Nursing Awareness : Nursing Exam Notes, Nursing Quizzes, Nursing Old Papers, Nursing Apps

1. The nurse is caring for a client with a conversion disorder. Which of the following assessments will the nurse expect to see-

Multiple physical complaints

Labile mood

Indifference about the physical symptom

Extreme distress over the physical symptom

2. Paroxetine (Paxil) has been prescribed for a client with a somatoform disorder. The nurse instructs the client to watch for which of the following side effects-

Increased appetite

Constipation

Nausea

Increased flatulence

3. Emotion-focused coping strategies are designed to accomplish which of the following outcomes-

Helping the client manage the intensity of symptoms

Helping the client manage difficult situations more effectively

Teaching the client the relationship between stress and physical symptoms

Relieving the client’s physical symptoms

4. Which of the following is true about clients with hypochondriasis-

They often exaggerate or fabricate physical symptoms for attention.

They do not show signs of distress about their physical symptoms.

They may interpret normal body sensations as signs of disease

Non of theses

5. The client’s family asks the nurse, “What is hypochondriasis?” The best response by the nurse is, “Hypochondriasis is-

The eventual result of excessive worrying about diseases.

Characterized by a variety of symptoms over a num-ber of years.

An illness not fully explained by a diagnosed medical condition.

A persistent preoccupation with getting a serious disease.

6. A client who developed numbness in the right hand could not play the piano at a scheduled recital. The consequence of the symptom, not having to perform, is best described as-

Emotion-focused coping

Primary gain

Phobia

Secondary gain

7. Which of the following statements would indicate that teaching about somatization disorder has been effective-

Nothing will help me feel better physically.

I will feel better when I begin handling stress more effectively.

If I try harder to control my symptoms, I will feel better

The doctor believes I am faking my symptoms.

8. How many adults in the United States who need mental health services actually receive care-

1 in 5

1 in 4

1 in 3

1 in 2

9. Hildegard Peplau is best known for her writing about which of the following-

Psychopharmacology

Therapeutic nurse–client relationship

Humane behaviour

Community-based care

10. Hospitals established by Dorothea Dix were designed to provide which of the following-

Asylum

Confinement

Therapeutic milieu

Public safety

11. Clients taking which of the following types of psycho-tropic medications need close monitoring of their cardiac status?

Stimulants

Mood stabilizers

Antipsychotics

Antidepressants

12. Which of the following physician orders would the nurse question for a client who has stated I’m allergic to phenothiazines-

Prolixin, 5 mg PO tid

Haldol, 5 mg PO bid

Risperdal, 2 mg bid

Navane, 10 mg PO bid

13. Client teaching for lamotrigine (Lamictal) should include which of the following-

This drug may cause psychological dependence.

Take each dose with food to avoid nausea.

Eat a well-balanced diet to avoid weight gain.

Report any rashes to your doctor immediately.

14. The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following PRN medications, which would the nurse administer-

Propranolol (Inderal), 20 mg PO

Trazodone, 50 mg PO

Benztropine (Cogentin), 2 mg PO

Haloperidol (Haldol), 5 mg PO

15. Which of the following is a concern for children taking stimulants for ADHD for several years-

Weight gain

Growth suppression

Insomnia

Dependence on the drug

16. The signs of lithium toxicity include which of the following-

Severe vomiting, diarrhea, weakness

Elevated white blood cell count, sweating, confusion

Psychomotor agitation, insomnia, increased thirst

Sedation, fever, restlessness

17. A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which of the following is a concern for the nurse as discharge plans are finalized-

The client will need regular laboratory work to monitor therapeutic drug levels.

The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.

The nurse will evaluate the risk for suicide by over-dose of the tricyclic.

The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.

18. Which of the following theorists believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment-

Harry Stack Sullivan

Hildegard Peplau

William Glasser

Sigmund Freud

19. Dream analysis and free association are techniques in which of the following-

Psychoanalysis

Logotherapy

Gestalt therapy

Client-centered therapy

20. Four levels of anxiety were described by-

Hildegard Peplau

Carl Rogers

Sigmund Freud

Erik Erikson

Psychiatric Nursing Test - 15