Psychiatric Nursing

50 Questions  I  By Nursejbv21
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 Psychiatric Nursing
Welcome to Psychiatric Nursing (HESI EXAMINATION) Prepared by: Jeffrey Viernes Psychiatric Nursingormental health nursingis the specialty ofnursingthat cares for people of all ages withmental illnessor mental distress, such asschizophrenia,bipolar disorder,psychosis,depressionordementia. Nurses in this area receive more training inpsychological therapies, building atherapeutic alliance, dealing with challenging behavior, and the administration ofpsychiatric medication. The most important duty of a psychiatric nurse is to maintain a positive therapeutic relationship with patients in a clinical setting. The fundamental elements of mental health care revolve around the interpersonal relations and i more

  
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1.  The nurse is caring for a client with a phobia who is being treated for the condition. The client is introduced to short periods of exposure to the phobic object while in a relaxed state. The nurse understands that this form of behavior modification can best be described as: 
A.
B.
C.
D.
2.  All treatment team members are seen as equally important in helping clients meet their treatment goals. This type of therapy approach is:
A.
B.
C.
D.
3.  he spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, “I should get out of this bad situation.” The most helpful response by the nurse would be:
A.
B.
C.
D.
4.  The nurse is discharging a client with a history of command hallucinations to harm self or others. The nurse provides instructions to the client about interventions for hallucinations and anxiety and determines that the client understands the instructions if the client states:
A.
B.
C.
D.
5.  The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment indicate a manifestation associated with dementia?
A.
B.
C.
D.
6.  A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to:
A.
B.
C.
D.
7.  The nurse is caring for a client with anorexia nervosa. The nurse is monitoring the behavior of the client and understands that the client with anorexia nervosa manages anxiety by:
A.
B.
C.
D.
8.  The nurse observes that a client is pacing, agitated, and presenting aggressive gestures. The client's speech pattern is rapid, and affect is belligerent. Based on these observations, the nurse's immediate priority of care is to: 
A.
B.
C.
D.
9.  The nurse develops a nursing diagnosis of self-care deficit for an older client with dementia. Which of the following is an appropriate goal for this client?
A.
B.
C.
D.
10.  The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-Anon group when the nurse hears the wife say:
A.
B.
C.
D.
11.  A nurse enters a client's room, and the client is demanding release from the hospital. The nurse reviews the client's record and notes that the client was admitted 2 days ago for treatment of an anxiety disorder and that the admission was a voluntary admission. Which of the following actions will the nurse take? 
A.
B.
C.
D.
12.  A woman comes into the emergency room in a severe state of anxiety following a car accident. The appropriate nursing intervention is to:
A.
B.
C.
D.
13.  A client is admitted to a mental health unit for treatment of psychotic behavior. The client is at the locked exit door and is shouting, “Let me out. There's nothing wrong with me. I don't belong here.” The nurse analyzes this behavior as: 
A.
B.
C.
D.
14.  A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. The nurse instructs the client to avoid consuming which foods while taking this medication? Select all that apply.
A.
B.
C.
D.
E.
F.
15.  The client was admitted involuntarily to the mental health unit because of episodes of extremely violent behavior. The client is demanding to be discharged from the hospital and the nurse does not allow the client to leave. Which of the following represents the legal ramifications associated with the nurse's behavior? 
A.
B.
C.
D.
16.  The home health nurse visits a client at home and determines that the client is dependent on drugs. Which of the following assessment questions would assist the nurse to provide appropriate nursing care?
A.
B.
C.
D.
17.  The manic client announces to everyone in the dayroom that a stripper is coming to perform this evening. When the nurse firmly states that this will not happen, the manic client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, the nurse determines that the appropriate action would be to: 
A.
B.
C.
D.
18.  The nurse is preparing the client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task appropriate for this phase?
A.
B.
C.
D.
19.  Select the characteristics of the termination stage of group development. Select all that apply.
A.
B.
C.
D.
E.
F.
20.  Unresolved feelings related to loss most likely may be recognized during which phase of the therapeutic nurse-client relationship?
A.
B.
C.
D.
21.  The client with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a two-bed room. A newly admitted client will be assigned to this client's room. Which of the following clients would be an appropriate choice as this client's roommate? 
A.
B.
C.
D.
22.  A client with a diagnosis of major depression, recurrent, with psychotic features, is admitted to the mental health unit. To create a safe environment for the client, the nurse most importantly devises a plan of care that deals specifically with the client's:
A.
B.
C.
D.
23.  Select the appropriate interventions for caring for the client in alcohol withdrawal. Select all that apply.
A.
B.
C.
D.
E.
F.
24.  A client admitted to the mental health unit is experiencing disturbed thought processes and believes that the food is being poisoned. Which communication technique does the nurse plan to use to encourage the client to eat? 
A.
B.
C.
D.
