A 24-year-old patient arrives in the emergency department stating they were sexually assaulted.

What is the nurse’s priority action?

• A. Collect a detailed history of the incident.
• B. Perform a head-to-toe physical examination.
• C. Ensure the patient is in a safe and private environment.
• D. Notify law enforcement.

What is the best response a nurse can give to a sexual assault survivor who is hesitant to answer questions about the incident?
• A. “I need all the details to help you.”
• B. “Take your time; you can share what you feel comfortable with.”
• C. “It’s important for you to tell me everything.”
• D. “Don’t worry; we’ll figure it out later.”

Before performing a forensic exam on a sexual assault survivor, what must the nurse do?
• A. Notify local law enforcement.
• B. Obtain written consent from the patient.
• C. Collect all evidence immediately.
• D. Administer prophylactic medications.

Which action by the nurse would compromise forensic evidence?

• A. Placing clothing in a paper bag.
• B. Allowing the patient to change clothes before evidence collection.
• C. Documenting physical findings with photographs.
• D. Swabbing areas for DNA collection.

A sexual assault survivor states, “It was my fault. I should have been more careful.” What is the best nursing response?
• A. “You’re right to feel that way, but it’s not true.”
• B. “Let’s focus on getting you better now.”
• C. “You are not to blame for what happened to you.”
• D. “Can you tell me more about why you feel that way?”

What is the nurse’s responsibility regarding prophylactic treatment after a sexual assault?
• A. Administer antibiotics and emergency contraception only if the patient requests them.
• B. Explain the benefits and risks of prophylactic medications, then obtain informed consent.
• C. Automatically administer prophylactic medications to prevent infection and pregnancy.
• D. Wait until test results confirm a sexually transmitted infection.

When documenting a sexual assault survivor’s injuries, what is most important for the nurse to include?
• A. The nurse’s interpretation of how the injuries occurred.
• B. A verbatim account of the patient’s description of the assault.
• C. The nurse’s opinion about the patient’s emotional state.
• D. Only objective findings, such as physical injuries.

In most states, what is the nurse’s legal responsibility when caring for a sexual assault survivor?
• A. Contact law enforcement immediately.
• B. Maintain patient confidentiality unless consent to report is given.
• C. Notify the patient’s family about the assault.
• D. Report the assault regardless of the patient’s wishes.

A sexual assault survivor is being discharged. What is the most important information to include in the discharge plan?
• A. Instructions for preserving evidence.
• B. The contact information for local support services.
• C. A reminder to return for follow-up testing in one month.
• D. A list of medications prescribed during the visit.

Why is follow-up care essential for sexual assault survivors?

• A. To confirm the survivor is not pregnant or infected with STIs.
• B. To ensure forensic evidence is correctly handled.
• C. To provide ongoing emotional support and address trauma.
• D. To verify the survivor’s statements for legal proceedings.

CBBBCBBBBC
A patient with anorexia nervosa has a BMI of 15 and reports feeling “fat” despite significant weight loss. Which is the nurse’s priority assessment?
• A. Serum electrolyte levels
• B. Skin integrity
• C. Emotional support needs
• D. Social interaction patterns

Which clinical finding is most commonly associated with anorexia nervosa?

• A. Hypertension and tachycardia
• B. Hypothermia and bradycardia
• C. Increased energy levels
• D. Edema and increased appetite

A 17-year-old patient with anorexia nervosa states, “I feel in control when I don’t eat.” What is the most therapeutic nursing response?
• A. “Skipping meals is not healthy for your body.”
• B. “Why do you feel you need control over eating?”
• C. “Let’s talk about other ways you can feel in control.”
• D. “Eating regularly will help you regain control of your life.”

What life-threatening complication should the nurse monitor for in a patient with severe anorexia nervosa?
• A. Hyperglycemia
• B. Cardiac arrhythmias
• C. Liver failure
• D. Hyperkalemia

When planning care for a patient with anorexia nervosa, what is the nurse’s priority intervention?
• A. Encourage the patient to eat without supervision.
• B. Establish a structured eating plan with the patient.
• C. Allow the patient to control their caloric intake.
• D. Monitor weight daily and restrict physical activity.

What should the nurse teach the family of a patient with anorexia nervosa?
• A. Avoid discussing food and weight with the patient.
• B. Help the patient create strict rules for eating.
• C. Provide support without enabling disordered behaviors.
• D. Force the patient to eat at regular intervals.

During refeeding in a patient with anorexia nervosa, what should the nurse closely monitor?
• A. Blood glucose levels
• B. Serum phosphorus levels
• C. Hemoglobin levels
• D. Liver enzyme levels

A patient with anorexia nervosa refuses to participate in group therapy, stating, “They don’t understand what I’m going through.” What is the nurse’s
best response?
• A. “You should give it a chance; it might help you.”
• B. “What makes you feel like they don’t understand?”
• C. “You’ll be required to attend therapy as part of treatment.”
• D. “It’s normal to feel that way; let’s talk more about it.”

Which statement by a patient with anorexia nervosa reflects a cognitive distortion?

• A. “I know I need to eat to get better.”
• B. “If I eat one cookie, I’ll gain five pounds.”
• C. “Skipping meals isn’t healthy for me.”
• D. “My weight doesn’t define my worth.”

What is the nurse’s role in the nutritional rehabilitation of a patient with anorexia nervosa?
• A. Allow the patient to decide when to resume eating.
• B. Ensure calorie intake is gradually increased to avoid complications.
• C. Focus solely on weight restoration as the primary goal.
• D. Avoid discussing food or nutrition to prevent resistance.

Answer: ABCBBCBBBB
A patient with OCD spends hours every day washing their hands and reports feeling distressed if they stop. What is the nurse’s priority intervention?
• A. Set strict time limits for handwashing.
• B. Encourage the patient to explain why they wash their hands.
• C. Gradually limit the time allowed for the compulsive behavior.
• D. Distract the patient with another activity when they start handwashing.

Which statement by a patient with OCD reflects a compulsive behavior?

• A. “I worry constantly about getting sick.”
• B. “I feel like my family is in danger all the time.”
• C. “I need to wash my hands 10 times before I eat.”
• D. “I think about bad things happening to me all day.”

A patient with OCD says, “I know my rituals don’t make sense, but I can’t stop doing them.” What is the best nursing response?
• A. “You’re right; the rituals don’t make sense.”
• B. “Why don’t you try stopping the rituals?”
• C. “It sounds like the rituals are hard for you to control.”
• D. “You just need to focus on stopping the rituals.”

Which statement by a patient with OCD indicates understanding of their prescribed treatment plan?
• A. “Medication will make my thoughts go away completely.”
• B. “I need to practice exposure and response prevention therapy.”
• C. “As long as I avoid my triggers, I won’t need therapy.”
• D. “This condition will improve on its own over time.”

A patient with OCD is participating in cognitive behavioral therapy (CBT). What should the nurse explain as the goal of this therapy?
• A. Completely eliminating obsessive thoughts.
• B. Identifying and challenging irrational beliefs.
• C. Learning to avoid situations that trigger compulsions.
• D. Using medications to reduce compulsive behaviors.

