Prepare for your nursing exam with this free comprehensive mental health test. These multiple-choice questions cover various psychiatric disorders, their treatment options, and appropriate nursing interventions. Test your knowledge and understanding of topics such as anxiety disorders, mood disorders, personality disorders, and more. Enhance your nursing exam preparation with these practice questions and their detailed answers. Whether you’re a student or a professional nurse, this mock test will help you assess your knowledge and improve your skills in psychiatric nursing. Explore these free mental health test questions and answers to excel in your nursing career.
Subject: Psychiatric Nursing
Time: 45 Minutes
1. What drug is frequently recommended as a first therapy for generalized anxiety disorder (GAD)?
2. The nurse is caring for a client with Alzheimer’s disease who is experiencing agitation and aggression. Which nonpharmacological intervention should the nurse prioritize?
A. Administering a sedative medication
B. Providing a structured and predictable environment
C. Encouraging social isolation to minimize triggers
D. Restraining the client to prevent harm
3. A client diagnosed with schizophrenia is prescribed risperidone. The nurse should educate the client about which potential side effect?
A. Weight gain
C. Tardive dyskinesia
D. Urinary retention
4. Which statement accurately describes major depressive disorder (MDD)?
A. It is characterized by manic episodes.
B. Instable relationships are a defining feature of this personality disorder.
C. It is a mental illness marked by persistent melancholy and interest loss.
D. It is an anxiety condition marked by overly concerned and fearful behavior.
5. A client with borderline personality disorder is being evaluated by the nurse. Which behavior is commonly associated with this disorder?
A. Avoidance of social situations
B. Preoccupation with physical appearance
C. Excessive need for reassurance
D. Lack of empathy for others
6. A client with obsessive-compulsive disorder (OCD) engages in repetitive counting rituals to decrease anxiety. This behavior is an example of:
7. Which defense mechanism involves attributing one’s own unacceptable thoughts or feelings to another person?
8. The nurse is caring for a client with post-traumatic stress disorder (PTSD) who is experiencing nightmares. Which intervention is most appropriate?
A. Encourage the client to avoid sleep to prevent nightmares.
B. Administer a sedative to induce sleep and prevent nightmares.
C. Teach the client relaxation techniques to promote restful sleep.
D. Restrict the client’s movement to prevent injury during nightmares.
9. A client diagnosed with bipolar disorder is experiencing a manic episode. Which intervention is most appropriate?
A. Provide a calm and structured environment.
B. Encourage the client to engage in vigorous physical exercise.
C. Administer a sedative medication to promote sleep.
D. Restrict the client’s access to personal belongings.
10. Electroconvulsive therapy (ECT) is commonly used in the treatment of:
A. Obsessive-compulsive disorder (OCD)
B. Panic disorder
C. Major depressive disorder (MDD)
D. Borderline personality disorder
11. The nurse is caring for a client with delirium. Which intervention is most appropriate to promote orientation and prevent confusion?
A. Keep the environment brightly lit at all times.
B. Limit visitors and social interactions.
C. Encourage frequent napping during the day.
D. Use clocks, calendars, and personal items to establish a sense of time and place.
12. Which therapeutic communication technique involves summarizing the main points of a conversation to ensure understanding?
13. A client diagnosed with schizophrenia is experiencing negative symptoms such as social withdrawal and anhedonia. Which medication may be prescribed to alleviate these symptoms?
14. The nurse is caring for a client diagnosed with anorexia nervosa. Which laboratory finding would be expected in this client?
A. Elevated cholesterol levels
D. Decreased liver enzymes
15. A client diagnosed with antisocial personality disorder consistently violates the rights of others without remorse. This behavior is primarily associated with:
A. Poor impulse control
B. Cognitive distortions
C. Emotional instability
D. Lack of empathy
16. A client with a history of alcohol use disorder is prescribed disulfiram. The nurse should educate the client about the potential adverse reaction when consuming alcohol, which is:
A. Nausea and vomiting
B. Tachycardia and hypertension
C. Sedation and respiratory depression
D. Flushing and palpitations
17. A client with schizophrenia being treated by the nurse is having extrapyramidal adverse effects after taking antipsychotic medication. Which drug would be most suited to treat these symptoms?
18. When assessing a client with depression, the nurse notes feelings of worthlessness, guilt, and thoughts of suicide. These symptoms are most indicative of:
A. Generalized anxiety disorder (GAD)
B. Bipolar disorder
C. Major depressive disorder (MDD)
D. Panic disorder
19. A client with attention deficit hyperactivity disorder (ADHD) is being cared for by the nurse. Which medicine is widely used to treat ADHD symptoms?
20. A client with a history of self-harm is admitted to the psychiatric unit. Which intervention should the nurse prioritize?
A. Monitoring 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
21. Which neurotransmitter is primarily associated with anxiety disorders?
22. The nurse is caring for a client diagnosed with borderline personality disorder who is engaging in manipulative behaviors. Which response by the nurse is most appropriate?
A. Setting firm limits and boundaries
B. Providing excessive praise and reinforcement
C. Ignoring the manipulative behaviors
D. Encouraging the client to explore underlying emotions
23. A client with major depressive disorder is prescribed tricyclic antidepressants (TCAs). The nurse should monitor the client for the development of:
A. Serotonin syndrome
B. Neuroleptic malignant syndrome
C. Extrapyramidal symptoms
D. Cardiac dysrhythmias
24. Which statement accurately describes bipolar disorder?
A. It is distinguished by chronic melancholy and loss of interest.
B. It is a personality disorder marked by impulsive behavior and unstable relationships.
C. It is a mood illness characterized by manic and depressive periods.
D. It is a type of anxiety disorder marked by intrusive thoughts and routines.
25. The nurse takes care for a client who has a history of alcoholism and has been prescribed naltrexone. This medication’s objective is to:
A. Reduce alcohol cravings
B. Induce immediate sobriety
C. Prevent withdrawal symptoms
D. Promote liver detoxification
26. A client diagnosed with bulimia nervosa is at risk for which electrolyte imbalance?
27. The nurse is caring for a client with dissociative identity disorder (DID). Which intervention is most appropriate for this client?
A. Promoting integration and communication among alter personalities
B. Encouraging the client to avoid discussions about the alter personalities
C. Administering antipsychotic medication to manage dissociative symptoms
D. Restricting the client’s access to personal belongings to prevent self-harm
28. Which statement accurately describes schizophrenia?
A. It is a mood condition with strong highs and lows.
B. It is a personality disorder marked by rash and impulsive behavior.
C. It is a dissociative condition in which numerous identities coexist.
D. It is a psychotic disease marked by hallucinations and delusions.
29. The nurse is evaluating a client who has been diagnosed with post-traumatic stress disorder (PTSD). Which of the following symptoms is frequently linked with this disorder?
A. Recurrent panic attacks
B. Excessive worry and anxiety
C. Intrusive memories and flashbacks
D. Unstable self-image and relationships
30. The nurse is caring for a client diagnosed with schizophrenia who is experiencing auditory hallucinations. Which intervention is most appropriate?
A. Encouraging the client to confront the voices directly
B. Ignoring the hallucinations to decrease reinforcement
C. Distraction techniques to redirect the client’s attention
D. Administering antipsychotic medication immediately