Psychiatric Nursing Practice Test 3 (Practice Mode)- Rnpedia

50 Questions | By Rnpedia | Updated: Mar 20, 2022 | Attempts: 2803

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Questions and Answers

1.

Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe:
- A.
  
  Hyperactivity
- B.
  
  Depression
- C.
  
  Suspicion
- D.
  
  Delirium
2.

Nurse John is aware that a serious effect of inhaling cocaine is?
- A.
  
  Deterioration of nasal septum
- B.
  
  Acute fluid and electrolyte imbalances
- C.
  
  Extra pyramidal tract symptoms
- D.
  
  Esophageal varices
3.

A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized client for signs of opiate withdrawal. These signs would include:
- A.
  
  Rhinorrhea, convulsions, subnormal temperature
- B.
  
  Nausea, dilated pupils, constipation
- C.
  
  Lacrimation, vomiting, drowsiness
- D.
  
  Muscle aches, papillary constriction, yawning
4.

A 48 year old male client is brought to the psychiatric emergency room after attempting to jump off a bridge. The client’s wife states that he lost his job several months ago and has been unable to find another job. The primary nursing intervention at this time would be to assess for:
- A.
  
  A past history of depression
- B.
  
  Current plans to commit suicide
- C.
  
  The presence of marital difficulties
- D.
  
  Feelings of excessive failure
5.

Before helping a male client who has been sexually assaulted, nurse Maureen should recognize that the rapist is motivated by feelings of:
- A.
  
  Hostility
- B.
  
  Inadequacy
- C.
  
  Incompetence
- D.
  
  Passion
6.

When working with children who have been sexually abused by a family member it is important for the nurse to understand that these victims usually are overwhelmed with feelings of:
- A.
  
  Humiliation
- B.
  
  Confusion
- C.
  
  Self blame
- D.
  
  Hatred
7.

Joy who has just experienced her second spontaneous abortion expresses anger towards her physician, the hospital and the “rotten nursing care”. When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:
- A.
  
  Projection
- B.
  
  Displacement
- C.
  
  Denial
- D.
  
  Reaction formation
8.

The most critical factor for nurse Linda to determine during crisis intervention would be the client’s:
- A.
  
  Available situational supports
- B.
  
  Willingness to restructure the personality
- C.
  
  Developmental theory
- D.
  
  Underlying unconscious conflict
9.

Nurse Trish suggests a crisis intervention group to a client experiencing a developmental crisis.These groups are successful because the:
- A.
  
  Crisis intervention worker is a psychologist and understands behavior patterns
- B.
  
  Crisis group supplies a workable solution to the client’s problem
- C.
  
  Client is encouraged to talk about personal problems
- D.
  
  Client is assisted to investigate alternative approaches to solving the identified problem
10.

Nurse Ronald could evaluate that the staff’s approach to setting limits for a demanding, angry client was effective if the client:
- A.
  
  Apologizes for disrupting the unit’s routine when something is needed
- B.
  
  Understands the reason why frequent calls to the staff were made
- C.
  
  Discuss concerns regarding the emotional condition that required hospitalizations
- D.
  
  No longer calls the nursing staff for assistance
11.

Nurse John is aware that the therapy that has the highest success rate for people with phobias would be:
- A.
  
  Psychotherapy aimed at rearranging maladaptive thought process
- B.
  
  Psychoanalytical exploration of repressed conflicts of an earlier development phase
- C.
  
  Systematic desensitization using relaxation technique
- D.
  
  Insight therapy to determine the origin of the anxiety and fear
12.

When nurse Hazel considers a client’s placement on the continuum of anxiety, a key in determining the degree of anxiety being experienced is the client’s:
- A.
  
  Perceptual field
- B.
  
  Delusional system
- C.
  
  Memory state
- D.
  
  Creativity level
13.

In the diagnosis of a possible pervasive developmental autistic disorder. The nurse would find it most unusual for a 3 year old child to demonstrate:
- A.
  
