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Psychiatric Nursing
Module 16 • 20 Questions
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Psychiatric Nursing
Module 16
Question 1
Correcting how one thinks about the world and one self is the focus of-
A
Reality therapy
B
Psychoanalysis
C
Cognitive therapy
D
Behaviorism
Question 2
A group that was designed to meet weekly for 10 sessions to deal with feelings of depression would be a-
A
Support group
B
Open group
C
Educational group
D
Closed group
Question 3
When a nurse develops feelings toward a client that are based on the nurse’s past experience, it is called-
A
Unconditional regard
B
Transference
C
Role reversal
D
Countertransference
Question 4
Psychiatric rehabilitation focuses on-
A
Client’s strengths
B
Medication compliance
C
Social skills deficits
D
Symptom reduction
Question 5
The nursing role that involves being a substitute for another, such as a parent, is called-
A
Resource person
B
Surrogate
C
Teacher
D
Counselor
Question 6
The personality structures of id, ego, and superego were described by-
A
Hildegard Peplau
B
Sigmund Freud
C
Harry Stack Sullivan
D
Frederick Perls
Question 7
A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client’s-
A
Use of alcohol
B
Use of coping mechanisms
C
Family and social support
D
Motivation for treatment
Question 8
A client with generalized anxiety disorder states, I have learned that the best thing I can do is to forget my worries. How would the nurse evaluate this statement-
A
The client’s treatment has been successful.
B
The client’s coping skills have improved.
C
The client is developing insight.
D
The client needs encouragement to verbalize feelings.
Question 9
Which of the following would be the best intervention for a client having a panic attack-
A
Offer a distraction such as music.
B
Remain with the client.
C
Teach the client a relaxation technique.
D
Involve the client in a physical activity.
Question 10
Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiologic dependence-
A
Selective serotonin reuptake inhibitors
B
Monoamine oxidase inhibitors
C
Tricyclics
D
Benzodiazepines
Question 11
The best goal for a client learning a relaxation technique is that the client will-
A
Report no episodes of anxiety
B
Suppress anxious feelings
C
Confront the source of anxiety directly
D
Experience anxiety without feeling overwhelmed
Question 12
During the assessment, the client tells the nurse that she cannot stop worrying about her appearance and that she often removes “old” makeup and applies fresh makeup every hour or two throughout the day. The nurse identifies this behavior as indicative of a-
A
Panic disorder
B
Obsessive–compulsive disorder
C
Generalized anxiety disorder
D
Acute stress disorder
Question 13
When assessing a client with anxiety, the nurse’s questions should be-
A
Open ended
B
Postponed until the client volunteers information
C
Specific and direct
D
Avoided until the anxiety is gone
Question 14
The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as-
A
Panic
B
Severe
C
Moderate
D
Mild
Question 15
The overall goal of psychiatric rehabilitation is for the client to gain-
A
Freedom from hospitalization
B
Management of anxiety
C
Recovery from the illness
D
Control of symptoms
Question 16
The client who hesitates 30 seconds before responding to any question is described as having-
A
Anhedonia
B
Avoidance
C
Ambivalence
D
Alogia
Question 17
The nurse is caring for a client who has been taking fluphenazine (Prolixin) for 2 days. The client suddenly cries out, his neck twists to one side and his eyes appear to roll back in the sockets. The nurse finds the following PRN medications ordered for the client. Which one should the nurse administer-
A
Diphenhydramine (Benadryl), 25 mg IM, PRN
B
Benztropine (Cogentin), 2 mg PO, bid, PRN
C
Fluphenazine (Prolixin), 2 mg PO, tid, PRN
D
Haloperidol (Haldol), 5 mg IM, PRN extreme agitation
Question 18
The nurse is planning discharge teaching for a client taking clozapine (Clozaril). Which of the following is essential to include-
A
Instruct the client about dietary restrictions.
B
Give the client a chart to record a daily pulse rate.
C
Remind the client to go to the lab to have blood drawn for a white blood cell count.
D
Caution the client not to be outdoors in the sun-shine without protective clothing.
Question 19
The family of a client with schizophrenia asks the nurse about the difference between conventional and atypical antipsychotic medications. The nurse’s answer is based on which of the following-
A
Conventional antipsychotics are dopamine antagonists atypical antipsychotics inhibit the reuptake of serotonin.
B
Atypical antipsychotics are dopamine and serotonin antagonists conventional antipsychotics are only dopamine antagonists.
C
Conventional antipsychotics have serious side effects atypical antipsychotics have virtually no side effects.
D
Atypical antipsychotics are newer medications but act in the same ways as conventional antipsychotics.
Question 20
Which of the following typifies the speech of a person in the acute phase of mania-
A
Mutism
B
Hesitant
C
Psychomotor retardation
D
Flight of ideas
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