Psychiatric Nursing | NCLEX Quiz 181

10 Questions | By Santepro | Updated: Aug 28, 2022 | Attempts: 2746

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Psychiatric Nursing | NCLEX Quiz 181 - Quiz

Give this "Psychiatric Nursing NCLEX Quiz 181" a try, and you will test your knowledge of psychiatric nursing as well as you will learn more with this quiz. All questions are shown, but the results will only be given after you've finished the quiz. Questions are not going to be easy, so be prepared for that. Complete this quiz and enhance your nursing skills even more. We wish you all the best with the test. Let us go now!

Questions and Answers

1.

The nurse knows that the outcome criteria is going to be appropriate for a child who is diagnosed with oppositional defiant disorder?
- A.
  
  Accept responsibility for own behaviors
- B.
  
  Be able to verbalize own needs and assert rights.
- C.
  
  Set firm and consistent limits with the client
- D.
  
  Allow the child to establish his own limits and boundaries
2.

A male client is sitting on the floor of the bathroom on the day treatment clinic with moderate lacerations on both wrists. He is surrounded by broken glass. He is staring blankly at his bleeding wrists while staff members look for an ambulance. How should Nurse Julia approach her initially?
- A.
  
  Enter the room quietly and move beside him to assess his injuries
- B.
  
  Call for staff back-up before entering the room and restraining him
- C.
  
  Move as much glass away from him as possible and sit next to him quietly
- D.
  
  Approach him slowly while speaking in a calm voice. calling him name. and telling him that the nurse is here to help him
3.

A female client with anorexia nervosa mentions herself as “a whale.” However. the nurse’s assessment shows that the client is 5? 8? (1.7 m) tall and weighs only 90 lb (40.8 kg). As per the client’s unrealistic body image. which intervention should nurse Julia include in the plan of care?
- A.
  
  Asking the client to compare her figure with magazine photographs of women her age
- B.
  
  Assigning the client to group therapy in which participants provide realistic feedback about her weight
- C.
  
  Confronting the client about her actual appearance during one-on-one sessions. scheduled during each shift
- D.
  
  Telling the client of the nurse’s concern for her health and desire to help her make decisions to keep her healthy
4.

Eighteen hours after an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature. 101.6° F (38.7° C); heart rate. 126 beats/minute; respiratory rate. 24 breaths/minute; and blood pressure. 140/96 mm Hg. The client shows gross hand tremors and is crying for someone to kill the bugs in the bed. Nurse Julia should suspect:
- A.
  
  A postoperative infection
- B.
  
  Alcohol withdrawal
- C.
  
  Acute sepsis.
- D.
  
  Pneumonia.
5.

Clonidine (Catapres) is useful to treat conditions other than hypertension. Nurse Jenny is aware that in the following conditions might the drug be administered?
- A.
  
  Phencyclidine (PCP) intoxication
- B.
  
  Alcohol withdrawal
- C.
  
  Opiate withdrawal
- D.
  
  Cocaine withdrawal
6.

A male client who has a history of cocaine addiction gets admitted to the coronary care unit for evaluation of substernal chest pain. After that, the electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. looking at the client’s history of drug abuse, nurse Paul expects the physician to prescribe:
- A.
  
  Lidocaine (Xylocaine).
- B.
  
  Procainamide (Pronestyl).
- C.
  
  Nitroglycerin (Nitro-Bid IV).
- D.
  
  Epinephrine.
7.

A 14-year-old client was admitted to the clinic by her mother. Her mother tells concern about her daughter’s weight loss and constant dieting. Nurse Mandy conducts a health history interview. Which comment indicates that the client might be suffering from anorexia nervosa?
- A.
  
  “I like the way I look. I just need to keep my weight down because I’m a cheerleader.”
- B.
  
  “I don’t like the food my mother cooks. I eat plenty of fast food when I’m out with my friends.”
- C.
  
  “I just can’t seem to get down to the weight I want to be. I’m so fat compared to other girls.”
- D.
  
  “I do diet around my periods; otherwise. I just get so bloated.”
8.

For a female client who has anorexia nervosa. Nurse Jenny is aware that which goal shows 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
9.

A male client informs the nurse that he got in a car accident while he was intoxicated. What should be the most therapeutic response from nurse Julia?
- A.
  
  “Why didn’t you get someone else to drive you?”
- B.
  
  “Tell me how you feel about the accident.”
- C.
  
  “You should know better than to drink and drive.”
- D.
  
  “I recommend that you attend an Alcoholics Anonymous meeting.”
10.

A male adult client admits himself into the substance abuse unit. He says that he drinks one (1) qt or more of vodka every day and uses cocaine occasionally. In the afternoon. he begins to gives signs of alcohol withdrawal. What are the early signs of this condition?
- A.
  
  Vomiting. diarrhea. and bradycardia
- B.
  
  Dehydration. temperature above 101° F (38.3° C). and pruritus
- C.
  
  Hypertension. diaphoresis. and seizures
- D.
  
  Diaphoresis. tremors. and nervousness