RN NCLEX practice quiz
A client who was diagnosed with paranoid delusions has been prescribed a chest x-ray The client refuses the chest x-ray and states, "No, they want to kill me with the rays from the x-ray machine." Which nursing response is appropriate? - Do you think people want to kill you with rays? - You don't have to worry that someone is going to kill you - I don't want you to talk about the x-ray technicians - Where did you get the idea that someone was trying to kill you?
"Do you think people want to kill you with rays?"
The client with bipolar disorder is parading around the common areas of the psychiatric unit in a sexually aggressive manner. The client then sits on the lap of one of the young male clients. What should the nurse do? - Tell the client that the behavior is inappropriate - Accompany the client to the TV room on the unit - Allow the male client to handle the situation - Continue with the unit routine
Accompany the client to the TV room on the unit.
The family of an elderly client are concerned about emotional well-being since the loss of the spouse two years ago. What alternative therapy could the nurse recommend for this client? - massage - bioelectromagnetics - Accupressure - Animal-assisted therapy
Animal-assisted therapy
A client who is Chinese comes to the clinic for a follow-up appointment following cardiac bypass surgery. The client's father accompanies the client into the examination room. What is the most appropriate action by the nurse? - Ask the client's father if he has any questions regarding his son's condition - Ask the client's father to leave the examination room due to confidentiality - Perform needed assessments and care without interacting with the father - Inform the father of the assessment findings and plan of care
Ask the client's father if he has any questions regarding his son's condition
The nurse is caring for a client undergoing electroconvulsive therapy (ECT) for major depression. What is the nurse's most important intervention during the treatment? - Monitor vital signs and cardiac functioning - provide support to the client's arms and legs - Provide suction as needed - Pace electrodes on temples
Provide suctioning as needed
A client asks the nurse, "How is relaxation therapy going to help reduce my stress?" What would be the nurse's best response? - Relaxation therapy leads to more awareness of potential stressors. - Relaxation therapy reduces stress by releasing small doses of epinephrine into the body - Stress can be eliminated from your life when you use this therapy - Relaxation therapy can counteract the fight or flight response
Relaxation therapy can counteract the fight or flight response
A client has been admitted to Hospice Care. The hospice nurse is reviewing the nursing care plan for interventions to promote comfort for the terminally ill client. Which interventions for the client would the nurse implement? - Provide oral care every 2 hours - Provide supportive environment - Encourage 3 meals a day - Administer optical lubricants as needed - Encourage client to ambulate every 4 hours
- Provide oral care every 2 hours - Provide supportive environment - Administer optical lubricants as needed
The nurse is discussing information on adolescent obesity with parents of high-school students. What statement by the nurse is most comprehensive regarding obesity among teens? - Obesity among teens is often accompanied by psychologic issues like poor self esteem - Weight issues among teens are often due to excess eating out of boredom or stress - Adolescent obesity is usually an inability to recognize signals of hunger or satiety - Undiagnosed problems of the thyroid or pituitary contribute to teen obesity
Adolescent obesity is usually an inability to recognize signals of hunger or satiety
The client with mania has repeatedly interrupted group session with the counselor. The client explains that they already know this information about family roles and paces around the room. What should the nurse do at this time? - Ask the client to take a walk with you and make another pot of coffee - Ask the client to reflect on their behavior to determine if it is appropriate - Ask the group to tell the client how they feel when they are interrupted - Tell the client to perform jumping jacks and count out loud
Ask the client to take a walk with you and make another pot of coffee
A distraught client arrives at a mental health crisis center following a house fire that also took the life of a young family member. The nurse knows what action is most important when initiating crisis intervention for this client? - Assist the client to verbalize feelings of grief - Assess the client for any suicidal behaviors - Admit client to general mental health unit - Assign client to a grief counseling group
Assess client for any suicidal behaviors
The nurse is developing the plan of care for a newly admitted client diagnosed with schizophrenia. What goal would the nurse consider a priority for this client? - Schedule alone time for client to relax - Frequently reorient the client to surroundings - Encourage participation in all social activities - Assign same staff to provide client care daily
Assign same staff to provide client care daily
Which meal is most appropriate for a client during an acute manic episode? - Steak, salad, banana - Beef and vegetable stew, bread, vanilla pudding - Chicken leg, corn on the cob, apple - Fish fillets, cubed avocado, cake
Chicken leg, corn on the cob, apple
A psychiatric nurse is completing an assessment on an elderly client being started on a tricyclic antidepressant. The nurse is aware the most crucial aspect of this assessment is evaluating what body system? - Endocrine - Nervous - Circulatory - Digestive
Circulatory
The hospice nurse has been assigned a new client who is being cared for at home by family members. Based upon the client's physical assessment, the nurse is aware that the client's death is imminent. What is the nurse's most important role in the care of the family at this time? - Providing care for the client, allowing the family to rest - Providing education regarding the symptoms the client will likely experience - Allowing the family to express their feelings and actively listen - Communicating the client's impending death to the family while they are together
Communicating the clients impending death to the family while they are together
An elderly widower has been admitted to a psychiatric crisis unit with a diagnosis of major depression with agitation. What behaviors would the nurse expect to observe during an initial assessment? - Memory loss - Difficulty focusing - Excessive sleepiness - Short-tempered - Hand-wringing
Difficulty focusing short-tempered Hand-wringing
A client admitted to the mental health unit for a suicidal attempt has been progressing slowly in treatment. Suddenly, the client has voiced a much more positive outlook and tells the nurse, "I am going to be fine now." What is significant abut this situation? - The nurse should expect that the treatment has been effective - The client is developing a more positive outlook - The client sees hope for the future - The client may have decided to kill himself
The client may have decided to kill himself.
The nurse discovers that a client diagnosed with severe depression formerly taught art classes at a local school. The nurse offers to obtain needed supplies if the client would instruct a few interested clients on simple painting techniques. The nurse is aware this type of intervention may help the client achieve what outcome? - Distract client from depressive thoughts of hopelessness - Encourage the client to begin communicating with others - Utilize client's own strengths to increase self esteem - Establish the trusting nurse/client relationship
Utilize client's own strengths to increase self esteem
A client who is suicidal confides to the night nurse, "I will try again when I get out of this place." What is the nurse's best response? - What do you plan to do? - You will try what again? - Why would you want to do that? You have everything to live for. - Are you trying too get back at your family for sending you here?
What do you plan t do?
A client admitted to the psychiatric unit is diagnosed with depression. What is the nurse's best response? - I understand what you are feeling I have been left by someone I loved before - You feel upset and unhappy by the loss of your significant other? It is ok to cry - Don't worry. You will feel better once we start giving you medication for depression - Crying isn't going to help anything. Let's talk about your past medical history now.
You feel upset and unhappy by the loss of your significant other? It is ok to cry.
A client treated for major depressive disorder arrives at group therapy for the first time in a week wearing clean clothes after showering. What response by the nurse would be therapeutic? - Why are you all dressed up for group? - Maybe you could add makeup tomorrow - You must feel better after finally showering - You look really nice in that flowered jacket
You look really nice in that flowered jacket