25.  The client with schizophrenia has been started on medication therapy with clozapine (Clozaril). The nurse assesses the results of which laboratory study to monitor for adverse effects from this medication?
A.
B.
C.
D.
26.  The nurse is caring for a female client who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the client's room and notes that the client is engaged in rigorous push-ups. Which nursing action is appropriate?
A.
B.
C.
D.
27.  A client is admitted to a medical nursing unit with a diagnosis of acute blindness. Many tests are performed, and there seems to be no organic reason why this client cannot see. The nurse later learns that when a family of three was killed. The nurse suspects that the client may be experiencing a: 
A.
B.
C.
D.
28.  The nurse is caring for a male client diagnosed with catatonic stupor. The client is lying on the bed with his body pulled into a fetal position. The appropriate nursing intervention is which of the following? 
A.
B.
C.
D.
29.  A client with a diagnosis of major depression who has attempted suicide says to the nurse, “I should have died. I've always been a failure. Nothing ever goes right for me.” The therapeutic response to the client is: 
A.
B.
C.
D.
30.  A hospitalized client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away.” The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client's concerns with the client, the client dresses and begins to walk out of the hospital room. The appropriate nursing action is to:
A.
B.
C.
D.
31.  The depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as “I'm such a failure. I can't do anything right.” The best nursing response would be to:
A.
B.
C.
D.
32.  A client who has just been sexually assaulted is quiet and calm. The nurse analyzes this behavior as indicating which defense mechanism? 
A.
B.
C.
D.
33.  The nurse is working with a client who has sought counseling after trying to rescue a neighbor involved in a house fire. In spite of the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship? 
A.
B.
C.
D.
34.  A client with major depression is considering cognitive therapy. The client asks the nurse, “How does this treatment work?” The nurse responds and tells the client that:
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B.
C.
D.
35.  The client asks the nurse about milieu therapy. The nurse responds, knowing that the primary focus of milieu therapy can best be described as which of the following?
A.
B.
C.
D.
36.  A client who is delusional says to the nurse, “The federal guards were sent to kill me.” The nurse's best response is:
A.
B.
C.
D.
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37.  The community health nurse visits a client at home. The client states, “I haven't slept at all the last couple of nights.” Which response by the nurse illustrates a therapeutic communication technique for this client? 
A.
B.
C.
D.
38.  A home health nurse is talking to the spouse of a client taking an antidepressant. The spouse says, “Now that my husband is responding to the antidepressant, the suicidal risk is over and you can stop making these home visits.” After analyzing this statement, which of the following is the appropriate nursing response? 
A.
B.
C.
D.
39.  A client with an eating disorder is planning to attend group meetings with Overeaters Anonymous, and the nurse describes this group to the client. The nurse determines that the client needs additional information if the client states which of the following about this self-help group? 
A.
B.
C.
D.
40.   A client is admitted to the mental health unit with a diagnosis of depression. The nurse develops a plan of care for the client and includes which appropriate activity in the plan?
A.
B.
C.
D.
41.  The supervisor reprimands the nurse in charge of the nursing unit because the charge nurse has not adhered to the unit budget. Later that afternoon, the charge nurse accuses the nursing staff of wasting supplies. This behavior is an example of: 
A.
B.
C.
D.
42.  The nurse employed in a mental health unit is assigned to care for a client admitted to the unit 2 days ago. On review of the client's record, the nurse notes that the admission was a voluntary admission. Based on this type of admission, the nurse anticipates which of the following? 
A.
B.
C.
D.
43.  The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client?
A.
B.
C.
D.
44.  The nurse is providing care to a client admitted to the hospital with a diagnosis of acute anxiety disorder. While conversing with the client, the client says to the nurse, “I have a secret that I want to tell you. You won't tell anyone about it, will you?” The appropriate nursing response is which of the following? 
A.
B.
C.
D.
45.  A client begins to experience extrapyramidal side effects from an antipsychotic medication. The nurse anticipates that the physician will prescribe which of the following to treat this condition?
A.
B.
C.
D.
46.  The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for withdrawal delirium?
A.
B.
C.
D.
47.  A client is admitted to the hospital with a diagnosis of major depression, severe, single episode. The nurse assesses the client and identifies a nursing diagnosis of nutrition: less than body requirements, imbalanced related to poor nutritional intake. The appropriate nursing intervention related to this diagnosis is: 
A.
B.
C.
D.
48.  The client says to the nurse, “I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying.” The therapeutic response by the nurse is: 
A.
B.
C.
D.
49.  The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor says to the nurse, “How is Carol doing? She is my best friend and is seen at your clinic every week.” The appropriate nursing response is which of the following? 
A.
B.
C.
D.
50.  A client has been admitted to the mental health unit. On admission assessment, the nurse notes that the client was admitted by involuntary status. Based on this type of admission, the nurse would most likely expect that the client: 
A.
B.
C.
D.
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