Psychiatric Nursing Practice Test 10 (Exam Mode) By Rnpedia.Com

49 Questions | Total Attempts: 1407

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Psychiatric Nursing Practice Test 10 (Exam Mode) By Rnpedia.Com - Quiz

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Questions and Answers
  • 1. 
    A 38-year-old client is admitted for alcohol withdrawal. The most common early sign or symptom that this client is likely to experience is: 
    • A. 

      Impending coma.

    • B. 

      Manipulating behavior

    • C. 

      Suppression

    • D. 

      Perceptual disorders

  • 2. 
    A client with a history of polysubstance abuse is admitted to the facility. She complains of nausea and vomiting 24 hours after admission. The nurse assesses the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals?
    • A. 

      Alcohol withdrawal

    • B. 

      Cannibis withdrawal

    • C. 

      Cocaine withdrawal

    • D. 

      Opioid withdrawal

  • 3. 
    A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5′ 8" (1.7 m) tall and weighs only 103 lb (46.7 kg), she talks incessantly about how fat she is. Which measure should the nurse take first when caring for this client?
    • A. 

      Teach the client about nutrition, calories, and a balanced diet.

    • B. 

      Establish a trusting relationship with the client.

    • C. 

      Discuss cultural stereotypes regarding thinness and attractiveness.

    • D. 

      Explore the reasons why the client doesn't eat.

  • 4. 
    A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to see: 
    • A. 

      Tension and irritability.

    • B. 

      Slow pulse.

    • C. 

      Hypotension

    • D. 

      Constipation.

  • 5. 
    Which of the following drugs may be abused because of tolerance and physiologic dependence. 
    • A. 

      Lithium (Lithobid) and divalproex (Depakote).

    • B. 

      Verapamil (Calan) and chlorpromazine (Thorazine)

    • C. 

      Alprazolam (Xanax) and phenobarbital (Luminal)

    • D. 

      Clozapine (Clozaril) and amitriptyline (Elavil)

  • 6. 
    Which of the following groups are considered to be at highest risk for suicide? 
    • A. 

      Adolescents, men over age 45, and persons who have made previous suicide attempts

    • B. 

      Teachers, divorced persons, and substance abusers

    • C. 

      Alcohol abusers, widows, and young married men

    • D. 

      Depressed persons, physicians, and persons living in rural areas

  • 7. 
    Tourette syndrome is characterized by the presence of multiple motor and vocal tics. A vocal tic that involves repeating one's own sounds or words is known as: 
    • A. 

      Echolalia

    • B. 

      Palilalia

    • C. 

      Apraxia

    • D. 

      Aphonia

  • 8. 
    A client is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. The nurse expects the assessment to reveal:
    • A. 

      Unpredictable behavior and intense interpersonal relationships.

    • B. 

      Inability to function as a responsible parent.

    • C. 

      Somatic symptoms.

    • D. 

      Coldness, detachment, and lack of tender feelings.

  • 9. 
    A client with disorganized type schizophrenia has been hospitalized for the past 2 years on a unit for chronic mentally ill clients. The client's behavior is labile and fluctuates from childishness and incoherence to loud yelling to slow but appropriate interaction. The client needs assistance with all activities of daily living. Which behavior is characteristic of disorganized type schizophrenia?
    • A. 

      Extreme social impairment

    • B. 

      Suspicious delusions

    • C. 

      Waxy flexibility

    • D. 

      Elevated affect

  • 10. 
    He nurse is providing care for a female client with a history of schizophrenia who's experiencing hallucinations. The physician orders 200 mg of haloperidol (Haldol) orally or I.M. every 4 hours as needed. What is the nurse's best action? 
    • A. 

      Administer the haloperidol orally if the client agrees to take it.

    • B. 

      Call the physician to clarify whether the haloperidol should be given orally or I.M

    • C. 

      Call the physician to clarify the order because the dosage is too high.

    • D. 

      Withhold haloperidol because it may worsen hallucinations.

  • 11. 
    A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse's first action is to: 
    • A. 

      Reassure the client and administer as needed lorazepam (Ativan) I.M.

    • B. 

      Administer as needed dose of benztropine (Cogentin) I.M. as ordered

    • C. 

      Administer as needed dose of benztropine (Cogentin) by mouth as ordered

    • D. 

      Administer as needed dose of haloperidol (Haldol) by mouth

  • 12. 
    A 24-year-old client is experiencing an acute schizophrenic episode. He has vivid hallucinations that are making him agitated. The nurse's best response at this time would be to:
    • A. 

