Psychiatric Nursing Practice Test 1 (Practice Mode)

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

Explanation

Appropriate nursing interventions for an anxiety attack include using short sentences, staying with the client, decreasing stimuli, remaining calm and medicating as needed.

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Psychiatric Nursing Practice Test 1 (Practice Mode) - Quiz

Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit to finish the... see moreexam. Good luck!
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2. A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:

Explanation

Delusion of grandeur is a false belief that one is highly famous and important.

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3. Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the: 

Explanation

In an emergency, lives saving facts are obtained first. The name and the amount of medication ingested are of outmost important in treating this potentially life threatening situation.

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

Explanation

The Nurse has a responsibility to observe continuously the acutely suicidal client. The Nurse should watch for clues, such as communicating suicidal thoughts, and messages; hoarding medications and talking about death.

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5. To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:

Explanation

The expression of these feeling may indicate that this client is unable to continue the struggle of life.

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6. 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? 

Explanation

The nurse needs to set limits in the client’s manipulative behavior to help the client control dysfunctional behavior. A consistent approach by the staff is necessary to decrease manipulation.

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7. Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed? 

Explanation

Electroconvulsive therapy is an effective treatment for depression that has not responded to medication..

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8. Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client?

Explanation

When hallucination is present, the nurse should reinforce reality with the client.

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

Explanation

Bulimia disorder generally is a maladaptive coping response to stress and underlying issues. The client should identify anxiety causing situation that stimulate the bulimic behavior and then learn new ways of coping with the anxiety.

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

Explanation

Establishing a consistent eating plan and monitoring client’s weight are important to this disorder.

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

Explanation

Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness.

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12. Nurse Anna can minimize agitation in a disturbed client by?

Explanation

Limiting unnecessary interaction will decrease stimulation and agitation.

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13. Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?

Explanation

These are the major signs of anorexia nervosa. Weight loss is excessive (15% of expected weight).

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14. Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should?

Explanation

Clients who are withdrawn may be immobile and mute, and require consistent, repeated interventions. Communication with withdrawn clients requires much patience from the nurse. The nurse facilitates communication with the client by sitting in silence, asking open-ended question and pausing to provide opportunities for the client to respond.

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15. Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be: 

Explanation

Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post traumatic stress disorder from other anxiety disorder.

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16. When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?

Explanation

Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus.

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17. When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:

Explanation

The rituals used by a client with obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action.

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

Explanation

Neuromuscular Blocker, such as SUCCINYLCHOLINE (Anectine) produces respiratory depression because it inhibits contractions of respiratory muscles.

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19. 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?

Explanation

Any suicidal statement must be assessed by the nurse. The nurse should discuss the client’s statement with her to determine its meaning in terms of suicide.

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

Explanation

Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client.

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21. When teaching parents about childhood depression Nurse Trina should say?

Explanation

Children have difficulty verbally expressing their feelings, acting out behavior, such as temper tantrums, may indicate underlying depression.

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22. When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?

Explanation

Discussion of the feared object triggers an emotional response to the object.

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

Explanation

Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have no basis in reality.

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24. Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?

Explanation

Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits.

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25. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?

Explanation

The nurse presence may provide the client with support & feeling of control.

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

Explanation

Clients with schizotypal personality disorder experience excessive social anxiety that can lead to paranoid thoughts.

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27. 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:

Explanation

Nurse Trish should inform Marco that the only effective treatment for alcoholism is Total abstinence. Alcoholism, or alcohol dependence, is a condition that can cause significant physical and psychological harm, and the most effective way to manage it is by completely abstaining from alcohol. While treatments like Aversion Therapy, Psychotherapy, and support groups like Alcoholics Anonymous (A.A.) can be very helpful in the recovery process, they are typically aimed at supporting the individual's journey towards and maintenance of abstinence, rather than being cures in themselves.

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28. 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? 

Explanation

The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client’s experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease.

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

Explanation

These clients have severely depleted levels of sodium and potassium because of their starvation diet and energy expenditure, these electrolytes are necessary for cardiac functioning.

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30. A 20 year old client was diagnosed with dependent personality disorder. Which behavior is most likely to be evidence of ineffective individual coping?

Explanation

Individual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them.

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31. A nursing care plan for a male client with bipolar I disorder should include:

Explanation

Structure tends to decrease agitation and anxiety and to increase the client’s feeling of security.

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32. A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:

Explanation

Dental enamel erosion occurs from repeated self-induced vomiting.

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33. 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?

Explanation

When the staff member ask the client if he wonders why others find him repulsive, the client is likely to feel defensive because the question is belittling. The natural tendency is to counterattack the threat to self image.

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34. Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have: 

Explanation

Depression usually is both emotional & physical. A simple daily routine is the best, least stressful and least anxiety producing.

