PSYCHIATRIC NURSING

1. The most effective nursing intervention for a severely anxious client who is pacing vigorously would

d. Give her PRN medication and walk with her at a gradually slowing pace

2. Which of the following is accurate about benzodiazepines: "

b. Used anesthetics, anticonvulsants, and muscle relaxants

c. Has less problem of dependence and withdrawal

3. The nurse has been interviewing a client who has not been able to discuss any feelings. This day, 5 m

d. End just as agreed, but tell the client these are very important feelings and he can continue tomorro

4. ln working with a depressed client, the nurse should understand that depression is most directly rela

c. Having experienced a sense of loss.

d. Stage in life.

5. Three days after admission for depression, a 54-year-old female client approaches the nurse and say
b. Thoughts of disease are common in depressed clients.

c. Clients suffering from depression can be demanding, making many request of the nurse.

6 A client makes a suicide attempt on the evening shift. The staff intervenes in time to prevent harm. I

c. The staff needs to discuss the client's behavior to determine what cues, in his behavior might have w

d. Because the client made one suicide attempt, there is high probability he will make a second .attemp

7.A client with the diagnosis of manic episode is racing around the psychiatric unit trying to organize g

c. Take the client outside for a walk.

d. Do nothing, as organizing a game is considered therapeutic.

8. The primary nurse is performing an admission assessment on a client admitted with pneumonia. Wh

c. At the admission time

d. When the physician writes the discharge order
9. A nurse enters a client's roams and the client is demanding release from the hospital. Tile nurse ren

c. Contact the physician

d. Persuade the client to stay a few more days

0.When teaching a patient who has a diagnosis of schizophrenia about successful independent living i

a. Establish a structured daily routine

b. Spend time alone

1
1. A patient who has a borderline personality disorder praise one nurse and asserts that all other staf

c. Maintaining objectivity regarding the patient's remarks

d. Conveying acceptance of the patient's need for a false belief system

2. The physician orders flouxetine (Prozac) orally every morning for a 72-year-dd a client with depre

b. 10 mg
c. 25 mg
 3. A client who is depressed states, "I am an awful person. Everything about me is bad. I can't do any

d. "You were able to bathe daily."

4. The nurse denies the request of a dient with major depression and psychotic features, admitted inv

b. Being gravely disabled

c. Risk of harm to self or others

5.When preparing a teaching plan for a client about imipranine (Tofranil), which of the following sub

c. Alcohol

d. Artificial tears

6. A client with bipolar behavior manic phase is exhibiting euphoria, hyperactivlty, and distractibility

b. Cheeseburger
c. tee cream cone
 7. A client with acute mania has been taking lithium (Lithium Carbonate) 600 mg PO three times dai

a. 0.5 to 1.5mEq/L

b. 1.6to2.5mEq/L

8. A patient who has begun taking a tricyclic antidepressant is given instructions regarding its use. W

d. "I don't feel any better, but I've only been taking the medicine for a week."

9. Diazepam (Valium) is prescribed for a patient with low back pain. The desired therapeutic action o

d. Lessen muscle spasticity

30. A patient is brought to the psychiatric unit. Which of the following activities the registered nurse r

c. Asking the patient whether he hears voices other people do not hear
 6. A 32-year-old woman is admitted to a psychiatric unit for evaluation after

terrorizing her co-worker with a knife. She is verbally .abusive. One afternoon, she starts hitting anoth

c. "Hitting others is dangerous. I am not going to allow you to repeat this behavior."

d. "I am going to discuss your behavior with other patients at the next ward meeting." .

7. A patient refuses to sit in a chair offered by the nurse during a ward meeting. The patient claims th

c. Allow the patient to select his/her own chair.

d. Ask the patient, "Why do you think anyone would plot to destroy you."

7. A patient refuses to sit in a chair offered by the nurse during a ward meeting. The patient claims th

c. Allow the patient to select his/her own chair.

d. Ask the patient, "Why do you think anyone would plot to destroy you."
 8. When a pediatric nurse tries to take an admission history on a 3-year-old, the child's mother burst

b. Encourage the mother to verbalize her fears concerning her child's illness.

c. Ask the mother to assist in the admission physical assessment.

9. A patient who is diagnosed with an eating disorder describes herseif as "a very fat person." Which

d. "You seem to think you are fat but \ see you as very thin."

0. During an acute psychotic episode, patients can become frightened of their own ^ bizarre sensory e

b. Let the patient know that the staff will assist him/her in maintaining control.

c. Keep the patient in a well-lighted; stimulating environment at all times.

d. Keep potentially harmful objects out of patient's reach.

