Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Psychiatric Nursing Test - 5
Test - 5
1. Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the:
Name of the ingested medication & the amount ingested
Reason for the suicide attempt
Length of time on the med.
Name of the nearest relative & their phone number
2. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
Ignore the client
Would you like me to talk with you?
Are you feeling upset now?
Would you like to watch TV?
3. Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
4. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
Provide privacy during meals
Restrict visits with the family
Encourage client to exercise to reduce anxiety
Set-up a strict eating plan for the client
5. Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
Eat only three meals a day
Avoid shopping plenty of groceries
Identify anxiety causing situations
Encourage to avoid foods
6. A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
Nausea and vomiting
7. A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop:
Better self control
Feeling of self worth
Faith in his wife
Insight into his behavior
8. Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
Flight of ideas
9. Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
Slow pulse, 10% weight loss & alopecia
Excessive activity, memory lapses & an increased pulse
Compulsive behavior, excessive fears & nausea
Excessive weight loss, amenorrhea & abdominal distension
10. Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
Vomiting and Diarrhea
Yawning & diaphoresis
Constipation & steatorrhea
Restlessness & Irritability
11. When teaching parents about childhood depression Nurse Trina should say?
It may appear acting out behavior
Does not respond to conventional treatment
Looks almost identical to adult depression
Is short in duration & resolves easily
12. Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed?
Short term seclusion
13. Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
Manipulate the environment to bring about positive changes in behavior
Role play life events to meet individual needs
Allow the client’s freedom to determine whether or not they will be involved in activities
Use natural remedies rather than drugs to control behavior
14. A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
Highly famous and important
Responsible for evil world
Connected to client unrelated to oneself
15. A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?
16. A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
Turning on the television
Staying with the client and speaking in short sentences
Leaving the client alone
Ask the client to play with other clients
17. Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
Minimal decision making
18. A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?
Apathetic response to the environment
Neglect of personal hygiene
Shallow of labile effect
“I don’t know” answer to questions
19. A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:
Feelings of guilt and inadequacy
Problems with anger and remorse
Feeling of unworthiness and hopelessness
Problems with being too conscientious
20. A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?