What is the most appropriate nursing diagnosis for a patient with OCD who spends hours organizing their belongings to “prevent harm”?
• A. Social isolation
• B. Risk for injury
• C. Ineffective coping
• D. Impaired thought processes

A patient with OCD has been prescribed fluoxetine. Which statement by the nurse explains how this medication helps?
• A. “It increases dopamine to reduce compulsive behaviors.”
• B. “It helps reduce anxiety by slowing down your thoughts.”
• C. “It increases serotonin levels to decrease obsessive thoughts.”
• D. “It will completely eliminate the need for your rituals.”

A patient with OCD is repeatedly checking their locked door before leaving the house. What is the most therapeutic nursing response?
• A. “You’ve checked the lock already, so you don’t need to check it again.”
• B. “Let’s talk about what might happen if you didn’t check the lock again.”
• C. “Checking the lock once is enough to ensure your safety.”
• D. “Why do you feel like you need to keep checking the lock?”

The family of a patient with OCD asks why their loved one cannot simply stop their rituals. What is the nurse’s best explanation?
• A. “The rituals are voluntary behaviors to calm their anxiety.”
• B. “The rituals are a way for them to control their environment.”
• C. “The rituals temporarily reduce anxiety caused by obsessive thoughts.”
• D. “The rituals are a learned behavior and are easy to change.”

A patient with OCD reports an increase in obsessive thoughts when under stress. What is the most appropriate nursing intervention?
• A. Encourage the patient to avoid all stressful situations.
• B. Teach the patient relaxation techniques to manage stress.
• C. Recommend increasing their rituals to reduce anxiety.
• D. Explain that stress is unrelated to their OCD symptoms.

Answer: CCCBBCCBCB
Which statement by a patient indicates a classic symptom of major depressive disorder (MDD)?
• A. “I feel fine most of the time, just a little sad sometimes.”
• B. “I’ve been feeling tired and worthless for weeks now.”
• C. “I get upset when things don’t go my way.”
• D. “I’ve been losing weight because I’ve been exercising more.”

A patient with depression states, “I feel like giving up.” What is the nurse’s priority action?
• A. Ask the patient if they have a plan to harm themselves.
• B. Reassure the patient that things will get better.
• C. Notify the healthcare provider immediately.
• D. Encourage the patient to talk about their feelings.

A patient with depression says, “I feel like a burden to my family.” What is the most therapeutic nursing response?
• A. “I’m sure your family doesn’t feel that way.”
• B. “Let’s talk more about why you feel this way.”
• C. “It’s important to stay positive and focus on the good things.”
• D. “You’re not a burden, and your family loves you.”

Which physical symptom is most commonly associated with depression?

• A. Increased energy levels
• B. Chronic fatigue and insomnia
• C. Persistent chest pain
• D. Frequent headaches and fever

A patient with depression is prescribed sertraline. What information should the nurse include in the teaching?
• A. “You will notice improvement within 1-2 days.”
• B. “This medication may take 2-4 weeks to start working.”
• C. “You can stop taking the medication once you feel better.”
• D. “Avoid all carbohydrates while taking this medication.”

Which patient is at the highest risk for developing depression?

• A. A 25-year-old college student with a supportive family
• B. A 40-year-old with a chronic illness and financial stress
• C. A 30-year-old with no prior history of mental illness
• D. A 50-year-old who recently started a new job

Which is the most appropriate nursing diagnosis for a patient with depression who has withdrawn from social activities?
• A. Risk for injury
• B. Social isolation
• C. Impaired thought processes
• D. Ineffective coping

Which intervention is most appropriate for a patient with mild depression?

• A. Encourage regular physical activity and a structured routine.
• B. Recommend the patient avoid interactions with others.
• C. Teach the patient to rely on medication alone.
• D. Suggest the patient focus solely on work-related tasks.

A family member of a patient with depression asks how they can help. What is the nurse’s best response?
• A. “Try to push them to do things they’re not interested in.”
• B. “Listen and encourage them to talk about their feelings.”
• C. “Avoid discussing their symptoms or bringing attention to them.”
• D. “Encourage them to stay in bed until they feel better.”

A patient with severe depression is scheduled for electroconvulsive therapy (ECT). What should the nurse include in pre-procedure teaching?
• A. “You will remain awake during the procedure.”
• B. “You may experience temporary memory loss after the procedure.”
• C. “ECT will immediately cure your depression.”
• D. “You cannot eat or drink for 24 hours before the procedure.”

Answer: BABBBBBABB
Which behavior is most commonly observed in a child with conduct disorder?
• A. Persistent lying and stealing
• B. Withdrawal from social interactions
• C. Severe separation anxiety
• D. Consistently high academic achievement

Which child is at the highest risk for developing conduct disorder?

• A. A child with a strong support system at home and school
• B. A child who experiences frequent parental neglect and abuse
• C. A child with no family history of mental illness
• D. A child who actively participates in extracurricular activities

Which nursing diagnosis is most appropriate for a child diagnosed with conduct disorder who frequently fights with peers?
• A. Impaired social interaction
• B. Ineffective coping
• C. Risk for injury
• D. Disturbed sensory perception

What should the nurse include when educating the parents of a child with conduct disorder?
• A. “Ignore the child’s aggressive behaviors to avoid reinforcing them.”
• B. “Set clear boundaries and consequences for unacceptable behavior.”
• C. “Punish the child harshly to stop the behaviors.”
• D. “Let the child make their own rules to build trust.”

A child with conduct disorder says, “Nobody can tell me what to do.” What is the most therapeutic response?
• A. “You need to follow the rules like everyone else.”
• B. “It sounds like you feel frustrated with rules.”
• C. “Why don’t you try to cooperate with others?”
• D. “If you don’t follow the rules, there will be consequences.”

What is the primary goal of treatment for a child with conduct disorder?
• A. Achieving academic success
• B. Preventing harm to self or others
• C. Promoting social withdrawal to avoid conflict
• D. Controlling the child’s environment completely

A child with conduct disorder is prescribed risperidone. What should the nurse include in the medication teaching?
• A. “This medication will cure your child’s behavior problems.”
• B. “This medication can help reduce aggression and irritability.”
• C. “Your child should stop the medication once they feel better.”
• D. “This medication must be taken with food at every meal.”

What is the nurse’s priority intervention for a child with conduct disorder who becomes physically aggressive during group therapy?
• A. Remove the child from the group to ensure safety.
• B. Encourage the child to talk about their feelings.
• C. Allow the group to help calm the child.
• D. Ignore the child’s aggressive behavior to avoid attention-seeking.

A child with conduct disorder is enrolled in cognitive-behavioral therapy (CBT). What should the nurse explain as the focus of CBT?
• A. Changing the child’s negative thought patterns and behaviors
• B. Improving the child’s academic performance
• C. Teaching the child how to suppress their emotions
• D. Encouraging the child to avoid social interactions

Which long-term intervention is most effective for managing conduct disorder?

