NCLEX-PN Style Review Questions

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Chapter 8

This activity contains 10 questions.

A client approaches you and begins to tell you the following information: My mother is coming to visit. She once went to visit the brewery. I like beer. Beer comes in bottles. Bottles can be recycled. Cycling is great fun. When you chart about the client's thought/speech pattern, you will assess what the client said to you and chart it as which of the following patterns?

Word saladLoose associationsCircumstantialTangential

A client is admitted to the psychiatric unit of the hospital. When helping the physician with the admitting physical you notice that the client has a very rigid posture and does not seem to respond to stimuli. The patient has some bizarre posturing as well as rigid posturing. What type of behavior or condition is the client most likely displaying?

AkathesiaCatatonic DissociationTetany

You are reading the chart of one of your assigned clients. The physician describes your client using the word avolition. When you assess your client, if he is displaying behavior consistent with avolition, you will most likely see him doing which of the following things?

Sitting in a chair and wanting to go back to bed.Making plans around activities for the day.Pacing in an agitated way in the dayroom or halls.Talking non-stop and seemingly unable to stop.

The nurse is part of a team providing milieu therapy to clients. Which of the following descriptions best fits that of milieu therapy?

Frequent changes are made in the scheduling to ready the clients for the "real world." The staff determines on a shift-to-shift basis what will work best in terms of scheduling. Clients are able to have choices in when meals and activities occur from day to day.The activities including groups, meals, and bed time are on a predictable schedule.

The treatment team is talking about the possibility of a client being started on clozapine (Clozaril). As a nurse you realize which of the following things are true when clients are put on clozapine (Clozaril)?

The client will have to be watched for water intoxification more than if on older antipyschotics.This medication is less expensive than chlorpromazine (Thorazine) and thioridazine (Mellaril).The client will need to have blood work on a regular basis to monitor for agranulocytosis.This drug is often tried before trying many of the newer antipsychotic medications.

You are admitting a new client to the acute psychiatric unit of the hospital. During your assessment you ask the client what medication he is on. He tells you that he has been on Resperidone (Risperdal) Decanoate. When you hear this response you will know that this client:

Has been taking a long-acting form of the medication probably due to medication noncompliance.Is probably in a drug study program as Reperidone Decanoate is now in the study phase.Is on a liquid form of the medication and may have problems swallowing capsules or pills.Has not been responsive to other medications as this medication is given as a last resort.

The nurse is administering Aripiprazole (Abilify) to a client. The client says that this drug has made him think much better and more normally than other medications he has taken in the past. The nurse will base his response on knowledge of the drug. When the nurse looked this drug up in his drug handbook, he found that this drug is unlike other antipsychotic agents. What is most unusual about this drug compared to other drugs?

This drug reduces dopamine when it is too high and preserves it when it is too low.This medication combines the drug Ativan along with resperidone in one new drug.When taking this drug there is increased speed of neurotransmission causing clearer thinking.There are no known side effects or adverse effects associated with this new medication.

	Within the question text below, there is one text entry field where you can enter your answer. The most common type of hallucination is .

When you are working in a psychiatric treatment program you will have to learn skills and do client education consistent with the goals of this type of program. Which of the following goals best represents the goal of psychosocial rehabilitation?

To educate clients about medications and management of their medication. To help clients accept that they have mental illness and need lifetime treatment.To increase the amount of time an individual socializes with others.To help individuals with mental illness to adjust to living in the community.

A client, who has been diagnosed with schizophrenia, tells you in a 1:1 conversation that they are upset because they have chlamydia because they slept with a married man. You had already reviewed the client's chart this morning and the VDRL came back negative for chlamydia. Which one of the following responses would be best?

"Let's talk about how you came to be in this hospital at this time.""It is good that you don't have a disease that is incurable. Chlamydia is curable.""I can show you the lab report that says you don't have chlamydia.""You may think you have chlamydia but it is just some delusional thinking."

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NCLEX-PN Style Review Questions

You are reading the chart of one of your assigned clients. The physician describes your client using the word avolition. When you assess your client, if he is displaying behavior consistent with avolition, you will most likely see him doing which of the following things?

The nurse is part of a team providing milieu therapy to clients. Which of the following descriptions best fits that of milieu therapy?

The treatment team is talking about the possibility of a client being started on clozapine (Clozaril). As a nurse you realize which of the following things are true when clients are put on clozapine (Clozaril)?

You are admitting a new client to the acute psychiatric unit of the hospital. During your assessment you ask the client what medication he is on. He tells you that he has been on Resperidone (Risperdal) Decanoate. When you hear this response you will know that this client:

Within the question text below, there is one text entry field where you can enter your answer.

When you are working in a psychiatric treatment program you will have to learn skills and do client education consistent with the goals of this type of program. Which of the following goals best represents the goal of psychosocial rehabilitation?