Bading si Dale Diaz

Psych exam SIR MAKI

  Mental health is LEAST evidenced by:

·        a. Satisfying interpersonal relationships

·        b. Unrealistic perceptions about self

·        c. Effective coping

·        d. Emotional stability

 

B. Unrealistic perceptions about self

Self-concept includes all except one of the following:

·        a. Body Image

·        b. Self-esteem

·        c. Self-awareness

d.IdealSelf

c. Self-awareness

The following have fixations in the oral stage, except:

·        a. Zach’s room is always a mess

·        b. Kimberly bites her nails when nervous

·        c. Andre believes everything he hears

·        d. Grace is overly dependent on her parents

D. Grace is overly dependent on her parents

  If Shane, a twenty-one-year-old female, fails to attain her developmental task, it may lead to:

·        a. Withdrawal from intimacy and isolation

·        b. Self-pity resulting in misery

·        c. Confusion about self

·        d. Fear of death

A. Withdrawal from intimacy and isolation

1.  Nurse Moud is teaching a mother of a 2-year-old child. Following Freud’s psychosexual theory, the most appropriate health teaching for the mother is:

·        a. To provide oral stimulation to the child by providing a pacifier.

·        b. To educate the mother on how to achieve her son’s bowel and bladder control.

·        c. To encourage the mother to accept the child’s sexual interest.

·        d. All of the above

B. To educate the mother on how to achieve her son’s bowel and bladder control

1.  Under the psychoanalytical theory of Freud, the ego does all the following, EXCEPT:

·        a. Controls on the pleasure principle

·        b. Directs and regulates instinctual drives

·        c. Stores up experiences in memory

·        d. Uses defense mechanisms to protect self

·        a. Controls on the pleasure principle

Understanding one’s own beliefs, thoughts, motivations, biases, and limitations, and recognizing how they affect others

·        a. Self-concept

·        b. Self-acceptance

·        c. Self-awareness

d.Self-esteem

Self awareness

1.  According to Erikson's developmental theory, when planning care for a 47-year-old client, which developmental task should a nurse identify as appropriate for this client?

·        a. To develop a basic trust in others

·        b. To achieve a sense of self-confidence and recognition from others

·        c. To reflect back on life events to derive pleasure and meaning

·        d. To achieve established life goals and consider the welfare of future generations

d. To achieve established life goals and consider the welfare of future generations

1.  A jilted college student is admitted to a hospital following a suicide attempt and states, "No one will ever love a loser like me." According to Erikson's theory of personality development, a nurse should recognize a deficit in which developmental stage?

·        a. Trust versus mistrust

·        b. Initiative versus guilt

·        c. Intimacy versus isolation

·        d. Ego integrity versus despair

c. Intimacy versus isolation

1.     A 6-year-old boy uses his father's flashlight to explore his 3-year-old sister's genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal?

·        a. Oral

·        b. Anal

·        c. Phallic

·        d. Latency

C. Phallic

1.     A married, 26-year-old client works as a schoolteacher. She and her husband have just had their first child. A nurse should recognize that this client is successfully accomplishing which stage of Erikson's developmental theory?

·        a. Industry versus inferiority

·        b. Identity versus role confusion

·        c. Intimacy versus isolation

·        d. Generativity versus stagnation

d. Generativity versus stagnation

1.     According to Freud, which statement should a nurse associate with the predominance of the superego?

·        a. "No one is looking, so I will take three cigarettes from Mom's pack."

·        b. "I don't ever cheat on tests. It is wrong."

·        c. "If I skip school, I will get in trouble and fail my test."

d."Dadwon'tmissthislittlebitofvodka."

b. "I don't ever cheat on tests. It is wrong."

1.     A female complains that her husband only meets his sexual needs and never her needs. According to Freud, which personality structure should a nurse identify as predominantly driving the husband's actions?

·        a. The id

·        b. The superid

·        c. The ego

·        d. The superego

A. The id

1.     The mother expresses concern that her 9-year-old does not play much in school. The nurse explains that according to Erikson’s framework of psychosocial development, play is a vehicle of development that can help the child develop a sense of:

·        a. Generativity

·        b. Industry

·        c. Intimacy

·        d. Initiative

B. Industry

1.     The mother tells the nurse that her 2-year-old always says “no” whenever the child is asked to do some tasks. Based on her knowledge of Erikson’s developmental task, the nurse could explain that it is a typical behavior for:

·        a. A need to expand excess energy

·        b. The pursuit of autonomy

·        c. Separation anxiety

·        d. Stranger anxiety

b. The pursuit of autonomy

1.     A student asks you about the purpose of defense mechanisms. How do you respond?

·        a. It is used by mentally ill individuals as a way of escaping.

·        b. Use of it signifies that a person has a personality disorganization.

·        c. The use of defense mechanisms often leads to anxiety.

·        d. It is a coping technique that protects persons from anxiety.

d. It is a coping technique that protects persons from anxiety.

1.     Jason compliments his boss, but unconsciously does not like him because he terminated him. He is exhibiting one of the following defense mechanisms:

·        a. Displacement

·        b. Reaction Formation

·        c. Introjection

·        d. Sublimation

b. Reaction Formation

1.     “I got low grades because the teacher doesn’t know how to teach well.” This defense mechanism

is:

·        a. Displacement

·        b. Rationalization

·        c. Intellectualization

d.Introjections

B. Rationalization

1.     A client is said to be using substitution if she is:

·        a. Expressing a feeling that is directly opposite of one’s real feeling.

·        b. Concealing the true motivations for her thoughts, actions, and feelings.

·        c. Replacing a goal that she can’t achieve with another that is more realistic.

·        d. Unconsciously doing an act of atonement for wrongful actions.

c. Replacing a goal that she can’t achieve with another that is more realistic.

1.     A woman was raped when she was 8 years old but no longer remembers the incident. Which among the following defense mechanisms is she using?

·        a. Reaction Formation

·        b. Displacement

·        c. Repression

·        d. Projection

c. Repression

1.     After a breakup, a woman curls into a fetal position in bed. She is exhibiting which of the following defenses?

·        a. Symbolization

·        b. Regression

·        c. Substitution

·        d. Fixation

b. Regression

1.     A depressed man tells you, “I know it’s my fault, I should have not done that.” As a nurse, you know that he is using?

·        a. Denial

·        b. Introjection

·        c. Identification

·        d. Suppression

b. Introjection

1.     A student is reprimanded by the level chair for always being late in class. As he went out, he saw a dog and kicked it. This is an example of:

·        a. Displacement

·        b. Undoing

·        c. Sublimation

·        d. Rationalization

a. Displacement

1.     Rose feels guilty for spanking her child, so she takes him to Jollibee. This defense mechanism is:

·        a. Reaction formation

·        b. Sublimation

·        c. Undoing

·        d. Introjections

c. Undoing

1.     Mr. Evangelista, I am Heart. I will be working at the clinic today."

·        a. Pre-interaction phase

·        b. Orientation phase

·        c. Working phase

·        d. Termination phase

b. Orientation phase

1.     Heart examines her feelings about working with psychiatric patients.

·        a. Pre-interaction phase

·        b. Orientation phase

·        c. Working phase

·        d. Termination phase

a. Pre-interaction phase

1.     "Mr. Evangelista, it is time to review your progress and your unresolved problems."

·        a. Pre-interaction phase

·        b. Orientation phase

·        c. Working phase

·        d. Termination phase

c. Working phase

1.     Elements of a therapeutic nurse-patient relationship compose of the following, EXCEPT:

·        a. Therapeutic use of self

·        b. Unconditional positive regard

·        c. Showing sympathy to the client

·        d. Trusting relationship with the client

c. Showing sympathy to the client

1.     A communication technique that is used to show the patient that the nurse is attentively listening:

·        a. Limit setting

·        b. Confronting

·        c. Questioning

·        d. Restating

d. Restating

1.     When Luis stated that he is dead, the nurse replied, “Are you suggesting that you feel lifeless?” She used what communication technique:

·        a. Reflecting

·        b. Translating into feelings

·        c. Voicing doubt

·        d. Restating

d. Restating

1.     During a one-to-one interaction with a nurse, Joe states, “I am scared of the doctor.” The nurse responds, “Tell me more about this doctor.” This response is an example of:

·        a. Refocusing

·        b. Reflecting

·        c. Exploring

·        d. Focusing

c. Exploring

1.     Patient Dani tells the nurse that he wanted to die. The nurse replies, “Everything is going to be alright.” This non-therapeutic communication is known as:

·        a. Underloading

·        b. Incongruence

·        c. Giving advice

·        d. False Reassurance

d. False Reassurance

1.     Patient Seth mentions that he hears voices during the night. As a nurse, what is your best response?

·        a. “Many patients hear voices when they can't hear.”

