Post Test Normal Psych

Question 1

1. A client reports a vague feeling of apprehension and states,
   “I feel scared.” He also has an increased pulse rate and blood
   pressure. Which of the following diagnoses is most appropriate
   in this situation?
   A. Anxiety
   B. Fear
   C. Ineffective coping
   D. Disturbed sleep pattern

Answer 1

A. Anxiety

Question 2

2. When caring for a client with panic level anxiety, the
   psychologist should consider which expected outcome to be a
   priority?
   A. The client will discuss his concerns for 10 minutes,
   three times a day.
   B. The client will verbalize a decreased level of anxiety
   by the end of the hospitalization.
   C. The client will verbalize a decreased level of anxiety
   within 2 hours.
   D. The client will state the name and dose of the
   anxiolytic medication.

Answer 2

C. The client will verbalize a decreased level of anxiety
within 2 hours.

Question 3

Situation: The family members of a patient just diagnosed with
personality disorder receives an orientation from the
psychiatrist about the nature of the said disorder.
3. The client exhibiting mistrust, guardedness, and restricted
affect is showing signs of which personality?
A. Antisocial personality disorder
B. Dependent personality disorder
C. Narcissistic personality disorder
D. Paranoid personality disorder

Answer 3

D. Paranoid personality disorder

Question 4

4. The axis II diagnosis of a client is schizoid personality
   disorder. Which approach should the psychologist plan to use
   when interacting with this client?
   A. Helpful and nurturing
   B. Matter-of-fact and calm approach
   C. Light and playful
   D. Warm and friendly

Answer 4

B. Matter-of-fact and calm approach

Question 5

5. A client diagnosed with paranoid personality disorder needs
   information regarding medications. Which psychological
   intervention would assist this client in understanding
   prescribed medications?
   A. Ask the client to join the medication education group
   B. Provide one-on-one teaching in the client’s room.
   C. During rounds, have the physician ask if the client has
   any questions.
   D. Let the client read the medication information
   handout.

Answer 5

B. Provide one-on-one teaching in the client’s room.

Question 6

6. When caring for a client with schizoid personality disorder,
   the psychologist primarily focuses on which of the following?
   A. expanding the client’s interest in objects and things
   B. increasing the client’s ability to experience pleasure
   C. increasing solitary activities
   D. improving the client’s functional relationships

Answer 6

D. improving the client’s functional relationships

Question 7

7. Which defense mechanism is being used by a paranoid client
   who blames others for problems he is experiencing?
   A. projection
   B. displacement
   C. rationalization
   D. intellectualization

Answer 7

A. projection

Question 8

8. When working with a client with paranoid personality
   disorder, the psychologist will find that the client most often
   resorts to which one of the following defense mechanisms?
   A. denial
   B. projection
   C. sublimation
   D. repression

Answer 8

B. projection

Question 9

9. When assessing the client with a diagnosis of schizoid
   personality disorder, you will find a pervasive pattern of
   detachment from social relationships and, additionally, which of
   the following?
   A. extreme anger when sufficiently provoked by others
   B. a restricted range of emotional expression with others
   C. seeking approval from no more than two other
   persons
   D. more than the average interest in sexual activity with
   strangers

Answer 9

B. a restricted range of emotional expression with others

Question 10

10. You are assigned to a client with schizotypal personality
    disorder. Your assessment would likely reveal which of the
    following behaviors?
    A. seeks attention and engages in erratic behavior
    B. withdrawn and engages in odd, eccentric behavior
    C. overtly psychotic and experiencing hallucinations and
    delusions
    D. active participation in activities with other clients and
    staff

Answer 10

B. withdrawn and engages in odd, eccentric behavior

Question 11

11. A client has a diagnosis of schizoid personality disorder.
    When assessing client, the psychologist should expect that the
    client’s behavior would be:
    A. Rigid and controlling
    B. Dependent and submissive
    C. Detached and socially distant
    D. Superstitious and socially anxious

Answer 11

C. Detached and socially distant

Question 12

Situation: The Psychologist has just been informed that a new
client on the unit has a diagnosis of schizophrenia, paranoid
type.
12. Based on this limited information, the psychologist knows
that she will need to address which basic need first?
A. Esteem and recognition
B. Love and belonging
C. Physiologic integrity
D. Safety

Answer 12

D. Safety

Question 13

13. When assessing a client with paranoid schizophrenia, which
    findings should be the psychologist’s immediate concern?
    A. Immobility, clanging, altered sleep patterns, and
    difficult family relationships.
    B. Problems with role-functioning, peculiar mannerisms,
    and decreased social competence.
    C. Stressful life events, altered sleep patterns, fatigue,
    and hostility.
    D. Paranoid delusions, increased suspiciousness, and
    hostility.

