Quiz Questions

Question 1

During the working phase of a nurse-client therapeutic relationship, the psychiatric nurse recognizes that, due to a change in client status, the planned goals and interventions have changed. What is the psychiatric nurse’s appropriate response at this time?

a. Reminisce with the client about his progress
b. Revise the client’s plan of care accordingly
c. Restate the purpose of the nurse-client relationship
d. Address issues of confidentiality

Answer 1

b. Revise the client’s plan of care accordingly

Question 2

A psychiatric nursing student observes that the client is demonstrating unexplained anger toward him/her that seems to be without cause and is out of proportion to the current situation. The student nurse knows that the client is most likely exhibiting signs of:

a. Countertransference
b. Impaired communication
c. Negatie transference
d. Defense mechanism

Answer 2

c. Negatie transference

Question 3

A client tells the nurse, “I consider it my goal to burn down John’s house with him in it to pay him back.” The priority nursing intervention is related to:

a. Reassessing the client’s mental status
b. Securing involuntary commitment
c. Maintaining confidentiality
d. A duty to warn

Answer 3

d. A duty to warn

Question 4

A client is hospitalized for psychotic symptoms including auditory hallucinations and paranoid delusions. Based on an understanding of neurobiology, the psychiatric nurse knows that psychotic symptoms are a result of disruptions in which neurotransmitter?

a. GABA
b. Norepinephrine
c. Acetylcholine
d. Dopamine

Answer 4

d. Dopamine

Question 5

A client with a long-standing fear of going outside is able to regain some independence by being able to go outside for moderate lengths of time after only 8 treatment sessions. The therapist more than likely has employed which treatment strategy?

a. Freudian Psychodynamic Psychoanalysis
b. Cognitive Behavior Therapy
c. Electroconvulsive Therapy
d. Aversion Therapy

Answer 5

b. Cognitive Behavior Therapy

Question 6

According to Ida Jean Orlando, a nursing student who attempts to re-construct and then analyze a conversation that occurred with a patient is more than likely developing a:

a. Care plan
b. Plan for group activity
c. Mental status evaluation
d. Process recording

Answer 6

d. Process recording

Question 7

A nurse feels a strong sense of physical and emotional attraction to one of their patients. During discharge education, the patient attempts to slip the nurse their phone number and says “I really would like to see you on the outside.” The nurse that politely declines and hands the slip back to the patient has done which of the following? (Select all that apply.)

a. Engaged in ethical behavior
b. Broken confidentiality
c. Maintained professional boundaries
d. Exemplified the duty to warn

Answer 7

a. Engaged in ethical behavior

c. Maintained professional boundaries

Question 8

The nurse walks in and finds a client hiding under the bed. He is diaphoretic, hyperventilating, his eyes are darting back and forth, he states, “The man in black is trying to kill me!” The nurse recognizes the client is receiving excess stimulation of what portion of his nervous system:

a. Parasympathetic
b. Dystonic
c. Somatic
d. Sympathetic

Answer 8

d. Sympathetic

Question 9

A client is struggling with converting short term memories into long term memories and exhibits emotional lability. The nurse knows that the area of the brain most likely contributing to the client’s dysfunction is the:

a. Frontal lobe
b. Limbic system
c. Pineal gland
d. Cingulate gyrus

Answer 9

b. Limbic system

Question 10

The nurse caring for a client who has been prescribed haloperidol monitors for signs of tardive dyskinesia. In the event that tardive dyskinesia occurs, the nurse observes:

a. Abnormal motor movements including involuntary movements of the mouth and tongue
b. Abnormal breathing through the mouth accompanied by a shrill barking cough
c. Severe headache, flushing, involuntary tremors, and ataxia
d. Severe hypertension, migraine headache, difficulty speaking, and involuntary tremors

Answer 10

a. Abnormal motor movements including involuntary movements of the mouth and tongue

Question 11

The nurse knows which of the following is true about the negative and positive symptoms of Schizophrenia? Select all that apply.

a. Negative symptoms should not be misinterpreted as laziness or lack of motivation
b. Negative symptoms are temporary and typically resolve in 2-6 months
c. Negative symptoms are under the control of the client
d. Due to their verbal intensity and physically violent presentations, positive symptoms are often misinterpreted as “bad” or “inappropriate”

Answer 11

a. Negative symptoms should not be misinterpreted as laziness or lack of motivation
d. Due to their verbal intensity and physically violent presentations, positive symptoms are often misinterpreted as “bad” or “inappropriate

Question 12

A patient who has been prescribed a selective serotonin-reuptake inhibitor (SSRI) asks the nurse how it works. What is the best response by the nurse?

a. “SSRIs improve acid-base balance, enhancing the penetration of the blood-brain barrier.”
b. “SSRIs maintain the drug in its bound form, allowing more of the drug to attach to the neurotransmitter.”
c. “SSRIs act on neurosynaptic cleft transporters and prevent the reuptake of serotonin.”
d. “SSRIs inhibit MAO activity inside presynaptic nerve terminals.”

Answer 12

c. “SSRIs act on neurosynaptic cleft transporters and prevent the reuptake of serotonin.”

Question 13

A client suffering from Schizophrenia imitates the movements of the nurses and doctors. The nurse knows that this client is exhibiting:

a. Echolalia
b. Waxy flexibility
c. Echopraxia
d. Alogia

Answer 13

c. Echopraxia

Question 14

A client experiencing an episode of major depression with psychotic features is present at a group interaction. It is most important for the nurse to

a. Allow the client time to respond
b. Promptly correct client misstatements made in the group session
c. Exclude the client from the sessions until the psychotic features are decreased
d. Avoid asking the client questions during these sessions

Answer 14

a. Allow the client time to respond

Question 15

A client has been scheduled for a first Electroconvulsive Therapy (ECT) session. Which statement made by the nurse to the client in preparing for the procedure is incorrect?

a. “You can expect to undergo 2-4 treatment sessions.”
b. “You should avoid smoking on the day before the procedure.”
c. “You should not drive immediately after the procedure.”
d. “You may experience confusion and short-term memory loss following the procedure.”

Answer 15

a. “You can expect to undergo 2-4 treatment sessions.”

Question 16

Which is the most effective intervention for a client diagnosed with schizophrenia and suffering from acute paranoia? Select all that apply.

a. Restrict client from spending time in their room
b. Avoid laughing or whispering in front of the client
c. Engage the client with reality testing and challenge their paranoia
d. Communicate clearly and maintain eye contact

Answer 16

b. Avoid laughing or whispering in front of the client

d. Communicate clearly and maintain eye contact

Question 17

A frightened family member calls 9-1-1 to report that their loved one is currently cooking dinner and babbling nonsensically. Upon arrival, the mobile crisis team observes the client in the kitchen holding a meat cleaver in one hand and tossing a head of lettuce into the air saying, “The fervendangler was rife in trime. I just farvelated its vetinboble.” The team correctly reports that the client is exhibiting which type of diagnostic speech?

a. Word salad
b. Clang sounds
c. Echolalia
d. Neologisms

Answer 17

d. Neologisms

Question 18

The RN is working with a severely depressed client in the community who reports to have moderately severe thoughts of suicide, but no plan or means. Based on the client’s report, the nurse knows the client meets criterion for which stage of suicidality?

a. Stage 4
b. Stage 3
c. Stage 2
d. Stage 1

Answer 18

b. Stage 3

Question 19

Which of the following client statements are most indicative of symptoms of post-traumatic stress disorder? Select all that apply.

a. “I haven’t slept well in over six months.”
b. “I am not interested in doing the things that used to make me happy.”
c. “I keep reliving the sexual assault every time I close my eyes.”
d. “I keep washing my hands over and over.”

Answer 19

a. “I haven’t slept well in over six months.”
b. “I am not interested in doing the things that used to make me happy.”
c. “I keep reliving the sexual assault every time I close my eyes.”

Question 20

What differentiates Specific Phobias from other anxiety-related disorders?

a. Phobias are typically related to a specific trigger
b. Phobias usually occur by mid-adulthood
c. Phobias often trigger degressive symptoms
d. Phobias are typically innate rather than learned

Answer 20

a. Phobias are typically related to a specific trigger

Question 21

A nurse feels somewhat uncomfortable during a conversation with a patient because how the patient is standing when conversing. The nurse is most likely experiencing:

a. Mild anxiety based on culturally-based differences
b. Mild anxiety based on externalized locus of control
c. Anger based on feelings of intrusive behavior
d. Moral distress based on a perception of being harassed

Answer 21

a. Mild anxiety based on culturally-based differences

Question 22

Which of the following are effective nursing interventions when caring for a newly admitted client with a history of social anxiety? Select all that apply.

a. Make frequent, brief supportive contact with the client
b. Administer PRN lorazepam per order
c. Joint the client every time attempts to socialize are observed
d. Call on the client to share first in group therapy
e. Offer to attend the next psycho-social group with the client

Answer 22

a. Make frequent, brief supportive contact with the client
b. Administer PRN lorazepam per order
e. Offer to attend the next psycho-social group with the client

Question 23

Which of the following are appropriate nursing interventions when caring for a patient experiencing distress? Select all that apply.

a. Assist the patient with obtaining a Bible per their request
b. Contact the patients Rabbi or Imam per their request
c. Reschedule their non-essential medical test to accommodate their time of prayer
d. Avoid inquiring about their spiritual beliefs

Answer 23

a. Assist the patient with obtaining a Bible per their request
b. Contact the patients Rabbi or Imam per their request
c. Reschedule their non-essential medical test to accommodate their time of prayer

Question 24

According to the Giger and Davidhizar’s transcultural assessment model, which nursing action demonstrates the element of “social organizations?”

a. Assessing the patient’s family system
b. Assessing the patient’s self-control
c. Assessing the patient’s genetic history
d. Assessing the patient’s speech and nonverbal communication

Answer 24

a. Assessing the patient’s family system

Question 25

A school nurse instructing school-aged children in techniques to strengthen their stress response is engaging in what level of intervention:

a. Primary
b. Secondary
c. Tertiary
d. Quaternary

Answer 25

a. Primary

Question 26

A nurse working on a Medical inpatient floor is assessing a client with a new diagnosis of Type 2 Diabetes and a history of Generalized Anxiety Disorder. The patient states, “I haven’t slept well the past couple of nights because I can’t stop my brain.” Which of the following statements by the nurse represent the best therapeutic communication?

a. “Why can’t you stop your thoughts?”
b. “OK. What other symptoms have you had?”
c. “You’re having difficulty sleeping?”
d. “Sometimes I have trouble sleeping too.”

Answer 26

c. “You’re having difficulty sleeping?”

Question 27

The risk of Serotonin Syndrome is increased when taking an SSRI such as Sertraline concurrently with which of the following medications?

a. St. John’s Wort
b. Buspirone
c. Haloperidol
d. Clonazepam

Answer 27

a. St. John’s Wort

Question 28

A patient suffering from Obsessive Compulsive Disorder (OCD) and Generalized Anxiety is starting Clomipramine for the first time for OCD. Which of the following statements should the nurse include in their patient education. Select all that apply.

a. “You should report any heart-related symptoms like chest pain to your provider immediately.”
b. “You should not stop this medication suddenly before contacting your prescriber.”
c. “You will need to have weekly blood draws on this medication.”

Answer 28

a. “You should report any heart-related symptoms like chest pain to your provider immediately.”
b. “You should not stop this medication suddenly before contacting your prescriber.”

Question 29

The physical changes to neural tissue associated with Alzheimer’s Disease are known as:

a. Blood clots in microvascular blood supply
b. Huntington’s chorea
c. Muscle tissue atrophy
d. Plaques and tangles

Answer 29

d. Plaques and tangles

Question 30

Which of the following interventions represent an unsafe action by the nurse caring for a patient with advanced dementia?

a. Promote independence by allowing patient to select table mates during meals
b. Promote independence by allowing patient to self-dispense medications
c. Replace a standard clock with a digital clock
d. Provide structure and routine whenever possible

Answer 30

b. Promote independence by allowing patient to self-dispense medications

Question 31

A patient with Borderline Personality Disorder and hypomania walks into a psychosocial group that a nurse is facilitating for other patients on the floor. The patient is highly intrusive, walking around the room and attempting to engage other patients in conversation while the group is in session. The nurse knows the best intervention is to:

a. Use short, clear statements and limit choices when communicating with the patient
b. Call other staff with a request to escort the patient into seclusion
c. Attempt to reason with the patient to determine why he is so intrusive
d. End the group session and notify the on-call APRN or psychiatrist of the patient’s behavior immediately

Answer 31

a. Use short, clear statements and limit choices when communicating with the patient

Question 32

The nurse is instructing a patient on sleep hygiene for a diagnosed sleep-wake disorder. Which guidelines will the nurse include for this patient? Select all that apply.

a. Arise at the same time every day
b. Decrease or eliminate any food or beverage that contains caffeine
c. Encourage periodic daytime naps to decrease anxiety
d. Eat healthy meals and do not go to bed hungry
e. Drink one glass of wine before bed to aid in relaxation

Answer 32

a. Arise at the same time every day
b. Decrease or eliminate any food or beverage that contains caffeine
d. Eat healthy meals and do not go to bed hungry

Question 33

A patient who is uncomfortable in situations they are not center of attention, interacts with others in a sexually inappropriate manner, is emotionally labile, uses their physical appearance to draw attention, and has a flair for the dramatic more than likely has which of the following personality disorders?

a. Narcissistic
b. Antisocial
c. Histrionic
d. Borderline

Answer 33

c. Histrionic

Question 34

Anticholinergic effects are common adverse effects associated with antidepressants such as imipramine (Tofranil). These effects may include:

a. Blurred vision, dry mouth, and constipation
b. Psychomotor symptoms
c. Tachycardia, hypertension, and increase in respiratory rate
d. Tardive dyskinesia

Answer 34

a. Blurred vision, dry mouth, and constipation

Question 35

A nurse is conducting a family therapy session. The adolescent son tells the nurse he plans to make his sister look bad so his parents will think he is the better sibling, which he believes will give him more privileges. The nurse identifies this dysfunctional behavior as:

a. Distraction
b. Blaming
c. Placation
d. Manipulation

Answer 35

d. Manipulation

Question 36

A nurse has denied a request to a patient with borderline personality disorder. The patient says: “the nurse on the other shift lets me. You are mean!” This is an example of:

a. Splitting
b. Regression
c. Undoing
d. Identification

Answer 36

a. Splitting

Question 37

The nurse is providing teaching for a patient’s family. The patient has been newly diagnosed with Alzheimer’s disease. Which of the following statements represent therapeutic communication? Select all that apply.

a. “What questions do you have regarding your family member’s diagnosis?”
b. “It sounds like this has been difficult for you emotionally. Can you tell me more?”
c. “If I were in your position, I would move in with my family member as soon as possible.”
d. “I know exactly how you feel.”

Answer 37

a. “What questions do you have regarding your family member’s diagnosis?”
b. “It sounds like this has been difficult for you emotionally. Can you tell me more?”

Question 38

Which of the following statements by the nurse to a patient regarding Dementia is correct:

a. The Memantine you are taking will reverse the progression of your Alzheimer’s dementia.”
b. Huntington’s Disease is a form of dementia caused by prions.”
c. “Alzheimer’s Dementia is generally considered a slow, progressive disease.”
d. Creutzfeld-Jacob Disease causes slow, progressive decline.”

Answer 38

c. “Alzheimer’s Dementia is generally considered a slow, progressive disease.”

Question 39

The Clinical Institute Withdrawal Assessment (CIWA) is a screening tool for assessing withdrawal from which of the following substances?

a. Marijuana
b. Alcohol
c. Cocaine
d. Opioids

Answer 39

b. Alcohol

Question 40

Which of the following are common symptoms of cocaine withdrawal? Select all that apply.

a. Seizures
b. Psychomotor agitation
c. Increased appetite
d. Vivid dreams

Answer 40

b. Psychomotor agitation
c. Increased appetite
d. Vivid dreams

Question 41

Which of the following statements about methadone are true? Select all that apply.

a. Methadone can be used during opioid withdrawal and to maintain abstinence
b. Methadone is the gold standard for opioid disorder treatments
c. Methadone is a short acting opiate antagonist used for emergency overdose
d. Methadone causes acute nausea and vomiting if taken with alcohol

Answer 41

a. Methadone can be used during opioid withdrawal and to maintain abstinence
b. Methadone is the gold standard for opioid disorder treatments

Question 42

Which of the following statements by the nurse is correct regarding Wernicke’s Syndrome?

a. “This syndrome is tested with high doses of Vitamin C”
b. “This syndrome affects facial motor movements and speech, and causes severe confusion.”
c. “This syndrome results from chronic exposure to acetaldehyde leading to liver cirrhosis.”
d. “This syndrome is associated with long term use of cocaine.”

Answer 42

b. “This syndrome affects facial motor movements and speech, and causes severe confusion.”

Question 43

This client is admitted for treatment of alcohol dependence. Three hours later the nurse notes that the client is experiencing auditory hallucinations, visible tremors, excessive sweating, and tachycardia. The nurse anticipates administering which medication?

a. Acamprosate (Campral)
b. Buprenophrine/Naloxone (Suboxone)
c. Lorazepam (Ativan)
d. Naloxone (Narcan)

Answer 43

c. Lorazepam (Ativan)

Question 44

A nurse is performing an initial assessment of a new client suffering from alcohol use disorder. Which ones of the following statements by the nurse are therapeutic? Select all the apply.

a. “We are glad that you have come to seek help, and will support you in any way we can.”
b. “Don’t be so hard on your family. They only have your best interest at heart.”
c. “You said that you ‘drink too much.’ Can you tell me more about that?”
d. “You will need to stop drinking immediately.”

Answer 44

a. “We are glad that you have come to seek help, and will support you in any way we can.”
c. “You said that you ‘drink too much.’ Can you tell me more about that?”

Question 45

Which of the following medications contains an opioid antagonist which is activated by injection?
a. Disulfuram (Antabuse)
b. Methadone (Dolophine)
c. Buprenorphine/Naloxone (Suboxone)
Naltrexone (Vivitrol)

Answer 45

c. Buprenorphine/Naloxone (Suboxone)

Question 46

A nurse is planning care for a patient who is experiencing acute alcohol withdrawal. Which of the following is the highest priority nursing intervention?

a. Educate the patient regarding Alcoholics Anonymous
b. Orient the patient frequently to time, place, and person
c. Administer intravenous fluids as ordered
d. Implement seizure precautions
e. Check vital signs hourly

Answer 46

d. Implement seizure precautions

Question 47

Which of the following information should the nurse include in education for a patient suffering from cocaine use disorder? Select all that apply.

a. “You will likely need to make a lot of changes in your life to keep yourself from situations in which you might use.”
b. “You may beed to stay in a hospital or rehabilitation center while withdrawing to help manage your cravings.”
c. “The emergency drug Naloxone (Narcan) that will reverse your symptoms in case of a cocaine overdose.”
d. “Seizures are common as you are detoxing. Call 9-1-1 at the first sign of withdrawal.”

Answer 47

a. “You will likely need to make a lot of changes in your life to keep yourself from situations in which you might use.”
b. “You may beed to stay in a hospital or rehabilitation center while withdrawing to help manage your cravings.”

