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

Chuck is a 20-year-old student diagnosed with obsessive-compulsive behavior. A psychiatrist prescribes clomipramine (Anafranil) to treat his condition. Nurse Nicolette understands the rationale for this treatment is that the clomipramine:

A nurse at Nurseslabs Medical Center is developing a care plan for a female client with post-traumatic stress disorder. Which of the following would she do initially?

A group of community nurses sees and plans care for various clients with different types of problems. Which of the following clients would they consider the most vulnerable to post-traumatic stress disorder?

Which outcome is most appropriate for Francis who has a dissociative disorder?

The psychiatric nurse uses cognitive-behavioral techniques when working with a client who experiences panic attacks. Which of the following techniques are common to this theoretical framework? Select all that apply.

Marty is pacing and complains of racing thoughts. Nurse Lally asks the client if something upsetting happened, and Marty’s response is vague and not focused on the question. Nurse Lally assess Marty’s level of anxiety as:

Nurse Martha is teaching her students about anxiety medications; she explains that benzodiazepines affect which brain chemical?

Mandy, a nurse who works at Nurseslabs Rehabilitation Center is assessing a client for recent stressful life events. She recognizes that stressful life events are both:

During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief as a method of coping with stressful life events?

Genevieve only attends social events when a family member is also present. She exhibits behavior typical of which anxiety disorder?

Mr. Johnson was recently admitted to a psychiatric unit because of severe obsessive-compulsive behavior. Which initial response by the nurse would be most therapeutic for him?

Nurse Vicky is assessing a newly admitted client for symptoms of post-traumatic stress disorder (PTSD). Which symptoms are typically seen with this diagnosis? Select all that apply.

Jordanne is a client with a fear of air travel. She is being treated in a mental institution for phobic disorder. The treatment method involves systematic desensitization. The nurse would consider the treatment successful if:

Nurse Kerrick observes Toni who is hospitalized on an eating disorder unit during mealtimes and for 1 hour after eating. An explanation for this intervention is:

Marlyn is diagnosed with anorexia nervosa and is admitted to the special eating disorder unit. The initial treatment priority for her is:

The nurse evaluates the treatment of Mrs. Montez with somatoform disorder as successful if:

Which of the following attitudes from a nurse would hinder a discussion with an adolescent client about sexuality?

Nurse Wayne is planning a psychoeducational discussion for a group of adolescent clients with anorexia nervosa. Which of the following topics would Nurse Wayne select to enhance understanding about central issues in this disorder?

Nurse Gina understands that her client Glenda who is bulimic feels shame and guilt over binge eating and purging. This disorder is therefore considered:

The psychoanalytic theory explains the etiology of anorexia nervosa as:

The school nurse assesses for anorexia nervosa in an adolescent girl. Which of the following findings are characteristic of this disorder? Select all that apply.

Mr. Bartowski who is newly diagnosed with rheumatoid arthritis asks the community nurse how stress can affect his disease. The nurse would explain that:

During a mother’s class, the nurse who is teaching the participants on stress management is questioned about the use of alternative treatments, such as herbal therapy and therapeutic touch. She explains that the advantage of these methods would include all of the following except:

David is preoccupied with numerous bodily complaints even after a careful diagnostic workup reveals no physiologic problems. Which nursing intervention would be therapeutic for him?

Nurse Kenzo is teaching a client about sertraline (Zoloft), which has been prescribed for depression. A significant side effect is an interference with sexual arousal by inhibiting erectile function. How should Nurse Kenzo approach this topic?

Mental health is defined as:

Which of the following describes the role of a technician?

Letty says, “Give me ten (10) minutes to recall the name of our college professor who failed many students in our anatomy class.” She is operating on her:

The superego is that part of the psyche that:

Primary level of prevention is exemplified by:

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?

The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:

What would be the best approach for a wife who is still living with her abusive husband?

Which comment about a 3-year-old child if made by the parent may indicate child abuse?

The primary nursing intervention for a victim of child abuse is:

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?

Freud explains anxiety as:

The following are the appropriate nursing diagnosis for the client except:

The following statements describe somatoform disorders:

What would be the best response to the client’s repeated complaints of pain:

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:

The child with conduct disorder will likely demonstrate:

Ritalin is the drug of choice for children with ADHD. Which of the following side effects may be noted?

School phobia is usually treated by:

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:

The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:

The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

A 5-year-old boy is diagnosed to have an autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?

The therapeutic approach in the care of an autistic child includes the following except:

According to Piaget, a 5-year-old is at what stage of development:

Situation: The nurse assigned to the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect. This indicates:

The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending:

The care for the client places priority on which of the following:

Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with an irritated nasal septum.

A client is admitted with needle tracks on his arm, stuporous and with pinpoint pupil will likely be managed with:

Situation: An old woman was brought for evaluation due to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:

She tearfully tells the nurse “I can’t take it when she accuses me of stealing her things.” Which response by the nurse will be most therapeutic?

The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:

She says to the nurse who offers her breakfast, “Oh no, I will wait for my husband. We will eat together” The therapeutic response by the nurse is:

Dementia, unlike delirium, is characterized by:

Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?

What is the best intervention to teach the client when she feels the need to starve?

The client with anorexia nervosa is improving if:

The characteristic manifestation that will differentiate bulimia nervosa from anorexia nervosa is that bulimic individuals:

A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is:

In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship except:

Situation: A 35-year-old male has an intense fear of riding an elevator. He claims “ As if I will die inside.” This has affected his studies The client is suffering from:

Situation: A 24-year-old female has an intense fear of spiders. Initial intervention for the client should be to:

The nurse develops a countertransference reaction. This is evidenced by:

Which is the desired outcome in conducting desensitization:

Which of the following should be included in the health teachings among clients receiving Valium:

Situation: A 20-year-old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?

Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:

Malingering is different from somatoform disorder because the former:

Unlike psychophysiologic disorder Linda may be best managed with: