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PSYCHIATRIC NURSING EXAM PRACTICE QUESTIONS WITH CORRECT ANSWERS LATEST EDITION 2024
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  • PSYCHIATRIC NURSING
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  • PSYCHIATRIC NURSING

PSYCHIATRIC NURSING EXAM PRACTICE QUESTIONS WITH CORRECT ANSWERS LATEST EDITION 2024 Azpatientzsaysztoztheznurse,z"IzdreamedzIzwaszstoned.zWhenzIzwokezup,zIzfeltzemotionallyzdrained,zaszthoughzIzhadn'tzrestedzwell."zWhichzresponsezshouldztheznursezuseztozclarifyzthezpatient'szcomment? a.z"Itzso...

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  • October 11, 2024
  • 94
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • psychiatric nursing exam practice questions with c
  • azpatientzsaysztoztheznursezizdreamedzizwaszston
  • whichztechniquezwillzbestzcommunicateztozazpatient
  • duringzazone on onezinteractionzwithztheznursezaz

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  • PSYCHIATRIC NURSING
  • PSYCHIATRIC NURSING

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PSYCHIATRIC NURSING EXAM PRACTICE
QUESTIONS WITH CORRECT ANSWERS LATEST
EDITION 2024
Azpatientzsaysztoztheznurse,z"IzdreamedzIzwaszstoned.zWhenzIzwokezup,zIzfeltzemotionallyzdrained,zaszthou
ghzIzhadn'tzrestedzwell."zWhichzresponsezshouldztheznursezuseztozclarifyzthezpatient'szcomment?

a.z"Itzsoundszaszthoughzyouzwerezuncomfortablezwithzthezcontentzofzyourzdream."

b.z"Izunderstandzwhatzyou'rezsaying.zBadzdreamszleavezmezfeelingztired,ztoo."

c.z"Sozyouzfeelzaszthoughzyouzdidznotzgetzenoughzqualityzsleepzlastznight?"

d.z"Canzyouzgivezmezanzexamplezofzwhatzyouzmeanzbyz'stoned'?"z-zCORRECTzANSWER-ANS:zD

Theztechniquezofzclarificationzisztherapeuticzandzhelpsztheznursezexaminezthezmeaningzofzthezpatient'szsta
tement.zAskingzforzazdefinitionzofz"stoned"zdirectlyzaskszforzclarification.zRestatingzthatzthezpatientziszunco
mfortablezwithzthezdream'szcontentziszparroting,zaznon-
therapeuticztechnique.zThezotherzresponseszfailztozclarifyzthezmeaningzofzthezpatient'szcomment.



Azpatientzdiagnosedzwithzschizophreniaztellsztheznurse,z"ThezCIAziszmonitoringzuszthroughzthezfluorescentz
lightszinzthiszroom.zBezcarefulzwhatzyouzsay."zWhichzresponsezbyztheznursezwouldzbezmostztherapeutic?

a.z"Let'sztalkzaboutzsomethingzotherzthanzthezCIA."

b.z"Itzsoundszlikezyou'rezconcernedzaboutzyourzprivacy."

c.z"ThezCIAziszprohibitedzfromzoperatingzinzhealthzcarezfacilities."

d.z"Youzhavezlostztouchzwithzreality,zwhichziszazsymptomzofzyourzillness."z-zCORRECTzANSWER-ANS:zB

Itziszimportantznotztozchallengezthezpatient'szbeliefs,zevenzifztheyzarezunrealistic.zChallengingzunderminesz
thezpatient'sztrustzinztheznurse.zTheznursezshouldztryztozunderstandzthezunderlyingzfeelingszorzthoughtszth
ezpatient'szmessagezconveys.zThezcorrectzresponsezusesztheztherapeuticztechniquezofzreflection.zThezothe
rzcommentszareznon-
therapeutic.zAskingztoztalkzaboutzsomethingzotherzthanzthezconcernzatzhandziszchangingzthezsubject.zSayi
ngzthatzthezCIAziszprohibitedzfromzoperatingzinzhealthzcarezfacilitieszgiveszfalsezreassurance.zStatingzthatzth
ezpatientzhaszlostztouchzwithzrealityzisztruthful,zbutzuncompassionate.



Thezpatientzsays,z"Myzmarriageziszjustzgreat.zMyzspousezandzIzalwayszagree."zTheznursezobserveszthezpatie
nt'szfootzmovingzcontinuouslyzaszthezpatientztwirlszazshirtzbutton.zThezconclusionztheznursezcanzdrawziszth
atzthezpatient'szcommunicationzis:

a.zclear.z

b.zmixed.