·        b. “Don't worry, I won't let anything happen to you.”

·        c. “What are these voices telling you to do?”

·        d. “Don't be silly, those voices are not real.”

  c. “What are these voices telling you to do?”

1.     To maintain therapeutic eye contact and body posture while interacting with an angry and aggressive individual, the nurse should:

·        a. Keep eye contact while staring at the client

·        b. Keep his/her hands behind or in his/her pockets

·        c. Fold his/her arms across the chest

·        d. Keep his/her hands by side but palms turned outwards

a. Keep eye contact while staring at the client

1.     Reginald is acting out hostile and aggressive behavior by kicking the chairs in the room. The MOST effective way to deal with Regi’s behavior is initially to:

·        a. Give verbal command to set limits

·        b. Administer tranquilizer as ordered

·        c. Remove the chairs from the room

·        d. Restrain the patient

a. Give verbal command to set limits

1.     The priority of care in spousal abuse is:

·        a. Psychological evaluation

·        b. Observe to confirm further abuse

·        c. Family therapy

·        d. Provision of shelter

d. Provision of shelter

1.     For the process of discussion to be effective in promoting self-awareness, which one of the following must be present among participants?

·        a. Sympathy and understanding

·        b. Spontaneity and warmth

·        c. Enlarging one’s experience

d. Respect and trust

d. Respect and trust

1.     The path that leads to understanding one’s own values, beliefs, feelings, prejudices, and how these affect us and our dealings with others refers to:

·        a. Acceptance

·        b. Self-disclosure

·        c. Self-awareness

·        d. Self-actualization

c. Self-awareness

1.     In the initiation/orientation phase of the nurse-client relationship, which one of the following nursing approaches should generally be used first?

·        a. Introducing a neutral topic

·        b. Seeking factual information

·        c. Focusing on the client’s health

·        d. Introducing oneself to the client

d. Introducing oneself to the client

1.     Building trust is important in which phase of the nurse-client relationship?

·        a. Orientation phase

·        b. Working phase

·        c. All phases of the relationship

·        d. Termination phase

 

a. Orientation phase

1.     Which of the following environmental factors would have the most positive effect on creating a therapeutic milieu?

·        a. Accepting atmosphere

·        b. Comfortable chair

·        c. Soothing colors

·        d. Relaxing music

a. Accepting atmosphere

1.     The most comfortable distance zone for a therapeutic communication interaction is:

·        a. 1 - 2 feet

·        b. 3 – 6 feet

·        c. 8 feet

·        d. 12 feet

b. 3 – 6 feet

1.     When a client is brought to a mental health facility, a structured assessment of the client’s behavior and cognitive functioning is done. This is referred to as:

·        a. Interview of the client

·        b. History of client’s illness

·        c. Structured client interview

d.Mental state examination

d.Mental state examination

1.     After having no conversation with a female nurse, a young male client asks the nurse for her phone number, stating that he would like to date her. What would be the most appropriate response of the nurse?

·        a. “I am sorry, but I’m married and not interested in dating.”

·        b. “This is a professional relationship, and we need to stay clear on that.”

·        c. “I may consider dating you once you have fully recovered.”

·        d. “No, it’s against hospital policies to date clients.”

b. “This is a professional relationship, and we need to stay clear on that.”

1.     Which one of the following nursing activities best promotes autonomy in the client?

·        a. Helping the client dress appropriately for visiting hours

·        b. Sitting in conversation with the client for thirty minutes

·        c. Encouraging the client to choose which game he wants to play

·        d. Accompanying the client to the toilet to void

c. Encouraging the client to choose which game he wants to play

1.     Which of the following responses by the nurse is most helpful to a client who is upset and crying uncontrollably?

·        a. “Do not cry. It can’t be as bad as all that.”

·        b. "I can see you are very upset about something."

·        c. "You are upset now, but you will feel better tomorrow."

·        d. "I hope you will share these feelings with your therapist."

b. "I can see you are very upset about something."

1.     An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response.

·        a. "You're right. Federal law requires me to keep that information private."

·        b. "Those kinds of thoughts will make your hospitalization longer."

·        c. "You really should share this thought with your psychiatrist."

·        d. "I am obligated to share information with the treatment team."

d. "I am obligated to share information with the treatment team."

1.     Which action by a psychiatric nurse best supports patients' rights to be treated with dignity and respect?

·        a. Consistently addressing each patient by title and surname.

·        b. Strongly encouraging a patient to participate in the unit milieu.

·        c. Discussing a patient's condition with another health care provider in the elevator.

·        d. Informing a treatment team that a patient is too drowsy to participate in care planning.

d. Informing a treatment team that a patient is too drowsy to participate in care planning.

1.     Two hospitalized patients fight when they are in the same room. During a team meeting, a nurse asserts that safety is of paramount importance and therefore the treatment plans should call for both patients to be secluded to prevent them from injuring each other. This assertion:

·        a. Reveals that the nurse values the principle of justice.

·        b. Reinforces the autonomy of the two patients.

·        c. Violates the civil rights of the two patients.

·        d. Represents the intentional tort of battery.

c. Violates the civil rights of the two patients.

1.     An example of a breach of a patient's right to privacy occurs when a nurse:

·        a. Asks a family to share information about a patient's prehospitalization behavior.

·        b. Discusses the patient's history with other staff members during care planning.

·        c. Documents the patient's daily behaviors during hospitalization.

·        d. Releases information to the patient's employer without consent.

d. Releases information to the patient's employer without consent.

1.     The nurse recalls that the hallmarks of MAJOR DEPRESSION include; SELECT ALL THAT APPLY.

·        1. Loss of appetite

·        2. Sleep disturbance

·        3. Elated and restlessness

·        4. Recurrent thoughts of death

·        5. Total disinterest in activities

1. Loss of appetite

   2. Sleep disturbance

4. Recurrent thoughts of death

·        5. Total disinterest in activities

1.     A client diagnosed with major depression is receiving Parnate (Tranylcypromine), a monoamine oxidase inhibitor (MAOI). During the nurse’s round, the client complained of headache, nausea, and vomiting. Her vital signs show a blood pressure of 150/100 and temperature of 39°C. This may indicate that the client is experiencing:

·        a. Tardive Dyskinesia

·        b. Hypertensive crisis

·        c. Metabolism side effects of MAOIs

·        d. Neuroleptic Malignant Syndrome

b. Hypertensive crisis

1.     The nurse further assesses the client above and lists down her findings. The nurse may suspect which action taken by the client as the cause of this potentially fatal side effect?

·        a. Taking the medication in the morning instead of evening.

·        b. Taking the medication with tyramine-rich foods.

·        c. Neglecting to increase fluid intake while on medications.

d.Takingthemedication together afterelectroconvulsive therapy.

b. Taking the medication with tyramine-rich foods.

1.     The nurse is providing health education on a client diagnosed with major depression who is receiving Parnate (Tranylcypromine). The nurse will need to reinforce teaching if the client states:

·        a. “I’m on this medication since other medications didn't work.”

·        b. “I may eat anything since I need to eat before taking this medication.”

·        c. “I would need to wait for 2 to 4 weeks before this medication will take effect.”

·        d. “I may only start this medication after 5-6 weeks of not taking other antidepressants.”

b. “I may eat anything since I need to eat before taking this medication.”

1.     A major depressive client has been receiving Prozac (Fluoxetine), a Selective Serotonin Reuptake Inhibitor (SSRI), but poorly responded to it. Which action or order taken/given by the health care provider as his response should the nurse clarify?

·        a. Starting on MAOI stat.

·        b. Reevaluating client’s response to medication.

·        c. Reevaluating client’s blood chemistry for past medication.

·        d. Assessing client’s practices while on the SSRI medication.

a. Starting on MAOI stat.

