Psychiatric Mental Health Nursing
NCLEX Review Questions Set 1
A sixteen-12 months-antique girl is admitted for her first psychotic destroy. Her mother and
father feel very guilty. What is your quality nursing response?
A. No one actually is aware of the reason of schizophrenia. It is not your fault and is not due
to anything you did in the past. It is crucial to apprehend this, to aid your daughter, and to
find support for yourselves.
B. Does every body to your circle of relatives have schizophrenia, as this disease is
understood to be genetic?
C. You may sense horrific now, but there are such a lot of different terrible matters available,
together with cancer and paralysis.
D. Let me percentage with you some web sites to help you cope with your guilt. - ANS-A. No
one actually knows the purpose of schizophrenia. It isn't your fault and is not due to anything
you did within the beyond. It is vital to recognize this, to assist your daughter, and to discover
help for yourselves.
Reason: Schizophrenia has a multifocal foundation and its reason might also encompass a
genetic thing. Support is needed for both patients and caregivers.
A 21-12 months-antique patient has a analysis of schizophrenia and is stuporous, yet
reveals surprising, immoderate motor pastime with repetitive take a seat-ups. What is that
this behavior known as?
A. Delusional.
B. Hallucinogenic.
C. Paranoid.
D. Catatonic. - ANS-D. Catatonic.
Reason: Catatonic schizophrenia happens suddenly and consists of motor immobility or
excessive motor hobby.
A 22-12 months-old girl is admitted to the unit following a suicide attempt. She has a 2-week
records of despair as well as a history of abusing a couple of materials and anorexia
nervosa. What is your first nursing precedence?
A. Socialization.
B. Contracting for ingesting behavior.
C. Safety.
D. Administering the Beck depression scale. - ANS-C. Safety.
Reason: Safety is the major principle underlying psychiatric nursing.
A 22-yr-vintage female changed into admitted to the intellectual health unit with primary
despair and suicidal ideation. She has a history of cutting her wrists intermittently all through
, the last 2 years. On days 1 and a couple of, the affected person remains in her room and
eats handiest 20% of her food. On day three, she eats 80% of her food and is speaking to
others in organization. The nurse need to consider that the affected person is
A. Showing development.
B. Highly suicidal.
C. Exhibiting temper swings.
D. In need of electroshock therapy. - ANS-A. Showing development.
Reason: The affected person development is primarily based on accelerated socialization
and expanded appetite.
A 35-12 months-vintage male patient has been added to your sanatorium unit after making a
suicide attempt at his place of job. Which of the following interventions can you legally
enforce?
A. Call the patient's female friend and tell her of his admission and travelling hours.
B. Physically search the affected person for weapons and harmful materials.
C. Call the affected person's boss at paintings and file him as in want of prolonged clinical go
away.
D. Place the patient in four-factor restraints and begin an IV for sedation. - ANS-B. Physically
search the patient for guns and harmful substances.
Reason: A suicide attempt is a serious and self-destructive behavior that demands searching
for weapons and dangerous materials to boom protection.
A forty eight-12 months-vintage Hispanic girl is seen with the aid of a psychiatric scientific
nurse expert after receiving a name with the aid of her son. According to the son, when you
consider that his father's death 7 months ago, his mother has lost 30 pounds and can't
sleep. During her preliminary visit, the patient states, 'My husband talks to me in his visits,
but his words make no experience to me. I do not recognize what he wishes me to do.' What
is the suitable nursing analysis?
A. Ineffective denial.
B. Bipolar temper disease.
C. Hyper-religiosity.
D. Grieving. - ANS-D. Grieving.
Reason: Grieving may be characterised by using weight loss, sleep disturbances, and
messages from beyond.
A hypomanic affected person tells you that she has been 'selecting up energy from my car
engine and car CD player' whilst driving and has received five dashing tickets within the
beyond 6 months. What could be one powerful intervention to keep away from fast using?
A. Make a settlement now not to power more than 55 miles in step with hour and drive with
the CD performed grew to become off.
B. Call the neighborhood police and alert them to the affected person's car registration code
quantity and the make and version of her automobile.
C. Ask the patient to "hand over the keys" to you, and inform her that now she ought to use a
cab or other public transportation till your subsequent consultation.
