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NCLEX-RN Exam Questions - Part 97
1. Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adherence to a low-tyramine diet. Which of the following are foods that she should avoid?
A) Pickled, aged, smoked, and fermented foods
B) Fresh vegetables
C) Broiled fresh fish and fowl
D) Fresh fruit such as apples and oranges
2. In working with mental health clients who are prescribed medication that must be taken on a routine basis, it is important for education to begin when the drug therapy is initiated. One of the first steps in the teaching process is to:
A) Explain the side effects of the medication
B) Discuss the danger of overmedication
C) Distribute written material to supplement verbal instructions
D) Explore the client - s perception regarding medication therapy
3. A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse - s anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client - s behavior?
A) 'I feel angry when I hear that tone of voice.'
B) 'You make me angry when you talk to me that way.'
C) 'Are you trying to get me angry?'
D) 'Why do you treat me that way?'
4. The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
A) Ask her why she doesn - t like gymnastics anymore
B) Ask her to describe how things were at gymnastics before she started refusing to go
C) Tell her that it is OK to be afraid of this activity
D) Reassure her that things will get better once she begins the classes again
5. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become increasingly restless and verbally argumentative, and her speech has become pressured. She is exhibiting signs of:
A) Depression
B) Agitation
C) Psychotic ideation
D) Anhedonia
A) Pickled, aged, smoked, and fermented foods
B) Fresh vegetables
C) Broiled fresh fish and fowl
D) Fresh fruit such as apples and oranges
2. In working with mental health clients who are prescribed medication that must be taken on a routine basis, it is important for education to begin when the drug therapy is initiated. One of the first steps in the teaching process is to:
A) Explain the side effects of the medication
B) Discuss the danger of overmedication
C) Distribute written material to supplement verbal instructions
D) Explore the client - s perception regarding medication therapy
3. A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse - s anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client - s behavior?
A) 'I feel angry when I hear that tone of voice.'
B) 'You make me angry when you talk to me that way.'
C) 'Are you trying to get me angry?'
D) 'Why do you treat me that way?'
4. The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
A) Ask her why she doesn - t like gymnastics anymore
B) Ask her to describe how things were at gymnastics before she started refusing to go
C) Tell her that it is OK to be afraid of this activity
D) Reassure her that things will get better once she begins the classes again
5. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become increasingly restless and verbally argumentative, and her speech has become pressured. She is exhibiting signs of:
A) Depression
B) Agitation
C) Psychotic ideation
D) Anhedonia
1. Right Answer: A
Explanation: (A) These foods may produce elevation in blood pressure when consumed during MAO inhibition therapy. (B) These foods have not been pickled, fermented, smoked, or aged. They contain very little, if any, tyramine or tryptophan. (C) As long as the meat has not been aged or smoked, it is within the dietary regimen. (D)Fresh fruits can be consumed as desired. However, the consumption of bananas is limited.
2. Right Answer: D
Explanation: (A, B, C) The nurse must first obtain information regarding the clients perception of the medication regimen. (D) The first step in the teaching process is to determine the clients perception.
3. Right Answer: A
Explanation: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. (B) This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. (C) 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. (D) Again, a 'why' statement places the client on the defensive.
4. Right Answer: B
Explanation: (A) The child has not said that she dislikes gymnastics. (B) The nurse will be able to obtain information on what events occurred at gymnastics prior to her refusal to attend. The nurse will also gain information about the childs perception of the problem. (C) The child has not said she is afraid to go to gymnastics. (D) False reassurance is inappropriate.
5. Right Answer: B
Explanation: (A) Signs of depression would include withdrawal, sadness, morbid thoughts, insomnia, early awakening, etc. (B) These clinical features are classic signs of agitation. (C) Psychotic ideation includes delusional thoughts, bizarre behavior, disorganized thinking, etc. (D) Anhedonia is the inability to experience pleasure.
Explanation: (A) These foods may produce elevation in blood pressure when consumed during MAO inhibition therapy. (B) These foods have not been pickled, fermented, smoked, or aged. They contain very little, if any, tyramine or tryptophan. (C) As long as the meat has not been aged or smoked, it is within the dietary regimen. (D)Fresh fruits can be consumed as desired. However, the consumption of bananas is limited.
2. Right Answer: D
Explanation: (A, B, C) The nurse must first obtain information regarding the clients perception of the medication regimen. (D) The first step in the teaching process is to determine the clients perception.
3. Right Answer: A
Explanation: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. (B) This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. (C) 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. (D) Again, a 'why' statement places the client on the defensive.
4. Right Answer: B
Explanation: (A) The child has not said that she dislikes gymnastics. (B) The nurse will be able to obtain information on what events occurred at gymnastics prior to her refusal to attend. The nurse will also gain information about the childs perception of the problem. (C) The child has not said she is afraid to go to gymnastics. (D) False reassurance is inappropriate.
5. Right Answer: B
Explanation: (A) Signs of depression would include withdrawal, sadness, morbid thoughts, insomnia, early awakening, etc. (B) These clinical features are classic signs of agitation. (C) Psychotic ideation includes delusional thoughts, bizarre behavior, disorganized thinking, etc. (D) Anhedonia is the inability to experience pleasure.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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