Psych NUR 211 Practice Questions with
Accurate Answers
A 15-year-old boy was hospitalized in a psychiatric unit because he initiates
frequent fights with peers. Which implementation is most appropriate?
A
Anticipate and neutralize potentially explosive situations.
B
Ignore minor infractions of rules against fighting.
C
Isolate the adolescent from contact with peers.
D
Talk to the adolescent each time fighting occurs. correct answer A
The nurse is responsible for maintaining a safe environment; therefore, it would
be appropriate to observe for signs that an explosive situation is developing and
to intervene to neutralize the situation, thereby preventing a fight. Ignoring minor
infractions of rules against fighting on a psychiatric unit would not be a minor
infraction and should not be ignored. This could lead to unsafe situations that
could escalate out of control. Isolation and seclusion are methods of intervention
that can be used as a last resort after less restrictive means are employed. Talking
to the adolescent each time a fight occurs does not indicate that the nurse is
setting and enforcing clear, consistent rules. The nurse needs to maintain safety
and would not allow fighting to occur if it could be avoided.
A 20-year old college student has been brought to the psychiatric hospital by her
parents. Her admitting diagnosis is borderline personality disorder. When talking
with the parents, which information would the nurse expect to be included in the
client's history? Select all that apply.
A
,Impulsiveness
B
Lability of mood
C
Ritualistic behavior
D
psychomotor retardation
E
Self-destructive behavior correct answer A,B,E
A client with a diagnosis of borderline personality disorder has negative feelings
toward the other clients on the unit and considers them all to be "bad." The nurse
understands this defense is known as:
A
Splitting
B
Ambivalence
C
Passive aggression
D
Reaction formation correct answer A
Splitting is the compartmentalization of opposite-affect states and failure to
integrate the positive and negative aspects of self or others.
A client with a diagnosis of narcissistic personality disorder has been given a day
pass from the psychiatric hospital. The client is due to return at 6pm. At 5pm the
,client telephones the nurse in charge of the unit and says "6 o'clock is too early. I
feel like coming back at 7:30." The nurse would be most therapeutic by telling the
client to:
A
Return immediately, to demonstrate control
B
Return on time or restrictions will be imposed
C
Come back at 6:45, as a compromise to set limits
D
Come back as soon as possible or the police will be sent correct answer B
This sets limits, points out reality, and places responsibility for behavior on the
client.
A client with antisocial personality disorder was admitted in a unit at Nurseslabs
Hospital. The newly admitted client stole money from an elderly in the unit.
Which of the following is the most appropriate for the nurse to say to this client?
"Why did you take the money?"
"Let's talk about how you felt when you took the money."
"The consequences of stealing are loss of privileges."
"This client is defenseless against you." correct answer "The consequences of
stealing are loss of privileges."
, The most appropriate response is to reinforce the consequences of behavior that
disregard the rights of others. Option A is incorrect because this client is likely to
rationalize and excuse the behavior. Option B is also incorrect because the nurse
should not encourage the client to provide excuses or explanations of behaviors
that are clearly against the rules. A client with antisocial personality disorder is
unlikely to have compassion for others and typically lacks respect for the rights of
others.
A client with antisocial personality is trying to convince a nurse that he deserves
special privileges and that an exception to the rules should be made for him.
Which of the following responses is the most appropriate?
A
"I believe we need to sit down and talk about this."
B
"Don't you know better than to try to bend the rules?"
C
"What you're asking me to do is unacceptable."
D
"Why don't you bring this request to the community meeting?" correct answer C
These clients often try to manipulate the nurse to get special privileges or make
exceptions to the rules on their behalf. By informing the client directly when
actions are inappropriate, the nurse helps the client learn to control unacceptable
behaviors by setting limits. By sitting down to talk about the request, the nurse is
telling the client there's room for negotiating when there is none.
A client with avoidant personality disorder says occupational therapy is boring
and doesn't want to go. Which action would be best?
