SITUATION
The psychiatric nurse
should be well versed in the legal
issues commonly encountered in the psych
unit.
1. Which of the following rights can be suspended with a good cause?
1/1
a. Choice of providers
b. Confidentiality
c. Treatment
d. Non discrimination
2. The nurse employed in a mental health clinic is greeted by a neighbor in a local
grocery store. The neighbor says to the nurse, “How is Carol doing? She is my best
friend and is seen at your clinic every week.” Which is the most appropriate nursing
response?
1/1
a. “I cannot discuss any client situation with you.”
b. “If you want to know about Carol, you need to ask her yourself.”
c. “Only because you’re worried about a friend, I’ll tell you that she is improving.
d. “Being her friend, you know she is having a difficult time and deserves her privacy.”
3. A voluntary client in a facility decides to leave the unit before treatment is
complete. To detain the client, you refuse to return the client's personal effects.
Nurse Mark will tell you that you are committing?
1/1
a. False imprisonment
b. Limit setting
c. Slander
d. Violation of confidentiality
SITUATION
No single, universal definition of mental health exists. Generally a
person’s behavior can provide clues to
his or her mental health. Because each
person can have a different view or
interpretation of behavior (depending on
his or her values and beliefs), the
determination of mental health may be
difficult. As such, the psychiatric nurse must be knowledgeable about mental health and
the scope of this specialty field.
4. A major environmental factor that may influence the development of mental
illness is:
1/1
a. Having 3 nurse siblings
b. poverty
c. political confusion
d. heredity
5. Ysabelle, a newly registered nurse, is pursuing her career as a psychiatric nurse. In
which of the following settings would she expect to work with people with
psychiatric needs?
1/1
a. Special education centers
b. DSWD shelters
c. Half-way houses
d. All of these
6. While caring for the client with a mental illness, which action by the
psychiatric–mental health nurse best indicates the use of Hildegard Peplau’s
nursing theory?
0/1
a. Assessing client’s interactions with their environment
b. Intervening to enhance the client’s abilities to perform self-care
c. Establishing a therapeutic nurse-client relationship
d. Evaluating the effectiveness of the client’s coping and adaptation skills
Correct answer
c. Establishing a therapeutic nurse-client relationship
7. Brad has been diagnosed to have Major Depression. He is now being
discriminated by the community and is labeled as “Baliw” because of his illness.
This is an example of ?
0/1
a. Defined burden
b. Undefined burden
c. Hidden burden
d. Future burden
Correct answer
c. Hidden burden
SITUATION
The mechanism for establishing, maintaining, and improving human contacts
is interpersonal communication.
Communication is a very special process
and the most significant of human
behaviors. Moreover, it is the main
method for implementing the nursing
process. As a psychiatric–mental health
nurses, we help clients tell their stories,
explore the circumstances of their lives, and move in a more satisfying and
mentally healthier direction.
8. The use of facial expressions and gestures communicates:
1/1
a. Personality traits.
b. Interest in, and attraction to, another person.
c. Emotions.
d. Rejection.
9. A client in group therapy is restless. His face is flushed and he makes sarcastic
remarks to group members. The nurse responds by saying, "You look angry." The
nurse is using which of the following techniques?
1/1
a. A broad opening statement
b. Reassurance
c. Clarifying
d. Making observations
10. A client asks the nurse, "Do you think I should leave my husband?" The nurse
responds, "You aren't sure if you should leave your husband?" The nurse is using
which therapeutic technique?
1/1
a. Restating
b. Reframing
c. Reflecting
d. Offering a general lead
SITUATION
The therapeutic
nurse–client relationship, also called
the one–to–one relationship, is one in
which the nurse use theoretical
understandings, personal attributes, and
appropriate clinical techniques to
provide the opportunity for a corrective
emotional experience for clients.
11. Which of the following client statements does NOT reflect a characteristic of the
functional one to-one relationship?
0/1
a. “We agreed to meet twice monthly for a year in her office at the clinic.”
b. “My nurse wants to focus on anger management techniques, and I want to examine my
early childhood.”
c. “When I move in December, our relationship will end. My nurse plans to refer me to a
clinic near my new home. I will miss her, because I will not see her again.”
d. “The nurse and I decided to address physical safety issues first, and then focus on
sources of social support.”
Correct answer
b. “My nurse wants to focus on anger management techniques, and I want to examine my
early childhood.”
