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)
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