Psychiatric Mental Health PART 3

Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice
Quiz #1: 75 Questions

Study online at https://quizlet.com/_9mtvpg
1. Flumazenil (Romazicon) has been ordered for a male Seizures

client who has overdosed on oxazepam (Serax). Be-
fore administering the medication, nurse Gina should
be prepared for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
2. Nurse Tamara is caring for a client diagnosed with Identify anxi-

bulimia. The most appropriate initial goal for a client ety-causing situa-
diagnosed with bulimia is to: tions.
A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day.
3. A female client who's at high risk for suicide needs Check the client
close supervision. To best ensure the client's safety, frequently at ir-
Nurse Mary should: regular intervals
A. Check the client frequently at irregular intervals throughout the
throughout the night. night.
B. Assure the client that the nurse will hold in confi-
dence anything the client says.
C. Repeatedly discuss previous suicide attempts with
the client.
D. Disregard decreased communication by the client
because this is common with suicidal clients.
4. Which of the following drugs should Nurse Mary pre- D. Acetylcysteine

pare to administer to a client with a toxic aceta- (Mucomyst)
minophen (Tylenol) level?
A. Deferoxamine mesylate (Desferal)
B. Succimer (Chemet)
C. Flumazenil (Romazicon)
D. Acetylcysteine (Mucomyst)
5. A male client is admitted to the substance abuse unit D. Chlordiazepox-

for alcohol detoxification. Which of the following med- ide (Librium)
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ications is Nurse Alice most likely to administer to
reduce the symptoms of alcohol withdrawal?
A. Naloxone (Narcan)
B. Haloperidol (Haldol)
C. Magnesium sulfate
D. Chlordiazepoxide (Librium)
6. During postprandial monitoring, a female client with D. "I know it's im-
bulimia nervosa tells the nurse, "You can sit with me, portant for you to
but you're just wasting your time. After you had sat feel in control, but
with me yesterday, I was still able to purge. Today, I'll monitor you for
my goal is to do it twice." What is the nurse's best 90 minutes after
response? you eat."
A. "I trust you not to purge."
B. "How are you purging and when do you do it?"
C. "Don't worry. I won't allow you to purge today."
D. "I know it's important for you to feel in control, but
I'll monitor you for 90 minutes after you eat."
7. A male client admitted to the psychiatric unit for treat- B. "You told me
ment of substance abuse says to the nurse, "It felt so you got fired from
wonderful to get high." Which of the following is the your last job for
most appropriate response? missing too many
A. "If you continue to talk like that, I'm going to stop days after taking
speaking to you." drugs all night."
B. "You told me you got fired from your last job for
missing too many days after taking drugs all night."
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?"
8. For a female client with anorexia nervosa, Nurse Jim- A. The client
my is aware that which goal takes the highest priority? will establish ade-
A. The client will establish adequate daily nutritional quate daily nutri-
intake. tional intake.
B. The client will make a contract with the nurse that
sets a target weight.
C. The client will identify self-perceptions about body
size as unrealistic.
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D. The client will verbalize the possible physiological
consequences of self-starvation.
9. When interviewing the parents of an injured child, A. The injury isn't

