Practice Mode– Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam.
NCLEX Practice Exam for Psychiatric Nursing 1 (PM)*
Choose the letter of the correct answer. Good luck!
Start
Congratulations - you have completed NCLEX Practice Exam for Psychiatric Nursing 1 (PM)*.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?
A
Somatization Disorder
B
Hypochondriaisis
C
Conversion Disorder
D
Somatoform Pain Disorder
Question 1 Explanation:
This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic syndrome of somatic symptoms that cannot be explained medically and is associated with psychosocial distress. B. This is an unrealistic preoccupation with a fear of having a serious illness. C. Characterized by alteration or loss in sensory or motor function resulting from a psychological conflict.
Question 2
What would be the best approach for a wife who is still living with her abusive husband?
A
“Here’s the number of a crisis center that you can call for help .”
B
“Its best to leave your husband.”
C
“Did you discuss this with your family?”
D
“ Why do you allow yourself to be treated this way”
Question 2 Explanation:
Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give advice to leave the abuser. Making decisions for the victim further erodes her esteem. However discuss options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in anyway implying that she is at fault.
Question 3
The therapeutic approach in the care of an autistic child include the following EXCEPT:
A
Engage in diversionary activities when acting -out
B
Provide an atmosphere of acceptance
C
Provide safety measures
D
Rearrange the environment to activate the child
Question 3 Explanation:
The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic. A. Angry outburst can be rechanneled through safe activities. B. Acceptance enhances a trusting relationship. C. Ensure safety from self-destructive behaviors like head banging and hair pulling.
Question 4
The following are appropriate nursing diagnosis for the client EXCEPT:
A
Ineffective individual coping
B
Alteration in comfort, pain
C
Altered role performance
D
Impaired social interaction
Question 4 Explanation:
The client may not have difficulty in social exchange. The cues do not support this diagnosis. A. The client maladaptively uses body symptoms to manage anxiety. B. The client will have discomfort due to pain. C. The client may fail to meet environmental expectations due to pain.
Question 5
Which of the following describes the role of a technician?
A
Administers medications to a schizophrenic patient.
B
The nurse feeds and bathes a catatonic client
C
Coordinates diverse aspects of care rendered to the patient
D
Disseminates information about alcohol and its effects.
Question 5 Explanation:
Administration of medications and treatments, assessment, documentation are the activities of the nurse as a technician. B. Activities as a parent surrogate. C. Refers to the ward manager role. D. Role as a teacher.
Question 6
Freud explains anxiety as:
A
Strives to gratify the needs for satisfaction and security
B
Conflict between id and superego
C
A hypothalamic-pituitary-adrenal reaction to stress
D
A conditioned response to stressors
Question 6 Explanation:
Freud explains anxiety as due to opposing action drives between the id and the superego. A. Sullivan identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety. C. Biomedical perspective of anxiety. D. Explanation of anxiety using the behavioral model.
Question 7
Mental health is defined as:
A
The ability to distinguish what is real from what is not.
B
A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively.
C
Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation
D
Absence of mental illness
Question 7 Explanation:
Mental health is a state of emotional and psychosocial well being. A mentally healthy individual is self aware and self directive, has the ability to solve problems, can cope with crisis without assistance beyond the support of family and friends fulfill the capacity to love and work and sets goals and realistic limits. A. This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric Nursing. D. Mental health is not just the absence of mental illness.
Question 8
A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
A
argumentativeness, disobedience, angry outburst
B
intolerance to change, disturbed relatedness, stereotypes
C
distractibility, impulsiveness and over activity
D
aggression, truancy, stealing, lying
Question 8 Explanation:
These are manifestations of autistic disorder. A. These manifestations are noted in Oppositional Defiant Disorder, a disruptive disorder among children. C. These are manifestations of Attention Deficit Disorder D. These are the manifestations of Conduct Disorder
Question 9
Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
A
provide as much structure as possible for the child
B
ignore the child’s overactivity.
C
encourage the child to engage in any play activity to dissipate energy
D
remove the child from the classroom when disruptive behavior occurs
Question 9 Explanation:
Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non –confrontational approach and setting limit to time allotted for activities. B. The child will not benefit from a lenient approach. C. Dissipate energy through safe activities. D. This indicates that the classroom environment lacks structure.
Question 10
The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
A
over protection of the child
B
patience, routine and repetition
C
assisting the parents set realistic goals
D
giving reasonable compliments
Question 10 Explanation:
The child with mental retardation should not be overprotected but need protection from injury and the teasing of other children. B,C, and D Children with mental retardation have learning difficulty. They should be taught with patience and repetition, start from simple to complex, use visuals and compliment them for motivation. Realistic expectations should be set and optimize their capability.
Question 11
Primary level of prevention is exemplified by:
A
Helping the client resume self care.
B
Ensuring the safety of a suicidal client in the institution.
C
Teaching the client stress management techniques
D
Case finding and surveillance in the community
Question 11 Explanation:
Primary level of prevention refers to the promotion of mental health and prevention of mental illness. This can be achieved by rendering health teachings such as modifying ones responses to stress. A. This is tertiary level of prevention that deals with rehabilitation. B and D. Secondary level of prevention which involves reduction of actual illness through early detection and treatment of illness.
Question 12
School phobia is usually treated by:
A
Returning the child to the school immediately with family support.
B
Calmly explaining why attendance in school is necessary
C
Allowing the child to enter the school before the other children
D
Allowing the parent to accompany the child in the classroom
Question 12 Explanation:
Exposure to the feared situation can help in overcoming anxiety. A. This will not help in relieving the anxiety due separation from a significant other. C. and C. Anxiety in school phobia is not due to being in school but due to separation from parents/caregivers so these interventions are not applicable. D. Thiswill not help the child overcome the fear
Question 13
Ritalin is the drug of choice for children with ADHD. The side effects of the following may be noted:
A
increased attention span and concentration
B
increase in appetite
C
sleepiness and lethargy
D
bradycardia and diarrhea
Question 13 Explanation:
The medication has a paradoxic effect that decrease hyperactivity and impulsivity among children with ADHD. B, C, D. Side effects of Ritalin include anorexia, insomnia, diarrhea and irritability.
Question 14
The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
A
hopelessness
B
altered parenting role
C
altered family process
D
ineffective coping
Question 14 Explanation:
Altered parenting role refers to the inability to create an environment that promotes optimum growth and development of the child. This is reflected in the parent’s inability to care for the child. A. This refers to lack of choices or inability to mobilize one’s resources. C. Refers to change in family relationship and function. D. Ineffective coping is the inability to form valid appraisal of the stressor or inability to use available resources
Question 15
According to Piaget a 5 year old is in what stage of development
A
Sensory motor stage
B
Concrete operations
C
Pre-operational
D
Formal operation
Question 15 Explanation:
Pre-operational stage (2-7 years) is the stage when the use of language, the use of symbols and the concept of time occur. A. Sensory-motor stage (0-2 years) is the stage when the child uses the senses in learning about the self and the environment through exploration. B. Concrete operations (7-12 years) when inductive reasoning develops. D. Formal operations (2 till adulthood) is when abstract thinking and deductive reasoning develop.
Question 16
What would be the best response to the client’s repeated complaints of pain:
A
“I know the feeling is real tests revealed negative results.”
B
“I think you’re exaggerating things a little bit.”
C
“Try to forget this feeling and have activities to take it off your mind”
D
“So tell me more about the pain”
Question 16 Explanation:
hows empathy and offers information. B. This is a demeaning statement. C. This belittles the client’s feelings. D. Giving undue attention to the physical symptom reinforces the complaint.
Question 17
Which comment about a 3 year old child if made by the parent may indicate child abuse?
A
“Once my child is toilet trained, I can still expect her to have some"
B
“When I tell my child to do something once, I don’t expect to have to tell"
C
“My child is expected to try to do things such as, dress and feed.”
D
“My 3 year old loves to say NO.”
Question 17 Explanation:
Abusive parents tend to have unrealistic expectations on the child. A,B and C are realistic expectations on a 3 year old.
Question 18
A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:
A
Profound
B
Mild
C
Moderate
D
Moderate
Question 18 Explanation:
The child with moderate mental retardation has an I.Q. of 35-50 Profound Mental retardation has an I.Q. of below 20; Mild mental retardation 50-70 and Severe mental retardation has an I.Q. of 20-35.
