Board Exam Nursing Test V NLE- Www.Rnpedia.Com

50 Questions | Total Attempts: 1220

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Psychiatric Nursing Quizzes & Trivia

The scope of this Nursing Test V is parallel to the NP5 NLE Coverage: Psychiatric Nursing


Questions and Answers
  • 1. 
     A 17-year-old client has a record of being absent in the class without permission, and “borrowing” other people’s things without asking permission. The client denies stealing; rationalizing instead that as long as no one was using the items, there is no problem to use it by other people. It is important for the nurse to understand that psychodynamically, the behavior of the client may be largely attributed to a development defect related to the:
    • A. 

      Oedipal complex

    • B. 

      Superego

    • C. 

      Id

    • D. 

      Ego

  • 2. 
    A client tells the nurse, “Yesterday, I was planning to kill myself.” What is the best nursing response to this cient? 
    • A. 

      “What are you going to do this time?”

    • B. 

      Say nothing. Wait for the client’s next comment

    • C. 

      “You seem upset. I am going to be here with you; perhaps you will want to talk about it”

    • D. 

      “Have you felt this way before?”

  • 3. 
     In crisis intervention therapy, which of the following principle that the nurse will use to plan her/his goals? 
    • A. 

      Crises are related to deep, underlying problems

    • B. 

      Crises seldom occur in normal people’s lives

    • C. 

      Crises may go on indefinitely.

    • D. 

      Crises usually resolved in 4-6 weeks.

  • 4. 
    The nurse enters the room of the male client and found out that the client urinates on the floor. The client hides when the nurse is about to talk to him. Which of the following is the best nursing intervention?  
    • A. 

      Place restriction on the client’s activities when his behavior occurs.

    • B. 

      Ask the client to clean the soiled floor.

    • C. 

      Take the client to the bathroom at regular intervals.

    • D. 

      Limit fluid intake.

  • 5. 
    A young lady with a diagnosis of schizophrenic reaction is admitted to the psychiatric unit. In the past two months, the client has poor appetite, experienced difficulty in sleeping, was mute for long periods of time, just stayed in her room, grinning and pointing at things. What would be the initial nursing action on admitting the client to the unit? 
    • A. 

      Assure the client that “ You will be well cared for.”

    • B. 

      Introduce the client to some of the other clients.

    • C. 

      Ask “Do you know where you are?”

    • D. 

      Take the client to the assigned room.

  • 6. 
    On an adolescent unit, a nurse caring to a client was informed that her client’s closest roommate dies at night. What would be the most appropriate nursing action? 
    • A. 

      Do not bring it up unless the client asks.

    • B. 

      Tell the client that her roommate went home.

    • C. 

      Tell the client, if asked, “You should ask the doctor.”

    • D. 

      Tell the client that her closest roommate died.

  • 7. 
    A woman gave birth to an unhealthy infant, and with some body defects. The nurse should expect the woman’s initial reactions to include: 
    • A. 

      Depression

    • B. 

      Withdrawal

    • C. 

      Apathy

    • D. 

      Anger

  • 8. 
     A client in the psychiatric unit is shouting out loud and tells the nurse, “Please, help me. They are coming to get me.” What would be the appropriate nursing response? 
    • A. 

      “ I won’t let anyone get you.”

    • B. 

      “Who are they?”

    • C. 

      “I don’t see anyone coming.”

    • D. 

      “You look frightened.”

  • 9. 
    A client who is severely obese tells the nurse, “My therapist told me that I eat a lot because I didn’t get any attention and love from my mother. What does the therapist mean?” What is the best nursing response?  
    • A. 

      “What do you think is the connection between your not getting enough love and overeating?”

    • B. 

      “Tell me what you think the therapist means.”

    • C. 

      “You need to ask your therapist.”

    • D. 

      “ We are here to deal with your diet, not with your psychological problems.”

  • 10. 
    After the discussion about the procedure the physician scheduled the client for mastectomy. The client tells the nurse, “If my breasts will be removed, I’m afraid my husband will not love me anymore and maybe he will never touch me.” What should the nurse’s response? 
    • A. 

      “I doubt that he feels that way.”

    • B. 

      “What makes you feel that way?”

    • C. 

      “Have you discussed your feelings with your husband?”

    • D. 

      Ask the husband, in front of the wife, how he feels about this.

  • 11. 
    The child is brought to the hospital by the parents. During assessment of the nurse, what parental behavior toward a child should alert the nurse to suspect child abuse? 
    • A. 

      Ignoring the child.

    • B. 

      Flat affect.

    • C. 

      Expressions of guilt.

    • D. 

      Acting overly solicitous toward the child

  • 12. 
     A nurse is caring to a client with manic disorder in the psychiatric ward. On the morning shift, the nurse is talking with the client who is now exhibiting a manic episode with flight of ideas. The nurse primarily needs to: 
    • A. 

      Focus on the feelings conveyed rather than the thoughts expressed.

    • B. 

      Speak loudly and rapidly to keep the client’s attention, because the client is easily distracted.

    • C. 

      Allow the client to talk freely.

    • D. 

