Mental Health and Psychiatric Nursing NCLEX Practice Quiz #1 (50 Questions)

Mental Health and Psychiatric Nursing NCLEX Practice Quiz #1 (50 Questions) Topics Topics included in this NCLEX practice quiz are: Alcohol Withdrawal Anorexia Nervosa Bulimia Nervosa Disulfiram Therapy Domestic Violence Personality Disorders Physical Abuse Substance Abuse Suicidal Tendencies Tourette Syndrome Guidelines Follow our set of guidelines below to get the most of this quiz: Read each question carefully and choose the best answer. You are given one minute per question. Spend your time wisely! Answers and rationales are given below. Be sure to read them. If you need more clarifications, please direct them to the comments section. 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