NCLEX Psychiatric Exam test with 100% Verified Solutions
1. A client with 4. An absentee ballot from the polling place can be ob-
a history of tained.
schizophrenia is
currently being (4. Correct: There are very few reasons that a United
treated in a men- States citizen would lose the right to vote in any election,
tal health facility. and those few are mostly legal violations. A client who is
The client wants hospitalized, whether in a medical or psychiatric facility,
to vote in an up- still retains the right to vote. The nurse, or facility designee,
coming election. must advocate for this client by obtaining an absentee
The nurse under- ballot, following the laws of that state, and is required to
stands what is provide privacy for the client to complete that ballot.
true about the le-
gality of this ac- 1. Incorrect: The primary healthcare provider has no au-
tion? thority over the client's ability to cast a vote. Regardless
of any mental health diagnosis, this client still retains the
1. Primary health- legal right to vote in any election. In fact, notifying the
care provider can primary healthcare provider of the client's intent to vote
decide if client violates the client's privacy.
may vote.
2. Incorrect: Whether a client takes medication does not
2. Psychiatric affect the client's right to cast a ballot in any election.
clients cannot Refusing this client, the right to vote based on medication
vote if taking use would be considered discriminatory.
medication.
3. Incorrect: A lawyer is not required to approve either
3. A lawyer must the client's voting rights, or the completed ballot. In fact,
approve the fin- having anyone else look at the client's ballot would be a
ished ballot. violation and is definitely illegal. A client's ballot is private
and protected by both state and federal law.)
4. An absentee
ballot from the
polling place can
be obtained.
2. The nurse is de- 4. Assign same staff to provide client care daily.
veloping the plan
of care for a (4. Correct: Schizophrenia is a group of psychotic disor-
newly admitted ders characterized by thought disturbances, bizarre be-
client diagnosed haviors and social withdrawal. Because of the numerous
, NCLEX Psychiatric Exam test with 100% Verified Solutions
with schizophre- emotional and psychologic dysfunctions, there are many
nia. What goal possible goals. However, the priority objective is to help
would the nurse the client develop a trusting relationship in order to achieve
consider a priori- other goals. Assigning the same staff to provide care daily
ty for this client? is the first step toward that objective.
1. Schedule 1. Incorrect: Clients with schizophrenia tend to self-isolate
alone time for due to paranoid thoughts or hallucinations. Social with-
client to relax. drawal is a problem with these individuals and should not
be encouraged by the nurse. Relaxation is not a priority
2. Frequently re- goal for this client.
orient the client
to surroundings. 2. Incorrect: This client was just admitted with schizophre-
nia. Getting this disorder under control will take some time,
3. Encourage requiring both medications and therapy. Reorienting the
participation in client to the surroundings frequently is important but not
all social activi- the priority at this time.
ties.
3. Incorrect: During the initial treatment period, the client
4. Assign same may display hostility or angry, defensive behaviors which
staff to provide make group activities inappropriate. Eventually the client
client care daily. can be encouraged to participate in reality-based events
but not in this early phase.)
3. Which statement 3. "It is hard not to be able to care for yourself."
made by the
nurse is ther- (3. Correct: This statement shows a recognition of the
apeutic when client's feelings.
the client, who
has experienced 1. Incorrect: Changing the topic is a nontherapeutic re-
deficits from a sponse.
recent cerebral
vascular acci- 2. Incorrect: This statement deflects the client's feelings.
dent, tearfully
states, "I can no 4. Incorrect: This statement is condescending and may not
longer care for be true for this client.)
myself."?
1. "Right now, I
, NCLEX Psychiatric Exam test with 100% Verified Solutions
am going to help
you get dressed
and eat break-
fast."
2. "You have to
focus on the pos-
itive things in
your life."
3. "It is hard not
to be able to care
for yourself."
4. "All you need
is some physical
therapy and you
will be back to
normal soon."
