Practice Test IV- Psychiatric Nursing- Rnpedia

50 Questions | Total Attempts: 5963

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Practice Test IV- Psychiatric Nursing- Rnpedia

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Questions and Answers
  • 1. 
    Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
    • A. 

      Psychotherapy

    • B. 

      Alcoholics anonymous (A.A.)

    • C. 

      Total abstinence

    • D. 

      Aversion Therapy

  • 2. 
     Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
    • A. 

      Hallucinations

    • B. 

      Delusions

    • C. 

      Loose associations

    • D. 

      Neologisms

  • 3. 
    Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…
    • A. 

      Give her privacy

    • B. 

      Allow her to urinate

    • C. 

      Open the window and allow her to get some fresh air

    • D. 

      Observe her

  • 4. 
     Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
    • A. 

      Provide privacy during meals

    • B. 

      Set-up a strict eating plan for the client

    • C. 

      Encourage client to exercise to reduce anxiety

    • D. 

      Restrict visits with the family

  • 5. 
    A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
    • A. 

      Turning on the television

    • B. 

      Leaving the client alone

    • C. 

      Staying with the client and speaking in short sentences

    • D. 

      Ask the client to play with other clients

  • 6. 
    A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
    • A. 

      Being Killed

    • B. 

      Highly famous and important

    • C. 

      Responsible for evil world

    • D. 

      Connected to client unrelated to oneself

  • 7. 
    • A. 

      Recurrent self-destructive behavior

    • B. 

      Avoiding relationship

    • C. 

      Showing interest in solitary activities

    • D. 

      Inability to make choices and decision without advise

  • 8. 
     A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
    • A. 

      Paranoid thoughts

    • B. 

      Emotional affect

    • C. 

      Independence need

    • D. 

      Aggressive behavior

  • 9. 
     Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
    • A. 

      Encourage to avoid foods

    • B. 

      Identify anxiety causing situations

    • C. 

      Eat only three meals a day

    • D. 

      Avoid shopping plenty of groceries

  • 10. 
    Nurse Tony was caring for a 41 year old female client. Which behavior by the client indicates adult cognitive development?
    • A. 

      Generates new levels of awareness

    • B. 

      Assumes responsibility for her actions

    • C. 

      Has maximum ability to solve problems and learn new skills

    • D. 

      Her perception are based on reality

  • 11. 
    A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
    • A. 

      Respiratory difficulties

    • B. 

      Nausea and vomiting

    • C. 

      Dizziness

    • D. 

      Seizures

  • 12. 
    A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?
    • A. 

      Apathetic response to the environment

    • B. 

      “I don’t know” answer to questions

    • C. 

      Shallow of labile effect

    • D. 

      Neglect of personal hygiene

  • 13. 
    Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
    • A. 

      Teach client to measure I & O

    • B. 

      Involve client in planning daily meal

    • C. 

      Observe client during meals

    • D. 

      Monitor client continuously

  • 14. 
    Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?
    • A. 

      Cardiac dysrhythmias resulting to cardiac arrest

    • B. 

      Glucose intolerance resulting in protracted hypoglycemia

    • C. 

      Endocrine imbalance causing cold amenorrhea

    • D. 

      Decreased metabolism causing cold intolerance

  • 15. 
    Nurse Anna can minimize agitation in a disturbed client by?
    • A. 

      Increasing stimulation

    • B. 

      Limiting unnecessary interaction

    • C. 

      Increasing appropriate sensory perception

    • D. 

      Ensuring constant client and staff contact

  • 16. 
    A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:
    • A. 

      Problems with being too conscientious

    • B. 

      Problems with anger and remorse

    • C. 

      Feelings of guilt and inadequacy

    • D. 

      Feeling of unworthiness and hopelessness

  • 17. 
    Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?
    • A. 

      Allowing a snack to be kept in his room

    • B. 

      Reprimanding the client

    • C. 

      Ignoring the clients behavior

    • D. 

      Setting limits on the behavior

  • 18. 
    Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?
    • A. 

      Ask a family member to stay with the client at home temporarily

    • B. 

      Discuss the meaning of the client’s statement with her

    • C. 

      Request an immediate extension for the client

    • D. 

      Ignore the clients statement because it’s a sign of manipulation

  • 19. 
    Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction?
    • A. 

      Defensiveness

    • B. 

      Embarrassment

    • C. 

      Shame

    • D. 

      Remorsefulness

  • 20. 
    Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist?
    • A. 

      Rationalization

    • B. 

      Supportive confrontation

    • C. 

      Limit setting

    • D. 

      Consistency

  • 21. 
    Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer? 
    • A. 

      Naloxone (Narcan)

    • B. 

      Benzlropine (Cogentin)

    • C. 

      Lorazepam (Ativan)

    • D. 

      Haloperidol (Haldol)

  • 22. 
    Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
    • A. 

      Milk

    • B. 

      Orange Juice

    • C. 

      Soda

    • D. 

      Regular Coffee

  • 23. 
    Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
    • A. 

      Yawning & diaphoresis

    • B. 

      Restlessness & Irritability

    • C. 

      Constipation & steatorrhea

    • D. 

      Vomiting and Diarrhea

  • 24. 
    To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
    • A. 

      Encourage the staff to have frequent interaction with the client

    • B. 

      Share an activity with the client

    • C. 

      Give client feedback about behavior

    • D. 

      Respect client’s need for personal space

  • 25. 
     Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
    • A. 

      Manipulate the environment to bring about positive changes in behavior

    • B. 

      Allow the client’s freedom to determine whether or not they will be involved in activities

    • C. 

      Role play life events to meet individual needs

    • D. 

      Use natural remedies rather than drugs to control behavior