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

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 Psychiatric Nursing Practice Test 9 (practice Mode)- Www.rnpedia.com
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1.  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.
2.  In a toddler, which of the following injuries is most likely the result of child abuse? 
A.
B.
C.
D.
3.  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.
4.  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.
5.  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.
6.  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.
7.  During which phase of alcoholism is loss of control and physiologic dependence evident?
A.
B.
C.
D.
8.  Which of the following is important when restraining a violent client? 
A.
B.
C.
D.
9.  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.
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.  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.
12.  Which of the following etiologic factors predispose a client to Tourette syndrome? 
A.
B.
C.
D.
13.  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.
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