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35. A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner? 

Explanation

Open ended questions and silence are strategies used to encourage clients to discuss their problem in descriptive manner.

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36. 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: 

Explanation

Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior.

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37. During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because? 

Explanation

A short acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this procedure to prevent injuries during seizure.

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38. A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. 
The nurse recognizes that the client is using the defense mechanism known as?

Explanation

The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist.

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39. Nurse Perry is aware that language development in autistic child resembles:

Explanation

The autistic child repeat sounds or words spoken by others.

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40. A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate:

Explanation

Loose associations are thoughts that are presented without the logical connections usually necessary for the listening to interpret the message.

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

Explanation

Moving to a client’s personal space increases the feeling of threat, which increases anxiety.

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42. Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information? 

Explanation

Personal characteristics of abuser include low self-esteem, immaturity, dependence, insecurity and jealousy.

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43. 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? 

Explanation

With depression, there is little or no emotional involvement therefore little alteration in affect.

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44. 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?

Explanation

The nurse would specifically use supportive confrontation with the client to point out discrepancies between what the client states and what actually exists to increase responsibility for self.

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45. A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop:

Explanation

Helping the client to develop feeling of self worth would reduce the client’s need to use pathologic defenses.

Submit
46. 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?

Explanation

These clients often hide food or force vomiting; therefore they must be carefully monitored.

Submit
47. Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to:

Explanation

Children who have experienced attachment difficulties with primary caregiver are not able to trust others and therefore relate superficially

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48. A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:

Explanation

A person with this disorder would not have adequate self-boundaries.

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

Explanation

Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle spasm, fever, nausea, repetitive, abdominal cramps and backache.

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

Explanation

An adult age 31 to 45 generates new level of awareness.

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A client is experiencing anxiety attack. The most appropriate nursing...
A female client is admitted with a diagnosis of delusions of GRANDEUR....
Mario is admitted to the emergency room with drug-included anxiety...
Nurse Monet is caring for a female client who has suicidal tendency....
To further assess a client’s suicidal potential. Nurse Katrina...
Mario is complaining to other clients about not being allowed by staff...
Nurse Tina is caring for a client with depression who has not...
Nurse Tina is caring for a client with delirium and states that...
Nurse Claire is caring for a client diagnosed with bulimia. The most...
Nurse Maureen is developing a plan of care for a female client with...
Which of the following foods would the nurse Trish eliminate from the...
Nurse Anna can minimize agitation in a disturbed client by?
Nurse Joey is aware that the signs & symptoms that would be most...
Nurse Nina is assigned to care for a client diagnosed with Catatonic...
Nurse Penny is aware that the symptoms that distinguish post traumatic...
When planning the discharge of a client with chronic anxiety, Nurse...
When planning care for a female client using ritualistic behavior,...
A neuromuscular blocking agent is administered to a client before ECT...
Conney with borderline personality disorder who is to be discharge...
Nurse Monette recognizes that the focus of environmental (MILIEU)...
When teaching parents about childhood depression Nurse Trina should...
When working with a male client suffering phobia about black cats,...
Nurse Hazel is caring for a male client who experience false sensory...
Nurse Benjie is communicating with a male client with...
Linda is pacing the floor and appears extremely anxious. The duty...
A male client is diagnosed with schizotypal personality disorder....
Marco approached Nurse Trish asking for advice on how to deal with his...
Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis...
Nurse Patricia is aware that the major health complication associated...
A 20 year old client was diagnosed with dependent personality...
A nursing care plan for a male client with bipolar I disorder should...
A characteristic that would suggest to Nurse Anne that an adolescent...
Joey a client with antisocial personality disorder belches loudly. A...
Nurse Monette is aware that extremely depressed clients seem to do...
A male client who is experiencing disordered thinking about food being...
A 39 year old mother with obsessive-compulsive disorder has become...
During electroconvulsive therapy (ECT) the client receives oxygen by...
A 60 year old female client who lives alone tells the nurse at the...
Nurse Perry is aware that language development in autistic child...
A 23 year old client has been admitted with a diagnosis of...
To establish open and trusting relationship with a female client who...
Nurse Jonel is providing information to a community group about...
A 75 year old client is admitted to the hospital with the diagnosis of...
Which of the following approaches would be most appropriate to use...
A long term goal for a paranoid male client who has unjustifiably...
Nurse Trish is working in a mental health facility; the nurse priority...
Nurse Trish would expect a child with a diagnosis of reactive...
A 32 year old male graduate student, who has become increasingly...
Which of the following would Nurse Hazel expect to assess for a client...
Nurse Tony was caring for a 41 year old female client. Which behavior...
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