Practice Test IV- Psychiatric Nursing

Reviewed by Allison Martin

Allison Martin, BSN |

School Nurse

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Allison Martin holds a Bachelor of Science in Nursing (BSN) from Drexel University's College of Nursing and Health Professions, specializing in neuroscience and cardiac care. She is dedicated to providing high-quality care and support to the school community as a School Nurse at St. Bernard's School, drawing on over 20 years of invaluable nursing experience.

, BSN

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Allison Martin |BSN |

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Jul 16, 2024

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Allison Martin
Jul 30, 2010

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Practice Test IV- Psychiatric Nursing

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:

Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:

Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…

Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?

A client is experiencing anxiety attack. The most appropriate nursing intervention should include?

A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:

A 20 year old client was diagnosed with dependent personality disorder. Which behavior is not likely to be evidence of ineffective individual coping?

A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?

Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?

Nurse Tony was caring for a 41 year old female client. Which behavior by the client indicates adult cognitive development?

A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?

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?

Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?

Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?

Nurse Anna can minimize agitation in a disturbed client by?

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:

Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?

Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?

Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction?

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?

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?

Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?

Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?

To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?

Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:

Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to:

When teaching parents about childhood depression Nurse Trina should say?

Nurse Perry is aware that language development in autistic child resembles:

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 ismy best friend. The nurse recognizes that the client is using the defense mechanism known as?

When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?

Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?

Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be:

Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?

Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?

A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:

Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:

To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:

A nursing care plan for a male client with bipolar I disorder should include:

When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:

A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:

A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate:

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 male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner?

Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should?

Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client?

Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information?

During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?

When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?

Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed.

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: