Psych Part 1 Flashcards
Which of the following statements made by a client best meets the diagnostic criteria for pain disorder?
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A. “I can’t move my right leg.”
B. “I’m having severe stomach and leg pain.”
C. “I’m so afraid I might have human immunodeficiency virus.”
D. “I’m having chest pain and pain radiating down my left arm that began more than 1 hour.”
A type of somatoform disorder wherein client may have slight or no physical deformity but the reaction or preoccupation is out of proportion to the degree of deformity
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A. Somatization
B. Body dysmorphic disorder
C. Conversion disorder
D. Pain disorder
An 83year-old male client is in extended care facility is anxious most of the time and frequently complains of a number of vague symptoms that interfere with his ability to eat. These symptoms indicate which of the following disorders?
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A. Conversion disorder
B. Hypochondriasis
C. Severe anxiety
D. Sublimation
A client who abuses alcohol tells a nurse everyone in his family has an alcohol problem and nothing can be done about it. Which of the following responses is the most appropriate?
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A. “You’re right, it’s much harder to become a recovering person.”
B. “This is just an excuse for you so you don’t have to work on becoming sober.”
C. “Sometimes nothing can be done, but you may be the exception in this family.”
D. “Alcohol problems can occur in families, but you can decide to take the steps to become and stay sober.”
A client asks a nurse if she hears the voice of the non-existent man speaking to him. Which of the following responses is best?
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A. “No one is in your room except you.”
B. “Yes, I hear him, but I won’t listen to him.”
C. “What has he told you? Is it helpful advice?
D. “No, I don’t hear him, but I know you do. What is he saying?
Sheila states to the nurse, “When I get out of the hospital, I want to be a nurse just like you.” What defense mechanism does this reveal?
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A. identification
B. conversion
C. introjections
D. projection
The statement “If I were you, I would do…” is an example of what type of non-therapeutic communication?
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A. defending
B. disapproving
C. challenging
D. giving advice
According to the Johari’s Window self disclosure model, the “blind” window represents information about yourself that is ________________.
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A. not known to others and not known to you
B. known to you and known to others
C. known to you and not known to others
D. not known to you and known to others
When Mang Jose says to you: “The voices are telling me bad things again!” The best response is:
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A. “Whose voices are those?”
B. “I doubt what the voices are telling you”
C. “I do not hear the voice you say you hear”
D. “Are you sure you hear these voices?”
In order to assume the sick role, Mr. Dela Cruz intentionally inflict physical symptoms in order to escape from the problems he is facing. This condition is known as?
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A. factitious disorder
B. conversion disorder
C. somatization disorder
D. hypochondriasis
According to Erikson’s Psychosocial Stages of Development, the stage in which a child needs to learn important academic skills and compare favorably with peers in school to achieve competence is the _____ stage.
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Trust vs. mistrust
integrity vs. despair
Initiative vs. guilt
Industry vs. inferiority
A patient reports fever, sore throat, or cellulitis, after 2 weeks of starting a antipsychotic therapy with clozapine. Which of the following intervention is most appropriate?
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A. Inform the patient that it is common to develop fever and sore throat when taking this drug
B. Discontinue the antipsychotic and conduct WBC and differential counts.
C. Hospitalize the patient for observation
D. Treat the patient with a broad spectrum antibiotic and continue the therapy
A family tells the nurse that they are concerned about a family member who stopped using amphetamines 3 months ago and is now acting paranoid. What is the best response by the nurse?
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A. “ A person gets symptoms of paranoia with polysubstance abuse.”
B. “ When a person uses amphetamines, paranoid tendencies may continue for months.”
C. “ Sometimes, family dynamics and a high suspicion of continued drug use make a person paranoid.”
D. “ Amphetamine abusers may have severe anxiety and paranoid thinking.”
Which of the following statements made by a client with a pain disorder shows the nurse that the goal of stress management was attained?
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A. “My arm hurts.”
B. “I enjoy being dependent on others.”
C. “I don’t really understand why I’m here.”
D. “My muscles feel relaxed after the progressive relaxation exercise.”
Becca approached you later and said “I’m sorry I slapped you. I cannot understand what made me do it.” Your MOST APPROPRIATE response would be______________.
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A. “I am glad you realize that slapping me was unacceptable.”
B. “Not to worry. It is forgotten.”
C. “It’s not pleasant to be slapped. Let’s talk about how you felt.”
D. “I was really surprised you did it to me. I thought we were friends.”
Which of the following statements made by a client with paranoid personality disorder shows that teaching about social relationships is effective?
···
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A. “As long as I live, I won’t abide by social rules.”
B. “Sometimes I can see what causes relationship problems.”
C. “I’ll find out what problems others have so I won’t repeat them.”
D. “I don’t have problems in social relationships; I never really did.”
Nurse Jackie, in spite of the incident, still considers Ace as a worthwhile simply because he is a human being. What major ingredient of a therapeutic communication is Nurse Jackie using?
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A. Self-awareness
B. Positive regard
C. Empathy
D. Comfortable sense of self
Which statement is a good example of the therapeutic communication technique of seeking consensual validation?
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A. “When you say your brother is crazy, does the word crazy mean ‘kind of wild’?
B. “Tell me what went on before the fight broke out in the gym.”
C. “Tell me more about how you feel with your brother.”
D. “Where would you like to begin?”
A schizophrenic patient tells his primary nurse that he’s scheduled to meet the King of Samoa at a special time, making it impossible for the client to leave his room for dinner. Which of the following responses by the nurse is most appropriate?
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A. “It’s meal time. Let’s go so you can eat.”
B. “The King of Samoa told me to take you to dinner.”
C. “Your physician expects you to follow the unit’s schedule.”
D. “People who don’t eat on this aren’t being cooperative.”
Which information is most important for the nurse to include in a teaching plan for a male schizophrenic client taking clozapine (Clozaril)?
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A. Report a sore throat or fever to the physician immediately.
B. Monthly blood tests will be necessary.
C. Blood pressure must be monitored for hypertension.
D. Stop the medication when symptoms subside.
A client who abuses alcohol tells a nurse, “I’m sure I can become a social drinker.”
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A. “When do you think you can become a social drinker?”
B. “What makes you think you’ll learn to drink normally?”
C. “Does your alcohol use cause major problems in your life?”
D. “How many alcoholic beverages can a social drinker consume?”
A client with a history alcohol abuse refuses to take vitamins. Which of the following statements is most appropriate for explaining why vitamins are important?
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A. “It’s important to take vitamins to stop your craving.”
B. “Prolonged use of alcohol can cause vitamin depletion.”
C. “For every vitamin you take, you’ll help your liver heal.”
D. “By taking vitamins, you don’t need to worry about your diet.”
In the Johari’s Window, the hidden area involves:
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A. those area about which you and others are unaware
B. those areas unknown to you but known to others
C. those areas about which you are aware but not known to others
D. those areas known to you and to others
Mrs. Mia bang his window after being told by her psychiatrist that she cannot have a weekend pass. Mrs. Mia is showing what kind of defense mechanism?
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A. projection
B. introjections
C. displacement
D. conversion
A nursing student falsely created symptoms of headache and toothache during their grand case presentation. These symptoms are examples of:
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A. Somatizing
B. Malingering
C. Hypochondriasis
D. Organic disorders
Iredessa a psychiatric client is to be discharged with orders for haloperidol (haldol) therapy. When developing a teaching plan for discharge, the nurse should include cautioning the client against:
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A. Driving at night.
B. Staying at the beach.
C. Ingesting wines and cheeses.
D. Taking medications containing aspirin
After fasting from 10pm the previous evening, a client finds out that the blood test has been cancelled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response?
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A. “Do you believe that I was the cause of your blood test being cancelled?”
B. “I see that you are upset, but I feel uncomfortable when you swear at me.”
C. “Have you ever thought about ways to express anger appropriately?”
D. “I’ll give you some space. Let me know if you need anything.”
During a nurse-client interaction, which nursing statement may give false reassurance to the client’s feelings and concerns?
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A. “You appear uptight.”
B. “Don’t worry. Everything will be alright.”
C. “I notice you have bitten your nails.”
D. “You are jumping to conclusions
The nurse is teaching assertiveness techniques to a group of co-dependent clients. Of the following statements, which is a therapeutic assertiveness response?
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A. “You don’t care about me.”
B. “It was your mistake, but I forgive you.”
C. “I feel you’re frustrated with me.”
D. “You’re mad at me, I can feel it. Can you tell me more about it.”
Jun approaches the nurse and tells that he hears a voice telling him that he’s evil and deserves to die. Which of the following terms describes the client’s perception?
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A. Delusion
B. Disorganized speech
C. Hallucination
D. Idea of reference
Mr. Smith, an attorney who throws books and furniture around the office after losing a case is referred to the psychiatric nurse in the law firm’s employee assistance program. Nurse Beatriz knows that the client’s behavior most likely represents the use of which defense mechanism?
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A. Displacement
B. Regression
C. Projection
D. Reaction-formation
Mark, with a diagnosis of generalized anxiety disorder wants to stop taking his lorazepam (Ativan). Which of the following important facts should nurse Betty discuss with the client about discontinuing the medication?
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A. Stopping the drug may cause depression
B. Stopping the drug increases cognitive abilities
C. Stopping the drug decreases sleeping difficulties
D. Stopping the drug can cause withdrawal symptoms
A client with malingering complains of pain in her right side that she hasn’t had before. Which of the following responses is the most appropriate?
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A. “It’s time for a group therapy now.”
B. “Tell me about this new pain you’re having. You’ll miss group therapy today.”
C. “I’ll report this pain to your physician. In the meantime, group therapy starts in 5 minutes. You must leave now to be on time.”
D. “I’ll call your physician and see if he’ll order a new pain medication. Why don’t you get some rest for now?”
Preparing the client for the termination phase begins during:
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a. pre orientation
b. orientation
c. working
d. termination
A boy is berated and beaten by his father. Within a few days, this formerly cheerful child kicks the dog and calls his sister a “stupid, stupid brat!”
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A. introjections
B. identification
C. rationalization
D. regression
A client diagnosed with bipolar disorder has been prescribed with lithium (carbonate) by his physician.Which question will help the nurse identify signs of early lithium toxicity?
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A. Have you been experiencing any nausea, vomiting or diarrhea?
B. Do you have frequent headache?
C. Have you been urinating excessively/frequently?
D. Do you experience leg aches over the past few days?
Which of the following statements would BEST represent Nurse Fe’s attempt to assess a patient’s current ability to organize and enact a suicide wish?
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A. “What is your educational background?”
B. “What plan do you have for committing suicide?”
C. “Have you ever thought about hurting yourself?
D. “Are you self-destructive thoughts frequent?”
A 42 year-old homemaker arrives at the emergency department with uncomfortable crying and anxiety. Her husband of 17 years has recently asked her for a divorce. The patient is sitting in a chair, rocking back and forth. Which is the best response for the nurse to make?
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A. “You must stop crying so that we can discuss your feelings about the divorce.”
B. “Once you find a job, you will feel much better and more secure.”
C. “I can see how upset you are. Let’s sit in the office so that we can talk about how you’re feeling.”
D. “Once you have a lawyer looking out for your interests, you will feel better.”
Nurse Allen places an object in the hand of a client with Alzheimer’s disease and asks the client to identify the object. Which of the following terms represents the client’s inability to name the object?
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A. Agnosia
B. Aphasia
C. Apraxia
D. Perseveration
Woman angry at boss and wanting to quit becomes overly kind and generous towards boss and expresses desire to keep working there.
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A. Intellectualization
B. Rationalization
C. Reaction formation
D. Denial
A client diagnosed with dependent personality disorder states, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate?
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A. “It would be best to do that in order to increase independence.”
B. “Why would you want to leave a secure home?”
C. “Let’s discuss and explore all your options.”
D. “I’m afraid you would feel very guilty leaving your parents.”
A client newly diagnosed with bipolar disorder was prescribed with lithium medication. While giving the health teaching the client keeps asking about why there is a need for frequent blood works. Which of the following statement of the nurse addressing the client’s question is true:
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A. “It will help determine if the medication dosage is still within the therapeutic level”
B. “Frequent blood works is unnecessary once medication is taken as ordered”
C. “It will help identify if the liver has been working properly”
D. “It will monitor if the medication already pass the blood brain barrier”
Vera yells at you, saying: “They’re all trying to destroy me. You’re all part of it, aren’t you?” Which of the following shall be your best response to Vera?
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A. “Thinking people are out to destroy you must be very frightening.”
B. “No, that’s not true, people here are trying to help you if you’ll let them”
C. “Everyone here is trying to help you. We don’t want to destroy you.”
D. “That is absurd. He staff is well trained. No one is trying to destroy you.”
A client has been admitted to the mental unit on a voluntary basis. The client has reported a history of depression over the past 5 years. Which of the following questions by the nurse would elicit the most thorough assessment data regarding the recent sleeping patterns of the client?
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A. “Have you been having trouble sleeping at home?”
B. “How did you sleep last night?”
C. “Tell Me about your sleeping patterns?”
D. “You look as if you could use some sleep”
A client who has been taking lithium medication for the past few years, recently got pregnant, and she is soconcerned of the effects of the medication to her child. Which of the following statement is true that wouldaddress the client’s concern?
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A. Lithium does not cross the placental barrier and poses no risk for the fetus
B. Pregnant woman with diagnosed with bipolar disorder should not take lithium meds
C. Oral contraceptive and lithium medication may result to a false-positive pregnancy test.
D. Lithium should be avoided during the latter part of the first trimester if possible.
A client with antisocial personality disorder is trying to convince a nurse that he deserves special privileges and that an exception to the rules should be made for him. Which of the following response is the most appropriate?
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A. “I believe we need to sit down and talk about this.”
B. “What you’re asking me to do for you is unacceptable.”
C. “Don’t you know better than to try to bend the rules?”
D. “Why don’t you bring this request to the community meeting?”
Nurse Dave is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:
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A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations
D. Eat only three meals per day.
A client under lithium medication reduce his dietary salt intake. Which of the following is expected to show inhis blood work?
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A. Decreased lithium level
B. Increased lithium level
C. Increased then decrease in the next result of the lithium blood work
D. No significant changes
The effectiveness of monoamine oxidase (MAO) inhibitor drug therapy in a client with posttraumatic stress disorder can be demonstrated by which of the following client self –reports?
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A. “I’m sleeping better and don’t have nightmares”
B. “I’m not losing my temper as much”
C. “I’ve lost my craving for alcohol”
D. I’ve lost my phobia for water”
Which statement is a good example of the therapeutic communication technique of providing broad opening?
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A. “When you say your brother is crazy, does the word crazy mean ‘kind of wild’?
B. “Tell me what went on before the fight broke out in the gym.”
C. “Tell me more about how you feel with your brother.”
D. “Where would you like to begin?”
Tranylcypromine sulfate (Parnate) is prescribed for a depressed client who has not responded to the tricyclic antidepressants. After teaching the client about the medication, Nurse Marian evaluates that learning has occurred when the client states, “I will avoid:
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A. Citrus fruit, tuna, and yellow vegetables.”
B. Chocolate milk, aged cheese, and yogurt’”
C. Green leafy vegetables, chicken, and milk.”
D. Whole grains, red meats, and carbonated soda.”
A client approaches the nurse points at the sky, showing her where the men would be coming from to get him. Which of the following responses is most therapeutic?
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A. “Why do you think the men are coming here?”
B. “You’re safe here; we won’t let them harm you.”
C. “It seems like the world is pretty scary for you, but you’re safe here.
D. “There are no bad men in the sky because non one lives that close to earth.”
A client with a diagnosis of major depression who attempted suicide says to the nurse. “I should have died. I’ve always been a failure. Nothing ever goes right for me. “The most therapeutic response to the client is
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A. “I don’t see you as a failure.”
B. “Feeling like this is all part of being ill.”
C. “You’ve been feeling like a failure for a while?”
D. “You have everything to live for.”
A client addicted to alcohol tells a nurse, “Making friends used to be hard for me.” Which of the following statements by the client indicates that client teaching about relationships was successful?
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A. “I’ve set limits on my behaviors toward others.”
B. “I’ve decided I need to be judgmental of others.”
C. “I won’t become intimately involved with others.”
D. “I can’t bear to see myself hurt again in a relationship.”
A young child who witnesses a crime became blind.
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A. Intellectualization
B. Rationalization
C. Conversion
D. Denial
An individual states that she didn’t win the race because she hadn’t gotten a good night’s sleep. This is what type of defense mechanism?
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A. intellectualization
B. rationalization
C. compensation
D. suppression
An adult has a temper tantrum when he doesn’t get his way. What defense mechanism does this reveal?
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A. introjections
B. identification
C. rationalization
D. regression
Clark is admitted with a diagnosis of delusions of grandeur. The nurse is aware that this diagnosis reflects a belief that one is:
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A. Highly important or famous.
B. Being persecuted.
C. Connected to events unrelated to oneself.
D. Responsible for the evil in the world.
Dennis has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms?
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A. Weakness
B. Diarrhea
C. Blurred vision
D. Fecal Incontinence
The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered?
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A. To reduce psychotic symptoms
B. To reduce extrapyramidal symptoms
C. To control nausea and vomiting
D. To relieve anxiety
After a while Michael felt guilty about what he did. This behavior is directed by:
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A. Id
B. Ego
C. Superego
D. Eros
What would be your most therapeutic response to a manic patient demanding that you call his attending physician to make an order for a pass to go out at the middle of the night?
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A. “You go to the recreation hall now while I call your attending physician.”
B. “You must really be upset to want a pass immediately. I will give you a medication to make you calm.”
C. “I can’t call your physician now but you can talk to me about your request to pass.”
D. “Don’t be unreasonable. I can’t call your attending physician in the middle of the night.”
Nurse Judy knows that statistics show that in adolescent suicide behavior:
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A. Females use more dramatic methods than males
B. Males account for more attempts than do females
C.Females talk more about suicide before attempting it
D. Males are more likely to use lethal methods than are females
A client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, “You know, it felt so wonderful to get high.” Which of the following is the most appropriate response?
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A. “If you continue to talk like that, I’m going to stop speaking to you.”
B. “Can you give me two negative effects of using drugs in your life.”
C. “Tell me more about how it felt to get high.”
D. “It seems that you are enjoying its effect. Can you tell more about it?”
Rodessa with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication?
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A. Sodium
B. Potassium
C. Calcium
D. Chloride
Hypochondriasis disorder is define as :
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A. Brain imaging shows marked abnormalities.
B. Preoccupation with the fear or belief that one has a serious illness (disease conviction)
C. Is frequently comorbid with anxiety and depressive illness
D. Has an increased incidence of suicide
Medications have been tried for somatization disorder. Which of the following drugs have been shown to be effective in some cases?
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A. Antianxiety agents
B. SSRIs
C. Antipsychotics
D. Antihypertensive drugs
A client with major depression is considering cognitive therapy. The client say to the nurse, “How does this treatment works?” The nurse responds by telling the client that:
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A. “This type of treatment helps you examine how your thoughts and feelings contribute to your difficulties”
B. “This type of treatment helps you examine how your past life has contributed to your problems.”
C. “This type of treatment helps you to confront your fears by exposing you to the feared object abruptly.
D. “This type of treatment will help you relax and develop new coping skills.”
Norma, a 42-year-old client with a diagnosis of chronic undifferentiated schizophrenia lives in a rooming house that has a weekly nursing clinic. She scratches while she tells the nurse she feels creatures eating away at her skin. Which of the following interventions should be done first?
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A. Talk about his hallucinations and fears
B. Refer him for anticholinergic adverse reactions
C. Assess for possible physical problems such as rash
D. Call his physician to get his medication increased to control his psychosis
After being diagnosed with cancer, Greg learns everything he can about his illness. His response is an example of:
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A. rationalization
B. intellectualization
C. identification
D. sublimation
Even though Michael needed money, he decided not to steal the money because he didn’t want to get in trouble instead he returned it to Nicka. This behavior is directed by what personality?
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A. Id
B. Ego
C. Superego
D. Conscience
Which of the following nursing interventions will help a client with progressive memory deficit function in his environment?
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A. Help the client do simple tasks by giving step-by-step directions.
B. Avoid frustrating the client by performing basic care routines for the client.
C. Stimulate the client’s intellectual functioning by bringing new topics to the client’s attention
D. promote the use of the client’s sense of humor by telling jokes or riddles and discussing cartoons.
A client has been admitted with a diagnosis of post-traumatic stress disorder. The nurse tells the client that talking is part in her therapy. The client tells the nurse, “How can talking to you, possibly help me?”. The nurses appropriate response would be:
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A. "I can see how you would feel that way now, but hopefully youll change your mind.”
B. “Hopefully, you and I can help sort out your thoughts and feelings so you can better understand them.”
C. “The one-to-one relationship has proven itself very helpful to others. Why don`t you give it a try?”
D. “You will never know whether or not it is helpful unless you are willing to give it a try.”
Which nursing intervention would be most appropriate if a male client develop orthostatic hypotension while taking amitriptyline (Elavil)?
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A. Consulting with the physician about substituting a different type of antidepressant.
B. Instructing the client to double the dosage until the problem resolves.
C. Informing the client that this adverse reaction should disappear within 1 week.
D. Advising the client to sit up for 1 minute before getting out of bed.
The statement “If you’re dead, why is your heart beating?” is an example of what type of non-therapeutic communication?
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A. defending
B. disapproving
C. challenging
D. giving advice
James is admitted with a diagnosis of schizotypal personality disorder. Which signs would this client exhibit during social situations?
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A. Aggressive behavior
B. Paranoid thoughts
C. Emotional affect
D. Independence needs
In psychoanalytic theory, the defense mechanism that involves banishing threatening thoughts, feelings, and memories into the unconscious mind is known as:
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A. Repression
B. pleasure principle
C. reality principle
D. rationalization
Giving false reassurance is one of the barriers in a therapeutic communication. Which of the following statements is an example of this?
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A. “You have a surgeon who has done this procedure a lot of times.”
B. “Your family will be able to see you once you are awake.”
C. “Your surgeon can do this procedure even with his eyes closed.”
D. “You’ll go through this procedure without any problem.”
Terrence has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms?
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A. Weakness
B. Diarrhea
C. Blurred Vision
D. Fecal incontinence
“Pseudoparkinsonism” is a term used to refer:
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A. post injury Parkinsonism
B. Parkinsonism with depression
C. drug-induced Parkinsonism
D. post-encephalitic Parkinsonism
The statement “Yes. I hear what you are saying” is an example of what type of non-therapeutic communication?
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A. restating
B. providing general leads
C. accepting messages
D. focusing
Which of the following statements is typical for a client diagnosed with paranoid personality disorder?
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A. “I understand you’re to blame.”
B. “I must be seen first; it’s not negotiable.”
C. “I see nothing humorous in this situation.”
D. “I wish someone would select the outfit for me.”
Michael saw a 500 peso bill fall out of Nicka’s backpack as he pulled her books out of her locker. As Nicka walked away, Michael bent over, picked up the money, and slipped it into his pocket, glancing around to make sure no one was looking. According to Freud, this behavior is directed by what type of personality.
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A. Id
B. Ego
C. Superego
D. Conscience
The Johari’s window outlines the self within four areas, or panes: the open pane, the blind pane, the hidden pane, and the _____________.
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A. Disclosed pane
B. Unknown pane
C. Close pane
D. Known pane
Which of the following statements made by a nurse will help a client diagnosed with somatoform pain disorder become independent in self-care?
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C. “I’ll call you for all the group activities.”
D. “We’ll wait until you have no more pain before you participate in activities.”
A. “The staff will help you with your basic needs for today.”
B. “I’ll help you on a daily basis with your care.”
A client has just begun to discuss important feelings when the time of the interview is up. The next day, when the nurse meets with the client at the agreed-upon time, the initial intervention would be to say:
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A. “Good morning! How are you today?”
B. “Yesterday you were talking about some very important feelings. Let’s continue.”
C. “What would you like to talk about today?”
D. Nothing and wait for the client to open a topic.
Raul says “I’m so afraid! Where I am? Where is my family’?” How should the nurse respond?
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A. “You are in the hospital and you’re safe here. Your family will return at 10 o’clock, which is one hour from now”
B. “You know were you are. You were admitted here 2 weeks ago. Don’t worry your family will be back soon.”
C. “I just told you that you’re in the hospital and your family will be here soon.”
D. “The name of the hospital is on the sigh over the door. Let’s go read it again.”
Nurse Erick is caring for a client who has been treated long term with antipsychotic medication. During the assessment, Nurse Erick checks the client for tardive dyskinesia. If tardive dyskinesia is present, Nurse Erick would most likely observe:
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A. Abnormal breathing through the nostrils accompanied by a “thrill.”
B. Abnormal movements and involuntary movements of the mouth, tongue, and face.
C. Severe headache, flushing, tremors, and ataxia.
D. Severe hypertension, migraine headache.
Nicolas is experiencing hallucinations tells the nurse, “The voices are telling me I’m no good.” The client asks if the nurse hears the voices. The most appropriate response by the nurse would be:
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A. “It is the voice of your conscience, which only you can control.”
B. “No, I do not hear your voices, but I believe you can hear them”.
C. “The voices are coming from within you and only you can hear them.”
D. “Oh, the voices are a symptom of your illness; don’t pay any attention to them.”
A client tells a nurse, “I’m not going to have problems from smoking marijuana.” Which of the following responses is most accurate?
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A. “Evidence shows it can cause major health problems.”
B. “Marijuana can cause reproductive problems later.”
C. “Smoking marijuana isn’t as dangerous as smoking cigarettes.”
D. “Some people have minor or no reactions to smoking marijuana.”
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A client who abused alcohol for more than 20 years is diagnosed with cirrhosis of the liver. Which of the following statements by the client shows that teaching has been effective?
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A. “If I decide to stop drinking, I won’t kill myself.”
B. “If I watch my blood pressure, I should be okay.”
C. “If I take vitamins, I can undo some liver damage.”
D. “If I use nutritional supplements, I won’t have problems.”
According to Erikson, fixation in this stage will result to independence-fear conflict and severe feelings of hesitancy.
0/1
A. industry vs. inferiority
B. autonomy vs. shame and doubt
C. initiative vs. guilt
D. identity vs. role confusion
Rocky has started taking haloperidol (Haldol). Which of the following instructions is most appropriate for Ricky before taking haloperidol?
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A. Should report feelings of restlessness or agitation at once
B. Use a sunscreen outdoors on a year round basis
C. Be aware you’ll feel increased energy taking this drug
D. This drug will indirectly control essential hypertension
A client recovering from alcohol addiction asks a nurse how to talk to his children about the impact of his addiction on them. Which of the following responses is most appropriate?
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A. “Try to limit references to the addiction and focus on the present.”
B. “Talk about all the hardships you’ve in working to remain sober.”
C. “Tell them you’re sorry, and emphasize that you’re doing so much better now.”
D. “Talk to them by acknowledging the difficulties and pain you’re drinking caused.”
Nurse John is a aware that most crisis situations should resolve in about:
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A. 4-12 months
B. 4-6 months
C. 1-2 weeks
D. 4-6 weeks
The basis for a therapeutic nurse-patient relationship begins with the nurse’s____ before they are deployed in the ward.
1/1
A. sincere desire to help others
B. acceptance of others
C. self awareness and understanding
D. sound knowledge of psychiatric nursing
The statement “You said, you hate all your brothers. Tell me about Carlo first” is an example of what type of non-therapeutic communication?
1/1
A. restating
B. focusing
C. accepting messages
D. exploring
A client with a history of panic attacks who says, “I felt so trapped,” right after an attack most likely has which of the following fears?
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A. loss of control
B. loss of identity
C. loss of memory
D. loss of maturity
The nurse on duty prioritizes patient who has a huge resemblance of her ex-boyfriend over other patients. This behavior is an example of:
1/1
A. Countertransference
B. Transference
C. Genuineness
D. Acceptance
A schizophrenic patient on treatment with antipsychotic drugs reports to Nurse Brighton that he cannot keep still and feel a compulsion to move. Nurse Brighton suspect that the patient is experiencing:
0/1
A. tardive dyskinesia
B. akathisia
C. Pseudoparkinsonism
D. acute dystonia
Which of the following statements made by a client best meets the diagnostic criteria for pain disorder?
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A. “I can’t move my right leg.”
B. “I’m having severe stomach and leg pain.”
C. “I’m so afraid I might have human immunodeficiency virus.”
D. “I’m having chest pain and pain radiating down my left arm that began more than 1 hour.”
A type of somatoform disorder wherein client may have slight or no physical deformity but the reaction or preoccupation is out of proportion to the degree of deformity
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A. Somatization
B. Body dysmorphic disorder
C. Conversion disorder
D. Pain disorder
An 83year-old male client is in extended care facility is anxious most of the time and frequently complains of a number of vague symptoms that interfere with his ability to eat. These symptoms indicate which of the following disorders?
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A. Conversion disorder
B. Hypochondriasis
C. Severe anxiety
D. Sublimation
A client who abuses alcohol tells a nurse everyone in his family has an alcohol problem and nothing can be done about it. Which of the following responses is the most appropriate?
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A. “You’re right, it’s much harder to become a recovering person.”
B. “This is just an excuse for you so you don’t have to work on becoming sober.”
C. “Sometimes nothing can be done, but you may be the exception in this family.”
D. “Alcohol problems can occur in families, but you can decide to take the steps to become and stay sober.”
A client asks a nurse if she hears the voice of the non-existent man speaking to him. Which of the following responses is best?
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A. “No one is in your room except you.”
B. “Yes, I hear him, but I won’t listen to him.”
C. “What has he told you? Is it helpful advice?
D. “No, I don’t hear him, but I know you do. What is he saying?
Sheila states to the nurse, “When I get out of the hospital, I want to be a nurse just like you.” What defense mechanism does this reveal?
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A. identification
B. conversion
C. introjections
D. projection
The statement “If I were you, I would do…” is an example of what type of non-therapeutic communication?
1/1
A. defending
B. disapproving
C. challenging
D. giving advice
According to the Johari’s Window self disclosure model, the “blind” window represents information about yourself that is ________________.
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A. not known to others and not known to you
B. known to you and known to others
C. known to you and not known to others
D. not known to you and known to others
When Mang Jose says to you: “The voices are telling me bad things again!” The best response is:
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A. “Whose voices are those?”
B. “I doubt what the voices are telling you”
C. “I do not hear the voice you say you hear”
D. “Are you sure you hear these voices?”
In order to assume the sick role, Mr. Dela Cruz intentionally inflict physical symptoms in order to escape from the problems he is facing. This condition is known as?
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A. factitious disorder
B. conversion disorder
C. somatization disorder
D. hypochondriasis
According to Erikson’s Psychosocial Stages of Development, the stage in which a child needs to learn important academic skills and compare favorably with peers in school to achieve competence is the _____ stage.
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Trust vs. mistrust
integrity vs. despair
Initiative vs. guilt
Industry vs. inferiority
A patient reports fever, sore throat, or cellulitis, after 2 weeks of starting a antipsychotic therapy with clozapine. Which of the following intervention is most appropriate?
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A. Inform the patient that it is common to develop fever and sore throat when taking this drug
B. Discontinue the antipsychotic and conduct WBC and differential counts.
C. Hospitalize the patient for observation
D. Treat the patient with a broad spectrum antibiotic and continue the therapy
A family tells the nurse that they are concerned about a family member who stopped using amphetamines 3 months ago and is now acting paranoid. What is the best response by the nurse?
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A. “ A person gets symptoms of paranoia with polysubstance abuse.”
B. “ When a person uses amphetamines, paranoid tendencies may continue for months.”
C. “ Sometimes, family dynamics and a high suspicion of continued drug use make a person paranoid.”
D. “ Amphetamine abusers may have severe anxiety and paranoid thinking.”
Which of the following statements made by a client with a pain disorder shows the nurse that the goal of stress management was attained?
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A. “My arm hurts.”
B. “I enjoy being dependent on others.”
C. “I don’t really understand why I’m here.”
D. “My muscles feel relaxed after the progressive relaxation exercise.”
Becca approached you later and said “I’m sorry I slapped you. I cannot understand what made me do it.” Your MOST APPROPRIATE response would be______________.
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A. “I am glad you realize that slapping me was unacceptable.”
B. “Not to worry. It is forgotten.”
C. “It’s not pleasant to be slapped. Let’s talk about how you felt.”
D. “I was really surprised you did it to me. I thought we were friends.”
Which of the following statements made by a client with paranoid personality disorder shows that teaching about social relationships is effective?
···
/1
A. “As long as I live, I won’t abide by social rules.”
B. “Sometimes I can see what causes relationship problems.”
C. “I’ll find out what problems others have so I won’t repeat them.”
D. “I don’t have problems in social relationships; I never really did.”
Nurse Jackie, in spite of the incident, still considers Ace as a worthwhile simply because he is a human being. What major ingredient of a therapeutic communication is Nurse Jackie using?
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A. Self-awareness
B. Positive regard
C. Empathy
D. Comfortable sense of self
Which statement is a good example of the therapeutic communication technique of seeking consensual validation?
1/1
A. “When you say your brother is crazy, does the word crazy mean ‘kind of wild’?
B. “Tell me what went on before the fight broke out in the gym.”
C. “Tell me more about how you feel with your brother.”
D. “Where would you like to begin?”
A schizophrenic patient tells his primary nurse that he’s scheduled to meet the King of Samoa at a special time, making it impossible for the client to leave his room for dinner. Which of the following responses by the nurse is most appropriate?
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A. “It’s meal time. Let’s go so you can eat.”
B. “The King of Samoa told me to take you to dinner.”
C. “Your physician expects you to follow the unit’s schedule.”
D. “People who don’t eat on this aren’t being cooperative.”
Which information is most important for the nurse to include in a teaching plan for a male schizophrenic client taking clozapine (Clozaril)?
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A. Report a sore throat or fever to the physician immediately.
B. Monthly blood tests will be necessary.
C. Blood pressure must be monitored for hypertension.
D. Stop the medication when symptoms subside.
A client who abuses alcohol tells a nurse, “I’m sure I can become a social drinker.”
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A. “When do you think you can become a social drinker?”
B. “What makes you think you’ll learn to drink normally?”
C. “Does your alcohol use cause major problems in your life?”
D. “How many alcoholic beverages can a social drinker consume?”
A client with a history alcohol abuse refuses to take vitamins. Which of the following statements is most appropriate for explaining why vitamins are important?
1/1
A. “It’s important to take vitamins to stop your craving.”
B. “Prolonged use of alcohol can cause vitamin depletion.”
C. “For every vitamin you take, you’ll help your liver heal.”
D. “By taking vitamins, you don’t need to worry about your diet.”
In the Johari’s Window, the hidden area involves:
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A. those area about which you and others are unaware
B. those areas unknown to you but known to others
C. those areas about which you are aware but not known to others
D. those areas known to you and to others
Mrs. Mia bang his window after being told by her psychiatrist that she cannot have a weekend pass. Mrs. Mia is showing what kind of defense mechanism?
1/1
A. projection
B. introjections
C. displacement
D. conversion
A nursing student falsely created symptoms of headache and toothache during their grand case presentation. These symptoms are examples of:
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A. Somatizing
B. Malingering
C. Hypochondriasis
D. Organic disorders
Iredessa a psychiatric client is to be discharged with orders for haloperidol (haldol) therapy. When developing a teaching plan for discharge, the nurse should include cautioning the client against:
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A. Driving at night.
B. Staying at the beach.
C. Ingesting wines and cheeses.
D. Taking medications containing aspirin
After fasting from 10pm the previous evening, a client finds out that the blood test has been cancelled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response?
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A. “Do you believe that I was the cause of your blood test being cancelled?”
B. “I see that you are upset, but I feel uncomfortable when you swear at me.”
C. “Have you ever thought about ways to express anger appropriately?”
D. “I’ll give you some space. Let me know if you need anything.”
During a nurse-client interaction, which nursing statement may give false reassurance to the client’s feelings and concerns?
1/1
A. “You appear uptight.”
B. “Don’t worry. Everything will be alright.”
C. “I notice you have bitten your nails.”
D. “You are jumping to conclusions
The nurse is teaching assertiveness techniques to a group of co-dependent clients. Of the following statements, which is a therapeutic assertiveness response?
0/1
A. “You don’t care about me.”
B. “It was your mistake, but I forgive you.”
C. “I feel you’re frustrated with me.”
D. “You’re mad at me, I can feel it. Can you tell me more about it.”
Jun approaches the nurse and tells that he hears a voice telling him that he’s evil and deserves to die. Which of the following terms describes the client’s perception?
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A. Delusion
B. Disorganized speech
C. Hallucination
D. Idea of reference
Mr. Smith, an attorney who throws books and furniture around the office after losing a case is referred to the psychiatric nurse in the law firm’s employee assistance program. Nurse Beatriz knows that the client’s behavior most likely represents the use of which defense mechanism?
1/1
A. Displacement
B. Regression
C. Projection
D. Reaction-formation
Mark, with a diagnosis of generalized anxiety disorder wants to stop taking his lorazepam (Ativan). Which of the following important facts should nurse Betty discuss with the client about discontinuing the medication?
1/1
A. Stopping the drug may cause depression
B. Stopping the drug increases cognitive abilities
C. Stopping the drug decreases sleeping difficulties
D. Stopping the drug can cause withdrawal symptoms
A client with malingering complains of pain in her right side that she hasn’t had before. Which of the following responses is the most appropriate?
1/1
A. “It’s time for a group therapy now.”
B. “Tell me about this new pain you’re having. You’ll miss group therapy today.”
C. “I’ll report this pain to your physician. In the meantime, group therapy starts in 5 minutes. You must leave now to be on time.”
D. “I’ll call your physician and see if he’ll order a new pain medication. Why don’t you get some rest for now?”
Preparing the client for the termination phase begins during:
1/1
a. pre orientation
b. orientation
c. working
d. termination
A boy is berated and beaten by his father. Within a few days, this formerly cheerful child kicks the dog and calls his sister a “stupid, stupid brat!”
1/1
A. introjections
B. identification
C. rationalization
D. regression
A client diagnosed with bipolar disorder has been prescribed with lithium (carbonate) by his physician.Which question will help the nurse identify signs of early lithium toxicity?
1/1
A. Have you been experiencing any nausea, vomiting or diarrhea?
B. Do you have frequent headache?
C. Have you been urinating excessively/frequently?
D. Do you experience leg aches over the past few days?
Which of the following statements would BEST represent Nurse Fe’s attempt to assess a patient’s current ability to organize and enact a suicide wish?
0/1
A. “What is your educational background?”
B. “What plan do you have for committing suicide?”
C. “Have you ever thought about hurting yourself?
D. “Are you self-destructive thoughts frequent?”
A 42 year-old homemaker arrives at the emergency department with uncomfortable crying and anxiety. Her husband of 17 years has recently asked her for a divorce. The patient is sitting in a chair, rocking back and forth. Which is the best response for the nurse to make?
1/1
A. “You must stop crying so that we can discuss your feelings about the divorce.”
B. “Once you find a job, you will feel much better and more secure.”
C. “I can see how upset you are. Let’s sit in the office so that we can talk about how you’re feeling.”
D. “Once you have a lawyer looking out for your interests, you will feel better.”
Nurse Allen places an object in the hand of a client with Alzheimer’s disease and asks the client to identify the object. Which of the following terms represents the client’s inability to name the object?
1/1
A. Agnosia
B. Aphasia
C. Apraxia
D. Perseveration
Woman angry at boss and wanting to quit becomes overly kind and generous towards boss and expresses desire to keep working there.
1/1
A. Intellectualization
B. Rationalization
C. Reaction formation
D. Denial
A client diagnosed with dependent personality disorder states, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate?
1/1
A. “It would be best to do that in order to increase independence.”
B. “Why would you want to leave a secure home?”
C. “Let’s discuss and explore all your options.”
D. “I’m afraid you would feel very guilty leaving your parents.”
A client newly diagnosed with bipolar disorder was prescribed with lithium medication. While giving the health teaching the client keeps asking about why there is a need for frequent blood works. Which of the following statement of the nurse addressing the client’s question is true:
1/1
A. “It will help determine if the medication dosage is still within the therapeutic level”
B. “Frequent blood works is unnecessary once medication is taken as ordered”
C. “It will help identify if the liver has been working properly”
D. “It will monitor if the medication already pass the blood brain barrier”
Vera yells at you, saying: “They’re all trying to destroy me. You’re all part of it, aren’t you?” Which of the following shall be your best response to Vera?
1/1
A. “Thinking people are out to destroy you must be very frightening.”
B. “No, that’s not true, people here are trying to help you if you’ll let them”
C. “Everyone here is trying to help you. We don’t want to destroy you.”
D. “That is absurd. He staff is well trained. No one is trying to destroy you.”
A client has been admitted to the mental unit on a voluntary basis. The client has reported a history of depression over the past 5 years. Which of the following questions by the nurse would elicit the most thorough assessment data regarding the recent sleeping patterns of the client?
1/1
A. “Have you been having trouble sleeping at home?”
B. “How did you sleep last night?”
C. “Tell Me about your sleeping patterns?”
D. “You look as if you could use some sleep”
A client who has been taking lithium medication for the past few years, recently got pregnant, and she is soconcerned of the effects of the medication to her child. Which of the following statement is true that wouldaddress the client’s concern?
1/1
A. Lithium does not cross the placental barrier and poses no risk for the fetus
B. Pregnant woman with diagnosed with bipolar disorder should not take lithium meds
C. Oral contraceptive and lithium medication may result to a false-positive pregnancy test.
D. Lithium should be avoided during the latter part of the first trimester if possible.
A client with antisocial personality disorder is trying to convince a nurse that he deserves special privileges and that an exception to the rules should be made for him. Which of the following response is the most appropriate?
1/1
A. “I believe we need to sit down and talk about this.”
B. “What you’re asking me to do for you is unacceptable.”
C. “Don’t you know better than to try to bend the rules?”
D. “Why don’t you bring this request to the community meeting?”
Nurse Dave is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:
1/1
A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations
D. Eat only three meals per day.
A client under lithium medication reduce his dietary salt intake. Which of the following is expected to show inhis blood work?
1/1
A. Decreased lithium level
B. Increased lithium level
C. Increased then decrease in the next result of the lithium blood work
D. No significant changes
The effectiveness of monoamine oxidase (MAO) inhibitor drug therapy in a client with posttraumatic stress disorder can be demonstrated by which of the following client self –reports?
1/1
A. “I’m sleeping better and don’t have nightmares”
B. “I’m not losing my temper as much”
C. “I’ve lost my craving for alcohol”
D. I’ve lost my phobia for water”
Which statement is a good example of the therapeutic communication technique of providing broad opening?
1/1
A. “When you say your brother is crazy, does the word crazy mean ‘kind of wild’?
B. “Tell me what went on before the fight broke out in the gym.”
C. “Tell me more about how you feel with your brother.”
D. “Where would you like to begin?”
Tranylcypromine sulfate (Parnate) is prescribed for a depressed client who has not responded to the tricyclic antidepressants. After teaching the client about the medication, Nurse Marian evaluates that learning has occurred when the client states, “I will avoid:
1/1
A. Citrus fruit, tuna, and yellow vegetables.”
B. Chocolate milk, aged cheese, and yogurt’”
C. Green leafy vegetables, chicken, and milk.”
D. Whole grains, red meats, and carbonated soda.”
A client approaches the nurse points at the sky, showing her where the men would be coming from to get him. Which of the following responses is most therapeutic?
1/1
A. “Why do you think the men are coming here?”
B. “You’re safe here; we won’t let them harm you.”
C. “It seems like the world is pretty scary for you, but you’re safe here.
D. “There are no bad men in the sky because non one lives that close to earth.”
A client with a diagnosis of major depression who attempted suicide says to the nurse. “I should have died. I’ve always been a failure. Nothing ever goes right for me. “The most therapeutic response to the client is
1/1
A. “I don’t see you as a failure.”
B. “Feeling like this is all part of being ill.”
C. “You’ve been feeling like a failure for a while?”
D. “You have everything to live for.”
A client addicted to alcohol tells a nurse, “Making friends used to be hard for me.” Which of the following statements by the client indicates that client teaching about relationships was successful?
1/1
A. “I’ve set limits on my behaviors toward others.”
B. “I’ve decided I need to be judgmental of others.”
C. “I won’t become intimately involved with others.”
D. “I can’t bear to see myself hurt again in a relationship.”
A young child who witnesses a crime became blind.
1/1
A. Intellectualization
B. Rationalization
C. Conversion
D. Denial
An individual states that she didn’t win the race because she hadn’t gotten a good night’s sleep. This is what type of defense mechanism?
1/1
A. intellectualization
B. rationalization
C. compensation
D. suppression
An adult has a temper tantrum when he doesn’t get his way. What defense mechanism does this reveal?
1/1
A. introjections
B. identification
C. rationalization
D. regression
Clark is admitted with a diagnosis of delusions of grandeur. The nurse is aware that this diagnosis reflects a belief that one is:
1/1
A. Highly important or famous.
B. Being persecuted.
C. Connected to events unrelated to oneself.
D. Responsible for the evil in the world.
Dennis has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms?
0/1
A. Weakness
B. Diarrhea
C. Blurred vision
D. Fecal Incontinence
The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered?
1/1
A. To reduce psychotic symptoms
B. To reduce extrapyramidal symptoms
C. To control nausea and vomiting
D. To relieve anxiety
After a while Michael felt guilty about what he did. This behavior is directed by:
1/1
A. Id
B. Ego
C. Superego
D. Eros
What would be your most therapeutic response to a manic patient demanding that you call his attending physician to make an order for a pass to go out at the middle of the night?
1/1
A. “You go to the recreation hall now while I call your attending physician.”
B. “You must really be upset to want a pass immediately. I will give you a medication to make you calm.”
C. “I can’t call your physician now but you can talk to me about your request to pass.”
D. “Don’t be unreasonable. I can’t call your attending physician in the middle of the night.”
Nurse Judy knows that statistics show that in adolescent suicide behavior:
1/1
A. Females use more dramatic methods than males
B. Males account for more attempts than do females
C.Females talk more about suicide before attempting it
D. Males are more likely to use lethal methods than are females
A client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, “You know, it felt so wonderful to get high.” Which of the following is the most appropriate response?
0/1
A. “If you continue to talk like that, I’m going to stop speaking to you.”
B. “Can you give me two negative effects of using drugs in your life.”
C. “Tell me more about how it felt to get high.”
D. “It seems that you are enjoying its effect. Can you tell more about it?”
Rodessa with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication?
1/1
A. Sodium
B. Potassium
C. Calcium
D. Chloride
Hypochondriasis disorder is define as :
1/1
A. Brain imaging shows marked abnormalities.
B. Preoccupation with the fear or belief that one has a serious illness (disease conviction)
C. Is frequently comorbid with anxiety and depressive illness
D. Has an increased incidence of suicide
Medications have been tried for somatization disorder. Which of the following drugs have been shown to be effective in some cases?
1/1
A. Antianxiety agents
B. SSRIs
C. Antipsychotics
D. Antihypertensive drugs
A client with major depression is considering cognitive therapy. The client say to the nurse, “How does this treatment works?” The nurse responds by telling the client that:
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A. “This type of treatment helps you examine how your thoughts and feelings contribute to your difficulties”
B. “This type of treatment helps you examine how your past life has contributed to your problems.”
C. “This type of treatment helps you to confront your fears by exposing you to the feared object abruptly.
D. “This type of treatment will help you relax and develop new coping skills.”
Norma, a 42-year-old client with a diagnosis of chronic undifferentiated schizophrenia lives in a rooming house that has a weekly nursing clinic. She scratches while she tells the nurse she feels creatures eating away at her skin. Which of the following interventions should be done first?
1/1
A. Talk about his hallucinations and fears
B. Refer him for anticholinergic adverse reactions
C. Assess for possible physical problems such as rash
D. Call his physician to get his medication increased to control his psychosis
After being diagnosed with cancer, Greg learns everything he can about his illness. His response is an example of:
1/1
A. rationalization
B. intellectualization
C. identification
D. sublimation
Even though Michael needed money, he decided not to steal the money because he didn’t want to get in trouble instead he returned it to Nicka. This behavior is directed by what personality?
1/1
A. Id
B. Ego
C. Superego
D. Conscience
Which of the following nursing interventions will help a client with progressive memory deficit function in his environment?
1/1
A. Help the client do simple tasks by giving step-by-step directions.
B. Avoid frustrating the client by performing basic care routines for the client.
C. Stimulate the client’s intellectual functioning by bringing new topics to the client’s attention
D. promote the use of the client’s sense of humor by telling jokes or riddles and discussing cartoons.
A client has been admitted with a diagnosis of post-traumatic stress disorder. The nurse tells the client that talking is part in her therapy. The client tells the nurse, “How can talking to you, possibly help me?”. The nurses appropriate response would be:
1/1
A. "I can see how you would feel that way now, but hopefully youll change your mind.”
B. “Hopefully, you and I can help sort out your thoughts and feelings so you can better understand them.”
C. “The one-to-one relationship has proven itself very helpful to others. Why don`t you give it a try?”
D. “You will never know whether or not it is helpful unless you are willing to give it a try.”
Which nursing intervention would be most appropriate if a male client develop orthostatic hypotension while taking amitriptyline (Elavil)?
0/1
A. Consulting with the physician about substituting a different type of antidepressant.
B. Instructing the client to double the dosage until the problem resolves.
C. Informing the client that this adverse reaction should disappear within 1 week.
D. Advising the client to sit up for 1 minute before getting out of bed.
The statement “If you’re dead, why is your heart beating?” is an example of what type of non-therapeutic communication?
1/1
A. defending
B. disapproving
C. challenging
D. giving advice
James is admitted with a diagnosis of schizotypal personality disorder. Which signs would this client exhibit during social situations?
1/1
A. Aggressive behavior
B. Paranoid thoughts
C. Emotional affect
D. Independence needs
In psychoanalytic theory, the defense mechanism that involves banishing threatening thoughts, feelings, and memories into the unconscious mind is known as:
1/1
A. Repression
B. pleasure principle
C. reality principle
D. rationalization
Giving false reassurance is one of the barriers in a therapeutic communication. Which of the following statements is an example of this?
1/1
A. “You have a surgeon who has done this procedure a lot of times.”
B. “Your family will be able to see you once you are awake.”
C. “Your surgeon can do this procedure even with his eyes closed.”
D. “You’ll go through this procedure without any problem.”
Terrence has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms?
1/1
A. Weakness
B. Diarrhea
C. Blurred Vision
D. Fecal incontinence
“Pseudoparkinsonism” is a term used to refer:
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A. post injury Parkinsonism
B. Parkinsonism with depression
C. drug-induced Parkinsonism
D. post-encephalitic Parkinsonism
The statement “Yes. I hear what you are saying” is an example of what type of non-therapeutic communication?
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A. restating
B. providing general leads
C. accepting messages
D. focusing
Which of the following statements is typical for a client diagnosed with paranoid personality disorder?
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A. “I understand you’re to blame.”
B. “I must be seen first; it’s not negotiable.”
C. “I see nothing humorous in this situation.”
D. “I wish someone would select the outfit for me.”
Michael saw a 500 peso bill fall out of Nicka’s backpack as he pulled her books out of her locker. As Nicka walked away, Michael bent over, picked up the money, and slipped it into his pocket, glancing around to make sure no one was looking. According to Freud, this behavior is directed by what type of personality.
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A. Id
B. Ego
C. Superego
D. Conscience
The Johari’s window outlines the self within four areas, or panes: the open pane, the blind pane, the hidden pane, and the _____________.
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A. Disclosed pane
B. Unknown pane
C. Close pane
D. Known pane
Which of the following statements made by a nurse will help a client diagnosed with somatoform pain disorder become independent in self-care?
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C. “I’ll call you for all the group activities.”
D. “We’ll wait until you have no more pain before you participate in activities.”
A. “The staff will help you with your basic needs for today.”
B. “I’ll help you on a daily basis with your care.”
A client has just begun to discuss important feelings when the time of the interview is up. The next day, when the nurse meets with the client at the agreed-upon time, the initial intervention would be to say:
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A. “Good morning! How are you today?”
B. “Yesterday you were talking about some very important feelings. Let’s continue.”
C. “What would you like to talk about today?”
D. Nothing and wait for the client to open a topic.
Raul says “I’m so afraid! Where I am? Where is my family’?” How should the nurse respond?
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A. “You are in the hospital and you’re safe here. Your family will return at 10 o’clock, which is one hour from now”
B. “You know were you are. You were admitted here 2 weeks ago. Don’t worry your family will be back soon.”
C. “I just told you that you’re in the hospital and your family will be here soon.”
D. “The name of the hospital is on the sigh over the door. Let’s go read it again.”
Nurse Erick is caring for a client who has been treated long term with antipsychotic medication. During the assessment, Nurse Erick checks the client for tardive dyskinesia. If tardive dyskinesia is present, Nurse Erick would most likely observe:
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A. Abnormal breathing through the nostrils accompanied by a “thrill.”
B. Abnormal movements and involuntary movements of the mouth, tongue, and face.
C. Severe headache, flushing, tremors, and ataxia.
D. Severe hypertension, migraine headache.
Nicolas is experiencing hallucinations tells the nurse, “The voices are telling me I’m no good.” The client asks if the nurse hears the voices. The most appropriate response by the nurse would be:
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A. “It is the voice of your conscience, which only you can control.”
B. “No, I do not hear your voices, but I believe you can hear them”.
C. “The voices are coming from within you and only you can hear them.”
D. “Oh, the voices are a symptom of your illness; don’t pay any attention to them.”
A client tells a nurse, “I’m not going to have problems from smoking marijuana.” Which of the following responses is most accurate?
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A. “Evidence shows it can cause major health problems.”
B. “Marijuana can cause reproductive problems later.”
C. “Smoking marijuana isn’t as dangerous as smoking cigarettes.”
D. “Some people have minor or no reactions to smoking marijuana.”
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A client who abused alcohol for more than 20 years is diagnosed with cirrhosis of the liver. Which of the following statements by the client shows that teaching has been effective?
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A. “If I decide to stop drinking, I won’t kill myself.”
B. “If I watch my blood pressure, I should be okay.”
C. “If I take vitamins, I can undo some liver damage.”
D. “If I use nutritional supplements, I won’t have problems.”
According to Erikson, fixation in this stage will result to independence-fear conflict and severe feelings of hesitancy.
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A. industry vs. inferiority
B. autonomy vs. shame and doubt
C. initiative vs. guilt
D. identity vs. role confusion
Rocky has started taking haloperidol (Haldol). Which of the following instructions is most appropriate for Ricky before taking haloperidol?
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A. Should report feelings of restlessness or agitation at once
B. Use a sunscreen outdoors on a year round basis
C. Be aware you’ll feel increased energy taking this drug
D. This drug will indirectly control essential hypertension
A client recovering from alcohol addiction asks a nurse how to talk to his children about the impact of his addiction on them. Which of the following responses is most appropriate?
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A. “Try to limit references to the addiction and focus on the present.”
B. “Talk about all the hardships you’ve in working to remain sober.”
C. “Tell them you’re sorry, and emphasize that you’re doing so much better now.”
D. “Talk to them by acknowledging the difficulties and pain you’re drinking caused.”
Nurse John is a aware that most crisis situations should resolve in about:
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A. 4-12 months
B. 4-6 months
C. 1-2 weeks
D. 4-6 weeks
The basis for a therapeutic nurse-patient relationship begins with the nurse’s____ before they are deployed in the ward.
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A. sincere desire to help others
B. acceptance of others
C. self awareness and understanding
D. sound knowledge of psychiatric nursing
The statement “You said, you hate all your brothers. Tell me about Carlo first” is an example of what type of non-therapeutic communication?
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A. restating
B. focusing
C. accepting messages
D. exploring
A client with a history of panic attacks who says, “I felt so trapped,” right after an attack most likely has which of the following fears?
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A. loss of control
B. loss of identity
C. loss of memory
D. loss of maturity
The nurse on duty prioritizes patient who has a huge resemblance of her ex-boyfriend over other patients. This behavior is an example of:
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A. Countertransference
B. Transference
C. Genuineness
D. Acceptance
A schizophrenic patient on treatment with antipsychotic drugs reports to Nurse Brighton that he cannot keep still and feel a compulsion to move. Nurse Brighton suspect that the patient is experiencing:
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A. tardive dyskinesia
B. akathisia
C. Pseudoparkinsonism
D. acute dystonia
