N330 - Practice Questions With Complete Solutions
A 30 y/o female client on a progressive care unit (PCU) reports
feeling suicidal to the nurse. The nurse should:
1. place the client to the nurse's station as the nurse realizes that
women are not likely to use lethal means to complete suicide
2. place the client on a Mental Health Hold and notify hospital
security
3. complete further assessments and contact the client's next of
kin
4. assess and inform the Health Care Provider (HCP) while
maintaining client safety Correct Answers 4
A 48 year old expresses fear because there are monsters under
her bed. She says, "I am too old to believe in monsters but I can't
help it, I know they are under there!" What would be the best
response by the nurse?
1. "It must make you feel childish to believe it monsters."
2. "You're right, there are no monsters. When do these
nightmares occur?"
3. "Tell me more about what these monsters look and sound
like."
4. "Why do you think these nightmares keep reoccurring?"
Correct Answers 2
A client believes doorknobs are "filthy with bacteria and he
must clean each knob three times before he can touch it or must
use a paper towel to avoid putting his fingers in contact with the
knob. The nurse must make the assessment that this behavior
serves the purpose of reducing
,1. sexual ideation
2. anxiety
3. guilt
4. hallucinations Correct Answers 2
A client diagnosed with posttraumatic stress disorder has a
nursing diagnosis of disturbed sleep patterns R/T T nightmares.
Which evaluation would indicate that the stated nursing
diagnosis was resolved?
1. The client states that the client feels tested when awakening
and denies nightmares
2. The client expresses feelings about the nightmares during
group
3. The client asks for pen trazodone (Desyrel) before bed to fall
asleep
4. The client avoids napping during the day to help enhance seen
Correct Answers 1
a client is admitted with a diagnosis of bipolar disorder. the
client is dressed in a flowing purple robe. the nurse who
interviews this client asks if the client believes she has
extraordinary abilities or powers. what is the nurse assessing the
client for?
1. delusions of persecution
2. ideas of reference
3. grandiosity and inflated self-esteem
4. flight of ideas Correct Answers 3
, A client is diagnosed with attention deficit-hyperactivity
disorder (ADHD) and is prescribed atomoxetine HCL
(Strattera). What is the advantage of taking this medication?
1. Straterra is safe to take when a client has cardio-vascular
disease
2. clients diagnosed with bipolar disorder can also be prescribed
atomoxetine
3. it is not necessary to monitor for suicidal ideations with this
medication.
4. Risk for abuse or misuse is low Correct Answers 4
A client on the inpatient psychiatric unit is sitting alone talking
quietly. There is no one around. What action should the nurse
take?
1. Approach client saying, "I noticed you talking. Are you
hearing voices?"
2. Approach client saying, "Hey, who are you talking to?"
3. Leave the client alone. He is not bothering anyone.
4. Sit behind the client and listen to his conversation, then
document content. Correct Answers 1
A client with generalized anxiety disorder and depression comes
to the anxiety disorders clinic displaying severe anxiety. Of the
medications listed in the client's medical record, which one with
an appropriate order, can be given as a prn anxiolytic?
1. Buspirone (BuSpar)
2. Phenytoin (Dilanti)
3. Lorazepam (Ativan)
4. Fluoxetine (Paxil) Correct Answers 3
A 30 y/o female client on a progressive care unit (PCU) reports
feeling suicidal to the nurse. The nurse should:
1. place the client to the nurse's station as the nurse realizes that
women are not likely to use lethal means to complete suicide
2. place the client on a Mental Health Hold and notify hospital
security
3. complete further assessments and contact the client's next of
kin
4. assess and inform the Health Care Provider (HCP) while
maintaining client safety Correct Answers 4
A 48 year old expresses fear because there are monsters under
her bed. She says, "I am too old to believe in monsters but I can't
help it, I know they are under there!" What would be the best
response by the nurse?
1. "It must make you feel childish to believe it monsters."
2. "You're right, there are no monsters. When do these
nightmares occur?"
3. "Tell me more about what these monsters look and sound
like."
4. "Why do you think these nightmares keep reoccurring?"
Correct Answers 2
A client believes doorknobs are "filthy with bacteria and he
must clean each knob three times before he can touch it or must
use a paper towel to avoid putting his fingers in contact with the
knob. The nurse must make the assessment that this behavior
serves the purpose of reducing
,1. sexual ideation
2. anxiety
3. guilt
4. hallucinations Correct Answers 2
A client diagnosed with posttraumatic stress disorder has a
nursing diagnosis of disturbed sleep patterns R/T T nightmares.
Which evaluation would indicate that the stated nursing
diagnosis was resolved?
1. The client states that the client feels tested when awakening
and denies nightmares
2. The client expresses feelings about the nightmares during
group
3. The client asks for pen trazodone (Desyrel) before bed to fall
asleep
4. The client avoids napping during the day to help enhance seen
Correct Answers 1
a client is admitted with a diagnosis of bipolar disorder. the
client is dressed in a flowing purple robe. the nurse who
interviews this client asks if the client believes she has
extraordinary abilities or powers. what is the nurse assessing the
client for?
1. delusions of persecution
2. ideas of reference
3. grandiosity and inflated self-esteem
4. flight of ideas Correct Answers 3
, A client is diagnosed with attention deficit-hyperactivity
disorder (ADHD) and is prescribed atomoxetine HCL
(Strattera). What is the advantage of taking this medication?
1. Straterra is safe to take when a client has cardio-vascular
disease
2. clients diagnosed with bipolar disorder can also be prescribed
atomoxetine
3. it is not necessary to monitor for suicidal ideations with this
medication.
4. Risk for abuse or misuse is low Correct Answers 4
A client on the inpatient psychiatric unit is sitting alone talking
quietly. There is no one around. What action should the nurse
take?
1. Approach client saying, "I noticed you talking. Are you
hearing voices?"
2. Approach client saying, "Hey, who are you talking to?"
3. Leave the client alone. He is not bothering anyone.
4. Sit behind the client and listen to his conversation, then
document content. Correct Answers 1
A client with generalized anxiety disorder and depression comes
to the anxiety disorders clinic displaying severe anxiety. Of the
medications listed in the client's medical record, which one with
an appropriate order, can be given as a prn anxiolytic?
1. Buspirone (BuSpar)
2. Phenytoin (Dilanti)
3. Lorazepam (Ativan)
4. Fluoxetine (Paxil) Correct Answers 3
