NCLEX Questions For Psychiatric Nursing

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1. The primary nursing intervention for a victim of child abuse is: 

Explanation

The priority consideration is the safety of the victim. Attend to the physical injuries to ensure the physiologic safety and integrity of the child. Reporting suspected case of abuse may deter recurrence of abuse. A,B and D may be addressed later.

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NCLEX Questions For Psychiatric Nursing - Quiz

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

Explanation

Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give advice to leave the abuser. Making decisions for the victim further erodes her esteem. However discuss options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in anyway implying that she is at fault.

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3. Mental health is defined as:    

Explanation

Mental health is a state of emotional and psychosocial well being. A mentally healthy individual is self aware and self directive, has the ability to solve problems, can cope with crisis without assistance beyond the support of family and friends fulfill the capacity to love and work and sets goals and realistic limits. A. This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric Nursing. D. Mental health is not just the absence of mental illness.

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4. Which comment about a 3 year old child if made by the parent may indicate child abuse?

Explanation

Abusive parents tend to have unrealistic expectations on the child. A,B and C are realistic expectations on a 3 year old.

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

Explanation

The child with mental retardation should not be overprotected but need protection from injury and the teasing of other children. B,C, and D Children with mental retardation have learning difficulty. They should be taught with patience and repetition, start from simple to complex, use visuals and compliment them for motivation. Realistic expectations should be set and optimize their capability.

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6. Liza says, “Give me 10 minutes to recall the name of our college professor who failed many students in our anatomy class.” She is operating on her: 

Explanation

Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled spontaneously and voluntarily. B. This functions when one is awake. One is aware of his thoughts, feelings actions and what is going on in the environment. C. The largest potion of the mind that contains the memories of one’s past particularly the unpleasant. It is difficult to recall the unconscious content. D. The conscious self that deals and tests reality.

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7. The following statements describe somatoform disorders: 

Explanation

Bodily symptoms are used to handle conflicts. A. Manifestations do not have an organic basis. B. This occurs unconsciously. D. Medical treatment is not used because the disorder does not have a structural or organic basis.

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8. The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:

Explanation

Has little or no sexual desire or has distaste for sex. B. Failure to maintain the physiologic requirements for sexual intercourse. C. Persistent and recurrent inability to achieve an orgasm. D. Also called dyspareunia. Individuals with this disorder suffer genital pain before, during and after sexual intercourse.

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9. 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?

Explanation

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

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10. The therapeutic approach in the care of an autistic child include the following EXCEPT:

Explanation

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

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11. Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?

Explanation

This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic syndrome of somatic symptoms that cannot be explained medically and is associated with psychosocial distress. B. This is an unrealistic preoccupation with a fear of having a serious illness. C. Characterized by alteration or loss in sensory or motor function resulting from a psychological conflict.

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12. Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to: 

Explanation

Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non –confrontational approach and setting limit to time allotted for activities. B. The child will not benefit from a lenient approach. C. Dissipate energy through safe activities. D. This indicates that the classroom environment lacks structure.

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13. The child with conduct disorder will likely demonstrate: 

Explanation

This is a disruptive disorder among children characterized by more serious violations of social standards such as aggression, vandalism, stealing, lying and truancy. A. This is characteristic of attention deficit disorder. B and C. These are noted among children with autistic disorder.

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14. A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification: 

Explanation

The child with moderate mental retardation has an I.Q. of 35-50 Profound Mental retardation has an I.Q. of below 20; Mild mental retardation 50-70 and Severe mental retardation has an I.Q. of 20-35.

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15. According to Piaget a 5 year old is in what stage of development

Explanation

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

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16. Freud explains anxiety as: 

Explanation

Freud explains anxiety as due to opposing action drives between the id and the superego. A. Sullivan identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety. C. Biomedical perspective of anxiety. D. Explanation of anxiety using the behavioral model.

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

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. A. This refers to lack of choices or inability to mobilize one’s resources. C. Refers to change in family relationship and function. D. Ineffective coping is the inability to form valid appraisal of the stressor or inability to use available resources

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18. Primary level of prevention is exemplified by: 

Explanation

Primary level of prevention refers to the promotion of mental health and prevention of mental illness. This can be achieved by rendering health teachings such as modifying ones responses to stress. A. This is tertiary level of prevention that deals with rehabilitation. B and D. Secondary level of prevention which involves reduction of actual illness through early detection and treatment of illness.

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19. Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask? 

Explanation

The nurse validates her observation by asking simple, direct question. This also shows empathy. B, C, and D are indirect questions which may not lead to the discussion of abuse.

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20. Ritalin is the drug of choice for chidren with ADHD. The side effects of the following may be noted: 

Explanation

The medication has a paradoxic effect that decrease hyperactivity and impulsivity among children with ADHD. B, C, D. Side effects of Ritalin include anorexia, insomnia, diarrhea and irritability.

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21. School phobia is usually treated by: 

Explanation

Exposure to the feared situation can help in overcoming anxiety. A. This will not help in relieving the anxiety due separation from a significant other. C. and C. Anxiety in school phobia is not due to being in school but due to separation from parents/caregivers so these interventions are not applicable. D. Thiswill not help the child overcome the fear

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22. The superego is that part of the psyche that: 

Explanation

The critical censoring portion of one’s personality; the conscience. A. This refers to the ego function that protects itself from anything that threatens it.. B. The Id is composed of the untamed, primitive drives and impulses. C. This refers to the ego that acts as the moderator of the struggle between the id and the superego.

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23. Which of the following describes the role of a technician?

Explanation

Administration of medications and treatments, assessment, documentation are the activities of the nurse as a technician. B. Activities as a parent surrogate. C. Refers to the ward manager role. D. Role as a teacher.

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24. What would be the best response to the client's repeated complaints of pain: 

Explanation

hows empathy and offers information. B. This is a demeaning statement. C. This belittles the client’s feelings. D. Giving undue attention to the physical symptom reinforces the complaint.

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25. The following are appropriate nursing diagnosis for the client EXCEPT: 

Explanation

The client may not have difficulty in social exchange. The cues do not support this diagnosis. A. The client maladaptively uses body symptoms to manage anxiety. B. The client will have discomfort due to pain. C. The client may fail to meet environmental expectations due to pain.

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The primary nursing intervention for a victim of child abuse is: 
What would be the best approach for a wife who is still living with...
Mental health is defined as:    
Which comment about a 3 year old child if made by the parent may...
The nurse teaches the parents of a mentally retarded child regarding...
Liza says, “Give me 10 minutes to recall the name of our college...
The following statements describe somatoform disorders: 
The wife admits that she is a victim of abuse and opens up about her...
A 5 year old boy is diagnosed to have autistic disorder. Which of the...
The therapeutic approach in the care of an autistic child include the...
Situation: A 30 year old male employee frequently complains of low...
Situation: A nurse may encounter children with mental disorders. Her...
The child with conduct disorder will likely demonstrate: 
A 10 year old child has very limited vocabulary and interaction...
According to Piaget a 5 year old is in what stage of development
Freud explains anxiety as: 
The parents express apprehensions on their ability to care for their...
Primary level of prevention is exemplified by: 
Situation: In a home visit done by the nurse, she suspects that the...
Ritalin is the drug of choice for chidren with ADHD. The side effects...
School phobia is usually treated by: 
The superego is that part of the psyche that: 
Which of the following describes the role of a technician?
What would be the best response to the client's repeated complaints of...
The following are appropriate nursing diagnosis for the client...
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