NCLEX psych questions

Nurse is aware that the following medical conditions is commonly found in clients with bulimia nervosa? A. Diabetes mellitus B. Cancer C. Allergies D. Hepatitis A

A. Diabetes mellitus

A client whose husband just left her has a recurrence of anorexia nervosa. Nurse Vic caring for her realizes that this exacerbation of anorexia nervosa results from the client's effort to: A. Gain control of one part of her life B. Manipulate her husband C. Live up to her mother's expectations D. Commit suicide

A. Gain control of one part of her life

Kevin is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with: A. Narcissistice personality disorder B. Antisocial personality disorder C. Borderline personality disorder D. Obsessive compulsive personality disorder

B. Antisocial personality disorder

Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: A. Avoid shopping for large amounts of food B. Eat only three meals per day C. Identify anxiety causing situations D. Control eating impulses

C. Identify anxiety causing situations

Nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder? A. Set firm and consistent limits with the client B. Allow the child to establish his own limits and boundaries C. Be able to verbalize own needs and assert rights D. Accept responsibility for own behaviors

D. Accept responsibility for own behaviors

A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client's wrists are scratched from a recent suicide attempt. Based on this finding, the nurse should formulate a nursing diagnosis of: A. Risk of violence: self directed related to impulsive mutilating acts B. Situational low self-esteem related to feelings of loss of control C. Ineffective individual coping related to feelings of guilt D. Risk for violence: directed toward others related to verbal threats

A. Risk of violence: self directed related to impulsive mutilating acts

Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Set up a strict eating plan for the client B. Restrict visits with the family until the client begins to eat C. Provide privacy during meals D. Encourage the client to exercise, which will reduce her anxiety

A. Set up a strict eating plan for the client

Nurse is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important? A. Let client eat food brought in by the family if she chooses, but she should keep a strict calorie count B. Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour after each meal C. Fill out the client's menu and make sure she east at least half of what is on her tray D. let the client eat her meals in private. Then engage her in social activities for at least 2 hours after each meal

B. Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour after each meal

A 24-year old client with anorexia nervosa tells the nurse, "When I look in the mirror, I hate what I see. I look so fat and ugly." Which strategy should the nurse use to deal with the client's distorted perceptions and feelings? A. Avoid discussing the client's perceptions and feelings B. Avoid discussing unrealistic cultural standards regarding weight C. Provide objective data and feedback regarding the client's weight and attractiveness D. Focus discussions on food and weight

C. Provide objective data and feedback regarding the client's weight and attractiveness

A 14-year-old client is brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa? A. "I like the way I look. I just need to keep my weight down because i'm a cheerleader" B. I do diet around my periods; otherwise, I just get so bloated" C. "I don't like the food my mother cooks. I eat plenty of fast food when I'm out with my friends" D. "I just can't seem to get down to the weight I want to be. I'm so fat compared to the other girls"

D. "I just can't seem to get down to the weight I want to be. I'm so fat compared to the other girls"

During postprandial monitoring, a female client with bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice." What is the nurse's best response? A. "I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat" B. "I trust you not to purge" C. "How are you purging and when do you do it?" D. "Don't worry. I won't allow you to purge today"

A. "I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat"

A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor's dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues? A. A rigid posture, restlessness, and glaring B. Hyper-vigilance and talk of past violent acts C. Silence and noncompliance D. Depression and physical withdrawal

A. A rigid posture, restlessness, and glaring

For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority? A. Client will make a contract with the nurse that sets a target weight B. Client will establish adequate daily nutritional intake C. Client will identify self perceptions about body size as unrealistic D. Client will verbalize the possible physiological consequences of self starvation

B. Client will establish adequate daily nutritional intake

A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client's physical health, nurse should plan to A. Instruct the client to keep an accurate record of food and fluid intake B. Monitor vital signs, serum electrolyte levels, and acid base balance C. Severely restrict the client's physical activities D. Weigh the client daily, after the evening meal

B. Monitor vital signs, serum electrolyte levels, and acid base balance

Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect? A. Shivering B. Seizures C. Anxiety D. Chest pain

B. Seizures

For a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa? A. They alternate between loving and rejecting their children B. They tend to overprotect their children C. They maintain emotional distance from their children D. They usually have a history of substance abuse

B. They tend to overprotect their children

A female client with anorexia nervosa describes herself as "a whale." However, the nurse's assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client's unrealistic body image, which intervention should nurse Angel be included in the plan of care? A. Confronting the client about her actual appearance during one on one sessions scheduled during each shift B. ASking hte client to compare her figure with magazine photos of women her age C. Assigning the client to group therapy in which participants provide realistic feedback about her weight D. telling client of the nurse's concern for her health and desire to help her make decisions to keep her healthy

D. telling client of the nurse's concern for her health and desire to help her make decisions to keep her healthy