Categories
Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Midwifery Nursing
Paediatric Nursing
Community Health Nursing
Psychiatric Nursing
Microbiology
Nutrition
Nursing Education/Adm./Research
Previous Exam Questions
Medical Apps
RUHS Semester - 1 Solved Papers
RUHS Semester - 2 Solved Papers
RUHS Semester - 3 Solved Papers
RUHS Semester - 4 Solved Papers
RUHS Semester - 5 Solved Papers
RUHS Semester - 6 Solved Papers
RUHS Semester - 7 Solved Papers
RUHS Semester - 8 Solved Papers
Free Nursing Exam App
Psychiatric Nursing
Module 8 • 20 Questions
Home
Psychiatric Nursing
Module 8
Question 1
A female client undergoes yearly mammography. This is a type of what level of prevention?
A
Tertiary
B
Primary
C
Secondary
D
Nota
Question 2
The patient complaint of vomiting, diarrhea and restlessness after taking lithane. The nurse’s initial intervention is:
A
Recognize that this is a normal side effects of lithium and still continue the drug.
B
Check V/S to validate patient’s concerns.
C
Notify the physician.
D
Recognize that this is a sign of toxicity and withhold the next medication.
Question 3
The nurse should know that the normal therapeutic level of lithium is :
A
.6 to .12 cc3/L
B
.6 to .12 cc/ml
C
6 to 12 meq/L
D
.6 to 1.2 meq/
Question 4
A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurse's highest priority in assessing the client on admission would be to ask him:
A
About recent stresses.
B
How he sleeps at night.
C
If he is thinking about hurting himself.
D
How he feels about himself
Question 5
A client is brought to the hospital’s emergency room by a friend, who states, "I guess he had some bad junk (heroin) today." In assessing the client, the nurse would likely find which of the following symptoms?
A
Eye irritation, tinnitus, and irritation of nasal and oral mucosa.
B
Decreased respirations, constricted pupils, and pallor.
C
Increased heart rate, dilated pupils, and fever.
D
Tremulousness, impaired coordination, increased blood pressure, and ruddy complexion.
Question 6
Preparing the client for the termination phase begins:
A
Termination
B
Working
C
Orientation
D
Pre orientation
Question 7
The client is taking sertraline (Zoloft), 50 mg q AM. The nurse includes which of the following in the teaching plan about Zoloft?
A
Zoloft causes erectile dysfunction in men.
B
Zoloft increases appetite and weight gain
C
Zoloft causes postural hypotension
D
It may take 3-4 weeks before client will start feeling better.
Question 8
The most effective treatment modality for persons if anti social PD is
A
Hypnotherapy
B
Gestalt therapy
C
Behavior therapy
D
Crisis intervention
Question 9
A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?
A
Complains of dry mouth
B
State he feels restless in his body
C
Stops pacing and sits with the nurse
D
Exhibits increase activity and speech
Question 10
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
Restrict visits with the family
B
Set-up a strict eating plan for the client
C
Provide privacy during meals
D
Encourage client to exercise to reduce anxiety
Question 11
A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate
A
Flight of ideas
B
Echolalia
C
Neologisms
D
Loosening of association
Question 12
A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner?
A
Using open ended question and silence
B
Focusing on self-disclosure of own food preference
C
Offering opinion about the need to eat
D
Verbalizing reasons that the client may not choose to eat
Question 13
During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?
A
Grand mal seizure activity depresses respirations
B
Muscle relaxations given to prevent injury during seizure activity depress respirations.
C
Anesthesia is administered during the procedure
D
Decrease oxygen to the brain increases confusion and disorientation
Question 14
To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of
A
Frustration & fear of death
B
Helplessness & hopelessness
C
Anger & resentment
D
Anxiety & loneliness
Question 15
When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?
A
The client ignores feelings of anxiety
B
The client identifies anxiety producing situations
C
The client maintains contact with a crisis counselor
D
The client eliminates all anxiety from daily situations
Question 16
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
Excessive weight loss, amenorrhea & abdominal distension
D
Compulsive behavior, excessive fears & nausea
Question 17
Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should?
A
Ask the client direct questions to encourage talking
B
Rake the client into the dayroom to be with other clients
C
Leave the client alone and continue with providing care to the other clients
D
Sit beside the client in silence and occasionally ask open-ended question
Question 18
A nursing care plan for a male client with bipolar I disorder should include:
A
Designing activities that will require the client to maintain contact with reality
B
Touching the client provide assurance
C
Providing a structured environment
D
Engaging the client in conversing about current affairs
Question 19
Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
A
Aversion Therapy
B
Total abstinence
C
Alcoholics anonymous (A.A.)
D
Psychotherapy
Question 20
A 20 year old client was diagnosed with dependent personality disorder. Which behavior is most likely to be evidence of ineffective individual coping?
A
Recurrent self-destructive behavior
B
Inability to make choices and decision without advise
C
Showing interest in solitary activities
D
Avoiding relationship
Submit Examination
Please review your answers before submitting.