Healthcare and Nursing Mental Health & Psychiatric Nursing

Question 1

Which therapeutic communication technique is most appropriate when a patient states, 'I feel like no one cares about me'?

Accepted Answer

Reflecting feelings back to the patient

Answer

Reflecting validates the patient's emotions and encourages them to explore their feelings without judgment or dismissal.

Question 2

A patient with schizophrenia tells the nurse that the television is sending them personal messages. This is an example of which symptom?

Accepted Answer

Delusion of reference

Answer

A delusion of reference is the false belief that ordinary events (such as a TV broadcast) have special personal significance directed at the individual.

Question 3

Which class of medications is considered first-line treatment for major depressive disorder?

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs)

Answer

SSRIs are first-line for major depression due to their favorable side-effect profile and relative safety compared to older antidepressants.

Question 4

What is the priority nursing intervention for a patient who is actively suicidal?

Accepted Answer

Ensure patient safety by removing harmful objects and initiating constant observation

Answer

The immediate priority for an actively suicidal patient is safety — removing means and ensuring continuous monitoring to prevent self-harm.

Question 5

A patient with bipolar disorder is in a manic episode. Which nursing intervention is most appropriate?

Accepted Answer

Set firm, consistent limits and provide a calm low-stimulation environment

Answer

Manic patients are easily overstimulated; a calm environment with consistent limits reduces agitation and prevents escalation.

Healthcare and Nursing Practice Test

Healthcare and Nursing Practice Test

Healthcare and Nursing Mental Health & Psychiatric Nursing