1.     A nurse is reviewing the data collected from a client suspected to have an antisocial personality disorder. The nurse finds the following information consistent with the client’s condition. SELECT ALL THAT APPLY:

·        1. Self-mutilation

·        2. Poor work history

·        3. Unstable finances

·        4. Magical thoughts

·        5. Patterns of stealing/fighting

·        6. Perceives world as hostile

2. Poor work history

·        3. Unstable finances

·        5. Patterns of stealing/fighting

·        6. Perceives world as hostile

1.     During a physical assessment, the nurse noticed several scars from cutting on a client’s inner thigh. The client is suspected of having borderline personality disorder. The nurse recalls that this kind of behavior is the client’s way to; EXCEPT.

·        a. Punish self

·        b. Secondary gain of attention

·        c. Express anger

·        d. Block emotional pain

b. Secondary gain of attention

1.     After individual therapy, the nurse notices that there will be times that she will hear a client with borderline personality disorder who had a history of self-mutilation talking to herself, saying, “Stop! It’s ok, this is not my fault. I will not hurt myself.” The nurse perceives this as:

·        a. Sign of psychosis

·        b. Thought-stopping behavior

·        c. Evidence of poor response to therapy

·        d. Expected sign of her existing disorder

b. Thought-stopping behavior

1.     During an interview, the nurse listens to her client as she expresses her sadness over the closing of her favorite cosmetic shop. She is wearing all black, with a headdress and a veil, and telling the nurse how painful her chest is from her “loss.” She is hyperventilating and won't stop talking about the said store. She is suspected to have a personality disorder. Her behavior is consistent with:

·        a. Antisocial personality

·        b. Borderline personality

·        c. Histrionic personality

·        d. Narcissistic personality

c. Histrionic personality

1.     With the above condition, the nurse is fully aware that establishing nurse-patient interaction (NPI) is easy but hard to terminate for the reason that:

·        a. The client finds NPI therapeutic

·        b. The client’s compulsion includes talking

·        c. The client needs to express herself more

·        d. The client has the tendency to be dependent and “cling.”

d. The client has the tendency to be dependent and “cling.”

1.     The nurse observes that a certain client suspected with bipolar disorder is pacing in the day room, talking fast and loud, and using profound hand gestures. The nurse may conclude that the client is manifesting:

·        a. Aggression

·        b. Anger

·        c. Anxiety

·        d. Psychomotor agitation

d. Psychomotor agitation

1.     A nurse is caring for a client known to have antisocial personality. In dealing with the client’s manipulative behavior, the nurse will initiate which nursing intervention?

·        a. Providing structure

·        b. Limit settings

·        c. Enhancing role performance

·        d. Problem solving

b. Limit settings

1.     The nurse witnesses a client diagnosed with antisocial personality stealing the purse of another client. The nurse responded to the action by saying, “Jack, I noticed that you took Jenny’s purse. You know that it’s not yours. Please return it.” She is eliciting what nursing approach?

·        a. Matter-of-fact communication

·        b. Reorienting

·        c. Decatastrophizing

·        d. Restructuring

a. Matter-of-fact communication

1.     A client came to the nurse and said, “You’re such a kind nurse, I think you are my favorite.” The nurse’s best response for this will be:

·        a. “You are kind too, you are actually my favorite.”

·        b. “You’ve probably told that to every nurse here.”

·        c. “All of us here want to help you.”

·        d. “Are you planning to commit suicide?”

c. “All of us here want to help you.”

1.     The nurse is setting limits on her client with anorexia nervosa. Her interventions will include; SELECT ALL THAT APPLY:

·        1. Ignoring manipulative behavior

·        2. Restricting bathroom privileges

·        3. Accompanying the client to the bathroom

·        4. Staying with the client during meals

2. Restricting bathroom privileges   3. Accompanying the client to the bathroom

4. Staying with the client during meals

1.     The physiologic risks for a client with bulimia nervosa are the following; SELECT ALL THAT APPLY:

·        1. Amenorrhea

·        2. Barrett’s esophagus

·        3. Dental erosion

4.Rectalprolapse

2. Barrett’s esophagus

3. Dental erosion

4.Rectal prolapse

1.     The nurse observes that her client started his compulsion by once cleaning up and reorganizing the kitchen. Which action would LEAST help the client in this situation?

