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NCLEX-RN Exam Questions - Part 54
1. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?
A) Anger
B) Apathy and flatness
C) Smiling
D) Hostility
2. A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:
A) Anorexia nervosa
B) Anorexia hysteria
C) Bulimia
D) Conversion reaction
3. A 24-year-old client presents to the emergency department protesting 'I am God.' The nurse identifies this as a:
A) Delusion
B) Illusion
C) Hallucination
D) Conversion
4. A 30-year-old client has a history of several recent traumatic experiences. She presents at the physicians office with a complaint of blindness. Physical exam and diagnostic testing reveal no organic cause. The nurse recognizes this as:
A) Delusion
B) Illusion
C) Hallucination
D) Conversion
5. A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff.The nurse identifies this behavior as which defense mechanism?
A) Denial
B) Displacement
C) Regression
D) Projection
A) Anger
B) Apathy and flatness
C) Smiling
D) Hostility
2. A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:
A) Anorexia nervosa
B) Anorexia hysteria
C) Bulimia
D) Conversion reaction
3. A 24-year-old client presents to the emergency department protesting 'I am God.' The nurse identifies this as a:
A) Delusion
B) Illusion
C) Hallucination
D) Conversion
4. A 30-year-old client has a history of several recent traumatic experiences. She presents at the physicians office with a complaint of blindness. Physical exam and diagnostic testing reveal no organic cause. The nurse recognizes this as:
A) Delusion
B) Illusion
C) Hallucination
D) Conversion
5. A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff.The nurse identifies this behavior as which defense mechanism?
A) Denial
B) Displacement
C) Regression
D) Projection
1. Right Answer: B
Explanation: (A) Anger is an emotion that is not necessarily present in schizophrenia. (B) Lack of response to or involvement with environment and distancing are characteristic of schizophrenia. (C) Euphoria is more characteristic of manic-depressive disorder (bipolar disorder). (D) Hostility is an emotion that is not necessarily present in schizophrenia.
2. Right Answer: C
Explanation: (A) Anorexia nervosa is characterized by self-starvation. (B) Anorexia hysteria is not a known disease or disorder. (C) Bulimia is characterized by food binges and self-induced vomiting. (D) Conversion reaction is a defense mechanism.
3. Right Answer: A
Explanation: (A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion is the expression of intrapsychic conflict through sensory or motor manifestations.
4. Right Answer: D
Explanation: (A) The clients blindness is real. Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion is the expression of intrapsychic conflict through sensory or motor manifestations.
5. Right Answer: C
Explanation: (A) Denial is the disowning of consciously intolerable thoughts. (B) Displacement is the referring of a feeling or emotion from one person, object, or idea to another. (C) Regression is returning to an earlier stage of development. (D) Projection is attributing ones own thoughts, feelings, or impulses to another person.
Explanation: (A) Anger is an emotion that is not necessarily present in schizophrenia. (B) Lack of response to or involvement with environment and distancing are characteristic of schizophrenia. (C) Euphoria is more characteristic of manic-depressive disorder (bipolar disorder). (D) Hostility is an emotion that is not necessarily present in schizophrenia.
2. Right Answer: C
Explanation: (A) Anorexia nervosa is characterized by self-starvation. (B) Anorexia hysteria is not a known disease or disorder. (C) Bulimia is characterized by food binges and self-induced vomiting. (D) Conversion reaction is a defense mechanism.
3. Right Answer: A
Explanation: (A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion is the expression of intrapsychic conflict through sensory or motor manifestations.
4. Right Answer: D
Explanation: (A) The clients blindness is real. Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion is the expression of intrapsychic conflict through sensory or motor manifestations.
5. Right Answer: C
Explanation: (A) Denial is the disowning of consciously intolerable thoughts. (B) Displacement is the referring of a feeling or emotion from one person, object, or idea to another. (C) Regression is returning to an earlier stage of development. (D) Projection is attributing ones own thoughts, feelings, or impulses to another person.
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