R: POST TEST: NORMAL PSYCH

1. A client reports a vague feeling of apprehension and states, “I feel scared.” He also has an increased pulse rate and blood pressure. Which of the following diagnoses is most appropriate in this situation?

A. Anxiety

B. Fear

C. Ineffective coping

D. Disturbed sleep pattern

A. Anxiety

2. When caring for a client with panic level anxiety, the psychologist should consider which expected outcome to be a priority?

A. The client will discuss his concerns for 10 minutes, three times a day.

B. The client will verbalize a decreased level of anxiety by the end of the hospitalization.

C. The client will verbalize a decreased level of anxiety within 2 hours.

D. The client will state the name and dose of the anxiolytic medication.

C. The client will verbalize a decreased level of anxiety within 2 hours.

Situation: The family members of a patient just diagnosed with personality disorder receives an orientation from the psychiatrist about the nature of the said disorder.

3. The client exhibiting mistrust, guardedness, and restricted affect is showing signs of which personality?

A. Antisocial personality disorder

B. Dependent personality disorder

C. Narcissistic personality disorder

D. Paranoid personality disorder

D. Paranoid personality disorder

4. The axis II diagnosis of a client is schizoid personality disorder. Which approach should the psychologist plan to use when interacting with this client?

A. Helpful and nurturing

B. Matter-of-fact and calm approach

C. Light and playful

D. Warm and friendly

B. Matter-of-fact and calm approach

5. A client diagnosed with paranoid personality disorder needs information regarding medications. Which psychological intervention would assist this client in understanding prescribed medications? 

A. Ask the client to join the medication education group

B. Provide one-on-one teaching in the client’s room.

C. During rounds, have the physician ask if the client has any questions.

D. Let the client read the medication information handout.

B. Provide one-on-one teaching in the client’s room.

6. When caring for a client with schizoid personality disorder, the psychologist primarily focuses on which of the following? 

A. expanding the client’s interest in objects and things

B. increasing the client’s ability to experience pleasure

C. increasing solitary activities

D. improving the client’s functional relationships

D. improving the client’s functional relationships

7. Which defense mechanism is being used by a paranoid client who blames others for problems he is experiencing? 

A. projection

B. displacement

C. rationalization

D. intellectualization

A. projection

8. When working with a client with paranoid personality disorder, the psychologist will find that the client most often resorts to which one of the following defense mechanisms? 

A. denial

B. projection

C. sublimation

D. repression

B. projection

9. When assessing the client with a diagnosis of schizoid personality disorder, you will find a pervasive pattern of detachment from social relationships and, additionally, which of the following? 

A. extreme anger when sufficiently provoked by others

B. a restricted range of emotional expression with others

C. seeking approval from no more than two other persons

D. more than the average interest in sexual activity with strangers

B. a restricted range of emotional expression with others

10. You are assigned to a client with schizotypal personality disorder. Your assessment would likely reveal which of the following behaviors? 

A. seeks attention and engages in erratic behavior

B. withdrawn and engages in odd, eccentric behavior

C. overtly psychotic and experiencing hallucinations and delusions

D. active participation in activities with other clients and staff

B. withdrawn and engages in odd, eccentric behavior

11. A client has a diagnosis of schizoid personality disorder. When assessing client, the psychologist should expect that the client’s behavior would be:

A. Rigid and controlling

B. Dependent and submissive

C. Detached and socially distant

D. Superstitious and socially anxious

C. Detached and socially distant

Situation: The Psychologist has just been informed that a new client on the unit has a diagnosis of schizophrenia, paranoid type.

