Category Archives: Mental Health and Psychiatric Nursing Test Bank

Alzheimer’s Delirium and Dementia Q 11

A 48-year-old male client is brought to the psychiatric emergency room after attempting to jump off a bridge. The client’s wife states that he lost his job several months ago and has been unable to find another job. The primary nursing intervention at this time would be to assess for:         A. A past history… Read More »

Alzheimer’s Delirium and Dementia Q 12

A student nurse was asked which of the following best describes dementia. Which of the following best describes the condition?         A. Memory loss occurring as part of the natural consequence of aging.      B. Difficulty coping with physical and psychological change.      C. Severe cognitive impairment that occurs rapidly.      D. Loss of cognitive… Read More »

Alzheimer’s Delirium and Dementia Q 13

Before helping a male client who has been sexually assaulted, nurse Maureen should recognize that the rapist is motivated by feelings of:         A. Hostility      B. Inadequacy      C. Incompetence      D. Passion           Correct Answer: A. Hostility Rapists are believed to harbor and act out hostile feelings toward all women… Read More »

Alzheimer’s Delirium and Dementia Q 14

When working with children who have been sexually abused by a family member it is important for the nurse to understand that these victims usually are overwhelmed with feelings of:         A. Humiliation      B. Confusion      C. Self blame      D. Hatred           Correct Answer: C. Self blame These children often… Read More »

Alzheimer’s Delirium and Dementia Q 15

Joy who has just experienced her second spontaneous abortion expresses anger towards her physician, the hospital and the “rotten nursing care”. When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:         A. Projection      B. Displacement      C. Denial      D. Reaction formation          … Read More »

Alzheimer’s Delirium and Dementia Q 16

The most critical factor for nurse Linda to determine during crisis intervention would be the client’s:         A. Available situational supports.      B. Willingness to restructure the personality.      C. Developmental theory.      D. Underlying unconscious conflict.           Correct Answer: A. Available situational supports Personal internal strength and supportive individuals are critical factors that… Read More »

Alzheimer’s Delirium and Dementia Q 17

Nurse Trish suggests a crisis intervention group to a client experiencing a developmental crisis. These groups are successful because the:         A. Crisis intervention worker is a psychologist and understands behavior patterns.      B. Crisis group supplies a workable solution to the client’s problem.      C. Clients are encouraged to talk about personal problems.   … Read More »

Alzheimer’s Delirium and Dementia Q 18

Nurse Ronald could evaluate that the staff’s approach to setting limits for a demanding, angry client was effective if the client:         A. Apologizes for disrupting the unit’s routine when something is needed.      B. Understands the reason why frequent calls to the staff were made.      C. Discuss concerns regarding the emotional condition that… Read More »

Alzheimer’s Delirium and Dementia Q 19

Nurse John is aware that the therapy that has the highest success rate for people with phobias would be:         A. Psychotherapy aimed at rearranging maladaptive thought processes.      B. Psychoanalytical exploration of repressed conflicts of an earlier development phase.      C. Systematic desensitization using relaxation techniques.      D. Insight therapy to determine the origin… Read More »

Alzheimer’s Delirium and Dementia Q 20

When nurse Hazel considers a client’s placement on the continuum of anxiety, a key in determining the degree of anxiety being experienced is the client’s:         A. Perceptual field      B. Delusional system      C. Memory state      D. Creativity level           Correct Answer: A. Perceptual field Perceptual field is a key… Read More »