Final Exam Practice Questions Flashcards
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
d) Giving information
e) Offering self
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
c) An incongruent message
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
a) You seem very sad
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
b) Offering the pt a smoke break if they agree to eat their meal later
Learned maladaptive behavior is a part of which theory of human behavior?
a) Humanistic
b) Behavioral
c) Sociocultural
d) Psychoanalytic
b) Behavioral
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
c) Physiological
Freud thought that the main defense mechanism in paranoia was what?
a) Projection
b) Denial
c) Rationalization
d) Suppression
a) Projection
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
a) Situational
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
b) The patient will engage in care independently
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
d) Countertransference
What term does Freud use to identify the conscious?
a) Superego
b) Ego
c) Id
a) Superego
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
d) Parataxis
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
c) Suppression
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
b) Formal Operations
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
a) It promotes rehab alliance
d) It focuses on health, not illness
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
a) It promotes rehab alliance
d) It focuses on health, not illness
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
d) Day treatment
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
c) The patient needs must stay at hospital longer
Which treatment setting is not residential?
a) Group home
b) Respite
c) Adult foster care
d) Partial hospitalization
d) Partial hospitalization
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
b) Severe
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
a) Clang association
A schizophrenic patient states, “My organs are being eaten by wolves.” This statement represents which type of delusion?
a) Referential
b) Somatic
c) Persecutory
b) Somatic
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
c) Folie à deux
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
b) Mania has little affect on a Bipolar ll patient’s ability to function
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
b) Orthostatic hypotension
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
b) Agitation
d) Confusion
e) Hallucinations
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
a) Thought stopping
Which cluster of personality disorders is considered eccentric & odd?
a) A
b) B
c) C
d) D
a) A
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
a) Becomes upset with minor changes in routine.
c) Does not relate to parents
e) Avoiding eye contact
Which medications help to slow down Alzheimer progression?
a) Fluvoxamine
b) Paroxetine
c) Memantine
d) Donepezil
e) Rivastigmine
d) Galantamine
c) Memantine
d) Donepezil
e) Rivastigmine
d) Galantamine
