NCLEX METAL HEALTH EXAM 1 - PRACTICE QUESTIONS 2024-2025. ACTUAL EXAM COMPLETE QUESTIONS A, Exams of Nursing

Download NCLEX METAL HEALTH EXAM 1 - PRACTICE QUESTIONS 2024-2025. ACTUAL EXAM COMPLETE QUESTIONS A and more Exams Nursing in PDF only on Docsity! NCLEX METAL HEALTH EXAM 1 - PRACTICE QUESTIONS 2024- 2025. ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ A 40-year-old man is estranged from his children and states, "I'm the only one I can count on to meet my needs. The kids just want my money." Using Erikson's theory, with which developmental conflict is this client struggling? A. Industry versus inferiority B. Intimacy versus isolation C. Ego integrity versus despair D. Generativity versus stagnation - ANSD A client expresses a desire to begin attending the self-help group Alcoholics Anonymous (AA). Which nursing response gives the client pertinent information about this type of group? A. "In this type of group, membership is always within a fixed time frame." B. "Group members receive comfort and advice from others undergoing similar experiences." C. "The purpose of this type of group is to convey information to a number of individuals." D. "The function of this type of group is to accomplish a specific outcome." - ANSB A client hates her mother because of childhood neglect. The nurse determines which client statement represents the use of the defense mechanism of reaction formation? A. "I don't like to talk about my relationship with my mother." B. "My mother hates me." C. "I have a very wonderful mother whom I love very much." D. "My mom always loved my sister more than she loved me." - ANSC A client threatens to kill himself, his wife, and their children if the wife follows through with divorce proceedings. During the preinteraction phase of the nurse-patient relationship, which interaction should the nurse employ? A. Acknowledging the client's actions and encouraging alternative behaviors. B. Establishing rapport and developing treatment goals. C. Providing community resources on aggression management. D. Exploring personal thoughts and feelings that may adversely impact the provision of care. - ANSD A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests. The nurse intervenes by stating, "You may approach the nurse's station only once an hour." Which nursing intervention has been employed? A. Providing reality orientation B. Ensuring physical need fulfillment C. Setting limits on behavior D. Providing client education - ANSC A client, diagnosed with depression, tells the nurse that marriage and children were chosen over law school. The client states, "My mother was furious with my decision." The nurse recognizes this as an example of which maladaptive family behavior? A. Avoiding B. Demanding proof of love C. Attacking D. Ignoring individuality - ANSD A client's husband died 1 year ago. She has recently started dating a gentleman from her grief support group. This behavior is indicative of which of the grief tasks described by Worden? Task I: accepting the reality of the loss Task II: processing the pain of grief B. Monitoring effectiveness of aftercare services through home health visits C. Care of a client hospitalized for a suicidal attempt D. Teaching parenting skills and child development to prospective new parents - ANSD During a group meeting, a client raises the concern that noise at the nurses' station keeps him awake at night. The nurse, present in the meeting, interrupts, stating, "I'll handle this matter. We need to move on." The nurse is demonstrating which type of leadership style? A. Democratic B. Autocratic C. Laissez-faire D. Surrogate - ANSB Elderly individuals often experience a convergence of losses, the timing of which makes it impossible for the aging individual to complete the grief process in response to one loss before another occurs. What term is used to describe this situation? Prolonged grieving Distorted grief response Bereavement overload Delayed grief response - ANSc feeling of depression related to specific loss - - ANSgreiving Feelings of hopelessness, social isolation, self care deficit - - ANSdepression Holds anger inside - - ANSclinical depression In assessing a family, which behavior would the nurse identify as a functional family interaction pattern? A. Triangling B. Differentiation of self C. Family projection process D. Scapegoating family members - ANSB o ___ with grief is major primary psychological response pattern to stress - ANSanxiety o A society's way of living that is passed down form generation to generation - ANSculture o Anxiety is relieved by the support and understating of others in the group who share experiences - ANSuniversality o Assuming that all individuals who share a culture or ethnic group are the same - ANSstereotype o At this phase of group coming together: rules and goals are established - ANSinitial orientation phase o Attention span is limited, there is physical and emotional symptoms - ANSsevere andxiety o Can the client demonstrate the ability to delay gratification? Does the client verbalize symptoms of tension preceding unacceptable behavior? Does the client verbalize the unacceptable or maladaptive behavior - ANSimpulse control disorder o Client is exhibiting a flight from reality and unaware of any psychological problems - ANSpsychosis o Client is less alert to events occurring in the environment attention span and concentration decreases - ANSmoderate anxiety o Identification with a group because of shared heritage - ANSethnicity o In this culture, the primary social organizations are family and tribe - ANSNative American o Initiated when there is a threat to biological or psychological integrity, controlled by the id and deal with primary urges. Superego does not have need for them - ANScomponents of defense mechanism o Law enacted by legislative bodies - ANSstatutory law o Law that protects the private and property rights of individuals - ANScivil law o Leadership style that allows the group to do what they please - ANSLaissez-faire o Nursing actions are conducted during the assessment phase are means of data gathering. This list includes - ANSobserving the client's interaction with family, consult team members, review clients medical records o The unconsented touching of another person - ANSbattery o There is misperceptions and loss of contact with reality. There could be hallucinations. Similar symptoms as MI - ANSpanic attack o This level of anxiety prepares people for action - ANSmild anxiet o Verbalizing false and malicious information about a person - ANSslander o Writing false and malicious information about an individual - ANSlibel self esteem is not affect - normal greiving process or depression? - ANS- greieving C. Client does not have available family support. D. Client has been diagnosed with major depression. - ANSB Which is the primary nursing goal when establishing a therapeutic relationship with a client? A. To promote client growth B. To develop the nurse's personal identity C. To establish a purposeful social interaction D. To develop communication skills - ANSA Which nursing diagnosis is written correctly? A. Risk for social isolation related to low self-esteem evidenced by staying in room during the day. B. Low self-esteem related to major depressive disorder evidenced by childhood abuse. C. Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20 lbs weight loss. D. Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive behaviors. - ANSC Which of the following best describes the role of the psychiatric social worker as a member of the interdisciplinary treatment team? A. Provides ongoing assessment of client's mental and physical condition B. Functions under the supervision of the psychiatric nurse C. Serves as the leader of the treatment team D. Conducts individual, group, and family therapy - ANSD Which of the following medications is considered to be a first-line medication of choice in the treatment of PTSD? A. Alprazolam B. Propranolol C. Carbamazepine D. Paroxetine - ANSD Which psychiatric diagnosis is common within the Native American culture? Schizophrenia Alcohol use disorder Posttraumatic stress disorder Impulse control disorder - ANSB Which statement would indicate to the nurse that a widow is nearing the end of the grief process? A. "My husband left me so quickly. I'm furious that he is not here for me!" B. "My husband was often grumpy, but I know he loved me unconditionally." C. "I feel so guilty that I was out with my girlfriend when he had his heart attack." D."My husband was the best husband in the world." - ANSB Which would the nurse identify as a maladaptive grieving response? An individual thought she saw her dead husband when she was out shopping. A client is experiencing marked feelings of worthlessness and low self-esteem. A woman has not cried since the death of her husband. A year after his death, a wife maintains all of her husband's belongings. - ANSb Who is prone to mental illness? - ANSEveryone