PSYCHIATRIC NURSING EXAM 75items 1. Nurse Marie is caring for a patient that underwent alcohol detoxification.

Which of the a. b. c. d. followingsymptoms would Nurse Marie be most concern? Fever Delusions Excessive sweating Increase BP

2. In a therapeutic communication, why questions are discouraged. For what reason is this question not useful? a. The question is intimidating and the client may be defensive in trying to explain him/herself. b. It forces the client to recognize his or her problems. The clients acknowledgement that s/he doesnt know things may be helpful to the nurses needs but not the client. c. It indicates that the client is right rather than wrong. d. It tends to make the client used and invaded. 3. A client was admitted due to self-mutilation. One day during one of the sessions, the client told the nurse that cutting himself feels great. What would be the nurses best response? a. Do you know the risks involved when you cut yourself? b. I dont want to hear about that! c. The behavior of cutting is not acceptable. d. Tell me more about that. 4. Mr. Juan is diagnosed with Alzheimers disease. The nurses intervention should focus on helping the client be oriented with the physical set-up and daily events. Which of the following isthe most effective nursing intervention in orienting patients who has Alzheimers disease? a. Encourage the client to talk to family members to reminisce things b. Provide simple and easily understood directions c. Perform tasks with a variety of activities each day d. Have the client socialize with other patients 5. When the client told the nurse that he feels good when he mutilates or cuts himself the novicepsychiatric nurse answered, Do you know the risks involved when you cut yourself? what type of nontherapeutic communication is the nurse using? a. Defending b. Testing c. Making stereotyped comments d. Disagreeing 6. To ensure that your client knows about the procedure, risks and outcome and has been informed of the other alternative therapy. Which of the following must be accomplished? a. A signed informed consent by a clients family member b. A signed informed consent by a 23-year old client who has voluntarily admitted himself in the unit c. A signed informed consent of a 23-year old clients parent d. A signed informed consent by a 17-year old client 7. The client says that he is hearing voices. What is nurses initial response? a. I dont hear any voices. b. From where are those voices coming from?

c. What are the voices telling you? d. Are you sure about that? 8. A schizophrenic client is under your care. In reinforcing the functional behavior of this client what will the nurse do? a. Enumerate the symptoms of schizophrenia to the client b. Correct delusional thoughts to orient to reality c. Compliment the client for cessation of acting out behaviors d. Encourage the client to drink his medications religiously 9. The 12-year old male patient looks like the nurses younger brother who is missing for years. During assessment and in the implementation of nursing care the nurse prioritizes this client. One day, when she found the boy crying in his room she hugged him and cried with him. This is an example of: a. Counter-transference b. Transference c. Resistance d. Denial 10. A client was brought to the ER. Based on the significant others, the client had a history of shop stealing. However, no self-mutilating activities are committed by the client. During the interview, the client is very manipulative and aggressive and impulsive. What personality disorder most likely the client has? a. Antisocial b. Histrionic c. Narcissistic d. Borderline 11. What is the most important criteria that must be accomplished by the nurse before dealing withpsychiatric patients? a. Salary rate b. Self-awareness c. Self-understanding d. Standard of nursing practice 12. If a client is a chain smoker, how should his medication dosage be adjusted? a. Same medication dose b. Increase the dose c. Decrease the dose d. Withhold the dose 13. A client is scheduled for an electroconvulsive therapy (ECT). Which of the following medications can be given to the client before the procedure? a. Atropine b. Epinephrine c. Hydralazine d. Phenobarbital

14. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also reminded her to use her therapeutic communication skills in dealing with clients. Which of the following techniques enlaces therapeutic communication? a. What are you thinking about? b. What made you think that way? c. Why did you say that? d. Lets not talk about that. What do you think? 15. In using a therapeutic communication technique interpreting client cues and signals is very important. Clear statements of intent such as the client saying that he wants to kill himself is a/an: a. Covert cues b. Abstract messages c. Concrete messages d. Overt cues 16. The appropriate therapeutic distance between you and a psychiatric patient is? 12 inches 35 inches 12 feet 4 feet 17. A therapy that assists with discharge planning and rehabilitation, focusing on vocational skills and activities of daily living (ADL) to raise self-esteem and promote independence is called: Behavior modification Milieu therapy Recreational therapy Occupational therapy 18. The client is sharing Nurse Marie about his experiences. Suddenly, he paused, looked to the nurse and is hesitant to continue. The nurse responded, Go on, and tell me about it. What therapeutic communication technique is the nurse using? Exploring Focusing Encouraging expression General leads 19. Your patient is very dependent and submissive. There are times that the patient is very clingy. This behavior reflects what type of personality disorder? Antisocial personality Dependent Personality Manic behavior Anxiety disorder 20. If a client is on restraints which of the following would the nurse do? Leave the client in the room for the whole 8 hours Do not allow the client to eat Take pictures of the client for evaluation Monitor the extremity circulation 21. A behavior that can indicate the speakers thoughts, feelings, needs and values that he or she acts out unconsciously is called: Verbal communication Communication Nonverbal communication Congruent message 22. Restraints are only used for a certain reason. Which of the following is an appropriate reason for placing a client in restraints? a. Punishment for stealing the other clients things b. Self- harming behaviors

c. Verbal abuse d. Not drinking medications 23. A therapy that focuses on the remotivation of clients by directing their attention outside themselves to relieve preoccupation with personal thoughts, feelings, and attitudes is known as: a. Pharmacologic therapy b. Music therapy c. Occupational therapy d. Recreational therapy 24. The Distance that is observed when family members or friends are talking is under what zone: a. Intimate b. Therapeutic c. Personal d. Social 25. An 18 year old client is brought to the ER due to a suicidal attempt. Her mother told the nurse that she has been drinking alcohol for the last 3 weeks and is depressed. In caring for this patient what is the most important consideration? a. Administering antidepressant medications b. Alcohol detoxification c. Allowing the client to participate in a therapy d. Close monitoring Results A male client with Alzheimer's disease has a nursing diagnosis of Risk for injury related to memory loss, wandering, and disorientation. Which nursing intervention should appear in this client's plan of care to prevent injury? a. Provide the client with detailed instructions b. Keep the client sedated whenever possible c. Remove hazards from the environment d. Use restraints at all times 1. A male adult client with bipolar disorder is being treated with lithium for the first time. Nurse Joy should observe the client for which common adverse effect of lithium? a.Sexual dysfunction b.Constipation c.Polyuria d.Seizures