Psychiatric Nursing Practice Test 8 (Exam Mode) By Rnpedia.Com

13 Questions | Total Attempts: 1347

SettingsSettingsSettings
Psychiatric Nursing Practice Test 8 (Exam Mode) By Rnpedia.Com

Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz. You got 60 minutes to finish the exam. Good luck!


Questions and Answers
  • 1. 
    • A. 

      The client spends more time by himself.

    • B. 

      The client doesn't engage in delusional thinking.

    • C. 

      The client doesn't harm himself or others.

    • D. 

      The client demonstrates the ability to meet his own self-care needs.

  • 2. 
    A client with paranoid schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse would be most appropriate?
    • A. 

      "Your behavior won't be tolerated. Go to your room immediately."

    • B. 

      "You're just doing this to get back at me for making you come to therapy."

    • C. 

      "Your cursing is interrupting the activity. Take time out in your room for 10 minutes."

    • D. 

      "I'm disappointed in you. You can't control yourself even for a few minutes."

  • 3. 
    The nurse formulates a nursing diagnosis of Impaired verbal communication for a client with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention is most appropriate? 
    • A. 

      Helping the client to participate in social interactions

    • B. 

      Establishing a one-on-one relationship with the client

    • C. 

      Establishing alternative forms of communication

    • D. 

      Allowing the client to decide when he wants to participate in verbal communication with the nurse

  • 4. 
    Since admission 4 days ago, a client has refused to take a shower, stating, "There are poison crystals hidden in the showerhead. They'll kill me if I take a shower." Which nursing action is most appropriate? 
    • A. 

      Dismantling the showerhead and showing the client that there is nothing in it

    • B. 

      Explaining that other clients are complaining about the client's body odor

    • C. 

      Asking a security officer to assist in giving the client a shower

    • D. 

      Accepting these fears and allowing the client to take a sponge bath

  • 5. 
    Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to prevent which adverse reaction? 
    • A. 

      Hypertension

    • B. 

      Respiratory arrest

    • C. 

      Tourette syndrome

    • D. 

      Retinal pigmentation

  • 6. 
    • A. 

      "I get upset once in a while, too."

    • B. 

      "I know just how you feel. I'd feel the same way in your situation."

    • C. 

      "I worry, too, when I think people are talking about me."

    • D. 

      "At times, it's normal not to trust anyone."

  • 7. 
    How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client's delusional thoughts and hallucinations eliminated? 
    • A. 

      Several minutes

    • B. 

      Several hours

    • C. 

      Several days

    • D. 

      Several weeks

  • 8. 
    A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? 
    • A. 

      Take the medication 1 hour before a meal.

    • B. 

      Decrease the dosage if signs of illness decrease.

    • C. 

      Apply a sunscreen before being exposed to the sun.

    • D. 

      Increase the dosage up to 50 mg twice per day if signs of illness don't decrease.

  • 9. 
    Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)? 
    • A. 

      The absence of anticholinergic effects

    • B. 

      A lower incidence of extrapyramidal effects

    • C. 

      Photosensitivity and sedation

    • D. 

      No incidence of neuroleptic malignant syndrome

  • 10. 
    The etiology of schizophrenia is best described by: 
    • A. 

      Genetics due to a faulty dopamine receptor.

    • B. 

      Environmental factors and poor parenting.

    • C. 

      Structural and neurobiological factors.

    • D. 

      A combination of biological, psychological, and environmental factors.

  • 11. 
    • A. 

      Benztropine (Cogentin)

    • B. 

      Dantrolene (Dantrium)

    • C. 

      Clonazepam (Klonopin)

    • D. 

      Diazepam (Valium)

  • 12. 
    A client with a diagnosis of paranoid schizophrenia comments tothe 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.

  • 13. 
    A client tells the nurse that people from Mars are going to invade the earth. Which response by the nurse would be most therapeutic? 
    • A. 

      "That must be frightening to you. Can you tell me how you feel about it?"

    • B. 

      "There are no people living on Mars."

    • C. 

      "What do you mean when you say they're going to invade the earth?"

    • D. 

      "I know you believe the earth is going to be invaded, but I don't believe that."