12. Based on this limited information, the psychologist knows that she will need to address which basic need first?

A. Esteem and recognition

B. Love and belonging

C. Physiologic integrity

D. Safety

D. Safety

13. When assessing a client with paranoid schizophrenia, which findings should be the psychologist’s immediate concern?

A. Immobility, clanging, altered sleep patterns, and difficult family relationships.

B. Problems with role-functioning, peculiar mannerisms, and decreased social competence.

C. Stressful life events, altered sleep patterns, fatigue, and hostility.

D. Paranoid delusions, increased suspiciousness, and hostility.

D. Paranoid delusions, increased suspiciousness, and hostility.

14. When interacting with a client with a schizophrenic disorder, the psychologist should remember to:

A. avoid interactions whenever possible.

B. have an intensive 1-hour counseling sessions twice a day.

C. speak loudly and clearly.

D. use brief, simple statements.

D. use brief, simple statements.

15. An 18-year-old man is admitted to the inpatient unit with a diagnosis of schizophrenia. As the psychologist approaches him, she notices that he is grimacing and talking to the wall. The psychologist’s first action should be to:

A. ask him if he is hearing voices.

B. ask him to walk in the hall.

C. engage him in conversation.

D. have him placed in seclusion

A. ask him if he is hearing voices.

16. The client states, “I am low, how low can you go, I’m going to get married. Yeah, I’m going to marry Bill. I’ve got lots of bills to pay after that last spree!” Which observation is the psychologist likely to document about this client?

A. Circumstantiality was noted.

B. Disorientation was noted.

C. Flight of ideas was noted.

D. Speech patterns using word salad was noted

C. Flight of ideas was noted.

Situation: A newly admitted patient with schizophrenia tells you that her dead grandmother sits in a chair in her room and tells her when it is safe to leave the room.

 

17. Using therapeutic communication, what is the psychologist’s best response to the client?

A. “If your grandmother is dead, she cannot be in your room”

B. “Your grandmother must have been very special to you”

C. “You don’t feel safe here?”

D. “We are here to help you. You don’t need your grandmother for protection.”

C. “You don’t feel safe here?”

18. Which of the following illustrates a common symptom of schizophrenia?

A. During a discussion of the loss of significant people in her life, the client is laughing uncontrollably.

B. The admission history describes the client’s affect as appropriate and the mood as depressed.

C. The client has strong feelings about a decision to go to supervised housing.

D. The client is an active participant in verbal groups on the unit.

A. During a discussion of the loss of significant people in her life, the client is laughing uncontrollably.

19. A client with schizophrenia states, “The TV screen is constantly communicating with me.” Which of the following would the psychologist document?

A. Delusions of grandeur

B. Ideas of influence

C. Ideas of reference

D. Looseness of association

C. Ideas of reference

20. The belief expressed by the client that an alien is creating sores on his body with a laser is classified as a (n):

A. Hallucination

B. Neologism

C. Ideas of reference

D. Delusion

D. Delusion

21. If a client were experiencing negative symptoms of schizophrenia, the GP would expect to see:

A. Flat affect and little speech

B. Rigid posture

C. Excessive purposeless movements

D. Inappropriate laughter

A. Flat affect and little speech

Situation: Micalyn, a new psychologist assigned in the psychiatric unit is ever conscious of the ethico-moral concerns that affect the performance of her duties in the said unit.

 

22. Maria has been in a comatose state for the past 8 months as a result of an automobile accident. Although doctors have told her husband, Reuben, that there is no brain function, Reuben insists that she is showing responses. Which of the following stages of grief is Reuben experiencing?

A. Bargaining

B. Anger

C. Denial

D. Depression

C. Denial

23. A client recently lost his spouse. Which behavior indicates that the client is going through normal stage of grieving?

A. The client starts using chemicals

B. The client becomes an overachiever

C. The client shows signs of hyperactivity

D. The client shows a loss of warmth when interacting with others

D. The client shows a loss of warmth when interacting with others

24. A female client, who has been told by her physician that she has untreatable metastatic carcinoma, tells the psychologist that she believes the physician has made an error, she does not have cancer, and she is not going to die. The psychologist evaluates that the client is experiencing the stage of death and dying known as: 

A. Anger

B. Shock

C. Bargaining

D. Acceptance

B. Shock

25. Immediately after the death of their 3-year-old son the psychologist would be most therapeutic by asking the parents: 

A. “Do you feel ready to consent to an autopsy?”

B. “Have you made a decision about organ donation?”

C. “Would you like to talk about how you will tell your other children?”

D. “Can I be of some help with any practices that are important to you?”

D. “Can I be of some help with any practices that are important to you?”