NCLEX Sample Questions For Psychiatric Nursing 4 (Exam Mode) By Rnpedia.Com

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NCLEX Sample Questions For Psychiatric Nursing 4 (Exam Mode) By Rnpedia.Com

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  • 1. 
    Situation: Knowledge and skills in the care of violent clients is vital in the psychiatric unit. A nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway and making aggressive remarks. Which of the following statements is most appropriate to make to this patient?
    • A. 

      What is causing you to become agitated?

    • B. 

      You need to stop that behavior now.

    • C. 

      You will need to be restrained if you do not change your behavior.

    • D. 

      You will need to be placed in seclusion.

  • 2. 
    The nurse closely observes the client who has been displaying aggressive behavior. The nurse observes that the client’s anger is escalating. Which approach is least helpful for the client at this time?
    • A. 

      Acknowledge the client’s behavior

    • B. 

      Maintain a safe distance from the client

    • C. 

      Assist the client to an area that is quiet

    • D. 

      Initiate confinement measures

  • 3. 
    The charge nurse of a psychiatric unit is planning the client assignment for the day. The most appropriate staff to be assigned to a client with a potential for violence is which of the following: 
    • A. 

      A timid nurse

    • B. 

      A mature experienced nurse

    • C. 

      An inexperienced nurse

    • D. 

      A soft spoken nurse

  • 4. 
    The nurse exemplifies awareness of the rights of a client whose anger is escalating by:
    • A. 

      Taking a directive role in verbalizing feelings

    • B. 

      Using an authoritarian, confrontational approach

    • C. 

      Putting the client in a seclusion room

    • D. 

      Applying mechanical restraints

  • 5. 
    The client jumps up and throws a chair out of the window. He was restrained after his behavior can no longer be controlled by the staff. Which of these documentations indicates the safeguarding of the patient’s rights? 
    • A. 

      There was a doctor’s order for restraints/seclusion

    • B. 

      The patient’s rights were explained to him.

    • C. 

      The staff observed confidentiality

    • D. 

      The staff carried out less restrictive measures but were unsuccessful.

  • 6. 
    Situation: Clients with personality disorders have difficulties in their social and occupational functions. Clients with personality disorder will most likely: 
    • A. 

      Recover with therapeutic intervention

    • B. 

      Respond to antianxiety medication

    • C. 

      Manifest enduring patterns of inflexible behaviors

    • D. 

      Seek treatment willingly from some personally distressing symptoms

  • 7. 
    A client tends to be insensitive to others, engages in abusive behaviors and does not have a sense of remorse. Which personality disorder is he likely to have? 
    • A. 

      Narcissistic

    • B. 

      Paranoid

    • C. 

      Histrionic

    • D. 

      Antisocial