which of the following is the strongest indicator that consistent with the
child abuse may be a problem? history or the
A. The injury isn't consistent with the history or the child's age.
child's age.
B. The mother and father tell different stories regard-
ing what happened.
C. The family is poor.
D. The parents are argumentative and demanding with
emergency department personnel.
10. For a female client with anorexia nervosa, nurse Rose A. They tend to
plans to include the parents in therapy sessions along overprotect their
with the client. What fact should the nurse remember children.
to be typical of parents of clients with anorexia ner-
vosa?
A. They tend to overprotect their children.
B. They usually have a history of substance abuse.
C. They maintain emotional distance from their chil-
dren.
D. They alternate between loving and rejecting their
children.
11. In the emergency department, a client with facial lac- B. Calling a secu-
erations states that her husband beat her with a shoe. rity guard and an-
After the health care team repairs her lacerations, she other staff mem-
waits to be seen by the crisis intake nurse, who will ber for assistance.
evaluate the continued threat of violence. Suddenly
the client's husband arrives, shouting that he wants to
"finish the job." What is the first priority of the health
care worker who witnesses this scene?
A. Remaining with the client and staying calm.
B. Calling a security guard and another staff member
for assistance.
C. Telling the client's husband that he must leave at
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once.
D. Determining why the husband feels so angry.
12. Nurse Mary is caring for a client with bulimia. Strict C. Let the client
management of dietary intake is necessary. Which in- choose her own
tervention is also important? food. If she eats
A. Fill out the client's menu and make sure she eats at everything she or-
least half of what is on her tray. ders, then stay
B. Let the client eat her meals in private. Then engage with her for 1 hour
her in social activities for at least 2 hours after each after each meal.
meal.
C. Let the client choose her own food. If she eats
everything she orders, then stay with her for 1 hour
after each meal.
D. Let the client eat food brought in by the family if she
chooses, but she should keep a strict calorie count.
13. Nurse Mary is assigned to care for a suicidal client. B. Exploring the
Initially, which is the nurse's highest care priority? nurse's own feel-
A. Assessing the client's home environment and rela- ings about suicide.
tionships outside the hospital.
B. Exploring the nurse's own feelings about suicide.
C. Discussing the future with the client.
D. Referring the client to a clergyperson to discuss the
moral implications of suicide.
14. A 24-year old client with anorexia nervosa tells the D. Provide objec-
nurse, "When I look in the mirror, I hate what I see. I tive data and feed-
look so fat and ugly." Which strategy should the nurse back regarding the
use to deal with the client's distorted perceptions and client's weight and
feelings? attractiveness.
A. Avoid discussing the client's perceptions and feel-
ings.
B. Focus discussions on food and weight.
C. Avoid discussing unrealistic cultural standards re-
garding weight.
D. Provide objective data and feedback regarding the
client's weight and attractiveness.
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15. Nurse Alice is caring for a client being treated for B. Aftershave lo-
alcoholism. Before initiating therapy with disulfiram tion
(Antabuse), the nurse teaches the client that he must
read labels carefully on which of the following prod-
ucts?
A. Carbonated beverages
B. Aftershave lotion
C. Toothpaste
D. Cheese
16. Nurse Harry is developing a plan of care for a client C. Set up a strict
with anorexia nervosa. Which action should the nurse eating plan for the
include in the plan? client.
A. Restrict visits with the family until the client begins
to eat.
B. Provide privacy during meals.
C. Set up a strict eating plan for the client.
D. Encourage the client to exercise, which will reduce
her anxiety.
17. 17. Question B. Readiness to

Nurse Taylor is aware that the victims of domestic leave the perpetra-
violence should be assessed for what important infor- tor and knowledge
mation? of resources.
A. Reasons they stay in the abusive relationship (for
example, lack of financial autonomy and isolation).
B. Readiness to leave the perpetrator and knowledge
of resources.
C. Use of drugs or alcohol.
D. History of previous victimization.
18. A male client is hospitalized with fractures of the right B. Thiamine defi-
femur and right humerus sustained in a motorcycle ciency
accident. Police suspect the client was intoxicated at
the time of the accident. Laboratory tests reveal a
blood alcohol level of 0.2% (200 mg/dl). The client later
admits to drinking heavily for years. During hospital-
ization, the client periodically complains of tingling
and numbness in the hands and feet. Nurse Gian real-
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izes that these symptoms probably result from:
A. Acetate accumulation
B. Thiamine deficiency
C. Triglyceride buildup.
D. A below-normal serum potassium level
19. A parent brings a preschooler to the emergency de- C. The child

