Hi! You are currently in the quiz page. If you’re done with this quiz, please check out the other exams by clicking here to go back to the Mental Health and Psychiatric Nursing test bank page.
Quiz Guidelines
Before you start, here are some examination guidelines and reminders you must read:
- Practice Exams: Engage with our Practice Exams to hone your skills in a supportive, low-pressure environment. These exams provide immediate feedback and explanations, helping you grasp core concepts, identify improvement areas, and build confidence in your knowledge and abilities.
- Challenge Exams: Take our Challenge Exams to test your mastery and readiness under simulated exam conditions. These exams offer a rigorous question set to assess your understanding, prepare you for actual examinations, and benchmark your performance.
- You’re given 2 minutes per item.
- For Challenge Exams, click on the “Start Quiz” button to start the quiz.
- Complete the quiz: Ensure that you answer the entire quiz. Only after you’ve answered every item will the score and rationales be shown.
- Learn from the rationales: After each quiz, click on the “View Questions” button to understand the explanation for each answer.
- Free access: Guess what? Our test banks are 100% FREE. Skip the hassle – no sign-ups or registrations here. A sincere promise from Nurseslabs: we have not and won’t ever request your credit card details or personal info for our practice questions. We’re dedicated to keeping this service accessible and cost-free, especially for our amazing students and nurses. So, take the leap and elevate your career hassle-free!
- Share your thoughts: We’d love your feedback, scores, and questions! Please share them in the comments below.
Quiz Summary
0 of 50 Questions completed
Questions:
Information
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
Results
Results
0 of 50 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
Average score |
|
Your score |
|
Categories
- Not categorized 0%
-
Awesome, you’ve completed the quiz!
Where are the rationales? Please click the View Questions button below to review your answers and read through the rationales for each question.
You can also post your score in this challenge exam in our leaderboards.
Pos. | Name | Entered on | Points | Result |
---|---|---|---|---|
Table is loading | ||||
No data available | ||||
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 50
1. Question
1 point(s)A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, “You’re worried about your medication?” The nurse’s communication is:
CorrectIncorrect -
Question 2 of 50
2. Question
1 point(s)A client is admitted to the inpatient unit of the mental health center with a diagnosis of paranoid schizophrenia. He’s shouting that the government of France is trying to assassinate him. Which of the following responses is most appropriate?
CorrectIncorrect -
Question 3 of 50
3. Question
1 point(s)A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse’s first action is to:
CorrectIncorrect -
Question 4 of 50
4. Question
1 point(s)The nurse is caring for a client with schizophrenia who experiences auditory hallucinations. The client appears to be listening to someone who isn’t visible. He gestures, shouts angrily, and stops shouting in mid-sentence. Which nursing intervention is the most appropriate?
CorrectIncorrect -
Question 5 of 50
5. Question
1 point(s)A client with paranoid schizophrenia has been experiencing auditory hallucinations for many years. One approach that has proven to be effective for hallucinating clients is to:
CorrectIncorrect -
Question 6 of 50
6. Question
1 point(s)A client with catatonic schizophrenia is mute, can’t perform activities of daily living, and stares out the window for hours. What is the nurse’s first priority?
CorrectIncorrect -
Question 7 of 50
7. Question
1 point(s)A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing:
CorrectIncorrect -
Question 8 of 50
8. Question
1 point(s)The nurse knows that the physician has ordered the liquid form of the drug chlorpromazine (Thorazine) rather than the tablet form because the liquid:
CorrectIncorrect -
Question 9 of 50
9. Question
1 point(s)A client who has been hospitalized with disorganized type schizophrenia for 8 years can’t complete activities of daily living (ADLs) without staff direction and assistance. The nurse formulates a nursing diagnosis of Self-care deficit: Dressing/grooming related to inability to function without assistance. What is an appropriate goal for this client?
CorrectIncorrect -
Question 10 of 50
10. Question
1 point(s)The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority?