• A. Early involvement in family therapy and support programs
• B. Strict punishment for aggressive behaviors
• C. Allowing the child to express aggression freely at home
• D. Limiting all social interactions to prevent conflicts

Answer: ABCBBBBAAA
A patient with delusions states, “The FBI is watching me through my television.” What is the most therapeutic nursing response?
• A. “There is no way the FBI is watching you.”
• B. “That must be frightening for you. Let’s talk more about how you’re feeling.”
• C. “Why do you think the FBI is interested in you?”
• D. “I can assure you that your television is safe.”

A patient with delusions believes that the staff is poisoning their food. What is the nurse’s priority intervention?
• A. Encourage the patient to eat meals provided by family members.
• B. Monitor the patient closely for refusal to eat or drink.
• C. Force the patient to eat to ensure nutritional needs are met.
• D. Explain to the patient that their food is safe and free of poison.

What is the best approach for the nurse to establish a therapeutic relationship with a patient experiencing delusions?
• A. Agree with the patient’s delusions to build trust.
• B. Frequently point out the irrational nature of the delusions.
• C. Be consistent, honest, and avoid challenging the delusions directly.
• D. Avoid talking to the patient about their delusions to reduce distress.

A patient with delusions insists on discussing their belief that they are a famous celebrity. What is the best nursing intervention?
• A. Encourage the patient to talk about their delusions freely.
• B. Redirect the conversation to reality-based topics.
• C. Argue with the patient about the truth of their identity.
• D. Tell the patient that their beliefs are false and unreasonable.

A patient with delusions believes they are being followed by strangers. How should the nurse support reality orientation?
• A. Validate the patient’s fear by agreeing that strangers are following them.
• B. Offer simple, factual statements like, “I don’t see anyone following you.”
• C. Avoid mentioning the delusion and focus solely on other topics.
• D. Encourage the patient to confront the strangers they believe are following them.

Answer: BBCBB
During a mental status exam, the nurse asks the patient, “Can you tell me where you are right now?” Which component of the MSE is the nurse
assessing?
• A. Insight
• B. Mood
• C. Orientation
• D. Perception

A patient smiles while stating, “I feel miserable and hopeless.” How should the nurse document the patient’s affect?
• A. Congruent with mood
• B. Incongruent with mood
• C. Labile
• D. Flat

Which statement by a patient indicates a disorganized thought process?

• A. “I’m feeling really sad today because of everything that’s happened.”
• B. “The dog ran fast, and the sun is purple, so I can fly.”
• C. “I don’t know where I put my keys, but I’ll find them later.”
• D. “I’ve been having trouble sleeping and concentrating.”

The nurse asks a patient, “What did you have for breakfast this morning?” Which type of memory is being assessed?
• A. Immediate
• B. Remote
• C. Short-term
• D. Long-term

To evaluate judgment during the mental status exam, the nurse asks, “What would you do if you smelled smoke in a crowded theater?” What would an
appropriate response indicate?
• A. Impaired problem-solving ability
• B. Normal judgment
• C. Limited insight
• D. Disorganized thought process

Answer: CBBCB
Which physical symptom is most commonly associated with generalized anxiety disorder (GAD)?
• A. Decreased appetite
• B. Muscle tension
• C. Low blood pressure
• D. Decreased heart rate

Which nursing diagnosis is most appropriate for a patient experiencing severe anxiety?
• A. Risk for injury
• B. Ineffective coping
• C. Social isolation
• D. Powerlessness

A patient is experiencing a panic attack. What is the nurse’s priority intervention?

• A. Encourage the patient to discuss their fears in detail.
• B. Provide a calm environment and stay with the patient.
• C. Explain to the patient why their fears are irrational.
• D. Administer antianxiety medication immediately.

The nurse is educating a patient about cognitive behavioral therapy (CBT) for anxiety. What should the nurse explain as the focus of CBT?
• A. Changing negative thought patterns to reduce anxiety.
• B. Exploring unconscious conflicts causing the anxiety.
• C. Teaching the patient to avoid anxiety-provoking situations.
• D. Suppressing emotional responses to stressors.

A patient with anxiety disorder is prescribed lorazepam. What is an important teaching point about this medication?
• A. “This medication is safe to take long-term without any concerns.”
• B. “Avoid operating machinery or driving while taking this medication.”
• C. “It may take 3-4 weeks to notice an effect.”
• D. “Discontinue the medication immediately if you feel drowsy.”

Which behavior is most indicative of social anxiety disorder?

• A. Avoidance of social events due to fear of embarrassment.
• B. Excessive worry about multiple everyday activities.
• C. Recurrent thoughts and actions related to contamination.
• D. Panic attacks triggered by specific phobias.

What is a characteristic of mild anxiety?

• A. Impaired concentration and focus
• B. Heightened awareness and improved problem-solving
• C. Complete inability to process new information
• D. Difficulty with speech and expression

A patient states, “I feel like I’m losing control and can’t breathe.” What is the nurse’s most therapeutic response?
• A. “Try to calm down; you’re overreacting.”
• B. “Let’s take some deep breaths together and focus on relaxing.”
• C. “There’s nothing to worry about. You’re fine.”
• D. “You should lie down and stop thinking about it.”

A patient with a fear of heights avoids going on bridges. How should the nurse approach this phobia during treatment?
• A. Encourage the patient to avoid situations that trigger anxiety.
• B. Discuss the use of systematic desensitization therapy.
• C. Use confrontation to challenge the patient’s fears directly.
• D. Focus on unrelated topics to distract the patient.

Which intervention is most effective for the long-term management of anxiety disorders?
• A. Encouraging regular use of benzodiazepines
• B. Promoting relaxation techniques like deep breathing and mindfulness
• C. Advising complete avoidance of anxiety-provoking situations
• D. Recommending strict isolation to minimize stress triggers

Answer: BBBABABBBB
Which symptom is most characteristic of PTSD?
• A. Persistent delusions and hallucinations
• B. Flashbacks and intrusive memories of the trauma
• C. Sudden onset of physical tics and tremors
• D. Chronic, unexplained fatigue

A patient with PTSD experiences an anxiety attack after hearing a loud noise. What is this reaction called?
• A. Dissociation
• B. Avoidance
• C. Hyperarousal
• D. Re-experiencing

Which nursing diagnosis is most appropriate for a patient with PTSD who is isolating themselves and refusing to leave their home?
• A. Risk for violence
• B. Impaired social interaction
• C. Chronic low self-esteem
• D. Ineffective role performance

A patient with PTSD says, “I can’t stop reliving the car accident. It’s like I’m there again.” What is the nurse’s best response?
• A. “That was a long time ago. Try to move on.”
• B. “Let’s focus on happy memories to distract you.”
• C. “It sounds like this is very distressing for you. Let’s talk about it.”
• D. “You should avoid thinking about it to feel better.”

Which behavior is commonly observed in patients with PTSD?

• A. Seeking frequent exposure to trauma-related stimuli
• B. Avoiding people, places, or activities associated with the trauma
• C. Expressing excessive joy and enthusiasm in social situations
• D. Seeking out high-risk activities to cope with stress

The nurse is teaching a patient with PTSD about relaxation techniques. Which statement by the patient indicates a need for further teaching?
• A. “I can use deep breathing exercises to calm myself.”
• B. “Relaxation techniques will completely cure my PTSD.”
• C. “Practicing mindfulness can help reduce my anxiety.”
• D. “Using relaxation techniques can help me feel more in control.”

Which symptom reflects hyperarousal in a patient with PTSD?

• A. Avoiding reminders of the trauma
• B. Feeling detached from others
• C. Experiencing difficulty falling or staying asleep
• D. Reliving the trauma through flashbacks

What is the nurse’s priority intervention for a patient with PTSD who is experiencing a flashback?
• A. Leave the patient alone to process their emotions.
• B. Ground the patient by helping them focus on the present.
• C. Encourage the patient to discuss the traumatic event in detail.
• D. Administer a sedative immediately.

Which medication is commonly prescribed for PTSD to reduce nightmares and improve sleep?
• A. Prazosin
• B. Lorazepam
• C. Haloperidol
• D. Lithium

The family of a patient with PTSD asks how they can help. What is the nurse’s best response?
• A. “Avoid talking about the trauma to reduce stress.”
• B. “Encourage the patient to seek professional support and offer emotional support.”
• C. “Push the patient to confront the traumatic memories directly.”
• D. “Focus on minimizing the patient’s need for therapy.”

Answer: BDBCBBCBAB
Which symptom is most commonly associated with a panic attack?
• A. Slow, deep breathing
• B. A sense of impending doom
• C. Gradual onset of anxiety
• D. Chronic fatigue

What physical symptom is a hallmark of a panic attack?

• A. Decreased heart rate
• B. Chest pain and rapid heartbeat
• C. Excessive sweating only at night
• D. Numbness limited to the legs

A patient is having a panic attack. What is the nurse’s immediate priority?

• A. Ask the patient to describe the cause of their anxiety.
• B. Encourage slow, deep breathing techniques.
• C. Leave the patient alone to calm down.
• D. Administer antianxiety medication immediately.

A patient experiences recurrent panic attacks without a specific trigger. What is the most likely diagnosis?
• A. Post-traumatic stress disorder
• B. Panic disorder
• C. Generalized anxiety disorder
• D. Social anxiety disorder

A patient with panic disorder is prescribed alprazolam. What should the nurse include in the teaching?
• A. “This medication can be taken as needed for acute panic attacks.”
• B. “You should take this medication on an empty stomach.”
• C. “It may take 4–6 weeks for this medication to start working.”
• D. “Stop the medication abruptly if you feel better.”

What behavior is commonly associated with panic disorder?

• A. Avoiding places or situations where panic attacks have occurred
• B. Seeking constant exposure to anxiety-provoking situations
• C. Excessive socializing to distract from symptoms
• D. Seeking complete isolation at all times

A patient with panic disorder is beginning cognitive-behavioral therapy (CBT). What should the nurse explain as the focus of CBT?
• A. Changing thought patterns that lead to panic attacks
• B. Avoiding situations that trigger anxiety
• C. Increasing dependence on medication
• D. Suppressing emotions to prevent panic

Which nursing diagnosis is most appropriate for a patient with panic disorder who avoids social situations?
• A. Risk for injury
• B. Social isolation
• C. Ineffective health maintenance
• D. Impaired verbal communication

Which statement by the patient indicates an understanding of strategies for long-term management of panic disorder?
• A. “I will avoid all situations that make me anxious.”
• B. “I will practice relaxation techniques to reduce my anxiety.”
• C. “I will stop my medication once I start feeling better.”
• D. “I will ignore my symptoms and focus on other things.”

A patient experiencing a panic attack begins hyperventilating. What should the nurse do first?
• A. Provide a paper bag for the patient to breathe into.
• B. Encourage the patient to lie flat on the bed.
• C. Instruct the patient to take slow, controlled breaths.
• D. Call the healthcare provider immediately.

Answers: BBBBAAABBC
Which of the following is a characteristic feature of delirium?
• A. Gradual onset with stable symptoms
• B. Disorientation and fluctuating mental status
• C. Long-term memory loss without fluctuations
• D. Persistent depressive mood

Which factor places an older adult at greatest risk for developing delirium?
• A. Poor nutrition
• B. Recent surgery
• C. Regular exercise
• D. Chronic insomnia

A nurse observes that a patient is confused, unable to focus, and disoriented to time and place. The patient’s condition has fluctuated throughout the
day. What is the nurse’s most likely conclusion?
• A. The patient is experiencing depression.
• B. The patient may be experiencing delirium.
• C. The patient is demonstrating signs of dementia.
• D. The patient has normal aging-related cognitive changes.

A patient is suspected of having delirium following surgery. What is the nurse’s priority action?
• A. Provide a calm, quiet environment to reduce stimulation.
• B. Encourage the patient to sleep as much as possible.
• C. Give the patient sedative medications to reduce agitation.
• D. Reassure the patient that the confusion will go away soon.

Which of the following is a key difference between delirium and dementia?

• A. Delirium has a gradual onset, while dementia has a rapid onset.
• B. Delirium is reversible, while dementia is irreversible.
• C. Delirium results from a long-standing illness, while dementia does not.
• D. Delirium is a slow process, while dementia occurs suddenly.

What condition is most commonly associated with the development of delirium in hospitalized patients?
• A. Dehydration
• B. Diabetes
• C. Hypertension
• D. Allergies

What is the most appropriate intervention for a patient with delirium caused by a urinary tract infection (UTI)?
• A. Administer an antipsychotic medication immediately.
• B. Provide supportive care while treating the underlying infection.
• C. Restrict fluid intake to reduce symptoms.
• D. Isolate the patient to minimize environmental stimulation.

The nurse is caring for a postoperative patient who is at risk for delirium. Which action should the nurse prioritize?
• A. Restricting visitors to reduce distractions.
• B. Monitoring vital signs and mental status frequently.
• C. Providing analgesics to prevent pain-related confusion.
• D. Limiting the patient’s fluid intake to prevent fluid retention.

Which medication should the nurse be cautious about administering to a patient with delirium?
• A. Acetaminophen
• B. Lorazepam
• C. Ibuprofen
• D. Omeprazole

The nurse is educating a family member of a patient with delirium. What should the nurse include in the teaching?
• A. “Delirium is a temporary condition that resolves once the underlying cause is treated.”
• B. “Delirium is a sign of early-stage dementia and is irreversible.”
• C. “Delirium is often related to psychological factors and requires therapy.”
• D. “Delirium will persist, but medication can help manage the symptoms long-term.”

Answer: BBBABABBBA
Which behavior is a common sign of impending aggression in a patient?
• A. Withdrawal and avoidance
• B. Restlessness and pacing
• C. Slowed speech and concentration
• D. Hyperactivity and laughter

The nurse is caring for a patient who is displaying aggressive behavior. What is the most important nursing intervention?
• A. Use physical restraint immediately to prevent harm.
• B. Approach the patient calmly and set clear boundaries.
• C. Allow the patient to act out their aggression to release tension.
• D. Encourage the patient to confront the cause of their anger.

