Psychiatric Nursing Practice Test 9 (practice Mode)- Www.rnpedia.com

50 Questions  I  By Rnpedia
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1.  A client tells the nurse that he is having suicidal thoughts every day. In conferring with the treatment team, the nurse should make which of the following recommendations? 
A.
B.
C.
D.
2.  A client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?
A.
B.
C.
D.
3.  A client who's actively hallucinating is brought to the hospital by friends. They say that the client used either lysergic acid diethylamide (LSD) or angel dust (phencyclidine [PCP]) at a concert. Which of the following common assessment findings indicates that the client may have ingested PCP?
A.
B.
C.
D.
4.  In a toddler, which of the following injuries is most likely the result of child abuse? 
A.
B.
C.
D.
5.  A client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink 6 hours before admission. Based on this response, the nurse should expect early withdrawal symptoms to:
A.
B.
C.
D.
6.  Which is the drug of choice for treating Tourette syndrome? 
A.
B.
C.
D.
7.  A client whose husband just left her has a recurrence of anorexia nervosa. The nurse caring for her realizes that this exacerbation of anorexia nervosa results from the client's effort to:manipulate her husband. 
A.
B.
C.
D.
8.  A 15-year-old client is brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. The nurse conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa?
A.
B.
C.
D.
9.  A client is admitted to the emergency department after being found unconscious. Her blood pressure is 82/50 mm Hg. She is 5′ 4" (1.6 m) tall, weighs 79 lb (35.8 kg), and appears dehydrated and emaciated. After regaining consciousness, she reports that she has had trouble eating lately and can't remember what she ate in the last 24 hours. She also states that she has had amenorrhea for the past year. She is convinced she is fat and refuses food. The nurse suspects that she has:
A.
B.
C.
D.
10.  A severely dehydrated teenager admitted to the hospital with hypotension and tachycardia undergoes evaluation for electrolyte disturbances. Her history includes anorexia nervosa and a 20-lb (9.1-kg) weight loss in the last month. She is 5′ 7" (1.7 m) tall and weighs 80 lb (36.3 kg). Which nursing intervention takes highest priority?
A.
B.
C.
D.
11.  When monitoring a client recently admitted for treatment of cocaine addiction, the nurse notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:
A.
B.
C.
D.
12.  A client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
A.
B.
C.
D.
13.  A high school student is referred to the school nurse for suspected substance abuse. Following the nurse's assessment and interventions, what would be the most desirable outcome?
A.
B.
C.
D.
14.  A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is: 
A.
B.
C.
D.
15.  Which of the following etiologic factors predispose a client to Tourette syndrome? 
A.
B.
C.
D.
16.  The nurse is caring for a client who she believes has been abusing opiates. Assessment findings in a client abusing opiates such as morphine include:
A.
B.
C.
D.
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17.  Which assessment finding is most consistent with early alcohol withdrawal? 
A.
B.
C.
D.
18.  An unemployed woman, age 24, seeks help because she feels depressed and abandoned and doesn't know what to do with her life. She says she has quit her last five jobs because her coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument. The client's initial diagnosis is borderline personality disorder. Which nursing observations support this diagnosis?  
A.
B.
C.
D.
19.  During which phase of alcoholism is loss of control and physiologic dependence evident?
A.
B.
C.
D.
20.  A husband and wife seek emergency crisis intervention because he slapped her repeatedly the night before. The husband indicates that his childhood was marred by an abusive relationship with his father. When intervening with this couple, the nurse knows they are at risk for repeated violence because the husband: 
A.
B.
C.
D.
21.  In group therapy, a client who has used I.V. heroin every day for the past 14 years says, "I don't have a drug problem. I can quit whenever I want. I've done it before." Which defense mechanism is the client using?
A.
B.
C.
D.
22.  Which psychosocial influence has been causally related to the development of aggressive behavior and conduct disorder?
A.
B.
C.
D.
23.  A client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client's wrists are scratched from a recent suicide attempt. Based on this finding, the nurse should formulate a nursing diagnosis of: 
A.
B.
C.
D.
24.  Which of the following signs should the nurse expect in a client with known amphetamine overdose? 
A.
B.
C.
D.
