Professional Documents
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PNLE IV For Psychiatric Nursing
PNLE IV For Psychiatric Nursing
1. 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:
A. Psychotherapy
B. Alcoholics anonymous (A.A.)
C. Total abstinence
D. Aversion Therapy
2. 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 associations
D. Neologisms
3. Nurse Monet is caring for a female client who has suicidal tendency. When
accompanying the client to the restroom, Nurse Monet should…
A. Being Killed
B. Highly famous and important
C. Responsible for evil world
D. Connected to client unrelated to oneself
7. A 20 year old client was diagnosed with dependent personality
disorder. Which behavior is not likely to be evidence of ineffective individual
coping?
A. Paranoid thoughts
B. Emotional affect
C. Independence need
D. Aggressive behavior
9. Nurse Claire is caring for a client diagnosed with bulimia. The
most appropriate initial goal for a client diagnosed with bulimia is?
A. Respiratory difficulties
B. Nausea and vomiting
C. Dizziness
D. Seizures
12.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?
A. Increasing stimulation
B. limiting unnecessary interaction
C. increasing appropriate sensory perception
D. ensuring constant client and staff contact
16.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:
A. Depensiveness
B. Embarrassment
C. Shame
D. Remorsefulness
20.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?
A. Rationalization
B. Supportive confrontation
C. Limit setting
D. Consistency
21.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?
A. Naloxone (Narcan)
B. Benzlropine (Cogentin)
C. Lorazepam (Ativan)
D. Haloperidol (Haldol)
22.Which of the following foods would the nurse Trish eliminate from the
diet of a client in alcohol withdrawal?
A. Milk
B. Orange Juice
C. Soda
D. Regular Coffee
23.Which of the following would Nurse Hazel expect to assess for a
client who is exhibiting late signs of heroin withdrawal?
A. Have more positive relation with the father than the mother
B. Cling to mother & cry on separation
C. Be able to develop only superficial relation with the others
D. Have been physically abuse
27.When teaching parents about childhood depression Nurse Trina
should say?
A. Scanning speech
B. Speech lag
C. Shuttering
D. Echolalia
29.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?
A. Displacement
B. Projection
C. Sublimation
D. Denial
30.When working with a male client suffering phobia about black cats,
Nurse Trish should anticipate that a problem for this client would be?
A. Flight of ideas
B. Associative looseness
C. Confabulation
D. Concretism
34.Nurse Joey is aware that the signs & symptoms that would be
most specific for diagnosis anorexia are?
A. Multiple stimuli
B. Routine Activities
C. Minimal decision making
D. Varied Activities
37.To further assess a client’s suicidal potential. Nurse Katrina should
be especially alert to the client expression of:
A. Neologisms
B. Echolalia
C. Flight of ideas
D. Loosening of association
42.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:
A. Neuroleptic medication
B. Short term seclusion
C. Psychosurgery
D. Electroconvulsive therapy
50.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: