Psychiatric Nursing Practice Questions

Every article in this section ends with original clinical-judgment questions. This page collects them by topic so you can practise across the whole subject, then open the article behind any rationale you could not explain.

How to use these questions

Read the stem, decide on the safety priority before looking at the options, choose, then read the rationale even when you are right. If the rationale contains a word you could not define, that is the topic to review. Distractors in psych questions are usually responses that are kind but not therapeutic, or actions that are correct but not first.

Warm-up: mixed questions

A patient on the unit says, 'The nurses are putting something in my food.' Which response is most therapeutic?
  1. 'Nobody here would do that — you're safe with us.'
  2. 'That sounds frightening. I'll sit with you while you eat something sealed.'
  3. 'Why do you think that?'
  4. 'Let's talk about something more pleasant.'
Answer: B. It acknowledges the feeling, does not argue with the delusion, and meets the physical need (nutrition) safely. A argues, C asks the patient to justify a delusion, D dismisses the concern.
Which change in a patient with depression should the nurse treat as an increase in suicide risk rather than improvement?
  1. Sleeping through the night for the first time
  2. Sudden calm and giving away belongings after weeks of hopelessness
  3. Asking to attend group therapy
  4. Eating a full breakfast
Answer: B. Sudden peace after prolonged hopelessness, together with giving away possessions, is a recognised warning sign that a decision may have been made. The other options are ordinary signs of recovery.
A patient started an antipsychotic recently and now has a high temperature, rigid muscles and a fluctuating level of consciousness. What is the nurse's priority?
  1. Reassess in one hour
  2. Encourage oral fluids and rest
  3. Withhold the next dose and notify the provider immediately
  4. Offer a PRN anxiolytic
Answer: C. Fever, rigidity and altered consciousness after antipsychotic exposure are the classic picture of neuroleptic malignant syndrome, a medical emergency. The medication is held and the provider notified urgently; the other options delay treatment.

Questions by topic

Back to the psychiatric nursing hub

Nursivelle materials are provided for educational and study purposes only. They are not a substitute for professional clinical judgment, institution-specific policies, instructor guidance, required course materials, or professional medical advice. Always follow your program's current references and your facility's protocols.