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PRACTICE TEST
Psychiatric Nursing Exam Questions 1 (25 Items)
By Matt Vera, RN - Feb 16, 2012 6
Interactive-Nursing-Exam
1.5K102Facebook31.4K
Introduction
This is an anxiety-provoking test! Challenge your knowledge about the concepts of Psychiatric Nursing with these Anxiety-related questions. This 25-item exam is perfect for your review for NCLEX and NLE.
Topics
Anxiety
Psychiatric Drugs
Guidelines
All questions will be shown.
Your scores will be shown after you have finished the quiz.
Rationales or explanations are given after.
Be sure to read the rationales as they will further enhance your knowledge.
Read each question carefully and always choose the best answer.
To add to the challenge, you are given one minute per question. A total of 60 minutes for this exam.
Exam
Psychiatric Nursing Quiz 1
Congratulations - you have completed Psychiatric Nursing Quiz 1. You scored 8 out of 25. Your performance has been rated as Need more practice!
Your answers are highlighted below.
Question 1 CORRECT
Situation: Knowledge and skills in the care of violent clients is vital in the psychiatric unit. A nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway and making aggressive remarks. Which of the following statements is most appropriate to make to this patient?
What is causing you to become agitated?
You need to stop that behavior now.
You will need to be restrained if you do not change your behavior.
You will need to be placed in seclusion.
Question 1 Explanation:
In a non-violent aggressive behavior, help the client identify the stressor or the true object of hostility. This helps reveal unresolved issues so that they may be confronted.
Question 2 WRONG
The nurse closely observes the client who has been displaying aggressive behavior. The nurse observes that the client’s anger is escalating. Which approach is least helpful for the client at this time?
Acknowledge the client’s behavior
Maintain a safe distance from the client
Assist the client to an area that is quiet
Initiate confinement measures
Question 2 Explanation:
The proper procedure for dealing with harmful behavior is to first try to calm patient verbally. When verbal and psychopharmacologic interventions are not adequate to handle the aggressiveness, seclusion or restraints may be applicable. Other choices are appropriate approaches during the escalation phase of aggression.
Question 3 CORRECT
The charge nurse of a psychiatric unit is planning the client assignment for the day. The most appropriate staff to be assigned to a client with a potential for violence is which of the following:
A timid nurse
A mature experienced nurse
an inexperienced nurse
a soft spoken nurse
Question 3 Explanation:
The unstable, aggressive client should be assigned to the most experienced nurse. A shy, inexperienced, soft spoken nurse may feel intimidated by the angry patient.
Question 4 WRONG
The nurse exemplifies awareness of the rights of a client whose anger is escalating by:
Taking a directive role in verbalizing feelings
Using an authoritarian, confrontational approach
Putting the client in a seclusion room
Applying mechanical restraints
Question 4 Explanation:
Taking a directive role in the client’s verbalization of feelings can deescalate the client’s anger. A confrontational approach can be threatening and adds to the client’s tension. Use of restraints and isolation may be required if less restrictive interventions are unsuccessful.
Question 5 CORRECT
The client jumps up and throws a chair out of the window. He was restrained after his behavior can no longer be controlled by the staff. Which of these documentations indicates the safeguarding of the patient’s rights?
There was a doctor’s order for restraints/seclusion
The patient’s rights were explained to him.
The staff observed confidentiality
The staff carried out less restrictive measures but were unsuccessful.
Question 5 Explanation:
The staff carried out less restrictive measures but were unsuccessful. This documentation indicates that the client has been placed on restraints after the least restrictive measures failed in containing the client’s violent behavior.
Question 6 WRONG
Situation: Clients with personality disorders have difficulties in their social and occupational functions. Clients with personality disorder will most likely:
recover with therapeutic intervention
respond to antianxiety medication
manifest enduring patterns of inflexible behaviors
Seek treatment willingly from some personally distressing symptoms
Question 6 Explanation:
Personality disorders are characterized by inflexible traits and characteristics that are lifelong. This disorder is manifested by life-long patterns of behavior. The client with this disorder will not likely present himself for treatm