NCLEX Review Questions Set 1
A sixteen-12 months-antique girl is admitted for her first psychotic destroy. Her mother and
father feel very guilty. What is your quality nursing response?
A. No one actually is aware of the reason of schizophrenia. It is not your fault and is not due
to anything you did in the past. It is crucial to apprehend this, to aid your daughter, and to
find support for yourselves.
B. Does every body to your circle of relatives have schizophrenia, as this disease is
understood to be genetic?
C. You may sense horrific now, but there are such a lot of different terrible matters available,
together with cancer and paralysis.
D. Let me percentage with you some web sites to help you cope with your guilt. - ANS-A. No
one actually knows the purpose of schizophrenia. It isn't your fault and is not due to anything
you did within the beyond. It is vital to recognize this, to assist your daughter, and to discover
help for yourselves.
Reason: Schizophrenia has a multifocal foundation and its reason might also encompass a
genetic thing. Support is needed for both patients and caregivers.
A 21-12 months-antique patient has a analysis of schizophrenia and is stuporous, yet
reveals surprising, immoderate motor pastime with repetitive take a seat-ups. What is that
this behavior known as?
A. Delusional.
B. Hallucinogenic.
C. Paranoid.
D. Catatonic. - ANS-D. Catatonic.
Reason: Catatonic schizophrenia happens suddenly and consists of motor immobility or
excessive motor hobby.
A 22-12 months-old girl is admitted to the unit following a suicide attempt. She has a 2-week
records of despair as well as a history of abusing a couple of materials and anorexia
nervosa. What is your first nursing precedence?
A. Socialization.
B. Contracting for ingesting behavior.
C. Safety.
D. Administering the Beck depression scale. - ANS-C. Safety.
Reason: Safety is the major principle underlying psychiatric nursing.
A 22-yr-vintage female changed into admitted to the intellectual health unit with primary
despair and suicidal ideation. She has a history of cutting her wrists intermittently all through
, the last 2 years. On days 1 and a couple of, the affected person remains in her room and
eats handiest 20% of her food. On day three, she eats 80% of her food and is speaking to
others in organization. The nurse need to consider that the affected person is
A. Showing development.
B. Highly suicidal.
C. Exhibiting temper swings.
D. In need of electroshock therapy. - ANS-A. Showing development.
Reason: The affected person development is primarily based on accelerated socialization
and expanded appetite.
A 35-12 months-vintage male patient has been added to your sanatorium unit after making a
suicide attempt at his place of job. Which of the following interventions can you legally
enforce?
A. Call the patient's female friend and tell her of his admission and travelling hours.
B. Physically search the affected person for weapons and harmful materials.
C. Call the affected person's boss at paintings and file him as in want of prolonged clinical go
away.
D. Place the patient in four-factor restraints and begin an IV for sedation. - ANS-B. Physically
search the patient for guns and harmful substances.
Reason: A suicide attempt is a serious and self-destructive behavior that demands searching
for weapons and dangerous materials to boom protection.
A forty eight-12 months-vintage Hispanic girl is seen with the aid of a psychiatric scientific
nurse expert after receiving a name with the aid of her son. According to the son, when you
consider that his father's death 7 months ago, his mother has lost 30 pounds and can't
sleep. During her preliminary visit, the patient states, 'My husband talks to me in his visits,
but his words make no experience to me. I do not recognize what he wishes me to do.' What
is the suitable nursing analysis?
A. Ineffective denial.
B. Bipolar temper disease.
C. Hyper-religiosity.
D. Grieving. - ANS-D. Grieving.
Reason: Grieving may be characterised by using weight loss, sleep disturbances, and
messages from beyond.
A hypomanic affected person tells you that she has been 'selecting up energy from my car
engine and car CD player' whilst driving and has received five dashing tickets within the
beyond 6 months. What could be one powerful intervention to keep away from fast using?
A. Make a settlement now not to power more than 55 miles in step with hour and drive with
the CD performed grew to become off.
B. Call the neighborhood police and alert them to the affected person's car registration code
quantity and the make and version of her automobile.
C. Ask the patient to "hand over the keys" to you, and inform her that now she ought to use a
cab or other public transportation till your subsequent consultation.
