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Psychiatric Nursing Practice Test 4

Psychiatric Nursing Practice Test 4

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Categories:Types, Resumes & CVs
Published by: John Teddy Herrera Malubay on Sep 16, 2011
Copyright:Attribution Non-commercial

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05/03/2013

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PRACTICE TEST QUESTIONSDownloaded from FILIPINO NURSES CENTRAL{www.filipinonursescentral.wordpress.com} 
Marco approached Nurse Trish asking for advice on how to deal with hisalcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
a.
 
Psychotherapyb.
 
Alcoholics anonymous (A.A.)
c.
 
Total abstinence
d.
 
Aversion Therapy
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 associationsd.
 
Neologisms
Nurse Monet is caring for a female client who has suicidal tendency. Whenaccompanying the client to the restroom, Nurse Monet should…
a.
 
Give her privacyb.
 
Allow her to urinatec.
 
Open the window and allow her to get some fresh air
d.
 
Observe her
Nurse Maureen is developing a plan of care for a female client with anorexianervosa. Which action should the nurse include in the plan? 
a.
 
Provide privacy during mealsb.
 
Set-up a strict eating plan for the client
c.
 
Encourage client to exercise to reduce anxiety
d.
 
Restrict visits with the family
 A client is experiencing anxiety attack. The most appropriate nursingintervention should include? 
a.
 
Turning on the television
b.
 
Leaving the client alonec.
 
Staying with the client and speaking in short sentencesd.
 
Ask the client to play with other clients
 A female client is admitted with a diagnosis of delusions of GRANDEUR. Thisdiagnosis 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 
 A 20 year old client was diagnosed with dependent personality disorder.Which behavior is not most likely to be evidence of ineffective individual coping? 
a.
 
Recurrent self-destructive behaviorb.
 
Avoiding relationshipc.
 
Showing interest in solitary activities
d.
 
Inability to make choices and decision without advise
 A male client is diagnosed with schizotypal personality disorder. Which signswould this client exhibit during social situation? 
a.
 
Paranoid thoughts
b.
 
Emotional affect
c.
 
Independence needd.
 
Aggressive behavior
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 foodsb.
 
Identify anxiety causing situations
c.
 
Eat only three meals a day
d.
 
Avoid shopping plenty of groceries
Nurse Tony was caring for a 41 year old female client. Which behavior by theclient indicates adult cognitive development? 
a.
 
Generates new levels of awarenessb.
 
Assumes responsibility for her actionsc.
 
Has maximum ability to solve problems and learn new skills
d.
 
Her perception are based on reality
 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 vomitingc.
 
Dizzinessd.
 
Seizures
 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 isunrelated to depression would be? 
a.
 
Apathetic response to the environmentb.
 
 “I don’t know” answer to questions
c.
 
Shallow of labile effect
d.
 
Neglect of personal hygiene
Nurse Trish is working in a mental health facility; the nurse priority nursingintervention for a newly admitted client with bulimia nervosa would be to? 
 
a.
 
Teach client to measure I & Ob.
 
Involve client in planning daily mealc.
 
Observe client during meals
d.
 
Monitor client continuously
Nurse Patricia is aware that the major health complication associated withintractable anorexia nervosa would be? 
a.
 
Cardiac dysrhythmias resulting to cardiac arrest
b.
 
Glucose intolerance resulting in protracted hypoglycemia
c.
 
Endocrine imbalance causing cold amenorrhead.
 
Decreased metabolism causing cold intolerance
Nurse Anna can minimize agitation in a disturbed client by? 
a.
 
Increasing stimulation
b.
 
limiting unnecessary interactionc.
 
increasing appropriate sensory perceptiond.
 
ensuring constant client and staff contact
 A 39 year old mother with obsessive-compulsive disorder has becomeimmobilized by her elaborate hand washing and walking rituals. Nurse Trishrecognizes that the basis of O.C. disorder is often:
a.
 
Problems with being too conscientiousb.
 
Problems with anger and remorse
c.
 
Feelings of guilt and inadequacy
d.
 
Feeling of unworthiness and hopelessness
Mario is complaining to other clients about not being allowed by staff tokeep food in his room. Which of the following interventions would be most appropriate? 
a.
 
Allowing a snack to be kept in his roomb.
 
Reprimanding the client
c.
 
Ignoring the clients behavior
d.
 
Setting limits on the behavior
Conney with borderline personality disorder who is to be discharge soonthreatens to “do something” to herself if discharged. Which of the followingactions by the nurse would be most important? 
a.
 
Ask a family member to stay with the client at home temporarilyb.
 
Discuss the meaning of the client’s statement with herc.
 
Request an immediate extension for the client
d.
 
Ignore the clients statement because it’s a sign of manipulation
 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

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