partment for treatment of a dislocated shoulder, which doesn't cry when
allegedly happened when the child fell down the the shoulder is ex-
stairs. Which action should make the nurse suspect amined.
that the child was abused?
A. The child cries uncontrollably throughout the exam-
ination.
B. The child pulls away from contact with the physi-
cian.
C. The child doesn't cry when the shoulder is exam-
ined.
D. The child doesn't make eye contact with the nurse.
20. When planning care for a client who has ingested B. Client's safety
phencyclidine (PCP), nurse Wayne is aware that the needs
following is the highest priority?
A. Client's physical needs
B. Client's safety needs
C. Client's psychosocial needs
D. Client's medical needs
21. The nurse is aware that the outcome criteria would A. Accept respon-
be appropriate for a child diagnosed with oppositional sibility for own be-
defiant disorder? haviors.
A. Accept responsibility for own behaviors.
B. Be able to verbalize own needs and assert rights.
C. Set firm and consistent limits with the client.
D. Allow the child to establish his own limits and
boundaries.
22. A male client is found sitting on the floor of the bath- D. Approach
room in the day treatment clinic with moderate lacera- him slowly while
tions on both wrists. Surrounded by broken glass, he speaking in a calm
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sits staring blankly at his bleeding wrists while staff voice, calling his
members call for an ambulance. How should Nurse name, and telling
Anuktakanuk approach her initially? him that the nurse
A. Enter the room quietly and move beside him to is here to help him.
assess his injuries.
B. Call for staff back-up before entering the room and
restraining him.
C. Move as much glass away from him as possible and
sit next to him quietly.
D. Approach him slowly while speaking in a calm
voice, calling his name, and telling him that the nurse
is here to help him.
23. A female client with anorexia nervosa describes her- D. Telling the client
self as "a whale." However, the nurse's assessment of the nurse's con-
reveals that the client is 52 83 (1.7 m) tall and weighs only
cern for her health
90 lb (40.8 kg). Considering the client's unrealistic and desire to help
body image, which intervention should nurse Angel her make deci-
be included in the plan of care? sions to keep her
A. Asking the client to compare her figure with maga- healthy.
zine photographs of women her age.
B. Assigning the client to group therapy in which par-
ticipants provide realistic feedback about her weight.
C. Confronting the client about her actual appearance
during one-on-one sessions, scheduled during each
shift.
D. Telling the client of the nurse's concern for her
health and desire to help her make decisions to keep
her healthy.
24. Eighteen hours after undergoing an emergency ap- B. Alcohol with-

pendectomy, a client with a reported history of so- drawal
cial drinking displays these vital signs: temperature,
101.6° F (38.7° C); heart rate, 126 beats/minute; res-
piratory rate, 24 breaths/minute; and blood pressure,
140/96 mm Hg. The client exhibits gross hand tremors
and is screaming for someone to kill the bugs in the
bed. Nurse Melinda should suspect:
A. A postoperative infection
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B. Alcohol withdrawal
C. Acute sepsis.
D. Pneumonia.
25. Clonidine (Catapres) can be used to treat conditions C. Opiate with-

other than hypertension. Nurse Sally is aware that the drawal
following conditions might the drug be administered?
A. Phencyclidine (PCP) intoxication
B. Alcohol withdrawal
C. Opiate withdrawal
D. Cocaine withdrawal
26. A male client with a history of cocaine addiction is C. Nitroglycerin

admitted to the coronary care unit for evaluation of (Nitro-Bid IV).
substernal chest pain. The electrocardiogram (ECG)
shows a 1-mm ST-segment elevation of the anterosep-
tal leads and T-wave inversion in leads V3 to V5. Con-
sidering the client's history of drug abuse, nurse Greg
expects the physician to prescribe:
A. Lidocaine (Xylocaine).
B. Procainamide (Pronestyl).
C. Nitroglycerin (Nitro-Bid IV).
D. Epinephrine.
27. 27. Question C. "I just can't

A 14-year-old client was brought to the clinic by her seem to get down
mother. Her mother expresses concern about her to the weight I
daughter's weight loss and constant dieting. Nurse want to be. I'm
Kris conducts a health history interview. Which of the so fat compared to
following comments indicates that the client may be other girls."
suffering from anorexia nervosa?
A. "I like the way I look. I just need to keep my weight
down because I'm a cheerleader."
B. "I don't like the food my mother cooks. I eat plenty
of fast food when I'm out with my friends."
C. "I just can't seem to get down to the weight I want
to be. I'm so fat compared to other girls."
D. "I do diet around my periods; otherwise, I just get
so bloated."
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28. Nurse Fey is aware that the drug of choice for treating C. Haloperidol
Tourette syndrome? (Haldol)
A. Fluoxetine (Prozac)
B. Fluvoxamine (Luvox)
C. Haloperidol (Haldol)
D. Paroxetine (Paxil)
29. A male client tells the nurse he was involved in a car B. "Tell me how
accident while he was intoxicated. What would be the you feel about the
most therapeutic response from nurse Julia? accident."
A. "Why didn't you get someone else to drive you?"
B. "Tell me how you feel about the accident."
C. "You should know better than to drink and drive."
D. "I recommend that you attend an Alcoholics Anony-
mous meeting."
30. A male adult client voluntarily admits himself to the D. Diaphoresis,