Question 19
The following statements describe somatoform disorders:
A
Physical symptoms are explained by organic causes
B
It is a voluntary expression of psychological conflicts
C
Expression of conflicts through bodily symptoms
D
Management entails a specific medical treatment
Question 19 Explanation:
Bodily symptoms are used to handle conflicts. A. Manifestations do not have an organic basis. B. This occurs unconsciously. D. Medical treatment is not used because the disorder does not have a structural or organic basis.
Question 20
Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?
A
“Are you being threatened or hurt by your partner?
B
“Are you frightened of you partner”
C
“Is something bothering you?”
D
“What happens when you and your partner argue?”
Question 20 Explanation:
The nurse validates her observation by asking simple, direct question. This also shows empathy. B, C, and D are indirect questions which may not lead to the discussion of abuse.
Question 21
The child with conduct disorder will likely demonstrate:
A
Easy distractibility to external stimuli.
B
Ritualistic behaviors
C
Preference for inanimate objects.
D
Serious violations of age related norms.
Question 21 Explanation:
This is a disruptive disorder among children characterized by more serious violations of social standards such as aggression, vandalism, stealing, lying and truancy. A. This is characteristic of attention deficit disorder. B and C. These are noted among children with autistic disorder.
Question 22
Liza says, “Give me 10 minutes to recall the name of our college professor who failed many students in our anatomy class.” She is operating on her:
A
Subconscious
B
Conscious
C
Unconscious
D
Ego
Question 22 Explanation:
Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled spontaneously and voluntarily. B. This functions when one is awake. One is aware of his thoughts, feelings actions and what is going on in the environment. C. The largest potion of the mind that contains the memories of one’s past particularly the unpleasant. It is difficult to recall the unconscious content. D. The conscious self that deals and tests reality.
Question 23
The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
A
Sexual desire disorder
B
Sexual arousal Disorder
C
Orgasm Disorder
D
Sexual Pain Disorder
Question 23 Explanation:
Has little or no sexual desire or has distaste for sex. B. Failure to maintain the physiologic requirements for sexual intercourse. C. Persistent and recurrent inability to achieve an orgasm. D. Also called dyspareunia. Individuals with this disorder suffer genital pain before, during and after sexual intercourse.
Question 24
The primary nursing intervention for a victim of child abuse is:
A
Assess the scope of the problem
B
Analyze the family dynamics
C
Ensure the safety of the victim
D
Teach the victim coping skills
Question 24 Explanation:
The priority consideration is the safety of the victim. Attend to the physical injuries to ensure the physiologic safety and integrity of the child. Reporting suspected case of abuse may deter recurrence of abuse. A,B and D may be addressed later.
Question 25
The superego is that part of the psyche that:
A
Uses defensive function for protection.
B
Is impulsive and without morals.
C
Determines the circumstances before making decisions.
D
The censoring portion of the mind
Question 25 Explanation:
The critical censoring portion of one’s personality; the conscience. A. This refers to the ego function that protects itself from anything that threatens it.. B. The Id is composed of the untamed, primitive drives and impulses. C. This refers to the ego that acts as the moderator of the struggle between the id and the superego.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 25 questions to complete.
←
List
→
Return
Shaded items are complete.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
End
Return
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
Exam Mode
Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
NCLEX Practice Exam for Psychiatric Nursing 1 (EM)*
Choose the letter of the correct answer. You got 25 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed NCLEX Practice Exam for Psychiatric Nursing 1 (EM)*.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
The following are appropriate nursing diagnosis for the client EXCEPT:
A
Ineffective individual coping
B
Alteration in comfort, pain
C
Altered role performance
D
Impaired social interaction
Question 1 Explanation:
The client may not have difficulty in social exchange. The cues do not support this diagnosis. A. The client maladaptively uses body symptoms to manage anxiety. B. The client will have discomfort due to pain. C. The client may fail to meet environmental expectations due to pain.
Question 2
School phobia is usually treated by:
A
Returning the child to the school immediately with family support.
B
Calmly explaining why attendance in school is necessary
C
Allowing the child to enter the school before the other children
D
Allowing the parent to accompany the child in the classroom
Question 2 Explanation:
Exposure to the feared situation can help in overcoming anxiety. A. This will not help in relieving the anxiety due separation from a significant other. C. and C. Anxiety in school phobia is not due to being in school but due to separation from parents/caregivers so these interventions are not applicable. D. Thiswill not help the child overcome the fear
Question 3
Primary level of prevention is exemplified by:
A
Helping the client resume self care.
