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Psychiatric Nursing
Module 5 • 20 Questions
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Psychiatric Nursing
Module 5
Question 1
Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the:
A
Name of the ingested medication & the amount ingested
B
Reason for the suicide attempt
C
Length of time on the med.
D
Name of the nearest relative & their phone number
Question 2
Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
A
Ignore the client
B
Would you like me to talk with you?
C
Are you feeling upset now?
D
Would you like to watch TV?
Question 3
Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
A
Loose associations
B
Delusions
C
Neologisms
D
Hallucinations
Question 4
Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
A
Provide privacy during meals
B
Restrict visits with the family
C
Encourage client to exercise to reduce anxiety
D
Set-up a strict eating plan for the client
Question 5
Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
A
Eat only three meals a day
B
Avoid shopping plenty of groceries
C
Identify anxiety causing situations
D
Encourage to avoid foods
Question 6
A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
A
Seizures
B
Dizziness
C
Respiratory difficulties
D
Nausea and vomiting
Question 7
A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop:
A
Better self control
B
Feeling of self worth
C
Faith in his wife
D
Insight into his behavior
Question 8
Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
A
Associative looseness
B
Concretism
C
Confabulation
D
Flight of ideas
Question 9
Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
A
Slow pulse, 10% weight loss & alopecia
B
Excessive activity, memory lapses & an increased pulse
C
Compulsive behavior, excessive fears & nausea
D
Excessive weight loss, amenorrhea & abdominal distension
Question 10
Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
A
Vomiting and Diarrhea
B
Yawning & diaphoresis
C
Constipation & steatorrhea
D
Restlessness & Irritability
Question 11
When teaching parents about childhood depression Nurse Trina should say?
A
It may appear acting out behavior
B
Does not respond to conventional treatment
C
Looks almost identical to adult depression
D
Is short in duration & resolves easily
Question 12
Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed?
A
Psychosurgery
B
Neuroleptic medication
C
Short term seclusion
D
Electroconvulsive therapy
Question 13
Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
A
Manipulate the environment to bring about positive changes in behavior
B
Role play life events to meet individual needs
C
Allow the client’s freedom to determine whether or not they will be involved in activities
D
Use natural remedies rather than drugs to control behavior
Question 14
A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
A
Highly famous and important
B
Being Killed
C
Responsible for evil world
D
Connected to client unrelated to oneself
Question 15
A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?
A
Sublimation
B
Displacement
C
Denial
D
Projection
Question 16
A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
A
Turning on the television
B
Staying with the client and speaking in short sentences
C
Leaving the client alone
D
Ask the client to play with other clients
Question 17
Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
A
Routine Activities
B
Varied Activities
C
Multiple stimuli
D
Minimal decision making
Question 18
A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?
A
Apathetic response to the environment
B
Neglect of personal hygiene
C
Shallow of labile effect
D
“I don’t know” answer to questions
Question 19
A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:
A
Feelings of guilt and inadequacy
B
Problems with anger and remorse
C
Feeling of unworthiness and hopelessness
D
Problems with being too conscientious
Question 20
A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
A
Emotional affect
B
Paranoid thoughts
C
Aggressive behavior
D
Independence need
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