12. The nurse who encourages her client to express her feelings and concerns
performs one of the following tasks:
1/1
a. Parent surrogate
b. Counselor
c. Socializing agent
d. Ward Manager
13. Psychiatric nurses are well aware that a therapeutic relationship is only possible
and effective after:
0/1
a. Professional identification of own emotional difficulties
b. There is mutual trust between the nurse and the patient
c. Patient’s self-esteem needs are satisfied
d. Patient is diagnosed a wellness diagnosis
Correct answer
b. There is mutual trust between the nurse and the patient
14. The primary task of the nurse in the resolution phase of the nurse-patient
relationship is:
1/1
a. Assist patient to review what he has learned
b. Planning therapeutic interventions
c. Nursing diagnosis formulation
d. Assisting the client in expression of thoughts and feelings
15. A productive therapeutic relationship between a nurse and a client begins with
the nurse’s:
1/1
a. Passion to help clients who cannot cope
b. Unconditional positive regard for others
c. Self-awareness and understanding
d. Psychiatric nursing expertise
SITUATION
Nurse Linda is a young promising nurse who chose to start a professional
career as a mental health psychiatric
nurse. Part of her orientation and
training as a beginning professional
nurse is enhancing facilitative personal
characteristics.
16. The nurse should introduce information about the end of the nurse-patient
relationship:
1/1
a. As the goals of the realtionship are reached
b. During the orientation phase
c. At least one or two sessions before the last meeting
d. When the patient states that he is ready
17. Establishing a therapeutic contract is the goal of which phase of the
nurse-patient relationship?
0/1
a. Orientation phase
b. Working phase
c. Pre-orientation phase
d. Middle phase
Correct answer
a. Orientation phase
SITUATION
Clinicians are often said to be eclectic, that is, they choose one or
a combination of nursing and human
behavior sciences.
18. The nurse knows that Erikson identified the developmental tasks of the
school-age child from 6 to 12 years as:
1/1
a. Initiative vs guilt
b. Breaking away vs staying at home
c. Industry vs inferiority
d. Psychosexual impulses vs psychosexual development
19. Under the psychoanalytic model of Freud, the ego functions includes all of the
following except:
1/1
a. Store up experiences in memory
b. Operate on the pleasure principle to reduce tension or discomfort
c. Control and regulate instinctual drives
d. Use defense mechanism to protect self
20. The negative attitude of parents towards infantile masturbation like threatening
a boy with the loss of his penis may lead to:
1/1
a. Electra complex
b. Inferiority complex
c. Oedipal complex
d. Castration complex
21. A defense mechanism used by patient with borderline personality disorder is
reaction formation which is described in one of the following statements:
···/1
a. Blaming someone else for one’s difficulties
b. A conscious behavior that is the exact opposite of an unconscious feeling
c. Doing something to counteract or make up for a wrong doing in the past
d. Unconscious and involuntary forgetting of painful ideas, events and conflicts
No correct answers
SITUATION
In psychiatric and mental health nursing, psychosocial assessment is
conducted to construct a picture of the
client’s current emotional state, mental
capacity, and behavioral function. This
assessment serves as the basis for
developing a plan of care to meet the
client’s needs.
22. Lola Basyang is your 70-year old retired librarian who was brought to the hospital
by her children with the diagnosis of Dementia. In order to test her ability to think
abstractly, you would ask which of the following?
0/1
a. “Can you repeat the following numbers: 8, 2, 4, 6, 10”
b. “How are a radio and television alike?”
c. “What would you do if you fell and hurt yourself?”
d. “Can you give me today’s complete date?”
Correct answer
b. “How are a radio and television alike?”
23. The nurse must assess a client's judgment to determine mental status. To best
accomplish this, the nurse should have the client:
0/1
a. interpret proverbs.
b. spell words backward.
c. count by serial sevens.
d. discuss hypothetical situations
Correct answer
d. discuss hypothetical situations
24. During the mental status examination, a client may be asked to explain such
proverbs as "Birds of the same feather flock together." The purpose is to evaluate
the client's ability to think:
0/1
a. rationally.
b. concretely.
c. abstractly.
d. tangentially.
Correct answer
c. abstractly.
SITUATION
As a nurse you will
encounter clients with anxiety disorders
in every clinical practice setting
including primary care and general
hospital settings, not just mental
health facilities, but also in your own
community. You must be ready to apply your knowledge on anxiety disorders to any area
in which you choose to work.
25. During client assessment, the nurse finds that the client is experiencing tunnel
vision on his crisis The nurse should conclude that this client is experiencing which
level of anxiety?
0/1
a. Mild
b. Moderate
c. Severe
d. Panic
Correct answer
b. Moderate
26. When assessing an apparently anxious client, the nurse ensures that questions
related to the client’s anxiety are:
*
0/1
a. Abstract and nonthreatening
b. Avoided until the anxiety disappears
c. Avoided until the client brings up the subject
d. Specific and direct
Correct answer
d. Specific and direct
27. A physician has just told a client that surgery will be required to treat a health
problem. After the physician leaves, the clients reports feeling angry, tense and
[Link] nurse notes that the client’s palms are sweaty and the pupils are dilated.
The nurse interprets this to mean that the client is experiencing symptoms
consistent with which level of the general adaptation syndrome (GAS)?
0/1
a. Alarm
b. Exhaustion
c. Generalized anxiety
d. Resistance
Correct answer
a. Alarm
28. A client states, “I am always late for everything because I can’t leave my room
without checking every drawer and door to make sure they are locked. If I don’t do
that, I get so worried that I have to go back. I can’t seem to stop my behavior.” The
nurse should take which action at this time?
1/1
a. Allow the client adequate time to carry out the ritual
b. Explore childhood experiences that may have led to the behavior
c. Encourage the client to remain in the room until the urge to recheck has decreased
d. Remind the client that the staff will not allow others to enter the room.
29. The nurse is caring for a client who was serving in the military during a bombing
of an american embassy. Which finding can suggest PTSD?
0/1
a. Seizures, headache, hypertension
b. Goosebumps, memory loss of the trauma, flashbacks
c. Anger, depression, flashbacks
d. Unexplained paralysis, sweating, elation
Correct answer
b. Goosebumps, memory loss of the trauma, flashbacks
30. PTSD and ASD have many similarities. Which of the following characteristics
differentiates the two disorders?
0/1
a. ASD has a longer duration than PTSD.
b. The interval from trauma to symptoms is of shorter duration for ASD.
c. The client with ASD has at least one dissociated manifestation.
d. The ASD client with the dissociative symptoms does have problems coping.
Correct answer
b. The interval from trauma to symptoms is of shorter duration for ASD.
SITUATION
To be able to design care plans to help those with personality disorders,
the nurse must be familiar with the
various types of PDs and the major
characteristics of each.
31. A dependent personality is characterized by:
1/1
a. Mistrust of the significant others
b. Incessant demands for attention and support from others
c. Inability to postpone gratification
d. Lack of enthusiasm for the ordinary activities of life
32. The nurse caring for a client with antisocial personality disorder would place
highest priority on which nursing diagnosis?
1/1
a. Disturbed personal identity
b. Fear
c. Risk for violence directed at others
d. Social isolation
33. A client arrives for her mental health appointment wearing a cocktail dress and
theatrical makeup. She announces dramatically and flirtatiously that she needs to
be seen immediately because she is experiencing overwhelming psychological
distress. The nurse should recognize behaviors suggestive of which axis II
diagnosis?
1/1
a. Borderline personality disorder
b. Narcissistic personality disorder
c. Histrionic personality disorder
d. Antisocial personality disorder
34. A client has been diagnosed with borderline personality disorder. The client is
impulsive, shows labile affect, displays frequent angry outbursts and has difficulty
tolerating angry feelings without self-injury. The nurse selects which of the following
as the priority nursing diagnosis for this client?
1/1
a. Anxiety
b. Risk for self-mutilation
c. Risk for violence toward others
d. Ineffective coping
35. The mental health nurse is reviewing a 35 year old client’s history before
conducting an interview. The client’s history indicates fear of criticism and rejection
from others, having few friends and withholding information about thoughts and
feelings in anticipation of rejection by others. Based on the data, the nurse suspects
that the client may have which personality disorder?
1/1
a. Schizotypal
b. Paranoid
c. Avoidant
d. Schizoid
36. A patient is having difficulties in establishing and maintaining relationships with
others; he does not exhibit psychotic symptoms. The psychiatrist is considering a
diagnosis of personality disorder. Based on the above symptoms and her knowledge
of the disorder, the nurse would suspect the patient to have what type of personality
disorder?
···/1
a. Schizoid
b. Schizotypal
c. Borderline
d. Dependent
No correct answers
SITUATION
Nurse Bob is taking care of different patients having dementia of
varied types. She is concerned with the
sequelae of the disorder to his
patient’s physical, mental and social
health.
37. On a 24-hour assessment, Nurse Bob documents that Lola Johana, a client
diagnosed with Alzheimer’s disease presents with aphasia. Which client behavior
supports this finding?
1/1
a. Lola Johana is sad and has no ability to experience pleasure.
b. Lola Johana is extremely emaciated and appears to be wasting away.
c. Lola Johana is no longer able to speak.
d. Lola Johana is having difficulty in forming words.
38. In planning her treatment plan, which intervention would be most important in
managing Lola Johana’s condition?
1/1
a. Avoid the use of touch
b. Provide a stimulating environment
c. Provide a safe environment
d. Use restraints whenever necessary
39. The nurse suspects a client is experiencing delirium. A specific assessment
information that would support this suspicion includes:
0/1
a. Slow onset of confusion and agitation.
b. Onset is insidious and relentless.
c. Sudden onset of confusion.
d. The symptoms last for 1 month or longer.
Correct answer
c. Sudden onset of confusion.
40. She is observed to be repeating the same word over and over again. This
symptom is known as:
1/1
a. Palilalia
b. Confabulation
c. Aphasia
d. Apraxia
41. Discharge plan is being prepared. The family should be instructed to place
highest priority to this need in caring for Aling Mrs. Cruz:
*
1/1
a. Nutrition
b. Safety
c. Hygiene
d. Comfort
42. Psychiatric nurses may describe a psychopathological condition as:
1/1
a. a state of emotional balance
b. a disturbance in the persons thoughts, feelings and behavior
c. always hereditary
d. not treatable
SITUATION
Society and culture have
a great deal of influence on eating
behaviors and perceptions of ideal
weight. Eating patterns are developed
based on attempts to meet these societal
norms.
43. The nurse is teaching a group of young adolescents about eating disorders. The
nurse consider the sessions effective if the participants state that anorexia nervosa
is best as an eating disorder that occurs:
1/1
a. Only in young girls who are depressed
b. Mainly in young girls who perceive themselves to be grossly overweight
c. Primarily in young gays who live in chaotic families
d. In young boys and girls alike
44. The nurse is conducting an in-service education session about the relationship
between anxiety and bulimia nervosa. The nurse best describes the relationship by
saying, “When the client has bulimia nervosa, an increase in the anxiety level will
generally result in:
1/1
a. Rigidly controlling what he or she eats.
b. Binging and purging
c. Overeating
d. Consuming alcohol
45. A characteristic that would suggest to the nurse that an adolescent may have
bulimia would be:
1/1
a. Redness on knuckles
b. A positive body image
c. A previous history of gastritis
d. Frequent regurgitation and re-swallowing of food
46. The following are the characteristics of anorexia nervosa, except:
1/1
a. Preoccupied with weight loss
b. Thinks she’s fat
c. Afraid of gaining weight
d. Aware of her eating problem
47. The nurse traces the history of the client to identify the probable cause of her
condition. You know that families of anorexia nervosa clients:
1/1
a. Tends to be chaotic and place high value on achievement
b. Often have a history of substance abuse
c. Are usually closed systems that discourage outside relationship
d. Have an inability to collaborate with others
48. When taking care of a client diagnosed with bulimia nervosa, the least
appropriate action of a nurse is:
1/1
a. Promoting an accepting non-judgmental atmosphere
b. Encouraging participation in self-help groups
c. Allowing greater degree of independence when eating
d. Encouraging verbalizations about stressful issues
49. The nursing diagnosis for a client with bulimia is Fluid Volume Deficit. Nursing
interventions specific to the fluid volume deficit include:
0/1
a. Ensuring daily consumption of 1000 mL of liquid.
b. Weighing the client after each meal.
c. Monitoring the client for at least 1 hour after meals.
d. Monitoring body temperature every 4 hours.
Correct answer
c. Monitoring the client for at least 1 hour after meals.
SITUATION
It is now well documented that a large proportion of clients in general
medical outpatient clinics and private
medical offices do not have organic
disease requiring medical treatment. It
is likely that many of these clients have
somatic symptom disorders, but they do
not perceive themselves as having a
psychiatric problem and thus do not seek
treatment from psychiatrists. The psychiatric nurse must be able to identify certain
clients with the above mentioned
condition.
50. The nurse finds, during the initial assessment of the star player on the basketball
team, that he is not concerned about the sudden paralysis of his “shooting arm.”
This behavior is known as.
0/1
a. Secondary gain.
b. La belle indifference.
c. Malingering.
d. Hypochondriasis.
Correct answer
b. La belle indifference.
51. A female client with a 15-year history of somatic symptom disorder is to be
discharged from the first psychiatric hospitalization. Which client statement
indicates that nursing care has been effective?
