Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Somatoform & Sleep Disorders Part 1
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Question 1 |
The nurse is teaching a student nurse about somatoform disorders. Which of the following statements by the nurse would be the most accurate in describing somatoform disorders?
A | Individuals experience physical symptoms without an organic cause. |
B | Individuals attend psychotherapy sessions. |
C | Individuals are considered to be hypochondriacs. |
D | Individuals are frustrated about the inability to find the source of their symptoms. |
Question 2 |
A client has been hospitalized with a diagnosis of conversion-disorder blindness. Which statement best explains this manifestation?
A | The client is suppressing her true feelings. |
B | The client’s anxiety has been relieved through her physical symptoms. |
C | The client is acting indifferent because she doesn’t want to show her actual fear. |
D | The client’s needs are being met, so she doesn’t need to be anxious. |
Question 3 |
What is the best nursing intervention to help a client with conversiondisorder blindness to eat?
A | Direct the client to independently locate items on the tray and feed himself. |
B | See to the needs of the other clients in the dining room and then feed this client last. |
C | Establish a “buddy” system with other clients who can feed the client at each meal. |
D | Expect the client to feed himself after explaining the location of food on the tray. |
Question 4 |
A client diagnosed with conversion disorder is experiencing left-sided paralysis. The client tells the nurse he has received a lot of attention in the hospital and it’s unfortunate others outside the hospital don’t find him interesting. Which nursing diagnosis is appropriate for this client?
A | Interrupted family processes |
B | Ineffective health maintenance |
C | Ineffective coping |
D | Social isolation |
Question 5 |
What is the most appropriate nursing intervention to increase the selfesteem of a client with conversion disorder?
A | Focus attention on the client as a person rather than on the symptom. |
B | Discuss the client’s childhood to link present behaviors with past traumas. |
C | Encourage the client to use avoidant-interactional patterns rather than assertive patterns. |
D | Assist the client in developing short-term goals. |
Question 6 |
A nurse is teaching family members about signs and symptoms of conversion disorder to observe for in the client. It is most important for the nurse to include which sign or symptom?
A | Delusions |
B | Feelings of depression or euphoria |
C | A feeling of dread accompanied by somatic signs |
D | One or more neurological symptoms associated with psychological conflict or need |
Question 7 |
A client is admitted for abrupt onset of paralysis in his left arm. Although no physiological cause has been found, the symptoms are exacerbated when he speaks of losing custody of his children in a recent divorce. These assessment findings are characteristic of which of the following disorders?
A | Body dysmorphic disorder |
B | Conversion disorder |
C | Delusional disorder |
D | Malingering |
Question 8 |
Which statement is correct regarding conversion disorders?
A | The symptoms can be controlled. |
B | The psychological conflict is repressed. |
C | The client is aware of the psychological conflict. |
D | The client shouldn’t be made aware of the conflicts underlying the symptoms. |
Question 9 |
What is the most appropriate nursing diagnosis for a client with a sleep disorder?
A | Sleep pattern disturbance |
B | Risk for injury |
C | Risk for situational low self-esteem |
D | Disturbed sensory perception (auditory) |
Question 10 |
The nurse is preparing a teaching plan for a family who has a member diagnosed with a somatoform disorder. The most important information for the nurse to provide would be that these disorders:
A | are limited to one organ system. |
B | occur with a recent physical illness. |
C | are physical conditions with organic pathological causes. |
D | occur in the absence of organic findings. |
Question 11 |
A nurse and senior nursing student are caring for a client with somatoform disorders. The student tells the nurse that associated physical symptoms occur because the client is delusional. What is the best response by the nurse?
A | “Physical symptoms are associated with psychological symptoms.” |
B | “Tell me more about your rationale.” |
C | “Let’s review the symptoms of delusion.” |
D | “Tell me more about the symptoms of somatoform disorder.” |
Question 12 |
A nurse is caring for a client who’s demonstrating an ego defense mechanism. Which finding supports the nurse’s observations?
A | Repression of anger |
B | Suppression of grief |
C | Denial of depression |
D | Preoccupation with pain |
Question 13 |
The nurse is preparing a care plan for a client experiencing hypochondriasis. What is the most appropriate nursing diagnosis for this client?
A | Risk for injury related to constant fear of illness |
B | Grieving related to unresolved issues with loss |
C | Risk for situational low self-esteem related to feelings of worthlessness |
D | Deficient diversional activity related to unknown etiology |
Question 14 |
A college student frequently visited the health center during the past year with multiple vague complaints of GI symptoms before course examinations. Although physical causes have been eliminated, the student continues to express her belief that she has a serious illness. The nurse interprets this as:
A | conversion disorder. |
B | depersonalization. |
C | hypochondriasis. |
D | anxiety disorder. |
Question 15 |
What is a priority nursing goal for a client diagnosed with hypochondriasis?
A | Determining the cause of the sleep disturbance |
B | Relieving the fear of serious illness |
C | Recovering the lost or altered function |
D | Giving positive reinforcement for accomplishments related to physical appearance |
Question 16 |
A client with a diagnosis of hypochondriasis is being seen in the outpatient clinic. Which of the following interventions would the nurse implement? Select all that apply.
