Psychiatric Nursing | NCLEX Quiz 193

10 Questions | Total Attempts: 1760

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Psychiatric Nursing NCLEX Quizzes & Trivia

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. 
    A 75-year-old client has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client:
    • A. 

      Denies confusion by being jovial.

    • B. 

      Pretends to be someone else.

    • C. 

      Rationalizes various behaviors.

    • D. 

      Fills in memory gaps with fantasy.

  • 2. 
    An elderly client with Alzheimer’s disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
    • A. 

      Tell the client family that it is time to get dressed.

    • B. 

      Obtain assistance to restrain the client for safety.

    • C. 

      Remain calm and talk quietly to the client.

    • D. 

      Call the doctor and request an order for sedation.

  • 3. 
    In clients with a cognitive impairment disorder. the phenomenon of increased confusion in the early evening hours is called:
    • A. 

      Aphasia

    • B. 

      Agnosia

    • C. 

      Sundowning

    • D. 

      Confabulation

  • 4. 
    Which of the following outcome criteria is appropriate for the client with dementia?
    • A. 

      The client will return to an adequate level of self-functioning.

    • B. 

      The client will learn new coping mechanisms to handle anxiety.

    • C. 

      The client will seek out resources in the community for support.

    • D. 

      The client will follow an establishing schedule for activities of daily living.

  • 5. 
    The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child’s frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
    • A. 

      The child’s performance in school

    • B. 

      Family education and work history

    • C. 

      The family’s perception of the current problem

    • D. 

      The teacher’s attempt to solve the problem

  • 6. 
    The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son’s problems. How can the nurse best educate the family?
    • A. 

      Acknowledge the parent’s responsibility.

    • B. 

      Explain the biological nature of schizophrenia.

    • C. 

      Refer the family to a support group

    • D. 

      Teach the parents various ways they must change.

  • 7. 
    The nurse collecting family assessment data asks. “Who is in your family and where do they live?” which of the following is the nurse attempting o identify?
    • A. 

      Boundaries

    • B. 

      Ethnicity

    • C. 

      Relationships

    • D. 

      Triangles

  • 8. 
    According to the family systems theory. which of the following best describes the process of differentiation?
    • A. 

      Cooperative action among members of the family

    • B. 

      Development of autonomy within the family

    • C. 

      Incongruent messages wherein the recipient is a victim

    • D. 

      Maintenance of system continuity or equilibrium

  • 9. 
    The nurse is interacting with a family consisting of a mother. a father. and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent’s view about family rules. Which intervention is most appropriate?
    • A. 

      The nurse should align with the adolescent. who is the family scapegoat.

    • B. 

      The nurse should encourage the parents to adopt more realistic rules.

    • C. 

      The nurse should encourage the adolescent to comply with parental rules.

    • D. 

      The nurse should remain objective and encourage mutual negotiation of issues.

  • 10. 
    A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style?
    • A. 

      Differentiation

    • B. 

      Disengagement

    • C. 

      Enmeshment

    • D. 

      Scapegoating

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