Psychiatric Nursing | NCLEX Quiz 191

10 Questions | Total Attempts: 2480

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Psychiatric Nursing | NCLEX Quiz 191 - 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. 
    Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes emotional lability?
    • A. 

      Attempt humor to alter the client mood.

    • B. 

      Explore reasons for the client’s altered mood.

    • C. 

      Reduce environmental stimuli to redirect the client’s attention.

    • D. 

      Use logic to point out reality aspects.

  • 2. 
    Which neurotransmitter has been implicated in the development of Alzheimer’s disease?
    • A. 

      Acetylcholine

    • B. 

      Dopamine

    • C. 

      Epinephrine

    • D. 

      Serotonin

  • 3. 
    Which factors are the most essential for the nurse to assess when providing crisis intervention foer a client?
    • A. 

      The client’s communication and coping skills

    • B. 

      The client’s anxiety level and ability to express feelings

    • C. 

      The client’s perception of the triggering event and availability of situational supports

    • D. 

      The client’s use of reality testing and level of depression

  • 4. 
    The nurse considers a client’s response to crisis intervention successful if the client:
    • A. 

      Changes coping skills and behavioral patterns.

    • B. 

      Develops insight into reasons why the crisis occurred.

    • C. 

      Learns to relate better to others.

    • D. 

      Returns to his previous level of functioning.

  • 5. 
    Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?
    • A. 

      Conflict resolution phase

    • B. 

      Initiation phase

    • C. 

      Working phase

    • D. 

      Termination phase

  • 6. 
    Group members have worked very hard. and the nurse reminds them that termination is approaching. Termination is considered successful if group members:
    • A. 

      Decide to continue.

    • B. 

      Elevate group progress

    • C. 

      Focus on positive experience

    • D. 

      Stop attending prior to termination.

  • 7. 
    The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
    • A. 

      Antacids

    • B. 

      Antibiotics

    • C. 

      Diuretics

    • D. 

      Hypoglycemic agents

  • 8. 
    The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?
    • A. 

      The client will recognize signs and symptoms of physical illness.

    • B. 

      The client will cope with physical illness.

    • C. 

      The client will take prescribed medications.

    • D. 

      The client will express anxiety verbally rather than through physical symptoms.

  • 9. 
    A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?
    • A. 

      Aged cheese and red wine

    • B. 

      Milk and green. leafy vegetables

    • C. 

      Carbonated beverages and tomato products

    • D. 

      Lean red meats and fruit juices

  • 10. 
    Prior to administering chlorpromazine (Thorazine) to an agitated client. the nurse should:
    • A. 

      Assess skin color and sclera

    • B. 

      Assess the radial pulse

    • C. 

      Take the client’s blood pressure

    • D. 

      Ask the client to void

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