Psychiatric Nursing | NCLEX Quiz 186 | Attempts: 2724

2.

The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

Hopelessness
Altered parenting role
Altered family process
Ineffective coping

Correct Answer

A. Altered parenting role

Explanation

Altered parenting role refers to the inability to create an environment that promotes optimum growth and development of the child. This is reflected in the parent’s inability to care for the child.Option A: This refers to the lack of choices or inability to mobilize one’s resources.Option C: Refers to change in family relationship and function.Option D: Ineffective coping is the inability to form valid appraisal of the stressor or inability to use available resources

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1

3.

A 5-year-old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?

Aargumentativeness. disobedience. angry outburst
Intolerance to change. disturbed relatedness. stereotypes
Distractibility. impulsiveness. and overactivity
Aggression. truancy. stealing. lying

Correct Answer

A. Intolerance to change. disturbed relatedness. stereotypes

Explanation

These are manifestations of autistic disorder.Option A: These manifestations are noted in Oppositional Defiant Disorder. a disruptive disorder among children.Option C: These are manifestations of Attention Deficit Disorder.Option D: These are the manifestations of Conduct Disorder

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4.

The therapeutic approach in the care of an autistic child includes the following EXCEPT:

Engage in diversionary activities when acting -out
Provide an atmosphere of acceptance
Provide safety measures
Rearrange the environment to activate the child

Correct Answer

A. Rearrange the environment to activate the child

Explanation

The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic.Option A: Angry outburst can be re-channelled through safe activities.Option B: Acceptance enhances a trusting relationship.Option C: Ensure safety from self-destructive behaviors like head banging and hair pulling.

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5.

According to Piaget. a 5-year-old is at what stage of development:

Sensorimotor stage
Concrete operations
Pre-operational
Formal operation

Correct Answer

A. Pre-operational

Explanation

Preoperational stage (2-7 years) is the stage when the use of language. the use of symbols and the concept of time occur.Option A: Sensorimotor stage (0-2 years) is the stage when the child uses the senses in learning about the self and the environment through exploration.Option B: Concrete operations (7-12 years) when inductive reasoning develops.Option D: Formal operations (2 till adulthood) is when abstract thinking and deductive reasoning develop.

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6.

Situation: The nurse assigned to the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect This indicates:

Withdrawal
Tolerance
Intoxication
Psychological dependence

Correct Answer

A. Tolerance

Explanation

Tolerance refers to the increase in the amount of the substance to achieve the same effects.Option A: Withdrawal refers to the physical signs and symptoms that occur when the addictive substance is reduced or withheld.Option B: Intoxication refers to the behavioral changes that occur upon recent ingestion of substance.Option D: Psychological dependence refers to the intake of the substance to prevent the onset of withdrawal symptoms.

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7.

The client admitted for alcohol detoxification develops increased tremors. irritability. hypertension. and fever. The nurse should be alert for impending:

Delirium tremens
Korsakoff’s syndrome
Esophageal varices
Wernicke’s syndrome

Correct Answer

A. Delirium tremens

Explanation

Delirium Tremens is the most extreme central nervous system irritability due to withdrawal from alcohol.Option B: This refers to an amnestic syndrome associated with chronic alcoholism due to a deficiency in Vit. B.Option C: This is a complication of liver cirrhosis which may be secondary to alcoholism.Option D: This is a complication of alcoholism characterized by irregularities of eye movements and lack of coordination.

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8.

What would be the best approach for a wife who is still living with her abusive husband?

“Here’s the number of a crisis center that you can call for help .”
“It’s best to leave your husband.”
“Did you discuss this with your family?”
“ Why do you allow yourself to be treated this way.”

Correct Answer

A. “Here’s the number of a crisis center that you can call for help .”

Explanation

Pulse and blood pressure are usually elevated during withdrawal; Elevation may indicate impending delirium tremens.Option B: Client needs quiet. well lighted. consistent and secure environment. Excessive stimulation can aggravate anxiety and cause illusions and hallucinations.Option C: Adequate nutrition with supplements of Vit. B should be ensured.Option D: Sedatives are used to relieve anxiety.

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9.

Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating. agitated. with an irritated nasal septum.

Heroin
Cocaine
LSD
Marijuana

Correct Answer

A. Cocaine

Explanation

The manifestations indicate intoxication with cocaine. a CNS stimulant. Option A: Intoxication with heroine is manifested by euphoria then impairment in judgment. attention and the presence of papillary constriction. Option C: Intoxication with hallucinogen like LSD is manifested by grandiosity. hallucinations. synesthesia and increase in vital signs. Option D: Intoxication with Marijuana. a cannabinoid is manifested by.Option A: Intoxication with heroine is manifested by euphoria then impairment in judgment. attention and the presence of papillary constriction.Option C: Intoxication with hallucinogen like LSD is manifested by grandiosity. hallucinations. synesthesia and increase in vital signs.Option D: Intoxication with Marijuana. a cannabinoid is manifested by the sensation of slowed time. conjunctival redness. social withdrawal. impaired judgment. and hallucinations.

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10.

A client is admitted with needle tracks on his arm. stuporous and with pin point pupil will likely be managed with:

Naltrexone (Revia)
Narcan (Naloxone)
Disulfiram (Antabuse)
Methadone (Dolophine)

Correct Answer

A. Narcan (Naloxone)

Explanation

Narcan is a narcotic antagonist used to manage the CNS depression due to overdose with heroin.Option A: This is an opiate receptor blocker used to relieve the craving for heroin.Option C: Disulfiram is used as a deterrent in the use of alcohol.Option D: Methadone is used as a substitute in the withdrawal from heroin

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Psychiatric Nursing | NCLEX Quiz 186

The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:

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The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

A 5-year-old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?

The therapeutic approach in the care of an autistic child includes the following EXCEPT:

According to Piaget. a 5-year-old is at what stage of development:

Situation: The nurse assigned to the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect This indicates:

The client admitted for alcohol detoxification develops increased tremors. irritability. hypertension. and fever. The nurse should be alert for impending:

What would be the best approach for a wife who is still living with her abusive husband?

Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating. agitated. with an irritated nasal septum.

A client is admitted with needle tracks on his arm. stuporous and with pin point pupil will likely be managed with: