12/21/22, 3:53 PM PSYCH POST-TEST.

PSYCH POST-TEST. Total points 50/50

LAST NAME, FIRST NAME *

LIMON, ADINE JEMINAH

LEVEL *

L3

L4

1.     Personality disorders are usually diagnosed during: * 1/1

a. Toddlerhood

b. Adolescence

c. School-age

d. Pre-school age

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  2. Personality disorders are grouped in clusters according to their *1/1

behavioral characteristics. In which cluster are the disorders correctly
matched with their behavioral characteristics?  

a. Cluster C: antisocial, borderline, histrionic, narcissistic disorders; anxious or

fearful characteristic behaviors.

b. Cluster A: avoidant, dependent, obsessive-compulsive disorders; odd or eccentric

characteristic behaviors.

c. Cluster A: antisocial, borderline, histrionic, narcissistic disorders; dramatic,

emotional, or erratic characteristic behaviors.

d. Cluster C: avoidant, dependent, obsessive-compulsive disorders; anxious or

fearful characteristic behaviors

  3. Which diagnostic criterion describes schizotypal personality *1/1

disorder?   

a. Neither desires nor enjoys close relationships

b. Is preoccupied with unjustified doubts

c. Doesn’t follow rules

d. They believe in supernatural powers.

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  4. Antisocial behavior is seen in a client diagnosed with a:   * 1/1

a. Cluster A personality disorder.

b. Cluster B personality disorder.

c. Cluster C personality disorder.

d. Cluster D personality disorder.

  5. Borderline disorder is seen in a client diagnosed with a:    * 1/1

a. Cluster A personality disorder.

b. Cluster B personality disorder.

c. Cluster C personality disorder.

d. Cluster D personality disorder.

  6. A client diagnosed with a personality disorder insists that a *1/1

grandmother, through reincarnation, has come back to life as a pet kitten.
The thought process described is reflective of which personality
disorder?  

a. Passive-aggressive personality disorder.

b. Schizotypal personality disorder.

c. Borderline personality disorder.

d. Schizoid personality disorder.

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  7. Which of the following therapies are usually indicated for people with *1/1
personality disorders?   

a. Gestalt therapy

b. Aversion therapy

c. Behavioral therapy

d. Electroconvulsive therapy

  8. A client diagnosed with major depressive disorder has been newly *1/1
admitted to an inpatient psychiatric unit. The client has a history of two
suicide attempts by hanging. Which nursing diagnosis takes priority?  

a. Risk for violence directed at others R / T anger turned outward.

b. Social isolation R / T depressed mood.

c. Risk for suicide R / T history of attempts.

d. Hopelessness R / T multiple suicide attempts.

  9. Which medication would be classified as a tricyclic antidepressant?   * 1/1

a. Bupropion (Wellbutrin).

b. Mirtazapine (Remeron).

c. Citalopram (Celexa).

d. Nortriptyline (Pamelor)

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  10.All but one of the following medications are Monoamine Oxidase *1/1
Inhibitor:  

a. Parnate

b. Marplan

c. Meperidine

d. Nardil

  11.Which symptom is an example of an affective alteration exhibited by *1/1

clients diagnosed with severe depression?   

a. Apathy.

b. Somatic delusion.

c. Difficulty falling asleep.

d. Palpitations

  12.Which is the key to understanding if a child or adolescent is *1/1

experiencing an underlying depressive disorder?  

a. Irritability with authority.

b. Being uninterested in school.

c. A change in behaviors over a 2-week period.

d. Feeling insecure at a social gathering

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  13.Which client statement is evidence of the genetic etiology of major *1/1

depressive disorder from a genetic perspective?  

a. “My maternal grandmother was diagnosed with depression.”

b. “My mood is a 7 out of 10, and I won’t harm myself or others.”

c. “I am so angry that my father left our family when I was 6.”

d. “I just can’t do anything right. I am worthless.”

  14.A client expresses frustration and hostility toward the nursing staff *1/1
regarding the lack of care his or her recently deceased parent received.
According to Kubler-Ross, which stage of grief is this client
experiencing?  

a. Anger.

b. Disequilibrium.

c. Developing awareness.

d. Bargaining.

  15.Which symptom is an example of physiological alterations exhibited *1/1

by clients diagnosed with depression?   

a. Decreased libido.

b. Difficulty concentrating.

c. Irritability

d. Helplessness

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  16.The first stage of alcohol withdrawal takes place:    * 1/1

a. On the first 12 hours from the last intake of alcohol

b. On the first week of not drinking alcohol

c. 1 month after the last intake of alcohol

d. 3 days after the last intake of alcohol

  17.While performing an intake interview, the nurse learns that the client *1/1
drinks to avoid early morning “shakes.” The nurse recognizes this
behavior as characteristic of which assessment?  

a. Substance abuse.

b. Substance dependence.

c. Substance intoxication.

d. Delirium tremens.

  18.The use of a substance that is inconsistent with social or medical *1/1

norms is termed as:   

a. Substance abuse.

b. Substance dependence.

c. Substance intoxication.

d. Delirium tremens.

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  19.Which of the following medications is used as the antidote for *1/1

narcotic overdose?  

a. Oxycodone

b. Flumazenil

c. Naltrexone

d. Methadone

  20.The emergency medical service brings an intoxicated client to the *1/1

emergency department, after the client has been hit by a car while
walking on the side of the road. The client states, “How did I get here?
Who brought me to the hospital?” Which is the client most likely
experiencing?  

a. A blackout.

b. Denial.

c. Minimization.

d. Alcohol psychosis.

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  21.A client with a long history of alcoholism recently has been *1/1
diagnosed with Wernicke-Korsakoff syndrome. Which symptom should
the nurse expect to assess?   

a. A sudden onset of muscle pain with elevations of creatine phosphokinase.

b. Signs and symptoms of congestive heart failure.

c. Use of confabulation.

d. Inflammation of the stomach

  22.What percentage of a single dose of alcohol is absorbed immediately *1/1

into the blood stream from which organ of the body?  

a. 20% is absorbed through the stomach wall.

b. 80% is absorbed through the small intestines.

c. 40% is absorbed through the large intestines.

d. 50% is absorbed through the liver

  23.A newly admitted client with a long history of alcoholism complains *1/1
of burning and tingling sensations of the feet. The nurse would recognize
these symptoms as indicative of which condition?   

a. Peripheral neuropathy.

b. Cardiac overload

c. Wernicke’s encephalopathy.

d. Korsakoff’s psychosis

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  24.What substance stimulates the central nervous system?    * 1/1

a. Daizepam (Valium)

b. Cocaine

c. Lorazepam (Ativan).

d. Triazolam (Halcion)

  25.A client who has been in and out of prison because of robbery could *1/1
have which of the following personality disorders?   

a. Histrionic personality disorder

b. Avoidant personality disorder

c. Schizoid personality disorder

d. Anti-social personality disorder

  26.A client on a MAO Inhibitor medication needs to be aware of foods to *1/1

avoid. Which of the following lunch entrees is appropriate for this client?  

a. Pork adobo

b. Vegetable lasagna

c. Cookies and milk

d. Unflavored yogurt

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  27.A client taking Isocarboxacid should refrain from eating foods that *1/1
are high in:  

a. Tyramine

b. Thiamine

c. Thyroxine

d. Thioridazine

  28.Which of the following is not an SSRI?   * 1/1

a. Prozac (Fluoxetine)

b. Thorazine (Chlorpromazine)

c. Zoloft (Sertraline)

d. Paxil (Parotetine HCl)

  29.Common side effects of SSRI’s are:   * 1/1

a. Cardiac abnormalities

b. Urinary problems

c. Skin rashes

d. Gastrointestinal side effects

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  30.A client has been on two types of antidepressants. The nurse caring *1/1
for the client should watch out for:  

a. Hyporeflexia

b. Clonus

c. Dryness of the mouth

d. Increased alertness

  31.The nurse is reviewing diet restrictions with the client taking an *1/1
MAOI. The nurse should inform the client of which symptom that can
occur when the client is non adherent to diet restrictions?   

a. Akathisia

b. Agranulocytosis

c. Severe hypotension

d. Explosive occipital headache

  32.Overdoses of tricyclic antidepressants are:    * 1/1

a. Fatal and requires urgent intervention

b. Can easily be reversed

c. Dangerous for clients in poor health

d. Easily treated by inducing vomiting

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  33.The nurse is caring for the client with a major depressive disorder. *1/1
Which nursing problem should be priority?  

a. Powerlessness

b. Risk for harm, self-directed

c. Anticipatory grieving

d. Disturbed sleep pattern

  34.The client is taking St. John’s Wort along fluoxetine 40 mg daily for *1/1
depression. Which of the following would be an expected adverse
reaction:  

a. Serotonin syndrome

b. Extrapyramidal syndrome

c. Neuroleptic Malignant syndrome

d. Tardive Dyskinesia

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  35.The client states, “I go out just about every weekend and drink pretty *1/1
heavily with my friends. Does that mean I’m dependent on alcohol?”
Which response of the nurse be most accurate?”  

a. “You’re not dependent on alcohol if you never drink to the point of intoxication.”

b. “You are just having fun. Enjoy!”

c. “With dependence, you have a strong need to drink and feel uncomfortable if
you don’t.”

d. “You could be dependent. Consuming alcohol pretty heavily every weekend is

excessive.”

  36.The client is hospitalized after sustaining a head injury and a *1/1

fractured wrist from a fall. The client admits to drinking alcohol in
moderation several times per week. Which assessment finding should the
nurse associate with early alcohol withdrawal?  

a. A respiratory rate of 12 bpm

b. A heart rate of 70 bpm

c. Slightly elevated BP

d. Sudden drop in blood pressure

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  37.Which of the following are commonly used to manage alcohol *1/1

withdrawal?  

a. Antipsychotic drugs

b. Antidepressant medications

c. Antianxiety agents

d. Anticonvulsants

  38.A physician has prescribed medication therapy for a client with an *1/1
alcohol abuse problem to assist in the maintenance of sobriety. The
nurse reviews the client’s record and expects to note that which
medication has been prescribed?  

a. Chlordiazepoxide hydrochloride (Librium)

b. Chlonidine (Catapres)

c. Disulfiram (Antabuse)

d. Pyridoxine hydrochloride (vitamin B6)

  39. Which of the following medications is used to lessen the anxiety of *1/1
clients experiencing alcohol withdrawal?   

a. Chlordiazepoxide hydrochloride (Librium)

b. Chlonidine (Catapres)

c. Disulfiram (Antabuse)

d. Pyridoxine hydrochloride (vitamin B6)

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  40.Naloxone (Narcan) has been given to a client recovering from alcohol *1/1
dependence to:   

a. increase the elimination of alcohol

b. block the effect of alcohol

c. decrease the blood pressure

d. minimize the physiologic effects of alcohol

  41.A client has been prescribed disulfiram (Antabuse). Before giving the *1/1
client the first dose of this medication, the nurse should be sure to
assess for which of the following?  

a. History of hyperthyroidism

b. When the last full meal was consumed

c. When the last alcoholic drink was consumed

d. History of diabetes insipidus

  42.The client taking disulfiram has a throbbing headache, diaphoresis, *1/1

and sudden vomiting. Which possible conclusions by the nurse should be
explored first?  

A. The client may have developed influenza.

B. The client may have increased blood pressure.

C. The client may have recently taken a cough suppressant.

D. The client may have eaten foods that interact with disulfiram.

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  43.The nurse is preparing to administer thiamine (vitamin B,) to the *1/1

client receiving treatment for alcohol dependence. Which statement best
describes the rationale for the use of thiamine?  

a. Thiamine improves the absorption of folic acid.

b. Thiamine helps to reverse the malnutrition often associated with alcohol abuse.

c. Thiamine reduces the risk of seizures occurring during withdrawal from alcohol.

d. Thiamine prevents Wernicke’s encephalopathy.

  44.The client who abuses marijuana reports liking the drug for its *1/1
perceived effects. Which experiences, if reported by the client, should the
nurse attribute to marijuana use?  

a. Euphoria

b. Anorexia

c. Appetite suppression

d. Improved fine muscle coordination

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  45.The nurse completed an admission interview and assessment of the *1/1

client who is under the influence of cocaine. Which finding should the
nurse attribute to the client being under the influence of cocaine?  

a. Decreased blood pressure

b. Pupil constriction

c. Pupil dilation

d. Decreased heart rate

  46.The parent expresses concern that her son, newly admitted to the *1/1
mental health unit, may be using methamphetamine. Which nursing
assessment findings are consistent with methamphetamine abuse?  

a. Hypotension and bradycardia

b. Constricted pupils and fatigue

c. Decreased appetite

d. Weight gain

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  47.A client is brought to the emergency department by a friend who *1/1

states, he was using a lot of heroin until he ran out of money about 2 days
ago.” The nurse judges the client to be in opioid withdrawal if he exhibits
the following symptoms except:   

a. Rhinorrhea

b. Diaphoresis

c. Bipolar cycling

d. Diarrhea

  48.Methadone is used to aid withdrawal and provide maintenance for *1/1

persons with opiate addiction because methadone:  

a. Replaces endorphins so carving is diminished.

b. Produces dramatic symptoms if opiate are used.

c. Enhances euphoria by increasing neurotransmitters of enkaphalins.

d. Does not interfere with the ability to function productivity.

  49. Which of the following medications is given to an alcoholic client to *1/1

decrease the cravings from alcohol?  

a. Acamprosate

b. Aminocaproic Acid

c. Clopidogrel

d. Disulfiram

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  50.Lysergic acid diethylamide and phencyclidine are examples of:   * 1/1

a. Narcotics

b. Barbiturates

c. Hallucinogens

d. Neuroleptics

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