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National Council Licensure Examination(NCLEX-PN) Questions 266–270 (page: 55)

Updated On: 9-Feb-2026

The Token Economy is a type of therapy that focuses on ______________.

  1. play therapy
  2. behavior modification
  3. milieu therapy
  4. associative

Answer(s): B

Explanation:

Behavior modification gives positive feedback and rewards for appropriate behavior. Behavior modification requires negative behavior if it’s not destructive or life threatening.



How does the ANA define the psychiatric nursing role?

  1. a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art
  2. assisting the therapist to relieve the symptoms of clients
  3. to solve clients’ problems and give them the answers
  4. having a client committed to long-term therapy with the nurse

Answer(s): A

Explanation:

The ANA sets standards of practice for psychiatric and mental health nursing roles.
Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process.



While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that ______________.

  1. psychiatric illness is more prevalent in addicted populations
  2. people with psychiatric disorders are more prone to substance abuse
  3. substance disorders are easily detected and diagnosed in acute-care psychiatric settings
  4. undetected substance problems have no real effect on treatment of psychiatric disorders

Answer(s): B

Explanation:

The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse.
Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.



When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that ______________.

  1. amphetamines increase energy by increasing dopamine levels at neural synapses
  2. amphetamines have a low risk of tolerance or addiction
  3. amphetamines produce a 10-20-second rush followed by a 2-4-hour high
  4. addiction to barbiturates and amphetamines is rare because they have opposite effects

Answer(s): A

Explanation:

Amphetamines cause the release of norepinephrine and dopamine from storage vesicles into the synapse. The increased catecholamines at the receptors causes increased stimulation. Clear patterns of tolerance and withdrawal have not been described. Prolonged or excessive use of amphetamines can lead to psychosis.
People use amphetamines for the feelings of euphoria, relief from fatigue, energy, and alertness. Overdose can cause seizures, cardiac arrhythmias, hypertension, and hyperthermia. When abstaining, the client might experience fatigue, depression, and irritability lasting for several weeks.
Drug cravings are common and might lead to relapse.



The nurse observes a staff member not following the plan of care for a client with an antisocial personality disorder.

The nurse should ______________.

  1. confront the staff member immediately and say, “You know that is not the treatment plan”
  2. write an incident report to create a paper trail of the staff member’s failure to follow the planned program
  3. ask the staff member to talk in private, and reinforce how antisocial clients try to divide staff
  4. bring up the incident during the weekly conference so that this staff member is not assigned to work with antisocial persons again

Answer(s): C

Explanation:

It is essential that the treatment program be followed exactly for clients with antisocial personality disorder because they are very manipulative and attempt to divide staff.
However, confronting the staff member in front of the client enhances the division of staff. Talking with the staff member in private allows the person to develop skills to work with this client population.



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