Accurate Answers
A 15-year-old boy was hospitalized in a psychiatric unit because he initiates
frequent fights with peers. Which implementation is most appropriate?
A
Anticipate and neutralize potentially explosive situations.
B
Ignore minor infractions of rules against fighting.
C
Isolate the adolescent from contact with peers.
D
Talk to the adolescent each time fighting occurs. correct answer A
The nurse is responsible for maintaining a safe environment; therefore, it would
be appropriate to observe for signs that an explosive situation is developing and
to intervene to neutralize the situation, thereby preventing a fight. Ignoring minor
infractions of rules against fighting on a psychiatric unit would not be a minor
infraction and should not be ignored. This could lead to unsafe situations that
could escalate out of control. Isolation and seclusion are methods of intervention
that can be used as a last resort after less restrictive means are employed. Talking
to the adolescent each time a fight occurs does not indicate that the nurse is
setting and enforcing clear, consistent rules. The nurse needs to maintain safety
and would not allow fighting to occur if it could be avoided.
A 20-year old college student has been brought to the psychiatric hospital by her
parents. Her admitting diagnosis is borderline personality disorder. When talking
with the parents, which information would the nurse expect to be included in the
client's history? Select all that apply.
A
,Impulsiveness
B
Lability of mood
C
Ritualistic behavior
D
psychomotor retardation
E
Self-destructive behavior correct answer A,B,E
A client with a diagnosis of borderline personality disorder has negative feelings
toward the other clients on the unit and considers them all to be "bad." The nurse
understands this defense is known as:
A
Splitting
B
Ambivalence
C
Passive aggression
D
Reaction formation correct answer A
Splitting is the compartmentalization of opposite-affect states and failure to
integrate the positive and negative aspects of self or others.
A client with a diagnosis of narcissistic personality disorder has been given a day
pass from the psychiatric hospital. The client is due to return at 6pm. At 5pm the
,client telephones the nurse in charge of the unit and says "6 o'clock is too early. I
feel like coming back at 7:30." The nurse would be most therapeutic by telling the
client to:
A
Return immediately, to demonstrate control
B
Return on time or restrictions will be imposed
C
Come back at 6:45, as a compromise to set limits
D
Come back as soon as possible or the police will be sent correct answer B
This sets limits, points out reality, and places responsibility for behavior on the
client.
A client with antisocial personality disorder was admitted in a unit at Nurseslabs
Hospital. The newly admitted client stole money from an elderly in the unit.
Which of the following is the most appropriate for the nurse to say to this client?
"Why did you take the money?"
"Let's talk about how you felt when you took the money."
"The consequences of stealing are loss of privileges."
"This client is defenseless against you." correct answer "The consequences of
stealing are loss of privileges."
, The most appropriate response is to reinforce the consequences of behavior that
disregard the rights of others. Option A is incorrect because this client is likely to
rationalize and excuse the behavior. Option B is also incorrect because the nurse
should not encourage the client to provide excuses or explanations of behaviors
that are clearly against the rules. A client with antisocial personality disorder is
unlikely to have compassion for others and typically lacks respect for the rights of
others.
A client with antisocial personality is trying to convince a nurse that he deserves
special privileges and that an exception to the rules should be made for him.
Which of the following responses is the most appropriate?
A
"I believe we need to sit down and talk about this."
B
"Don't you know better than to try to bend the rules?"
C
"What you're asking me to do is unacceptable."
D
"Why don't you bring this request to the community meeting?" correct answer C
These clients often try to manipulate the nurse to get special privileges or make
exceptions to the rules on their behalf. By informing the client directly when
actions are inappropriate, the nurse helps the client learn to control unacceptable
behaviors by setting limits. By sitting down to talk about the request, the nurse is
telling the client there's room for negotiating when there is none.
A client with avoidant personality disorder says occupational therapy is boring
and doesn't want to go. Which action would be best?
