Nclex Sample Questions For Psychiatric Nursing 5 (exam Mode) By Rnpedia.com

50 Questions  I  By Rnpedia
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1.  An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess? 
A.
B.
C.
D.
2.  The nurse would expect a client with early Alzheimer’s disease to have problems with: 
A.
B.
C.
D.
3.  When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system? 
A.
B.
C.
D.
4.  A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client’s delusional perceptions would the nurse establish? 
A.
B.
C.
D.
5.  The nurse collecting family assessment data asks. “Who is in your family and where do they live?” which of the following is the nurse attempting o identify? 
A.
B.
C.
D.
6.  Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes emotional lability? 
A.
B.
C.
D.
7.  The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe? 
A.
B.
C.
D.
8.  Which method would a nurse use to determine a client’s potential risk for suicide?
A.
B.
C.
D.
9.  The nurse enters the room of a client with a cognitive impairment disorder and asks what day of the week it is: what the date, month, and year are; and where the client is. The nurse is attempting to assess:
A.
B.
C.
D.
10.  A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching? 
A.
B.
C.
D.
11.  The nurse considers a client’s response to crisis intervention successful if the client: 
A.
B.
C.
D.
12.  The nurse is administering a psychotropic drug to an elderly client who has history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:
A.
B.
C.
D.
13.  A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis? 
A.
B.
C.
D.
14.  Which neurotransmitter has been implicated in the development of Alzheimer’s disease? 
A.
B.
C.
D.
15.  A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful? 
A.
B.
C.
D.
16.  In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called: 
A.
B.
C.
D.
17.  Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?
A.
B.
C.
D.
18.  An elderly client with Alzheimer’s disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to: 
A.
B.
C.
D.
19.  The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child’s frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
A.
B.
C.
D.
20.  Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home? 
A.
B.
C.
D.
21.  Which of the following will the nurse use when communicating with a client who has a cognitive impairment? 
A.
B.
C.
D.
22.  A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using? 
A.
B.
C.
D.
23.  The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation? 
A.
B.
C.
D.
24.  A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client? 
A.
B.
C.
D.
25.  Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit? 
A.
B.
C.
D.
26.  Which factors are most essential for the nurse to assess when providing crisis intervention foe a client? 
A.
B.
C.
D.
27.  Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
A.
B.
C.
D.
28.  The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent’s view about family rules. Which intervention is most appropriate? 
A.
B.
C.
D.
29.  Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should
A.
B.
C.
D.
30.  A 75-year-old client has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client: 
A.
B.
C.
D.
31.  A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority. a. Remain with the client. b. Encourage physical activity. c. Encourage low, deep breathing. d. Reduce external stimuli. e. Teach coping measures.  ___,___,___,___,___
32.  A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages? 
A.
B.
C.
D.
33.  The nurse explains to a mental health care technician that a client’s obsessive-compulsive behaviors are related to unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement? 
A.
B.
C.
D.
34.  The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
A.
B.
C.
D.
35.  Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:
A.
B.
C.
D.
36.  The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
A.
B.
C.
D.
37.  The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:
A.
B.
C.
D.
38.  A 16-year-old girl has retuned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style? 
A.
B.
C.
D.
39.  Which of the following outcome criteria is appropriate for the client with dementia? 
A.
B.
C.
D.
40.  The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety? 
A.
B.
C.
D.
41.  Which information is most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia? 
A.
B.
C.
D.
42.  A client tells a nurse. “Everyone would be better off if I wasn’t alive.” Which nursing diagnosis would be made based on this statement?
A.
B.
C.
D.
43.  A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic? 
A.
B.
C.
D.
44.  The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son’s problems. How can the nurse best educate the family? 
A.
B.
C.
D.
45.  Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in? 
A.
B.
C.
D.
46.  The nurse correctly teaches a client taking the benzodiazepine oxazepam (Serax) to avoid excessive intake of:
A.
B.
C.
D.
47.  The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for: 
A.
B.
C.
D.
48.  The nurse understands that electroconvulsive therapy is primary used in psychiatric care for the treatment of: 
A.
B.
C.
D.
49.  According to the family systems theory, which of the following best describes the process of differentiation?
A.
B.
C.
D.
50.  A 45-year-old woman with a history of depression tells a nurse in her doctor’s office that she has difficulty with sexual arousal and is fearful that her husband will have an affair. Which of the following factors would the nurse identify as least significant in contributing to the client’s sexual difficulty?
A.
B.
C.
D.
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