Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Anxiety & Mood Disorders Part 2
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Question 1 |
Family members of a client diagnosed with posttraumatic stress disorder tell the nurse they cannot understand why the client has this disorder, especially because the client did not directly experience a personal trauma. What is the most appropriate intervention by the nurse?
A | Advise them to obtain a second psychiatric evaluation. |
B | Ask them what they perceive the client’s problem to be. |
C | Explain the effect of learning about another’s experience. |
D | Identify the time period the client manifested symptoms. |
Question 2 |
The nurse is assessing the behavior of a client with hypomania. The nurse would expect the client to be:
A | on the verge of depression and crisis. |
B | indecisive and vacillating, with a diminished ability to think. |
C | irritable, with an elevated mood and symptoms of mania. |
D | disorganized, tending to exhibit impaired judgment. |
Question 3 |
A client with bipolar disorder is complaining of headache, agitation, and indigestion. The nurse understands that this client is most likely experiencing which of the following?
A | Depression |
B | Cyclothymia |
C | Hypomania |
D | Mania |
Question 4 |
A client with bipolar disorder tells the nurse that he has suddenly stopped taking his medication. The nurse assesses the client and is aware that which behavior would indicate the client is experiencing a manic episode?
A | Binge eating |
B | Relationship avoidance |
C | Sudden relocation |
D | Thoughtless spending |
Question 5 |
A client who is experiencing a manic episode has been admitted to the unit. What is the most important intervention by the nurse to provide adequate nutrition for the client?
A | Determine the client’s metabolic rate. |
B | Make the client sit down for each meal and snack. |
C | Give the client foods to be eaten while he’s active. |
D | Have the client interact with a dietician twice a week. |
Question 6 |
The nurse is providing discharge teaching for a client who will be taking lithium. The nurse determines that teaching was effective when the client states the need to notify the health care provider if he experiences:
A | black tongue. |
B | increased lacrimation. |
C | periods of excitability. |
D | persistent GI upset. |
Question 7 |
A client with bipolar disorder tells the nurse she just found out she is pregnant and is concerned because she takes lithium. What is the most important information for the nurse to provide the client?
A | Use of lithium usually results in serious congenital problems. |
B | Thyroid problems can occur in the first trimester of the pregnancy. |
C | Lithium causes severe urine retention and increased risk of toxicity. |
D | Women who take lithium are very likely to have a spontaneous abortion. |
Question 8 |
A nurse is teaching a client with bipolar disorder about the drug carbamazepine (Tegretol). The nurse determines teaching was effective when the client makes which statement?
A | “My hair will fall out if I take this drug.” |
B | “I will drink plenty of water so I don’t develop kidney problems.” |
C | “I need to have my blood counts checked periodically.” |
D | “I can’t take any other drugs with this one.” |
Question 9 |
A client who has just had electroconvulsive therapy (ECT) asks the nurse for a drink of water. What is the most important intervention by the nurse?
A | Take the client’s blood pressure. |
B | Monitor the gag reflex. |
C | Obtain a body temperature. |
D | Determine the level of consciousness. |
Question 10 |
The nurse is developing a plan of care for a client with bipolar disorder. It would be most important for the nurse to include which suggestion?
A | Obtain medication for sleep. |
B | Work on solving a problem. |
C | Exercise before bedtime. |
D | Develop a sleep ritual. |
Question 11 |
A nurse is providing teaching for a client with bipolar disorder who is scheduled for electroconvulsive therapy (ECT). The client asks the nurse if there are any adverse effects from the therapy. What is the best response by the nurse?
A | Cholestatic jaundice |
B | Hypertensive crisis |
C | Mouth ulcers |
D | Respiratory distress |
Question 12 |
The nurse needs to communicate with a client experiencing mania. It is most important for the nurse to do which of the following?
A | Address the client in a light and joking manner. |
B | Focus and redirect the conversation as necessary. |
C | Allow the client to talk about several different topics. |
D | Ask only open-ended questions to facilitate conversation. |
Question 13 |
A client with generalized anxiety disorder complains of a headache and upset stomach to the nurse. The nurse assesses the client and is aware that the client may:
A | have a variety of somatic complaints. |
B | experience an alteration in self-care skills. |
C | undergo unhealthy binge eating episodes. |
D | experience secondary gains from mental illness. |
Question 14 |
The effectiveness of monoamine oxidase inhibitor (MAOI) drug therapy in a client with posttraumatic stress disorder can be demonstrated by which client self-report?
A | “I’m sleeping better and don’t have nightmares.” |
B | “I’m not losing my temper as much.” |
C | “I’ve lost my craving for alcohol.” |
D | “I’ve lost my phobia for water.” |
Question 15 |
What is the major purpose of group therapy for adolescents who witnessed the violent death of a peer?
A | To learn violence prevention strategies |
B | To talk about appropriate expression of anger |
C | To discuss the effect of the trauma on their lives |
D | To develop trusting relationships among their peers |
Question 16 |
Which symptom of posttraumatic stress disorder can be treated with hypnosis?
