Psychiatric Nursing: Comprehensive Quizzes for Medical-Surgical Nursing II

Question 1

When creating a nursing care plan for a patient with a psychiatric disorder, what is the most important factor to consider?

Accepted Answer

The patient's individual needs

Answer

The patient's diagnosis alone

Answer

The patient's family history

Answer

The patient's insurance coverage

Question 2

Which of the following is a **primary** symptom of anxiety disorders?

Accepted Answer

Excessive worry

Answer

Euphoria

Answer

Delusions of grandeur

Answer

Auditory hallucinations

Question 3

In end-of-life care, which ethical principle is crucial to uphold?

Accepted Answer

Respecting the patient's choices and their right to decline treatment

Answer

Administering life-sustaining treatments regardless of the patient's wishes

Answer

Concealing the patient's prognosis to prevent distress

Answer

Neglecting the spiritual and emotional well-being of the patient and their family

Question 4

In crisis management, which nursing intervention is crucial?

Accepted Answer

Maintaining a calm and supportive environment

Answer

Administering psychotropic medications immediately

Answer

Restraining the patient when necessary

Answer

Confronting the patient directly about their thoughts or behaviors

Question 5

What is the primary aim of suicide prevention efforts?

Accepted Answer

Reducing the risk of self-harm

Answer

Treating the underlying mental health condition

Answer

Providing emotional support to the patient

Answer

Preventing the patient from accessing dangerous objects

Question 6

In providing end-of-life care for a patient with a psychiatric disorder, what should be the initial step?

Accepted Answer

Assessing the patient's preferences and wishes

Answer

Administering pain medications as required

Answer

Providing emotional support to the family

Answer

Contacting the patient's psychiatrist

Question 7

Which nursing intervention is appropriate for a patient experiencing delusions?

Accepted Answer

Providing reality orientation

Answer

Validating the patient's beliefs

Answer

Challenging the patient's beliefs directly

Answer

Setting firm limits and boundaries

Question 8

Which factor is most critical in preventing aggression in patients with psychiatric disorders?

Accepted Answer

Early identification of triggers

Answer

Administration of antipsychotic medications

Answer

Use of physical restraints

Answer

Seclusion and isolation

Question 9

Which of the following medications is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression?

Accepted Answer

Fluoxetine

Answer

Lithium

Answer

Valproic acid

Answer

Carbamazepine

Question 10

What is the key difference between a delusion and a hallucination?

Accepted Answer

A delusion is a false belief, while a hallucination is a sensory perception that is not real.

Answer

A hallucination is a false belief, while a delusion is a sensory perception that is not real.

Answer

A delusion is a fixed and irrational belief, while a hallucination is a temporary and fleeting perception.

Answer

There is no difference between a delusion and a hallucination.

Question 11

What is the primary goal of nursing care for a patient with Alzheimer's disease?

Accepted Answer

To improve the patient's quality of life

Answer

To cure the patient's dementia

Answer

To slow the progression of the disease

Answer

To provide support to the patient's family

Question 12

Which factor does NOT increase the risk of suicide?

Accepted Answer

Strong social support system

Answer

History of mental illness

Answer

Substance abuse

Answer

Easy access to firearms

Question 13

What is the primary objective of crisis management in psychiatric nursing?

Accepted Answer

Preventing harm to the patient or others

Answer

Providing long-term therapy

Answer

Diagnosing the underlying psychiatric condition

Answer

Establishing a therapeutic relationship

Question 14

Which of the following is a hallmark of schizophrenia?

Accepted Answer

Hallucinations and delusions

Answer

Depressed mood and anhedonia

Answer

Elevated mood and racing thoughts

Answer

Obsessive-compulsive behaviors

Question 15

Which of the following are the **key** symptoms of major depressive disorder?

Accepted Answer

Persistent sadness, hopelessness, and loss of interest

Answer

Insomnia and fatigue

Answer

Delusions of grandeur and hallucinations

Answer

Significant weight gain and increased appetite

Question 16

How do de-escalation techniques contribute to managing aggression in psychiatric patients? Provide an example.

Accepted Answer

De-escalation techniques help calm patients and prevent further aggression. For instance, using a soothing and reassuring tone.

Answer

De-escalation techniques should not be used alone; physical restraints are always necessary.

