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NCLEX-RN Exam Questions - Part 72
1. A successful executive left her job and became a housewife after her marriage to a plastic surgeon. She started doing volunteer work for a charity organization.She developed pain in her legs that advanced to the point of paralysis. Her physicians can find no organic basis for the paralysis. The clients behavior can be described as:
A) Housework phobia
B) Malingering
C) Conversion reaction
D) Agoraphobia
2. A 28-year-old client performs a long, involved ritual in getting up and preparing for the day. He became unable to get to his job before noon. His family, in desperation, has admitted him to the hospitals psychiatric unit. On the unit, he is always late for breakfast, which is served at 8 am. The nurse identifies that the best approach to this problem is to:
A) Allow him to eat late
B) Suggest that he do the rituals after breakfast
C) Get him up early so that he can complete the ritual before breakfast
D) Ask him to get all the other clients up so that he will forget about his ritual
3. A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this 'psych stuff.' When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:
A) Guilt
B) Shame
C) Despair
D) Anger
4. Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
A) His priority needs are limited to medical management
B) There is no real psychological basis for his illness
C) The disorder is a threat to his physical well-being
D) He is unable to participate in planning his care
5. A client has been uncomfortable in crowds all her life. After the birth of her child, she has been housebound unless her husband can accompany her to the grocery store and for medical appointments. His schedule will not allow for this, and he has insisted that she must be more independent. Her anxiety has increased to the point of panic. The client has been diagnosed with agoraphobia. Which statement is true about this disorder?
A) The behavior is not considered disabling.
B) More men suffer from agoraphobia than women.
C) The fears are persistent, and avoidance is used as the coping mechanism.
D) Agoraphobia moves into remission when treated with chlorpromazine.
A) Housework phobia
B) Malingering
C) Conversion reaction
D) Agoraphobia
2. A 28-year-old client performs a long, involved ritual in getting up and preparing for the day. He became unable to get to his job before noon. His family, in desperation, has admitted him to the hospitals psychiatric unit. On the unit, he is always late for breakfast, which is served at 8 am. The nurse identifies that the best approach to this problem is to:
A) Allow him to eat late
B) Suggest that he do the rituals after breakfast
C) Get him up early so that he can complete the ritual before breakfast
D) Ask him to get all the other clients up so that he will forget about his ritual
3. A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this 'psych stuff.' When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:
A) Guilt
B) Shame
C) Despair
D) Anger
4. Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
A) His priority needs are limited to medical management
B) There is no real psychological basis for his illness
C) The disorder is a threat to his physical well-being
D) He is unable to participate in planning his care
5. A client has been uncomfortable in crowds all her life. After the birth of her child, she has been housebound unless her husband can accompany her to the grocery store and for medical appointments. His schedule will not allow for this, and he has insisted that she must be more independent. Her anxiety has increased to the point of panic. The client has been diagnosed with agoraphobia. Which statement is true about this disorder?
A) The behavior is not considered disabling.
B) More men suffer from agoraphobia than women.
C) The fears are persistent, and avoidance is used as the coping mechanism.
D) Agoraphobia moves into remission when treated with chlorpromazine.
1. Right Answer: C
Explanation: (A) A typical phobia does not result in physical symptoms (i.e., paralysis). (B) Malingering is pretending to be ill. This person has a true paralysis. (C) A conversion reaction is a physical expression of an emotional conflict. It has no organic basis. (D) Agoraphobia is fear of public places.
2. Right Answer: C
Explanation: (A) Allowing him to eat late is not a solution to the problem because the ritual affects more than just this meal. (B) He is helpless to change this behavior because the rituals occur as a result of an irrational effort to control his anxiety. (C) To interfere with the ritual will increase anxiety. Until the basic problem is resolved, and in turn his need for the ritual relieved, arrange the schedule so that essential activities may be included (such as meals with the group). (D) This approach would be very disruptive to the other clients and would not serve to relieve the anxiety of the client.
3. Right Answer: D
Explanation: (A) Guilt relates to depression. (B) Shame is not associated with psychophysiological disorders. (C) Despair relates to depression. (D) Repressed anger is associated with psychophysiological disorders.
4. Right Answer: C
Explanation: (A) There may be a medical emergency that takes top priority; however, the basis of the problem is emotional. (B) The problem is a physical manifestation of an emotional conflict. (C) The bleeding ulcer can be life threatening. (D) For lifestyle change to occur, the client must participate in the planning of his care so that he is committed to changes that will have positive results.
5. Right Answer: C
Explanation: (A) Agoraphobia is the most pervasive and serious phobic disorder. (B) Women compose 70%85% of agoraphobia sufferers. (C) Agoraphobia is an acute disorder that immobilizes the sufferer with extreme anxiety. (D) Chlorpromazine is not a drug used to treat phobias.
Explanation: (A) A typical phobia does not result in physical symptoms (i.e., paralysis). (B) Malingering is pretending to be ill. This person has a true paralysis. (C) A conversion reaction is a physical expression of an emotional conflict. It has no organic basis. (D) Agoraphobia is fear of public places.
2. Right Answer: C
Explanation: (A) Allowing him to eat late is not a solution to the problem because the ritual affects more than just this meal. (B) He is helpless to change this behavior because the rituals occur as a result of an irrational effort to control his anxiety. (C) To interfere with the ritual will increase anxiety. Until the basic problem is resolved, and in turn his need for the ritual relieved, arrange the schedule so that essential activities may be included (such as meals with the group). (D) This approach would be very disruptive to the other clients and would not serve to relieve the anxiety of the client.
3. Right Answer: D
Explanation: (A) Guilt relates to depression. (B) Shame is not associated with psychophysiological disorders. (C) Despair relates to depression. (D) Repressed anger is associated with psychophysiological disorders.
4. Right Answer: C
Explanation: (A) There may be a medical emergency that takes top priority; however, the basis of the problem is emotional. (B) The problem is a physical manifestation of an emotional conflict. (C) The bleeding ulcer can be life threatening. (D) For lifestyle change to occur, the client must participate in the planning of his care so that he is committed to changes that will have positive results.
5. Right Answer: C
Explanation: (A) Agoraphobia is the most pervasive and serious phobic disorder. (B) Women compose 70%85% of agoraphobia sufferers. (C) Agoraphobia is an acute disorder that immobilizes the sufferer with extreme anxiety. (D) Chlorpromazine is not a drug used to treat phobias.
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