1.When developing the plan of care for a client receiving haloperidol; which of the following medicat

b. Benztripine mesylate (Cogentin)

c. Paroxetine (Paxil)
 2. Nursing Licensure and Practice are regulated by:

a. Nursing Practice Law

3. While documenting on a client's patient care flow sheet the nurse notices that she made a mistake?

b. Draw a single line through the entry

c. Cross out error completely

4. Which of the following would be most critical when caring for a client who is experiencing delirium

b. Correcting the underlying causative condition or illness.

c. Manipulating the environment to increase orientation.

5.A client with panic disorder should be monitored for the existence of which of the following other p

6. Which of the following nursing interventions is given priority in a care plan for a person having pa

a. Tell the client to take deep breaths.

 7. Which of the following interventions should the nurse initially implement when caring for a client

c. Teach the client to identify cognitive distortions.

28. Which of the following statements is typical of a client with social phobia?

a. "Without people around, I just feel so lost."

b. "There is nothing wrong with my behavior."

d. "I knew I can’t accept that award for my brother."

9. Which of the following behavior modification techniques is useful in the treatment of the phobias?

d. Systematic desensitization

0.A client suspected of haying a posttraumatic stress disorder should assessed for which of the follow

c. Suicide

1. Which of the following psychological symptoms would the nurse expect to find in a hospitalized cli

b. Indifference
 2. Which of the following client statements indicates an understanding of survivor guilt?

3. The effectiveness of monoamine oxidase (MAO) inhibitor drug therapy in a client with posttrauma

a. "I'm sleeping better and don’t have nightmares”

4. Which of the following findings should the nurse expect when talking about school to a child diagn

d. The child expresses concerns about grades.

37. A client with paranoid personality disorder tells a nurse of his decision to stop talking to his wife. W

a. The client's doubts about the partner's loyalty.

8. The wife of the client diagnosed with paranoid personality disorder tells the client she wants a divo
b. Intense jealousy

30. Which of the following short-term goals for a client with an antisocial personality disorder and a h

d. Learn to express feelings in a nondestructive manner.

1. Which of the following goals is most appropriate for a client with antisocial personality disorder w

a. The client will discuss the desire to hurt others rather than act.

. Which of the following characteristics or situations is indicated when a client with borderline perso

c. Relationship problems

. A schizophrenic client tells his primary nurse that he's scheduled to meet the King of Samoa at a s
c. "Your physician expects you to follow the unit's schedule."

.A Client diagnosed with schizophrenia several years ago tells the nurse that he feels "very sad." Th

a. Inappropriate affect

. Which of the following conditions or characteristics is related to the cluster of symptoms associated

b. Flat affect

. A client approaches a nurse and tells her that he hears a voice telling him that he's evil and deserv

c. Hallucinations

. Which of the following numbers of members in a therapy group is ideal?

c. 7 to 10

. Which of the following nursing diagnosis is most appropriate for a client with acute schizophrenic
d. Risk for other-directed violence related to perceptual distortions

. A client tells a nurse voices are telling him to do "terrible things." Which of the following actions i

a. Find out what the voices are telling him.

. A client is preoccupied with his belief that the CIA has been planning to take him away to save the

.1n preparation for discharge, a client diagnosed with schizophrenia was taught self-symptom mana

d. "When I'm feeling stressed, I go to a quiet room by myself and do imagery."

. A client diagnosed with schizophrenia has been taking haloperidol (Haldol) for 1 week when a nur
c. Oculogyric crisis

52
. Which of the following interventions is important for a client who engages in sexual act with anima

. A 38-year-old woman was returning home from the store late one evening and was sexually assaul

d. Remaining with the client and assisting her through the crisis

. Which of the following therapies may be used with a client who admits to frottage?

. When working with a client with paraphiliac disorder, which of the following goals is appropriate
 . When assessing rooms for clients, the nurse should not place which of the following clients with a c

. The nurse is obtaining a health history from a client when he states he has been diagnosed with voy

. Which of the following definitions best describes necrophilia?

59
. A 39-year-ofd mate wishes to undergo a sex-reassignment operation, because 'he feels trapped in h

. A 35-year-old male who has been married-for 10 years arrives in the psychiatric clinic stating, "I c
d. Sit down with the client, and talk about his feelings.

61

A female client enjoys wearing men's clothing. Her sister tells the nurse that the client wishes a sexu

. A client in a psychiatric unit has been identified as peeping Tom. What's the medical term for the

. A client with anorexia nervosa has started taking flouxetine hydrochloride (Prozac). Which of the

64. Mental health is defined as:

b. A state of well-being where a person can realize his or her own abilities, to cope with the normal stre
 . The following are nursing responsibilities in mental health promotion except:

66
. A nurse works in a mental health facility that a therapeutic community (milieu) to client. Which of

. A community mental health nurse visits a client diagnosed with paranoid schizophrenia. When she

b. remain safe by leaving the house