1/1
a. I need to make sure that all of my medications are sent home with me
b. I see now that when I get stressed, my ‘body’ speaks for me
c. My family is so good to me when I am sick like this
d. There are so many illnesses that you nurses simply do not know about
52. Which among the following statements made by the patient would lead the
nurse to suspect that her client has body Dysmorphic Disorder (Dysmorphobia)?
1/1
a. “Most people say that I look all right but I am disgusted with how ugly nose and lips are.”
b. “This cough is terrible, I know I have pneumonia.”
c. “I can’t possibly go to work with all this pain.”
d. “I don’t know why I’m so sick when I’m so young.”
SITUATION
The psychiatric nurse is
also responsible for providing safe and
effective electroconvulsive therapy for
psychiatric patients. Nurse Calma is
working at the Mariveles Mental
Hospital. One of her responsibilities is
to provide safe and effective
electroshock therapy for the psychiatric
patients.
53. Zeny is undergoing ECT for the first time. Which of the following instructions is
appropriate for the nurse to teach Zeny?
0/1
a. Shampooing the hair before and after treatment to remove electrode gel used in ect
b. One session of ECT will cure the disorder
c. Refraining from food and fluids for at least 8 hours before treatment
d. Patient can continue taking diazepam.
Correct answer
c. Refraining from food and fluids for at least 8 hours before treatment
54. The nurse is administering Methohexital Brevital to a client about to undergo
electroconvulsive therapy (ECT). Which assessment indicates that the medication
is effective?
1/1
a. The client’s heart rate is 110 beats/minute.
b. The client appears calm and relaxed.
c. The client cannot breathe
d. The client states that his mouth is dry.
SITUATION
Sexual health care is a
relatively new area of involvement for
psychiatric– mental health nurses. Until recently, sexuality has not been viewed as falling
within their scope of practice. Currently, sexuality
is increasingly recognized as an
important component of a holistic
approach to overall health status.
Sexual health care is a legitimate and
appropriate nursing concern.
55. Benjamin, a 43 y/o, a former teacher at a public elementary school have sexual
urges to children far younger than his age. He was also convicted for molesting a 9
y/o boy on his hometown.
Benjamin’s behavior is an example of:
1/1
a. Incest
b. Pedophilia
c. Gender identity Disorder
d. Zoophilia
56. Gender identity can best be described as:
1/1
a. The role a person is expected to perform as a result of being male or female.
b. The degree of flexibility a person has regarding gender-stereotypic behaviors.
c. A contradiction between chromosomal gender and external genital appearance.
d. An individual’s personal or private sense of identity as male or female.
57. A holistic approach to nursing care of the client with sexual disorders requires
the nurse generalist to have which of the following?
1/1
a. Extensive experience in caring for clients with sexual disorders
b. The ability to diagnose sexual disorders
c. A basic understanding of the nursing process
d. Proficiency in the use of the nursing process and ability to assess the client’s sexual
health
SITUATION
Dissociative disorders are defined by a disturbance of or alteration in the
usually integrated functions of
consciousness, memory, and identity. Dissociative
responses occur when anxiety becomes
overwhelming and the personality becomes
disorganized.
58. The nurse is caring for a client who reports feeling “estranged and separated
from himself.” How would the nurse describe such symptoms?
1/1
a. Intoxication
b. Disorientation
c. Derealization
d. Depersonalization
59. A family asks you why their loved one dissociates in response to trauma. Which
of the following is your most accurate response?
1/1
a. “Dissociation helps decrease anxiety by isolating the thoughts from the feelings about
the experience and keeps the person from being completely overwhelmed.”
b. “It provides the individual with a ‘witness’ experience rather than a ’victim’ experience,
and it is less traumatic for the individual to witness trauma than it is to experience it
oneself.”
c. “It is not clearly understood, but it seems to have a definite biochemical basis.”
d. “When we find out what happened in the months she cannot remember, we will have an
explanation about why she dissociates.”
SITUATION
Television and
newspapers report that drug abuse is a
serious social, economic and political problem
in our society. Nurses are continually
challenged to play a role in abetting
this problem in the community.
60. A college student client states that his addiction to morphine is due to a
chemical imbalance. The nurse understands that researches that point to
biochemical theory of addiction support that those drugs of abuse have in common,
stimulation of which of the following neurotransmitter?
0/1
a. Norepinephrine
b. Serotonin
c. Acetylcholine
d. Dopamine
Correct answer
d. Dopamine
61. Before his hospitalization, a client needed increasingly larger dose of
barbiturates to achieve the same euphoric effect he initially realized from their use.
