This document contains 20 multiple choice questions related to psychiatric nursing. The questions cover topics like appropriate responses in different patient situations, explanations for behaviors observed in nurses or patients, identifying appropriate treatment plans and interventions, and recognizing signs that treatment goals have been met. Each question is followed by 4 possible answers, with only one indicated as being correct.

1. MCQs
Sushil Sudarshan Humane
MSN, RN

2. A patient who was admitted yesterday with an
adjustment disorder and depressed mood has not left his
or her room. The psychiatric-mental health nurse's most
appropriate approach at meal time today is to respond:
1. "I will bring your tray to your room, if it will make you
more comfortable.“
2. "I will walk with you to the dining room and sit with
you while you eat.“
3. "Where would you like to eat your meal this noon?“
4. "You will feel better if you go to the dining room and
eat with the others."
Answer: 2

3. A 17-year-old, female patient with anorexia nervosa has just been
released from the hospital. To facilitate recovery at home, the
psychiatric-mental health nurse instructs the family to:
1. Discourage the patient from sneaking food between meals, by
unobtrusively reducing her access to the kitchen.
2. Encourage the patient's interest in menu planning, food
magazines, and cooking lessons, by leaving information and
materials around the house.
3. Permit the patient to eat her meals privately in her bedroom to
discourage family preoccupation with meals.
4. Recommend that the patient joins in routine family meals and
clears the dishes after dinner, even if she does not eat.
Answer: 4

4. Delusion is a disorder of
1. Thought
2. Perception
3. Insight
4. Cognition
Answer: 1

5. Loss of insight and judgement is seen in patient
with:
1. Phobic disorder
2. Psychosis
3. Alcoholism
4. Dissociative disorder
Answer: 2

6. Rorschach’s project test designed to measure?
1. Unconscious intensions
2. Dreams
3. Conscious desires
4. Brain size
Answer: 1

7. A supervisor observes inconsistency in the
psychiatric-mental health nurse's behavior toward a
patient; the nurse is unreasonably concerned,
overly kind, or irrationally hostile. The most
appropriate explanation is that the nurse is
displaying:
1. Countertransference.
2. Empathic resonance.
3. Splitting behavior.
4. Transference.
Answer: 1

8. The first step in the treatment of incest is to:
1. Believe the child who reports the activity.
2. Notify the proper authorities.
3. Objectively confront the accused family
member.
4. Remove the child from the home.
Answer: 1

9. Most difficult part of a nurse-client relationship in
therapeutic relationship for the nurse is:
1. Remain as therapeutic and professional
2. Being able to understand and accept client
behavior
3. Accepting responsibility in identifying and
evaluating the real need of the client.
4. Developing an awareness of self and
professional role relationship
Answer: 4

10. Termination of interpersonal relationship starts
in ………………… phase.
1. Pre-Interaction
2. Orientation
3. Working
4. Termination
Answer: 2

11. Patient who is newly-diagnosed with cancer
frequently use the Defence mechanism of:
1. Displacement
2. Reaction formation
3. Denial
4. Projection
Answer: 3

12. Older adults have reached Erikson's developmental
stage of ego integrity when they:
1. Acknowledge that one cannot get everything
one wants in life.
2. Assess their lives and identify actions that had
value and purpose.
3. Express a wish that life could be relived
differently.
4. Feel that they are being punished for things they
did not do.
Answer: 2

13. A psychiatric-mental health nurse, who is teaching a
couple how to use positive reinforcement techniques
with their child, recommends:
1. Agreeing with the child's statements, whether
negative or positive, and simply restating the child's
statements without other comment.
2. Controlling the child's behavior, so there is no chance
of negative behavior
3. Removing adverse consequences to produce positive
results.
4. Rewarding positive behaviors to promote their
recurrence.
Answer: 4

14. A selective serotonin reuptake inhibitor targets
which part of the brain?
1. Basal ganglia.
2. Frontal cortex.
3. Hippocampus.
4. Putamen.
Answer: 2

15. A school-aged patient with attention-deficit/hyperactivity
disorder is displaying disruptive behaviors at home. The
psychiatric-mental health nurse modifies the treatment plan
for the social domain, by advising the patient's parents to:
1. Establish eye contact before giving directions.
2. Initiate a point system, to reward the patient for
appropriate behavior.
3. Instruct the patient to work on one homework assignment
at a time.
4. Maintain a predictable environment in the home.
Answer: 2

16. Patient is being discharged after spending six days in the hospital, due
to depression with suicidal ideation. The psychiatric-mental health
nurse knows that an important outcome has been met when the
patient states:
1. "I can't wait to get home and forget that this ever happened."
2. "I feel so much better. If I continue to feel this way, I can probably
stop taking my medications soon."
3. "I have a list of support groups and a crisis line that I can call, if I
feel suicidal."
4. "I have to leave here soon, if I want to make it to the shelter
before they run out of beds."
Answer: 3

17. When screening families for post-traumatic stress
disorder following a major natural disaster,
psychiatric-mental health nurses are practicing
which type of disease prevention?
1. Primary.
2. Secondary.
3. Tertiary.
4. Universal.
Answer: 2