Nursing Board Exam Review Questions in Psychiatric Nursing
Nursing Board Exam Review Questions in Psychiatric Nursing 2/5
1. 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
2. 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 effect
d. Neglect of personal hygiene
3. Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
a. Teach client to measure I & O
b. Involve client in planning daily meal
c. Observe client during meals
d. Monitor client continuously
4. Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?
a. Cardiac dysrhythmias resulting to cardiac arrest
b. Glucose intolerance resulting in protracted hypoglycemia
c. Endocrine imbalance causing cold amenorrhea
d. Decreased metabolism causing cold intolerance
5. 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
6. 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 hopelessness
7. 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 clients behavior
d. Setting limits on the behavior
8. Conney with borderline personality disorder who is to be discharge 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
c. Request an immediate extension for the client
d. Ignore the clients statement because it’s a sign of manipulation
9. 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 reaction?
a. Depensiveness
b. Embarrassment
c. Shame
d. Remorsefulness
10. 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 exist?
a. Rationalization
b. Supportive confrontation
c. Limit setting
d. Consistency
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