·        a. Maintaining safety

·        b. Encouraging to verbalize

·        c. Identifying precipitating factors

d. Stopping the compulsion by distraction

d. Stopping the compulsion by distraction

1.     A lady who claims to have difficulty breathing and gasping for air tells her boyfriend that she is having asthma and asks him to stay after he broke up with her. She is not known to be asthmatic. The lady is demonstrating:

·        a. Hypochondriasis

·        b. Malingering

·        c. Munchausen's syndrome

·        d. Conversion disorder

b. Malingering

1.     As a defense mechanism from a traumatic experience, a client cannot recall anything about the event which caused her trauma. This Dissociative Disorder is?

·        a. Dissociative Amnesia

·        b. Dissociative Fugue

·        c. Dissociative Identity Disorder

·        d. Depersonalization

a. Dissociative Amnesia

1.     A man experienced serious distress from ridicule when he outed himself as gay to his girlfriend and family. Eventually, he noticed some evidence of a trip to Thailand that he can’t recall ever happening. This Dissociative Disorder is?

·        a. Dissociative Amnesia

·        b. Dissociative Fugue

·        c. Dissociative Identity Disorder

d. Depersonalization

b. Dissociative Fugue

1.     In establishing a nurse-patient interaction (NPI) with a client with avoidant personality disorder, the nurse should consider the following; SELECT ALL THAT APPLY:

·        1. The client’s tendency to be clingy

·        2. Interacting with a goal to establish social skills

·        3. Developing a trusting therapeutic relationship

·        4. Terminating interactions without the patient feeling dejected

2. Interacting with a goal to establish social skills

·        3. Developing a trusting therapeutic relationship

·        4. Terminating interactions without the patient feeling dejected

1.     A client known to have agoraphobia is being exposed to a series of controlled situations such as waiting in line, then using public transportation, and then open public areas. This therapy is known as:

·        a. Flooding

·        b. Positive reframing

·        c. Assertiveness training

·        d. Systematic desensitization

d. Systematic desensitization

1.     A phobic client, while being exposed to his fears, stated, “I am not afraid, I know I can manage my emotions towards this.” The nurse recognizes this as:

·        a. Flooding

·        b. Positive reframing

·        c. Assertiveness training

·        d. Systematic desensitization

b. Positive reframing

1.     During an individual therapy session with a client with social phobia, the client opens up that every time he is interacting with other people or speaking in front of audiences, he thinks that he will be rejected or worse, humiliated. The nurse responded by saying, “Have you ever thought of other possible responses of these people? You know, for some, this can just be a regular conversation and maybe a good way for them to build relationships and share thoughts.” The nurse is demonstrating:

·        a. Flooding

·        b. Positive reframing

·        c. Assertiveness training

d. Systematic desensitization

d. Systematic desensitization

1.     The nurse encourages a client known to have a history of panic disorder to write in a journal all her experiences in detail. The nurse is establishing which cognitive-behavioral therapy objective?

·        a. Breathing

·        b. Learning

·        c. Monitoring

·        d. Rethinking

c. Monitoring

1.     A client with panic disorder is given anxiolytics Ativan (lorazepam). The nurse would need to reinforce health teaching regarding this medication when the client states:

·        a. “I should avoid driving while on this medication.”

·        b. “I should stop drinking while on this medication.”

·        c. “I may need assistance in ambulation while on this medication.”

·        d. “I can stop taking this medication once my anxiety is controlled.”

d. “I can stop taking this medication once my anxiety is controlled.”

1.     The diagnostic criteria for somatization disorders include; SELECT ALL THAT APPLY:

·        1. Onset before 18

·        2. History of pain affecting at least 4 different body parts

·        3. Two or more gastrointestinal symptoms

·        4. At least 1 reproductive or sexual symptom

·        5. At least 1 neurologic symptom (excluding pain)

·        6. Diagnosis is supported by the dramatic nature of the complaints and the client’s exhibitionistic, dependent, manipulative, and sometimes suicidal behavior.