,c.zprecise.

d.zinadequate.z-zCORRECTzANSWER-ANS:zB

Mixedzmessageszinvolveztheztransmissionzofzconflictingzorzincongruentzmessageszbyzthezspeaker.zThezpati
ent'szverbalzmessagezthatzallzwaszwellzinzthezrelationshipzwaszmodifiedzbyztheznonverbalzbehaviorszdenoti
ngzanxiety.zDatazareznotzpresentztozsupportzthezchoicezofzthezverbalzmessagezbeingzclear,zexplicit,zorzinad
equate.



Aznursezinteractszwithzaznewlyzhospitalizedzpatient.zSelectztheznurse'szcommentzthatzapplieszthezcommun
icationztechniquezofz"offeringzself."

a.z"I'vezalsozhadztraumaticzlifezexperiences.zMaybezitzwouldzhelpzifzIztoldzyouzaboutzthem."

b.z"Whyzdozyouzthinkzyouzhadzsozmuchzdifficultyzadjustingztozthiszchangezinzyourzlife?"

c.z"Izhopezyouzwillzfeelzbetterzafterzgettingzaccustomedztozhowzthiszunitzoperates."

d.z"I'dzlikeztozsitzwithzyouzforzazwhileztozhelpzyouzgetzcomfortableztalkingztozme."z-zCORRECTzANSWER-
ANS:zD

"Offeringzself"ziszaztechniquezthatzshouldzbezusedzinzthezorientationzphasezofztheznurse-
patientzrelationship.zSittingzwithzthezpatient,zanzexamplezofz"offeringzself,"zhelpsztozbuildztrustzandzconvey
zthatztheznursezcareszaboutzthezpatient.zTwozincorrectzresponseszarezineffectivezandznon-

therapeutic.zThezotherzincorrectzresponsezisztherapeuticzbutziszanzexamplezofz"offeringzhope."



Whichztechniquezwillzbestzcommunicateztozazpatientzthatztheznurseziszinterestedzinzlistening?

a.zRestatingzazfeelingzorzthoughtzthezpatientzhaszexpressed.

b.zAskingzazdirectzquestion,zsuchzasz"Didzyouzfeelzangry?"

c.zMakingzazjudgmentzaboutzthezpatient'szproblem.

d.zSaying,z"Izunderstandzwhatzyou'rezsaying."z-zCORRECTzANSWER-ANS:zA

Restatingzallowszthezpatientztozvalidateztheznurse'szunderstandingzofzwhatzhaszbeenzcommunicated.zRest
atingziszanzactivezlisteningztechnique.zJudgmentszshouldzbezsuspendedzinzaznurse-
patientzrelationship.zClose-
endedzquestionszsuchzasz"Didzyouzfeelzangry?"zaskzforzspecificzinformationzratherzthanzshowingzunderstan
ding.zWhenztheznursezsimplyzstateszthatzhezorzshezunderstandszthezpatient'szwords,zthezpatientzhasznozwa
yzofzmeasuringzthezunderstanding.



Azpatientzdiscloseszseveralzconcernszandzassociatedzfeelings.zIfztheznursezwantsztozseekzclarification,zwhic
hzcommentzwouldzbezappropriate?

a.z"Whatzarezthezcommonzelementszhere?"

,b.z"Tellzmezagainzaboutzyourzexperiences."

c.z"AmzIzcorrectzinzunderstandingzthatz.z.z."

d.z"Tellzmezeverythingzfromzthezbeginning."z-zCORRECTzANSWER-ANS:zC

Asking,z"AmzIzcorrectzinzunderstandingzthat..."zpermitszclarificationztozensurezthatzbothztheznursezandzpati
entzsharezmutualzunderstandingzofzthezcommunication.zAskingzaboutzcommonzelementszencourageszcom
parisonzratherzthanzclarification.zThezremainingzresponseszarezimpliedzquestionszthatzsuggestztheznursezw
asznotzlistening.



Azpatientztellsztheznurse,z"Izdon'tzthinkzI'llzeverzgetzoutzofzhere."zSelectztheznurse'szmostztherapeuticzrespo
nse.

a.z"Don'tztalkzthatzway.zOfzcoursezyouzwillzleavezhere!"

b.z"Keepzupzthezgoodzwork,zandzyouzcertainlyzwill."

c.z"Youzdon'tzthinkzyou'rezmakingzprogress?"

d.z"Everyonezfeelszthatzwayzsometimes."z-zCORRECTzANSWER-ANS:zC

Byzaskingzifzthezpatientzdoesznotzbelievezthatzprogresszhaszbeenzmade,ztheznurseziszreflectingzbyzputtingzin
tozwordszwhatzthezpatientziszhinting.zByzmakingzcommunicationzmorezexplicit,zissueszarezeasierztozidentify
zandzresolve.zThezremainingzoptionszareznon-

therapeuticztechniques.zTellingzthezpatientznotztoz"talkzthatzway"ziszdisapproving.zSayingzthatzeveryonezfe
elszthatzwayzatztimeszminimizeszfeelings.zTellingzthezpatientzthatzgoodzworkzwillzalwayszresultzinzsuccesszisz
falselyzreassuring.



