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NCLEX-PN Exam Questions - Part 19
1. What interpersonal relief behavior is Ashley using?
A) acting out
B) somatizing
C) withdrawal
D) problem-solving
2. A primary belief of psychiatric mental health nursing is:
A) most people have the potential to change and grow.
B) every person is worthy of dignity and respect.
C) human needs are individual to each person.
D) some behaviors have no meaning and cannot be understood.
3. James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
A) denial.
B) suppression.
C) displacement.
D) fantasy.
4. A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse - s best response is:
A) 'The amount of alcohol that is safe during pregnancy is unknown.'
B) 'Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman.'
C) 'Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.'
D) 'You can have a drink to help you relax and get to sleep at night.'
5. A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted toVicodin. The nurse should base her reply on the knowledge that:
A) the client - s body has developed tolerance, requiring more drug to produce the same effect.
B) the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.
C) addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.
D) the client has a dual diagnosis of substance abuse and chronic back pain.
A) acting out
B) somatizing
C) withdrawal
D) problem-solving
2. A primary belief of psychiatric mental health nursing is:
A) most people have the potential to change and grow.
B) every person is worthy of dignity and respect.
C) human needs are individual to each person.
D) some behaviors have no meaning and cannot be understood.
3. James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
A) denial.
B) suppression.
C) displacement.
D) fantasy.
4. A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse - s best response is:
A) 'The amount of alcohol that is safe during pregnancy is unknown.'
B) 'Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman.'
C) 'Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.'
D) 'You can have a drink to help you relax and get to sleep at night.'
5. A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted toVicodin. The nurse should base her reply on the knowledge that:
A) the client - s body has developed tolerance, requiring more drug to produce the same effect.
B) the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.
C) addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.
D) the client has a dual diagnosis of substance abuse and chronic back pain.
1. Right Answer: B
Explanation: Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety.Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the unmet need is met. PsychosocialIntegrity
2. Right Answer: B
Explanation: Every person is worthy of dignity and respect. Every person has the potential to change and grow. All people have basic human needs in common with others. All behavior has meaning and can be understood from the clients perspective. Psychosocial Integrity
3. Right Answer: C
Explanation: Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object. Psychosocial Integrity
4. Right Answer: A
Explanation: The amount of alcohol that is safe during pregnancy is unknown. Fetal alcohol syndrome is a combination of mental and physical abnormalities present in infants born to mothers who have consumed alcohol during pregnancy. Psychosocial Integrity
5. Right Answer: A
Explanation: Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and disruption of the persons social, family, and work life. The psychological behaviors related to substance use are termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders. Psychosocial Integrity
Explanation: Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety.Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the unmet need is met. PsychosocialIntegrity
2. Right Answer: B
Explanation: Every person is worthy of dignity and respect. Every person has the potential to change and grow. All people have basic human needs in common with others. All behavior has meaning and can be understood from the clients perspective. Psychosocial Integrity
3. Right Answer: C
Explanation: Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object. Psychosocial Integrity
4. Right Answer: A
Explanation: The amount of alcohol that is safe during pregnancy is unknown. Fetal alcohol syndrome is a combination of mental and physical abnormalities present in infants born to mothers who have consumed alcohol during pregnancy. Psychosocial Integrity
5. Right Answer: A
Explanation: Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and disruption of the persons social, family, and work life. The psychological behaviors related to substance use are termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders. Psychosocial Integrity
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