Psychiatric Nursing Practice Test 6 (Exam Mode) By Rnpedia.Com

13 Questions | Total Attempts: 1009

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Psychiatric Nursing Practice Test 6 (Exam Mode) By Rnpedia.Com

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Questions and Answers
  • 1. 
    The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:   
    • A. 

      Delusions.

    • B. 

      Hallucinations.

    • C. 

      Loose associations.

    • D. 

      Neologisms.

  • 2. 
    The nurse is caring for a client who is suicidal. When accompanying the client to the bathroom, the nurse should: 
    • A. 

      Give him privacy in the bathroom.

    • B. 

      Allow him to shave.

    • C. 

      Open the window and allow him to get some fresh air.

    • D. 

      Observe him.

  • 3. 
    The nurse is developing a care plan for a client with anorexia nervosa. Which action should the nurse include in the plan?
    • A. 

      Restrict visits with the family until the client begins to eat.

    • B. 

      Provide privacy during meals.

    • C. 

      Set up a strict eating plan for the client.

    • D. 

      Encourage the client to exercise, which will reduce her anxiety.

  • 4. 
    A client whose husband recently left her is admitted to the hospital with severe depression. The nurse suspects that the client is at risk for suicide. Which of the following questions would be most appropriate and helpful for the nurse to ask during an assessment for suicide risk?
    • A. 

      "Are you sure you want to kill yourself?"

    • B. 

      "I know if my husband left me, I'd want to kill myself. Is that what you think?"

    • C. 

      "How do you think you would kill yourself?"

    • D. 

      "Why don't you just look at the positives in your life?"

  • 5. 
    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. 

      Dilated pupils and slurred speech.

    • B. 

      Rapid speech and agitation.

    • C. 

      Dilated pupils and agitation.

    • D. 

      Euphoria and constricted pupils.

  • 6. 
    The nurse is caring for a client experiencing an anxiety attack. Appropriate nursing interventions include: 
    • A. 

      Turning on the lights and opening the windows so that the client doesn't feel crowded.

    • B. 

      Leaving the client alone.

    • C. 

      Staying with the client and speaking in short sentences.

    • D. 

      Turning on stereo music.

  • 7. 
    The nurse is teaching a new group of mental health aides. The nurse should teach the aides that setting limits is most important for:
    • A. 

      A depressed client.

    • B. 

      A manic client.

    • C. 

      A suicidal client.

    • D. 

      An anxious client.

  • 8. 
    A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is: 
    • A. 

      Highly important or famous.

    • B. 

      Being persecuted.

    • C. 

      Connected to events unrelated to oneself

    • D. 

      Responsible for the evil in the world.

  • 9. 
    The nurse is caring for a client, a Vietnam veteran, who exhibits signs and symptoms of posttraumatic stress disorder. Signs and symptoms of posttraumatic stress disorder include: 
    • A. 

      Hyper alertness and sleep disturbances.

    • B. 

      Memory loss of traumatic event and somatic distress.

    • C. 

      Feelings of hostility and violent behavior.

    • D. 

      Sudden behavioral changes and anorexia.

  • 10. 
    The nurse is caring for a client with manic depression. The care plan for a client in a manic state would include
    • A. 

      Offering high-calorie meals and strongly encouraging the client to finish all food.

    • B. 

      Insisting that the client remain active throughout the day so that he'll sleep at night.

    • C. 

      Allowing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits.

    • D. 

      Listening attentively with a neutral attitude and avoiding power struggles.

  • 11. 
    A client is a Vietnam War veteran with a diagnosis of posttraumatic stress disorder. He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief of his symptoms? 
    • A. 

      The opportunity to verbalize memories of trauma to a sympathetic listener

    • B. 

      Family support

    • C. 

      Prescribed medications taken as ordered

    • D. 

      Alcoholics Anonymous (AA) meetings

  • 12. 
    A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using?
    • A. 

      Withdrawal

    • B. 

      Logical thinking

    • C. 

      Repression

    • D. 

      Denial

  • 13. 
    A 22-year-old client is diagnosed with dependent personality disorder. Which behavior is most likely evidence of ineffective individual coping? 
    • A. 

      Inability to make choices and decisions without advice

    • B. 

      Showing interest only in solitary activities

    • C. 

      Avoiding developing relationships

    • D. 

      Recurrent self-destructive behavior with history of depression