substance abuse unit. He confesses that he drinks tremors, and ner-
one (1) qt or more of vodka each day and uses co- vousness
caine occasionally. Later that afternoon, he begins
to show signs of alcohol withdrawal. What are some
early signs of this condition?
A. Vomiting, diarrhea, and bradycardia
B. Dehydration, temperature above 101° F (38.3° C),
and pruritus
C. Hypertension, diaphoresis, and seizures
D. Diaphoresis, tremors, and nervousness
31. When monitoring a female client recently admitted D. Nifedipine and

for treatment of cocaine addiction, nurse Aaron notes Esmolol
sudden increases in the arterial blood pressure and
heart rate. To correct these problems, the nurse ex-
pects the physician to prescribe:
A. Norepinephrine (Levophed) and Lidocaine (Xylo-
caine)
B. Nifedipine (Procardia) and Lidocaine.
C. Nitroglycerin (Nitro-Bid IV) and Esmolol (Brevibloc)
D. Nifedipine and Esmolol
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32. A 25 -year old client experiencing alcohol withdrawal B. The client will
is upset about going through detoxification. Which of work with the
the following goals is a priority? nurse to remain
A. The client will commit to a drug-free lifestyle. safe.
B. The client will work with the nurse to remain safe.
C. The client will drink plenty of fluids daily.
D. The client will make a personal inventory of
strength.
33. A male client is admitted to a psychiatric facility by A. A rigid posture,

court order for evaluation for antisocial personality restlessness, and
disorder. This client has a long history of initiating glaring
fights and abusing animals and recently was arrested
for setting a neighbor's dog on fire. When evaluating
this client for the potential for violence, nurse Perry
should assess for which behavioral clues?
A. A rigid posture, restlessness, and glaring
B. Depression and physical withdrawal
C. Silence and noncompliance
D. Hypervigilance and talk of past violent acts
34. A male client is brought to the psychiatric clinic by D. "I know

family members, who tell the admitting nurse that the I've been arrest-
client repeatedly drives while intoxicated despite their ed three times for
pleas to stop. During an interview with the nurse Lin- drinking and dri-
da, which statement by the client most strongly sup- ving, but the police
ports a diagnosis of psychoactive substance abuse? are just trying to
A. "I'm not addicted to alcohol. In fact, I can drink more hassle me."
than I used to without being affected."
B. "I only spend half of my paycheck at the bar."
C. "I just drink to relax after work."
D. "I know I've been arrested three times for drinking
and driving, but the police are just trying to hassle
me."
35. A female client with borderline personality disorder C. Risk for vio-
is admitted to the psychiatric unit. Initial nursing as- lence: Self-direct-
sessment reveals that the client's wrists are scratched ed related to im-
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from a recent suicide attempt. Based on this finding, pulsive mutilating
the nurse Lenny should formulate a nursing diagnosis acts.
of:
A. Ineffective individual coping related to feelings of
guilt.
B. Situational low self-esteem related to feelings of
loss of control.
C. Risk for violence: Self-directed related to impulsive
mutilating acts.
D. Risk for violence: Directed toward others related to
verbal threats.
36. A male client recently admitted to the hospital with A. Coronary artery
sharp, substernal chest pain suddenly complains of spasm
palpitations. Nurse Ryan notes a rise in the client's
arterial blood pressure and a heart rate of 144
beats/minute. On further questioning, the client ad-
mits to having used cocaine recently after previously
denying use of the drug. The nurse concludes that the
client is at high risk for which complication of cocaine
use?
A. Coronary artery spasm
B. Bradyarrhythmias
C. Neurobehavioral deficits
D. Panic disorder
37. A male client is being admitted to the substance abuse C. Begin anytime
unit for alcohol detoxification. As part of the intake within the next one
interview, the nurse asks him when he had his last (1) to two (2) days.
alcoholic drink. He says that he had his last drink six
(6) hours before admission. Based on this response,
nurse Lorena should expect early withdrawal symp-
toms to:
A. Begin after seven (7) days.
B. Not occur at all because the time period for their
occurrence has passed.
C. Begin anytime within the next one (1) to two (2)
days.
D. Begin within two (2) to seven (7) days.
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38. Nurse Helen is assigned to care for a client with A. Providing

