Wednesday, September 8, 2010

Nursing Board Exam Review Questions in Psychiatric Nursing

July 22, 2010 by Dennis_01  
Filed under Psyche Questions 1, Psychiatric Questions

Nursing Board Exam Review Questions in Psychiatric Nursing 4/5

1.    Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
a.    Would you like to watch TV?
b.    Would you like me to talk with you?
c.    Are you feeling upset now?
d.    Ignore the client

2.    Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be:
a.    Avoidance of situation & certain activities that resemble the stress
b.    Depression and a blunted affect when discussing the traumatic situation
c.    Lack of interest in family & others
d.    Re-experiencing the trauma in dreams or flashback

3.    Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
a.    Flight of ideas
b.    Associative looseness
c.    Confabulation
d.    Concretism

4.    Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
a.    Excessive weight loss, amenorrhea & abdominal distension
b.    Slow pulse, 10% weight loss & alopecia
c.    Compulsive behavior, excessive fears & nausea
d.    Excessive activity, memory lapses & an increased pulse

5.    A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
a.    Frequent regurgitation & re-swallowing of food
b.    Previous history of gastritis
c.    Badly stained teeth
d.    Positive body image

6.    Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
a.    Multiple stimuli
b.    Routine Activities
c.    Minimal decision making
d.    Varied Activities

7.    To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
a.    Frustration & fear of death
b.    Anger & resentment
c.    Anxiety & loneliness
d.    Helplessness & hopelessness

8.    A nursing care plan for a male client with bipolar I disorder should include:
a.    Providing a structured environment
b.    Designing activities that will require the client to maintain contact with reality
c.    Engaging the client in conversing about current affairs
d.    Touching the client provide assurance

9.    When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
a.    Helps the client focus on the inability to deal with reality
b.    Helps the client control the anxiety
c.    Is under the client’s conscious control
d.    Is used by the client primarily for secondary gains

10.    A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
a.    Low self esteem
b.    Concrete thinking
c.    Effective self boundaries
d.    Weak ego

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