4. A psychiatric 4. "Tell me more about what you saw."
client tells the
day shift nurse, (4. Correct: This open ended question allows for exploring
"The night nurs- the idea the client has. This statement does not accuse
es have been anyone or deny the possibility of stealing. This statement
stealing from all allows the nurse to remain nonthreatening and nonjudg-
of us while we are mental.
sleeping." What
is the nurse's 1. Incorrect: This response shows disapproval. This state-
best response? ment could make the client feel uncomfortable and seem
like the nurse is taking the side of the other nurses.
1. "Can you prove
what the nurses 2. Incorrect: This response is disagreeing with the client.
are stealing?" This is a closed-ended statement that does not allow the
client to discuss this topic further. Since the nurse has said
2. "No nurse no nurse would steal then the client most likely will become
working here defensive.
would steal."
, NCLEX Psychiatric Exam test with 100% Verified Solutions
3. "You must 3. Incorrect: This response is defending. It also makes the
have misunder- client feel that the nurse does not believe them.)
stood what you
were seeing."
4. "Tell me more
about what you
saw."
5. A client admit- 1. Clients can receive and send mail, but staff must check
ted to the in- for hazards.
patient mental
health unit asks (1. Correct: Clients are allowed to send and receive mail.
if mail can be re- Mail must be checked for hazards to protect the client and
ceived from fam- the safety of others on the unit.
ily. Which state-
ment by the 2. Incorrect: This statement indicates lack of understand-
nurse indicates ing of client's rights. This includes the right to send and
adequate under- receive "sealed, unopened, uncensored mail." If the client
standing of client is present, staff may open and check mail for contraband,
rights? but may not read it. The superintendent, director, or de-
signee of the superintendent or director must document
1. Clients can re- with specific facts the reason for opening the mail.
ceive and send
mail, but staff 3. Incorrect: This statement indicates lack of understand-
must check for ing of client's rights on the mental health unit.
hazards.
4. Incorrect: The client has a right to send and receive mail
2. Clients are not throughout their hospital stay.)
allowed to re-
ceive mail while
hospitalized.
3. Receiving mail
from family is not
encouraged.
4. Clients are al-
lowed to send or
1. A client with 4. An absentee ballot from the polling place can be ob-
a history of tained.
schizophrenia is
currently being (4. Correct: There are very few reasons that a United
treated in a men- States citizen would lose the right to vote in any election,
tal health facility. and those few are mostly legal violations. A client who is
The client wants hospitalized, whether in a medical or psychiatric facility,
to vote in an up- still retains the right to vote. The nurse, or facility designee,
coming election. must advocate for this client by obtaining an absentee
The nurse under- ballot, following the laws of that state, and is required to
stands what is provide privacy for the client to complete that ballot.
true about the le-
gality of this ac- 1. Incorrect: The primary healthcare provider has no au-
tion? thority over the client's ability to cast a vote. Regardless
of any mental health diagnosis, this client still retains the
1. Primary health- legal right to vote in any election. In fact, notifying the
care provider can primary healthcare provider of the client's intent to vote
decide if client violates the client's privacy.
may vote.
2. Incorrect: Whether a client takes medication does not
2. Psychiatric affect the client's right to cast a ballot in any election.
clients cannot Refusing this client, the right to vote based on medication
vote if taking use would be considered discriminatory.
medication.
3. Incorrect: A lawyer is not required to approve either
3. A lawyer must the client's voting rights, or the completed ballot. In fact,
approve the fin- having anyone else look at the client's ballot would be a
ished ballot. violation and is definitely illegal. A client's ballot is private
and protected by both state and federal law.)
4. An absentee
ballot from the
polling place can
be obtained.
2. The nurse is de- 4. Assign same staff to provide client care daily.
veloping the plan
of care for a (4. Correct: Schizophrenia is a group of psychotic disor-
newly admitted ders characterized by thought disturbances, bizarre be-
client diagnosed haviors and social withdrawal. Because of the numerous
, NCLEX Psychiatric Exam test with 100% Verified Solutions
with schizophre- emotional and psychologic dysfunctions, there are many
nia. What goal possible goals. However, the priority objective is to help
would the nurse the client develop a trusting relationship in order to achieve
consider a priori- other goals. Assigning the same staff to provide care daily
ty for this client? is the first step toward that objective.
