NCLEX Practice Exam for Psychiatric Nursing 4

Practice Mode

Welcome to your NCLEX Practice Exam for Psychiatric Nursing 4! 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

Focus on actions that empower the patient and provide comprehensive support.

1 / 25

1. Nurse Allen is providing care for an 18-year-old female brought to the hospital by her mother after a sexual assault. As a patient advocate, Nurse Allen knows her role involves specific supportive actions. Which of the following actions exemplifies Nurse Allen acting as a patient advocate?

💡 Hint

Think about the psychological process where a patient redirects emotions and feelings, often unconsciously, from one person to another, typically based on past experiences.

2 / 25

2. Nurse Roberts is caring for Mr. Green, a 45-year-old male patient admitted due to peculiar behaviors and diagnosed with paranoid schizophrenia. Mr. Green displays overt hostility towards a staff member without any clear reason. Nurse Roberts evaluates this behavior to identify the underlying psychological concept. What is Mr. Green most likely manifesting?

💡 Hint

The most respectful and rights-aware approach involves assisting the client in articulating their feelings without escalating the confrontation.

3 / 25

3. In a psychiatric unit, Nurse Mitchell is dealing with a client whose anger is escalating. To demonstrate her understanding of the client's rights and to manage the situation appropriately, which action should she take?

💡 Hint

Focus on the type of crisis that is unexpected and results from events that are extraordinary and often public or national disasters.

4 / 25

4. Nurse Evans is attending to an 18-year-old female brought to the hospital by her mother after being sexually assaulted while returning home from work. Nurse Evans recognizes the type of crisis this event represents. Which type of crisis does this situation exemplify?

💡 Hint

Consider the approach that involves engaging the client in a dialogue to understand their feelings and potentially de-escalate the situation.

5 / 25

5. Nurse Adams, working on a psychiatric unit, notices a client who is showing signs of agitation, including pacing and making aggressive comments. Recognizing the potential for violence, she seeks to address the situation appropriately. What should Nurse Adams say to the client to best manage his agitation?

💡 Hint

Consider which action might escalate the situation rather than help de-escalate the client's aggressive behavior.

6 / 25

6. Nurse Allen is monitoring a client in the psychiatric unit who has begun to exhibit increasingly aggressive behavior. She is assessing her response options to ensure safety for both the client and the staff. Which of the following approaches would be least helpful in managing the client’s escalating anger at this time?

💡 Hint

Consider interventions that help manage anxiety and provide stability.

7 / 25

7. For a 43-year-old male diagnosed with schizophrenia of the paranoid type, which nursing intervention would be most appropriate to address his psychosocial needs?

💡 Hint

Focus on the medication that is commonly used to manage acute anxiety symptoms due to its rapid calming effect.

8 / 25

8. Given the situation where a 29-year-old female client, newly diagnosed with breast cancer, is demonstrating signs of severe anxiety through pacing, rapid speech, headaches, and an inability to focus on discussions with her doctor, Nurse Carter considers the types of medications that may be prescribed to alleviate these symptoms. Which medication is most likely to be ordered for this client?

💡 Hint

This defense mechanism involves expressing the opposite of what one actually feels or has behaved, often as a way to counteract or deny true feelings or behaviors.

9 / 25

9. When a client with a history of abusive behavior joins a support group and frequently speaks out against abuse, they are likely demonstrating which psychological defense mechanism?

💡 Hint

Focus on the set of behaviors associated with intense emotional swings, unstable relationships, and self-image issues characteristic of this disorder.

10 / 25

10. A teenage girl diagnosed with borderline personality disorder is likely to exhibit which of the following behaviors that support this diagnosis?

💡 Hint

The optimal choice involves detailing efforts to use the least restrictive interventions before escalating to more severe measures.

11 / 25

11. In the psychiatric unit, after a client becomes uncontrollably violent—throwing a chair out of the window and being subsequently restrained—the documentation must reflect measures taken to safeguard the client's rights. Which of the following notes in the client's record best indicates that the staff upheld the patient’s rights during this incident?