B
Ensuring the safety of a suicidal client in the institution.
C
Teaching the client stress management techniques
D
Case finding and surveillance in the community
Question 3 Explanation:
Primary level of prevention refers to the promotion of mental health and prevention of mental illness. This can be achieved by rendering health teachings such as modifying ones responses to stress. A. This is tertiary level of prevention that deals with rehabilitation. B and D. Secondary level of prevention which involves reduction of actual illness through early detection and treatment of illness.
Question 4
The following statements describe somatoform disorders:
A
Physical symptoms are explained by organic causes
B
It is a voluntary expression of psychological conflicts
C
Expression of conflicts through bodily symptoms
D
Management entails a specific medical treatment
Question 4 Explanation:
Bodily symptoms are used to handle conflicts. A. Manifestations do not have an organic basis. B. This occurs unconsciously. D. Medical treatment is not used because the disorder does not have a structural or organic basis.
Question 5
The therapeutic approach in the care of an autistic child include the following EXCEPT:
A
Engage in diversionary activities when acting -out
B
Provide an atmosphere of acceptance
C
Provide safety measures
D
Rearrange the environment to activate the child
Question 5 Explanation:
The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic. A. Angry outburst can be rechanneled through safe activities. B. Acceptance enhances a trusting relationship. C. Ensure safety from self-destructive behaviors like head banging and hair pulling.
Question 6
What would be the best approach for a wife who is still living with her abusive husband?
A
“Here’s the number of a crisis center that you can call for help .”
B
“Its best to leave your husband.”
C
“Did you discuss this with your family?”
D
“ Why do you allow yourself to be treated this way”
Question 6 Explanation:
Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give advice to leave the abuser. Making decisions for the victim further erodes her esteem. However discuss options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in anyway implying that she is at fault.
Question 7
Which comment about a 3 year old child if made by the parent may indicate child abuse?
A
“Once my child is toilet trained, I can still expect her to have some"
B
“When I tell my child to do something once, I don’t expect to have to tell"
C
“My child is expected to try to do things such as, dress and feed.”
D
“My 3 year old loves to say NO.”
Question 7 Explanation:
Abusive parents tend to have unrealistic expectations on the child. A,B and C are realistic expectations on a 3 year old.
Question 8
The superego is that part of the psyche that:
A
Uses defensive function for protection.
B
Is impulsive and without morals.
C
Determines the circumstances before making decisions.
D
The censoring portion of the mind
Question 8 Explanation:
The critical censoring portion of one’s personality; the conscience. A. This refers to the ego function that protects itself from anything that threatens it.. B. The Id is composed of the untamed, primitive drives and impulses. C. This refers to the ego that acts as the moderator of the struggle between the id and the superego.
Question 9
What would be the best response to the client’s repeated complaints of pain:
A
“I know the feeling is real tests revealed negative results.”
B
“I think you’re exaggerating things a little bit.”
C
“Try to forget this feeling and have activities to take it off your mind”
D
“So tell me more about the pain”
Question 9 Explanation:
hows empathy and offers information. B. This is a demeaning statement. C. This belittles the client’s feelings. D. Giving undue attention to the physical symptom reinforces the complaint.
Question 10
Which of the following describes the role of a technician?
A
Administers medications to a schizophrenic patient.
B
The nurse feeds and bathes a catatonic client
C
Coordinates diverse aspects of care rendered to the patient
D
Disseminates information about alcohol and its effects.
Question 10 Explanation:
Administration of medications and treatments, assessment, documentation are the activities of the nurse as a technician. B. Activities as a parent surrogate. C. Refers to the ward manager role. D. Role as a teacher.
Question 11
The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
A
over protection of the child
B
patience, routine and repetition
C
assisting the parents set realistic goals
D
giving reasonable compliments
Question 11 Explanation:
The child with mental retardation should not be overprotected but need protection from injury and the teasing of other children. B,C, and D Children with mental retardation have learning difficulty. They should be taught with patience and repetition, start from simple to complex, use visuals and compliment them for motivation. Realistic expectations should be set and optimize their capability.
