Screening

1. You are training a new nurse a a psychiatric hospital. She is asking CAGE questions to a patient with suspected heavy alcohol use. Which of the following questions asked, indicates further education is needed for this new nurse?
 
 
 
 

Question 1 of 11

2.
CAGE is a 4 question acronym to assess for possible alcohol abuse. It included all of the following except:

 
 
 
 

Question 2 of 11

NCLEX-PSYCHOSOCIAL

3. You are taking care of a patient in alcohol withdrawal. There are orders for the CIWA protocol. You score your patient and they are at a 6. What do you do next?
 
 
 
 

Question 3 of 11

4. You are taking care of a patient who has schizophrenia. They say to you "Are  you my ghetty who is going to netot my room?".  Which of the following is this an example of?
 
 
 
 

Question 4 of 11

5. Your patient tells you that they are very nervous about their upcoming colon surgery. They have never had a surgery before and are very tearful. They say to you "What if I don't wake up after surgery?" "What if I have complications from surgery?" What is the best response:
 
 
 
 

Question 5 of 11

6. You are doing an initial assessment on an agitated patient who came in with nausea, vomiting, and abdomen discomfort. His CT of abdomen showed pancreatitis. You are going over their social history and they tell you the following:

Marital status: Seperated going through a divorce

Tobacco abuse: half pack a day

ETOH use: 5-6 beers a night last drink 2 days ago

What would be the most important priority intervention below?
 
 
 
 

Question 6 of 11

7.
A patient with dementia says "I know that the lady in the next room stole my wallet". What is the best response to the patient?

 

 
 
 
 

Question 7 of 11

8. A patient comes in emotionally distressed. They ask for something to calm their nerves. They tell you that they have been arguing with their spouse a lot lately. They tell you “I feel like I can’t do anything right and I am always walking on egg shells”. They tell you that even though their spouse has not been physically abusive they just cannot predict their spouse’s mood from hour to hour. What stage of the cycle of violence is this?
 
 
 
 

Question 8 of 11

9. A patient has recurrent issues with law enforcement. They have no regard for laws. They are manipulative. They have a history of being very abusive and aggressive with others. They have no remorse when they hurt others. Which personality disorder below does this person most likely have?

 
 
 
 
 

Question 9 of 11

Psyche

10. Your coworker received some constructive criticism from the charge nurse about being tardy. When the coworker returns to the nurse's station they are very short and irritated with the rest of the nurses. What defense mechanism is this an example of?

 
 
 
 
 

Question 10 of 11

Uncategorized

11. Your are taking care of a patient who has borderline personality disorder. They are in the hospital for an overdose and currently recovering and doing well. They have a few friends in the room. You are giving them their afternoon meds. When you leave the room you hear the patient say to their friends: "I think that nurse really likes me and wants to ask me out. I can tell by the way that they have given me extra attention". What might this statement be an example of?
 
 
 
 

Question 11 of 11


 

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