Nclex RN Exams Practice Questions Psychotic Disorders Part 2

1. A nurse is caring for a client with agoraphobia. Which of the following signs and symptoms would the
nurse expect to find in this client? Select all that apply.
a. Hallucinations
b. Panic attacks
c. Inability to leave home
d. Eating disorders
e. Alcohol consumption
f. Tobacco use

2. A client with the nursing diagnosis of Fear related to being embarrassed in the presence of others exhibits
symptoms of social phobia. What nursing outcomes should the nurse establish for this client? Select
all that apply.
a. The client manages her fear in group situations.
b. The client develops a plan to avoid situationsthat may cause stress.
c. The client verbalizes feelings that occur in stressful situations.
d. The client develops a plan for responding to stressful situations.
e. The client denies feelings that may contribute to irrational fears.
f. The client uses suppression to deal with underlying fears.


3. A nurse is caring for a client diagnosed with dysthymia.Which of the following defining characteristics
are associated with this disorder? Select all that apply.
a. Insomnia or hypersomnia
b. Delusions or hallucinations
c. Suicidal thoughts
d. Onset of symptoms within a 2-week period
e. Symptoms that occur in the winter and resolve in spring
f. Appetite disturbance

4. A nurse interviews the family of a client hospitalized with severe depression and suicidal ideation.
What family assessment information is essential to know when formulating an effective plan of care?
Select all that apply.
a. Physical pain
b. Personal responsibilities
c. Employment skills
d. Communication patterns
e. Role expectations
f. Current family stressors

5. A client has been diagnosed with an adjustment disorder with mixed anxiety and depression. What are
the primary nursing diagnoses the nurse would associate with this type of adjustment disorder? Select all
that apply.
a. Activity intolerance
b. Impaired social interaction
c. Risk for situational low self-esteem
d. Disturbed personal identity
e. Acute confusion
f. Impaired memory

6. A delusional client says to a nurse “I am the Easter bunny,” and insists that the nurse refer to him as
such. The belief appears to be fixed and unchanging.Which of the following nursing interventions should
the nurse implement when working with this client?Select all that apply.
a. Consistently use the client’s name in interactions.
b. Smile at the humor of the situation.
c. Agree that the client is the Easter bunny.
d. Logically point out why the client couldn’t be the Easter bunny.
e. Provide an as-needed medication.
f. Provide the client with structured activities.

7. The nurse is assessing a 25-year-old man who is a polysubstance abuser, with cocaine being his drug of
choice. Which of the following physiological symptoms is suggestive of cocaine intoxication? Select all that
apply.
a. Respiratory depression
b. Psychomotor agitation
c. Cardiac arrhythmias
d. Dilated pupils
e. Projectile vomiting
f. Slurred speech

8.A nurse is monitoring a client receiving tranylcypromine sulfate (Parnate). Which serious adverse reaction can occur with high dosages of this monoamine oxidase (MAO) inhibitor?
a.Hypotensive episodes
b.Hypertensive crisis
c.Muscle flaccidity
d.Hypoglycemia

9.A client was talking with her husband by telephone, and then she began swearing at him. The nurse interrupts the call and offers to talk with the client. She says, "I can't talk about that bastard right now. I just need to destroy something." Which of the following should the nurse do next?
a.Tell her to write her feelings in her journal.
b.Urge her to talk with the nurse now.
c.Ask her to calm down or she will be restrained.
d.Offer her a phone book to "destroy" while staying with her.

10.The mother of a client with chronic undifferentiated schizophrenia calls the visiting nurse in the outpatient clinic to report that her daughter has not answered the phone in 10 days. "She was doing so well for months. I don't know what's wrong. I'm worried." Which of the following responses by the nurse is most appropriate?
a."Maybe she's just mad at you. Did you have an argument?"
b."She may have stopped taking her medications. I'll check on her."
c."Don't worry about this. It happens sometimes."
d."Go over to her apartment and see what's going on."
Answer and Rational