Psychiatric Nursing Practice Test 2 (Practice Mode)- Rnpedia

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Psychiatric Nursing Practice Test 2 (Practice Mode)- Rnpedia - Quiz

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Questions and Answers
  • 1. 
    Nurse Tony should first discuss terminating the nurse-client relationship with a client during the:
    • A. 

      Termination phase when discharge plans are being made.

    • B. 

      Working phase when the client shows some progress.

    • C. 

      Orientation phase when a contract is established.

    • D. 

      Working phase when the client brings it up.

  • 2. 
    Malou is diagnosed with major depression spends majority of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse would be the most therapeutic?
    • A. 

      Question the client until he responds

    • B. 

      Initiate contact with the client frequently

    • C. 

      Sit outside the clients room

    • D. 

      Wait for the client to begin the conversation

  • 3. 
    Joe who is very depressed exhibits psychomotor retardation, a flat affect and apathy. The nurse in charge observes Joe to be in need of grooming and hygiene. Which of the following nursing actions would be most appropriate?
    • A. 

      Waiting until the client’s family can participate in the client’s care

    • B. 

      Asking the client if he is ready to take shower

    • C. 

      Explaining the importance of hygiene to the client

    • D. 

      Stating to the client that it’s time for him to take a shower

  • 4. 
    When teaching Mario with a typical depression about foods to avoid while taking phenelzine(Nardil), which of the following would the nurse in charge include?
    • A. 

      Roasted chicken

    • B. 

      Fresh fish

    • C. 

      Salami

    • D. 

      Hamburger

  • 5. 
     When assessing a female client who is receiving tricyclic antidepressant therapy, which of the following would alert the nurse to the possibility that the client is experiencing anticholinergic effects?
    • A. 

      Urine retention and blurred vision

    • B. 

      Respiratory depression and convulsion

    • C. 

      Delirium and Sedation

    • D. 

      Tremors and cardiac arrhythmias

  • 6. 
    For a male client with dysthymic disorder, which of the following approaches would the nurse expect to implement?
    • A. 

      ECT

    • B. 

      Psychotherapeutic approach

    • C. 

      Psychoanalysis

    • D. 

      Antidepressant therapy

  • 7. 
     Danny who is diagnosed with bipolar disorder and acute mania, states the nurse, “Where is my daughter? I love Louis. Rain, rain go away. Dogs eat dirt.” The nurse interprets these statements as indicating which of the following?
    • A. 

      Echolalia

    • B. 

      Neologism

    • C. 

      Clang associations

    • D. 

      Flight of ideas

  • 8. 
    Terry with mania is skipping up and down the hallway practically running into other clients. Which of the following activities would the nurse in charge expect to include in Terry’s plan of care?
    • A. 

      Watching TV

    • B. 

      Cleaning dayroom tables

    • C. 

      Leading group activity

    • D. 

      Reading a book

  • 9. 
    When assessing a male client for suicidal risk, which of the following methods of suicide would the nurse identify as most lethal?
    • A. 

      Wrist cutting

    • B. 

      Head banging

    • C. 

      Use of gun

    • D. 

      Aspirin overdose

  • 10. 
    Jun has been hospitalized for major depression and suicidal ideation. Which of the following statements indicates to the nurse that the client is improving?
    • A. 

      “I’m of no use to anyone anymore.”

    • B. 

      “I know my kids don’t need me anymore since they’re grown.”

    • C. 

      “I couldn’t kill myself because I don’t want to go to hell.”

    • D. 

      “I don’t think about killing myself as much as I used to.”

  • 11. 
    Which of the following activities would Nurse Trish recommend to the client who becomes very anxious when thoughts of suicide occur?
    • A. 

      Using exercise bicycle

    • B. 

      Meditating

    • C. 

      Watching TV

    • D. 

      Reading comics

  • 12. 
    When developing the plan of care for a client receiving haloperidol, which of the following medications would nurse Monet anticipate administering if the client developed extra pyramidal side effects?
    • A. 

      Olanzapine (Zyprexa)

    • B. 

      Paroxetine (Paxil)

    • C. 

      Benztropine mesylate (Cogentin)

    • D. 

      Lorazepam (Ativan)

  • 13. 
     Jon a suspicious client states that “I know you nurses are spraying my food with poison as you take it out of the cart.” Which of the following would be the best response of the nurse?
    • A. 

      Giving the client canned supplements until the delusion subsides

    • B. 

      Asking what kind of poison the client suspects is being used

    • C. 

      Serving foods that come in sealed packages

    • D. 

      Allowing the client to be the first to open the cart and get a tray

  • 14. 
    A client is suffering from catatonic behaviors. Which of the following would the nurse use to determine that the medication administered PRN have been most effective?
    • A. 

      The client responds to verbal directions to eat

    • B. 

      The client initiates simple activities without direction

    • C. 

      The client walks with the nurse to her room

    • D. 

      The client is able to move all extremities occasionally

  • 15. 
    Nurse Hazel invites new client’s parents to attend the psycho educational program for families of the chronically mentally ill. The program would be most likely to help the family with which of the following issues?
    • A. 

      Developing a support network with other families

    • B. 

      Feeling more guilty about the client’s illness

    • C. 

      Recognizing the client’s weakness

    • D. 

      Managing their financial concern and problems

  • 16. 
     When planning care for Dory with schizotypal personality disorder, which of the following would help the client become involved with others?
    • A. 

      Attending an activity with the nurse

    • B. 

      Leading a sing a long in the afternoon

    • C. 

      Participating solely in group activities

    • D. 

      Being involved with primarily one to one activities

  • 17. 
    Which statement about an individual with a personality disorder is true?
    • A. 

      Psychotic behavior is common during acute episodes

    • B. 

      Prognosis for recovery is good with therapeutic intervention

    • C. 

      The individual typically remains in the mainstream of society, although he has problems in social and occupational roles

    • D. 

      The individual usually seeks treatment willingly for symptoms that are personally distressful.

  • 18. 
    Nurse John is talking with a client who has been diagnosed with antisocial personality about how to socialize during activities without being seductive. Nurse John would focus the discussion on which of the following areas?
    • A. 

      Discussing his relationship with his mother

    • B. 

      Asking him to explain reasons for his seductive behavior

    • C. 

      Suggesting to apologize to others for his behavior

    • D. 

      Explaining the negative reactions of others toward his behavior

  • 19. 
    Tina with a histrionic personality disorder is melodramatic and responds to others and situations in an exaggerated manner. Nurse Trish would recommend which of the following activities for Tina?
    • A. 

      Baking class

    • B. 

      Role playing

    • C. 

      Scrap book making

    • D. 

      Music group

  • 20. 
    Joy has entered the chemical dependency unit for treatment of alcohol dependency. Which of the following client’s possession will the nurse most likely place in a locked area?
    • A. 

      Toothpaste

    • B. 

      Shampoo

    • C. 

      Antiseptic wash

    • D. 

      Moisturizer

  • 21. 
    Which of the following assessment would provide the best information about the client’s physiologic response and the effectiveness of the medication prescribed specifically for alcoholwithdrawal?
    • A. 

      Sleeping pattern

    • B. 

      Mental alertness

    • C. 

      Nutritional status

    • D. 

      Vital signs

  • 22. 
    After administering naloxone (Narcan), an opioid antagonist, Nurse Ronald should monitor the female client carefully for which of the following?
    • A. 

      Respiratory depression

    • B. 

      Epilepsy

    • C. 

      Kidney failure

    • D. 

      Cerebral edema

  • 23. 
    Which of the following would nurse Ronald use as the best measure to determine a client’s progress in rehabilitation?
    • A. 

      The way he gets along with his parents

    • B. 

      The number of drug-free days he has

    • C. 

      The kinds of friends he makes

    • D. 

      The amount of responsibility his job entails

  • 24. 
    .A female client is brought byambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Trish would be especially alert for which of the following?
    • A. 

      Epilepsy

    • B. 

      Myocardial Infarction

    • C. 

      Renal failure

    • D. 

      Respiratory failure

  • 25. 
    Joey who has a chronic user of cocaine reports that he feels like he has cockroaches crawling under his skin. His arms are red because of scratching. The nurse in charge interprets these findings as possibly indicating which of the following?
    • A. 

      Delusion

    • B. 

      Formication

    • C. 

      Flash back

    • D. 

      Confusion

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