Topics included in this NCLEX practice quiz are:
Alcohol Withdrawal Anorexia Nervosa Bulimia Nervosa Disulfiram Therapy Domestic Violence Personality
... [Show More] Disorders Physical Abuse Substance Abuse Suicidal Tendencies Tourette Syndrome
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Read each question carefully and choose the best answer.
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Questions
Exam Mode
In Exam Mode: All questions are shown and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question, a total
of 50 minutes for this exam.
Psychiatric Nursing Practice Quiz #1 (50 Questions)
49:45
Question 1
Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information?
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
Question 2
Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered?
A Phencyclidine (PCP) intoxication
B Alcohol withdrawal C Opiate withdrawal D Cocaine withdrawal
Question 3
A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass, she sits staring blankly at her bleeding wrists while staff members call for an ambulance. How should Nurse Anuktakanuk approach her initially?
A Enter the room quietly and move beside her to assess her injuries Call for staff back-up before entering the room and restraining her
B
Move as much glass away from her as possible and sit next to her quietly
Approach her slowly while speaking in a calm voice, calling her name, and telling her that the nurse is here to help her
Question 4
Nurse Fey is aware that the drug of choice for treating Tourette syndrome?
A fluoxetine (Prozac) B fluvoxamine (Luvox) C haloperidol (Haldol) D paroxetine (Paxil)
Question 5
A male client who reportedly consumes 1 qt of vodka daily is admitted for alcohol detoxification. To 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)
Question 6
A male client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?
“I’m not addicted to alcohol. In fact, I can drink more 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.”
“I know I’ve been arrested three times for drinking and driving, but the police are just trying to hassle me.”
Question 7
Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory 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
B alcohol withdrawal
C acute sepsis
D pneumonia
Question 8
In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her
lacerations, she waits to be seen by the crisis intake nurse, who will 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 once
D Determining why the husband feels so angry
Question 9
Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:
A avoid shopping for large amounts of food
B control eating impulses
C identify anxiety-causing situations
D eat only three meals per day
Question 10
A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
A The client will commit to a drug-free lifestyle
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
Question 11
Kellan, a high school student is referred to the school nurse for suspected substance abuse. Following the nurse’s assessment and interventions, what would be the most desirable outcome?
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 choice
Question 12
A male client recently admitted to the hospital with sharp, substernal chest pain suddenly complains of 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 admits 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
Question 13
A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Based on this finding, the nurse Lenny should formulate a nursing diagnosis 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
Question 14
Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse’s highest care priority?
Assessing the client’s home environment and relationships outside the hospital
B Exploring the nurse’s own feelings about suicide
C Discussing the future with the client
Referring the client to a clergyperson to discuss the moral implications of suicide
Question 15
A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating 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
Question 16
A male client has approached the nurse asking for 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
Question 17
Kevin is remanded by the courts for psychiatric treatment. His police record, which dates to his early 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
Question 18
Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal?
A Heart rate of 120 to 140 beats/minute B Heart rate of 50 to 60 beats/minute C Blood pressure of 100/70 mm Hg
D Blood pressure of 140/80 mm Hg
Question 19
Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?
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
Question 20
Nurse Penny is aware that the following medical conditions is commonly found in clients with bulimia nervosa?
A Allergies
B Cancer
C Diabetes mellitus
D Hepatitis A
Question 21
For a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa?
A They tend to overprotect their children
B They usually have a history of substance abuse
C They maintain emotional distance from their children
D They alternate between loving and rejecting their children
Question 22
The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?
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
Question 23
A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, Nurse Mary should:
A check the client frequently at irregular intervals throughout the night
assure the client that the nurse will hold in confidence anything the client says
C repeatedly discuss previous suicide attempts with the client disregard decreased communication by the client because this is common in suicidal clients
Question 24
A male client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink 6 hours before admission. Based on this response, nurse Lorena should expect early withdrawal symptoms to:
A begin after 7 days
not occur at all because the time period for their occurrence has passed
C begin anytime within the next 1 to 2 days
D begin within 2 to 7 days
Question 25
For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority?
A The client will establish adequate daily nutritional intake
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
D The client will verbalize the possible physiological consequences of self-starvation
Question 26
A male client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, “It felt so wonderful to get high.” Which of the following is the most appropriate response?
A “If you continue to talk like that, I’m going to stop speaking to you.” “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?”
Question 27
Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect?
A Seizures
B Shivering
C Anxiety
D Chest pain
Question 28
A male client is being treated for alcoholism. After 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
Question 29
Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important?
Fill out the client’s menu and make sure she eats at least half of what is on her tray.
Let the client eat her meals in private. Then engage her in social activities for at least 2 hours after each meal
Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour after each meal
Let the client eat food brought in by the family if she chooses, but she should keep a strict calorie count.
Question 30
When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:
A norepinephrine (Levophed) and lidocaine (Xylocaine)
B nifedipine (Procardia) and lidocaine
C nitroglycerin (Nitro-Bid IV) and esmolol (Brevibloc)
D nifedipine and esmolol
Question 31
A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health, nurse Tair should plan to:
A severely restrict the client’s physical activities
B weigh the client daily, after the evening meal
C monitor vital signs, serum electrolyte levels, and acid-base balance instruct the client to keep an accurate record of food and fluid intake
Question 32
A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?
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 Anonymous meeting.” [Show Less]