Question 12
The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
A
hopelessness
B
altered parenting role
C
altered family process
D
ineffective coping
Question 12 Explanation:
Altered parenting role refers to the inability to create an environment that promotes optimum growth and development of the child. This is reflected in the parent’s inability to care for the child. A. This refers to lack of choices or inability to mobilize one’s resources. C. Refers to change in family relationship and function. D. Ineffective coping is the inability to form valid appraisal of the stressor or inability to use available resources
Question 13
A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:
A
Profound
B
Mild
C
Moderate
D
Moderate
Question 13 Explanation:
The child with moderate mental retardation has an I.Q. of 35-50 Profound Mental retardation has an I.Q. of below 20; Mild mental retardation 50-70 and Severe mental retardation has an I.Q. of 20-35.
Question 14
Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?
A
Somatization Disorder
B
Hypochondriaisis
C
Conversion Disorder
D
Somatoform Pain Disorder
Question 14 Explanation:
This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic syndrome of somatic symptoms that cannot be explained medically and is associated with psychosocial distress. B. This is an unrealistic preoccupation with a fear of having a serious illness. C. Characterized by alteration or loss in sensory or motor function resulting from a psychological conflict.
Question 15
The primary nursing intervention for a victim of child abuse is:
A
Assess the scope of the problem
B
Analyze the family dynamics
C
Ensure the safety of the victim
D
Teach the victim coping skills
Question 15 Explanation:
The priority consideration is the safety of the victim. Attend to the physical injuries to ensure the physiologic safety and integrity of the child. Reporting suspected case of abuse may deter recurrence of abuse. A,B and D may be addressed later.
Question 16
Mental health is defined as:
A
The ability to distinguish what is real from what is not.
B
A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively.
C
Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation
D
Absence of mental illness
Question 16 Explanation:
Mental health is a state of emotional and psychosocial well being. A mentally healthy individual is self aware and self directive, has the ability to solve problems, can cope with crisis without assistance beyond the support of family and friends fulfill the capacity to love and work and sets goals and realistic limits. A. This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric Nursing. D. Mental health is not just the absence of mental illness.
Question 17
Freud explains anxiety as:
A
Strives to gratify the needs for satisfaction and security
B
Conflict between id and superego
C
A hypothalamic-pituitary-adrenal reaction to stress
D
A conditioned response to stressors
Question 17 Explanation:
Freud explains anxiety as due to opposing action drives between the id and the superego. A. Sullivan identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety. C. Biomedical perspective of anxiety. D. Explanation of anxiety using the behavioral model.
Question 18
The child with conduct disorder will likely demonstrate:
A
Easy distractibility to external stimuli.
B
Ritualistic behaviors
C
Preference for inanimate objects.
D
Serious violations of age related norms.
Question 18 Explanation:
This is a disruptive disorder among children characterized by more serious violations of social standards such as aggression, vandalism, stealing, lying and truancy. A. This is characteristic of attention deficit disorder. B and C. These are noted among children with autistic disorder.
Question 19
The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
A
Sexual desire disorder
B
Sexual arousal Disorder
C
Orgasm Disorder
D
Sexual Pain Disorder
Question 19 Explanation:
Has little or no sexual desire or has distaste for sex. B. Failure to maintain the physiologic requirements for sexual intercourse. C. Persistent and recurrent inability to achieve an orgasm. D. Also called dyspareunia. Individuals with this disorder suffer genital pain before, during and after sexual intercourse.
Question 20
A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
A
argumentativeness, disobedience, angry outburst
B
intolerance to change, disturbed relatedness, stereotypes
C
distractibility, impulsiveness and over activity
D
aggression, truancy, stealing, lying
Question 20 Explanation:
These are manifestations of autistic disorder. A. These manifestations are noted in Oppositional Defiant Disorder, a disruptive disorder among children. C. These are manifestations of Attention Deficit Disorder D. These are the manifestations of Conduct Disorder
Question 21
Ritalin is the drug of choice for children with ADHD. The side effects of the following may be noted:
A
increased attention span and concentration
B
increase in appetite
C
sleepiness and lethargy
D
bradycardia and diarrhea
Question 21 Explanation:
The medication has a paradoxic effect that decrease hyperactivity and impulsivity among children with ADHD. B, C, D. Side effects of Ritalin include anorexia, insomnia, diarrhea and irritability.
