Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Cognitive Disorders Part 2
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Question 1 |
The nurse is giving a report to the nurse on the next shift. Which description of a client’s experience and behavior can be shared as an example of the client experiencing an illusion?
A | “The client tried to push me away, hit me, and cursed at me every time I went into the room to take vital signs.” |
B | “Repeatedly the client yelled, ‘I keep hearing my mother’s voice telling me to get dressed and run away.’” |
C | “Whenever I went to leave the room, the client became anxious and grabbed my hand and begged me to stay.” |
D | “Every time the client looked at the shadows on a wall she said, ‘There are frightening faces on that wall.’” |
Question 2 |
For a client with dementia who lives in a long-term care facility, which outcome takes the highest nursing care priority?
A | Maintaining the client’s optimal level of functioning |
B | Identifying coping methods the client can use to handle stress |
C | Facilitating client conversation with five people each day |
D | Having the client use physical activity to work off aggressive energy |
Question 3 |
Immediately after visiting hours, a nurse monitors for wandering behavior in a client with Alzheimer’s disease. The nurse anticipates the client may:
A | need to walk after eating a complete meal. |
B | feel tense due to an uncomfortable situation. |
C | be demonstrating eccentric behavior. |
D | have difficulty following directions. |
Question 4 |
For the family of a client with Alzheimer’s disease, one goal is effective communication. Which outcome is successful for this goal?
A | Family members don’t use humor with the client. |
B | Family members speak to the client in a loud voice. |
C | Family members give the client one-step commands. |
D | Family members don’t touch the client while speaking. |
Question 5 |
A daughter reports to the nurse that she thinks her mother’s dementia is becoming worse. Which assessment finding would indicate to the nurse that the client’s dementia is worsening?
A | The client resists logical explanations. |
B | The client stops redirecting negative energy. |
C | The client maintains a nondefensive position. |
D | The client becomes increasingly agitated. |
Question 6 |
During conversation with a client, the nurse observes that he shifts from one topic to the next on a regular basis. Which disorder is the client most likely to have?
A | Flight of ideas |
B | Concrete thinking |
C | Ideas of reference |
D | Loose associations |
Question 7 |
The nurse is reviewing the chart of a man admitted with amnestic disorder. Which medical condition may be associated with an amnestic disorder?
A | Drug overdose |
B | Cerebral anoxia |
C | Anticonvulsant medication |
D | Environmental toxins |
Question 8 |
The nurse is planning care for a client living with his family who has been diagnosed with Alzheimer’s disease. The family reports that the client is disoriented, doesn’t recognize objects to be used for care, and finds and eats uncooked food. Which nursing diagnosis is most important?
A | Disturbed sleep pattern |
B | Risk for powerlessness |
C | Impaired home maintenance |
D | Risk for poisoning |
Question 9 |
Which nursing diagnosis is appropriate for a client diagnosed with an amnestic disorder?
A | Complicated grieving |
B | Ineffective denial |
C | Defensive coping |
D | Risk for injury |
Question 10 |
The nurse is providing care to a client with Alzheimer’s type dementia. Which nursing intervention is most important?
A | Establish a routine that reinforces memories and supports former habits. |
B | Maintain an environment with cheerful and pleasant surroundings. |
C | Structure a daily and precise routine that can be used after discharge. |
D | Control the environment by providing structure and consistent boundaries. |
Question 11 |
A client with mild Alzheimer’s disease desires to remain at home living with his extended family. What is the most appropriate nursing intervention?
A | Provide mandated written directions for all activities of daily living. |
B | Obtain a physician’s order for either a mild anxiolytic or sleeping pill. |
C | Advise the client to attend occupational therapy three times a week. |
D | Maintain a stable, predictable environment and daily routine. |
Question 12 |
The nurse is assessing an elderly client diagnosed with amnestic disorder related to traumatic head trauma. What assessment finding can be expected during the interaction between the nurse and client?
A | Speech patterns are altered and difficult to understand. |
B | The inability to concentrate occurs since diagnosis. |
C | There is a noted disruption in intellectual functioning. |
D | Recent recall of life events is severely impaired. |
Question 13 |
A nursing assistant tells a nurse, “The client with amnesia looks fine but responds to questions in a vague, distant manner. What should I be doing to take care of her?” Which response is the most appropriate?
A | “Give her ample time and plenty of space to test her independence.” |
B | “Keep her busy and make sure she doesn’t take naps during the day.” |
C | “Whenever you think she needs direction, use short, simple sentences.” |
D | “Spend as much time talking as you can with her and ask her questions.” |
Question 14 |
During morning care, a nurse asks a client with dementia, “How was your night?” The client replies, “My husband and I went out to dinner and a movie and had a wonderful evening!” The nurse interprets the client’s statement as which of the following?
A | Interpretation |
B | Perseveration |
C | Confabulation |
D | Disorientation |
Question 15 |
The nurse explains to the client and his family that the changes occurring in Alzheimer’s disease are irreversible. The nurse is aware that which of the following is an expected neurological change of aging?
A | Widening of the central sulci |
B | Depletion of neurotransmitters |
C | Neurofibrillary tangles and plaques |
D | Degeneration of the temporal lobes |
Question 16 |
The wife of a 78-year-old client with Alzheimer’s disease reported to the nurse that she often finds her husband wandering in the backyard in the middle of the night. The client is dressed only in his underwear, and he says to his wife, “I’m just taking out the trash before I go to work.” What is the priority nursing diagnosis for the wife of this client?
A | Knowledge deficit |
B | Sleep deprivation |
C | Risk for loneliness |
D | Self-neglect |
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