Category Archives: Psychiatric Assessment and Fundamentals of Mental Health and Psychiatric Nursing NCLEX

Psychiatric Assessment and Fundamentals Q 1

Marco approached Nurse Trisha asking for advice on how to deal with his alcohol addiction. Nurse Trisha should tell the client that the only effective treatment for alcoholism is:         A. Psychotherapy      B. Alcoholics Anonymous (A.A.)      C. Total abstinence      D. Aversion Therapy           Correct Answer: C. Total abstinence Total… Read More »

Psychiatric Assessment and Fundamentals Q 2

Nurse Tony was caring for a 41-year-old female client. Which behavior by the client indicates adult cognitive development?         A. Generates new levels of awareness.      B. Assumes responsibility for her actions.      C. Has maximum ability to solve problems and learn new skills.      D. Her perception is based on reality.        … Read More »

Psychiatric Assessment and Fundamentals Q 3

A neuromuscular blocking agent is administered to a client before ECT therapy. The nurse should carefully observe the client for:         A. Respiratory difficulties      B. Nausea and vomiting      C. Dizziness      D. Seizures           Correct Answer: A. Respiratory difficulties Neuromuscular Blocker, such as succinylcholine (Anectine) produces respiratory depression because it inhibits contractions… Read More »

Psychiatric Assessment and Fundamentals Q 4

A 75-year-old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?         A. Apathetic response to the environment.      B. “I don’t know” answer to questions.      C. Shallow of labile affect.      D. Neglect of personal hygiene.… Read More »

Psychiatric Assessment and Fundamentals Q 5

Nurse Trish is working in a mental health facility; the nurse’s priority nursing intervention for a newly admitted client with bulimia nervosa would be:         A. Teach the client to measure I & O.      B. Involve the client in planning daily meals.      C. Observe the client during meals.      D. Monitor the client… Read More »

Psychiatric Assessment and Fundamentals Q 6

Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be:         A. Cardiac dysrhythmias resulting in cardiac arrest.      B. Glucose intolerance resulting in protracted hypoglycemia.      C. Endocrine imbalance causing cold amenorrhea.      D. Decreased metabolism causing cold intolerance.           Correct Answer: A. Cardiac dysrhythmias… Read More »

Psychiatric Assessment and Fundamentals Q 7

Nurse Anna can minimize agitation in a disturbed client by:         A. Increasing stimulation.      B. Limiting unnecessary interaction.      C. Increasing appropriate sensory perception.      D. Ensuring constant client and staff contact.           Correct Answer: B. Limiting unnecessary interaction Limiting unnecessary interaction will decrease stimulation and agitation. Keep immediate surroundings low… Read More »

Psychiatric Assessment and Fundamentals Q 8

A 39-year-old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:         A. Problems with being too conscientious      B. Problems with anger and remorse      C. Feelings of guilt and inadequacy      D. Feeling of unworthiness and… Read More »

Psychiatric Assessment and Fundamentals Q 9

Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?         A. Allowing a snack to be kept in his room.      B. Reprimanding the client.      C. Ignoring the client’s behavior.      D. Setting limits on the behavior.   … Read More »

Psychiatric Assessment and Fundamentals Q 10

Conney with borderline personality disorder who is to be discharged soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?         A. Ask a family member to stay with the client at home temporarily.      B. Discuss the meaning of the client’s statement with her.   … Read More »