Question 22
According to Piaget a 5 year old is in what stage of development
A
Sensory motor stage
B
Concrete operations
C
Pre-operational
D
Formal operation
Question 22 Explanation:
Pre-operational stage (2-7 years) is the stage when the use of language, the use of symbols and the concept of time occur. A. Sensory-motor stage (0-2 years) is the stage when the child uses the senses in learning about the self and the environment through exploration. B. Concrete operations (7-12 years) when inductive reasoning develops. D. Formal operations (2 till adulthood) is when abstract thinking and deductive reasoning develop.
Question 23
Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?
A
“Are you being threatened or hurt by your partner?
B
“Are you frightened of you partner”
C
“Is something bothering you?”
D
“What happens when you and your partner argue?”
Question 23 Explanation:
The nurse validates her observation by asking simple, direct question. This also shows empathy. B, C, and D are indirect questions which may not lead to the discussion of abuse.
Question 24
Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
A
provide as much structure as possible for the child
B
ignore the child’s overactivity.
C
encourage the child to engage in any play activity to dissipate energy
D
remove the child from the classroom when disruptive behavior occurs
Question 24 Explanation:
Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non –confrontational approach and setting limit to time allotted for activities. B. The child will not benefit from a lenient approach. C. Dissipate energy through safe activities. D. This indicates that the classroom environment lacks structure.
Question 25
Liza says, “Give me 10 minutes to recall the name of our college professor who failed many students in our anatomy class.” She is operating on her:
A
Subconscious
B
Conscious
C
Unconscious
D
Ego
Question 25 Explanation:
Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled spontaneously and voluntarily. B. This functions when one is awake. One is aware of his thoughts, feelings actions and what is going on in the environment. C. The largest potion of the mind that contains the memories of one’s past particularly the unpleasant. It is difficult to recall the unconscious content. D. The conscious self that deals and tests reality.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 25 questions to complete.
←
List
→
Return
Shaded items are complete.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
End
Return
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
Text Mode
Text Mode – Text version of the exam
1. Mental health is defined as:
The ability to distinguish what is real from what is not.
A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively.
Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation
Absence of mental illness
2. Which of the following describes the role of a technician?
Administers medications to a schizophrenic patient.
The nurse feeds and bathes a catatonic client
Coordinates diverse aspects of care rendered to the patient
Disseminates information about alcohol and its effects.
3. Liza says, “Give me 10 minutes to recall the name of our college professor who failed many students in our anatomy class.” She is operating on her:
Subconscious
Conscious
Unconscious
Ego
4. The superego is that part of the psyche that:
Uses defensive function for protection.
Is impulsive and without morals.
Determines the circumstances before making decisions.
The censoring portion of the mind.
5. Primary level of prevention is exemplified by:
Helping the client resume self care.
Ensuring the safety of a suicidal client in the institution.
Teaching the client stress management techniques
Case finding and surveillance in the community
6. Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?
“Are you being threatened or hurt by your partner?
“Are you frightened of you partner”
“Is something bothering you?”
“What happens when you and your partner argue?”
7. The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
Sexual desire disorder
Sexual arousal Disorder
Orgasm Disorder
Sexual Pain Disorder
8. What would be the best approach for a wife who is still living with her abusive husband?
“Here’s the number of a crisis center that you can call for help .”
“Its best to leave your husband.”
“Did you discuss this with your family?”
“ Why do you allow yourself to be treated this way”
9. Which comment about a 3 year old child if made by the parent may indicate child abuse?
“Once my child is toilet trained, I can still expect her to have some”
“When I tell my child to do something once, I don’t expect to have to tell”
“My child is expected to try to do things such as, dress and feed.”
“My 3 year old loves to say NO.”
10. The primary nursing intervention for a victim of child abuse is:
Assess the scope of the problem
Analyze the family dynamics
Ensure the safety of the victim
Teach the victim coping skills
11. Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?
Somatization Disorder
Hypochondriaisis
Conversion Disorder
Somatoform Pain Disorder
12. Freud explains anxiety as:
Strives to gratify the needs for satisfaction and security
Conflict between id and superego
A hypothalamic-pituitary-adrenal reaction to stress
A conditioned response to stressors
13. The following are appropriate nursing diagnosis for the client EXCEPT:
Ineffective individual coping
Alteration in comfort, pain
Altered role performance
Impaired social interaction
14. The following statements describe somatoform disorders:
Physical symptoms are explained by organic causes
It is a voluntary expression of psychological conflicts
Expression of conflicts through bodily symptoms
Management entails a specific medical treatment
15. What would be the best response to the client’s repeated complaints of pain:
“I know the feeling is real tests revealed negative results.”
