Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Anxiety & Mood Disorders Part 1
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Anxiety & Mood Disorders Part 1.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
Select the statement most typical of a client experiencing periodic panic attacks.
A | “Yesterday, I sat up in bed and just felt so scared.” |
B | “I have difficulty sleeping because I’m so anxious.” |
C | “Sometimes, I have the most wild and vivid dreams.” |
D | “When I drink beer, I fall asleep without any problems.” |
Question 2 |
The nurse is caring for a client diagnosed with posttraumatic stress disorder. The client tells the nurse, “My family doesn’t believe anything about posttraumatic stress disorder.” What is the most appropriate intervention by the nurse?
A | Provide the family with information. |
B | Teach the family about problem solving. |
C | Discuss the family’s view of the problem. |
D | Assess for the presence of family violence. |
Question 3 |
While caring for a client with posttraumatic stress disorder, the family notices that loud noises cause a serious anxiety response. What is the best explanation for the nurse to give the family?
A | Environmental triggers can cause the client to become hyperaroused and have exaggerated startle reactions. |
B | Clients commonly experience extreme fear about normal environmental stimuli. |
C | After a trauma, the client can’t respond to stimuli in an appropriate manner. |
D | The response indicates that another emotional problem needs investigation. |
Question 4 |
What is the primary psychological symptom a nurse should expect to find in a hospitalized client who is the lone survivor of a train collision?
A | Denial |
B | Indifference |
C | Perfectionism |
D | Trust |
Question 5 |
A client is suffering from posttraumatic stress disorder and says, “I’ve decided to just avoid everything and everyone.” The nurse suspects the client is at greatest risk for which of the following?
A | Becoming homeless |
B | Exhausting finances |
C | Terminating employment |
D | Using substances |
Question 6 |
What is the best therapeutic technique to use when speaking with a client with posttraumatic stress disorder about the trauma?
A | Obtain validation of what the client says from another party. |
B | Request that the client write down what’s being said. |
C | Ask questions to convey an interest in the details. |
D | Listen attentively and remain with the client. |
Question 7 |
A client’s survivor guilt is best indicated by which statement?
A | “I think I can see the purpose of my survival.” |
B | “I can’t help but feel that everything is their fault.” |
C | “I now understand why I’m not able to forgive myself.” |
D | “I wish I could stop sabotaging my family relationships.” |
Question 8 |
What is the best nursing action to assist a client with posttraumatic stress disorder and his family to handle interpersonal conflict at home?
A | Have the family teach the client to identify defensive behaviors. |
B | Have the family discuss how to change dysfunctional family patterns. |
C | Have the family agree not to tell the client what to do about problems. |
D | Have the family arrange for the client to participate in social activities. |
Question 9 |
The nurse is teaching a client with posttraumatic stress about relationships. What is the most important information for the nurse to provide?
A | Encourage the client to resume former roles as soon as possible. |
B | Assess the client’s discomfort when talking about feelings to family members. |
C | Explain that avoiding emotional attachment protects against anxiety. |
D | Warn the client that he’ll have a tendency to be overdependent in relationships. |
Question 10 |
The nurse is planning care for a client with posttraumatic stress disorder who states that the experience was “bad luck.” What is the most important intervention for the nurse to include?
A | Encourage the client to verbalize the experience. |
B | Assist the client in defining the experience as a trauma. |
C | Work with the client to take steps to move on with life. |
D | Help the client accept positive and negative feelings. |
Question 11 |
The nurse suspects a client may have posttraumatic stress disorder. It would be most important for the nurse to assess the client for which of the following?
A | Eating disorder |
B | Schizophrenia |
C | Suicide |
D | “Sundown” syndrome |
Question 12 |
A client with generalized anxiety disorder states, “I’m afraid I’m going to die from cancer. My mother had cancer.” What is the most appropriate response by the nurse?
A | “We all live in fear of dying from cancer.” |
B | “Did your father also have cancer?” |
C | “I wouldn’t worry about it just yet. You seem to be in good health.” |
D | “Has something happened that is causing you to worry?” |
Question 13 |
A client with a history of panic attacks tells the nurse, “I feel so trapped,” right after an attack. The nurse determines that the client is most likely expressing which fear?
A | Loss of control |
B | Loss of identity |
C | Loss of memory |
D | Loss of maturity |
Question 14 |
A nurse who is caring for a client with panic disorder receives an order for alprazolam (Xanax) from the physician. The nurse reviews the clients chart and determines further intervention is needed when the medical history includes:
A | intermittent insomnia. |
B | acute-angle glaucoma. |
C | seizure disorder. |
D | tartrazine hypersensitivity. |
Question 15 |
What is the most important nursing intervention to include in the plan of care for a client experiencing an acute panic attack?
