." -
Correct Answer :C. "You feel angry and embarrassed by what happened at lunch today."
A. Shows sympathy
B & D - agreeing
2. Which of the following statements is true of empathy? Select all that apply.
1) It is the ability to place oneself into the experience of another for a moment in time.
2) It involves interjecting the nurse's personal experiences and interpretations of the situation.
3) It is developed by gathering information from the client.
4) It results in negative therapeutic outcomes.
, NR605 Psychiatric Mental Health Final
Actual Exam
5) The client must learn to develop empathy for the nurse.
A. 1 & 3 only
B. 2, 3 & 4 only
C. 1 only
D. 5 only - Correct Answer :A. 1 & 3 only
3. Periwinkle expresses frustration that the doctor does not spend enough time with her when making
rounds which made her think that it might be because she is fat. The nurse replies, "The doctors are very
busy. What can I help you with?" The nurse incorporated which nontherapeutic technique in this
response?
A. Belittling
B. Defending
C. Disagreeing
D. Offering one's self - Correct Answer :B. Defending
34. The nurse is sitting with Periwinkle who is crying. After a few minutes the nurse places one hand
on
the patient's shoulder. This is considered which type of touch?
A. Social-polite
B. Functional-professional
C. Friendship-warmth
D. Love-intimacy - Correct Answer :B. Functional-professional
5. The nurse asks Periwinkle, "What was it like for you when you first knew you had no place to go?"
Periwinkle looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
A. Change the subject to something the patient will discuss
B. Encourage the patient to express any unpleasant feelings
, NR605 Psychiatric Mental Health Final
Actual Exam
C. Apologize for asking such a personal question
D. Sit quietly until the patient responds - Correct Answer :D. Sit quietly until the patient responds
SITUATION 8. The purpose of the psychosocial assessment is to construct a picture of the client's current
emotional state, mental capacity, and behavioral function. This assessment serves as the basis for
developing a plan of care to meet the client's needs.
6. The nurse is preparing herself for assessment of a psychiatric client. Which of the following factors
influencing assessment is under the nurse's control? A. Client participation and feedback B. Client's
health status
C. Nurse's attitude and approach
D. Client's ability to understand - Correct Answer :C. Nurse's attitude and approach
7. During the assessment, the nurse asks the client to describe his problems. The purpose of this
question is to obtain information about the client's: A. admitting diagnosis.
B. communication skills.
C. perception of the problem.
D. personal needs. - Correct Answer :C. perception of the problem.
38. The psychotic patient tells the nurse that she is the "queen of the universe" and that everyone
should "do her bidding." A delusion represents a problem in which of the following areas? A. Memory
B. Motivation
C. Orientation
D. Thinking - Correct Answer :D. Thinking
9. The client tells the nurse "I never do anything right. I make a mess of everything. Ask anyone; they'll
tell you the same thing." The nurse recognizes these statements as examples of: A. emotional issues.
B. negative thinking
, NR605 Psychiatric Mental Health Final
Actual Exam
C. poor problem-solving.
D. relationship difficulties. - Correct Answer :B. negative thinking
10. Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for
nurses to deal with this discomfort includes
A. recognizing that these areas may also be uncomfortable for the patient to discuss.
B. share feelings of discomfort with the patient.
C. defer assessing these areas to a more experienced nurse.
D. develop a standard question to ask of all patients during this area of assessment - Correct Answer
:A.
recognizing that these areas may also be uncomfortable for the patient to discuss.
SITUATION 9. Mauve is a 54-year-old man struggling with the recent unexpected death of his wife in an
automobile accident. He has two grown children, aged 28 and 26, who have families of their own and
live in another state.
11. Mauve is seeking short-term counseling to assist in grieving this loss. Which type of loss best describes
what Mauve is experiencing?
A. Safety loss
B. Loss of security and sense of belonging
C. Loss of self-esteem
D. Loss related to self-actualization - Correct Answer :B. Loss of security and sense of belonging
12. The nurse is working with Mauve. When the nurse approaches, Mauve yells, "I don't want to talk to
you. You have no idea what it's like to lose the love of your life" The nurse bases her response to the
client on the understanding of which of the following? A. Hostility is a common behavioral response
to
grief.
B. It is too soon after the loss to empathize with the client.
C. Personality traits such as aggressiveness are exaggerated during the grief process.
