NCLEX Questions

Question 0

The rite of passage for a nursing student entering psychiatric nursing is which of the following?

1) The fact that students have more rights.
2) A role change where the individual is transformed.
3) The entry of a nursing student into a closed psychiatric unit.
4) The student’s progression to the last semester of the nursing program.

Answer 0

2) A role change where the individual is transformed.

Question 1

The major tool that a student new to psychiatric nursing brings to the experience includes the ability to:

1) Take vital signs.
2) Communicate with others.
3) Interpret laboratory results.
4) Manipulate technical equipment.

Answer 1

2) Communicate with others.

Question 2

On the first day of the psychiatric nursing clinical experience, a client behaving bizarrely approaches the nursing student. Which of the following would be an appropriate response by the student nurse?

1) Quickly find the nursing instructor and ask for help.
2) Grimace and show intolerance for the patient’s psychotic behavior.
3) Establish contact and treat the individual with understanding and compassion.
4) Tell the charge nurse that the patient needs to be placed in seclusion or restraints.

Answer 2

3) Establish contact and treat the individual with understanding and compassion.

Question 3

A psychiatric nurse is preparing to interact with a new client. Which of the following tools is necessary to effectively communicate with the client?

1) Judging.
2) Stereotyping.
3) Being present.
4) Devaluing.

Answer 3

3) Being present.

Question 4

A major challenge for nursing students entering psychiatric nursing includes which of the following?

1) Reflecting on own behavior.
2) Reflecting on the client’s behavior.
3) Reflecting on the client’s personality.
4) Reflecting on the client’s method of communication.

Answer 4

1) Reflecting on own behavior.

Question 5

A nurse assessing a client to determine the presence of mental illness would most likely identify which of the following as being present?

1) Clear and realistic thinking.
2) Moderate use of alcohol or drugs.
3) A strong and confident personality.
4) Inability to effectively cope with problems.

Answer 5

1) Clear and realistic thinking.

Question 6

A client is being discharged from the hospital. Which of the following would indicate that the client has improved?

1) Low self-esteem.
2) Poor self-concept.
3) Distorted view of self.
4) Ability to set realistic goals.

Answer 6

4) Ability to set realistic goals.

Question 7

During the eighteenth and early nineteenth centuries, there was the belief that dirt and putrefaction were the principle causes of ill health. This belief is based on which of the following theories?

1) Germ theory
2) Miasmic theory
3) Septic foci theory
4) Inheritance theory

Answer 7

2) Miasmic theory

Question 8

Many believe the major challenge for psychiatric nursing in the twenty-first century is which of the following?

1) Caring for individuals with mental illness who are currently incarcerated in legal detention centers
2) Having an excess of both undergraduate and graduate students enrolled in psychiatric nursing programs
3) Keeping a nursing focus in a field that is rapidly changing on the basis of new discoveries of science, genetics, and technology
4) Expanding psychiatric nursing to include the care of children and adolescents who are severely impaired by mental health illness

Answer 8

4) Expanding psychiatric nursing to include the care of children and adolescents who are severely impaired by mental health illness

Question 9

In what year did nursing leaders meet at the World’s Fair in Chicago to discuss the state of nursing and nursing training?

1) 1825
2) 1893
3) 1924
4) 1957

Answer 9

2) 1893

Question 10

When was the first psychiatric nursing text published?

1) 1793
2) 1865
3) 1920
4) 1949

Answer 10

3) 1920

Question 11

A major difference between the beginning nurse and the Advanced Practice Registered Nurse (APRN) is that the APRN can do which of the following?

1) Health teaching
2) Intake screening
3) Conduct psychotherapy
4) Perform crisis intervention

Answer 11

3) Conduct psychotherapy

Question 12

The National Mental Health Act of 1946 provided for which of the following?

1) Funds for preventive health care services
2) Guidelines for certification of the mentally ill
3) Funds for research in all areas of psychiatric care
4) Assistance to individuals experiencing mental health problems of an acute nature

Answer 12

3) Funds for research in all areas of psychiatric care

Question 13

A somatic therapy for treatment of mental health problems, introduced in the 1930s, included which of the following?

1) Chemotherapy
2) Light therapy
3) Radiation therapy
4) Electroshock therapy

Answer 13

4) Electroshock therapy

Question 14

A nurse assesses a family and identifies a disruption in the communication patterns of the family system. Because of the ineffective communication pattern, the system cannot function effectively. This nurse’s approach to client care is most likely influenced by which of the following nurse theorists?

1) Jean Watson
2) Dorothea Orem
3) Martha Rogers
4) Betty Neuman

Answer 14

1) Jean Watson

Question 15

A client diagnosed with catatonic schizophrenia is admitted to the psychiatric unit. The client is unable to feed himself or address his hygienic needs. According to the theory of Dorothea Orem, the client is experiencing which of the following?

1) Self-care deficit
2) Altered body image
3) Ineffective coping
4) Distorted sense of self

Answer 15

1) Self-care deficit

Question 16

A psychiatric client is extremely agitated and confused. The nurse interviews the client in a quiet room to avoid excessive stimulation. The nurse is addressing which component of Betty Neuman’s systems model?

1) Internal environment
2) External environment
3) Created environment
4) Social environment

Answer 16

2) External environment

Question 17

The psychiatric nurse has based her practice on the work of Martha Rogers. The nurse’s primary concern would focus on which of the following?

1) Disruption of energy fields
2) The client’s ability to perform self-care activities
3) The relationship between nurse and client
4) Impact of the client’s culture on behavior

Answer 17

1) Disruption of energy fields

Question 18

An advanced practice nurse is assessing a 3-year-old child who was admitted to the hospital due to possible physical abuse. The nurse allows the child to play with a set of dolls. The child begins to use the father doll to hit the little girl doll. The principles of which theorists has the nurse implemented in her assessment?

1) Jean Piaget
2) Sigmund Freud
3) Abraham Maslow
4) Harry Stack Sullivan

Answer 18

2) Sigmund Freud

Question 19

According to psychoanalytic theory, a client experiencing depression would exhibit which of the following?

1) Strong id, strong ego, weak superego
2) Weak id, weak ego, punitive superego
3) Weak id, strong ego, weak superego
4) Strong id, strong ego, punitive superego

Answer 19

3) Weak id, strong ego, weak superego