1. Onset before 18

·        2. History of pain affecting at least 4 different body parts

·        3. Two or more gastrointestinal symptoms

·        4. At least 1 reproductive or sexual symptom

·        5. At least 1 neurologic symptom (excluding pain)

·        6. Diagnosis is supported by the dramatic nature of the complaints and the client’s exhibitionistic, dependent, manipulative, and sometimes suicidal behavior.

1.     A student taking her endocrine unit exam was brought to the emergency department for palpitations and tremors. Despite her normal blood chemistry and ECG findings, she is convinced of having hyperthyroidism. She is manifesting which somatoform disorder?

·        a. Body dysmorphic disorder

·        b. Conversion disorder

·        c. Factitious disorder

·        d. Hypochondriasis

d. Hypochondriasis

1.     A client is complaining of difficulty concentrating, having outbursts of anger, and feeling tense all the time. The nurse, after obtaining the client’s history, discovers that the symptoms started about 6 months ago. The client reveals that a best friend was killed in a drive-by shooting while they were sitting on the porch talking. The nurse suspects that the client is experiencing:

·        a. Obsessive-compulsive disorder (OCD)

·        b. Panic disorder

·        c. Posttraumatic stress disorder (PTSD)

·        d. Social phobia

c. Posttraumatic stress disorder (PTSD)

1.     A client is pacing the floor and appears extremely anxious. The nurse approaches in an attempt to alleviate the client’s anxious feelings. The MOST therapeutic question by the nurse would be:

·        a. Are you feeling upset right now?

·        b. Would you like me to walk with you?

·        c. Shall we sit and talk about your feelings?

·        d. Would you like to go to the gym and work out?

b. Would you like me to walk with you?

1.     A client says to the nurse, “I don’t do anything right. I’m such a loser.” The most appropriate nursing response is:

·        a. "Everything will get better."

·        b. "You don’t do anything right?"

·        c. "You are not a loser, you are sick."

·        d. "You do things right all the time."

b. "You don’t do anything right?"

1.     A client tells the nurse, “I am a spy for the FBI. I am an eye, an eye in the sky.” The nurse recognizes that this is an example of:

·        a. Echolalia

·        b. Clang associations

·        c. Loosened associations

d.Wordsalad

b. Clang associations

1.     A client institutionalized because of hostile and aggressive behavior. He claims that he is all powerful but is afraid that spies from the government are sent out to hunt him down. He is sometimes found in a corner of the day room talking to what he claims as “higher beings.”

·        a. Catatonic schizophrenia

·        b. Delusional disorder

·        c. Brief psychotic disorder

·        d. Shared psychotic disorder

b. Delusional disorder

1.     A client believed to have a certain type of schizophrenia is observed to be in an uncomfortable position, motionless for a few hours. She is manifesting which type of schizophrenia?

·        a. Catatonic schizophrenia

·        b. Delusional disorder

·        c. Brief psychotic disorder

d.Sharedpsychoticdisorder

a. Catatonic schizophrenia

1.     A client is observed to have inappropriate, incoherent, and loosely associated responses to conversations for 2-3 days.

·        a. Catatonic schizophrenia

·        b. Delusional disorder

·        c. Brief psychotic disorder

·        d. Shared psychotic disorder

c. Brief psychotic disorder

1.     During her morning rounds, a nurse finds her schizophrenic patient standing in the dayroom completely undressed. Which of the following measures by nurse Annie would be BEST to take at this time?

·        a. Lead the patient back to her room and help her get dressed.

·        b. Take the patient back to her room and privately reprimand her.

·        c. Ask the patient why she seems to need extra attention this morning.

·        d. Cover the patient with a towel and send her back to her room to dress herself.

a. Lead the patient back to her room and help her get dressed.