“I think you’re exaggerating things a little bit.”
“Try to forget this feeling and have activities to take it off your mind”
“So tell me more about the pain”
16. Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
provide as much structure as possible for the child
ignore the child’s overactivity.
encourage the child to engage in any play activity to dissipate energy
remove the child from the classroom when disruptive behavior occurs
17. The child with conduct disorder will likely demonstrate:
Easy distractibility to external stimuli.
Ritualistic behaviors
Preference for inanimate objects.
Serious violations of age related norms.
18. Ritalin is the drug of choice for chidren with ADHD. The side effects of the following may be noted:
increased attention span and concentration
increase in appetite
sleepiness and lethargy
bradycardia and diarrhea
19. School phobia is usually treated by:
Returning the child to the school immediately with family support.
Calmly explaining why attendance in school is necessary
Allowing the child to enter the school before the other children
Allowing the parent to accompany the child in the classroom
20. A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:
Profound
Mild
Moderate
Severe
21. The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
overprotection of the child
patience, routine and repetition
assisting the parents set realistic goals
giving reasonable compliments
22. The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
hopelessness
altered parenting role
altered family process
ineffective coping
23. A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
argumentativeness, disobedience, angry outburst
intolerance to change, disturbed relatedness, stereotypes
distractibility, impulsiveness and overactivity
aggression, truancy, stealing, lying
24. The therapeutic approach in the care of an autistic child include the following EXCEPT:
Engage in diversionary activities when acting -out
Provide an atmosphere of acceptance
Provide safety measures
Rearrange the environment to activate the child
25. According to Piaget a 5 year old is in what stage of development:
Sensory motor stage
Concrete operations
Pre-operational
Formal operation
Answers and Rationales
Answer: (B) A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively. Mental health is a state of emotional and psychosocial well being. A mentally healthy individual is self aware and self directive, has the ability to solve problems, can cope with crisis without assistance beyond the support of family and friends fulfill the capacity to love and work and sets goals and realistic limits. A. This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric Nursing. D. Mental health is not just the absence of mental illness.
Answer: (A) Administers medications to a schizophrenic patient. Administration of medications and treatments, assessment, documentation are the activities of the nurse as a technician. B. Activities as a parent surrogate. C. Refers to the ward manager role. D. Role as a teacher.
Answer: (A) Subconscious. Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled spontaneously and voluntarily. B. This functions when one is awake. One is aware of his thoughts, feelings actions and what is going on in the environment. C. The largest potion of the mind that contains the memories of one’s past particularly the unpleasant. It is difficult to recall the unconscious content. D. The conscious self that deals and tests reality.
Answer: (D) The censoring portion of the mind. The critical censoring portion of one’s personality; the conscience. A. This refers to the ego function that protects itself from anything that threatens it.. B. The Id is composed of the untamed, primitive drives and impulses. C. This refers to the ego that acts as the moderator of the struggle between the id and the superego.
Answer: (C) Teaching the client stress management techniques .Primary level of prevention refers to the promotion of mental health and prevention of mental illness. This can be achieved by rendering health teachings such as modifying ones responses to stress. A. This is tertiary level of prevention that deals with rehabilitation. B and D. Secondary level of prevention which involves reduction of actual illness through early detection and treatment of illness.
Answer: (A) “Are you being threatened or hurt by your partner? The nurse validates her observation by asking simple, direct question. This also shows empathy. B, C, and D are indirect questions which may not lead to the discussion of abuse.
Answer: (A) Sexual desire disorder . Has little or no sexual desire or has distaste for sex. B. Failure to maintain the physiologic requirements for sexual intercourse. C. Persistent and recurrent inability to achieve an orgasm. D. Also called dyspareunia. Individuals with this disorder suffer genital pain before, during and after sexual intercourse.
Answer: (A) “Here’s the number of a crisis center that you can call for help .” Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give advice to leave the abuser. Making decisions for the victim further erodes her esteem. However discuss options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in anyway implying that she is at fault.
Answer: (B) “When I tell my child to do something once, I don’t expect to have to tell” . Abusive parents tend to have unrealistic expectations on the child. A,B and C are realistic expectations on a 3 year old.