A patient begins shouting and threatening the staff. Which statement is most effective for de-escalating the situation?
• A. “Calm down right now, or you’ll be restrained.”
• B. “I understand that you’re upset, but we need to talk about this.”
• C. “You shouldn’t be angry. Let’s just talk calmly.”
• D. “If you don’t stop yelling, I’ll call security.”

A patient with a history of aggressive behavior is admitted to the unit. Which action is most important to prevent injury to others?
• A. Monitor the patient continuously for signs of agitation.
• B. Allow the patient to express anger freely to release tension.
• C. Ensure the patient’s room is locked to prevent wandering.
• D. Encourage the patient to interact with others in group therapy.

A patient is becoming increasingly aggressive, and the situation is escalating. The nurse is considering using restraints. What is the first step the nurse
should take?
• A. Call the healthcare provider for an order to restrain the patient.
• B. Apply restraints immediately to prevent harm.
• C. Attempt verbal de-escalation techniques before resorting to restraints.
• D. Limit communication with the patient to avoid further agitation.

A nurse is administering medication to a patient exhibiting aggressive behavior. Which medication is most commonly used to manage acute
aggression?
• A. Lorazepam
• B. Haloperidol
• C. Sertraline
• D. Fluoxetine

A nurse is assessing a patient who has displayed aggressive behavior in the past. What is the best strategy for identifying triggers for the patient’s
aggression?
• A. Ignore the patient’s history and focus on current behavior.
• B. Conduct a thorough assessment to determine past triggers and stressors.
• C. Place the patient on a restrictive schedule to minimize triggers.
• D. Avoid asking the patient about their anger to prevent further agitation.

The nurse is educating the family of a patient with a history of aggression. Which statement by the family indicates the need for further teaching?
• A. “We should try to stay calm and avoid reacting to their anger.”
• B. “We can ignore the behavior to avoid giving it attention.”
• C. “We need to set clear boundaries and consequences for aggressive actions.”
• D. “We should avoid confrontations when the person is upset.”

After a patient has calmed down from an aggressive outburst, what is the most appropriate nursing intervention?
• A. Praise the patient for controlling their behavior.
• B. Discuss the aggressive incident immediately to prevent future occurrences.
• C. Provide an opportunity for the patient to reflect on their feelings and actions.
• D. Ignore the incident and move on to the next patient.

Which of the following interventions is most effective in helping a patient with aggression control their anger?
• A. Encourage the patient to suppress their anger to avoid confrontation.
• B. Teach the patient deep breathing, relaxation techniques, and cognitive restructuring.
• C. Allow the patient to vent their anger aggressively until they calm down.
• D. Avoid talking to the patient about their anger and let them be alone.

Answer: BBBACBBBCB
Which of the following is a primary characteristic of dementia?
• A. Sudden onset of memory loss
• B. Gradual decline in cognitive function
• C. Severe mood swings
• D. Periodic confusion after an illness

Which of the following is the greatest risk factor for developing Alzheimer’s dementia?
• A. High blood pressure
• B. Age over 65
• C. Chronic stress
• D. Family history of depression

Which nursing diagnosis is most appropriate for a patient with dementia who is unable to recall family members and gets lost easily?
• A. Risk for injury
• B. Impaired social interaction
• C. Disturbed sleep pattern
• D. Deficient knowledge

What is the most appropriate action for the nurse to take when a patient with dementia becomes agitated and confused?
• A. Reassure the patient and calmly redirect them.
• B. Place the patient in a quiet room with dim lighting.
• C. Restrain the patient to prevent injury.
• D. Confront the patient to help them understand their behavior.

Which communication strategy is most effective when interacting with a patient who has dementia?
• A. Speak loudly and quickly to gain the patient’s attention.
• B. Use simple language and clear sentences.
• C. Avoid eye contact to reduce confusion.
• D. Ask complex questions to stimulate thinking.

Which of the following interventions is most important for preventing injury in a patient with dementia?
• A. Installing safety locks on doors and cabinets
• B. Allowing the patient to go outside unsupervised
• C. Reducing the patient’s fluid intake to decrease bathroom visits
• D. Encouraging frequent naps during the day

Which medication is commonly prescribed to help manage symptoms of Alzheimer’s disease?

• A. Donepezil
• B. Lorazepam
• C. Risperidone
• D. Fluoxetine

A family member is caring for a loved one with dementia. Which statement by the caregiver indicates the need for further teaching?
• A. “I need to create a structured routine for my loved one.”
• B. “I should avoid using familiar reminders to assist with memory loss.”
• C. “I can encourage physical activity to reduce anxiety and restlessness.”
• D. “I need to seek support and respite care when I feel overwhelmed.”

Which intervention is most helpful for managing a patient with dementia who exhibits repetitive questioning?
• A. Ignore the question and redirect the patient.
• B. Answer the question each time with patience and consistency.
• C. Tell the patient to stop asking questions.
• D. Provide distractions such as TV or music to avoid the question.

Which legal issue is most important to consider when caring for a patient with advanced dementia?
• A. Ensuring the patient has a living will or advance directive in place
• B. Ensuring the patient receives frequent visits from family members
• C. Limiting the patient’s access to medications
• D. Providing the patient with complete independence in daily activities

Answer: BBAABAABBA
Which of the following is a significant risk factor for suicide?
• A. Recent diagnosis of a chronic illness
• B. Having a stable home environment
• C. Strong social support
• D. Practicing effective stress management techniques

Which statement by a patient indicates a need for further suicide risk assessment?
• A. “I feel like I have nothing to look forward to anymore.”
• B. “I’ve been feeling sad lately, but it will pass.”
• C. “I want to talk to my therapist about my worries.”
• D. “I enjoy spending time with my family and friends.”

A patient is expressing suicidal thoughts. What is the nurse’s priority action?

• A. Encourage the patient to talk about their feelings.
• B. Offer reassurance that things will improve soon.
• C. Assign the patient to a quiet room for isolation.
• D. Notify the healthcare provider and ensure safety.

What is the key difference between suicidal ideation and suicidal intent?
• A. Suicidal ideation involves thoughts of death without plans, while intent involves planning or actions.
• B. Suicidal ideation is only temporary, while intent lasts for months.
• C. Intent is based on external triggers, while ideation is purely internal.
• D. Ideation involves seeking help, while intent is characterized by avoiding care.

A nurse is developing a suicide prevention plan for a patient at risk. Which of the following is most important to include?
• A. Suggest the patient avoid talking about their feelings.
• B. Encourage the patient to eliminate all sources of stress.
• C. Provide the patient with a 24-hour crisis hotline number.
• D. Limit the patient’s contact with family and friends.

