Mental Health and Psychiatric Nursing NCLEX Practice Questions Nursing Test Bank (700+ Questions)

The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic behavior would be:

A psychiatrist prescribes an anti-obsessional agent for a client who is using ritualistic behavior. A common anti-anxiety medication used for this type of client would be:

A 20-year old college student has been brought to the psychiatric hospital by her parents. Her admitting diagnosis is borderline personality disorder. When talking with the parents, which information would the nurse expect to be included in the client’s history? Select all that apply.

A hospitalized client, diagnosed with a borderline personality disorder, consistently breaks the unit’s rules. This behavior should be confronted because it will help the client:

When working with the nurse during the orientation phase of the relationship, a client with a borderline personality disorder would probably have the most difficulty in:

A client with a diagnosis of borderline personality disorder has negative feelings toward the other clients on the unit and considers them all to be “bad.” The nurse understands this defense is known as:

The client with antisocial personality disorder:

A person with antisocial personality disorder has difficulty relating to others because of never having learned to:

A young, handsome man with a diagnosis of antisocial personality disorder is being discharged from the hospital next week. He asks the nurse for her phone number so that he can call her for a date. The nurse’s best response would be:

When caring for a client with a diagnosis of schizotypal personality disorder, the nurse should:

A nurse is orienting a new client to the unit when another client rushes down the hallway and asks the nurse to sit down and talk. The client requesting the nurse’s attention is extremely manipulative and uses socially acting-out behaviors when demands are unmet. The nurse should:

A client with a diagnosis of narcissistic personality disorder has been given a day pass from the psychiatric hospital. The client is due to return at 6 pm. At 5 pm the client telephones the nurse in charge of the unit and says “6 o’clock is too early. I feel like coming back at 7:30.” The nurse would be most therapeutic by telling the client to:

An adult client with a borderline personality disorder become nauseated and vomits immediately after drinking 2 ounces of shampoo as a suicide gesture. The most appropriate initial response by the nurse would be to:

A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of personality disorder is associated with these characteristics?

Which of the following statements is typical for a client diagnosed with a paranoid personality disorder?

Which of the following characteristics is expected for a client with paranoid personality disorder who receives bad news?

Which of the following types of behavior is expected from a client diagnosed with a paranoid personality disorder?

Which of the following interventions is important for a client with paranoid personality disorder taking olanzapine (Zyprexa)?

A client with antisocial personality is trying to convince a nurse that he deserves special privileges and that an exception to the rules should be made for him. Which of the following responses is the most appropriate?

A nurse notices other clients on the unit avoiding a client diagnosed with antisocial personality disorder. When discussing appropriate behavior in group therapy, which of the following comments is expected about this client by his peers?

Which of the following characteristics or client histories substantiates a diagnosis of antisocial personality disorder?

A client with borderline personality disorder is admitted to the unit after slashing his wrist. Which of the following goals is most important after promoting safety?

Which of the following characteristics or situations is indicated when a client with borderline personality disorder has a crisis?

Which of the following assessment findings is seen in a client diagnosed with borderline personality disorder?

In planning care for a client with borderline personality disorder, a nurse must be aware that this client is prone to develop which of the following conditions?

Which of the following statements is expected from a client with borderline personality disorder with a history of dysfunctional relationships?

Which of the following conditions is likely to coexist in clients with a diagnosis of borderline personality disorder?

Which of the following nursing interventions has priority for a client with borderline personality disorder?

A nurse is assessing a client diagnosed with a dependent personality disorder. Which of the following characteristics is a major component of this disorder?

Which of the following information must be included for the family of a client diagnosed with a dependent personality disorder?

Which of the following behaviors by a client with dependent personality disorder shows the client has made progress toward the goal of increasing problem solving skills?

A client with schizotypal personality disorder is sitting in a puddle of urine. She’s playing in it, smiling, and softly singing a child’s song. Which action would be best?

A client with avoidant personality disorder says occupational therapy is boring and doesn’t want to go. Which action would be best?

A nurse discusses job possibilities with a client with schizoid personality disorder. Which suggestion by the nurse would be helpful?

When assessing a client diagnosed with impulse control disorder, the nurse observes violent, aggressive, and assaultive behavior. Which of the following assessment data is the nurse also likely to find? Select all that apply.

Which is the best indicator of success in the long-term management of the client with a somatic disorder?

