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NCLEX-RN Exam Questions - Part 129
1. A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?
A) Antipsychotic medications
B) Antidepressant medications
C) Antianxiety medications
D) Antimania medication
2. The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:
A) 'I know it was my fault that it happened, because I shouldn - t have been out so late.'
B) 'If I had not worn that sexy dress that night, he wouldn - t have raped me.'
C) 'I know my date just had so much passion he couldn - t handle me saying - no. - '
D) 'I know now that it was not my fault, but I want to continue counseling after my discharge.'
3. A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information:
A) 'I know that I will not ever be able to socially drink alcohol again and will need the support of the AA group.'
B) 'I know that I can only drink one or two drinks at social gatherings in the future, but at least I don - t have to continue AA.'
C) 'I really wasn - t addicted to alcohol when I came here, I just needed some help dealing with my divorce.'
D) 'It really wasn - t my fault that I had to come here. If my wife hadn - t left, I wouldn - t have needed those drinks.'
4. Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder?
A) 'Some folks believe that aging causes this, Mother.'
B) 'Perhaps, it - s the way your parents used those double- bind messages, Mother.'
C) 'I know some people who are having this problem and they were exposed to chemicals at work, Mother.'
D) 'It can be caused by lots of things, toxic agents and even alcohol, Mother.'
5. A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?
A) The parts of a system are only minimally related.
B) Dysfunction in one part affects every other part.
C) A family system has no boundaries.
D) Healthy families are enmeshed.
A) Antipsychotic medications
B) Antidepressant medications
C) Antianxiety medications
D) Antimania medication
2. The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:
A) 'I know it was my fault that it happened, because I shouldn - t have been out so late.'
B) 'If I had not worn that sexy dress that night, he wouldn - t have raped me.'
C) 'I know my date just had so much passion he couldn - t handle me saying - no. - '
D) 'I know now that it was not my fault, but I want to continue counseling after my discharge.'
3. A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information:
A) 'I know that I will not ever be able to socially drink alcohol again and will need the support of the AA group.'
B) 'I know that I can only drink one or two drinks at social gatherings in the future, but at least I don - t have to continue AA.'
C) 'I really wasn - t addicted to alcohol when I came here, I just needed some help dealing with my divorce.'
D) 'It really wasn - t my fault that I had to come here. If my wife hadn - t left, I wouldn - t have needed those drinks.'
4. Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder?
A) 'Some folks believe that aging causes this, Mother.'
B) 'Perhaps, it - s the way your parents used those double- bind messages, Mother.'
C) 'I know some people who are having this problem and they were exposed to chemicals at work, Mother.'
D) 'It can be caused by lots of things, toxic agents and even alcohol, Mother.'
5. A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?
A) The parts of a system are only minimally related.
B) Dysfunction in one part affects every other part.
C) A family system has no boundaries.
D) Healthy families are enmeshed.
1. Right Answer: C
Explanation: (A) Antipsychotic medications are also known as major tranquilizers. (B) Antidepressants fall into different categories, such as the tricyclics or the MAO inhibitors.(C) Antianxiety medications are also known as minor tranquilizers. (D) Antimania medications are those such as lithium and lithium carbonate (Lithobid).
2. Right Answer: D
Explanation: (A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapists behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.
3. Right Answer: A
Explanation: (A) The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support himAlcoholicsAnonymous. (B) The client is still using denial and is not dealing with his alcohol addiction. (C) The client is exhibiting denial about his alcohol addiction and projecting blame on his divorce. (D) The client is projecting blame onto his wife for being in the hospital while still denying his alcohol addiction.
4. Right Answer: B
Explanation: (A) Aging is a factor in the cause of degenerative disorders. (B) Double-bind messages may be found in the histories of families of individuals who develop schizophrenia, but they are not related to degenerative disorders. (C) Chemicals (toxic agents) in work environments are predisposing factors to degenerative disorders. (D) Alcohol causes some degenerative disorders, such as Wernickes syndrome.
5. Right Answer: B
Explanation: (A) The parts of a system are interrelated. (B) Any change in any part of the system affects all other parts. (C) A family system, like any other system, has boundaries. (D) Healthy families are neither enmeshed nor disengaged.
Explanation: (A) Antipsychotic medications are also known as major tranquilizers. (B) Antidepressants fall into different categories, such as the tricyclics or the MAO inhibitors.(C) Antianxiety medications are also known as minor tranquilizers. (D) Antimania medications are those such as lithium and lithium carbonate (Lithobid).
2. Right Answer: D
Explanation: (A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapists behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.
3. Right Answer: A
Explanation: (A) The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support himAlcoholicsAnonymous. (B) The client is still using denial and is not dealing with his alcohol addiction. (C) The client is exhibiting denial about his alcohol addiction and projecting blame on his divorce. (D) The client is projecting blame onto his wife for being in the hospital while still denying his alcohol addiction.
4. Right Answer: B
Explanation: (A) Aging is a factor in the cause of degenerative disorders. (B) Double-bind messages may be found in the histories of families of individuals who develop schizophrenia, but they are not related to degenerative disorders. (C) Chemicals (toxic agents) in work environments are predisposing factors to degenerative disorders. (D) Alcohol causes some degenerative disorders, such as Wernickes syndrome.
5. Right Answer: B
Explanation: (A) The parts of a system are interrelated. (B) Any change in any part of the system affects all other parts. (C) A family system, like any other system, has boundaries. (D) Healthy families are neither enmeshed nor disengaged.
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