Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Essentials Of Psychiatric Care
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Question 1 |
The preceptor is teaching a graduate nurse about electroconvulsive therapy (ECT). The preceptor determines that further teaching is not needed when the graduate nurse makes which statement?
A | ECT is used to treat clients with major depression. |
B | ECT is used to treat antisocial personality disorder. |
C | ECT is used to treat clients diagnosed with schizophrenia. |
D | ECT is used to treat clients diagnosed with somatoform disorders. |
Question 2 |
A client diagnosed with bipolar disorder becomes verbally aggressive during group therapy. The client states “I hate all of you.” What is the most appropriate response by the nurse?
A | “You’re behaving in an unacceptable manner.” |
B | “If you continue to talk like that, I will dismiss you from the group.” |
C | “Other people are not comfortable with your statement, please stop it.” |
D | “You’re frightening the group; let’s walk down the hall to release some energy.” |
Question 3 |
A client is demonstrating hostility toward the nursing staff he just met. The nurse interprets the behavior as:
A | intellectualization. |
B | transference. |
C | triangulation. |
D | splitting. |
Question 4 |
The nurse is aware that cognitive-behavioral therapy is most appropriate for a client who is experiencing low self-esteem. What is the best intervention for the nurse to use for facilitation of this therapy?
A | Conditional positive regard |
B | Analysis of free association |
C | Classical conditioning |
D | Examination of negative thought patterns |
Question 5 |
A client in group therapy states, “I didn’t think anyone else felt like I did as a child.” The nurse interprets this statement as:
A | altruism. |
B | universality. |
C | catharsis. |
D | existential factor. |
Question 6 |
The nurse is teaching a group of students about the benefits of using group psychotherapy. Which statement best describes the rationale for group psychotherapy?
A | It decreases the focus on the individual. |
B | It fosters the physician–client relationship. |
C | It confronts the individuals with their shortcomings. |
D | It fosters a new learning environment. |
Question 7 |
A client whose wife recently died in an automobile accident is now being treated at the outpatient psychiatric clinic. The nurse anticipates that the most effective treatment would be?
A | Electroconvulsive therapy |
B | Group therapy |
C | Hypnotherapy |
D | Individual therapy |
Question 8 |
An adolescent client verbalizes to the nurse about being fat and ugly and states, “Everybody makes fun of me.” The nurse interprets this statement as:
A | anxiety of the unknown. |
B | anxiety related to loss of respect. |
C | anxiety related to separation anxiety. |
D | anxiety related to change in body image. |
Question 9 |
The nurse is assessing a client who recently lost his spouse. The nurse determines that the client is experiencing the normal grief response when the:
A | client uses chemicals. |
B | client becomes an overachiever. |
C | client demonstrates hyperactivity. |
D | client demonstrates lack of warmth toward others. |
Question 10 |
The nurse observes two clients playing basketball during exercise activity. The clients are engaged in aggressive communication and begin to fight. What is the most appropriate nursing intervention?
A | Remove the clients to separate areas and set limits. |
B | Remind the clients that fighting is not allowed. |
C | Show the clients how they should play basketball. |
D | Obtain an order to place both clients in seclusion. |
Question 11 |
A nurse is caring for an adolescent who lost her best friend in a car accident. The driver was under the influence of alcohol. The adolescent says, “It can’t be possible. It is not true.” The nurse interprets that the adolescent is in what stage of the Kübler-Ross grieving process?
A | Denial |
B | Anger |
C | Bargaining |
D | Acceptance |
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