  An interest in music
- B.
  
  An attachment to odd objects
- C.
  
  Ritualistic behavior
- D.
  
  Responsiveness to the parents
14.

Malou with schizophrenia tells Nurse Melinda, “My intestines are rotted from worms chewing on them.” This statement indicates a:
- A.
  
  Jealous delusion
- B.
  
  Somatic delusion
- C.
  
  Delusion of grandeur
- D.
  
  Delusion of persecution
15.

Andy is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. Nurse Hilary should expects the assessment to reveal:
- A.
  
  Coldness, detachment and lack of tender feelings
- B.
  
  Somatic symptoms
- C.
  
  Inability to function as responsible parent
- D.
  
  Unpredictable behavior and intense interpersonal relationships
16.

PROPRANOLOL (Inderal) is used in the mental health setting to manage which of the following conditions?
- A.
  
  Antipsychotic – induced akathisia and anxiety
- B.
  
  Obsessive – compulsive disorder (OCD) to reduce ritualistic behavior
- C.
  
  Delusions for clients suffering from schizophrenia
- D.
  
  The manic phase of bipolar illness as a mood stabilizer
17.

Which medication can control the extra pyramidal effects associated with antipsychotic agents?
- A.
  
  Clorazepate (Tranxene)
- B.
  
  Amantadine (Symmetrel)
- C.
  
  Doxepin (Sinequan)
- D.
  
  Perphenazine (Trilafon)
18.

Which of the following statements should be included when teaching clients about monoamine oxidase inhibitor (MAOI) antidepressants?
- A.
  
  Don’t take aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs)
- B.
  
  Have blood levels screened weekly for leucopenia
- C.
  
  Avoid strenuous activity because of the cardiac effects of the drug
- D.
  
  Don’t take prescribed or over the counter medications without consulting the physician
19.

Kris periodically has acute panic attacks. These attacks are unpredictable and have no apparent association with a specific object or situation. During an acute panic attack, Kris may experience:
- A.
  
  Heightened concentration
- B.
  
  Decreased perceptual field
- C.
  
  Decreased cardiac rate
- D.
  
  Decreased respiratory rate
20.

Initial interventions for Marco with acute anxiety include all except which of the following?
- A.
  
  Touching the client in an attempt to comfort him
- B.
  
  Approaching the client in calm, confident manner
- C.
  
  Encouraging the client to verbalize feelings and concerns
- D.
  
  Providing the client with a safe, quiet and private place
21.

Nurse Jessie is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is:
- A.
  
  Uticaria
- B.
  
  Vertigo
- C.
  
  Sedation
- D.
  
  Diarrhea
22.

When performing a physicalexamination on a female anxious client, nurse Nelli would expect to find which of the following effects produced by the parasympathetic system?
- A.
  
  Muscle tension
- B.
  
  Hyperactive bowel sounds
- C.
  
  Decreased urine output
- D.
  
  Constipation
23.

Which of the following drugs have been known to be effective in treating obsessive-compulsive disorder (OCD)?
- A.
  
  Divalproex (depakote) and Lithium (lithobid)
- B.
  
  Chlordiazepoxide (Librium) and diazepam (valium)
- C.
  
  Fluvoxamine (Luvox) and clomipramine (anafranil)
- D.
  
  Benztropine (Cogentin) and diphenhydramine (benadryl)
24.

Tony with agoraphobia has been symptom-free for 4 months. Classicsigns and symptoms of phobia include:
- A.
  
  Severe anxiety and fear
- B.
  
  Withdrawal and failure to distinguish reality from fantasy
- C.
  
  Depression and weight loss
- D.
  
  Insomnia and inability to concentrate
25.

Which nursing action is most appropriate when trying to diffuse a client’s impending violent behavior?
- A.
  
  Place the client in seclusion
- B.
  
  Leaving the client alone until he can talk about his feelings
- C.
  
  Involving the client in a quiet activity to divert attention
- D.
  
  Helping the client identify and express feelings of anxiety and anger