Nursing Awareness : Modern Nursing Exam Portal

Question 1

The nurse is caring for a client with a conversion disorder. Which of the following assessments will the nurse expect to see-

A Multiple physical complaints

B Labile mood

C Indifference about the physical symptom

D Extreme distress over the physical symptom

Question 2

Paroxetine (Paxil) has been prescribed for a client with a somatoform disorder. The nurse instructs the client to watch for which of the following side effects-

A Increased appetite

B Constipation

C Nausea

D Increased flatulence

Question 3

Emotion-focused coping strategies are designed to accomplish which of the following outcomes-

A Helping the client manage the intensity of symptoms

B Helping the client manage difficult situations more effectively

C Teaching the client the relationship between stress and physical symptoms

D Relieving the client’s physical symptoms

Question 4

Which of the following is true about clients with hypochondriasis-

A They often exaggerate or fabricate physical symptoms for attention.

B They do not show signs of distress about their physical symptoms.

C They may interpret normal body sensations as signs of disease

D Non of theses

Question 5

The client’s family asks the nurse, “What is hypochondriasis?” The best response by the nurse is, “Hypochondriasis is-

A The eventual result of excessive worrying about diseases.

B Characterized by a variety of symptoms over a num-ber of years.

C An illness not fully explained by a diagnosed medical condition.

D A persistent preoccupation with getting a serious disease.

Question 6

A client who developed numbness in the right hand could not play the piano at a scheduled recital. The consequence of the symptom, not having to perform, is best described as-

A Emotion-focused coping

B Primary gain

C Phobia

D Secondary gain

Question 7

Which of the following statements would indicate that teaching about somatization disorder has been effective-

A Nothing will help me feel better physically.

B I will feel better when I begin handling stress more effectively.

C If I try harder to control my symptoms, I will feel better

D The doctor believes I am faking my symptoms.

Question 8

How many adults in the United States who need mental health services actually receive care-

A 1 in 5

B 1 in 4

C 1 in 3

D 1 in 2

Question 9

Hildegard Peplau is best known for her writing about which of the following-

A Psychopharmacology

B Therapeutic nurse–client relationship

C Humane behaviour

D Community-based care

Question 10

Hospitals established by Dorothea Dix were designed to provide which of the following-

A Asylum

B Confinement

C Therapeutic milieu

D Public safety

Question 11

Clients taking which of the following types of psycho-tropic medications need close monitoring of their cardiac status?

A Stimulants

B Mood stabilizers

C Antipsychotics

D Antidepressants

Question 12

Which of the following physician orders would the nurse question for a client who has stated I’m allergic to phenothiazines-

A Prolixin, 5 mg PO tid

B Haldol, 5 mg PO bid

C Risperdal, 2 mg bid

D Navane, 10 mg PO bid

Question 13

Client teaching for lamotrigine (Lamictal) should include which of the following-

A This drug may cause psychological dependence.

B Take each dose with food to avoid nausea.

C Eat a well-balanced diet to avoid weight gain.

D Report any rashes to your doctor immediately.

Question 14

The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following PRN medications, which would the nurse administer-

A Propranolol (Inderal), 20 mg PO

B Trazodone, 50 mg PO

C Benztropine (Cogentin), 2 mg PO

D Haloperidol (Haldol), 5 mg PO

Question 15

Which of the following is a concern for children taking stimulants for ADHD for several years-

A Weight gain

B Growth suppression

C Insomnia

D Dependence on the drug

Question 16

The signs of lithium toxicity include which of the following-

A Severe vomiting, diarrhea, weakness

B Elevated white blood cell count, sweating, confusion

C Psychomotor agitation, insomnia, increased thirst

D Sedation, fever, restlessness

Question 17

A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which of the following is a concern for the nurse as discharge plans are finalized-

A The client will need regular laboratory work to monitor therapeutic drug levels.

B The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.

C The nurse will evaluate the risk for suicide by over-dose of the tricyclic.

D The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.

Question 18

Which of the following theorists believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment-

A Harry Stack Sullivan

B Hildegard Peplau

C William Glasser

D Sigmund Freud

Question 19

Dream analysis and free association are techniques in which of the following-

A Psychoanalysis

B Logotherapy

C Gestalt therapy

D Client-centered therapy

Question 20

Four levels of anxiety were described by-

A Hildegard Peplau

B Carl Rogers

C Sigmund Freud

D Erik Erikson

Psychiatric Nursing