Question 48

The nurse knows that which of the following statements are true regarding nutrition and psychiatric medication? Select all that apply.

a. Clients taking Lithium should avoid becoming dehydrated
b. Clients taking Anafranil (Clomipramine) should avoid eating aged cheeses
c. Clients taking Risperidone (Risperidal) are not at increased risk of weight gain and metabolic syndrome
d. Clients taking Fluoxetine (Prozac) should avoid drinking grapefruit juice

Answer 48

a. Clients taking Lithium should avoid becoming dehydrated

c. Clients taking Risperidone (Risperidal) are not at increased risk of weight gain and metabolic syndrome

Question 49

Which of the following statements regarding Attention Deficit Hyperactive Disorder (ADHD) are accurate? Select all that apply.

a. Functional impairment is observed across settings, such as at home and in school
b. ADHD symptoms can improve over time
c. This disorder is always characterized by argumentativeness
d. Children with ADHD may be at increased risk of injury

Answer 49

a. Functional impairment is observed across settings, such as at home and in school
b. ADHD symptoms can improve over time
d. Children with ADHD may be at increased risk of injury

Question 50

A patient with an eating disorder has significant weight loss, growth of lanugo, cessation of menses for 3 months, and purging through emesis. These symptoms are most consistent with which of the following disorders?

a. Anorexia nervosa
b. Avoidant Restrictive Food Intake Disorder
c. Bulimia nervosa
d. Binge eating disorder

Answer 50

a. Anorexia nervosa

Question 51

A nurse is caring for a patient who is speaking in a very loud voice with clenched fists. Which of the following actions should the nurse take? Select all that apply.

a. Remove other patients from the milieu
b. Ensure that other staff members remain nearby
c. Maintain a neutral stance when conversing with the patient
d. Move as close to the patient as possible
e. Do not engage the patient in conversation

Answer 51

a. Remove other patients from the milieu
b. Ensure that other staff members remain nearby
c. Maintain a neutral stance when conversing with the patient

Question 52

A nurse is assessing a 5-year-old child for indications of autism spectrum disorder. Which of the following behaviors is most specific to autism?

a. Repetitive behavior
b. Hyperactive behavior
c. Aggressive behavior
d. Somatic symptoms

Answer 52

a. Repetitive behavior

Question 53

A middle school student is consistently unable to sit for longer than 15 minutes without becoming anxious and jittery. The nurse recognizes that these symptoms may be related to which of the following diagnoses. Select all that apply.

a. PTSD
b. Anxiety
c. Attention deficit hyperactive disorder
d. Bipolar disorder

Answer 53

????

Question 54

The most common psychiatric diagnosis encountered in the pediatric population is Depression.

a. True
b. False

Answer 54

b. False

Question 55

Which of the following statements regarding paraphilic disorders are correct? Select all that apply.

a. “Clients must have documented dysfunction that meets criteria in order to be diagnosed with paraphilic disorder.”
b. “Clients who deny being sexually stimulated by children do not meet diagnostic criteria for Pedophilia disorder.”
c. “Sexual Sadism disorder includes symptoms of intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviors”
d. “Persons suffering from pedophilia will often engage in manipulation and grooming of potential victims.”

Answer 55

???

Question 56

A community health nurse is interviewing a 29-year-old female whose male partner has assaulted her 10 times in the past 2 months. Her partner has also engaged in risky sexual behavior with multiple partners outside their relationship. Which of the following nursing actions takes priority?

a. Assist the patient to developing an emergency escape plan
b. Encourage the patient to participate in a support group for victims of abuse
c. Call adult protective services to report the domestic violence
d. Assist the patient to schedule testing for sexually transmitted diseases

Answer 56

a. Assist the patient to developing an emergency escape plan

Question 57

A patient with Bulimia nervosa tells their nurse they fear gaining weight while in the hospital. Which of the following responses are therapeutic? Select all that apply.

a. “I can tell that your wright is a major concern for you.”
b. “What do you want your weight to be?”
c. “You shouldn’t be worrying about your weight.”
d. “Let’s work together to develop a healthy eating plan for you.”
e. “The staff here will make sure you don’t gain any weight during your stay.”

Answer 57

a. “I can tell that your wright is a major concern for you.”

d. “Let’s work together to develop a healthy eating plan for you.”

Question 58

When working with children, consent from the child must be obtained before starting any treatment.

a. True
b. False

Answer 58

False?????????? - but not what the slide says