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NCLEX-Psychia - Q and A
NCLEX-Psychia - Q and A
NCLEX-Psychia - Q and A
3. Liza says, Give me 10 minutes to recall the name of our college professor who failed many students in our anatomy class. She is operating
on her:
a. Subconscious
b. Conscious
c. Unconscious
d. Ego
Answer: (A) Subconscious
Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled spontaneously and voluntarily. B. This functions
when one is awake. One is aware of his thoughts, feelings actions and what is going on in the environment. C. The largest potion of the mind that contains the
memories of ones past particularly the unpleasant. It is difficult to recall the unconscious content. D. The conscious self that deals and tests reality.
6. Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the
most appropriate for the nurse to ask?
a. Are you being threatened or hurt by your partner?
b. Are you frightened of you partner
c. Is something bothering you?
d. What happens when you and your partner argue?
Answer: (A) Are you being threatened or hurt by your partner?
The nurse validates her observation by asking simple, direct question. This also shows empathy. B, C, and D are indirect questions which may not lead to the
discussion of abuse.
7. The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
a. Sexual desire disorder
b. Sexual arousal Disorder
c. Orgasm Disorder
d. Sexual Pain Disorder
Answer: (A) Sexual desire disorder
Has little or no sexual desire or has distaste for sex. B. Failure to maintain the physiologic requirements for sexual intercourse. C. Persistent and recurrent
inability to achieve an orgasm. D. Also called dyspareunia. Individuals with this disorder suffer genital pain before, during and after sexual intercourse.
8. What would be the best approach for a wife who is still living with her abusive husband?
a. Heres the number of a crisis center that you can call for help .
b. Its best to leave your husband.
c. Did you discuss this with your family?
d. Why do you allow yourself to be treated this way
Answer: (A) Heres the number of a crisis center that you can call for help .
Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give advice to leave the abuser. Making decisions for the
victim further erodes her esteem. However discuss options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in
anyway implying that she is at fault.
9. Which comment about a 3 year old child if made by the parent may indicate child abuse?
a. Once my child is toilet trained, I can still expect her to have some"
b. When I tell my child to do something once, I dont expect to have to tell"
c. My child is expected to try to do things such as, dress and feed.
d. My 3 year old loves to say NO.
Answer: (B) When I tell my child to do something once, I dont expect to have to tell"
Abusive parents tend to have unrealistic expectations on the child. A,B and C are realistic expectations on a 3 year old.
10. The primary nursing intervention for a victim of child abuse is:
a. Assess the scope of the problem
b. Analyze the family dynamics
c. Ensure the safety of the victim
d. Teach the victim coping skills
Answer: (C) Ensure the safety of the victim
The priority consideration is the safety of the victim. Attend to the physical injuries to ensure the physiologic safety and integrity of the child. Reporting
suspected case of abuse may deter recurrence of abuse. A,B and D may be addressed later.
11. Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and
tests reveal negative results. The client has which somatoform disorder?
a. Somatization Disorder
b. Hypochondriaisis
c. Conversion Disorder
d. Somatoform Pain Disorder
Answer: (D) Somatoform Pain Disorder
This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic syndrome of somatic symptoms that cannot be
explained medically and is associated with psychosocial distress. B. This is an unrealistic preoccupation with a fear of having a serious illness. C. Characterized
by alteration or loss in sensory or motor function resulting from a psychological conflict.
13. The following are appropriate nursing diagnosis for the client EXCEPT:
a. Ineffective individual coping
b. Alteration in comfort, pain
c. Altered role performance
d. Impaired social interaction
15. What would be the best response to the clients repeated complaints of pain:
a. I know the feeling is real tests revealed negative results.
b. I think youre exaggerating things a little bit.
c. Try to forget this feeling and have activities to take it off your mind
d. So tell me more about the pain
Answer: (A) I know the feeling is real tests revealed negative results.
Shows empathy and offers information. B. This is a demeaning statement. C. This belittles the clients feelings. D. Giving undue attention to the physical
symptom reinforces the complaint.
16. Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school
interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
a. provide as much structure as possible for the child
b. ignore the childs overactivity.
c. encourage the child to engage in any play activity to dissipate energy
d. remove the child from the classroom when disruptive behavior occurs
Answer: (A) provide as much structure as possible for the child
Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non confrontational approach and setting limit to time allotted
for activities. B. The child will not benefit from a lenient approach. C. Dissipate energy through safe activities. D. This indicates that the classroom environment
lacks structure.
18. Ritalin is the drug of choice for chidren with ADHD. The side effects of the following may be noted:
20. A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of
this classification:
a. Profound
b. Mild
c. Moderate
d. Severe
Answer: (C) Moderate
The child with moderate mental retardation has an I.Q. of 35-50 Profound Mental retardation has an I.Q. of below 20; Mild mental retardation 50-70 and
Severe mental retardation has an I.Q. of 20-35.
21. The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
a. overprotection of the child
b. patience, routine and repetition
c. assisting the parents set realistic goals
d. giving reasonable compliments
Answer: (A) overprotection of the child
The child with mental retardation should not be overprotected but need protection from injury and the teasing of other children. B,C, and D Children with
mental retardation have learning difficulty. They should be taught with patience and repetition, start from simple to complex, use visuals and compliment them
for motivation. Realistic expectations should be set and optimize their capability.
22. The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
a. hopelessness
b. altered parenting role
c. altered family process
d. ineffective coping
23. A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic
disorder?
a. argumentativeness, disobedience, angry outburst
b. intolerance to change, disturbed relatedness, stereotypes
c. distractibility, impulsiveness and overactivity
d. aggression, truancy, stealing, lying
Answer: (B) intolerance to change, disturbed relatedness, stereotypes
These are manifestations of autistic disorder. A. These manifestations are noted in Oppositional Defiant Disorder, a disruptive disorder among children. C.
These are manifestations of Attention Deficit Disorder D. These are the manifestations of Conduct Disorder
24. The therapeutic approach in the care of an autistic child include the following EXCEPT:
a. Engage in diversionary activities when acting -out
b. Provide an atmosphere of acceptance
c. Provide safety measures
d. Rearrange the environment to activate the child
Answer: (D) Rearrange the environment to activate the child
The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic. A. Angry outburst can be rechannelled through safe
activities. B. Acceptance enhances a trusting relationship. C. Ensure safety from self-destructive behaviors like head banging and hair pulling