Final Exam Practice Questions

Question 1

The nurse states to a patient “My name is Sarah and I will be your nurse today. My shift is from 7:00am-7:00pm. I would like to sit with you if that is okay.”
Which 2 communication techniques were used?
a) Presenting reality
b) Focusing
c) Suggesting collaboration
d) Giving information
e) Offering self

Answer 1

d) Giving information

e) Offering self

Question 2

The patient appears downcast with hunched shoulders and tears running down her face. She states to the nurse “I feel fine. I feel pretty good.”
How would the nurse describe the patient’s response?
a) A lie
b) A congruent message
c) An incongruent message
d) Evidence of psychosis

Answer 2

c) An incongruent message

Question 3

The patient is crying.
What is an example of the nurse making an observation?
a) You seem very sad
b) You said you feel fine, but I don’t believe that
c) Why would you say you’re okay when you are crying?
d) I feel bad for you

Answer 3

a) You seem very sad

Question 4

What action by the nurse best demonstrates the behaviorist theories of B. F. Skinner?

a) Removing the restrictions from clients’ behavior in the belief that they will ultimately choose what is most beneficial
b) Offering the pt a smoke break if they agree to eat their meal later
c) Having the pt establish behavior guidelines of the unit

Answer 4

b) Offering the pt a smoke break if they agree to eat their meal later

Question 5

Learned maladaptive behavior is a part of which theory of human behavior?

a) Humanistic
b) Behavioral
c) Sociocultural
d) Psychoanalytic

Answer 5

b) Behavioral

Question 6

What is the most basic need, according to Maslow’s hierarchy of needs?

a) Self-actualization
b) Love and belonging
c) Physiological
d) Safety and security

Answer 6

c) Physiological

Question 7

Freud thought that the main defense mechanism in paranoia was what?

a) Projection
b) Denial
c) Rationalization
d) Suppression

Answer 7

a) Projection

Question 8

The patient has recently lost his job of 15 years. This is an example of which type of crisis?

a) Situational
b) Maturational
c) Adventicious
d) Developmental

Answer 8

a) Situational

Question 9

What is the goal of Cognitive Behavioral Therapy for a patient with Bipolar disorder?

a) The patient will give up control
b) The patient will engage in care independently
c) The patient will meet with their therapist every week for life
d) The patient will not have to take medication ever again

Answer 9

b) The patient will engage in care independently

Question 10

While working with an older male client, a nurse begins to think of the client as a father figure and responds to the client as though she is his daughter. The nurse is developing which reaction?

a) Transference
b) Empathy
c) Modeling
d) Countertransference

Answer 10

d) Countertransference

Question 11

What term does Freud use to identify the conscious?

a) Superego
b) Ego
c) Id

Answer 11

a) Superego

Question 12

A patient has a pattern of unconsciously answering questions with answers that portray himself in a positive light. The client is exhibiting what?

a) Countertransference
b) Resistance
c) Delusions
d) Parataxis

Answer 12

d) Parataxis

Question 13

A patient studies schoolwork, instead of focusing on their illness. This is an example of what behavior?

a) Projection
b) Substitution
c) Suppression
d) Introjection

Answer 13

c) Suppression

Question 14

Which stage of cognitive development achieved when a child demonstrates the ability to think and reason in abstract terms?

a) Concrete Operations
b) Formal Operations
c) Preoperational
d) Sensorimotor

Answer 14

b) Formal Operations

Question 15

Which 2 descriptions describe the clubhouse model of community-based mental health rehabilitation?

a) It promotes rehab alliance
b) Members must take medication
c) Staff make treatment decisions
d) It focuses on health, not illness

Answer 15

a) It promotes rehab alliance

d) It focuses on health, not illness

Question 15

Which 2 descriptions describe the clubhouse model of community-based mental health rehabilitation?

a) It promotes rehab alliance
b) Members must take medication
c) Staff make treatment decisions
d) It focuses on health, not illness

Answer 15

a) It promotes rehab alliance

d) It focuses on health, not illness

Question 16

A bipolar patient with occasional inpatient admissions due to manic episodes over the past few years has been receiving outpatient psychiatric services for the past 12 months. The patient’s providers are concerned that these services are not efficient. Which setting would best fit this client’s needs?

a) Rehab
b) Long-term facility
c) Subacute care
d) Day treatment

Answer 16

d) Day treatment

Question 17

Which is a disadvantage to milieu therapy?

a) It is costly to treatment centers
b) The patient must be watched constantly
c) The patient needs must stay at hospital longer
d) It requires an open space

Answer 17

c) The patient needs must stay at hospital longer

Question 18

Which treatment setting is not residential?

a) Group home
b) Respite
c) Adult foster care
d) Partial hospitalization

Answer 18

d) Partial hospitalization

Question 19

A patient is pacing the floor and is stating that they are about to die. How would the nurse classify this level of anxiety?

a) Mild
b) Severe
c) Moderate

Answer 19

b) Severe

Question 20

The patient states "I will take a pill if I go up the Till but not if my name is Mill, I don't want to Fill?" 
Which speech pattern is this?
a) Clang association
b) Word salad
c) Neologism

Answer 20

a) Clang association

Question 21

A schizophrenic patient states, “My organs are being eaten by wolves.” This statement represents which type of delusion?

a) Referential
b) Somatic
c) Persecutory

Answer 21

b) Somatic

Question 22

A couple arrives at the clinic. During the assessment, they state that they both believe that the police have been following them and put chips in them. The couple most likely suffer from which disorder?

a) Delusional (paranoid) disorder
b) Psychotic disorder
c) Folie à deux

Answer 22

c) Folie à deux

Question 23

What is the main difference between Bipolar l & Bipolar ll?

a) They’re identical, except that Bipolar l has higher suicide risk
b) Mania has little affect on Bipolar ll patient’s ability to function
c) Bipolar l has no manic episodes, only depression
d) Bipolar ll is more well-known

Answer 23

b) Mania has little affect on a Bipolar ll patient’s ability to function

Question 24

A patient with major depression is placed on amitriptyline. Which is a side effect of amitriptyline?

a) Diarrhea
b) Orthostatic hypotension
c) Weight loss
d) Excessive salivating

Answer 24

b) Orthostatic hypotension

Question 25

Which assessment findings would indicate an overdose of tricyclic antidepressants? Select all that apply.

a) Orthostatic hypotension
b) Agitation
c) Headache
d) Confusion
e) Hallucinations

Answer 25

b) Agitation
d) Confusion
e) Hallucinations

Question 26

Which technique is used to help the patient with borderline personality disorder gain control over self-critical thoughts?

a) Thought stopping
b) Delay Gratification
c) Communication triad

Answer 26

a) Thought stopping

Question 27

Which cluster of personality disorders is considered eccentric & odd?

a) A
b) B
c) C
d) D

Answer 27

a) A

Question 28

What does the nurse expect to find on assessment of a toddler with Autism? Select all that apply.

a) Becomes upset with minor changes in routine
b) Extremely playful
c) Does not relate to parents
d) Becoming frightened when left alone
e) Avoiding eye contact

Answer 28

a) Becomes upset with minor changes in routine.
c) Does not relate to parents
e) Avoiding eye contact

Question 29

Which medications help to slow down Alzheimer progression?

a) Fluvoxamine
b) Paroxetine
c) Memantine
d) Donepezil
e) Rivastigmine
d) Galantamine

Answer 29

c) Memantine
d) Donepezil
e) Rivastigmine
d) Galantamine