Psychiatric Nursing Exam By Budek (50 Items)

50 Questions | By Tkv290 | Updated: Mar 22, 2022 | Attempts: 624

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Psychiatric Nursing Exam by Budek (50 Items)Researched all the questions and answers mostly from www. Nclex. Ucoz. Net and www. Nursereview. Org. I did not formulate any of the questions, just compiled them and made this quiz. Sorry for any typo or any grammatical errors. For those who are taking the December 2010 NLE Exam. God Bless!Passing Score is 75%. Hope This can help.

Questions and Answers

1.

60 year old post CVA patient is taking TPA for his disease; the nurse understands that this is an example of what level of prevention?
- A.
  
  primary
- B.
  
  secondary
- C.
  
  tertiary
- D.
  
  nota
2.

A female client undergoes yearly mammography. This is a type of what level of prevention?
- A.
  
  primary
- B.
  
  secondary
- C.
  
  tertiary
- D.
  
  nota
3.

A Diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA. He then underwent therapy on how to use his new prosthetic leg. This is a type of what level of prevention?
- A.
  
  primary
- B.
  
  secondary
- C.
  
  tertiary
- D.
  
  nota
4.

As a care provider, The nurse should do first:
- A.
  
  Provide direct nursing care.
- B.
  
  Participate with the team in performing nursing intervention.
- C.
  
  Therapeutic use of self.
- D.
  
  Early recognition of the client’s needs.
5.

As a manager, the nurse should:
- A.
  
  Initiates nursing action with co workers.
- B.
  
  Plans nursing care with the patient.
- C.
  
  Speaks in behalf of the patient.
- D.
  
  Works together with the team.
6.

The nurse shows a patient advocate role when:
- A.
  
  defend the patients right
- B.
  
  refer patient for other services she needs
- C.
  
  work with significant others
- D.
  
  intercedes in behalf of the patient.
7.

Which of the following is the most appropriate during the orientation phase?
- A.
  
  patients perception on the reason of her hospitalization
- B.
  
  identification of more effective ways of coping
- C.
  
  exploration of inadequate coping skills
- D.
  
  establishment of regular meeting of schedules
8.

Preparing the client for the termination phase begins:
- A.
  
  pre orientation
- B.
  
  orientation
- C.
  
  working
- D.
  
  termination
9.

A helping relationship is a process characterized by:
- A.
  
  recovery promoting
- B.
  
  mutual interaction
- C.
  
  growth facilitating
- D.
  
  health enhancing
10.

During the nurse patient interaction, the nurse assesses the ff: to determine the patients coping strategy:
- A.
  
  how are you feeling right now?
- B.
  
  do you have anyone to take you home?
- C.
  
  what do you think will help you right now?
- D.
  
  How does your problem affect your life?
11.

As a counselor, the nurse performs which of the ff: task?
- A.
  
  encourage client to express feelings and concerns
- B.
  
  helps client to learn a dance or song to enable her to participate in activities
- C.
  
  help the client prepare in group activities
- D.
  
  assist the client in setting limits on her behavior
12.

Freud stresses out that the EGO
- A.
  
  Distinguishes between things in the mind and things in the reality.
- B.
  
  Moral arm of the personality that strives for perfection than pleasure.
- C.
  
  Reservoir of instincts and drives
- D.
  
  Control the physical needs instincts.
13.

A 16 year old child is hospitalized, according to Erik Erikson, what is an appropriate intervention?
- A.
  
  tell the friends to visit the child
- B.
  
  encourage patient to help child learn lessons missed
- C.
  
  call the priest to intervene
- D.
  
  tell the child’s girlfriend to visit the child.
14.

NMS is characterized by:
- A.
  
  Hypertension, hyperthermia, flushed and dry skin.
- B.
  
  Hypotension, hypothermia, flushed and dry skin.
- C.
  
  Hypertension, hyperthermia, diaphoresis
- D.
  
  Hypertension, hypothermia, diaphoresis
15.

Which of the following drugs needs a WBC level checked regularly?
- A.
  
  Lithane
- B.
  
  Clozaril
- C.
  
  Tofranil
- D.
  
  Diazepam
16.

SITUATION : Angelo, an 18 year old out of school youth was caught shoplifting in a department store. He has history of being quarrelsome and involving physical fight with his friends. He has been out of jail for the past two years Initially, The nurse identifies which of the ff: Nursing diagnosis:
- A.
  
  self centered disturbance
- B.
  
  impaired social interaction
- C.
  
  sensory perceptual alteration
- D.
  
  altered thought process
17.

Which of the ff: is not a characteristic of PD?
- A.
  
  disregard rights of others
- B.
  
  loss of cognitive functioning
- C.
  
  fails to conform to social norms
- D.
  
  not capable of experiencing guild or remorse for their behavior
18.

The most effective treatment modality for persons of anti social PD is
- A.
  
  hypnotherapy
- B.
  
  gestalt therapy
- C.
  
  behavior therapy
- D.
  
  crisis intervention
19.

Which of the following is not an example of alteration of perception?
- A.
  
  ideas of reference
- B.
  
  flight of ideas
- C.
  
  illusion
- D.
  
  hallucination
20.

The type of anxiety that leads to personality disorganization is:
- A.
  
  Mild
- B.
  
  moderate
- C.
  
  severe
- D.
  
  panic
21.

A client is admitted to the hospital. Twelve hours later the nurse observes hand tremors, hyperexicitability, tachycardia, diaphoresis and hypertension. The nurse suspects alcohol withdrawal. The nurse should ask the client:
- A.
  
  At what time was your last drink taken?
- B.
  
  Why didn’t you tell us you’re a drinker?
- C.
  
  Do you drink beer or hard liquor?
- D.
  
  How long have you been drinking?
22.

Client with a history of schizophrenia has been admitted for suicidal ideation. The client states "God is telling me to kill myself right now." The nurse's best response is:
- A.
  
  I understand that God’s voice is real to you, But I don’t hear anything. I will stay with you.
- B.
  
  The voice is part of your illness, it will stop if you take medication
- C.
  
  The voice is all in your imagination, think of something else and itll go away
- D.
  
  Don’t think of anything right now, just go and relax.
23.

In assessing a client's suicide potential, which statement by the client would give the nurse the HIGHEST cause for concern?
- A.
  
  my thoughts of hurting myself are scary to me
- B.
  
  I’d like to go to sleep and not wake up
- C.
  
  I’ve thought about taking pills and alcohol till I pass out
- D.
  
  I’d like to be free from all these worries
24.

A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?
- A.
  
  Complains of dry mouth
- B.
  
  State he feels restless in his body
- C.
  
  Stops pacing and sits with the nurse
- D.
  
  Exhibits increase activity and speech
25.

A client who was wandering aimlessly around the streets acting inappropriately and appeared disheveled and unkempt was admitted to a psychiatric unit and is experiencing auditory and visual hallucinations. The nurse would develop a plan of care based on:
- A.
  
  borderline personality disorder
- B.
  
  anxiety disorder
- C.
  
  schizophrenia
- D.
  
  depression