1.     Schizophrenia, the most prevalent psychosis, typically presents with two sets of clinical manifestations. Positive symptoms of schizophrenia include which of the following:

·        a. Blunted affect, avolition, anhedonia

·        b. Somatic, delusions, echolalia, flat affect

·        c. Waxy flexibility, poverty of speech, apathy

·        d. Hallucinations, delusions, and disordered thinking

d. Hallucinations, delusions, and disordered thinking

1.     A client diagnosed with schizophrenia is observed with poor hygiene, absence of social interaction, and intentionally avoids or does not join any of the group activities in the dayroom. He shows no interest and absence of drive for activities of daily living. The client is manifesting:

·        a. Alogia

·        b. Anhedonia

·        c. Apathy

·        d. Avolition

d. Avolition

1.     A client opens up to a nurse about her fears of leaving her house but also shows a strong desire to meet friends and other people. This client, if known to have schizophrenia, can be manifesting:

·        a. Alogia

·        b. Ambivalence

·        c. Anhedonia

·        d. Avolition

b. Ambivalence

1.     Electroconvulsive therapy (ECT) is a treatment that involves the application of electrodes to the head of a client to deliver an electrical impulse to the brain. What is an indication that ECT has been administered effectively? It is when the client:

·        a. Goes into seizure

·        b. Experiences apnea

·        c. Experiences disorientation

·        d. Experiences memory loss

a. Goes into seizure

1.     Atropine sulfate is given subcutaneously 30 minutes prior to electroconvulsive therapy (ECT). The main reason for its administration is to:

·        a. Sedate the client

·        b. Prevent aspiration

·        c. Cause muscle relaxation

·        d. Enhance the effect of ECT

b. Prevent aspiration

1.     Psychopharmacology drug that mimics the action of the neurotransmitters is known as:

·        a. Full Agonist

·        b. Partial Agonist

·        c. Neutral Antagonist

·        d. Inverse Agonist

a. Full Agonist

1.     The nurse recalls that the therapeutic dose of lithium is:

·        a. 0.5 – 1 mEq/L

·        b. 1.5 – 2 mEq/L

·        c. 2.4 – 5 mEq/L

·        d. 5 – 10 mEq/L

a. 0.5 – 1 mEq/L

1.     The client who has been on tricyclic antidepressants for two weeks complained that he is not responding well to his regimen. What will be the nurse’s BEST response to this client?

·        a. “The full effect occurs in 6 weeks.”

·        b. “Maybe you are developing tolerance.”

·        c. “I will inform the health care provider that there is a need to increase the dose.”

·        d. “I will inform the health care provider that electroconvulsive therapy is needed.”

a. “The full effect occurs in 6 weeks.”

1.     A client with post-traumatic stress disorder (PTSD) is experiencing insomnia and severe depression. He is placed on a selective serotonin reuptake inhibitor (SSRI) and was given Prozac (Fluoxetine HCl). Improvement of both manifestations is expected after:

·        a. 3 to 4 days

·        b. 4 to 6 days

·        c. 5 to 6 days

d.7to10days

d.7to10days

1.     Which of the following is true about touching a client who is experiencing flashbacks?

·        a. The nurse should stand in front of the client before touching.

·        b. The nurse should never touch the client who is having a flashback.

·        c. The nurse should only touch the client after receiving permission to do so.

d.Thenurseshouldtouchtheclienttoincreasethefeelingofsecurity

c. The nurse should only touch the client after receiving permission to do so.

1.     A client diagnosed with schizophrenia is receiving Haldol (Haloperidol) for 4 weeks and started to experience agitation, restlessness, and pacing. This extrapyramidal symptom is:

·        a. Acute dystonic reactions

·        b. Akathisia

·        c. Parkinsonism

·        d. Tardive Dyskinesia

b. Akathisia

1.     A 65-year-old who immigrated from Cuba 25 years ago is admitted to the hospital with a history of depression. The client, who speaks little English and has few outside interests since retiring, states, "I feel useless and unneeded." Based on Erikson’s psychosocial theory, the client is in what developmental stage?

·        a. Initiative vs. guilt

·        b. Integrity vs. despair

·        c. Intimacy vs. isolation

·        d. Identity vs. role confusion

b. Integrity vs. despair

1.     A child with oppositional defiant disorder (ODD) is displaying impulsive and aggressive behavior. An effective nursing intervention for this is:

·        a. Assertiveness training

·        b. Consistent limit setting

·        c. Negotiation of rules

·        d. Open expression of feelings

b. Consistent limit setting

1.        A client with delirium is attempting to remove the intravenous tubing from his arm, saying to the nurse, “A snake, there’s a snake on my arm.” The client is experiencing which of the following?

·        a. Delusions

·        c. Illusions

·        b. Hallucinations

·        d. Disorientation

c. Illusions