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.