NCLEX Practice Exam for Psychiatric Nursing 2

Practice Mode

Welcome to your NCLEX Practice Exam for Psychiatric Nursing 2! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Think about the interaction between Valium and substances that affect the central nervous system.

1 / 25

1. Nurse Adams is providing health education to patients prescribed Valium (diazepam). What important information should be included in these teachings?

💡 Hint

Focus on redirecting and validating feelings without causing distress.

2 / 25

2. When responding to an elderly woman with dementia who is waiting for her deceased husband to join her for breakfast, a therapeutic approach is essential to maintain respect and compassion. The best response by the nurse would be:

💡 Hint

Focus on the response that encourages Anna to express her feelings and concerns about the situation.

3 / 25

3. Anna confides in Nurse Brooks that her boyfriend has been pressuring her to engage in premarital sex. What would be the most therapeutic response from Nurse Brooks?

💡 Hint

Opt for an intervention that promotes immediate, supportive communication in a safe environment, allowing for professional intervention and emotional support.

4 / 25

4. When a 16-year-old gymnast, admitted due to weight loss and dehydration from starvation, expresses the urge to starve, the most therapeutic intervention Nurse Thompson can teach is:

💡 Hint

Identify the medication specifically used for rapid reversal of opioid overdose, which can immediately address life-threatening symptoms such as respiratory depression.

5 / 25

5. Nurse Martin observes a client admitted to the detoxification unit with needle tracks on his arms, a stuporous state, and pinpoint pupils, indicating opioid use. Which medication is most appropriate for managing this client's condition?

💡 Hint

Focus on the physiological adaptation the body undergoes in response to repeated exposure to a substance.

6 / 25

6. Nurse Martin is working in the detoxification unit and is assessing a 45-year-old male patient who reports needing to consume more alcohol than before to achieve the same effects. This symptom indicates:

💡 Hint

Opt for a response that acknowledges the emotional strain of the situation without dismissing the daughter's feelings, providing empathy and understanding.

7 / 25

7. When addressing a daughter's distress over being accused of stealing by her elderly mother, who is undergoing evaluation for memory issues, the most therapeutic response by the nurse would be:

💡 Hint

Think about the fear specifically related to being in confined or enclosed spaces.

8 / 25

8. Nurse Evans is assessing a 36-year-old male patient who expresses an intense fear of riding an elevator, stating, "It's as if I will die inside." This fear has significantly impacted his daily activities and studies. What condition is the patient most likely suffering from?

💡 Hint

Focus on the behavior that involves a cycle of overeating and compensatory actions which is specific to one of these disorders.

9 / 25

9. Nurse Carter is evaluating two patients, one diagnosed with bulimia nervosa and the other with anorexia nervosa. She needs to identify the characteristic manifestation that distinctly differentiates bulimia nervosa from anorexia nervosa. What is this key distinguishing feature?

💡 Hint

Consider the psychological nature of conversion disorder, where physical symptoms are believed to hold symbolic significance for the patient.

10 / 25

10. Nurse Williams is planning care for a 20-year-old college student admitted with sudden paralysis of both legs, with no physical cause found. What correct understanding about conversion disorder should guide her interventions?

💡 Hint

This term refers to the inability to perform purposeful actions or use objects correctly.

11 / 25

11. During an evaluation at the hospital, an elderly woman exhibits increasing forgetfulness and difficulty performing daily tasks. Her daughter reports that she used her toothbrush to comb her hair. This behavior is indicative of:

💡 Hint

Immediate physical health risks are critical during the detoxification process.

12 / 25

12. Nurse Martin, working in the detoxification unit, prioritizes care for patients with substance-related disorders. Which of the following should be considered a top priority in her care plan?

💡 Hint

Start by understanding the patient's emotional state and background related to the fear.

13 / 25

13. Nurse Ramirez is working with a 33-year-old male patient who has an intense fear of riding an elevator, saying, "It's as if I will die inside," which has affected his studies. What should be the initial nursing intervention for this patient?

💡 Hint

Consider the role of psychological factors when there is no physical cause for the symptoms.

14 / 25

14. Nurse Jenkins is planning the care for Linda, a college student admitted with sudden paralysis of both legs, with no physical cause found. Unlike a psychophysiologic disorder, what might be the most effective management approach for Linda?

