Post Test AB Pscyh

Question 1

1. When asked how the patient is feeling, they replied that
   they feel skryszygy. What is your most appropriate reply?
   A. Ignore the reply as the client may dwell on their
   delusion
   B. Clarify what the patient means by skryszygy
   C. Refer the patient to their psychiatrist for a dose of
   antipsychotic medications
   D. Move on to the next topic of the conversation

Answer 1

B. Clarify what the patient means by skryszygy

Question 2

2. The patient suddenly screams at the ward because they
   thought that a cardboard cutout of a person outside the
   hospital is a person who is pointing a gun at them. You will
   educate the client that they are experiencing:
   A. Delusions
   B. Hallucinations
   C. Illusions
   D. Hard/positive symptoms

Answer 2

C. Illusions

Question 3

3. You are assessing a 30-year-old patient diagnosed with
   major depressive disorder and they mentioned that they want
   to kill themselves. What is your therapeutic response?
   A. “Do not think of that. You are worth more than what
   you think.”
   B. “When do you want to kill yourself?”
   C. “What are you feeling?”
   D. “In terms of your family, how is your relationship with
   your mother?”

Answer 3

B. “When do you want to kill yourself?”

Question 4

4. What manifestation of this patient will indicate that suicide
   precautions must be intensified?
   A. The client is suddenly happier this morning compared
   to your shift yesterday
   B. The client angrily screams after getting annoyed.
   C. The client has been crying continuously for 1 hour
   D. The client mentions that they will kill themselves in a
   month.

Answer 4

A. The client is suddenly happier this morning compared
to your shift yesterday

Question 5

5. You have seen that this patient of yours has refused his
   morning medications and does not go to their scheduled group
   therapy. They appear restless, tense, and anxious. You identify
   this patient to be at what stage of the anger cycle?
   A. Triggering
   B. Escalation
   C. Crisis
   D. Recovery

Answer 5

A. Triggering

Question 6

6. Suddenly, a patient called you in panic stating that the client
   is alone in the bathroom. You immediately go to the restroom
   and find your client at the verge of hanging themself. After
   putting the client out of the situation, they still insist on
   hanging themself. What is your priority intervention?
   A. Put the client on one-to-one monitoring with a nurse
   B. Assess other patients in the ward if they were hurt by
   the patient
   C. Remove all items that the client may use to hang
   themself
   D. Remove the client from the situation and assess need
   for 4-point restraints

Answer 6

D. Remove the client from the situation and assess need
for 4-point restraints

Question 7

7. You identify the client to be in the postcrisis phase. What
   intervention is appropriate for this client?
   A. Assist the client to relax and sleep
   B. Remove the restraints at one time
   C. Allow the client to express their apologies and include
   them in the next group session
   D. Invite other nurses in the ward to implement
   show-of-force

Answer 7

C. Allow the client to express their apologies and include
them in the next group session

Question 8

8. The following are statements made by a nurse to a patient
   with major depressive disorder will engage them to participate
   in an activity, except?
   A. “You can join our group session any time you feel like
   it. You are always welcome”
   B. “We have a group session at 1 PM. I’ll assist you to go
   there”
   C. “I’ll assign you to fold linens in the ward later after
   your medications”
   D. “We can set-up the lego model together later before
   lunchtime”

Answer 8

A. “You can join our group session any time you feel like
it. You are always welcome”

Question 9

9. Which of the following is considered a fact in mood
   disorders?
   A. The incidence of depression is up to three times
   greater in second-degree relatives
   B. 57% of people with mood disorders \ exhibit psychosis
   C. Major depression is a mood disorder that robs the
   person of joy and self-esteem despite being
   productive at work.
   D. People with bipolar disorder cycle between mania,
   normalcy, depression or between mania and normalcy
   or depression and normalcy.

Answer 9

D. People with bipolar disorder cycle between mania,
normalcy, depression or between mania and normalcy
or depression and normalcy.

Question 10

10. What charting in a nurse’s report for a patient who is
    suicidal indicate a need for moreteaching?
    A. Assessed plan for suicide
    B. Patient monitored at 8:00 AM, 8:30 AM, 9:00 AM, and
    9:30 AM. Assured patient safety.
    C. Patient agreed to a no-harm contract.
    D. Patient’s room maintained to be free from materials
    that can be used to harm self.

Answer 10

B. Patient monitored at 8:00 AM, 8:30 AM, 9:00 AM, and
9:30 AM. Assured patient safety.

Question 11

11. A patient went to the middle of the ward and began
    stripping their clothes off. When the nurse approached the
    patient, he said that he wanted to have sex with him. What is
    the most appropriate response?
    A. “I feel disappointed in you. We talked about this
    before”
    B. “I will have to put you in restraints due to your
    behavior”
    C. “I am your nurse in this hospital. Let us go to your
    room so you can wear your clothes privately.”
    D. “What are you feeling right now?”

Answer 11

C. “I am your nurse in this hospital. Let us go to your
room so you can wear your clothes privately.”

Question 12

12. What activity is appropriate for a patient with mania?
    A. Watching a game of UAAP volleyball
    B. Walking with another client with mania
    C. Cleaning the activity room
    D. Knitting

Answer 12

C. Cleaning the activity room

Question 13

13. Which is the most important outcome that a patient
    admitted with major depressive disorder should achieve upon
    discharge?
    A. The client remains free from any injuries
    B. The client can solve their own problems effectively
    C. The patient develops trust to their nurse-in-charge
    D. The patient is knowledgeable of which hotline to call
    in cases of anxiety or depression

Answer 13

B. The client can solve their own problems effectively

Question 14

14. What is not a component of effective limit setting in a
    client’s behavior?
    A. Identifying what is unacceptable behavior.
    B. Identifying the expected or desired behavior.
    C. Planning the consequences after setting the limit and
    the contract
    D. Following through with the consequence if needed.

