NCLEX-RN Exam Questions - Part 130

1. The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her sons condition by which of the following statements?

A) 'Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain.'
B) 'Has anyone in your family ever had schizophrenia?'
C) 'If your son has a twin, he probably will eventually develop schizophrenia, too.'
D) 'Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship.'



2. A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurses most therapeutic response will be:

A) 'I don - t see your mother in the room. Let - s talk about how you - re feeling.'
B) 'OK, I - ll come back later when you - re feeling more like taking your medicine.'
C) 'She may be here, but I can - t see her.'
D) 'Why don - t you finish talking to her, and I - ll wait.'



3. A female client with major depression stated that 'life is hopeless and not worth living.' The nurse should place highest priority on which of the following questions?

A) 'How has your appetite been recently?'
B) 'Have you thought about hurting yourself?'
C) 'How is your relationship with your husband?'
D) 'How has your depression affected your daily livingactivities?'



4. A client presented herself to the mental health center, describing the following symptoms: a weight loss of 20 lb in the past 2 months, difficulty concentrating, repeated absences from work due to 'fatigue,' and not wanting to get dressed in the morning. She leaves her recorded message on her telephone and has lost interest in answering the phone or doorbell. The nurses assessment of her behavior would most likely be:

A) Deep depression
B) Psychotic depression
C) Severe anxiety
D) Severe depression



5. A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis.His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?

A) Lifting heavy objects
B) Walking briskly
C) Ingestion of barbiturates
D) Ingestion of antacids