NR 326 - NURSING BOARD REVIEW: PSYCHIATRIC NURSING PRACTICE
TEST PART 1
All the questions in the quiz along with their answers are shown below.
Your answers are bolded. The correct answers have a green background while the
incorrect ones have a red background.
1. Before eating a meal, a female client with obsessive-compulsive disorder (OCD)
must wash his hands for 18 minutes, comb his hair 444 strokes, and switch
thebathroom lights 44 times. What is the most appropriate goal of care for this client?
a. Omit one unacceptable behavior each day
b. Increase the client’s acceptance of therapeutic drug use
c. Allow ample time for the client to complete all rituals before each meal
d. Systematically decrease the number of repetitions of rituals and
the amount of time spent performing them.
When caring for a client with OCD, the goal is to systematically decrease the undesirable
,behavior. (Therapy may not completely extinguish certain behaviors.) Expecting to omit
one behavior each day is unrealistic because the client may have used ritualistic
behavior would perpetuate the undesirable behavior.
2. The nurse closely observes the client who has been displaying aggressive behavior.
The nurse observes that the client’s anger is escalating. Which approach is least
helpful for the client at this time?
a. Acknowledge the client’s behavior
b. Maintain a safe distance from the client
c. Assist the client to an area that is quiet
, d. Initiate confinement measures
The proper procedure for dealing with harmful behavior is to first try to calm patient
verbally. When verbal and psychopharmacologic interventions are not adequate to
handle the aggressiveness, seclusion or restraints may be applicable. Options A, B and C
are appropriate approaches during the escalation phase of aggression.
3. Clients who are suspicious primarily use projection for which purpose:
a. deny reality
b. to deal with feelings and thoughts that are not acceptable
c. to show resentment towards others
d. manipulate others
Projection is a defense mechanism where one attributes ones feelings and inadequacies
to others to reduce anxiety. Option A, is not true in all instances of projection. Options C
and D focuses on the self rather than others.
4. A 26 year old writer is admitted for the second time accompanied by his wife. He is
demanding, arrogant talked fast and hyperactive. Initially the nurse should plan this
for a manic client:
a. set realistic limits to the client’s behavior
b. repeat verbal instructions as often as needed
c. allow the client to get out feelings to relieve tension
d. assign a staff to be with the client at all times to help maintain control
The manic client is hyperactive and may engage in injurious activities. A quiet
TEST PART 1
All the questions in the quiz along with their answers are shown below.
Your answers are bolded. The correct answers have a green background while the
incorrect ones have a red background.
1. Before eating a meal, a female client with obsessive-compulsive disorder (OCD)
must wash his hands for 18 minutes, comb his hair 444 strokes, and switch
thebathroom lights 44 times. What is the most appropriate goal of care for this client?
a. Omit one unacceptable behavior each day
b. Increase the client’s acceptance of therapeutic drug use
c. Allow ample time for the client to complete all rituals before each meal
d. Systematically decrease the number of repetitions of rituals and
the amount of time spent performing them.
When caring for a client with OCD, the goal is to systematically decrease the undesirable
,behavior. (Therapy may not completely extinguish certain behaviors.) Expecting to omit
one behavior each day is unrealistic because the client may have used ritualistic
behavior would perpetuate the undesirable behavior.
2. The nurse closely observes the client who has been displaying aggressive behavior.
The nurse observes that the client’s anger is escalating. Which approach is least
helpful for the client at this time?
a. Acknowledge the client’s behavior
b. Maintain a safe distance from the client
c. Assist the client to an area that is quiet
, d. Initiate confinement measures
The proper procedure for dealing with harmful behavior is to first try to calm patient
verbally. When verbal and psychopharmacologic interventions are not adequate to
handle the aggressiveness, seclusion or restraints may be applicable. Options A, B and C
are appropriate approaches during the escalation phase of aggression.
3. Clients who are suspicious primarily use projection for which purpose:
a. deny reality
b. to deal with feelings and thoughts that are not acceptable
c. to show resentment towards others
d. manipulate others
Projection is a defense mechanism where one attributes ones feelings and inadequacies
to others to reduce anxiety. Option A, is not true in all instances of projection. Options C
and D focuses on the self rather than others.
4. A 26 year old writer is admitted for the second time accompanied by his wife. He is
demanding, arrogant talked fast and hyperactive. Initially the nurse should plan this
for a manic client:
a. set realistic limits to the client’s behavior
b. repeat verbal instructions as often as needed
c. allow the client to get out feelings to relieve tension
d. assign a staff to be with the client at all times to help maintain control
The manic client is hyperactive and may engage in injurious activities. A quiet
