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Nursing Practice Test V – Set A

May 26, 2009 by Admin · 63 Comments  · Email This Post Email This Post · Print This Post Print This Post

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1.    A male client with dementia often assaults the nursing staff, and the staff decides to develop a plan that will make this client’s personal care less of a problem. The plan should include:





2.    Nurse Chris recognizes that a father’s sexual abuse of a 13-year-old daughter was probably motivated by his:





3.    According to Erikson, an individual who fails to master the maturational crisis of adolescence will most often:





4.    The psychotherapeutic theory that uses hypnosis, dream interpretation, and free association as methods to release repressed feelings is the:





5.    It would be most helpful for the nurse to deal with a male client with severe anxiety by:





6.    A 30 year old client newly diagnosed with breast cancer is pacing, with rapid speech headache and inability to focus with what the doctor was saying. The nurse assesses the level of anxiety as:





7.    During the initial care of rape victims the following are to be considered EXCEPT:





8.    An 17 year old female was sexually attacked while on her way home from work. She is brought to the hospital by her mother. Rape is an example of which type of crisis:





9.    The male client on Haldol has pill rolling tremors and muscle rigidity. He is likely manifesting:





10.    A female client who are suspicious primarily use projection for which purpose:





11.    A 43 year old male client, is admitted in the ward because of bizarre behaviors. He is given a diagnosis of schizophrenia paranoid type. The client should have achieved the developmental task of:





12.    A teenage girl is diagnosed to have borderline personality disorder. Which manifestations support the diagnosis?





13.    The female client joins a support group and frequently preaches against abuse, is demonstrating the use of:





14.    A female client jumps up and throws a chair out of the window. He was restrained after his behavior can no longer be controlled by the staff. Which of these documentations indicates the safeguarding of the patient’s rights?





15.    Nurse Joy closely observes the client who has been displaying aggressive behavior. She observes that the client’s anger is escalating. Which approach is least helpful for the client at this time?





16.    Nurse Percy ensures a therapeutic environment for the client. Which of the following best describes a therapeutic milieu?





17.    A male client is arrogant and manipulative. In ensuring a therapeutic milieu, the nurse does one of the following:





Situation: A 28 year old writer is admitted for the second time accompanied by his wife. He is demanding, arrogant talked fast and hyperactive. (18-19). 18.    Initially the nurse Trizz should plan this for a manic client:





19.    An activity appropriate for the client is:





20.    Malingering is different from somatoform disorder because the former:





21.    Nurse Reese refers a client with severe anxiety to a psychiatrist for medication evaluation. The physician is most likely to prescribe which psychotropic drug regimen on a short-term basis?





22.    After seeking help at an outpatient mental health clinic, a client who was raped while walking her dog is diagnosed with posttraumatic stress disorder (PTSD). Three months later, the client returns to the clinic, complaining of fear, loss of control, and helpless feelings. Which nursing intervention is most appropriate for this client?





23.    Which of the following drugs have been known to be effective in treating obsessive-compulsive disorder (OCD)?





24.    A young man brought to the emergency department by a police officer states, "I don't know who or where I am." He has no identification but appears to be in good physical health. Physical examination reveals no evidence of trauma or other abnormal findings. He is admitted to the psychiatric unit for further evaluation and treatment. Nurse Irish anticipates that the client will react to his inability to recall his identity by exhibiting:





25.    Before eating a meal, a female client with obsessive-compulsive disorder (OCD) must wash his hands for 18 minutes, comb his hair 555 strokes, and switch the bathroom light on and off 55 times. What is the most appropriate goal of care for this client?





26.    Before the nurse Gio administers the first dose of lithium carbonate (Lithonate) to a client, she reviews information about the drug. Which statement accurately describes the metabolism and excretion of lithium?





27.    A female client chronically complains of being unappreciated and misunderstood by others. She is argumentative and sullen. She always blames others for her failure to complete work assignments. She expresses feelings of envy toward people she perceives as more fortunate. She voices exaggerated complaints of personal misfortune. The client most likely suffers from which of the following personality disorders?





28.    The nurse is aware that the most appropriate nursing diagnosis for a grieving family?





29.    An extremely agitated female client is brought to the psychiatric unit by her husband. He reports that she has been hospitalized several times for treatment of bipolar disorder and has spent thousands of dollars in the past week. The psychiatrist admits her to the unit for exacerbation of the manic phase of bipolar disorder. Which approach by nurse Noel would best promote a therapeutic relationship with this client?





30.    Nurse Lyka is caring for a client diagnosed with antisocial personality disorder. The client has a history of fighting, cruelty to animals, and stealing. Which of the following traits would the nurse be most likely to uncover during assessment?





31.    A dopamine receptor agonist such as bromocriptine (Parlodel) relieves muscle rigidity caused by antipsychotic medication by:





32.    Nurse Myrna is preparing for the discharge of a client who has been hospitalized for paranoid schizophrenia. The client's husband expresses concern over whether his wife will continue to take her daily prescribed medication. The nurse should inform him that:





33.    Which nonantipsychotic medication is used to treat some clients with schizoaffective disorder?





34.    Nurse Britney is providing care for a female client with a history of schizophrenia who's experiencing hallucinations. The physician orders 200 mg of haloperidol (Haldol) orally or I.M. every 4 hours as needed. What is the nurse's best action?





35.    Nurse Jasmine is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should:





36.    Victims of domestic violence should be assessed for what important information?





37.    Nurse Lissa is caring for an adolescent female who reports amenorrhea, weight loss, and depression. Which additional assessment finding would suggest that the woman has an eating disorder?





38.    Tourette syndrome is characterized by the presence of multiple motor and vocal tics. A vocal tic that involves repeating one's own sounds or words is known as:





39.    Which outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?





40.    A male client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but he can control his use if he chooses. Which coping mechanism is he using?





41.    Nurse Ron should know that the most common side effects of regular cocaine use include:





42.    To increase the self-esteem of a client with schizophrenia, Nurse Michael should plan to:





43.    The desensitization method that has been used successfully with clients experiencing phobias focuses on:





44.    A female client, who is clinically depressed, reports that she has not experienced sexual orgasm in the past 3 years. Nurse Rhea is aware that this common condition is best described as:





45.    When caring for a client with a major depression, Nurse Melinda usually has the most difficulty dealing with the:





46.    An adolescent, age 16, rarely expresses feelings and usually remains passive. However, when angry, her face becomes flushed and her blood pressure rises to 170/100 mm Hg. Her parents are passive and easygoing. The adolescent may be using which defense mechanism to handle anger?





47.    Which psychological or personality factor is most likely to predispose an individual to medication abuse?





48.    A 21-year-old male client diagnosed with antisocial personality disorder asks the nurse if he can have an additional smoke break because he's anxious. Which of the following responses would be best?





49.    A female client changes topics quickly while relating past psychiatric history. This client's pattern of thinking is called:





50.    What is a generally accepted criterion of mental health?







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Comments

63 Responses to “Nursing Practice Test V – Set A”
  1. hazel says:
    July 10, 2010 at 11:02 pm

    huhuh..konti lng nkuha ko.. pero ok lng atleast my nretained p din sa utak ko but i need to read more to enhance and gain more knowledge para mkapasa sa nle.. some tips nmn para mpadali ang pagsasagot ko. nhihirapan kc ako ..tnx po

    Reply
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