25.  A client recently admitted to the hospital with sharp, substernal chest pain suddenly complains of palpitations. The nurse notes a rise in the client's arterial blood pressure and a heart rate of 144 beats/minute. On further questioning, the client admits to having used cocaine recently after previously denying use of the drug. The nurse concludes that the client is at high risk for which complication of cocaine use?
A.
B.
C.
D.
26.  A client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor's dog on fire. When evaluating this client for the potential for violence, the nurse should assess for which behavioral clues? 
A.
B.
C.
D.
27.  A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but he can control his use if he chooses. Which coping mechanism is he using? 
A.
B.
C.
D.
28.  Which client is at highest risk for suicide? 
A.
B.
C.
D.
29.  A client voluntarily admits himself to the substance abuse unit. He confesses that he drinks 1 qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?
A.
B.
C.
D.
30.  Which of the following is important when restraining a violent client? 
A.
B.
C.
D.
31.  A client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client's physical health, the nurse should plan to:
A.
B.
C.
D.
32.  A client is admitted to the psychiatric unit with a diagnosis of alcohol intoxication and suspected alcohol dependence. Other assessment findings include an enlarged liver, jaundice, lethargy, and rambling, incoherent speech. No other information about the client is available. After the nurse completes the initial assessment, what is the first priority? 
A.
B.
C.
D.
33.  A young man is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with: 
A.
B.
C.
D.
34.  The nurse is providing care for a client undergoing opiate withdrawal. Opiate withdrawal causes severe physical discomfort and can be life-threatening. To minimize these effects, opiate users are commonly detoxified with: 
A.
B.
C.
D.
35.  A client is brought to the emergency department after being beaten by her husband, a prominent attorney. The nurse caring for this client understands that: 
A.
B.
C.
D.
36.  During a private conversation, a client with borderline personality disorder asks the nurse to keep his secret and then displays multiple, self-inflicted, superficial lacerations on the forearms. What is the nurse's best response? 
A.
B.
C.
D.
37.  A client begins to experience alcoholic hallucinosis. What is the best nursing intervention at this time?
A.
B.
C.
D.
38.  The nurse is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client? 
A.
B.
C.
D.
39.  Which of the following medical conditions is commonly found in clients with bulimia nervosa? 
A.
B.
C.
D.
40.  Which nursing action is best when trying to diffuse a client's impending violent behavior? 
A.
B.
C.
D.
41.  A client is admitted to the inpatient adolescent unit after being arrested for attempting to sell cocaine to an undercover police officer. The nurse plans to write a behavioral contract. To best promote compliance, the contract should be written:
A.
B.
C.
D.
42.  An 16-year-old boy is admitted to the facility after acting out his aggressions inappropriately at school. Predisposing factors to the expression of aggression include:
A.
B.
C.
D.
43.  A client is being treated for alcoholism. After a family meeting, the client's spouse asks the nurse about ways to help the family deal with the effects of alcoholism. The nurse should suggest that the family join which organization? 
A.
B.
C.
D.
44.  A client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client's history of drug abuse, the nurse expects the physician to prescribe: 
A.
B.
C.
D.
45.  A client with a history of substance abuse has been attending Alcoholics Anonymous meetings regularly in the psychiatric unit. One afternoon, the client tells the nurse, "I'm not going to those meetings anymore. I'm not like the rest of those people. I'm not a drunk. "What is the most appropriate response? 
A.
B.
C.
D.
46.  A 15-year-old girl with anorexia has been admitted to a mental health unit. She refuses to eat. Which of the following statements is the best response from the nurse?
A.
B.
C.
D.
47.  A client who reportedly consumes 1 qt of vodka daily is admitted for alcohol detoxification. To try to prevent alcohol withdrawal symptoms, the physician is most likely to prescribe which drug? 
A.
B.
C.
D.
48.  The nurse is working with a client who abuses alcohol. Which of the following facts should the nurse communicate to the client?
A.
B.
C.
D.
49.  On discharge after treatment for alcoholism, a client plans to take disulfiram (Antabuse) as prescribed. When teaching the client about this drug, the nurse emphasizes the need to: 
A.
B.
C.
D.
50.  The client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from the nurse?
A.
B.
C.
D.
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