Exam 1: NCLEX questions

Exam 1: NCLEX questions

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NCLEX-PN

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PNLE PRACTICE QUESTIONS

109 terms anyeongliahPreview Psychiatric Mental Health Nursing N...50 terms schwabaccaPreview 75 Free 75 terms car The nurse assists the physician with electroconvulsive therapy on his client who has refused to give consent.With which of the following legal actions might the nurse be charged because of this nursing action?

• Assault
• Battery
• False imprisonment
• Breach of confidentiality
• Battery

For which of the following reasons may an individual be considered gravely disabled? (Select all that apply.)

• A person, because of mental illness, cannot fulfill basic

needs.

• A mentally ill person is in danger of physical harm

based on inability to care for self.

• A mentally ill person lacks the resources to provide the

necessities of life.

• A mentally ill person is unable to make use of available

resources to meet daily living requirements.

• A person, because of mental illness, cannot fulfill basic needs.
• A mentally ill person is in danger of physical harm based on inability to care for

self.

• A mentally ill person is unable to make use of available resources to meet daily

living requirements.

Which of the following statements is (are) correct regarding the use of restraints? (Select all that apply.)

• Restraints may never be initiated without a physician's

order.

• Orders for restraints must be reissued by a physician

every 2 hours for children and adolescents.

• Clients in restraints must be observed and assessed

every hour for issues regarding circulation, nutrition, respiration, hydration, and elimination.

• An in-person evaluation must be conducted within 1

hour of initiating restraints.

• Orders for restraints must be reissued by a physician every 2 hours for children

and adolescents.

• An in-person evaluation must be conducted within 1 hour of initiating restraints.

Guidelines relating to "duty to warn" state that a therapist should consider taking action to warn a third party when

his or her client: (Select all that apply.)

• Threatens violence toward another individual
• Identifies a specific intended victim
• Is having command hallucinations
• Reveals paranoid delusions about another individual
• Threatens violence toward another individual
• Identifies a specific intended victim

Attempting to calm an angry client by using "talk therapy" is an example of which of the following clients' rights?

• The right to privacy
• The right to refuse medication
• The right to the least-restrictive treatment alternative
• The right to confidentiality
• The right to the least-restrictive treatment alternative

Which of the following tasks are associated with the orientation phase of relationship development? (Select all that apply.)

• Promoting the client's insight and perception of reality.
• Creating an environment for the establishment of trust

and rapport.

• Using the problem-solving model toward goal

fulfillment.

• Obtaining available information about the client from

various sources.

• Formulating nursing diagnoses and setting goals.
• Creating an environment for the establishment of trust and rapport.
• Formulating nursing diagnoses and setting goals.

Nurse Jones is working with Kim, a client in the anger- management program. Which of the following identifies actions associated with the working phase of the therapeutic relationship?

• Kim tells Nurse Jones she wants to learn more adaptive

ways to handle her anger. Together, they set some goals.

• The goals of therapy have been met, but Kim cries and

says she has to keep coming to therapy in order to be able to handle her anger appropriately.

• Nurse Jones reads Kim's previous medical records. She

explores her feelings about working with a woman who has abused her child.

• Nurse Jones helps Kim practice various techniques to

control her angry outbursts. She gives Kim positive feedback for attempting to improve maladaptive behaviors.

• Nurse Jones helps Kim practice various techniques to control her angry

outbursts. She gives Kim positive feedback for attempting to improve maladaptive behaviors.Which of the following behaviors are associated with the phenomenon of transference? (Select all that apply.)

• The client attributes toward the nurse feelings

associated with a person from the client's past.

• The nurse attributes toward the client feelings

associated with a person from the nurse's past.

• The client forms an overwhelming affection for the

nurse.

• The client becomes excessively dependent on the

nurse and forms unrealistic expectations of him or her.

• The client attributes toward the nurse feelings associated with a person from

the client's past.

• The client forms an overwhelming affection for the nurse.
• The client becomes excessively dependent on the nurse and forms unrealistic

expectations of him or her.The nurse hears John, a client with a history of violence, yelling in the dayroom. The nurse observes his increased agitation, clenched fists, and loud, demanding voice. He is challenging and threatening staff and the other clients.

The nurse's priority intervention would be to:

• Call for assistance.
• Draw up a syringe of prn haloperidol.
• Ask John if he would like to talk about his anger.
• Tell John if he does not calm down he will have to be

restrained.

• Call for assistance.

Which of the following assessment data would the nurse consider as risk factors for possible violence in a client?(Select all that apply.)

• A diagnosis of somatization disorder
• A diagnosis of bipolar disorder
• Substance intoxication
• Argumentative and demanding behavior
• Past history of violence
• A diagnosis of bipolar disorder
• Substance intoxication
• Argumentative and demanding behavior
• Past history of violence

Which of the following individuals is at highest risk for suicide?

• Nancy, age 33, Asian American, Catholic, middle

socioeconomic group, alcoholic

• John, age 72, white, Methodist, low socioeconomic

group, diagnosis of metastatic cancer of the pancreas

• Carol, age 15, African American, Baptist, high

socioeconomic group, no physical or mental health problems

• John, age 72, white, Methodist, low socioeconomic group, diagnosis of

metastatic cancer of the pancreas In determining degree of suicidal risk with a suicidal client, the nurse assesses the following behavioral

manifestations: severely depressed, withdrawn,

statements of worthlessness, difficulty accomplishing activities of daily living, no close support systems. The

nurse identifies the client's risk for suicide as:

• Low
• Moderate
• High
• Unable to determine
• High

Which of the following is a correct assumption regarding the concept of crisis?

• Crises occur only in individuals with psychopathology.
• The stressful event that precipitates crisis is seldom

identifiable.

• A crisis situation contains the potential for

psychological growth or deterioration.

• Crises are chronic situations that recur many times

during an individual's life.

• A crisis situation contains the potential for psychological growth or

deterioration.

Crises occur when an individual:

• Is exposed to a precipitating stressor
• Perceives a stressor to be threatening
• Has no support systems
• Experiences a stressor and perceives coping strategies

to be ineffective

• Experiences a stressor and perceives coping strategies to be ineffective

Electroconvulsive therapy is most commonly prescribed

for:

• Bipolar disorder, manic
• Paranoid schizophrenia
• Major depression
• Obsessive-compulsive disorder
• Major depression