Questions with Correct Verified Detailed
Answers latest update
Description:
This document provides a comprehensive set of psychiatric nursing
questions and answers designed to prepare students for RAD
(Registered Advanced Diploma) nursing examinations. It covers
critical topics such as neurocognitive disorders, schizophrenia,
substance use, crisis intervention, therapeutic communication,
ethical/legal considerations, pharmacology, and personality
disorders. All questions are paired with verified, detailed answers
based on the latest curriculum and clinical guidelines, making this
an ideal resource for review and final exam preparation.
Exams Questions and Answers
Combative adolescent placed in seclusion after all other
interventions fail, which protocol applies in this situation? ---
correct answer ---Physician must reissue order for restraints every
1-2 hours
(adults 3-4 hours)
Geriatric nurse teaching client's family about possible causes of
delirium, which statement most accurate? --- correct answer ---
Multiple meds may lead to adverse interactions or toxicity.
,Client diagnosed with Alzheimer's can no longer ambulate, doesn't
recognize family, has agitated behaviors and incoherent
verbalization, which stage of illness?... --- correct answer ---Stage 7
severe cognitive decline
Client in stage 7 of AD. Which nursing intervention should be
priority? --- correct answer ---Providing dignity, comfort, safety,
self-care measures
Which is the reason for the proliferation of the dx of neurocognitive
disorders? --- correct answer ---More people now survive into the
high-risk period for NCD
Client dx recently with AD, prescribed donepezil. Clients spouse
asks, "how does this work, will this cure him?" what is the
appropriate nursing response
a) Med delays destruction of acetylcholine
b) Encourages production of acetylcholine
c) Medication delays destruction of dopamine
d) Medication encourages production of dopamine --- correct
answer ---a) Med delays destruction of acetylcholine
Which symptom should the nurse identify that differentiates clients
with neurocognitive disorders from clients dx with mood disorders?
,a) Altered sleep
b) Altered concentration
c) Impaired memory
d) Impaired psychomotor activity --- correct answer ---c) Impaired
memory (except depression)
Client with hx CVA is brought to ED experiencing memory
problems, confusion, disorientation. Which dx would nurse expect
physician to assign?
a) Delirium r/t adverse effects cardiac medication
b) Vascular NCD
c) Altered thought processes
d) Alzheimer's --- correct answer ---b) Vascular NCD
Older client has recently moved to nursing home. Client has trouble
concentrating and socially isolated. Physician thinks pt will benefit
from med therapy. Which med should nurse expect?
a) Haloperidol
b) Donepezil
c) Diazepam
d) Sertraline, Zoloft --- correct answer ---d) Sertraline, Zoloft
Priority N dx for client withdrawing from alcohol?
, a) Risk for injury r/t CNS stimulation
b) Disturbed thought process r/t tactile hallucinations
c) Ineffective coping r/t powerlessness
d) Ineffective denial --- correct answer ---a) Risk for injury r/t CNS
stimulation
First day of client alcohol detox, which nursing intervention should
take priority?
a) Strongly encourage client to attend 90 AA meetings
b) Educate client about biopsychosocial consequences of alc abuse
c) Administer Librium according to protocol
d) Administer vitamin B1 to prevent Wernicke's __________
syndrome --- correct answer ---a) Administer Librium according to
protocol
Which statement accurately differentiates mild NCD from major? ---
correct answer ---Major NCD criteria requires decline from
previous level of performance in 3 of listed domains, mild requires
only one
Client Dx with AD has impairment of memory and judgment,
incapable of performing ADL's. which nursing intervention is
priority?
a) Present evidence of objective reality to improve cognition