      Encourage the client to complete one thought at a time.

  • 13. 
    The nurse is caring to an autistic child. Which of the following play behavior would the nurse expect to see in a child? 
    • A. 

      Competitive play

    • B. 

      Nonverbal play

    • C. 

      Cooperative play

    • D. 

      Solitary play

  • 14. 
     The client is telling the nurse in the psychiatric ward, “I hate them.” Which of the following is the most appropriate nursing response to the client? 
    • A. 

      “Tell me about your hate.”

    • B. 

      “I will stay with you as long as you feel this way.”

    • C. 

      “For whom do you have these feelings?”

    • D. 

      “I understand how you can feel this way.”

  • 15. 
    The mother visits her son with major depression in the psychiatric unit. After the conversation of the client and the mother, the nurse asks the mother how it is talking to her son. The mother tells the nurse that it was a stressful time. During an interview with the client, the client says, “we had a marvelous visit.” Which of the following coping mechanism can be described to thestatement of the client? 
    • A. 

      Identification.

    • B. 

      Rationalization.

    • C. 

      Denial.

    • D. 

      Compensation.

  • 16. 
     A male client is quiet when the physician told him that he has stage IV cancer and has 4 months to live. The nurse determines that this reaction may be an example of: 
    • A. 

      Indifference

    • B. 

      Denial

    • C. 

      Resignation

    • D. 

      Anger

  • 17. 
    A nurse is caring to a female client with five young children. The family member told the client that her ex-husband has died 2 days ago. The reaction of the client is stunned silence, followed by anger that the ex-husband left no insurance money for their young children. The nurse should understand that: 
    • A. 

      The children and the injustice done to them by their father’s death are the woman’s main concern.

    • B. 

      To explain the woman’s reaction, the nurse needs more information about the relationship and breakup.

    • C. 

      The woman is not reacting normally to the news.

    • D. 

      The woman is experiencing a normal bereavement reaction.

  • 18. 
    A client who is manic comes to the outpatient department. The nurse is assigning an activity for the client. What activity is best for the nurse to encourage for a client in a manic phase? 
    • A. 

      Solitary activity, such as walking with the nurse, to decrease stimulation.

    • B. 

      Competitive activity, such as bingo, to increase the client’s self-esteem.

    • C. 

      Group activity, such as basketball, to decrease isolation.

    • D. 

      Intellectual activity, such as scrabble, to increase concentration.

  • 19. 
     The nurse is about to administer Imipramine HCI (Tofranil) to the client, the client says, “Why should I take this?” The doctor started me on this 10days ago; it didn’t help me at all.” Which of the following is the best nursing response: 
    • A. 

      “What were you expecting to happen?”

    • B. 

      “It usually takes 2-3 weeks to be effective.”

    • C. 

      “Do you want to refuse this medication? You have the right.”

    • D. 

      “That’s a long time wait when you feel so depressed.”

  • 20. 
    Which of the following drugs the nurse should choose to administer to a client to prevent pseudoparkinsonism? 
    • A. 

      Isocarboxazid (Marplan)

    • B. 

      Chlorpromazine HCI (Thorazine)

    • C. 

      Trihexyphenidyl HCI (Artane)

    • D. 

      Trifluoperazine HCI (Stelazine)

  • 21. 
     The nurse is caring to an 80-year-old client with dementia? What is the most important psychosocial need for this client? 
    • A. 

      Focus on the there-and-then rather the here-and-now.

    • B. 

      Limit in the number of visitors, to minimize confusion.

    • C. 

      Variety in their daily life, to decrease depression.

    • D. 

      A structured environment, to minimize regressive behaviors.

  • 22. 
     A client tells the nurse, “I don’t want to eat any meals offered in this hospital because the food is poisoned.” The nurse is aware that the client is expressing an example of: 
    • A. 

      Delusion.

    • B. 

      Hallucination.

    • C. 

      Negativism.

    • D. 

      Illusion.

  • 23. 
     A client is admitted in the hospital. On assessment, the nurse found out that the client had several suicidal attempts. Which of the following is the most important nursing action? 
    • A. 

      Ignore the client as long as he or she is talking about suicide, because suicide attempt is unlikely.

    • B. 

      Administer medication.

    • C. 

      Relax vigilance when the client seems to be recovering from depression.

    • D. 

      Maintain constant awareness of the client’s whereabouts.

  • 24. 
     The nurse suspects that the client is suffering from depression. During assessment, what are the most characteristic signs and symptoms of depression the nurse would note? 
    • A. 

      Constipation, increased appetite.

    • B. 

      Anorexia, insomnia.

    • C. 

      Diarrhea, anger.

    • D. 

      Verbosity, increased social interaction.

  • 25. 
     The client in the psychiatric unit states that, “The goodas are coming! I must be ready.” In response to this neologism, the nurse’s initial response is to: 
    • A. 

      Acknowledge that the word has some special meaning for the client.

    • B. 

      Try to interpret what the client means.

    • C. 

      Divert the client’s attention to an aspect of reality.

    • D. 

      State that what the client is saying has not been understood and then divert attention to something that is really bound.

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