Answer

De-escalation techniques are ineffective in managing aggression in psychiatric patients.

Answer

Only mental health professionals should use de-escalation techniques.

Question 17

Which of the following is the nurse's primary responsibility when caring for a patient with a psychiatric disorder?

Accepted Answer

Establishing a therapeutic relationship and providing emotional support.

Answer

Administering medication as prescribed.

Answer

Performing physical assessments and monitoring vital signs.

Answer

Educating the patient about their condition and treatment plan.

Question 18

Which of the following is a fundamental crisis intervention technique?

Accepted Answer

Listening actively without judgment

Answer

Setting limits and enforcing consequences

Answer

Administering calming medications

Answer

Isolating the patient to minimize distractions

Question 19

What is the primary purpose of conducting a mental status examination?

Accepted Answer

To gather information about the patient's current cognitive and emotional state

Answer

To diagnose psychiatric disorders

Answer

To evaluate the patient's insight into their illness

Answer

To determine the patient's level of dangerousness

Question 20

Which of the following is a hallmark symptom of schizophrenia?

Accepted Answer

Hallucinations

Answer

Depressed mood

Answer

Suicidal thoughts

Answer

Compulsions

Question 21

What is the first-line treatment for bipolar disorder?

Accepted Answer

Mood stabilizers

Answer

Antidepressants

Answer

Antipsychotics

Answer

Electroconvulsive therapy (ECT)

Question 22

Which of the following is an effective nursing intervention for a patient experiencing anxiety?

Accepted Answer

Providing a calm and supportive environment

Answer

Encouraging the patient to suppress their anxious thoughts

Answer

Administering sedatives

Answer

Isolating the patient from potential triggers

Question 23

What is the primary goal of end-of-life care for patients with psychiatric disorders?

Accepted Answer

To alleviate suffering and promote comfort

Answer

To cure the patient's mental illness

Answer

To prevent further deterioration of their condition

Answer

To prolong the patient's life at all costs

Question 24

In end-of-life care for competent psychiatric patients, which ethical principle should guide nurses' decision-making priority?

Accepted Answer

Patient Autonomy

Answer

Fairness (Justice)

Answer

Do No Harm (Non-maleficence)

Answer

Do Good (Beneficence)

Question 25

Which type of nursing intervention is not appropriate for a patient with anxiety?

Accepted Answer

Pressuring them to face their fears

Answer

Providing relaxation techniques

Answer

Encouraging them to engage in stress-reducing activities

Answer

Administering prescribed anti-anxiety medications

Question 26

In crisis intervention, what is the primary goal for a patient experiencing a psychiatric crisis?

Accepted Answer

Prevent harm to themselves or others

Answer

Treat the underlying psychiatric condition

Answer

Provide ongoing psychiatric care

Answer

Manage psychiatric medications

Question 27

Which of the following is the initial priority in managing a patient in crisis?

Accepted Answer

Creating a safe environment

Answer

Calling security

Answer

Administering antipsychotic medication

Answer

Restraining the patient

Question 28

What is the primary function of a nurse in suicide prevention?

Accepted Answer

Assessing and mitigating risk factors

Answer

Prescribing antidepressants

Answer

Providing psychotherapy

Answer

Educating the patient's family

Question 29

Which of the following is a common symptom of end-of-life anxiety?

Accepted Answer

Fear of the unknown

Answer

Confusion

Answer

Nausea and vomiting

Answer

Constipation

Question 30

What is the nurse's primary objective in providing care to patients with psychiatric disorders?

Accepted Answer

Promoting recovery and enhancing quality of life

Answer

Preventing violence

Answer

Educating the patient's family

Answer

Minimizing symptoms

Question 31

Which of the following is a crucial principle of therapeutic communication with patients experiencing hallucinations?

Accepted Answer

Using clear and concise language

Answer

Ignoring the hallucinations

Answer

Confronting the patient with reality

Answer

Arguing with the patient

Question 32

What is the appropriate nursing intervention for a patient experiencing delusions?

Accepted Answer

Providing reality orientation

Answer

Confronting the patient with reality

Answer

Restraining the patient

Answer

Ignoring the delusions

Question 33

Which of the following is a fundamental principle of crisis intervention?

