Psychiatric Nursing | NCLEX Quiz 194

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 2753

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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 man is admitted to the nursing care unit with a diagnosis of cirrhosis. He has a long history of alcohol dependence. During the late evening following his admission. he becomes increasingly disoriented and agitated. Which of the following would the client be least likely to experience?
- A.
  
  Diaphoresis and tremors.
- B.
  
  Increased blood pressure and heart rate.
- C.
  
  Illusions.
- D.
  
  Delusions of grandeur.
2.

Mr. Peterson. 35. is admitted for bipolar illness. manic phase. after assaulting his landlord in an argument over Mr. Peterson is staying up all night playing loud music. Mr. Peterson is hyperactive. intrusive. and has rapid. pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time?
- A.
  
  Providing a meal and beverage for Mr. Peterson to eat in the dining room.
- B.
  
  Providing linens and toiletries for Mr. Peterson to attend to his hygiene.
- C.
  
  Consulting with the psychiatrist to order a hypnotic to promote sleep.
- D.
  
  Providing for client safety by limiting his privileges.
3.

Which of the following would best indicate to the nurse that a depressed client is improving?
- A.
  
  Reduced levels of anxiety.
- B.
  
  Changes in vegetative signs.
- C.
  
  Compliance with medications.
- D.
  
  Requests to talk to the nurse.
4.

An elderly man is admitted to the hospital. He was alert and oriented during the admission interview. However. his family states that he becomes disruptive and disoriented around dinnertime. One night he was shouting furiously and didn’t know where he was. He was sedated and the next morning he was fine. At dinnertime. the disruptive behavior returned. The client is diagnosed as having sundown syndrome. The client’s son asks the nurse what causes sundown syndrome. The nurse’s best response is that it is attributed to
- A.
  
  An underlying depression.
- B.
  
  Inadequate cerebral flow.
- C.
  
  Changes in the sensory environment.
- D.
  
  Fuctuating levels of oxygen exchange.
5.

The nurse is discussing electroconvulsive therapy (ECT) with a client who asks how long it will be before she feels better. The nurse explains that the beneficial effects of ECT usually occur within
- A.
  
  One week.
- B.
  
  Three weeks.
- C.
  
  Four weeks.
- D.
  
  Six weeks.
6.

The nurse is assessing a 17-year-old female who is admitted to the eating disorders unit with a history of weight fluctuation. abdominal pain. teeth erosion. receding gums. and bad breath. She states that her health has been a problem but there are no other concerns in her life. Which of the following assessments will be the least useful as the nurse develops the care plan?
- A.
  
  Information regarding recent mood changes.
- B.
  
  Family functioning using a genogram.
- C.
  
  Ability to socialize with peers.
- D.
  
  Whether she has a sexual relationship with a boyfriend.
7.

A 34-year-old woman is admitted for treatment of depression. Which of these symptoms would the nurse be least likely to find in the initial assessment?
- A.
  
  Inability to make decisions.
- B.
  
  Feelings of hopelessness.
- C.
  
  Family history of depression.
- D.
  
  Increased interest in sex.
8.

The nurse is planning care for a client who has a phobic disorder manifested by a fear of elevators. Which goal would need to be accomplished first? The client
- A.
  
  Demonstrates the relaxation response when asked.
- B.
  
  Verbalizes the underlying cause of the disorder.
- C.
  
  Rides the elevator in the company of the nurse.
- D.
  
  Role plays the use of an elevator.
9.

A teenage female is admitted with the diagnosis of anorexia nervosa. Upon admission. the nurse finds a bottle of assorted pills in the client’s drawer. The client tells the nurse that they are antacids for stomach pains. The best response by the nurse would be
- A.
  
  “These pills aren’t antacids since they are all different.”
- B.
  
  “Some teenagers use pills to lose weight.”
- C.
  
  “Tell me about your week prior to being admitted.”
- D.
  
  “Are you taking pills to change your weight?”
10.

A mother with a Roman Catholic belief has given birth in an ambulance on the way to the hospital. The neonate is in very critical condition with little expectation of surviving the trip to the hospital. Which of these requests should the nurse in the ambulance anticipate and be prepared to do?
- A.
  
  The refusal of any treatment for self and the neonate until she talks to a reader
- B.
  
  The placement of a rosary necklace around the neonate’s neck and not to remove it unless absolutely necessary
- C.
  
  Arrange for a church elder to be at the emergency department when the ambulance arrives so a “laying on hands” can be done
- D.
  
  Pour fluid over the forehead backward towards the back of the head and say “I baptize you in the name of the father. the son and the holy spirit. Amen.”