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Psychiatric Nursing
Module 3 • 20 Questions
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Psychiatric Nursing
Module 3
Question 1
To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
A
Anxiety & loneliness
B
Frustration & fear of death
C
Anger & resentment
D
Helplessness & hopelessness
Question 2
Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
A
Avoid shopping plenty of groceries
B
Identify anxiety causing situations
C
Eat only three meals a day
D
Encourage to avoid foods
Question 3
Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)?
A
Stop the medication when symptoms subside.
B
Blood pressure must be monitored for hypertension.
C
Report a sore throat or fever to the physician immediately.
D
Monthly blood tests will be necessary.
Question 4
Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions?
A
The manic phase of bipolar illness as a mood stabilizer
B
Delusions for clients suffering from schizophrenia
C
The manic phase of bipolar illness as a mood stabilizer
D
Antipsychotic-induced akathisia and anxiety
Question 5
A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction?
A
Akinesia
B
Dystonia
C
Tardive dyskinesia
D
Akathisia
Question 6
A client is unable to get out of bed and get dressed unless the nurse prompts every step. This is an example of which behavior?
A
Avolition
B
Perseveration
C
Tangential
D
Word salad
Question 7
Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)?
A
Photosensitivity and sedation
B
A lower incidence of extrapyramidal effects
C
No incidence of neuroleptic malignant syndrome
D
The absence of anticholinergic effects
Question 8
A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital. Nursing assessment should include careful observation of the client's:
A
verbal and nonverbal communication processes
B
psychomotor activity.
C
affect and behavior.
D
thinking, perceiving, and decision-making skills.
Question 9
A client begins clozapine (Clozaril) therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The nurse instructs her to return for weekly white blood cell (WBC) counts to assess for which adverse reaction?
A
Granulocytopenia
B
Infection
C
Systemic dermatitis
D
Hepatitis
Question 10
How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client's delusional thoughts and hallucinations eliminated?
A
Several weeks
B
Several hours
C
Several minutes
D
Several days
Question 11
The etiology of schizophrenia is best described by:
A
psychological, and environmental factors
B
genetics due to a faulty dopamine receptor.
C
A combination of biological, psychological, and environmental factors
D
structural and neurobiological factors.
Question 12
Positive symptoms of schizophrenia include which of the following?
A
Waxy flexibility, alogia, and apathy
B
Somatic delusions, echolalia, and a flat affect
C
Hallucinations, delusions, and disorganized thinking
D
Flat affect, avolition, and anhedonia
Question 13
Which nonantipsychotic medication is used to treat some clients with schizoaffective disorder?
A
imipramine (Tofranil)
B
lithium carbonate (Lithane)
C
chlordiazepoxide (Librium)
D
phenelzine (Nardil)
Question 14
A client with a diagnosis of paranoid schizophrenia comments tothe nurse, "How do I know what is really in those pills?" Which of the following is the best response?
A
Say, "Don't worry about what is in the pills. It's what is ordered."
B
Say, "You know it's your medicine."
C
Ignore the comment because it's probably a joke.
D
Allow him to open the individual wrappers of the medication.
Question 15
A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders?
A
Mood disorder
B
Thought disorder
C
Amnestic disorder
D
Personality disorder
Question 16
Important teaching for a client receiving risperidone (Risperdal) would include advising the client to:
A
discontinue the drug if the client reports weight gain.
B
be sure to take the drug with a meal because it's very irritating to the stomach.
C
double the dose if missed to maintain a therapeutic level.
D
notify the physician if the client notices an increase in bruising.
Question 17
Irrational fear related to closed spaces is referred to as-
A
Nosophobia
B
Agroaphobia
C
Acrophobia
D
Claustrophobia
Question 18
The voltage needed to produce seizures while giving ECT is-
A
180 to 220 volts
B
150 to 180 volts
C
40 to 70 volts
D
70 to 150 volts
Question 19
The drug which is used to create aversion in alcohol dependence-
A
Disulfiram
B
Propanolol
C
Diazepam
D
Apomorphine
Question 20
Drug of choice for rapid-cycling PDP is-
A
Lithium
B
Sodium vaporate
C
Haloperiodol
D
Carbamazepine
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