Answer 13

D. Paranoid delusions, increased suspiciousness, and
hostility.

Question 14

14. When interacting with a client with a schizophrenic
    disorder, the psychologist should remember to:
    A. avoid interactions whenever possible.
    B. have an intensive 1-hour counseling sessions twice a
    day.
    C. speak loudly and clearly.
    D. use brief, simple statements.

Answer 14

D. use brief, simple statements.

Question 15

15. An 18-year-old man is admitted to the inpatient unit with a
    diagnosis of schizophrenia. As the psychologist approaches
    him, she notices that he is grimacing and talking to the wall.
    The psychologist’s first action should be to:
    A. ask him if he is hearing voices.
    B. ask him to walk in the hall.
    C. engage him in conversation.
    D. have him placed in seclusion

Answer 15

A. ask him if he is hearing voices.

Question 16

16. The client states, “I am low, how low can you go, I’m
    going to get married. Yeah, I’m going to marry Bill. I’ve got
    lots of bills to pay after that last spree!” Which observation is
    the psychologist likely to document about this client?
    A. Circumstantiality was noted.
    B. Disorientation was noted.
    C. Flight of ideas was noted.
    D. Speech patterns using word salad was noted

Answer 16

C. Flight of ideas was noted.

Question 17

Situation: A newly admitted patient with schizophrenia tells
you that her dead grandmother sits in a chair in her room and
tells her when it is safe to leave the room.
17. Using therapeutic communication, what is the
psychologist’s best response to the client?
A. “If your grandmother is dead, she cannot be in your
room”
B. “Your grandmother must have been very special to
you”
C. “You don’t feel safe here?”
D. “We are here to help you. You don’t need your
grandmother for protection.”

Answer 17

C. “You don’t feel safe here?”

Question 18

18. Which of the following illustrates a common symptom of
    schizophrenia?
    A. During a discussion of the loss of significant people in
    her life, the client is laughinguncontrollably.
    B. The admission history describes the client’s affect as
    appropriate and the mood as depressed.
    C. The client has strong feelings about a decision to go
    to supervised housing.
    D. The client is an active participant in verbal groups on
    the unit.

Answer 18

A. During a discussion of the loss of significant people in
her life, the client is laughinguncontrollably.

Question 19

19. A client with schizophrenia states, “The TV screen is
    constantly communicating with me.” Which of the following
    would the psychologist document?
    A. Delusions of grandeur
    B. Ideas of influence
    C. Ideas of reference
    D. Looseness of association

Answer 19

C. Ideas of reference

Question 20

20. The belief expressed by the client that an alien is creating
    sores on his body with a laser is classified as a (n):
    A. Hallucination
    B. Neologism
    C. Ideas of reference
    D. Delusion

Answer 20

D. Delusion

Question 21

21. If a client were experiencing negative symptoms of
    schizophrenia, the GP would expect to see:
    A. Flat affect and little speech
    B. Rigid posture
    C. Excessive purposeless movements
    D. Inappropriate laughter

Answer 21

A. Flat affect and little speech

Question 22

Situation: Micalyn, a new psychologist assigned in the
psychiatric unit is ever conscious of the ethico-moral concerns
that affect the performance of her duties in the said unit.
22. Maria has been in a comatose state for the past 8 months
as a result of an automobile accident. Although doctors have
told her husband, Reuben, that there is no brain function,Reuben insists that she is showing responses. Which of the
following stages of grief is Reuben experiencing?
A. Bargaining
B. Anger
C. Denial
D. Depression

Answer 22

C. Denial

Question 23

23. A client recently lost his spouse. Which behavior indicates
    that the client is going through normal stage of grieving?
    A. The client starts using chemicals
    B. The client becomes an overachiever
    C. The client shows signs of hyperactivity
    D. The client shows a loss of warmth when interacting
    with others

Answer 23

D. The client shows a loss of warmth when interacting
with others

Question 24

24. A female client, who has been told by her physician that
    she has untreatable metastatic carcinoma, tells the
    psychologist that she believes the physician has made an error,
    she does not have cancer, and she is not going to die. The
    psychologist evaluates that the client is experiencing the stage
    of death and dying known as:
    A. Anger
    B. Shock
    C. Bargaining
    D. Acceptance

Answer 24

B. Shock

Question 25

25. Immediately after the death of their 3-year-old son the
    psychologist would be most therapeutic by asking the parents:
    A. “Do you feel ready to consent to an autopsy?”
    B. “Have you made a decision about organ donation?”
    C. “Would you like to talk about how you will tell your
    other children?”
    D. “Can I be of some help with any practices that are
    important to you?”

Answer 25

D. “Can I be of some help with any practices that are
important to you?”