Documentationzinzazpatient'szchartzshows,z"Throughoutzaz5-
minutezinteraction,zpatientzfidgetedzandztappedzleftzfoot,zperiodicallyzcoveredzfacezwithzhands,zandzlooke
dzunderzchairzwhilezstating,z'Izenjoyzspendingztimezwithzyou.'"zWhichzanalysisziszmostzaccurate?

a.zThezpatientziszgivingzpositivezfeedbackzaboutztheznurse'szcommunicationztechniques.

b.zTheznurseziszviewingzthezpatient'szbehaviorzthroughzazculturalzfilter.

c.zThezpatient'szverbalzandznonverbalzmessageszarezincongruent.

d.zThezpatientziszdemonstratingzpsychoticzbehaviors.z-zCORRECTzANSWER-ANS:zC

Whenzazverbalzmessagezisznotzreinforcedzwithznonverbalzbehavior,zthezmessageziszconfusingzandzincongru
ent.zSomezclinicianszcallzitzaz"mixedzmessage."zItziszinaccurateztozsayzthatzthezpatientziszgivingzpositivezfee
dbackzaboutztheznurse'szcommunicationztechniques.zThezconceptzofzazculturalzfilterzisznotzrelevantztozthez
situationzbecausezazculturalzfilterzdetermineszwhatzwezwillzpayzattentionztozandzwhatzwezwillzignore.zDataz
arezinsufficientztozdrawzthezconclusionzthatzthezpatientziszdemonstratingzpsychoticzbehaviors.

, Whileztalkingzwithzazpatientzdiagnosedzwithzmajorzdepression,zaznurseznoticeszthezpatientziszunableztozma
intainzeyezcontact.zThezpatient'szchinzlowersztozthezchest,zwhilezthezpatientzlookszatzthezfloor.zWhichzaspe
ctzofzcommunicationzhasztheznursezassessed?

a.zNonverbalzcommunicationz

b.zAzmessagezfilter

c.zAzculturalzbarrier

d.zSocialzskillsz-zCORRECTzANSWER-ANS:zA

Eyezcontactzandzbodyzmovementszarezconsideredznonverbalzcommunication.zTherezarezinsufficientzdatazt
ozdeterminezthezlevelzofzthezpatient'szsocialzskillszorzwhetherzazculturalzbarrierzexists.



Duringzthezfirstzinterviewzwithzazparentzwhosezchildzdiedzinzazcarzaccident,ztheznursezfeelszempathiczandzr
eacheszoutztoztakezthezpatient'szhand.zSelectzthezcorrectzanalysiszofztheznurse'szbehavior.

a.zItzshowszempathyzandzcompassion.zItzwillzencouragezthezpatientztozcontinueztozexpresszfeelings.

b.zThezgestureziszpremature.zThezpatient'szculturalzandzindividualzinterpretationzofztouchziszunknown.

c.zThezpatientzwillzperceivezthezgesturezaszintrusivezandzoversteppingzboundaries.

d.zThezactionziszinappropriate.zPsychiatriczpatientszshouldznotzbeztouched.z-zCORRECTzANSWER-ANS:zB

Touchzhaszvariouszculturalzandzindividualzinterpretations.zNurseszshouldzrefrainzfromzusingztouchzuntilzanz
assessmentzcanzbezmadezregardingzthezwayzinzwhichzthezpatientzwillzperceiveztouch.zThezotherzoptionszpr
esentzprematurelyzdrawnzconclusions.



Duringzazone-on-
onezinteractionzwithztheznurse,zazpatientzfrequentlyzlooksznervouslyzatzthezdoor.zSelectzthezbestzcomment
zbyztheznursezregardingzthisznonverbalzcommunication.


a.z"Iznoticezyouzkeepzlookingztowardzthezdoor."

b.z"Thisziszourztimeztogether.zNozoneziszgoingztozinterruptzus."

c.z"Itzlookszaszifzyouzarezeagerztozendzourzdiscussionzforztoday."

d.z"Ifzyouzarezuncomfortablezinzthiszroom,zwezcanzmovezsomeplacezelse."z-zCORRECTzANSWER-ANS:zA

Makingzobservationszandzencouragingzthezpatientztozdescribezperceptionszarezusefulztherapeuticzcommu
nicationztechniqueszforzthiszsituation.zThezotherzresponseszarezassumptionszmadezbyztheznurse.



Azblackzpatientzsaysztozazwhiteznurse,z"There'sznozsenseztalking.zYouzwouldn'tzunderstandzbecausezyouzliv
ezinzazwhitezworld."zTheznurse'szbestzactionzwouldzbezto:

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