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NURSING 123 PRACTICE QUESTIONS AND ANSNWERS
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NURSING 123 PRACTICE QUESTIONS AND ANSNWERSFA7
1. Which of the following personality disorders is characterized by display of grandiosity,
arrogance and taking advantage of others for one’s own benefit?
a. Narcissistic
b. Antisocial
c. Dependent
d. Borderline
2. A mother comes to the pediatric clinic because her previously continent 6-year-old son
has resumed bedwetting. Aer discovering that there is a new baby in the home, the nurse
explains to the mother that the son is most likely using the defense mechanism of:
a. Regression
b. Repression
c. Identification
d. Rationalization
3. A psychological consequence due to exposure to a stressful experience involving actual
or threatened death:
a. Post-Traumatic Stress Disorder (PTSD)
b. Generalized Anxiety Disorder (GAD)
c. Obsessive Compulsive Disorder (OCD)
d. Phobia
4. Before eating a meal, a client with obsessive-compulsive disorder must wash his hands
for 18 minutes, comb his hair 444 strokes, and switch the bathroom light on and off 44 times.
What is the most appropriate long-term treatment goal for this client?
, a. Systematically decrease the amount of me spent in – and the number of
repetitions of – rituals.
b. Omit one unacceptable behavior each day.
c. low ample me for the client to complete all rituals before each meal.
d. Increase the client’s acceptance of therapeutic drug use.
5. Your client experience sleeplessness due to increasing ritualistic behavior. Which of the
following treatment plans should be prioritized?
a. Decrease the amount of me doing the ritual.
b. Suggest she perform the rituals earlier.
c. Prescribed hypnotic medications.
d. Decrease anxiety by modifying the rituals.
6. Which of the following personality disorder is categorically described as dramatic,
emotional and/or erratic?
a. Histrionic
b. Obsessive-compulsive
c. Narcissistic
d. Paranoid
7. Which type of psychotherapy will be best utilize in managing patients with Obsessive
Compulsive disorders?
a. Behavior therapy
b. Aversion therapy
c. Systematic desensitization
d. Cognitive therapy
8. The nurse is teaching a client about the appropriate use of lorazepam (Ativan) to manage
anxiety. Which of the following statements indicates that the client understands the nurse’s
teaching?
a. “My medicine is not for the everyday stress of life.”
b. “It’s safe to have a glass of wine while taking this medicine.”
, c. “It’s safe to have a glass of wine while taking this medicine.”
d. “It’s okay to double my dose if I need to. ”
9. A nurse must recognize that in treating a client with dependent personality disorder, the
ultimate goal of the therapy is treating which of the following problems?
a. Subservience to others
b. Harshness in dealing with others.
c. Manipulative of others
d. Lack of empathy towards others
10. Characterized by a person’s intrusive thoughts related to rituals
a. Obsessive Compulsive Disorder (OCD)
b. Panic Disorder
c. Post-Traumatic Stress Disorder (PTSD)
d. Phobia
11. Which of the following Somatoform disorders is referred to as a preoccupation with a
fear that one has or will get a serious disease?
a. Hypochondriasis
b. Body Dysmorphic Disorder
c. Somatization
d. Conversion Disorder
12. A nurse is interviewing a client on admission to the mental health inpatient unit who
was involved in a fire two months ago. The client is complaining of insomnia, difficulty,
concentrating, nervousness, hypervigilance, and is frequently thinking about fires. The nurse
assesses these symptoms to be indicative of:
a. Post-traumatic stress disorder
b. Obsessive compulsive disorder (OCD)
c. Phobia
d. Dissociative disorder
, 13. A client is admitted to a surgical unit with a diagnosis of cancer. The client is scheduled
for surgery in the morning. When the nurse enters the room and begins the surgical
preparation, the client states, I’m not having surgery. You must have the wrong person! My
results were negative. I’ll be going home tomorrow.” The nurse recognizes that the ego
defense mechanism that may be operating here is:
a. Denial
b. Delusions
c. Psychosis
d. Displacement
14. When discussing the present problems of a client with paranoid personality disorder,
which of the following nursing interventions is given priority in the plan of care?
a. Talk about ways of using appropriate defense mechanism.
b. Emphasize social interactions.
c. Let him discuss his feelings about the event.
d. Find out the causes of anxiety.
15. During an office visit, a prenatal client with mitral stenosis states that she has been
under a lot of stress lately. During the examination, the client questions everything the nurse
does and behaves anxiously. The appropriate nursing action at this me would be to:
a. Explain the purpose of the nurse’s actions and answer all questions.
b. Ignore her unfounded concerns and continue with the assessment.
c. Tell her not to worry.
d. Refer her to a counselor.
16. A client with agoraphobia experiences severe panic attacks when attempting to leave the
house. His client’s outpatient treatment plan includes behavioral therapy to systematically
decrease the amount of anxiety that occurs when leaving the house. Which statements best
reflect successful therapy?
a. The client’s stands outside the door to the house and holds onto the doorknob.
b. The client leaves the house and controls anxiety with an anxiolytic.
c. The client leaves the house and experiences sweaty palms.
d. The client leaves the house and experiences shortness of breath.
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