1. Schedule 1. Incorrect: Clients with schizophrenia tend to self-isolate
alone time for due to paranoid thoughts or hallucinations. Social with-
client to relax. drawal is a problem with these individuals and should not
be encouraged by the nurse. Relaxation is not a priority
2. Frequently re- goal for this client.
orient the client
to surroundings. 2. Incorrect: This client was just admitted with schizophre-
nia. Getting this disorder under control will take some time,
3. Encourage requiring both medications and therapy. Reorienting the
participation in client to the surroundings frequently is important but not
all social activi- the priority at this time.
ties.
3. Incorrect: During the initial treatment period, the client
4. Assign same may display hostility or angry, defensive behaviors which
staff to provide make group activities inappropriate. Eventually the client
client care daily. can be encouraged to participate in reality-based events
but not in this early phase.)
3. Which statement 3. "It is hard not to be able to care for yourself."
made by the
nurse is ther- (3. Correct: This statement shows a recognition of the
apeutic when client's feelings.
the client, who
has experienced 1. Incorrect: Changing the topic is a nontherapeutic re-
deficits from a sponse.
recent cerebral
vascular acci- 2. Incorrect: This statement deflects the client's feelings.
dent, tearfully
states, "I can no 4. Incorrect: This statement is condescending and may not
longer care for be true for this client.)
myself."?
1. "Right now, I
, NCLEX Psychiatric Exam test with 100% Verified Solutions
am going to help
you get dressed
and eat break-
fast."
2. "You have to
focus on the pos-
itive things in
your life."
3. "It is hard not
to be able to care
for yourself."
4. "All you need
is some physical
therapy and you
will be back to
normal soon."
4. A psychiatric 4. "Tell me more about what you saw."
client tells the
day shift nurse, (4. Correct: This open ended question allows for exploring
"The night nurs- the idea the client has. This statement does not accuse
es have been anyone or deny the possibility of stealing. This statement
stealing from all allows the nurse to remain nonthreatening and nonjudg-
of us while we are mental.
sleeping." What
is the nurse's 1. Incorrect: This response shows disapproval. This state-
best response? ment could make the client feel uncomfortable and seem
like the nurse is taking the side of the other nurses.
1. "Can you prove
what the nurses 2. Incorrect: This response is disagreeing with the client.
are stealing?" This is a closed-ended statement that does not allow the
client to discuss this topic further. Since the nurse has said
2. "No nurse no nurse would steal then the client most likely will become
working here defensive.
would steal."
, NCLEX Psychiatric Exam test with 100% Verified Solutions
3. "You must 3. Incorrect: This response is defending. It also makes the
have misunder- client feel that the nurse does not believe them.)
stood what you
were seeing."
4. "Tell me more
about what you
saw."
5. A client admit- 1. Clients can receive and send mail, but staff must check
ted to the in- for hazards.
patient mental
health unit asks (1. Correct: Clients are allowed to send and receive mail.
if mail can be re- Mail must be checked for hazards to protect the client and
ceived from fam- the safety of others on the unit.
ily. Which state-
ment by the 2. Incorrect: This statement indicates lack of understand-
nurse indicates ing of client's rights. This includes the right to send and
adequate under- receive "sealed, unopened, uncensored mail." If the client
standing of client is present, staff may open and check mail for contraband,
rights? but may not read it. The superintendent, director, or de-
signee of the superintendent or director must document
1. Clients can re- with specific facts the reason for opening the mail.
ceive and send
mail, but staff 3. Incorrect: This statement indicates lack of understand-
must check for ing of client's rights on the mental health unit.
hazards.
4. Incorrect: The client has a right to send and receive mail
2. Clients are not throughout their hospital stay.)
allowed to re-
ceive mail while
hospitalized.
3. Receiving mail
from family is not
encouraged.
4. Clients are al-
lowed to send or
