NCLEX 3500 psychiatric health Exam
Questions With 100% Correct Answers
2024/2025
1) A recent diagnosis of cancer has caused a client severe anxiety. The nursing care plan should
include which interventions
- Maintain a calm, nonthreatening environment
- Encourage the client to verbalize her concerns regarding the diagnosis
- Encourage the client to use deep-breathing exercises and other relaxation techniques during periods
of increased stress
3) A client on the behavioral health unit tells the nurse that she experiences palpitations, trembling,
and nausea while traveling alone, outside her home. These symptoms have severely limited her ability
to function and have caused her to avoid leaving home whenever possible. The nurse recognizes that
this client has symptoms of what disorder?
Agoraphobia
4) A client is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive
symptoms. Obsessive-compulsive disorder (OCD) is associated with:
repetitive thoughts and recurring, irresistible impulses
.5) A client admitted to the psychiatric unit for treatment of a panic attack comes to the nurses'
station in obvious distress. After finding the client short of breath, dizzy, trembling, and nauseated,
the nurse should first
escort the client to a quiet area and suggest using a relaxation exercise that he's been taught
Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse
notices that the client is holding his head to one side and complaining of neck and jaw spasms. What
should the nurse do?
Evaluate the client for adverse reactions to haloperidol.
The nurse is caring for a client with bulimia. Strict management of dietary intake is necessary. Which
intervention is also important?
Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour
after each meal.
.Which of the following statements describes how elderly clients react to medications?
At risk for increased adverse effects
Initial interventions for the client with acute anxiety would not include
touching the client in an attempt to comfort him
The nurse is caring for a client with antisocial personality disorder. Which statement is most
appropriate for the nurse to make when explaining unit rules and expectations to the client?
"You'll be expected to attend group therapy each day."
, The nurse has developed a relationship with a client who has an addiction problem. Which
information would indicate that the therapeutic interaction is in the working stage?
The client addresses how the addiction has contributed to family distress.
The client verbalizes difficulty identifying personal strengths.
The client acknowledges the addiction's effects on the children.
A client, age 36, with paranoid schizophrenia believes the room is bugged by the Central Intelligence
Agency and that his roommate is a foreign spy. The client has never had a romantic relationship, has
no contact with family members, and hasn't been employed in the last 14 years. Based on Erikson's
theories, the nurse should recognize that this client is in which stage of psychosocial development?
Trust versus mistrust
Which of the following medical conditions is commonly found in clients with bulimia nervosa?
Diabetes mellitus
After completing chemical detoxification and a 12-step program to treat crack addiction, a client is
being prepared for discharge. Which remark by the client indicates a realistic view of the future?
"I'm going to take 1 day at a time. I'm not making any promises."
A client with catatonic schizophrenia is mute, can't perform activities of daily living, and stares out the
window for hours. What is the nurse's first priority?
Reassure the client about safety.
A young man brought to the emergency department by a police officer states, "I don't know who or
where I am." He has no identification but appears to be in good physical health. Physical examination
reveals no evidence of trauma or other abnormal findings. He is admitted to the psychiatric unit for
further evaluation and treatment. The nurse anticipates that the client will react to his inability to
recall his identity by exhibiting:
complacency
The nurse is assessing a client who talks freely about feeling depressed. During the interaction, the
nurse hears the client state, "Things will never change." What other indications of hopelessness would
the nurse look for?
Bouts of anger, Periods of irritability , Feelings of worthlessness, Self-destructive behaviors
A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage
restful sleep at night, the nurse should:
gently but firmly set limits on time spent in bed during the day.
In a group therapy setting, one member is very demanding, repeatedly interrupting others and taking
most of the group time. The nurse's best response would be:
"Will you briefly summarize your point because others need time also?"
Sedative-hypnotic drugs are used to treat which of the following disorders?
Hallucinations and delusions
Questions With 100% Correct Answers
2024/2025
1) A recent diagnosis of cancer has caused a client severe anxiety. The nursing care plan should
include which interventions
- Maintain a calm, nonthreatening environment
- Encourage the client to verbalize her concerns regarding the diagnosis
- Encourage the client to use deep-breathing exercises and other relaxation techniques during periods
of increased stress
3) A client on the behavioral health unit tells the nurse that she experiences palpitations, trembling,
and nausea while traveling alone, outside her home. These symptoms have severely limited her ability
to function and have caused her to avoid leaving home whenever possible. The nurse recognizes that
this client has symptoms of what disorder?
Agoraphobia
4) A client is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive
symptoms. Obsessive-compulsive disorder (OCD) is associated with:
repetitive thoughts and recurring, irresistible impulses
.5) A client admitted to the psychiatric unit for treatment of a panic attack comes to the nurses'
station in obvious distress. After finding the client short of breath, dizzy, trembling, and nauseated,
the nurse should first
escort the client to a quiet area and suggest using a relaxation exercise that he's been taught
Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse
notices that the client is holding his head to one side and complaining of neck and jaw spasms. What
should the nurse do?
Evaluate the client for adverse reactions to haloperidol.
The nurse is caring for a client with bulimia. Strict management of dietary intake is necessary. Which
intervention is also important?
Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour
after each meal.
.Which of the following statements describes how elderly clients react to medications?
At risk for increased adverse effects
Initial interventions for the client with acute anxiety would not include
touching the client in an attempt to comfort him
The nurse is caring for a client with antisocial personality disorder. Which statement is most
appropriate for the nurse to make when explaining unit rules and expectations to the client?
"You'll be expected to attend group therapy each day."
, The nurse has developed a relationship with a client who has an addiction problem. Which
information would indicate that the therapeutic interaction is in the working stage?
The client addresses how the addiction has contributed to family distress.
The client verbalizes difficulty identifying personal strengths.
The client acknowledges the addiction's effects on the children.
A client, age 36, with paranoid schizophrenia believes the room is bugged by the Central Intelligence
Agency and that his roommate is a foreign spy. The client has never had a romantic relationship, has
no contact with family members, and hasn't been employed in the last 14 years. Based on Erikson's
theories, the nurse should recognize that this client is in which stage of psychosocial development?
Trust versus mistrust
Which of the following medical conditions is commonly found in clients with bulimia nervosa?
Diabetes mellitus
After completing chemical detoxification and a 12-step program to treat crack addiction, a client is
being prepared for discharge. Which remark by the client indicates a realistic view of the future?
"I'm going to take 1 day at a time. I'm not making any promises."
A client with catatonic schizophrenia is mute, can't perform activities of daily living, and stares out the
window for hours. What is the nurse's first priority?
Reassure the client about safety.
A young man brought to the emergency department by a police officer states, "I don't know who or
where I am." He has no identification but appears to be in good physical health. Physical examination
reveals no evidence of trauma or other abnormal findings. He is admitted to the psychiatric unit for
further evaluation and treatment. The nurse anticipates that the client will react to his inability to
recall his identity by exhibiting:
complacency
The nurse is assessing a client who talks freely about feeling depressed. During the interaction, the
nurse hears the client state, "Things will never change." What other indications of hopelessness would
the nurse look for?
Bouts of anger, Periods of irritability , Feelings of worthlessness, Self-destructive behaviors
A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage
restful sleep at night, the nurse should:
gently but firmly set limits on time spent in bed during the day.
In a group therapy setting, one member is very demanding, repeatedly interrupting others and taking
most of the group time. The nurse's best response would be:
"Will you briefly summarize your point because others need time also?"
Sedative-hypnotic drugs are used to treat which of the following disorders?
Hallucinations and delusions