CorrectIncorrect -
Question 11 of 50
11. Question
1 point(s)The nurse is preparing for the discharge of a client who has been hospitalized for paranoid schizophrenia. The client’s husband expresses concern over whether his wife will continue to take her daily prescribed medication. The nurse should inform him that:
CorrectIncorrect -
Question 12 of 50
12. Question
1 point(s)Benztropine (Cogentin) is used to treat the extrapyramidal effects induced by antipsychotics. This drug exerts its effect by:
CorrectIncorrect -
Question 13 of 50
13. Question
1 point(s)A dopamine receptor agonist such as bromocriptine (Parlodel) relieves muscle rigidity caused by antipsychotic medication by:
CorrectIncorrect -
Question 14 of 50
14. Question
1 point(s)Most antipsychotic medications exert the following effects on the central nervous system (CNS)?
CorrectIncorrect -
Question 15 of 50
15. Question
1 point(s)A client is admitted to the psychiatric unit of a local hospital with chronic undifferentiated schizophrenia. During the next several days, the client is seen laughing, yelling, and talking to herself. This behavior is characteristic of:
CorrectIncorrect -
Question 16 of 50
16. Question
1 point(s)Which of the following medications would the nurse expect the physician to order to reverse a dystonic reaction?
CorrectIncorrect -
Question 17 of 50
17. Question
1 point(s)A schizophrenic client states, “I hear the voice of King Tut.” Which response by the nurse would be most therapeutic?
CorrectIncorrect -
Question 18 of 50
18. Question
1 point(s)A client has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism?
CorrectIncorrect -
Question 19 of 50
19. Question
1 point(s)For several years, a client with chronic schizophrenia has received 10 mg of fluphenazine hydrochloride (Prolixin) by mouth four times per day. Now the client has a temperature of 102° F (38.9° C), a heart rate of 120 beats/minute, a respiratory rate of 20 breaths/minute, and a blood pressure of 210/140 mm Hg. Because the client also is confused and incontinent, the nurse suspects malignant neuroleptic syndrome. What steps should the nurse take?
CorrectIncorrect -
Question 20 of 50
20. Question
1 point(s)A schizophrenic client with delusions tells the nurse, “There is a man wearing a red coat who’s out to get me.” The client exhibits increasing anxiety when focusing on the delusions. Which of the following would be the best response?
CorrectIncorrect -
Question 21 of 50
21. Question
1 point(s)Important teaching for women in their childbearing years who are receiving antipsychotic medications includes which of the following?
CorrectIncorrect -
Question 22 of 50
22. Question
1 point(s)A client is admitted to a psychiatric facility with a diagnosis of chronic schizophrenia. The history indicates that the client has been taking neuroleptic medication for many years. Assessment reveals unusual movements of the tongue, neck, and arms. Which condition should the nurse suspect?
CorrectIncorrect -
Question 23 of 50
23. Question
1 point(s)What medication would probably be ordered for the acutely aggressive schizophrenic client?
CorrectIncorrect -
Question 24 of 50
24. Question
1 point(s)A client is admitted with a diagnosis of schizotypal personality disorder. Which signs would this client exhibit during social situations?
CorrectIncorrect -
Question 25 of 50
25. Question
1 point(s)During the initial interview, a client with schizophrenia suddenly turns to the empty chair beside him and whispers, “Now just leave. I told you to stay home. There isn’t enough work here for both of us!” What is the nurse’s best initial response?
CorrectIncorrect -
Question 26 of 50
26. Question
1 point(s)The definition of nihilistic delusions is:
CorrectIncorrect -
Question 27 of 50
27. Question
1 point(s)A client who’s taking antipsychotic medication develops a very high temperature, severe muscle rigidity, tachycardia, and rapid deterioration in mental status. The nurse suspects what complication of antipsychotic therapy?
CorrectIncorrect -
Question 28 of 50
28. Question
1 point(s)The nurse formulates a nursing diagnosis of Impaired social interaction related to disorganized thinking for a client with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention takes the highest priority?
