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

Psychiatric Assessment and Fundamentals Q 11

Joey, a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” This statement most likely would elicit which of the following client reactions?         A. Defensiveness      B. Embarrassment      C. Shame      D. Remorsefulness           Correct Answer: A. Defensiveness When the staff… Read More »

Psychiatric Assessment and Fundamentals Q 12

Nurse Hazel is caring for a male client who experiences false sensory perceptions with no basis in reality. This perception is known as:         A. Hallucinations      B. Delusions      C. Loose associations      D. Neologisms           Correct Answer: A. Hallucinations Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have… Read More »

Psychiatric Assessment and Fundamentals Q 13

Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exists?         A. Rationalization      B. Supportive confrontation      C. Limit setting      D. Consistency           Correct Answer: B. Supportive confrontation The… Read More »

Psychiatric Assessment and Fundamentals Q 14

Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mmHg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?         A. naloxone (Narcan)      B. benztropine (Cogentin)      C. lorazepam (Ativan)      D. haloperidol (Haldol)           Correct Answer: C. lorazepam (Ativan)… Read More »

Psychiatric Assessment and Fundamentals Q 15

Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?         A. Milk      B. Orange Juice      C. Soda      D. Regular Coffee           Correct Answer: D. Regular Coffee Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings… Read More »

Psychiatric Assessment and Fundamentals Q 16

Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?         A. Yawning & diaphoresis      B. Restlessness & Irritability      C. Constipation & steatorrhea      D. Vomiting and diarrhea           Correct Answer: D. Vomiting and diarrhea Vomiting and diarrhea are… Read More »

Psychiatric Assessment and Fundamentals Q 17

To establish an open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?         A. Encourage the staff to have frequent interaction with the client.      B. Share an activity with the client.      C. Give client feedback on behavior.      D. Respect client’s need… Read More »

Psychiatric Assessment and Fundamentals Q 18

Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:         A. Manipulate the environment to bring about positive changes in behavior.      B. Allow the client’s freedom to determine whether or not they will be involved in activities.      C. Role play life events to meet individual needs.      D. Use natural… Read More »

Psychiatric Assessment and Fundamentals Q 19

Nurse Naomi would expect a child with a diagnosis of reactive attachment disorder to:         A. Have a more positive relationship with the father than the mother.      B. Cling to mother & cry on separation.      C. Be able to develop only superficial relationships with others.      D. Have been physically abused.     … Read More »

Psychiatric Assessment and Fundamentals Q 20

When teaching parents about childhood depression Nurse Victoria should say?         A. It may appear acting out behavior.      B. Does not respond to conventional treatment.      C. Is short on duration & resolves easily.      D. Looks almost identical to adult depression.           Correct Answer: A. It may appear acting out… Read More »