NURSG 534 - Evolve Psychiatry Practice Questions (Level
Intermediate) questions with verified answers
A 12-year-old child who has a history of poor grades and oppositional
defiant disorder (ODD) is admitted to a child psychiatric unit with the
diagnosis of conduct disorder. The youngest of three children, this child
is identified by both the parents and the siblings as the family problem.
The nurse recognizes the family's pattern of relating to the child as
what?
-Enabling
-Patronizing
-Scapegoating
-Avoidance Ans✓✓✓ Scapegoating
A 6-year-old child recently started school but has been refusing to go
for the past 3 weeks. What would be an appropriate nursing
intervention for this child?
-Explain that school is a place to have fun.
-Delay the return to school for several months.
-Enroll the child in a special education program.
-Develop a behavior modification program with the child Ans✓✓✓
Develop a behavior modification program with the child
,A child has been hospitalized repeatedly for illnesses of unknown
origin. Finally the primary healthcare provider makes the diagnosis of
Munchausen syndrome by proxy. What is the most therapeutic
approach by the nurse to the involved parent?
-Confrontation
-Open communication
-Health teaching about child-rearing
-Validation of the child's physical status Ans✓✓✓ open communication
A child is found to have attention deficit-hyperactivity disorder (ADHD).
What strategy should the nurse teach the parents to help them cope
with this disorder?
-Orient the child to reality.
-Reward appropriate conduct.
-Suppress feelings of frustration.
-Use restraints when behavior is out of control Ans✓✓✓ Reward
appropriate conduct.
A client comes to a trauma center reporting that she has been raped.
She is disheveled, pale, and staring blankly. The nurse asks the client to
describe what happened. What is the nurse's rationale for doing this?
, -It will help the nursing staff give legal advice and provide counseling.
-Talking about the assault will help the client see how her behavior may
have led to the event.
-It will let the victim put the event in better perspective and help begin
the resolution process.
-Discussing the details will keep the victim from concealing the intimate
happenings during the assault. Ans✓✓✓ It will let the victim put the
event in better perspective and help begin the resolution process.
A client has a diagnosis of schizoid personality disorder. During the
assessment what should the nurse expect of the client's behavior?
-Rigid and controlling
-Dependent and submissive
-Detached and socially distant
-Superstitious and socially anxious Ans✓✓✓ Detached and socially
distant
A client is admitted to the psychiatric service with a diagnosis of severe
depression. When approached by the nurse, the client says, "You know
I'm a sorry, lazy person. I don't deserve a job. I'm just stupid and no
good." What does the nurse conclude that the client is experiencing?
-Nihilistic delusions
-Delusions of persecution
Intermediate) questions with verified answers
A 12-year-old child who has a history of poor grades and oppositional
defiant disorder (ODD) is admitted to a child psychiatric unit with the
diagnosis of conduct disorder. The youngest of three children, this child
is identified by both the parents and the siblings as the family problem.
The nurse recognizes the family's pattern of relating to the child as
what?
-Enabling
-Patronizing
-Scapegoating
-Avoidance Ans✓✓✓ Scapegoating
A 6-year-old child recently started school but has been refusing to go
for the past 3 weeks. What would be an appropriate nursing
intervention for this child?
-Explain that school is a place to have fun.
-Delay the return to school for several months.
-Enroll the child in a special education program.
-Develop a behavior modification program with the child Ans✓✓✓
Develop a behavior modification program with the child
,A child has been hospitalized repeatedly for illnesses of unknown
origin. Finally the primary healthcare provider makes the diagnosis of
Munchausen syndrome by proxy. What is the most therapeutic
approach by the nurse to the involved parent?
-Confrontation
-Open communication
-Health teaching about child-rearing
-Validation of the child's physical status Ans✓✓✓ open communication
A child is found to have attention deficit-hyperactivity disorder (ADHD).
What strategy should the nurse teach the parents to help them cope
with this disorder?
-Orient the child to reality.
-Reward appropriate conduct.
-Suppress feelings of frustration.
-Use restraints when behavior is out of control Ans✓✓✓ Reward
appropriate conduct.
A client comes to a trauma center reporting that she has been raped.
She is disheveled, pale, and staring blankly. The nurse asks the client to
describe what happened. What is the nurse's rationale for doing this?
, -It will help the nursing staff give legal advice and provide counseling.
-Talking about the assault will help the client see how her behavior may
have led to the event.
-It will let the victim put the event in better perspective and help begin
the resolution process.
-Discussing the details will keep the victim from concealing the intimate
happenings during the assault. Ans✓✓✓ It will let the victim put the
event in better perspective and help begin the resolution process.
A client has a diagnosis of schizoid personality disorder. During the
assessment what should the nurse expect of the client's behavior?
-Rigid and controlling
-Dependent and submissive
-Detached and socially distant
-Superstitious and socially anxious Ans✓✓✓ Detached and socially
distant
A client is admitted to the psychiatric service with a diagnosis of severe
depression. When approached by the nurse, the client says, "You know
I'm a sorry, lazy person. I don't deserve a job. I'm just stupid and no
good." What does the nurse conclude that the client is experiencing?
-Nihilistic delusions
-Delusions of persecution