💡 Hint

Consider which diagnosis directly addresses the acute medical risks associated with the patient's current physical state, such as dehydration.

15 / 25

15. In managing the care of a 17-year-old gymnast admitted for weight loss and dehydration due to starvation, Nurse Thompson needs to prioritize the most immediate and life-threatening issues first. The nursing diagnosis of highest priority would be:

💡 Hint

Consider the intervention that directly addresses the client's immediate safety needs, which is essential in the management of dementia at any stage.

16 / 25

16. When working with a client diagnosed with moderate stage dementia, the primary nursing intervention is crucial for maintaining overall well-being. Which of these should be the top priority for the nurse?

💡 Hint

Focus on the feature that indicates a slow progression typical of dementia, contrasting with the sudden and acute changes seen in delirium.

17 / 25

17. When differentiating between dementia and delirium, it's important for Nurse Thompson to understand the characteristic features of each. Dementia, unlike delirium, is characterized by:

💡 Hint

Consider the ultimate goal of desensitization therapy, which is to reduce or eliminate the impact of the phobia on the patient's life.

18 / 25

18. Nurse Martin is implementing a desensitization program for a patient with a severe phobia. What is the desired outcome of this intervention?

💡 Hint

Focus on the intentionality and awareness of symptom production.

19 / 25

19. Nurse Thompson is distinguishing between malingering and somatoform disorder while assessing a patient. What key difference should she identify?

💡 Hint

Consider the goal that directly addresses the patient's ability to manage their eating behaviors and regain a sense of control.

20 / 25

20. Nurse Smith is working with patients diagnosed with bulimia nervosa. She identifies a nursing diagnosis of powerlessness related to a lack of control over eating habits. What should be the primary goal for addressing this issue?

💡 Hint

Identify the condition known for severe acute symptoms related to sudden alcohol withdrawal, including confusion, rapid heartbeat, and high fever.

21 / 25

21. Nurse Martin is monitoring a client in alcohol detoxification who is showing symptoms of increased tremors, irritability, hypertension, and fever. She should be alert for the potential development of:

💡 Hint

Think about the most measurable and objective indicator of physical health improvement in a patient with anorexia nervosa.

22 / 25

22. Nurse Patel is caring for Sarah, a 17-year-old gymnast admitted for weight loss and dehydration due to anorexia nervosa. Nurse Patel is looking for signs of improvement in Sarah's condition. Which of the following indicators would best demonstrate that Sarah is making progress?

💡 Hint

Look for the behavior where the nurse's personal feelings and experiences start to influence her professional relationship with the patient.

23 / 25

23. Nurse Walker is reflecting on her interactions with a patient and suspects she might be experiencing a countertransference reaction. Which of the following behaviors indicates this reaction?

💡 Hint

Consider interventions that support a positive and non-judgmental approach.

24 / 25

24. Nurse Johnson is developing a care plan for her patients with bulimia nervosa. She aims to foster a therapeutic relationship through various nursing interventions. Which of the following actions would not contribute to this goal?

💡 Hint

Consider the substance that is known for causing intense agitation, hallucinations, and nasal irritation due to its common method of use.

25 / 25

25. Nurse Thompson assesses a client in the emergency room who is experiencing hallucinations, agitation, and has an irritated nasal septum, as reported by his friends who mentioned he ingested a substance about an hour ago. Which substance is most likely responsible for these symptoms?

Exam Mode

Welcome to your NCLEX Practice Exam for Psychiatric Nursing 2! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 37 & 30 seconds minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 37 minutes & 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 25

1. Nurse Smith is working with patients diagnosed with bulimia nervosa. She identifies a nursing diagnosis of powerlessness related to a lack of control over eating habits. What should be the primary goal for addressing this issue?

2 / 25

2. Nurse Walker is reflecting on her interactions with a patient and suspects she might be experiencing a countertransference reaction. Which of the following behaviors indicates this reaction?

3 / 25

3. Nurse Martin is implementing a desensitization program for a patient with a severe phobia. What is the desired outcome of this intervention?

