NCLEX 3500 Psychiatric Health Exam And Answers.

NCLEX 3500 Psychiatric Health Exam
And Answers




1) A recent diagnosis of cancer has caused a client severe anxiety. The nursing care plan should include which
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interventions - correct answers- Maintain a calm, nonthreatening environmente e e e e e e e




- Encourage the client to verbalize her concerns regarding the diagnosis
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- Encourage the client to use deep-breathing exercises and other relaxation techniques during periods of
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increased stress e




3) A client on the behavioral health unit tells the nurse that she experiences palpitations, trembling, and
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nausea while traveling alone, outside her home. These symptoms have severely limited her ability to function
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and have caused her to avoid leaving home whenever possible. The nurse recognizes that this client has
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symptoms of what disorder? - correct answersAgoraphobia
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4) A client is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive symptoms.
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Obsessive-compulsive disorder (OCD) is associated with: - correct answersrepetitive thoughts and recurring, e e e e e e e e e e e e




irresistible impulses e




5) A client admitted to the psychiatric unit for treatment of a panic attack comes to the nurses' station in
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obvious distress. After finding the client short of breath, dizzy, trembling, and nauseated, the nurse should
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first - correct answersescort the client to a quiet area and suggest using a relaxation exercise that he's been
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taught

, Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices
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that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse
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do? - correct answersEvaluate the client for adverse reactions to haloperidol.
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The nurse is caring for a client with bulimia. Strict management of dietary intake is necessary. Which
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intervention is also important? - correct answersLet the client choose her own food. If she eats everything she
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orders, then stay with her for 1 hour after each meal.
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Which of the following statements describes how elderly clients react to medications? - correct answersAt
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risk for increased adverse effects
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Initial interventions for the client with acute anxiety would not include - correct answerstouching the client in
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an attempt to comfort him
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The nurse is caring for a client with antisocial personality disorder. Which statement is most appropriate for
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the nurse to make when explaining unit rules and expectations to the client? - correct answers"You'll be
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expected to attend group therapy each day." e e e e e e




The nurse has developed a relationship with a client who has an addiction problem. Which information would
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indicate that the therapeutic interaction is in the working stage? - correct answersThe client addresses how
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the addiction has contributed to family distress.
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The client verbalizes difficulty identifying personal strengths.
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The client acknowledges the addiction's effects on the children.
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A client, age 36, with paranoid schizophrenia believes the room is bugged by the Central Intelligence Agency
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and that his roommate is a foreign spy. The client has never had a romantic relationship, has no contact with
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family members, and hasn't been employed in the last 14 years. Based on Erikson's theories, the nurse should
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recognize that this client is in which stage of psychosocial development? - correct answersTrust versus
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mistrust



Which of the following medical conditions is commonly found in clients with bulimia nervosa? - correct
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answersDiabetes mellitus e