Answer: (C) Ensure the safety of the victim . The priority consideration is the safety of the victim. Attend to the physical injuries to ensure the physiologic safety and integrity of the child. Reporting suspected case of abuse may deter recurrence of abuse. A,B and D may be addressed later.
Answer: (D) Somatoform Pain Disorder . This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic syndrome of somatic symptoms that cannot be explained medically and is associated with psychosocial distress. B. This is an unrealistic preoccupation with a fear of having a serious illness. C. Characterized by alteration or loss in sensory or motor function resulting from a psychological conflict.
Answer: (B) Conflict between id and superego . Freud explains anxiety as due to opposing action drives between the id and the superego. A. Sullivan identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety. C. Biomedical perspective of anxiety. D. Explanation of anxiety using the behavioral model.
Answer: (D) Impaired social interaction . The client may not have difficulty in social exchange. The cues do not support this diagnosis. A. The client maladaptively uses body symptoms to manage anxiety. B. The client will have discomfort due to pain. C. The client may fail to meet environmental expectations due to pain.
Answer: (C) Expression of conflicts through bodily symptoms . Bodily symptoms are used to handle conflicts. A. Manifestations do not have an organic basis. B. This occurs unconsciously. D. Medical treatment is not used because the disorder does not have a structural or organic basis.
Answer: (A) “I know the feeling is real tests revealed negative results.” . Shows empathy and offers information. B. This is a demeaning statement. C. This belittles the client’s feelings. D. Giving undue attention to the physical symptom reinforces the complaint.
Answer: (A) provide as much structure as possible for the child . Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non –confrontational approach and setting limit to time allotted for activities. B. The child will not benefit from a lenient approach. C. Dissipate energy through safe activities. D. This indicates that the classroom environment lacks structure.
Answer: (D) Serious violations of age related norms. . This is a disruptive disorder among children characterized by more serious violations of social standards such as aggression, vandalism, stealing, lying and truancy. A. This is characteristic of attention deficit disorder. B and C. These are noted among children with autistic disorder.
Answer: (A) increased attention span and concentration . The medication has a paradoxic effect that decrease hyperactivity and impulsivity among children with ADHD. B, C, D. Side effects of Ritalin include anorexia, insomnia, diarrhea and irritability.
Answer: (A) Returning the child to the school immediately with family support. Exposure to the feared situation can help in overcoming anxiety. A. This will not help in relieving the anxiety due separation from a significant other. C. and C. Anxiety in school phobia is not due to being in school but due to separation from parents/caregivers so these interventions are not applicable. D. Thiswill not help the child overcome the fear
Answer: (C) Moderate . The child with moderate mental retardation has an I.Q. of 35-50 Profound Mental retardation has an I.Q. of below 20; Mild mental retardation 50-70 and Severe mental retardation has an I.Q. of 20-35.
Answer: (A) overprotection of the child . The child with mental retardation should not be overprotected but need protection from injury and the teasing of other children. B,C, and D Children with mental retardation have learning difficulty. They should be taught with patience and repetition, start from simple to complex, use visuals and compliment them for motivation. Realistic expectations should be set and optimize their capability.
Answer: (B) altered parenting role . Altered parenting role refers to the inability to create an environment that promotes optimum growth and development of the child. This is reflected in the parent’s inability to care for the child. A. This refers to lack of choices or inability to mobilize one’s resources. C. Refers to change in family relationship and function. D. Ineffective coping is the inability to form valid appraisal of the stressor or inability to use available resources
Answer: (B) intolerance to change, disturbed relatedness, stereotypes . These are manifestations of autistic disorder. A. These manifestations are noted in Oppositional Defiant Disorder, a disruptive disorder among children. C. These are manifestations of Attention Deficit Disorder D. These are the manifestations of Conduct Disorder
Answer: (D) Rearrange the environment to activate the child . The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic. A. Angry outburst can be rechannelled through safe activities. B. Acceptance enhances a trusting relationship. C. Ensure safety from self-destructive behaviors like head banging and hair pulling.
Answer: (C) Pre-operational . Pre-operational stage (2-7 years) is the stage when the use of language, the use of symbols and the concept of time occur. A. Sensory-motor stage (0-2 years) is the stage when the child uses the senses in learning about the self and the environment through exploration. B. Concrete operations (7-12 years) when inductive reasoning develops. D. Formal operations (2 till adulthood) is when abstract thinking and deductive reasoning develop.