      Take the client's vital signs.

    • B. 

      Explore the content of the hallucinations

    • C. 

      Tell him his fear is unrealistic

    • D. 

      Engage the client in reality-oriented activities

  • 13. 
    Which medication can control the extrapyramidal effects associated with antipsychotic agents? 
    • A. 

      Perphenazine (Trilafon)

    • B. 

      Doxepin (Sinequan)

    • C. 

      Amantadine (Symmetrel)

    • D. 

      Clorazepate (Tranxene)

  • 14. 
    A client with paranoid schizophrenia has been experiencing auditory hallucinations for many years. One approach that has proven to be effective for hallucinating clients is to: 
    • A. 

      Take an as-needed dose of psychotropic medication whenever they hear voices.

    • B. 

      Practice saying "Go away" or "Stop" when they hear voices.

    • C. 

      Sing loudly to drown out the voices and provide a distraction.

    • D. 

      Go to their room until the voices go away.

  • 15. 
    A dystonic reaction can be caused by which of the following medications? 
    • A. 

      Diazepam (Valium)

    • B. 

      Haloperidol (Haldol)

    • C. 

      Amitriptyline (Elavil)

    • D. 

      Clonazepam (Klonopin)

  • 16. 
    While pacing in the hall, a client with paranoid schizophrenia runs to the nurse and says, "Why are you poisoning me? I know you work for central thought control! You can keep my thoughts. Give me back my soul!" How should the nurse respond during the early stage of the therapeutic process? 
    • A. 

      "I'm a nurse. I'm not poisoning you. It's against the nursing code of ethics."

    • B. 

      "I'm a nurse, and you're a client in the hospital. I'm not going to harm you."

    • C. 

      "I'm not poisoning you. And how could I possibly steal your soul?"

    • D. 

      "I sense anger. Are you feeling angry today?"

  • 17. 
    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."

  • 18. 
    Flumazenil (Romazicon) has been ordered for a client who has overdosed on oxazepam (Serax). Before administering the medication, the nurse should be prepared for which common adverse effect?   
    • A. 

      Seizures

    • B. 

      Shivering

    • C. 

      Anxiety

    • D. 

      Chest pain

  • 19. 
    The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:
    • A. 

      Avoid shopping for large amounts of food.

    • B. 

      Control eating impulses.

    • C. 

      Identify anxiety-causing situations.

    • D. 

      Eat only three meals per day.

  • 20. 
    A client who's at high risk for suicide needs close supervision. To best ensure the client's safety, the nurse should: 
    • A. 

      Check the client frequently at irregular intervals throughout the night

    • B. 

      Assure the client that the nurse will hold in confidence anything the client says

    • C. 

      Repeatedly discuss previous suicide attempts with the client

    • D. 

      Disregard decreased communication by the client because this is common in suicidal clients

  • 21. 
    Which of the following drugs should the nurse prepare to administer to a client with a toxic acetaminophen (Tylenol) level? 
    • A. 

      Deferoxamine mesylate (Desferal)

    • B. 

      Succimer (Chemet)

    • C. 

      Flumazenil (Romazicon)

    • D. 

      Acetylcysteine (Mucomyst)

  • 22. 
    A client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is the nurse most likely to administer to reduce the symptoms of alcohol withdrawal? 
    • A. 

      Naloxone (Narcan)

    • B. 

      Haloperidol (Haldol)

    • C. 

      Magnesium sulfate

    • D. 

      Chlordiazepoxide (Librium)

  • 23. 
    During postprandial monitoring, a client with bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice." What is the nurse's best response? 
    • A. 

      "I trust you not to purge."

    • B. 

      "How are you purging and when do you do it?"

    • C. 

      "Don't worry. I won't allow you to purge today."

    • D. 

      "I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat."

  • 24. 
    A client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, "It felt so wonderful to get high." Which of the following is the most appropriate response? 
    • A. 

      "If you continue to talk like that, I'm going to stop speaking to you."

    • B. 

      "You told me you got fired from your last job for missing too many days after taking drugs all night."

    • C. 

      "Tell me more about how it felt to get high."

    • D. 

      "Don't you know it's illegal to use drugs?"

  • 25. 
    For a client with anorexia nervosa, which goal takes the highest priority? 
    • A. 

      The client will establish adequate daily nutritional intake

    • B. 

      The client will make a contract with the nurse that sets a target weight

    • C. 

      The client will identify self-perceptions about body size as unrealistic

    • D. 

      The client will verbalize the possible physiological consequences of self-starvation

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