From this information, the nurse develops a plan of care that takes into account
that the client is most likely suffering from which of the following?
1/1
a. Tolerance
b. Addiction
c. Abuse
d. Dependence
62. What should be done before rehabilitation of a patient who is dependent on
narcotics?
1/1
a. Detoxify
b. Reprimand
c. Isolate the patient
d. Restrain the patient
63. Before discharge, the family should be instructed that Mrs. Tolento, should avoid
taking one of the following drugs for it will potentiate the symptoms of
schizophrenia:
0/1
a. Amphetamines
b. Narcotics
c. Benzodiazipines
d. Barbiturates
Correct answer
a. Amphetamines
64. Benjie is using Marijuana. Which of the following behaviors would be observed?
*
1/1
a. Watery eyes, rhinitis, sneezing, yawning
b. Appears drunk with staggering gait
c. Uses dark glasses to conceal bloodshot eyes
d. Appears alert and confident with dilated pupils
65. Geisler, an alcoholic, was admitted to the detoxification unit of hospital. He was
prescribed with disulfiram (Antabuse) as part of aversion therapy. The nurse should
instruct him to avoid which of the following?
1/1
a. Caffeine
b. Wheat bread
c. Mouthwash
d. Preserved foods
SITUATION
Nurses have a variety
of important roles in child psychiatry.
Our unique perspective of both mental
and physical health allows us to assess
psychological and physical symptoms in
children, explain laboratory tests to
children and their families, administer
medications that require strict and systematic monitoring, and work with children having
a medical and psychiatric diagnosis.
66. The parent of a child recently diagnosed with oppositional defiant disorder
(ODD) asks the nurse to explain what behaviors are associated with the condition.
Which information should the nurse include in an answer?
0/1
a. Cruelty
b. Stealing
c. Argumentations
d. Arson
Correct answer
c. Argumentations
67. At the mental health unit, Nurse Lance is meeting Boy Abun, a 7-year old boy
with Tourette syndrome. Which of the following should the nurse expect to assess?
*
0/1
a. Multiple motor and verbal tics
b. Primarily motor tics
c. Isolated verbal tics
d. Alternating simple and complex motor tics
Correct answer
a. Multiple motor and verbal tics
SITUATION
Mr. Williams, a 42-year old businessman and father of three, was
admitted at the psychiatric unit with a
diagnosis of depression. During the
intake interview, the nurse noted that
the patient exhibits symptoms of
suicidal ideation when he made statements
like “I am worthless. My family will be better off without me.” At home, he was observed
to have lost weight and have diminished
interest in practically all his daily activities.
68. The nursing diagnosis for Mr. Williams is risk for violence, self-directed. The
initial desired outcome would be, the client will:
0/1
a. Be safe from self-harm and harm to others
b. Verbalize higher quality of life
c. Extinguish suicidal ideation
d. Participate in ward activities
Correct answer
c. Extinguish suicidal ideation
69. Patients with severe depression, uses this defense mechanism:
0/1
a. projection
b. repression
c. introjection
d. suppression
Correct answer
a. projection
70. The client diagnosed with dysthymia asks the nurse to explain what the
diagnosis means. When responding to the client, the nurse should state that before
dysthymia can be diagnosed, depressed mood needs to be present for at least:
1/1
a. 2 weeks
b. 4 weeks
c. 1 year
d. 2 years
71. The nurse needs to teach a client about newly prescribed sertraline (Zoloft).
Which information is essential to include in the teaching?
0/1
a. Constipation is a sign of toxicity from sertraline
b. Fever and flu like symptoms are bothersome but not dangerous side effects of
sertraline.
c. Clients taking sertraline will usually recognize improvement within one week
d. It is possible that sexual side effects will occur.
Correct answer
d. It is possible that sexual side effects will occur.
SITUATION
Maria, 67 year old, has
a history of mental illness in her
middle age and treatment for “early
menopause”. Medications were given for
depression that brought her into remission.
She functioned fairly well but was prone
to paranoid ideation, social isolation, and became severely anxious when stressed.
She was brought to the hospital due to
profound depression with mood changes
manifested by little sleep, high energy,
hysterical laughter, and bizarre
behavior.
72. Lithium was initiated. The nurse was effective in her health teaching when the
client remarked.
1/1
a. I need to lessen my calorie and salt intake but have enough fluids
b. I need to have regular sodium and fluid intake
c. I should restrict my salt and fluids
d. I should sweat a lot with exercise to reduce my body fluids
73. Maria claimed she had been hearing frightening motorcycle noises, angry voices,
and sounds of rushing floor water. The priority need at this point is:
1/1
a. Trust
b. Love and belongingness
c. Self-esteem
d. Safety and security
74. The nurse watches for early lithium toxicity. Which of the following must be part
of health teaching?
