Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 99

1. The nurse who was not promoted tells another friend, 'I knew I - d never get the job. The hospital administrator hates me.' If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:

A) compensation.
B) reaction formation.
C) projection.
D) denial.

2. The Token Economy is a type of therapy that focuses on:

A) play therapy.
B) behavior modification.
C) milieu therapy.
D) associative.

3. How does the ANA define the psychiatric nursing role?

A) a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art
B) assisting the therapist to relieve the symptoms of clients
C) to solve clients - problems and give them the answers
D) having a client committed to long-term therapy with the nurse

4. While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:

A) psychiatric illness is more prevalent in addicted populations.
B) people with psychiatric disorders are more prone to substance abuse.
C) substance disorders are easily detected and diagnosed in acute-care psychiatric settings.
D) undetected substance problems have no real effect on treatment of psychiatric disorders.

5. When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:

A) amphetamines increase energy by increasing dopamine levels at neural synapses.
B) amphetamines have a low risk of tolerance or addiction.
C) amphetamines produce a 10 - 20-second rush followed by a 2 - 4-hour high.
D) addiction to barbiturates and amphetamines is rare because they have opposite effects.

1. Right Answer: C
Explanation: Projection results in unconsciously adopting blaming behavior. It attributes unacceptable attributes to other people. Compensation results in the nurse unconsciously attempting to emphasize a strong point in an attempt to make up for a perceived weakness. Reaction formation unconsciously adopts behavior that is opposite her actual feelings. Denial involves ignoring the existence of an unpleasant reality. Psychosocial Integrity

2. Right Answer: B
Explanation: Behavior modification gives positive feedback and rewards for appropriate behavior. Behavior modification requires negative behavior if its not destructive or life threatening. Psychosocial Integrity

3. Right Answer: A
Explanation: The ANA sets standards of practice for psychiatric and mental health nursing roles. Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process. Psychosocial Integrity

4. Right Answer: B
Explanation: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur. PsychosocialIntegrity

5. Right Answer: A
Explanation: Amphetamines cause the release of norepinephrine and dopamine from storage vesicles into the synapse. The increased catecholamines at the receptors causes increased stimulation. Clear patterns of tolerance and withdrawal have not been described. Prolonged or excessive use of amphetamines can lead to psychosis.People use amphetamines for the feelings of euphoria, relief from fatigue, energy, and alertness. Overdose can cause seizures, cardiac arrhythmias, hypertension, and hyperthermia. When abstaining, the client might experience fatigue, depression, and irritability lasting for several weeks. Drug cravings are common and might lead to relapse. Psychosocial Integrity

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