Answer 14

C. Planning the consequences after setting the limit and
the contract

Question 15

15. What is an assumption of the nurse when a client needs to
    be secluded or restrained?
    A. Seclusion or restraints can be used whenever the
    client is uncooperative.
    B. The client can be secluded or restrained in their own
    room.
    C. Seclusion or restraints is a humane nursing
    intervention,
    D. The client loses their right to refuse treatment when
    seclusion or restraint is needed.

Answer 15

D. The client loses their right to refuse treatment when
seclusion or restraint is needed.

Question 16

16. Select all symptoms which are not considered to be
    positive symptoms of schizophrenia.
    I. Imitating all actions of the nurse-in-charge
    II. Fast-paced talking of unconnected and unrelated
    ideas
    III. Outlandish behavior
    IV. Seeing Jesus in the ward
    V. Sticking to one topic during a conversation
    A. All of the above
    B. I, IV, V
    C. I, III, V
    D. None of the above

Answer 16

D. None of the above

Question 17

17. A patient manifested that they used to be a dancer but is
    not enjoying the activity lately. They elaborated that they do
    not feel interest in anything that they are doing. What is this a
    symptom of?
    A. Soft symptom
    B. Anhedonia
    C. Avolition
    D. Apathy

Answer 17

B. Anhedonia

Question 18

18. A patient who claims that people are looking for them to
    kill them approaches the nurse stating that they need to
    escape the unit. What is the most appropriate intervention?
    A. Assess the meaning behind the client’s delusions.
    B. Encourage the client to verbalize their feelings.
    C. Present reality to the client by reorienting them to
    time, place, and person.
    D. Distract the client to participate in a group activity.

Answer 18

A. Assess the meaning behind the client’s delusions

Question 19

19. The client refuses to eat the food served by the dietary
    department because they believe it is poisoned. What
    intervention by the nurse demonstrates correct understanding
    of managing a patient’s delusions?
    A. Taste the food in front of the client to make them feel
    assured it is not poisonous
    B. Threaten the client that they will be restrained if they
    do not eat
    C. Unpack the food in front of the client
    D. Allow the client to get snacks from the vending
    machine with supervision

Answer 19

D. Allow the client to get snacks from the vending
machine with supervision

Question 20

20. What is a therapeutic response for a patient documented
    to have ideas of reference who stated that the security guards
    in the front of the unit are planning to harm them?
    A. “I will talk to the security guards about your concern.”
    B. “The security guards are here to keep you, the other
    patients, and the staff safe, as per their duty”
    C. “Do you really think they want to harm you?”
    D. “What makes you think that they are planning to
    harm you?”

Answer 20

B. “The security guards are here to keep you, the other
patients, and the staff safe, as per their duty”

Question 21

21. A nurse found out that their patient in a medical ward was
    raped by their parent. The nurse appropriately reports this
    assessment to which of the following agencies/departments?
    A. Bantay Bata 163
    B. Department of Social Welfare and Development
    C. Nearest child protection agency
    D. Philippine National Police

Answer 21

B. Department of Social Welfare and Development

Question 22

22. The following are signs that child abuse is most likely
    present in a pediatric client, except?
    A. Recurrent pain on urination
    B. Child was brought to the clinic for scald injuries in the
    face after 1 week
    C. Mother tells that the bruises were due to a home
    accident. The next day, she adds that it is due to a
    fight with a neighbor.
    D. Abrasions on knees due to a bicycle crash, as
    reported by the parent

Answer 22

D. Abrasions on knees due to a bicycle crash, as
reported by the parent

Question 23

23. Which of the following is a characteristic of a sexual
    abuser?
    A. They usually come from a low-income family
    B. They are usually a stranger to the victim
    C. They are most likely sexually abused as a child
    D. Only males can be sexual abusers

Answer 23

C. They are most likely sexually abused as a child

Question 24

24. A woman comes to an emergency department with a
    broken nose and multiple bruises after being beaten by her
    husband. She states, “The beatings have been getting worse, and I’m afraid, next time, he will kill me.” Which is the
    appropriate nursing response?
    A. Let’s plan your options together, so that you don’t
    have to go home.
    B. You can’t teach old dogs new tricks. Your husband will
    always stay the same.”
    C. There are things you can do to prevent him from
    losing control.
    D. Why don’t we call the police so that they can confront
    your husband with his behavior?

Answer 24

A. Let’s plan your options together, so that you don’t
have to go home.

Question 25

25. A college student was sexually assaulted when they went
    out on a date. After several weeks of crisis intervention
    therapy, which client statement should indicate to a nurse that
    the student is handling this situation in a healthy manner?
    A. My partner has trouble controlling his sexual urges.
    B. If I don’t put myself in a dating situation, I won’t be
    at risk.
    C. Next time I will think twice about wearing revealing
    clothes.
    D. I know that it was not my fault.

Answer 25

D. I know that it was not my fault.