Psychiatric Nursing | NCLEX Quiz 182

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 2213

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Psychiatric Nursing | NCLEX Quiz 182 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

When monitoring a female client recently admitted for treatment of cocaine addiction. nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. To correct these problems. the nurse expects the physician to prescribe:
- A.
  
  Norepinephrine (Levophed) and Lidocaine (Xylocaine)
- B.
  
  Nifedipine (Procardia) and Lidocaine.
- C.
  
  Nitroglycerin (Nitro-Bid IV) and Esmolol (Brevibloc)
- D.
  
  Nifedipine and Esmolol
2.

A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
- A.
  
  The client will commit to a drug-free lifestyle
- B.
  
  The client will work with the nurse to remain safe
- C.
  
  The client will drink plenty of fluids daily
- D.
  
  The client will make a personal inventory of strength
3.

A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor’s dog on fire. When evaluating this client for the potential for violence. nurse Perry should assess for which behavioral clues?
- A.
  
  A rigid posture. restlessness. and glaring
- B.
  
  Depression and physical withdrawal
- C.
  
  Silence and noncompliance
- D.
  
  Hypervigilance and talk of past violent acts
4.

A male client is brought to the psychiatric clinic by family members. who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse Linda. which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?
- A.
  
  “I’m not addicted to alcohol. In fact. I can drink more than I used to without being affected.”
- B.
  
  “I only spend half of my paycheck at the bar.”
- C.
  
  “I just drink to relax after work.”
- D.
  
  “I know I’ve been arrested three times for drinking and driving. but the police are just trying to hassle me.”
5.

A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Based on this finding. the nurse Lenny should formulate a nursing diagnosis of:
- A.
  
  Ineffective individual coping related to feelings of guilt.
- B.
  
  Situational low self-esteem related to feelings of loss of control
- C.
  
  Risk for violence: Self-directed related to impulsive mutilating acts
- D.
  
  Risk for violence: Directed toward others related to verbal threats
6.

A male client recently admitted to the hospital with sharp. substernal chest pain suddenly complains of palpitations. Nurse Ryan notes a rise in the client’s arterial blood pressure and a heart rate of 144 beats/minute. On further questioning. the client admits to having used cocaine recently after previously denying use of the drug. The nurse concludes that the client is at high risk for which complication of cocaine use?
- A.
  
  Coronary artery spasm
- B.
  
  Bradyarrhythmias
- C.
  
  Neurobehavioral deficits
- D.
  
  Panic disorder
7.

A male client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview. the nurse asks him when he had his last alcoholic drink. He says that he had his last drink six (6) hours before admission. Based on this response. nurse Lorena should expect early withdrawal symptoms to:
- A.
  
  Begin after seven (7) days
- B.
  
  Not occur at all because the time period for their occurrence has passed
- C.
  
  Begin anytime within the next one (1) to two (2) days
- D.
  
  Begin within two (2) to seven (7) days
8.

Nurse Helen is assigned to care for a client with anorexia nervosa. Initially. which nursing intervention is most appropriate for this client?
- A.
  
  Providing one-on-one supervision during meals and for one (1) hour afterward
- B.
  
  Letting the client eat with other clients to create a normal mealtime atmosphere
- C.
  
  Trying to persuade the client to eat and thus restore nutritional balance
- D.
  
  Giving the client as much time to eat as desired
9.

A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware that the best nursing intervention at this time?
- A.
  
  Keeping the client restrained in bed
- B.
  
  Checking the client’s blood pressure every 15 minutes and offering juices
- C.
  
  Providing a quiet environment and administering medication as needed and prescribed
- D.
  
  Restraining the client and measuring blood pressure every 30 minutes
10.

Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal?
- A.
  
  Heart rate of 120 to 140 beats/minute
- B.
  
  Heart rate of 50 to 60 beats/minute
- C.
  
  Blood pressure of 100/70 mmHg
- D.
  
  Blood pressure of 140/80 mmHg