A | Tell the client to take deep breaths. |
B | Have the client talk about the anxiety. |
C | Encourage the client to verbalize feelings. |
D | Ask the client about the cause of the attack. |
Question 16 |
The nurse is teaching a client and family about the management of panic attacks. What is the most important information for the nurse to include?
A | Identifying when anxiety is escalating |
B | Determining how to stop a panic attack |
C | Addressing strategies to reduce physical pain |
D | Preventing the client from depending on others |
Question 17 |
What is the most important question for a nurse to ask a client with agoraphobia?
A | How realistic are your goals? |
B | Are you able to go shopping? |
C | Do you struggle with impulse control? |
D | Who else in your family has panic disorder? |
Question 18 |
The nurse has been working with a female client who is interested in lifestyle changes as behavior modification to treat her panic attacks. What is the most important information for the nurse to tell the client?
A | Cigarettes can trigger panic episodes. |
B | Fermented foods can cause panic attacks. |
C | Hormonal therapy can induce panic attacks. |
D | Tryptophan can predispose a person to panic attacks. |
Question 19 |
What is the priority nursing intervention when caring for a client with a panic disorder?
A | Make the client role-play the panic attack. |
B | Assist the client to develop an exercise program. |
C | Teach the client to identify cognitive distortions. |
D | Teach the client to identify sources of anxiety. |
Question 20 |
The nurse explains that the therapeutic action of tricyclic antidepressants (TCAs) for clients experiencing posttraumatic stress disorder is to:
A | prevent hyperactivity and purposeless movements. |
B | increase the client’s ability to concentrate. |
C | help prevent experiencing the trauma again. |
D | facilitate the grieving process. |
Question 21 |
The nurse is planning care for a client with panic disorder. What is the most appropriate nursing intervention?
A | Identify childhood trauma. |
B | Monitor nutritional intake. |
C | Institute suicide precautions. |
D | Monitor episodes of disorientation. |
Question 22 |
Which group therapy intervention is of primary importance to a client with panic disorder?
A | Explore how secondary gains are derived from the disorder. |
B | Discuss new ways of thinking and feeling about panic attacks. |
C | Work to eliminate manipulative behavior used for meeting needs. |
D | Learn the risk factors and other demographics associated with panic disorder. |
Question 23 |
The nursing team members planning care for a client with social phobia would primarily address which symptom?
A | Self-harm |
B | Poor self-esteem |
C | Compulsive behavior |
D | Avoidance of social situations |
Question 24 |
A client with social phobia is most likely to make which statement?
A | “Without people around, I just feel so lost.” |
B | “There’s nothing wrong with my behavior.” |
C | “I like to be the center of attention.” |
D | “I know I can’t accept that award for my brother.” |
Question 25 |
The nurse is aware that socially phobic clients typically fear which event?
A | Dental procedures |
B | Meeting strangers |
C | Being bitten by a dog |
D | Having a car collision |
E | A |
Question 26 |
A client with a phobic disorder would benefit most from which individual counseling approach?
A | Have the client keep a daily journal. |
B | Help the client identify the source of the anxiety. |
C | Teach the client effective ways to problem solve. |
D | Develop strategies to prevent the client from using substances. |
Question 27 |
The nurse is aware that the behaviors of clients with phobias can best be modified using:
A | aversion therapy. |
B | imitation or modeling. |
C | positive reinforcement. |
D | systematic desensitization. |
Question 28 |
Which statement best describes the need for a strong support system when teaching the client and family about phobias?
A | The use of a family support system is only temporary. |
B | The need to be assertive can be reinforced by the family. |
C | The family needs to set limits on inappropriate behaviors. |
D | The family plays a role in promoting client independence. |
Question 29 |
What is the nursing intervention of primary importance during the administration of paroxetine (Paxil) to the depressed client with a phobic disorder?
A | Monitor renal function. |
B | Determine electrocardiogram (ECG) changes. |
C | Assess for sleeping difficulties. |
D | Observe for extrapyramidal symptoms. |
Question 30 |
Which statement indicates a positive response about treatment progress from the client diagnosed with panic disorder with agoraphobia?
A | “I went to the mall with my friend last Saturday.” |
B | “I’m hyperventilating only when I have a panic attack.” |
C | “Today, I decided that I can stop taking my medication.” |
D | “Last night, I decided to eat more than a bowl of cereal.” |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Personality Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Essentials Of Psychiatric Care
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Eating Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Anxiety & Mood Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Anxiety & Mood Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Schizophrenic & Delusional Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Schizophrenic & Delusional Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Sexual & Gender İdentity Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Substance Abuse Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Somatoform & Sleep Disorders Part 2