💡 Hint

Consider the best practice for taking medications that can cause stomach upset, advising on how to minimize potential gastrointestinal side effects.

12 / 25

12. Nurse Lee is preparing health teachings for a 29-year-old female client newly diagnosed with breast cancer who is prescribed Valium to manage her anxiety symptoms. As part of the education, Nurse Lee will include important guidance on how to safely use this medication. Which of the following should be included in the health teachings for clients receiving Valium?

💡 Hint

In situations of severe anxiety, short and direct communication can be most effective in getting through to the client and ensuring understanding.

13 / 25

13. Nurse Grant is caring for a 31-year-old female client newly diagnosed with breast cancer, who is displaying signs of severe anxiety, including pacing, rapid speech, headaches, and an inability to focus on what the doctor is saying. To effectively manage this level of anxiety, what approach should Nurse Grant take?

💡 Hint

Focus on the overarching goal of crisis intervention, which involves restoring a person's functional state to what it was before the traumatic event occurred.

14 / 25

14. Nurse Wilson is providing crisis intervention for an 18-year-old female who was sexually assaulted while returning home from work. In her approach, Nurse Wilson focuses on the primary goal of crisis intervention for this patient. What is this primary goal?

💡 Hint

Consider the best practice in a sensitive situation that involves respecting personal boundaries and the victim's current emotional and physical state.

15 / 25

15. Nurse Taylor is caring for an 18-year-old female who was sexually assaulted on her way home from work and is now at the hospital with her mother. As Nurse Taylor reviews the protocol for initial care of rape victims, she evaluates which practices to follow. Which of the following is NOT typically recommended during the initial care of rape victims?

💡 Hint

Consider the characteristic that defines the long-term nature of personality disorders in terms of behavior adaptability and flexibility.

16 / 25

16. In understanding clients with personality disorders, it is recognized that they face significant challenges in social and occupational settings. Which of the following is most likely true about clients with personality disorders?

💡 Hint

Consider which disorder is characterized by long-lasting symptoms that are directly associated with experiencing or witnessing a traumatic event.

17 / 25

17. Five months after an 18-year-old female was sexually assaulted on her way home from work, she reports to Nurse Mitchell difficulty concentrating, a lack of appetite, insomnia, and feelings of guilt. Nurse Mitchell assesses these symptoms to determine the most likely diagnosis. What is the patient likely suffering from?

💡 Hint

Consider the type of threat that is not universally threatening but is perceived as such by the individual, leading to feelings of anxiety.

18 / 25

18. Nurse Harris evaluates a 30-year-old female client newly diagnosed with breast cancer, who is pacing, exhibiting rapid speech, complaining of a headache, and unable to focus on the doctor’s explanations. Nurse Harris reflects on the potential causes of anxiety to best understand and address the client's condition. What is the most likely cause of the client's anxiety?

💡 Hint

Focus on the defense mechanism that involves attributing one’s own unacceptable feelings to others.

19 / 25

19. Nurse Peterson is caring for Mr. Anderson, a 42-year-old male patient admitted due to odd behaviors and diagnosed with paranoid schizophrenia. Nurse Peterson observes that Mr. Anderson often exhibits suspicion towards others. She considers the psychological mechanism of projection Mr. Anderson uses. For what purpose is projection primarily used by such clients?

💡 Hint

Consider the personality disorder associated with a disregard for the rights and feelings of others, often coupled with manipulative or harmful behavior.

20 / 25

20. In the case of a client who displays insensitivity towards others, engages in abusive behaviors, and shows a lack of remorse, which personality disorder might be most accurately attributed to this individual?

💡 Hint

Focus on acknowledging the patient's feelings and providing reassurance.

21 / 25

21. Nurse Davis is attending to Mr. Thompson, a 41-year-old male who was admitted for unusual behaviors and diagnosed with paranoid schizophrenia. During their conversation, Mr. Thompson expresses, "The NBI is out to get me." Considering therapeutic communication techniques, what would be the nurse's best response?