4 / 25

4. When differentiating between dementia and delirium, it's important for Nurse Thompson to understand the characteristic features of each. Dementia, unlike delirium, is characterized by:

5 / 25

5. Nurse Williams is planning care for a 20-year-old college student admitted with sudden paralysis of both legs, with no physical cause found. What correct understanding about conversion disorder should guide her interventions?

6 / 25

6. When working with a client diagnosed with moderate stage dementia, the primary nursing intervention is crucial for maintaining overall well-being. Which of these should be the top priority for the nurse?

7 / 25

7. When responding to an elderly woman with dementia who is waiting for her deceased husband to join her for breakfast, a therapeutic approach is essential to maintain respect and compassion. The best response by the nurse would be:

8 / 25

8. During an evaluation at the hospital, an elderly woman exhibits increasing forgetfulness and difficulty performing daily tasks. Her daughter reports that she used her toothbrush to comb her hair. This behavior is indicative of:

9 / 25

9. Nurse Adams is providing health education to patients prescribed Valium (diazepam). What important information should be included in these teachings?

10 / 25

10. In managing the care of a 17-year-old gymnast admitted for weight loss and dehydration due to starvation, Nurse Thompson needs to prioritize the most immediate and life-threatening issues first. The nursing diagnosis of highest priority would be:

11 / 25

11. Nurse Johnson is developing a care plan for her patients with bulimia nervosa. She aims to foster a therapeutic relationship through various nursing interventions. Which of the following actions would not contribute to this goal?

12 / 25

12. When addressing a daughter's distress over being accused of stealing by her elderly mother, who is undergoing evaluation for memory issues, the most therapeutic response by the nurse would be:

13 / 25

13. Nurse Ramirez is working with a 33-year-old male patient who has an intense fear of riding an elevator, saying, "It's as if I will die inside," which has affected his studies. What should be the initial nursing intervention for this patient?

14 / 25

14. Nurse Carter is evaluating two patients, one diagnosed with bulimia nervosa and the other with anorexia nervosa. She needs to identify the characteristic manifestation that distinctly differentiates bulimia nervosa from anorexia nervosa. What is this key distinguishing feature?

15 / 25

15. Nurse Martin is monitoring a client in alcohol detoxification who is showing symptoms of increased tremors, irritability, hypertension, and fever. She should be alert for the potential development of:

16 / 25

16. Nurse Thompson is distinguishing between malingering and somatoform disorder while assessing a patient. What key difference should she identify?

17 / 25

17. Nurse Patel is caring for Sarah, a 17-year-old gymnast admitted for weight loss and dehydration due to anorexia nervosa. Nurse Patel is looking for signs of improvement in Sarah's condition. Which of the following indicators would best demonstrate that Sarah is making progress?

18 / 25

18. When a 16-year-old gymnast, admitted due to weight loss and dehydration from starvation, expresses the urge to starve, the most therapeutic intervention Nurse Thompson can teach is:

19 / 25

19. Anna confides in Nurse Brooks that her boyfriend has been pressuring her to engage in premarital sex. What would be the most therapeutic response from Nurse Brooks?

20 / 25

20. Nurse Martin is working in the detoxification unit and is assessing a 45-year-old male patient who reports needing to consume more alcohol than before to achieve the same effects. This symptom indicates:

21 / 25

21. Nurse Evans is assessing a 36-year-old male patient who expresses an intense fear of riding an elevator, stating, "It's as if I will die inside." This fear has significantly impacted his daily activities and studies. What condition is the patient most likely suffering from?

22 / 25

22. Nurse Martin, working in the detoxification unit, prioritizes care for patients with substance-related disorders. Which of the following should be considered a top priority in her care plan?

23 / 25

23. Nurse Martin observes a client admitted to the detoxification unit with needle tracks on his arms, a stuporous state, and pinpoint pupils, indicating opioid use. Which medication is most appropriate for managing this client's condition?

24 / 25

24. Nurse Jenkins is planning the care for Linda, a college student admitted with sudden paralysis of both legs, with no physical cause found. Unlike a psychophysiologic disorder, what might be the most effective management approach for Linda?

25 / 25

25. Nurse Thompson assesses a client in the emergency room who is experiencing hallucinations, agitation, and has an irritated nasal septum, as reported by his friends who mentioned he ingested a substance about an hour ago. Which substance is most likely responsible for these symptoms?