NCLEX Practice Exam for Psychosocial Adaptation

Practice Mode

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

 

Exam Details

  • Number of Questions: 20 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

Opt for a method that maximizes safety while minimizing restrictions and preserving the client's dignity. Consider technologies or tools that alert staff when a client moves beyond safe boundaries.

1 / 20

1. To best ensure the safety of a client with dementia who tends to wander, the nurse needs to choose an approach that is both effective and respects the client's autonomy and dignity. Which of the following strategies would be the BEST for the nurse to implement?

💡 Hint

Look for a sign of increased engagement and interest in life activities.

2 / 20

2. In assessing the progress of a client with depression, Nurse Taylor is looking for positive indicators of improvement. Which of the following would best signal to Nurse Taylor that the depressed client is showing signs of recovery?

💡 Hint

Focus on the belief that empowers individuals to manage their reactions to stress, promoting a sense of personal efficacy and resilience.

3 / 20

3. Nurse Davis is leading a stress-management workshop for her clients. She emphasizes various strategies for effectively dealing with stressful life events. Which belief does Nurse Davis advocate as a beneficial coping mechanism?

💡 Hint

Consider the urgent sacraments or rituals that are common in the Roman Catholic faith, especially those that can be performed by laypeople in emergency situations.

4 / 20

4. In the situation where a neonate born to a mother with Roman Catholic beliefs is in critical condition with little expectation of surviving the trip to the hospital, the nurse in the ambulance should be prepared for a specific request in line with the faith's practices. Which request should the nurse anticipate and be ready to fulfill?

💡 Hint

Consider the relative speed of response associated with ECT compared to other treatment modalities for severe depression or other psychiatric conditions.

5 / 20

5. In a conversation about electroconvulsive therapy (ECT) with a client, Nurse Thompson is asked about the timeline for experiencing the therapy's beneficial effects. Nurse Thompson explains that the positive outcomes of ECT typically manifest within:

💡 Hint

In a psychiatric setting, especially with severely depressed clients, consider the fundamental aspect of care that is paramount to prevent harm.

6 / 20

6. Nurse Thompson is meticulously attending to a client who has been admitted to the inpatient psychiatric unit with severe depression. Recognizing the critical aspects of care for this client, Nurse Thompson knows she must prioritize her actions. Which of the following should she address first?

💡 Hint

Prioritize safety and collaboration with the healthcare team.

7 / 20

7. During the assessment of a teenage female admitted with anorexia nervosa, Nurse Carter notices she has a bottle of assorted pills. What is the most appropriate initial action by Nurse Carter?

💡 Hint

Consider the communication method that conveys compassion and understanding, especially useful when caring for confused elderly clients.

8 / 20

8. Nurse intern Emma is assigned to a 76-year-old client who is experiencing considerable confusion. To effectively communicate and assist with the client's care, particularly with activities of daily living (ADLs), what approach should Emma incorporate in her interactions?

💡 Hint

Think about the initial steps in managing anxiety and phobia, focusing on strategies that equip the client with coping mechanisms before facing the actual feared situation.

9 / 20

9. Nurse Thompson is formulating a care plan for a client with a phobic disorder, specifically a fear of elevators. In prioritizing the goals for this client's treatment, which goal should Nurse Thompson aim to achieve first?

💡 Hint

Focus on the statement that reflects a pattern of control or abuse, and a cycle that is commonly associated with domestic violence situations.

10 / 20

10. During the initial assessment in the emergency department, Nurse Wilson is attentive to signs that may indicate a client is experiencing domestic violence. Which statement made by the client is most indicative and raises immediate concern for suspected domestic violence?

💡 Hint

Reflect on the typical manifestations associated with alcohol withdrawal or hepatic encephalopathy, focusing on the symptoms that are more physiological and immediate in nature.

11 / 20

11. Nurse Brown is caring for a man admitted to the nursing care unit with a diagnosis of cirrhosis and a long history of alcohol dependence. On the evening following his admission, the patient starts showing signs of increased disorientation and agitation. Considering his condition and symptoms, which of the following is he least likely to experience?

💡 Hint

Consider the importance of understanding the client's perspective and building rapport.