💡 Hint

Focus on approaches that provide stability and structure.

22 / 25

22. In developing a plan of care for clients with borderline personality disorder, which approach would be most effective?

💡 Hint

Look for the option that suggests stability and capability in handling challenging situations effectively.

23 / 25

23. The charge nurse on a psychiatric unit is assigning staff for the day and needs to decide who will care for a client with a potential for violence. Considering the skills and attributes required for managing such a client, who would be the most appropriate nurse to assign?

💡 Hint

Consider the side effect that closely mimics Parkinson's disease symptoms, often seen as a reaction to certain antipsychotic medications.

24 / 25

24. Nurse Bennett is managing the care of Mr. Larson, a 44-year-old male admitted for unusual behaviors and diagnosed with paranoid schizophrenia. Mr. Larson, currently treated with Haldol, exhibits pill-rolling tremors and muscle rigidity. Nurse Bennett assesses these symptoms to determine their likely cause. What is Mr. Larson most likely manifesting?

💡 Hint

Consider the level of anxiety that significantly impairs cognitive functions and leads to considerable physical discomfort and distress, but where the individual is not completely detached from reality.

25 / 25

25. Nurse Thompson observes a 29-year-old female client, newly diagnosed with breast cancer, who is pacing around the room, speaking rapidly, complaining of a headache, and unable to focus on what the doctor is saying. Based on these observations, Nurse Thompson assesses the client's level of anxiety. What level of anxiety is the client likely experiencing?

Exam Mode

Welcome to your NCLEX Practice Exam for Psychiatric Nursing 4! 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 minutes & 30 seconds.
  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. In the psychiatric unit, after a client becomes uncontrollably violent—throwing a chair out of the window and being subsequently restrained—the documentation must reflect measures taken to safeguard the client's rights. Which of the following notes in the client's record best indicates that the staff upheld the patient’s rights during this incident?

2 / 25

2. Nurse Allen is monitoring a client in the psychiatric unit who has begun to exhibit increasingly aggressive behavior. She is assessing her response options to ensure safety for both the client and the staff. Which of the following approaches would be least helpful in managing the client’s escalating anger at this time?

3 / 25

3. For a 43-year-old male diagnosed with schizophrenia of the paranoid type, which nursing intervention would be most appropriate to address his psychosocial needs?

4 / 25

4. Given the situation where a 29-year-old female client, newly diagnosed with breast cancer, is demonstrating signs of severe anxiety through pacing, rapid speech, headaches, and an inability to focus on discussions with her doctor, Nurse Carter considers the types of medications that may be prescribed to alleviate these symptoms. Which medication is most likely to be ordered for this client?

5 / 25

5. Nurse Harris evaluates a 30-year-old female client newly diagnosed with breast cancer, who is pacing, exhibiting rapid speech, complaining of a headache, and unable to focus on the doctor’s explanations. Nurse Harris reflects on the potential causes of anxiety to best understand and address the client's condition. What is the most likely cause of the client's anxiety?

6 / 25

6. Nurse Taylor is caring for an 18-year-old female who was sexually assaulted on her way home from work and is now at the hospital with her mother. As Nurse Taylor reviews the protocol for initial care of rape victims, she evaluates which practices to follow. Which of the following is NOT typically recommended during the initial care of rape victims?

7 / 25

7. In developing a plan of care for clients with borderline personality disorder, which approach would be most effective?

8 / 25

8. Nurse Peterson is caring for Mr. Anderson, a 42-year-old male patient admitted due to odd behaviors and diagnosed with paranoid schizophrenia. Nurse Peterson observes that Mr. Anderson often exhibits suspicion towards others. She considers the psychological mechanism of projection Mr. Anderson uses. For what purpose is projection primarily used by such clients?

9 / 25

9. Nurse Adams, working on a psychiatric unit, notices a client who is showing signs of agitation, including pacing and making aggressive comments. Recognizing the potential for violence, she seeks to address the situation appropriately. What should Nurse Adams say to the client to best manage his agitation?

