Psychiatric Mental Health
Nursing NCLEX Review
Questions and answers
100%correct Set 1
A 16-year-old girl is admitted for her first psychotic break. Her
parents feel very guilty. What is your best nursing response?
A. No one really knows the cause of schizophrenia. It is not your
fault and is not due to anything you did in the past. It is important
to understand this, to support your daughter, and to find support
for yourselves.
B. Does anyone in your family have schizophrenia, as this
disease is known to be genetic?
C. You may feel bad now, but there are so many other bad things
out there, such as cancer and paralysis.
D. Let me share with you some websites to help you deal with
your guilt. - answer ✅✅A. No one really knows the cause of
,schizophrenia. It is not your fault and is not due to anything you
did in the past. It is important to understand this, to support your
daughter, and to find support for yourselves.
Reason: Schizophrenia has a multifocal origin and its cause may
include a genetic component. Support is needed for both patients
and caregivers.
A 21-year-old patient has a diagnosis of schizophrenia and is
stuporous, yet exhibits sudden, excessive motor activity with
repetitive sit-ups. What is this behavior called?
A. Delusional.
B. Hallucinogenic.
C. Paranoid.
D. Catatonic. - answer ✅✅D. Catatonic.
Reason: Catatonic schizophrenia occurs suddenly and includes
motor immobility or excessive motor activity.
A 22-year-old female is admitted to the unit following a suicide
attempt. She has a 2-week history of depression as well as a
history of abusing multiple substances and anorexia nervosa.
What is your first nursing priority?
A. Socialization.
B. Contracting for eating behavior.
C. Safety.
, D. Administering the Beck depression scale. - answer ✅✅C.
Safety.
Reason: Safety is the major principle underlying psychiatric
nursing.
A 22-year-old female was admitted to the mental health unit with
major depression and suicidal ideation. She has a history of
cutting her wrists intermittently throughout the last 2 years. On
days 1 and 2, the patient stays in her room and eats only 20% of
her meals. On day 3, she eats 80% of her meals and is talking to
others in group. The nurse should consider that the patient is
A. Showing improvement.
B. Highly suicidal.
C. Exhibiting mood swings.
D. In need of electroshock therapy. - answer ✅✅A. Showing
improvement.
Reason: The patient improvement is based on increased
socialization and increased appetite.
A 35-year-old male patient has been brought to your hospital unit
after making a suicide attempt at his workplace. Which of the
following interventions can you legally implement?
A. Call the patient's girlfriend and inform her of his admission and
visiting hours.
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