A | Addiction |
B | Confabulation |
C | Dissociation |
D | Hallucinations |
Question 17 |
A nurse is assigned a client with anxiety disorder. What is the most appropriate intervention by the nurse to demonstrate caring?
A | Verbalize concern about the client. |
B | Arrange group activities for the client. |
C | Have the client sign the treatment plan. |
D | Hold psychoeducational groups on medications. |
Question 18 |
The nurse is aware that a client who has generalized anxiety disorder may also have which disorder?
A | Bipolar disorder |
B | Gender identity disorder |
C | Panic disorder |
D | Schizoaffective disorder |
Question 19 |
The nurse determines that nutritional teaching for a client with generalized anxiety disorder was successful when the client makes which statement?
A | “I’ve stopped drinking so much diet cola.” |
B | “I’ve reduced my intake of carbohydrates.” |
C | “I now eat less at dinner and before bedtime.” |
D | “I’ve cut back on my use of dairy products.” |
Question 20 |
A client with generalized anxiety disorder is refusing the prescribed benzodiazepine medication. What is the most likely explanation by the client for his response?
A | “I don’t think the psychiatrist likes me.” |
B | “I want to solve my problems on my own.” |
C | “The voices tell me that I don’t have to take the medication.” |
D | “I think my family gains by keeping me medicated.” |
Question 21 |
The nurse is assisting a client with generalized anxiety disorder in verbalizing feelings. What is important for the nurse to consider?
A | The client may intellectualize the anxiety. |
B | The client may regard the problem as genetic. |
C | The client may decide that verbalizing feelings isn’t beneficial. |
D | The client may believe only medications are useful. |
Question 22 |
The nurse is assessing a client with generalized anxiety disorder for muscle tension. The nurse anticipates that the client will display which symptom?
A | Difficulty sleeping |
B | Restlessness |
C | Strong startle response |
D | Tachycardia |
Question 23 |
What is the priority nursing action for a client with generalized anxiety disorder who is working to develop coping skills?
A | Determine whether the client has fears or obsessive thinking. |
B | Monitor the client for overt and covert signs of anxiety. |
C | Teach the client how to use effective communications skills. |
D | Assist the client to identify coping mechanisms used in the past. |
Question 24 |
The nurse is caring for a client who is experiencing escalating anxiety. What is the most appropriate intervention by the nurse?
A | Explore the client’s feelings about current life stressors. |
B | Have the client discuss the need to flee from painful situations. |
C | Encourage the client to develop a realistic view of self. |
D | Provide appropriate phone numbers for hotlines and clinics. |
Question 25 |
The nurse is teaching the family of an adult client about generalized anxiety disorder. It is most important for the nurse to do which of the following?
A | Explain how the family can handle the confusion related to memory loss. |
B | Teach the family to assist the client with coping strategies as needed. |
C | Teach the family how to cope with the client’s sudden and unexpected travel behavior. |
D | Have the family determine when and for what reasons the client should take medication. |
Question 26 |
A client with generalized anxiety disorder tells the nurse that he wants to stop taking his lorazepam (Ativan). What is the most appropriate response by the nurse?
A | “Stopping the drug may cause depression.” |
B | “Stopping the drug increases cognitive abilities.” |
C | “Stopping the drug decreases sleeping difficulties.” |
D | “Stopping the drug can cause withdrawal symptoms.” |
Question 27 |
A client taking alprazolam (Xanax) reports light-headedness and nausea every day while getting out of bed. What is the most important action by the nurse?
A | Take the client’s blood pressure. |
B | Monitor body temperature. |
C | Teach the Valsalva maneuver. |
D | Obtain a blood chemical profile. |
Question 28 |
The nurse anticipates that an adult client with a long-standing history of generalized anxiety disorder would most likely make which statement?
A | “I was, and still am, an impulsive person.” |
B | “I’ve always been hyperactive but not in useful ways.” |
C | “When I was in college, I never thought I would finish.” |
D | “All my life I’ve had intrusive dreams and scary nightmares.” |
Question 29 |
Five days after running out of medication, a client taking clonazepam (Klonopin) says to the nurse, “I know I shouldn’t have just stopped the drug like that, but I’m OK.” What is the most appropriate response by the nurse?
A | “Let’s monitor you for problems, in case something else happens.” |
B | “You could go through withdrawal symptoms for up to 2 weeks.” |
C | “You have handled your anxiety, and you now know how to cope with stress.” |
D | “If you’re fine now, chances are you won’t experience withdrawal symptoms.” |
Question 30 |
The nurse is talking to a child with generalized anxiety disorder about school. The nurse anticipates that:
A | the child has been fighting with peers for the past month. |
B | the child can’t stop lying to parents and teachers. |
C | the child has gained 15 lb (6.8 kg) in the past month. |
D | the child expresses concerns about grades. |
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