Which of the following behaviors is a warning sign that a patient may be at risk for suicide?
• A. Giving away personal belongings
• B. Participating in activities they previously enjoyed
• C. Expressing feelings of hope and optimism
• D. Demonstrating high energy levels and enthusiasm

When caring for a patient with suicidal thoughts, which intervention is most important?
• A. Ensure that the patient is never left alone.
• B. Reassure the patient that the feelings will pass quickly.
• C. Encourage the patient to keep their emotions bottled up.
• D. Minimize the patient’s communication about suicidal thoughts.

Which of the following is the best approach to support the family of a patient who has attempted suicide?
• A. “You should stay strong and not show any emotions.”
• B. “It’s important to maintain a supportive, non-judgmental attitude.”
• C. “You must keep your distance from the patient to avoid further distress.”
• D. “You should confront the patient about their suicide attempt immediately.”

Which statement by a patient recently discharged from a psychiatric unit indicates a need for further suicide risk evaluation?
• A. “I feel much better now and can manage my problems on my own.”
• B. “I’ve learned new coping strategies and feel more in control.”
• C. “I am glad to be out of the hospital, but I still feel hopeless sometimes.”
• D. “I plan to attend therapy regularly and stay involved in group activities.”

Which class of medications is most commonly prescribed to patients with suicidal ideation?
• A. Antipsychotics
• B. Antidepressants
• C. Benzodiazepines
• D. Stimulants

Answer: AADACAABCB
Which of the following behaviors is characteristic of a patient with antisocial personality disorder?
• A. Unwillingness to follow social rules or laws
• B. Strong desire for social approval
• C. Overly sensitive to criticism
• D. Persistent feelings of guilt

A patient with antisocial personality disorder exhibits a history of deceit, lying, and disregard for others’ rights. What is the priority nursing diagnosis?
• A. Risk for self-harm
• B. Ineffective coping
• C. Chronic low self-esteem
• D. Risk for violence toward others

When caring for a patient with antisocial personality disorder, which of the following interventions is most important?
• A. Establish clear and consistent boundaries.
• B. Allow the patient to make decisions without limits.
• C. Encourage self-criticism to improve self-awareness.
• D. Ignore manipulative behaviors to avoid confrontation.

Which of the following is most likely to occur when a person with antisocial personality disorder interacts with others?
• A. Their manipulative behaviors may cause harm to others.
• B. They will form close, trusting relationships with others.
• C. They will show empathy and concern for others.
• D. They will avoid engaging in any form of conflict.

Which treatment is most commonly used to manage antisocial personality disorder?

• A. Psychoanalysis
• B. Cognitive-behavioral therapy
• C. Group therapy
• D. Family therapy

What is the goal of cognitive-behavioral therapy for a patient with antisocial personality disorder?
• A. To identify and change unhealthy thinking patterns
• B. To encourage the patient to engage in self-destructive behaviors
• C. To decrease the patient’s need for social interaction
• D. To increase the patient’s ability to manipulate others

A patient with antisocial personality disorder is involved in criminal behavior. The nurse’s role in this case includes:
• A. Promoting strict legal punishment for the behavior
• B. Supporting the patient’s efforts to change and develop coping skills
• C. Ignoring the criminal behavior to avoid confrontation
• D. Encouraging the patient to continue engaging in risky behavior

What is most important to include in family education about antisocial personality disorder?
• A. Reinforce that manipulation and deceit are normal behaviors.
• B. Emphasize the need for the family to set and maintain clear boundaries.
• C. Encourage the family to allow the patient to make all decisions.
• D. Teach the family to accept the patient’s behavior as unchangeable.

Which question is most appropriate for assessing antisocial personality disorder?

• A. “Do you often feel anxious or worried?”
• B. “Have you ever disregarded the feelings or rights of others?”
• C. “Do you find it difficult to make decisions?”
• D. “Do you have close friendships that you can rely on?”

Which of the following emotional responses would be least likely to occur in a patient with antisocial personality disorder?
• A. Guilt or remorse for actions
• B. Impulsive or reckless behavior
• C. Lack of empathy for others
• D. Aggression when boundaries are challenged

Answer: ADAABABBBA
Which of the following is a positive symptom of schizophrenia?
• A. Social withdrawal
• B. Delusions
• C. Flat affect
• D. Avolition

Which of the following is considered a risk factor for developing schizophrenia?

• A. A history of substance abuse
• B. A family history of schizophrenia
• C. Childhood trauma
• D. High socioeconomic status

Which response is most appropriate when interacting with a patient who is experiencing auditory hallucinations?
• A. “I don’t hear anything. You must be imagining it.”
• B. “Tell me more about what the voices are saying.”
• C. “You shouldn’t listen to those voices; they’re not real.”
• D. “Focus on something else to distract yourself from the voices.”

A nurse is caring for a patient diagnosed with schizophrenia who is displaying disorganized speech. Which nursing diagnosis is most appropriate?
• A. Risk for impaired physical mobility
• B. Impaired verbal communication
• C. Social isolation
• D. Disturbed body image

Which medication is commonly prescribed to manage the symptoms of schizophrenia?

• A. Haloperidol
• B. Lorazepam
• C. Fluoxetine
• D. Risperidone

A patient with schizophrenia is exhibiting violent behavior toward others. What is the nurse’s priority action?
• A. Place the patient in a quiet room to calm down.
• B. Administer antipsychotic medication immediately.
• C. Ensure the safety of the patient and others by removing potential harm.
• D. Call for assistance and physically restrain the patient.

Which of the following is an example of a delusion commonly seen in schizophrenia?

• A. Belief that one is being watched or followed
• B. Feeling disconnected from one’s body
• C. Talking to someone who isn’t present
• D. Acting impulsively without thinking

When educating the family of a patient with schizophrenia, what should the nurse emphasize?
• A. The importance of encouraging the patient to face their fears directly.
• B. The need for family members to understand the nature of the illness and support treatment.
• C. The patient’s behavior will improve without medication over time.
• D. Family members should avoid discussing the illness with the patient to prevent stress.

Which coping strategy is most effective for a patient with schizophrenia who experiences auditory hallucinations?
• A. Avoiding all social interactions
• B. Focusing on structured activities and positive distractions
• C. Engaging in constant self-talk to drown out the voices
• D. Suppressing thoughts about the voices entirely

What is the main goal of long-term management for patients with schizophrenia?
• A. Cure the disorder completely
• B. Manage symptoms and prevent relapse
• C. Promote complete independence in daily activities
• D. Focus on physical rehabilitation

Answer: BBBBDCABBB
A nurse is assessing a patient who is exhibiting symptoms of extreme irritability, impulsiveness, and an inflated sense of self-worth. Which phase of
bipolar disorder is the patient most likely experiencing?
 • A. Depressive episode
• B. Manic episode
• C. Mixed episode
• D. Hypomanic episode

A nurse is caring for a patient in a manic episode of bipolar disorder. Which of the following nursing diagnoses is most appropriate?
• A. Risk for self-directed violence
• B. Ineffective coping
• C. Disturbed thought processes
• D. Impaired social interaction

A patient with bipolar disorder is experiencing a manic episode and is refusing to eat or sleep. What should the nurse’s priority action be?
• A. Encourage the patient to take a walk to expend energy.
• B. Provide a calm environment and ensure safety.
• C. Sit with the patient to discuss their feelings.
• D. Offer the patient their favorite foods to stimulate appetite.

