Psychiatric Nursing Practice Test 7 (Exam Mode) By Rnpedia
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- 1.A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You're worried about your medication?" The nurse's communication is:
- A.
An example of presenting reality.
- B.
Reinforcing the client's delusions.
- C.
Focusing on emotional content.
- D.
A nontherapeutic technique called mind reading.
- 2.A client is admitted to the inpatient unit of the mental health center with a diagnosis of paranoid schizophrenia. He's shouting that the government of France is trying to assassinate him. Which of the following responses is most appropriate?
- A.
"I think you're wrong. France is a friendly country and an ally of the United States. Their government wouldn't try to kill you.
- B.
"I find it hard to believe that a foreign government or anyone else is trying to hurt you. You must feel frightened by this."
- C.
"You're wrong. Nobody is trying to kill you."
- D.
"A foreign government is trying to kill you? Please tell me more about it."
- 3.Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions?
- A.
Antipsychotic-induced akathisia and anxiety
- B.
The manic phase of bipolar illness as a mood stabilizer
- C.
Delusions for clients suffering from schizophrenia
- D.
Obsessive-compulsive disorder (OCD) to reduce ritualistic behavior
- 4.A client with borderline personality disorder becomes angry when he is told that today's psychotherapy session with the nurse will be delayed 30 minutes because of an emergency. When the session finally begins, the client expresses anger. Which response by the nurse would be most helpful in dealing with the client's anger?
- A.
"If it had been your emergency, I would have made the other client wait."
- B.
"I know it's frustrating to wait. I'm sorry this happened."
- C.
"You had to wait. Can we talk about how this is making you feel right now?"
- D.
"I really care about you and I'll never let this happen again."
- 5.A client with a diagnosis of paranoid schizophrenia comments to the nurse, "How do I know what is really in those pills?" Which of the following is the best response?
- A.
Say, "You know it's your medicine.
- B.
Allow him to open the individual wrappers of the medication.
- C.
Say, "Don't worry about what is in the pills. It's what is ordered."
- D.
Ignore the comment because it's probably a joke
- 6.The nurse is caring for a client with schizophrenia who experiences auditory hallucinations. The client appears to be listening to someone who isn't visible. He gestures, shouts angrily, and stops shouting in mid-sentence. Which nursing intervention is the most appropriate?
- A.
Approach the client and touch him to get his attentio
- B.
Encourage the client to go to his room where he'll experience fewer distractions.
- C.
Acknowledge that the client is hearing voices but make it clear that the nurse doesn't hear these voices.
- D.
Ask the client to describe what the voices are saying.
- 7.The nurse is preparing for the discharge of a client who has been hospitalized for paranoid schizophrenia. The client's husband expresses concern over whether his wife will continue to take her daily prescribed medication. The nurse should inform him that:
- A.
His concern is valid but his wife is an adult and has the right to make her own decisions.
- B.
He can easily mix the medication in his wife's food if she stops taking it.
- C.
His wife can be given a long-acting medication that is administered every 1 to 4 weeks.
- D.
His wife knows she must take her medication as prescribed to avoid future hospitalizations
- 8.Benztropine (Cogentin) is used to treat the extrapyramidal effects induced by antipsychotics. This drug exerts its effect by
- A.
Decreasing the anxiety causing muscle rigidity.
- B.
Blocking the cholinergic activity in the central nervous system (CNS).
- C.
Increasing the level of acetylcholine in the CNS
- D.
Increasing norepinephrine in the CNS.
- 9.A client is admitted to the inpatient unit of the mental health center with a diagnosis of paranoid schizophrenia. He's shouting that the government of France is trying to assassinate him. Which of the following responses is most appropriate?
- A.
"I think you're wrong. France is a friendly country and an ally of the United States. Their government wouldn't try to kill you."
- B.
"I find it hard to believe that a foreign government or anyone else is trying to hurt you. You must feel frightened by this."
- C.
"You're wrong. Nobody is trying to kill you."
- D.
"A foreign government is trying to kill you? Please tell me more about it."
- 10.A dopamine receptor agonist such as bromocriptine (Parlodel) relieves muscle rigidity caused by antipsychotic medication by:
- A.
Blocking dopamine receptors in the central nervous system (CNS).
- B.
Blocking acetylcholine in the CNS.
- C.
Activating norepinephrine in the CNS.
- D.
Activating dopamine receptors in the CNS
- 11.Most antipsychotic medications exert which of following effects on the central nervous system (CNS
- A.
Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors.
- B.
Sedate the CNS by stimulating serotonin at the synaptic cleft.
- C.
Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine.
- D.
Depress the CNS by stimulating the release of acetylcholine.
- 12.A client is admitted to the psychiatric unit of a local hospital with chronic undifferentiated schizophrenia. During the next several days, the client is seen laughing, yelling, and talking to herself. This behavior is characteristic of:
- A.
A client is admitted to the psychiatric unit of a local hospital with chronic undifferentiated schizophrenia. During the next several days, the client is seen laughing, yelling, and talking to herself. This behavior is characteristic of:
- B.
Looseness of association.
- C.
Illusion.
- D.
Hallucination
- 13.Which of the following medications would the nurse expect the physician to order to reverse a dystonic reaction?
- A.
Prochlorperazine (Compazine
- B.
Diphenhydramine (Benadryl)
- C.
Haloperidol (Haldol)
- D.
Midazolam (Versed)
- 14.A schizophrenic client states, "I hear the voice of King Tut." Which response by the nurse would be most therapeutic?
- A.
"I don't hear the voice, but I know you hear what sounds like a voice."
- B.
"You shouldn't focus on that voice."
- C.
"Don't worry about the voice as long as it doesn't belong to anyone real."
- D.
"King Tut has been dead for years.
- 15.A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You're worried about your medication?" The nurse's communication is:
- A.
An example of presenting reality.
- B.
Reinforcing the client's delusions.
- C.
Focusing on emotional content.
- D.
A nontherapeutic technique called mind reading.
- 16.The nurse is caring for a client with schizophrenia who experiences auditory hallucinations. The client appears to be listening to someone who isn't visible. He gestures, shouts angrily, and stops shouting in mid-sentence. Which nursing intervention is the most appropriate?
- A.
Approach the client and touch him to get his attention
- B.
Encourage the client to go to his room where he'll experience fewer distractions.
- C.
Acknowledge that the client is hearing voices but make it clear that the nurse doesn't hear these voices.
- D.
Ask the client to describe what the voices are saying
- 17.A client has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism?
- A.
Restlessness, difficulty sitting still, and pacing
- B.
Involuntary rolling of the eyes
- C.
Tremors, shuffling gait, and masklike face
- D.
Extremity and neck spasms, facial grimacing, and jerky movements
- 18.For several years, a client with chronic schizophrenia has received 10 mg of fluphenazine hydrochloride (Prolixin) by mouth four times per day. Now the client has a temperature of 102° F (38.9° C), a heart rate of 120 beats/minute, a respiratory rate of 20 breaths/minute, and a blood pressure of 210/140 mm Hg. Because the client also is confused and incontinent, the nurse suspects malignant neuroleptic syndrome. What steps should the nurse take?
- A.
Give the next dose of fluphenazine, call the physician, and monitor vital signs.
- B.
Withhold the next dose of fluphenazine, call the physician, and monitor vital signs.
- C.
Give the next dose of fluphenazine and restrict the client to the room to decrease stimulatio
- D.
Withhold the next dose of fluphenazine, administer an antipyretic agent, and increase the client's fluid intake.
- 19.A schizophrenic client with delusions tells the nurse, "There is a man wearing a red coat who's out to get me." The client exhibits increasing anxiety when focusing on the delusions. Which of the following would be the best response?
- A.
"This subject seems to be troubling you. Let's walk to the activity room.
- B.
"Describe the man who's out to get you. What does he look like?"
- C.
"There is no reason to be afraid of that man. This hospital is very secure."
- D.
"There is no need to be concerned with a man who isn't even real."
- 20.Important teaching for women in their childbearing years who are receiving antipsychotic medications includes which of the following?
- A.
Occurrence of increased libido due to medication adverse effects
- B.
Increased incidence of dysmenorrhea while taking the drug
- C.
Continuing previous use of contraception during periods of amenorrhea
- D.
Instruction that amenorrhea is irreversible
- 21.A client is admitted to a psychiatric facility with a diagnosis of chronic schizophrenia. The history indicates that the client has been taking neuroleptic medication for many years. Assessment reveals unusual movements of the tongue, neck, and arms. Which condition should the nurse suspect?
- A.
Tardive dyskinesia
- B.
Dystonia
- C.
Neuroleptic malignant syndrome
- D.
Neuroleptic malignant syndrome
- 22.What medication would probably be ordered for the acutely aggressive schizophrenic client?
- A.
Chlorpromazine (Thorazine)
- B.
Haloperidol (Haldol)
- C.
Lithium carbonate (Lithonate)
- D.
Amitriptyline (Elavil)
- 23.The definition of nihilistic delusions is:
- A.
A false belief about the functioning of the body.
- B.
Belief that the body is deformed or defective in a specific way.
- C.
False ideas about the self, others, or the world
- D.
The inability to carry out motor activities.
- 24.A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing:
- A.
A delusion.
- B.
Flight of ideas.
- C.
Ideas of reference.
- D.
A hallucination.
- 25.The nurse must administer a medication to reverse or prevent Parkinson-type symptoms in a client receiving an antipsychotic. The medication the client will likely receive is:
- A.
Benztropine (Cogentin).
- B.
Diphenhydramine (Benadryl).
- C.
Propranolol (Inderal).
- D.
Haloperidol (Haldol).
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