anorexia nervosa. Initially, which nursing intervention one-on-one su-
is most appropriate for this client? pervision during
A. Providing one-on-one supervision during meals meals and for one
and for one (1) hour afterward. (1) hour afterward.
B. Letting the client eat with other clients to create a
normal mealtime atmosphere.
C. Trying to persuade the client to eat and thus restore
nutritional balance.
D. Giving the client as much time to eat as desired.
39. A female client begins to experience alcoholic hal- C. Providing a

lucinosis. Nurse Joy is aware that the best nursing quiet environment
intervention at this time? and administer-
A. Keeping the client restrained in bed. ing medication as
B. Checking the client's blood pressure every 15 min- needed and pre-
utes and offering juices. scribed.
C. Providing a quiet environment and administering
medication as needed and prescribed.
D. Restraining the client and measuring blood pres-
sure every 30 minutes.
40. Nurse Bella is aware that assessment finding is most A. Heart rate
consistent with early alcohol withdrawal? of 120 to 140
A. Heart rate of 120 to 140 beats/minute beats/minute
B. Heart rate of 50 to 60 beats/minute
C. Blood pressure of 100/70 mmHg
D. Blood pressure of 140/80 mmHg
41. Nurse Amy is aware that the client is at highest risk for B. One who plans
suicide? a violent death and
A. One who appears depressed frequently thinks of has the means
dying and gives away all personal possessions. readily available.
B. One who plans a violent death and has the means
readily available.
C. One who tells others that he or she might do some-
thing if life doesn't get better soon.
D. One who talks about wanting to die.
12 / 21
42. Nurse Penny is aware that the following medical con- C. Diabetes melli-
ditions are commonly found in clients with bulimia tus
nervosa?
A. Allergies
B. Cancer
C. Diabetes mellitus
D. Hepatitis A
43. Kellan, a high school student is referred to the school B. The student ac-
nurse for suspected substance abuse. Following the cepts a referral to
nurse's assessment and interventions, what would be a substance abuse
the most desirable outcome? counselor.
A. The student discusses conflicts over drug use.
B. The student accepts a referral to a substance abuse
counselor.
C. The student agrees to inform his parents of the
problem.
D. The student reports increased comfort with making
choices.
44. A male client who reportedly consumes one (1) qt of C. Lorazepam (Ati-
vodka daily is admitted for alcohol detoxification. To van)
try to prevent alcohol withdrawal symptoms, Dr. Smith
is most likely to prescribe which drug?
A. Clozapine (Clozaril)
B. Thiothixene (Navane)
C. Lorazepam (Ativan)
D. Lithium carbonate (Eskalith)
45. A male client is being treated for alcoholism. After A. Al-Anon

a family meeting, the client's spouse asks the nurse
about ways to help the family deal with the effects of
alcoholism. Nurse Lily should suggest that the family
join which organization?
A. Al-Anon
B. Make Today Count
C. Emotions Anonymous
D. Alcoholics Anonymous
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46. A female client is admitted to the psychiatric clinic for C. Monitor vi-
treatment of anorexia nervosa. To promote the client's tal signs, serum
physical health, nurse Tair should plan to: electrolyte levels,
A. Severely restrict the client's physical activities. and acid-base bal-
B. Weigh the client daily, after the evening meal. ance.
C. Monitor vital signs, serum electrolyte levels, and
acid-base balance.
D. Instruct the client to keep an accurate record of
food and fluid intake.
47. Kevin is remanded by the courts for psychiatric treat- A. Antisocial per-
ment. His police record, which dates to his early sonality disorder
teenage years, includes delinquency, running away,
auto theft, and vandalism. He dropped out of school
at age 16 and has been living on his own since then.
His history suggests maladaptive coping, which is
associated with:
A. Antisocial personality disorder
B. Borderline personality disorder
C. Obsessive-compulsive personality disorder
D. Narcissistic personality disorder
48. Macoy and Helen seek emergency crisis intervention C. Has learned vi-
because he slapped her repeatedly the night before. olence as an ac-
The husband indicates that his childhood was marred ceptable behavior.
by an abusive relationship with his father. When inter-
vening with this couple, nurse Gerry knows they are
at risk for repeated violence because the husband:
A. Has only moderate impulse control.
B. Denies feelings of jealousy or possessiveness.
C. Has learned violence as an acceptable behavior.
D. Feels secure in his relationship with his wife.
49. A client whose husband just left her has a recurrence B. Gain control of
of anorexia nervosa. Nurse Vic caring for her real- one part of her life.
izes that this exacerbation of anorexia nervosa results
from the client's effort to:
A. Manipulate her husband.
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B. Gain control of one part of her life.
C. Commit suicide.
D. Live up to her mother's expectations.
50. A male client has approached the nurse asking for B. Total abstinence
advice on how to deal with his alcohol addiction.
Nurse Sally should tell the client that the only effective
treatment for alcoholism is:
A. Psychotherapy
B. Total abstinence
C. Alcoholics Anonymous (AA)
D. Aversion therapy
51. Which nursing intervention would be most appropri- B. Advising the

ate if a male client develops orthostatic hypotension client to sit up for 1
while taking amitriptyline (Elavil)? minute before get-
A. Consulting with the physician about substituting a ting out of bed.
different type of antidepressant.
B. Advising the client to sit up for 1 minute before
getting out of bed.
C. Instructing the client to double the dosage until the
problem resolves.
D. Informing the client that this adverse reaction
should disappear within 1 week.
52. Mr. Cruz visits the physician's office to seek treat- D. Dysthymic dis-
ment for depression, feelings of hopelessness, poor order.
appetite, insomnia, fatigue, low self-esteem, poor con-
centration, and difficulty making decisions. The client
states that these symptoms began at least 2 years
ago. Based on this report, the nurse Tiffany suspects:
A. Cyclothymic disorder.
B. Atypical affective disorder.
C. Major depression.
D. Dysthymic disorder.
53. After taking an overdose of phenobarbital (Barbita), C. 30 g mixed in

Mario is admitted to the emergency department. Dr. 250 ml of water
Trinidad prescribes activated charcoal (Charcocaps)
15 / 21
to be administered by mouth immediately. Before ad-
ministering the dose, the nurse verifies the dosage
ordered. What is the usual minimum dose of activated
charcoal?
A. 5 g mixed in 250 ml of water
B. 15 g mixed in 500 ml of water
C. 30 g mixed in 250 ml of water
D. 60 g mixed in 500 ml of water
54. What herbal medication for depression, widely used in C. St. John's wort
Europe, is now being prescribed in the United States?
A. Ginkgo biloba
B. Echinacea
C. St. John's wort
D. Ephedra
55. Cely with manic episodes is taking lithium. Which B. Sodium

electrolyte level should the nurse check before admin-
istering this medication?
A. Calcium
B. Sodium
C. Chloride
D. Potassium
56. Nurse Josefina is caring for a client who has been D. It's character-
diagnosed with delirium. Which statement about delir- ized by an acute
ium is true? onset and lasts
A. It's characterized by an acute onset and lasts about hours to a number
1 month. of days.
B. It's characterized by a slowly evolving onset and
lasts about 1 week.
C. It's characterized by a slowly evolving onset and
lasts about 1 month.
D. It's characterized by an acute onset and lasts hours
to a number of days.
57. Edward, a 66-year-old client with slight memory im- B. Impaired com-
pairment and poor concentration, is diagnosed with munication.
primary degenerative dementia of the Alzheimer's
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type. Early signs of this dementia include subtle per-
sonality changes and withdrawal from social interac-
tions. To assess for progression to the middle stage
of Alzheimer's disease, the nurse should observe the
client for:
A. Occasional irritable outbursts.
B. Impaired communication.
C. Lack of spontaneity.
D. Inability to perform self-care activities.
58. Isabel with a diagnosis of depression is started on D. This medica-

imipramine (Tofranil), 75 mg by mouth at bedtime. The tion may initial-
nurse should tell the client that: ly cause tiredness,
A. This medication may be habit-forming and will be which should be-
discontinued as soon as the client feels better. come less bother-
B. This medication has no serious adverse effects. some over time.
C. The client should avoid eating such foods as aged
cheeses, yogurt, and chicken livers while taking the
medication.
D. This medication may initially cause tiredness,
which should become less bothersome over time.
59. Kathleen is admitted to the psychiatric clinic for treat- C. Monitor vi-
ment of anorexia nervosa. To promote the client's tal signs, serum
physical health, the nurse should plan to: electrolyte levels,
A. Severely restrict the client's physical activities. and acid-base bal-
B. Weigh the client daily, after the evening meal. ance.
C. Monitor vital signs, serum electrolyte levels, and
acid-base balance.
D. Instruct the client to keep an accurate record of
food and fluid intake.
60. Celia with a history of polysubstance abuse is admit- D. Opioid with-

ted to the facility. She complains of nausea and vom- drawal
iting 24 hours after admission. The nurse assesses
the client and notes piloerection, pupillary dilation,
and lacrimation. The nurse suspects that the client is
going through which of the following withdrawals?
A. Alcohol withdrawal
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B. Cannabis withdrawal
C. Cocaine withdrawal
D. Opioid withdrawal
61. Mr. Garcia, an attorney who throws books and furni- A. Regression
ture around the office after losing a case, is referred
to the psychiatric nurse in the law firm's employee
assistance program. Nurse Beatriz knows that the
client's behavior most likely represents the use of
which defense mechanism?
A. Regression
B. Projection
C. Reaction-formation
D. Intellectualization
62. Nurse Anne is caring for a client who has been treated A. Abnormal
long term with antipsychotic medication. During the movements and
assessment, Nurse Anne checks the client for tar- involuntary move-
dive dyskinesia. If tardive dyskinesia is present, Nurse ments of the
Anne would most likely observe: mouth, tongue,
A. Abnormal movements and involuntary movements and face.
of the mouth, tongue, and face.
B. Abnormal breathing through the nostrils accompa-
nied by a "thrill."
C. Severe headache, flushing, tremors, and ataxia.
D. Severe hypertension, migraine headache.
63. Dennis has a lithium level of 2.4 mEq/L. The nurse C. Blurred vision
immediately would assess the client for which of the
following signs or symptoms?
A. Weakness
B. Diarrhea
C. Blurred vision
D. Fecal incontinence
64. Nurse Jannah is monitoring a male client who has C. No acts of

been placed in restraints because of violent behavior. aggression have
Nurse determines that it will be safe to remove the been observed
restraints when: within 1 hour after
18 / 21
A. The client verbalizes the reasons for the violent the release of two
behavior. of the extremity re-
B. The client apologizes and tells the nurse that it will straints.
never happen again.
C. No acts of aggression have been observed within
1 hour after the release of two of the extremity re-
straints.
D. The administered medication has taken effect.
65. Nurse Irish is aware that Ritalin is the drug of choice A. Increased atten-
for a child with ADHD. The side effects of the following tion span and con-
may be noted by the nurse: centration.
A. Increased attention span and concentration.
B. Increase in appetite.
C. Sleepiness and lethargy.
D. Bradycardia and diarrhea.
66. Kitty, a 9-year-old child has a very limited vocabulary C. Moderate

and interaction skills. She has an I.Q. of 45. She is
diagnosed to have Mental retardation of this classifi-
cation:
A. Profound
B. Mild
C. Moderate
D. Severe
67. The therapeutic approach in the care of Armand an D. Rearrange the

autistic child includes the following EXCEPT: environment to ac-
A. Engage in diversionary activities when acting-out. tivate the child.
B. Provide an atmosphere of acceptance.
C. Provide safety measures.
D. Rearrange the environment to activate the child.
68. Jeremy is brought to the emergency room by friends B. Cocaine

who state that he took something an hour ago. He
is actively hallucinating, agitated, with irritated nasal
septum.
A. Heroin
B. Cocaine
19 / 21
C. LSD
D. Marijuana
69. Nurse Pauline is aware that Dementia unlike delirium B. Insidious onset
is characterized by:
A. Slurred speech
B. Insidious onset
C. Clouding of consciousness
D. Sensory perceptual change
70. A 35-year-old female has intense fear of riding an C. Claustrophobia

elevator. She claims " As if I will die inside." The client
is suffering from:
A. Agoraphobia
B. Social phobia
C. Claustrophobia
D. Xenophobia
71. Nurse Myrna develops a counter-transference reac- A. Revealing per-

tion. This is evidenced by: sonal information
A. Revealing personal information to the client. to the client.
B. Focusing on the feelings of the client.
C. Confronting the client about discrepancies in ver-
bal or nonverbal behavior.
D. The client feels angry towards the nurse who resem-
bles his mother.
72. Tristan is on Lithium and has suffered from diarrhea D. Hold the next
and vomiting. What should the nurse in-charge do dose and obtain
first: an order for a stat
A. Recognize this as a drug interaction. serum lithium lev-
B. Give the client Cogentin. el.
C. Reassure the client that these are common side
effects of lithium therapy.
D. Hold the next dose and obtain an order for a stat
serum lithium level.
73. Nurse Sarah ensures a therapeutic environment for

all the clients. Which of the following best describes
20 / 21
a therapeutic milieu? C. A living, learn-
A. A therapy that rewards adaptive behavior. ing or working en-
B. A cognitive approach to change behavior. vironment.
C. A living, learning or working environment.
D. A permissive and congenial environment.
74. Anthony is very hostile toward one of the staff for no B. Transference
apparent reason. He is manifesting:
A. Splitting
B. Transference
C. Countertransference
D. Resistance
75. Marielle, 17 years old was sexually attacked while on B. Adventitious

her way home from school. She is brought to the
hospital by her mother. Rape is an example of which
type of crisis:
A. Situational
B. Adventitious
C. Developmental
D. Internal
21 / 21

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Psychiatric Mental Health PART 3

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Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice

Quiz #1: 75 Questions

1. Flumazenil (Romazicon) has been ordered for a male Seizures

2. Nurse Tamara is caring for a client diagnosed with Identify anxi-

4. Which of the following drugs should Nurse Mary pre- D. Acetylcysteine

5. A male client is admitted to the substance abuse unit D. Chlordiazepox-

9. When interviewing the parents of an injured child, A. The injury isn't

17. 17. Question B. Readiness to

19. A parent brings a preschooler to the emergency de- C. The child

24. Eighteen hours after undergoing an emergency ap- B. Alcohol with-

25. Clonidine (Catapres) can be used to treat conditions C. Opiate with-

26. A male client with a history of cocaine addiction is C. Nitroglycerin

27. 27. Question C. "I just can't

30. A male adult client voluntarily admits himself to the D. Diaphoresis,

31. When monitoring a female client recently admitted D. Nifedipine and

33. A male client is admitted to a psychiatric facility by A. A rigid posture,

34. A male client is brought to the psychiatric clinic by D. "I know

38. Nurse Helen is assigned to care for a client with A. Providing

39. A female client begins to experience alcoholic hal- C. Providing a

45. A male client is being treated for alcoholism. After A. Al-Anon

51. Which nursing intervention would be most appropri- B. Advising the

53. After taking an overdose of phenobarbital (Barbita), C. 30 g mixed in

55. Cely with manic episodes is taking lithium. Which B. Sodium

58. Isabel with a diagnosis of depression is started on D. This medica-

60. Celia with a history of polysubstance abuse is admit- D. Opioid with-

64. Nurse Jannah is monitoring a male client who has C. No acts of

66. Kitty, a 9-year-old child has a very limited vocabulary C. Moderate

67. The therapeutic approach in the care of Armand an D. Rearrange the

68. Jeremy is brought to the emergency room by friends B. Cocaine

70. A 35-year-old female has intense fear of riding an C. Claustrophobia

71. Nurse Myrna develops a counter-transference reac- A. Revealing per-

73. Nurse Sarah ensures a therapeutic environment for

75. Marielle, 17 years old was sexually attacked while on B. Adventitious

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