Which class of medication is commonly used to manage the manic phase of bipolar disorder?
• A. Antidepressants
• B. Antipsychotics
• C. Benzodiazepines
• D. Mood stabilizers

Which of the following is an important teaching point for family members of a patient with bipolar disorder?
• A. The patient should avoid any form of social interaction to minimize stress.
• B. Manic episodes are easily controlled by the patient and require no intervention.
• C. Regular sleep, healthy eating, and stress reduction are important in managing the disorder.
• D. The patient should stop taking medication once symptoms improve.

Which of the following is most likely to occur during the manic phase of bipolar disorder?
• A. Slowed thinking, fatigue, and feelings of worthlessness
• B. Increased energy, grandiosity, and risky behaviors
• C. Extreme sadness, withdrawal from others, and insomnia
• D. Lack of appetite and a desire to be alone

A nurse is assessing a patient with bipolar disorder. Which statement from the patient suggests a high risk for suicide during the depressive phase?
• A. “I feel like I have too much energy and can do anything I want.”
• B. “I’m not sure what I’m living for anymore.”
• C. “I’ve been thinking about how much fun I’m having.”
• D. “I can’t wait to get started on my next big project.”

A patient with bipolar disorder is prescribed lithium. What is the nurse’s most important instruction regarding this medication?
• A. “Avoid eating foods that contain caffeine.”
• B. “Drink plenty of fluids and avoid dehydration.”
• C. “Stop taking the medication when you feel better.”
• D. “Take the medication only during the manic phase.”

What is the most effective coping strategy to teach a patient in the depressive phase of bipolar disorder?
• A. Engage in high-energy activities to boost mood.
• B. Seek immediate medical intervention for all negative thoughts.
• C. Use deep breathing and relaxation techniques to manage stress.
• D. Avoid any form of social interaction and isolate yourself.

Which of the following is an essential aspect of long-term management for a patient with bipolar disorder?
• A. Staying on a consistent medication regimen
• B. Focusing only on symptom relief during manic episodes
• C. Encouraging complete independence in managing symptoms
• D. Avoiding any form of social interaction during depressive episodes

Answer: BBBDCBBBCA
Which of the following is an appropriate indication for electroconvulsive therapy (ECT)?
• A. Severe depression resistant to other treatments
 • B. Mild anxiety disorders
• C. Acute alcohol intoxication
• D. Chronic pain management

Which of the following is an appropriate pre-procedure nursing action for a patient scheduled for ECT?
• A. Administer a sedative and ensure the patient is NPO for 6 hours.
• B. Encourage the patient to engage in intense physical activity to reduce stress.
• C. Administer a high-protein meal before the procedure.
• D. Encourage the patient to express their emotions freely in therapy.

What is the priority nursing intervention immediately following electroconvulsive therapy (ECT)?
• A. Offer the patient a light meal and fluids.
• B. Monitor the patient for confusion and disorientation.
• C. Allow the patient to sleep uninterrupted for several hours.
• D. Encourage the patient to engage in physical activity.

Which of the following is a common side effect of electroconvulsive therapy (ECT)?

• A. Severe long-term memory loss
• B. Transient confusion and memory loss
• C. Increased levels of anxiety
• D. Permanent cognitive decline

Which statement by the patient indicates the need for further education about electroconvulsive therapy (ECT)?
• A. “I understand that ECT may help improve my depression.”
• B. “I will likely experience long-term memory loss due to the treatment.”
• C. “I know I may need several sessions of ECT to see results.”
• D. “I will receive anesthesia during the procedure to ensure I am comfortable.”

Answer: AABBB
Which of the following best defines the defense mechanism of repression?
• A. Exaggerating the importance of an event
• B. Unconsciously blocking painful memories or thoughts
• C. Pretending a situation doesn’t exist
• D. Transforming an unacceptable impulse into a socially acceptable behavior

A patient is upset about losing a job and begins yelling at their partner for no apparent reason. Which defense mechanism is the patient demonstrating?
• A. Displacement
• B. Denial
• C. Projection
• D. Sublimation

A person refuses to accept the reality of a terminal diagnosis. What defense mechanism is this person displaying?
• A. Repression
• B. Denial
• C. Rationalization
• D. Projection

A teenager blames their poor grades on their teacher, rather than taking responsibility for not studying. Which defense mechanism is the teenager
using?
• A. Rationalization
• B. Displacement
• C. Regression
• D. Intellectualization

A woman who is angry with her boss begins cleaning her house obsessively. Which defense mechanism is she using?
• A. Sublimation
• B. Reaction formation
• C. Projection
• D. Repression

Which defense mechanism involves behaving in a way that is opposite to one’s true feelings?
• A. Rationalization
• B. Reaction formation
• C. Regression
• D. Sublimation

A person who is struggling with feelings of inadequacy overcompensates by constantly boasting about their achievements. Which defense mechanism
is being demonstrated?
• A. Sublimation
• B. Compensation
• C. Displacement
• D. Denial

A child begins to suck their thumb again after the birth of a sibling. Which defense mechanism is this child displaying?
• A. Projection
• B. Regression
• C. Repression
• D. Displacement

A patient who is in denial about their drinking problem argues that everyone drinks and it’s no big deal. Which defense mechanism is being used?
• A. Projection
• B. Rationalization
• C. Reaction formation
• D. Displacement

1A man experiences a traumatic event but later talks about it in a detached and intellectualized way, avoiding emotional expression. What defense
mechanism is he demonstrating?
• A. Intellectualization
• B. Sublimation
• C. Repression
• D. Denial
Answer: BABAABBBBA
1. Which of the following best defines libel?
• A. Written defamation of character
• B. Spoken defamation of character
• C. Physical harm or offensive touching
• D. Threatening a person with bodily harm

2. Which of the following best defines slander?

• A. Written defamation of character
• B. Spoken defamation of character
• C. Physical harm or offensive touching
• D. Threatening a person with bodily harm

3. Which of the following best defines battery?

• A. The intentional infliction of harm or offensive touching without consent
• B. Threatening a person with harm
• C. A false statement that damages someone’s reputation
• D. Unlawful restraint or confinement of an individual

4. Which of the following best defines assault?

• A. The intentional infliction of harm or offensive touching without consent
• B. Threatening a person with harm, causing fear of immediate harm
• C. A false statement that damages someone’s reputation
• D. Unlawful restraint or confinement of an individual

Answers: ABAB
1. Which of the following is an example of using open-ended questions in therapeutic communication?
• A. “Did you feel sad when your friend left?”
• B. “What happened when your friend left?”
• C. “You seem upset. What can I do to help?”
• D. “Why do you feel this way?”