CorrectIncorrect -
Question 29 of 50
29. Question
1 point(s)A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing:
CorrectIncorrect -
Question 30 of 50
30. Question
1 point(s)A client with delusional thinking shows a lack of interest in eating at meal times. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action would be most appropriate for this client?
CorrectIncorrect -
Question 31 of 50
31. Question
1 point(s)Which of the following groups of characteristics would the nurse expect to see in the client with schizophrenia?
CorrectIncorrect -
Question 32 of 50
32. Question
1 point(s)The nurse must administer a medication to reverse or prevent Parkinson-type symptoms in a client receiving an antipsychotic. The medication the client will likely receive is:
CorrectIncorrect -
Question 33 of 50
33. Question
1 point(s)A client is receiving haloperidol (Haldol) to reduce psychotic symptoms. As he watches television with other clients, the nurse notes that he has trouble sitting still. He seems restless, constantly moving his hands and feet and changing position. When the nurse asks what is wrong, he says he feels jittery. How should the nurse manage this situation?
CorrectIncorrect -
Question 34 of 50
34. Question
1 point(s)A man is brought to the hospital by his wife, who states that for the past week her husband has refused all meals and accused her of trying to poison him. During the initial interview, the client’s speech, only partly comprehensible, reveals that his thoughts are controlled by delusions that he is possessed by the devil. The physician diagnoses paranoid schizophrenia. Schizophrenia is best described as a disorder characterized by:
CorrectIncorrect -
Question 35 of 50
35. Question
1 point(s)A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she’ll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
CorrectIncorrect -
Question 36 of 50
36. Question
1 point(s)A client with chronic schizophrenia who takes neuroleptic medication is admitted to the psychiatric unit. Nursing assessment reveals rigidity, fever, hypertension, and diaphoresis. These findings suggest which life-threatening reaction:
CorrectIncorrect -
Question 37 of 50
37. Question
1 point(s)While looking out the window, a client with schizophrenia remarks, “That school across the street has creatures in it that are waiting for me.” Which of the following terms best describes what the creatures represent?
CorrectIncorrect -
Question 38 of 50
38. Question
1 point(s)A client with schizophrenia tells the nurse, “My intestines are rotted from the worms chewing on them.” This statement indicates a:A. Delusion of persecution
CorrectIncorrect -
Question 39 of 50
39. Question
1 point(s)During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of:
CorrectIncorrect -
Question 40 of 50
40. Question
1 point(s)A client with paranoid-type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should
CorrectIncorrect -
Question 41 of 50
41. Question
1 point(s)Nursing care for a client with schizophrenia must be based on valid psychiatric and nursing theories. The nurse’s interpersonal communication with the client and specific nursing interventions must be:
CorrectIncorrect -
Question 42 of 50
42. Question
1 point(s)When discharging a client after treatment for a dystonic reaction, the emergency department nurse must ensure that the client understands which of the following?
CorrectIncorrect -
Question 43 of 50
43. Question
1 point(s)Upon evaluation of the patient’s record, the nurse sees the admission was voluntary. Based on this data, the nurse expects which patient behavior?
CorrectIncorrect -
Question 44 of 50
44. Question
1 point(s)A clinical instructor is correcting a nursing student’s worksheet. Which instructor statement is the best example of effective feedback?
CorrectIncorrect -
Question 45 of 50
45. Question
1 point(s)Which nursing statement is a good example of the therapeutic communication technique of focusing?
CorrectIncorrect -
Question 46 of 50
46. Question
1 point(s)A person with antisocial personality disorder has toughness relating to others because of never having learned to:
CorrectIncorrect -
Question 47 of 50
47. Question
1 point(s)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?
CorrectIncorrect -
Question 48 of 50
48. Question
1 point(s)Which is the best indicator of success in the long-term management of the client?
CorrectIncorrect -
Question 49 of 50
49. Question
1 point(s)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:
CorrectIncorrect -
Question 50 of 50
50. Question
1 point(s)Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and the nursing diagnosis Acute confusion related to recent surgery secondary to traumatic hip fracture?
CorrectIncorrect