Psychiatric Nursing | NCLEX Quiz 195
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.
Which statement by the client during the initial assessment in the emergency department is most indicative of suspected domestic violence?
- A.
“I am determined to leave my house in a week.”
- B.
“No one else in the family has been treated like this.”
- C.
“I have only been married for two (2) months.”
- D.
“I have tried leaving. but have always gone back.”
Correct Answer
D. “I have tried leaving. but have always gone back.”Explanation
Victims develop a high tolerance for abuse. They blame themselves for being victimized. All members of the family suffer from the effects of abuse. even if they are not the actual victims. For these reasons. victims often have an extensive history of abuse and struggle for a long time before they can leave permanently.Rate this question:
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- 2.
Which of these statements by the nurse reflects the best use of therapeutic interaction techniques?
- A.
“You look upset. Would you like to talk about it?”
- B.
“I’d like to know more about your family. Tell me about them.”
- C.
“I understand that you lost your partner. I don’t think I could go on if that happened to me.”
- D.
“You look very sad. How long have you been this way?”
Correct Answer
A. “You look upset. Would you like to talk about it?”Explanation
Giving broad opening statements and making observations are examples of therapeutic communication. The other options are too specific or focused on being therapeutic.Rate this question:
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- 3.
When planning the therapeutic milieu. it is MOST important to select group activities which
- A.
Match the clients’ preferences
- B.
Are consistent with clients’ skills
- C.
Achieve clients’ therapeutic goals
- D.
Build skills of group participation
Correct Answer
C. Achieve clients’ therapeutic goalsExplanation
Activity groups are used to enhance the therapeutic milieu and to meet the clinical and social needs of clients. e.g.. to minimize withdrawal and regression. to develop self-care skills. etc.Rate this question:
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- 4.
A client was admitted to the psychiatric unit for severe depression. After several days. the client continues to withdraw from other clients. Which of the following would be the MOST appropriate statement by the nurse to promote interaction with other clients?
- A.
“Your doctor thinks its good for you to spend time with others.”
- B.
“It is important for you to participate in group activities.”
- C.
“Painting this picture will help you feel better.”
- D.
“Come play Chinese Checkers with Gerry and me.”
Correct Answer
D. “Come play Chinese Checkers with Gerry and me.”Explanation
This gradually engages the client in interactions with others and uses positive behavioral expectation.Rate this question:
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- 5.
The nurse can BEST ensure the safety of a demented client who wanders from the room by
- A.
Repeatedly reminding the client of time and place
- B.
Explaining the risks of becoming lost
- C.
Using soft restraints
- D.
Attaching a wander guard sensor band to the client’s wrist
Correct Answer
D. Attaching a wander guard sensor band to the client’s wristExplanation
This type of identification band easily tracks the client’s movements and ensures safety while wandering on the unit.Rate this question:
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- 6.
A client with paranoid thoughts refuses to eat because he believes the food has poisoned. The MOST appropriate initial action is to
- A.
Taste the food in the client’s presence
- B.
Suggest that food be brought from home
- C.
Simply state the food is not poisoned
- D.
Inform the client he will be tube fed if he does not eat
Correct Answer
C. Simply state the food is not poisonedExplanation
This action presents reality.Rate this question:
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- 7.
The nurse is caring for a severely depressed client who has just been admitted to the in-client psychiatric unit. Which of the following is a PRIORITY of care?
- A.
Nutrition
- B.
Elimination
- C.
Rest
- D.
Safety
Correct Answer
D. SafetyExplanation
Safety is a priority of care for the depressed client. Precautions to prevent suicide must be a part of the plan.Rate this question:
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- 8.
A nurse is teaching a stress-management program for a client. Which of the following beliefs will the nurse advocate as a method of coping with stressful life events?
- A.
Avoidance of stress is an important goal for living.
- B.
Control over one’s response to stress is possible.
- C.
Most people have no control over their level of stress.
- D.
Significant others are important to provide care and concern.
Correct Answer
B. Control over one’s response to stress is possible.Explanation
When learning to manage stress. it is helpful to believe that one has the ability to control one’s response to stress.Option A: It is impossible to avoid stress. which is a normal experience.Options C and D: Stress can be positive and growth enhancing as well as harmful. The belief that one has some control can minimize the stress response.Rate this question:
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- 9.
A student nurse is caring for a 75-year-old client who is very confused. The student’s communication tools should include:
- A.
Written directions for bathing.
- B.
Speaking very loudly.
- C.
Gentle touch while guiding ADLs (activities of daily living).
- D.
Flat facial expression.
Correct Answer
C. Gentle touch while guiding ADLs (activities of daily living).Explanation
Nonverbal. gentle touch is an important tool here. Providing appropriate forms of touch to reinforce caring feelings. Because tactile contacts vary considerably among individuals. families. and cultures. the nurse must be sensitive to the differences in attitudes and practices of clients and self.Rate this question:
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- 10.
When a husband takes out his work frustrations and anger by abusing his wife at home. the nurse will identify this crisis as which type?
- A.
Psychiatric emergency crisis
- B.
Developmental crisis
- C.
Anticipated life transition
- D.
Dispositional crisis
Correct Answer
D. Dispositional crisisExplanation
A dispositional crisis is a response to an external situational crisis. External anger at work is the dispositional crisis displaced to his wife through abuse.Option A: Psychiatric emergency crisis is when the individual’s general functioning has been severely impaired. and the individual has been rendered incompetent.Option B: Developmental crisis occurs in response to triggering emotions related to unresolved conflict in one’s life. This is called a developmental crisis based on Freudian psychology.Option C: An anticipated life transition crisis is a crisis that is normal in the life cycle; transitional is one over which the person has no control.Rate this question:
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Current Version
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Aug 22, 2023Quiz Edited by
ProProfs Editorial Team -
Oct 28, 2017Quiz Created by
Santepro
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