1/1
a. Seizures and anuria
b. Coarse hand tremors, nausea, vomiting, and diarrhea
c. High fever and tachycardia
d. Shuffling gait and restlessness
75. The nurse is concerned about the lack of food and fluid intake of Maria. Which
of the following foods should the nurse select that would best meet the client’s
nutritional needs?
1/1
a. Carrots, celery, raisins, apple
b. Slices of pizza and sports drink
c. Steak and baked potato
d. Beef stew and non-diet soda
76. An extremely hyperactive client exhibiting manic behavior is admitted to the
hospital. In view of the client’s elated state, the nurse should arrange for the client
to be in a room:
0/1
a. With another client who is very quiet
b. That will provide a great deal of stimuli
c. That has had most of the furniture removed
d. With another client exhibiting similar behavior
Correct answer
a. With another client who is very quiet
77. The client has bipolar I disorder. Lithium carbonate (Lithium) 300mg four times
daily has been prescribed. After 3 days of Lithium therapy, the client says’ “What’s
wrong? My hands are shaking a little.” The best response of the nurse is:
0/1
a. Minor hand trembling often happens for a few days after lithium is started. It usually
stops in 1 to 2 weeks.
b. There’s no reason to worry about that. We won’t, unless it lasts longer than a couple of
weeks.
c. Just in case your blood level is too high, I am not going to give you your next dose of
Lithium.
d. I wouldn’t worry about it if I were you. It’s a small tremor that doesn’t interfere with your
functioning.
Correct answer
c. Just in case your blood level is too high, I am not going to give you your next dose of
Lithium.
78. The client who has a diagnosis of bipolar I disorder has a new order for
carbamazepine (Tegretol). Before beginning to administer the medication, the nurse
checks to see that which laboratory results are in the client’s record.
1/1
a. Blood glucose
b. Liver function studies
c. Bleeding and clotting time
d. Thyroid profile
SITUATION
Kate is 9 years old. Horribly sexually abused by her father, she had developed a way of
behaving: she strips
naked, urinates on the floor and vomits.
For some reason, she thinks it is all
right for her to strip, urinate on the
floor and kick or hit the staff, and
then asks sweetly for a hug. She is one of
the kids on the Child and Adolescent unit of the hospital.
79. An 18 month old client is a scheduled for a minor surgical procedure. The client
has numerous large bruises of different stages over the back and buttocks. The
mother states that the child must have fallen down while playing alone outside but
cannot provide specific information about these incidents. The nurse evaluates this
as:
*
1/1
a. Possible child abuse
b. Immature parenting
c. Normal findings in an 18 month old
d. Indications of tissue fragility
SITUATION
Wilfredo, 37 years old,
separated from his wife and children for
six years. He has been in and out of the
hospital for the last ten years for his
illness. This latest hospitalization was
precipitated by an exacerbation of
auditory hallucination when he states that “I hear voices usually a woman’s tormenting
me”. Diagnosis: Schizophrenia
80. WIlfredo repeatedly says to the nurse, “No conbromomation a stellacaustic
listorl!” is an example of:
1/1
a. Echolalia
b. Concretism
c. Neologism
d. Paleologic thinking
81. The family relates that one day the Wilfredo looked at a linen sheet on a
clothesline and thought it was a ghost. The nurse recognizes that this was:
1/1
a. An illusion
b. A delusion
c. A confabulation
d. A hallucination
SITUATION
Criselda has been
admitted to the psychiatric unit. She is
diagnosed with schizophrenia, catatonic
type. The companion volunteered
information that she hardly moves.
82. When the nurse moves the client’s leg, the client did not return the extremity to
its initial position. This is called:
1/1
a. Negativism
b. Waxy flexibility
c. Stupor
d. Lethargy
83. Criselda was not able to take a bath and dress up. The most appropriate nursing
diagnosis is:
1/1
a. Altered thought processes
b. Impaired hygiene and grooming
c. Ineffective individual coping
d. Self-care deficit
84. When taking an antipsychotic, the client suddenly experienced muscle rigidity,
tremors, impaired ventilation and a temperature of 108 °F (42.2 °C).