A | Teach the client adaptive coping strategies. |
B | Help the client eliminate the stress in her life. |
C | Confront the client with the statement, “It’s all in your head.” |
D | Encourage the client to focus on identification of physical symptoms. |
Question 17 |
After repeated office visits and diagnostic tests for assorted complaints, a client is referred to a psychiatrist. The client states, “I can’t imagine why I should see a psychiatrist.” What is the most likely explanation for the client’s statement?
A | The client probably believes psychiatrists are only for “mentally ill” people. |
B | The client probably doesn’t understand the correlation between symptoms and stress. |
C | The client probably believes his physician has made an error in diagnosis. |
D | The client probably believes his physician wants to get rid of him as a client. |
Question 18 |
An individual is experiencing a conversion disorder “paralysis” of the legs. What is the best response by the nurse?
A | “Tell me how this paralysis as hindered your lifestyle.” |
B | “Tell me whether you understand that the diagnostic tests are normal.” |
C | “Can you show me how much you can move your legs?” |
D | “Tell me what you plan to do when you return home.” |
Question 19 |
The nurse anticipates that which therapeutic modality will be used to treat an individual diagnosed with hypochondriasis?
A | Suicide precautions |
B | Relaxation exercises |
C | Electroconvulsive therapy (ECT) |
D | Aversion therapy |
Question 20 |
A nurse is interviewing a client newly admitted to the unit. While stating a list of medications, the client falls asleep. The nurse understands that the client is most likely exhibiting which disorder?
A | Hypersomnia |
B | Insomnia |
C | Narcolepsy |
D | Parasomnia |
Question 21 |
Treatments for sleep disorders include which method?
A | Behavior therapy |
B | Biofeedback |
C | Group therapy |
D | Insight-oriented psychotherapy |
Question 22 |
What is the nursing intervention most appropriate for an individual experiencing symptoms of depression?
A | Consult the physician about prescribing a bedtime sleep medication. |
B | Allow the client to sit at the nurses’ station for comfort. |
C | Allow the client to watch television until he’s sleepy. |
D | Encourage the client to take a warm bath before retiring. |
Question 23 |
The nurse is observing an individual who is sleeping. The nurse determined the client is in REM sleep. Which characteristics represent REM sleep?
A | Disorientation and dozing off |
B | Jerky limb movements and position changes |
C | Decreased physiological activity levels, pulse rate slowed |
D | Increased physiological activity levels, rapid eye movements |
Question 24 |
A client with sleep terror disorder might have autonomic signs of intense anxiety. It is most important for the nurse to assess the client for which of the following?
A | Tachycardia |
B | Pupil constriction |
C | Cool, clammy skin |
D | Decreased muscle tone |
Question 25 |
A client diagnosed with a sleep disorder awakens with a piercing scream. The nurse understands this behavior is associated with which condition?
A | Hypersomnia |
B | Nightmare disorder |
C | Sleep terror disorder |
D | Sleepwalking |
Question 26 |
A client is given triazolam (Halcion) for a sleep disorder. The nurse is reinforcing some teaching precautions concerning the medication. The nurse determines that the client understands the precautions when the client makes which statement?
A | “I take the medication with citrus juice.” |
B | “I shouldn’t confuse this medication with Haldol.” |
C | “It’s okay to take a short drive after taking the medication.” |
D | “It’s okay to smoke while I take this medication.” |
Question 27 |
A client with hypochondriasis complains of pain in his right side that he hasn’t had before. Which response by the nurse is best?
A | “It’s time for group therapy now.” |
B | “Tell me about this new pain you’re having. You’ll miss group therapy today.” |
C | “I’ll report this pain to your physician. In the meantime, group therapy starts in 5 minutes. You must leave now to be on time.” |
D | “I’ll call your physician and see whether he’ll order a new pain medication. Why don’t you get some rest for now?” |
Question 28 |
Which considerations are important in planning care for individuals experiencing sleep deprivation? Select all that apply.
A | Sleep is influenced by biological rhythms. |
B | The natural body clock follows a 24-hour cycle. |
C | Long sleepers have more rapid eye movement periods. |
D | Periods of sleep deprivation result in alterations in mental status. |
Question 29 |
A nurse is instructing a 38-year-old male client undergoing treatment for anxiety and insomnia. The practitioner has prescribed lorazepam (Ativan) 1 mg by mouth three times per day. The nurse determines that the teaching regarding the client’s medication has been effective when the client makes which statement?
A | “I’ll avoid coffee.” |
B | “I’ll avoid aged cheese.” |
C | “I’ll avoid sunlight.” |
D | “I’ll maintain adequate salt intake.” |
Question 30 |
The nurse is caring for an 86-year-old client in an extended care facility who is anxious most of the time and frequently complains of a number of vague symptoms that interfere with his ability to eat. The nurse determines these symptoms are associated with which disorder?
A | Conversion disorder |
B | Hypochondriasis |
C | Severe anxiety |
D | Sublimation |
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