10 / 25

10. In understanding clients with personality disorders, it is recognized that they face significant challenges in social and occupational settings. Which of the following is most likely true about clients with personality disorders?

11 / 25

11. Five months after an 18-year-old female was sexually assaulted on her way home from work, she reports to Nurse Mitchell difficulty concentrating, a lack of appetite, insomnia, and feelings of guilt. Nurse Mitchell assesses these symptoms to determine the most likely diagnosis. What is the patient likely suffering from?

12 / 25

12. When a client with a history of abusive behavior joins a support group and frequently speaks out against abuse, they are likely demonstrating which psychological defense mechanism?

13 / 25

13. Nurse Wilson is providing crisis intervention for an 18-year-old female who was sexually assaulted while returning home from work. In her approach, Nurse Wilson focuses on the primary goal of crisis intervention for this patient. What is this primary goal?

14 / 25

14. The charge nurse on a psychiatric unit is assigning staff for the day and needs to decide who will care for a client with a potential for violence. Considering the skills and attributes required for managing such a client, who would be the most appropriate nurse to assign?

15 / 25

15. In the case of a client who displays insensitivity towards others, engages in abusive behaviors, and shows a lack of remorse, which personality disorder might be most accurately attributed to this individual?

16 / 25

16. Nurse Roberts is caring for Mr. Green, a 45-year-old male patient admitted due to peculiar behaviors and diagnosed with paranoid schizophrenia. Mr. Green displays overt hostility towards a staff member without any clear reason. Nurse Roberts evaluates this behavior to identify the underlying psychological concept. What is Mr. Green most likely manifesting?

17 / 25

17. Nurse Davis is attending to Mr. Thompson, a 41-year-old male who was admitted for unusual behaviors and diagnosed with paranoid schizophrenia. During their conversation, Mr. Thompson expresses, "The NBI is out to get me." Considering therapeutic communication techniques, what would be the nurse's best response?

18 / 25

18. In a psychiatric unit, Nurse Mitchell is dealing with a client whose anger is escalating. To demonstrate her understanding of the client's rights and to manage the situation appropriately, which action should she take?

19 / 25

19. Nurse Thompson observes a 29-year-old female client, newly diagnosed with breast cancer, who is pacing around the room, speaking rapidly, complaining of a headache, and unable to focus on what the doctor is saying. Based on these observations, Nurse Thompson assesses the client's level of anxiety. What level of anxiety is the client likely experiencing?

20 / 25

20. A teenage girl diagnosed with borderline personality disorder is likely to exhibit which of the following behaviors that support this diagnosis?

21 / 25

21. Nurse Allen is providing care for an 18-year-old female brought to the hospital by her mother after a sexual assault. As a patient advocate, Nurse Allen knows her role involves specific supportive actions. Which of the following actions exemplifies Nurse Allen acting as a patient advocate?

22 / 25

22. Nurse Bennett is managing the care of Mr. Larson, a 44-year-old male admitted for unusual behaviors and diagnosed with paranoid schizophrenia. Mr. Larson, currently treated with Haldol, exhibits pill-rolling tremors and muscle rigidity. Nurse Bennett assesses these symptoms to determine their likely cause. What is Mr. Larson most likely manifesting?

23 / 25

23. Nurse Evans is attending to an 18-year-old female brought to the hospital by her mother after being sexually assaulted while returning home from work. Nurse Evans recognizes the type of crisis this event represents. Which type of crisis does this situation exemplify?

24 / 25

24. Nurse Lee is preparing health teachings for a 29-year-old female client newly diagnosed with breast cancer who is prescribed Valium to manage her anxiety symptoms. As part of the education, Nurse Lee will include important guidance on how to safely use this medication. Which of the following should be included in the health teachings for clients receiving Valium?

25 / 25

25. Nurse Grant is caring for a 31-year-old female client newly diagnosed with breast cancer, who is displaying signs of severe anxiety, including pacing, rapid speech, headaches, and an inability to focus on what the doctor is saying. To effectively manage this level of anxiety, what approach should Nurse Grant take?