12 / 20

12. When addressing a client's paranoid belief that their food is poisoned, it's crucial for the nurse to take an approach that is respectful and seeks to build trust. What would be the MOST appropriate initial action for the nurse to take in this situation?

💡 Hint

Consider the type of crisis that occurs when an external event leads an individual to exhibit extreme emotions or behaviors, often impacting others around them.

13 / 20

13. During a counseling session, Nurse Carter learns that a client's husband is channeling his work-related frustrations and anger into abusive behavior towards his wife at home. Nurse Carter is assessing the situation to categorize the type of crisis this scenario represents. Which type of crisis does this situation exemplify?

💡 Hint

In the acute phase of a manic episode, prioritize interventions that ensure the safety of the patient and others.

14 / 20

14. Nurse Anderson is caring for Mr. Wilson, a 35-year-old admitted for bipolar illness during a manic phase, characterized by hyperactivity, intrusive behavior, and rapid, pressured speech. Noting Mr. Wilson's lack of sleep over three days and his disheveled appearance, Nurse Anderson considers the most essential nursing action at this time. What should this action be?

💡 Hint

The best approach is often direct and personal, offering a specific, non-threatening invitation to join in an activity, making it easier for the client to accept.

15 / 20

15. When aiming to encourage a client admitted for severe depression to engage with others, it's crucial for the nurse to use an approach that is inviting and non-threatening. Which of the following statements by the nurse would be the MOST appropriate to foster interaction with other clients?

💡 Hint

Consider the factors that are known to contribute to the confusion and agitation seen in sundown syndrome, particularly those related to the individual's environment and daily routine.

16 / 20

16. Nurse Martinez is caring for an elderly man who exhibits signs of sundown syndrome, marked by confusion and agitation that worsen in the late afternoon and evening. His son is seeking an understanding of what causes this condition. In explaining sundown syndrome to the client's son, Nurse Martinez should indicate that it is primarily attributed to:

💡 Hint

The most effective therapeutic communication is open-ended and empathetic, inviting the client to express themselves without making assumptions or judgments.

17 / 20

17. When employing therapeutic interaction techniques, it's crucial for the nurse to create an open and supportive environment that encourages the client to share their thoughts and feelings. Which of these statements by the nurse best reflects the use of these techniques?

💡 Hint

Consider the common effects of depression on a person's interests and activities, especially those that usually require energy and positive mood.

18 / 20

18. During the initial assessment of a 33-year-old woman admitted for treatment of depression, Nurse Clark is on the lookout for typical symptoms associated with the condition. Based on her understanding of depression, which symptom is Nurse Clark least likely to observe in this patient?

💡 Hint

When selecting activities in a therapeutic setting, the primary focus should be on how the activities contribute to the therapeutic objectives and overall well-being of the clients.

19 / 20

19. In planning the therapeutic milieu and choosing group activities, it's crucial to ensure that the activities align well with the overarching therapeutic framework. Which aspect is MOST important to consider when selecting group activities?

💡 Hint

Focus on the elements most directly related to the client's health issue and overall well-being, considering which areas might provide less immediate relevance to the development of a focused care plan for an eating disorder.

20 / 20

20. In developing a care plan for a 17-year-old female admitted to the eating disorders unit with symptoms indicative of an eating disorder, Nurse Johnson is gathering comprehensive information. Considering the client's health issues and stated concerns, which of the following assessments would be the least useful for Nurse Johnson as she formulates the care plan?

Exam Mode

Welcome to your NCLEX Practice Exam for Psychosocial Adaptation! 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: 20 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 30 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 30 minutes 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 / 20

1. In planning the therapeutic milieu and choosing group activities, it's crucial to ensure that the activities align well with the overarching therapeutic framework. Which aspect is MOST important to consider when selecting group activities?

2 / 20

2. Nurse Martinez is caring for an elderly man who exhibits signs of sundown syndrome, marked by confusion and agitation that worsen in the late afternoon and evening. His son is seeking an understanding of what causes this condition. In explaining sundown syndrome to the client's son, Nurse Martinez should indicate that it is primarily attributed to:

3 / 20

3. Nurse Thompson is formulating a care plan for a client with a phobic disorder, specifically a fear of elevators. In prioritizing the goals for this client's treatment, which goal should Nurse Thompson aim to achieve first?

4 / 20

4. When addressing a client's paranoid belief that their food is poisoned, it's crucial for the nurse to take an approach that is respectful and seeks to build trust. What would be the MOST appropriate initial action for the nurse to take in this situation?

5 / 20

5. Nurse Thompson is meticulously attending to a client who has been admitted to the inpatient psychiatric unit with severe depression. Recognizing the critical aspects of care for this client, Nurse Thompson knows she must prioritize her actions. Which of the following should she address first?

6 / 20

6. In developing a care plan for a 17-year-old female admitted to the eating disorders unit with symptoms indicative of an eating disorder, Nurse Johnson is gathering comprehensive information. Considering the client's health issues and stated concerns, which of the following assessments would be the least useful for Nurse Johnson as she formulates the care plan?

7 / 20

7. During the assessment of a teenage female admitted with anorexia nervosa, Nurse Carter notices she has a bottle of assorted pills. What is the most appropriate initial action by Nurse Carter?

8 / 20

8. Nurse intern Emma is assigned to a 76-year-old client who is experiencing considerable confusion. To effectively communicate and assist with the client's care, particularly with activities of daily living (ADLs), what approach should Emma incorporate in her interactions?

9 / 20

9. To best ensure the safety of a client with dementia who tends to wander, the nurse needs to choose an approach that is both effective and respects the client's autonomy and dignity. Which of the following strategies would be the BEST for the nurse to implement?

10 / 20

10. In a conversation about electroconvulsive therapy (ECT) with a client, Nurse Thompson is asked about the timeline for experiencing the therapy's beneficial effects. Nurse Thompson explains that the positive outcomes of ECT typically manifest within:

11 / 20

11. In assessing the progress of a client with depression, Nurse Taylor is looking for positive indicators of improvement. Which of the following would best signal to Nurse Taylor that the depressed client is showing signs of recovery?

12 / 20

12. Nurse Anderson is caring for Mr. Wilson, a 35-year-old admitted for bipolar illness during a manic phase, characterized by hyperactivity, intrusive behavior, and rapid, pressured speech. Noting Mr. Wilson's lack of sleep over three days and his disheveled appearance, Nurse Anderson considers the most essential nursing action at this time. What should this action be?

13 / 20

13. During the initial assessment of a 33-year-old woman admitted for treatment of depression, Nurse Clark is on the lookout for typical symptoms associated with the condition. Based on her understanding of depression, which symptom is Nurse Clark least likely to observe in this patient?

14 / 20

14. When aiming to encourage a client admitted for severe depression to engage with others, it's crucial for the nurse to use an approach that is inviting and non-threatening. Which of the following statements by the nurse would be the MOST appropriate to foster interaction with other clients?

15 / 20

15. During a counseling session, Nurse Carter learns that a client's husband is channeling his work-related frustrations and anger into abusive behavior towards his wife at home. Nurse Carter is assessing the situation to categorize the type of crisis this scenario represents. Which type of crisis does this situation exemplify?

16 / 20

16. During the initial assessment in the emergency department, Nurse Wilson is attentive to signs that may indicate a client is experiencing domestic violence. Which statement made by the client is most indicative and raises immediate concern for suspected domestic violence?

17 / 20

17. When employing therapeutic interaction techniques, it's crucial for the nurse to create an open and supportive environment that encourages the client to share their thoughts and feelings. Which of these statements by the nurse best reflects the use of these techniques?

18 / 20

18. Nurse Davis is leading a stress-management workshop for her clients. She emphasizes various strategies for effectively dealing with stressful life events. Which belief does Nurse Davis advocate as a beneficial coping mechanism?

19 / 20

19. Nurse Brown is caring for a man admitted to the nursing care unit with a diagnosis of cirrhosis and a long history of alcohol dependence. On the evening following his admission, the patient starts showing signs of increased disorientation and agitation. Considering his condition and symptoms, which of the following is he least likely to experience?

20 / 20

20. In the situation where a neonate born to a mother with Roman Catholic beliefs is in critical condition with little expectation of surviving the trip to the hospital, the nurse in the ambulance should be prepared for a specific request in line with the faith's practices. Which request should the nurse anticipate and be ready to fulfill?