Accepted Answer

Providing a safe and supportive environment

Answer

Restraining the person immediately

Answer

Confronting the person about their behavior

Answer

Isolating the person

Question 34

When conducting a suicide risk assessment, what factor is the strongest predictor of imminent danger?

Accepted Answer

Presence of a specific plan and means to carry it out

Answer

Diagnosis of a psychiatric disorder

Answer

Expression of passive suicidal thoughts

Answer

History of previous suicide attempts

Question 35

Which class of medication is considered first-line treatment for depression?

Accepted Answer

Selective serotonin reuptake inhibitor (SSRI)

Answer

Mood stabilizer

Answer

Atypical antipsychotic

Answer

Benzodiazepine

Question 36

What is the primary focus of nursing care for a patient experiencing auditory hallucinations?

Accepted Answer

Safety and reality orientation

Answer

Preventing further hallucinations

Answer

Resolving the underlying psychiatric disorder

Answer

Providing insight into the nature of the hallucinations

Question 37

Which of the following non-pharmacological interventions is most effective for managing panic attacks?

Accepted Answer

Guided imagery or relaxation techniques

Answer

Physical restraint

Answer

Confrontational questioning

Answer

Medication administration

Question 38

Which of the following is a characteristic of borderline personality disorder?

Accepted Answer

Emotional instability and difficulty regulating emotions

Answer

Intellectual disability

Answer

Cognitive impairment

Answer

Hallucinations and delusions

Question 39

What is the primary nursing intervention for a patient experiencing a psychotic episode?

Accepted Answer

Maintaining a calm and supportive environment

Answer

Using physical restraints

Answer

Administering antipsychotic medication

Answer

Engaging in reality testing

Question 40

Which of the following is a symptom of obsessive-compulsive disorder (OCD)?

Accepted Answer

Repetitive thoughts and behaviors

Answer

Mood swings and irritability

Answer

Suicidal ideation and self-harm

Answer

Hallucinations and delusions

Question 41

What is the most effective communication strategy when interacting with a patient with schizophrenia?

Accepted Answer

Using clear and simple language, avoiding jargon

Answer

Ignoring the patient's hallucinations

Answer

Using confrontation to encourage insight

Answer

Challenging the patient's delusions

Question 42

What is the primary objective of nursing care for individuals with psychiatric disorders?

Accepted Answer

Promoting recovery and preventing relapse

Answer

Curing the underlying disorder

Answer

Providing emotional support to family members

Answer

Managing symptoms only

Question 43

Which of the following is a characteristic symptom of schizophrenia?

Accepted Answer

Hallucinations

Answer

Elevated blood pressure

Answer

Impaired coordination

Answer

Persistent cough

Question 44

When managing a patient in a psychiatric crisis, which approach is most therapeutic?

Accepted Answer

Maintaining a calm and non-judgmental demeanor

Answer

Confronting the patient aggressively

Answer

Ignoring the patient's concerns

Answer

Restraining the patient physically

Question 45

Which class of medication is commonly used to treat depression?

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs)

Answer

Benzodiazepines

Answer

Antipsychotics

Answer

Mood stabilizers

Question 46

What is the most crucial nursing intervention for a patient at risk of suicide?

Accepted Answer

Close observation and monitoring

Answer

Providing reassurance and talking about feelings

Answer

Restricting the patient's access to sharp objects

Answer

Administering sedatives

Question 47

What is the concept of a 'therapeutic milieu' in psychiatric care?

Accepted Answer

A structured environment designed to promote recovery and well-being

Answer

A secluded and isolated space for patients

Answer

A group therapy setting only

Question 48

In nursing care plans for psychiatric patients, which nursing diagnosis is frequently encountered?

Accepted Answer

Risk for self-harm

Answer

Deficient knowledge

Answer

Acute pain

Answer

Impaired physical mobility

Question 49

What is the primary aim of cognitive-behavioral therapy (CBT) for individuals with psychiatric disorders?

Accepted Answer

Identifying and changing maladaptive thought patterns and behaviors

Answer

Improving social skills

Answer

Managing symptoms through medication alone

Question 50

What is an advance directive?

Accepted Answer

A legal document specifying an individual's preferences for end-of-life care

Answer

A contract between the patient and their healthcare provider

Answer

A plan for post-hospital discharge