Test your knowledge of psychiatric nursing and mental health with this practice test. Explore neurotransmitters, medications, therapeutic communication, and more. Prepare for your nursing exam or admission test with these free mental health test questions and answers. Enhance your understanding of psychiatric nursing concepts and improve your exam readiness.
Subject: Psychiatric Nursing
Time: 45 Minutes
1. Which neurotransmitter is primarily associated with depression?
D. Gamma-aminobutyric acid (GABA)
2. An episode of mania is being experienced by a person with bipolar disorder. Which medication would be most appropriate to administer?
3. The primary goal of therapeutic communication in psychiatric nursing is to:
A. Establish rapport
B. Provide advice
C. Foster independence
D. Promote self-disclosure
4. Which defense mechanism involves the unconscious denial of the existence of a problem?
5. Due to a worry about contamination, an obsessive-compulsive disorder (OCD) patient repeatedly washes their hands. This behavior is an example of:
6. The nurse is caring for a client diagnosed with schizophrenia. The nurse knows that positive symptoms of schizophrenia include:
A. Flat affect and social withdrawal
B. Delusions and hallucinations
C. Apathy and anhedonia
D. Poor concentration and disorganized speech
7. As a first-line therapy for attention deficit hyperactivity disorder (ADHD), what drug is frequently prescribed?
8. Electroconvulsive therapy (ECT) is most commonly used in the treatment of:
A. Anxiety disorders
B. Personality disorders
C. Bipolar disorder
9. When conducting a mental status examination, which assessment component evaluates a client’s orientation to person, place, and time?
A. Appearance and behavior
B. Thought processes
C. Sensorium and cognitive abilities
D. Mood and affect
10. Which personality disorder exhibits a pervasive pattern of disdain for and infringement on the rights of others?
A. Borderline personality disorder
B. Antisocial personality disorder
C. Narcissistic personality disorder
D. Histrionic personality disorder
11. A client is prescribed clozapine for the treatment of schizophrenia. The nurse should monitor the client’s blood work regularly to assess for:
A. Liver function abnormalities
B. Renal function abnormalities
C. Cardiac arrhythmias
D. White blood cell suppression
12. Which therapeutic communication technique involves repeating the client’s main idea to encourage further discussion?
13. The nurse is caring for a client with anorexia nervosa. Which assessment finding would the nurse expect?
A. Hyperactive bowel sounds
B. Increased body weight
C. Low blood pressure
D. Elevated heart rate
14. Which definition of post-traumatic stress disorder (PTSD) is more accurate?
A. Multiple personalities make up this dissociative disease.
B. It is an anxiety condition brought on by a distressing experience.
C. Extreme highs and lows characterize this mood illness.
D. The severe dread of abandonment characterizes this personality disorder.
15. A client is receiving haloperidol for the management of psychosis. The nurse should prioritize which assessment related to the side effects of this medication?
A. Blood pressure
B. Blood glucose level
C. Liver function
D. Extrapyramidal symptoms
16. Which intervention is most appropriate when caring for a client experiencing a panic attack?
A. Provide reassurance and a quiet environment.
B. Engage in a detailed discussion about the triggering event.
C. Encourage deep breathing exercises.
D. Administer a prescribed sedative immediately.
17. Which defense mechanism involves attributing one’s own unacceptable feelings or thoughts to another person?
18. The nurse is caring for a client with major depressive disorder who has been prescribed fluoxetine. The nurse should monitor the client for the development of:
A. Hypertensive crisis
B. Serotonin syndrome
C. Neuroleptic malignant syndrome
D. Anticholinergic toxicity
19. A client with schizophrenia is experiencing auditory hallucinations. Which nursing intervention is most appropriate?
A. Ignoring the hallucinations to decrease reinforcement
B. Encouraging the client to confront the voices directly
C. Distraction techniques to redirect the client’s attention
D. Restraining the client to prevent harm
20. When planning care for a client with borderline personality disorder, which therapeutic approach is most effective?
A. Maintaining firm boundaries and consistency
B. Encouraging independent decision-making
C. Promoting avoidance of intense emotions
D. Providing excessive praise and reinforcement
21. Which neurotransmitter is primarily associated with schizophrenia?
22. The nurse is caring for a client with alcohol withdrawal. Which medication is commonly administered to prevent severe withdrawal symptoms and seizures?
23. A client diagnosed with delirium is experiencing acute confusion. The nurse should prioritize which intervention?
A. Administering an antipsychotic medication
B. Providing a calm and structured environment
C. Encouraging the client to sleep
D. Limiting sensory stimuli
24. Which statement accurately describes dissociative identity disorder (DID)?
A. It is characterized by excessive worry and fear about multiple things.
B. Grandiosity and a desire for adoration are traits of this personality disorder.
C. Two or more separate personalities make up this dissociative illness.
D. Recurrent panic attacks are a defining feature of this anxiety condition.
25. The nurse is assessing a client diagnosed with antisocial personality disorder. Which behavior is commonly associated with this disorder?
A. Avoiding social situations
B. Constant need for reassurance
C. Lack of remorse for hurting others
D. Preoccupation with physical appearance
26. A client with bipolar disorder is experiencing a depressive episode. Which medication would be most appropriate to administer?
27. The nurse is caring for a client with anorexia nervosa. Which complication is the client at the highest risk for?
28. Flashbacks are being experienced by a client who has been diagnosed with post-traumatic stress disorder (PTSD). Which intervention is most appropriate?
A. Encourage the client to talk about the traumatic event in detail.
B. Provide a safe and calm environment.
C. Administer a sedative to reduce anxiety.
D. Restrict the client’s movement to prevent harm.
29. Which symptom is characteristic of a manic episode in bipolar disorder?
A. Feelings of worthlessness and guilt
B. Excessive sleep and fatigue
C. Increased energy and impulsivity
D. Social withdrawal and isolation
30. The nurse is caring for a client with borderline personality disorder who is engaging in self-harm. Which intervention is the nurse’s priority?
A. Assessing the client’s suicide risk
B. Administering a sedative to calm the client
C. Providing positive reinforcement for non-self-harming behaviors
D. Encouraging the client to explore the underlying emotions