1/1
a. Tardive kyskinesia
b. Neuroleptic malignant syndrome
c. Akinesia
d. Akathisia
85. The nurse noticed that the patients eyeballs appear to roll back in a fixed
position. This is known as:
0/1
a. Neuroleptic malignant syndrome
b. Oculogyric crisis
c. Tardive dyskinesia
d. Opisthotonus
Correct answer
b. Oculogyric crisis
86. You are currently in an ethics committee. Which of the following rights can be
suspended with a good cause?
*
1/1
a. Choice of providers
b. Confidentiality
c. Treatment
d. Non discrimination
87. Psychiatric nurses may describe a psychopathological condition as:
1/1
a. a state of emotional balance
b. a disturbance in the persons thoughts, feelings and behavior
c. always hereditary
d. not treatable
88. Ysabelle, a newly registered nurse, is pursuing her career as a psychiatric nurse.
In which of the following settings would she expect to work with people with
psychiatric needs?
*
1/1
a. Special education centers
b. DSWD shelters
c. Half-way houses
d. All of these
89. Mario in group therapy is restless. His face is pale and does not respond to
[Link] nurse responds by saying, "You look anxious." The nurse is using which
of the following techniques?
1/1
a. A broad opening statement
b. Reassurance
c. Clarifying
d. Making observations
90. Maria, a client in the psychiatric ward, asks the nurse, “Do you think I should
leave my husband?” The nurse responds, “You aren’t sure if you should leave your
husband?” The nurse is using which therapeutic technique?
0/1
a. Restating
b. Reframing
c. Reflecting
d. Offering a general lead
Correct answer
a. Restating
91. Nurse Kelly knows that they are already in the resolution phase. Which of the
following should be the focus of their relationship at this moment:
1/1
a. Assist patient to review what he has learned
b. Planning therapeutic interventions
c. Nursing diagnosis formulation
d. Assisting the client in expression of thoughts and feelings
92. Under the psychoanalytic model of Freud, the ego functions includes all of the
following except:
0/1
a. Store up experiences in memory
b. Operate on the pleasure principle to reduce tension or discomfort
c. Control and regulate instinctual drives
d. Use defense mechanism to protect self
Correct answer
c. Control and regulate instinctual drives
93. A defense mechanism used by patient with borderline personality disorder is
reaction formation which is described in one of the following statements:
0/1
a. Blaming someone else for one’s difficulties
b. A conscious behavior that is the exact opposite of an unconscious feeling
c. Doing something to counteract or make up for a wrong doing in the past
d. Unconscious and involuntary forgetting of painful ideas, events and conflicts
Correct answer
b. A conscious behavior that is the exact opposite of an unconscious feeling
94. A patient is having difficulties in establishing and maintaining relationships with
others; he does not exhibit psychotic symptoms. The psychiatrist is considering a
diagnosis of personality disorder. Based on the above symptoms and her knowledge
of the disorder, the nurse would suspect the patient to have what type of personality
disorder?
0/1
a. Schizoid
b. Schizotypal
c. Borderline
d. Dependent
Correct answer
a. Schizoid
95. She is observed to be repeating the same word over and over again. This
symptom is known as:
1/1
a. Palilalia
b. Confabulation
c. Aphasia
d. Apraxia
96. The following are the characteristics of anorexia nervosa, except:
1/1
a. Preoccupied with weight loss
b. Thinks she’s fat
c. Afraid of gaining weight
d. Aware of her eating problem
97. Gender identity can best be described as: a. The role a person is expected to
perform as a result of being male or female.
1/1
a. The role a person is expected to perform as a result of being male or female.
b. The degree of flexibility a person has regarding gender-stereotypic behaviors.
c. A contradiction between chromosomal gender and external genital appearance.
d. An individual’s personal or private sense of identity as male or female.
98. Nurse Harry is caring for Marc, a patient with schizophrenia, who reports feeling
“estranged and separated from himself.” How would the nurse describe such
symptoms?
1/1
a. Intoxication
b. Disorientation
c. Derealization
d. Depersonalization
99. Ched is using Marijuana. Which of the following behaviors would be observed?
1/1
a. Watery eyes, rhinitis, sneezing, yawning
b. Appears drunk with staggering gait
c. Uses dark glasses to conceal bloodshot eyes
d. Appears alert and confident with dilated pupils
100. Joan was diagnosed with dysthymia recently. She asks the nurse to explain
what the diagnosis means. When responding to the client, the nurse should state
that before dysthymia can be diagnosed, depressed mood needs to be present for
at least:
1/1
a. 2 weeks
b. 4 weeks
c. 1 year
d. 2 years
This form was created inside TopRank Review Academy.
Forms