Situation: A young woman is brought to the emergency room appearing depressed. The nurse learned that her child died a year ago due to an accident. The initial nursing diagnosis is dysfunctional grieving. The statement of the woman that supports this diagnosis is:

The client said “I can’t even take care of my baby. I’m good for nothing.” Which is the appropriate nursing diagnosis?

The following medications will likely be prescribed for the client except:

Which is the highest priority in the post-ECT care?

Situation: A 27-year-old writer is admitted for the second time accompanied by his wife. He is demanding, arrogant, talks fast, and hyperactive. Initially, the nurse should plan this for a manic client:

An activity appropriate for the client with mania is:

The client is arrogant and manipulative. In ensuring a therapeutic milieu, the nurse does one of the following:

A client on Lithium has diarrhea and vomiting. What should the nurse do first:

Situation: A widow age 28, whose husband died one (1) year ago due to AIDS, has just been told that she has AIDS. Panky says to the nurse, “Why me? How could God do this to me?” This reaction is one of:

Situation: A widow age 28, whose husband died one (1) year ago due to AIDS, has just been told that she has AIDS. Panky says to the nurse, “Why me? How could God do this to me?” The nurse’s therapeutic response is:

One morning the nurse sees the client in a depressed mood. The nurse asks her “What are you thinking about?” This communication technique is:

The client says to the nurse “Pray for me” and entrusts her wedding ring to the nurse. The nurse knows that this may signal which of the following:

Which of the following interventions should be prioritized in the care of the suicidal client?

For questions #50-55:

Situation: Ryan, a 14-year-old male was admitted to a medical ward due to bronchial asthma after learning that his mother was leaving soon for U.K. to work as a nurse. The client has which of the following developmental focus:

The personality type of Ryan is:

The nurse ensures a therapeutic environment for the client. Which of the following best describes a therapeutic milieu?

Included as a priority of care for the client will be:

The client is concerned about his coming discharge, manifested by being unusually sad. Which is the most therapeutic approach by the nurse?

Situation: The nurse may encounter clients with concerns on sexuality. The most basic factor in the intervention with clients in the area of sexuality is:

Which of the following statements is true for gender identity disorder?

The sexual response cycle in which the sexual interest continues to build:

The inability to maintain the physiologic requirements in sexual intercourse is:

The nurse asks a client to roll up his sleeves so she can take his blood pressure. The client replies “If you want I can go naked for you.” The most therapeutic response by the nurse is:

Situation: Knowledge and skills in the care of violent clients is vital in the psychiatric unit. A nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway and making aggressive remarks. Which of the following statements is most appropriate to make to this patient?

The nurse closely observes the client who has been displaying aggressive behavior. The nurse observes that the client’s anger is escalating. Which approach is least helpful for the client at this time?

The charge nurse of a psychiatric unit is planning the client assignment for the day. The most appropriate staff to be assigned to a client with a potential for violence is which of the following:

The client jumps up and throws a chair out of the window. He was restrained after his behavior can no longer be controlled by the staff. Which of these documentations indicates the safeguarding of the patient’s rights?

Situation: Clients with personality disorders have difficulties in their social and occupational functions.

Clients with a personality disorder will most likely:

A client tends to be insensitive to others, engages in abusive behaviors and does not have a sense of remorse. Which personality disorder is he likely to have?

The client joins a support group and frequently preaches against abuse, is demonstrating the use of:

A teenage girl is diagnosed to have borderline personality disorder. Which manifestations support the diagnosis?

The plan of care for clients with borderline personality should include:

Situation: A 42-year-old male client, is admitted to the ward because of bizarre behaviors. He was given a diagnosis of schizophrenia paranoid type. The client should have achieved the developmental task of:

Clients who are suspicious primarily use projection for which purpose:

The client says “ the FBI is out to get me.” The nurse’s best response is:

The client on Haldol has pill rolling tremors and muscle rigidity. He is likely manifesting:

The client is very hostile toward one of the staff for no apparent reason. The client is manifesting:

Situation: An 18-year-old female is sexually attacked while on her way home from work. She was brought to the hospital by her mother. Rape is an example of which type of crisis:

During the initial care of rape victims, the following are to be considered except:

The nurse acts as a patient advocate when she does one of the following:

Crisis intervention carried out to the client has this primary goal:

Five months after the incident the client complains of difficulty to concentrate, poor appetite, inability to sleep and guilt. She is likely suffering from:

Situation: A 29-year-old client newly diagnosed with breast cancer is pacing, with rapid speech headache and inability to focus on what the doctor was saying. The nurse assesses the level of anxiety as:

Anxiety is caused by:

It would be most helpful for the nurse to deal with a client with severe anxiety by:

Which of the following medications will likely be ordered for the client?”