2. Which of the following is an example of active listening in therapeutic communication?

• A. Giving advice to the patient based on your own experience
• B. Offering your own opinion while the patient is speaking
• C. Nodding and maintaining eye contact while the patient is speaking
• D. Interrupting the patient to ask for clarification

3. Which of the following should a nurse avoid when using therapeutic communication?
• A. Asking clarifying questions
• B. Giving reassurance to the patient
• C. Making judgmental comments
• D. Using silence to allow the patient time to think

4. A patient says, “I’m so upset that I failed the exam. I just can’t handle it.” What would be an appropriate therapeutic response?
• A. “Don’t worry. You can always retake the exam.”
• B. “It sounds like you’re feeling overwhelmed. Can you tell me more about it?”
• C. “I’m sure you will pass next time.”
• D. “Failure happens to everyone. You’ll be fine.”

5. Which of the following best describes the use of silence in therapeutic communication?
• A. The nurse avoids speaking to allow the patient to remain silent.
• B. The nurse uses silence to encourage the patient to reflect and express feelings.
• C. The nurse uses silence to prevent the patient from talking too much.
• D. Silence is never used in therapeutic communication.

Answers: BCCBB
1. During which phase of the nurse-client relationship is trust-building essential?
• A. Termination phase
• B. Working phase
• C. Pre-orientation phase
• D. Orientation phase

2. Which phase of the nurse-client relationship focuses on helping the patient achieve goals and providing interventions?
• A. Pre-orientation phase
• B. Termination phase
• C. Orientation phase
• D. Working phase

3. During which phase of the nurse-client relationship does the nurse help the patient review progress and explore future goals?
• A. Termination phase
• B. Pre-orientation phase
• C. Working phase
• D. Orientation phase

4. Which phase of the nurse-client relationship involves the nurse gathering information about the patient’s history, needs, and expectations?
• A. Termination phase
• B. Orientation phase
• C. Working phase
• D. Pre-orientation phase

5. Which of the following is a nurse’s responsibility during the termination phase of the nurse-client relationship?
• A. To begin working on new patient goals
• B. To reflect on the patient’s progress and plan for discharge
• C. To establish new treatment plans for the patient
• D. To discontinue all communication with the patient

Answers: DDABB
1. Which of the following is a basic client right in a psychiatric hospital?
• A. To refuse medication, except in emergencies
• B. To have no restrictions on personal belongings
• C. To be hospitalized for as long as needed without evaluation
• D. To be free from any type of supervision

2. What must a nurse do when a patient wants to leave the psychiatric hospital against medical advice (AMA)?
• A. Notify the patient’s family immediately
• B. Allow the patient to leave if they insist
• C. Assess the patient’s mental status and inform them of the risks
• D. Call security to prevent the patient from leaving

3. Which of the following is considered an important client right in a psychiatric setting?

• A. The right to privacy and confidentiality
• B. The right to receive treatment only when it is voluntary
• C. The right to refuse all forms of therapy or medication
• D. The right to remain in the hospital indefinitely without evaluation

4. Which of the following is a right that patients have regarding treatment in a psychiatric hospital?
• A. The right to receive treatment in the least restrictive environment
• B. The right to always refuse all medications
• C. The right to unlimited phone calls with family members
• D. The right to make all medical decisions without consulting a doctor

5. A patient in a psychiatric hospital has the right to informed consent. What does this involve?
• A. The patient has the right to refuse all medications and treatments without explanation.
• B. The patient must be given adequate information to make an informed decision about their treatment.
• C. The patient must agree to all treatment regimens without being informed.
• D. The patient must always accept recommendations from the healthcare team.

Answers: ACAAB
Which of the following is the primary action of lithium in the treatment of bipolar disorder?
• A. Antidepressant effect
• B. Antipsychotic effect
• C. Mood-stabilizing effect
• D. Sedative effect

What is the therapeutic range for lithium in the blood?

• A. 0.5–1.5 mEq/L
• B. 1.5–2.5 mEq/L
• C. 2.0–3.5 mEq/L
• D. 0.2–0.8 mEq/L

A patient on lithium therapy is experiencing increased thirst, tremors, and confusion. Which of the following could be a possible cause?
• A. Lithium toxicity
• B. Allergic reaction
• C. Dehydration or sodium imbalance
• D. Low blood pressure

Which of the following is an important nursing consideration when a patient is taking lithium?
• A. Ensure the patient increases sodium intake
• B. Monitor for signs of dehydration and electrolyte imbalances
• C. Advise the patient to avoid drinking fluids to prevent weight gain
• D. Monitor for signs of gastrointestinal bleeding

A patient who is prescribed lithium should avoid which of the following?

• A. Excessive caffeine consumption
• B. Taking antacids
• C. Increasing fluid intake during hot weather
• D. High-protein diets

Answers: CAABA
Clomipramine is classified as which type of medication?
• A. Selective serotonin reuptake inhibitor (SSRI)
• B. Tricyclic antidepressant (TCA)
• C. Monoamine oxidase inhibitor (MAOI)
• D. Antipsychotic

Which of the following is a common side effect of clomipramine?

• A. Weight loss
• B. Dry mouth
• C. Increased energy
• D. Sedation

A nurse is educating a patient starting clomipramine for obsessive-compulsive disorder (OCD). Which instruction should be emphasized?
• A. Take the medication with food to prevent stomach upset.
• B. Avoid alcohol while taking this medication.
• C. Increase fluid intake to prevent dehydration.
• D. Expect a decrease in symptoms within a few days.

What is a major potential complication of clomipramine therapy?

• A. Hypertension
• B. Serotonin syndrome
• C. Tachycardia and arrhythmias
• D. Weight gain

A patient on clomipramine therapy reports blurry vision and constipation. What should the nurse consider?
• A. These are common side effects of clomipramine
• B. These symptoms indicate a drug overdose
• C. The patient should discontinue the medication immediately
• D. These symptoms suggest an allergic reaction

Answers: BBBCA
Duloxetine is commonly prescribed for which of the following conditions?
• A. Generalized anxiety disorder (GAD)
• B. Schizophrenia
• C. Bipolar disorder
• D. Hypothyroidism

Which of the following is an important nursing consideration when a patient is prescribed duloxetine?
• A. Monitor liver function tests
• B. Monitor blood glucose levels
• C. Encourage the patient to increase fluid intake
• D. Advise the patient to avoid sun exposure

What is a common side effect of duloxetine therapy?

• A. Weight gain
• B. Increased appetite
• C. Nausea and dry mouth
• D. Insomnia and fatigue

A patient taking duloxetine for depression begins to experience new-onset thoughts of suicide. What is the nurse’s best action?
• A. Increase the dosage of duloxetine
• B. Encourage the patient to use relaxation techniques
• C. Report the change in mental status to the healthcare provider immediately
• D. Advise the patient to stop the medication on their own

What is a significant interaction to be aware of when a patient is taking duloxetine?

• A. It may interact with NSAIDs, increasing the risk of bleeding
• B. It should not be taken with food to enhance absorption
• C. It can cause severe sedation when taken with alcohol
• D. It interacts with warfarin to increase clotting risks

Answers: AACCA