Which of the following is included in the health teachings among clients receiving Valium?

Mrs. B is diagnosed with borderline personality disorder and has a nursing diagnosis of Risk for self-directed violence, which is related to the client’s self-mutilation behavior (burning arms with cigarettes). Which client behavior would indicate a positive outcome of intervention?

Nurse Aldrich is working with the family of Mary Ann, a client with a personality disorder. Which of the following should Nurse Aldrich encourage the family members to work on?

Nurse Florence assesses Mrs. B with borderline personality disorder. Which of the following behaviors are common to this diagnosis? Select all that apply.

When a client with a personality disorder begins demonstrating manipulative behavior, which of the following nursing actions are most appropriate? Select all that apply.

Barbara is a client with a borderline personality disorder. She is defensive and emotionally labile and often becomes suddenly and explosively angry. When interacting with her, you as a nurse would:

Nurse Danita is working with clients who have personality disorders. Which of the following techniques would the nurse use to deal with her own feelings that interfere with therapeutic performance?

A client with antisocial personality disorder was admitted in a unit at Nurseslabs Hospital. The newly admitted client stole money from an elderly in the unit. Which of the following is the most appropriate for the nurse to say to this client?

Angela has a history of conflict-filled relationships. Despite an expressed desire for friends, she acts in ways that tend to alienate people. Which nursing intervention would be important for Angela?

Tyrion describes himself as “very religious, with strong opinions about what is right and what is wrong.” He is quite judgmental about beliefs and lifestyles that are “unacceptable.” Which statement supports the nurse’s analysis that this client’s behavior is typical of someone with a personality disorder?

Which statement about an individual with a personality disorder is true?

Kyle is a client with an anxious, fearful personality who has difficulty accomplishing work assignments because of his fear of failure. He has been referred to the employee assistance program because of repeated absences from work and evidence of an alcohol problem. Which nursing diagnosis would be most appropriate?

Santino is hospitalized at Nurseslabs Medical Center following a suicide attempt. His history reveals a previous diagnosis of schizoid personality disorder. Which of the following behaviors would be atypical of a client with this disorder?

The community nurse is following up on Mrs. Jenner who was hospitalized at Nurseslabs Medical Center due to depressive disorder, not otherwise specified, following the death of her spouse. In reviewing the client’s chart, the nurse notes that Mrs. Jenner has an Axis II diagnosis of dependent personality disorder. Which behavior would the nurse anticipate in this client?

Ralph is admitted to Nurseslabs Medical Center with the diagnosis of bipolar disorder, a single manic episode. Which of the following behaviors would the nurse expect to assess?

In a day treatment program, a manic client is creating considerable chaos, behaving in a dominating and manipulative way. Which nursing intervention is most appropriate?

An individual with depression has a deficiency in which neurotransmitters, based on the biogenic amine theory?

Nurse Rica is teaching a client and her family about the causes of depression. Which of the following causative factors should the nurse emphasize as the most significant?

Clara is under evaluation for imminent suicide risk, which information given by her would be most significant?

Rendell is admitted in an acute psychiatric unit at Nurseslabs Medical Center. He suddenly tells Nurse Matt about his plans for suicide. The nurse’s priority is to:

Which mood disorder is characterized by the client feeling depressed most of the day for a 2-year period?

Using cognitive-behavioral therapy, which treatment would be appropriate for a client with depression?

Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The nurse would expect to find a history of:

A client completing requirements for student teaching reports to the nurse an incident in which a student was rude and disrespectful. The client states, “None of the students respects my teaching ability.” The nurse identifies this as an example of which common negative cognition?

The community nurse is speaking to a group of new mothers as part of a primary prevention program. Which self-measures would be most helpful as a strategy to decrease the occurrence of mood disorders?

Nurse Marge teaches the family of a client with major depression disorder. Which of the following information should be included in the teaching? Select all that apply.

Bianca is teaching a group of students regarding obsessive-compulsive disorders (OCD) and obsessive-compulsive personality disorder (OCPD). Which of the following statements differentiates OCPD from OCD?

Latrice was invited by her friend Sharon to her birthday party at a disco ball. Sharon noticed that Latrice is avoiding interaction with the other guests and is seen leaving the party early. She asked her what seems to be the problem. She replied that “I might say something stupid”. Based on these observations, Latrice is experiencing: