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Psychiatric Nursing Test - 6
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Psychiatric Nursing
Test - 6
1. Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?
Decreased metabolism causing cold intolerance
Cardiac dysrhythmias resulting to cardiac arrest
Endocrine imbalance causing cold amenorrhea
Glucose intolerance resulting in protracted hypoglycemi
2. Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…
Observe her
Allow her to urinate
Open the window and allow her to get some fresh air
Give her privacy
3. A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
Badly stained teeth
Frequent regurgitation & re-swallowing of food
Positive body image
Previous history of gastritis
4. Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
Observe client during meals
Involve client in planning daily meal
Monitor client continuously
Teach client to measure I & O
5. When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?
The client ignores feelings of anxiety
The client identifies anxiety producing situations
The client maintains contact with a crisis counselor
The client eliminates all anxiety from daily situations
6. To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
Respect client’s need for personal space
Encourage the staff to have frequent interaction with the client
Share an activity with the client
Give client feedback about behavior
7. Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
Milk
Tea
Orange Juice
Regular Coffee
8. A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
Concrete thinking
Effective self boundaries
Weak ego
Low self esteem
9. Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?
Ask a family member to stay with the client at home temporarily
Ignore the clients statement because it’s a sign of manipulation
Discuss the meaning of the client’s statement with her
Request an immediate extension for the client
10. Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client?
“I know you are frightened, but I do not see spiders on the wall”
“I can see the spiders on the wall, but they are not going to hurt you”
“Would you like me to kill the spiders”
“You’re having hallucination, there are no spiders in this room at all”
11. Nurse Perry is aware that language development in autistic child resembles:
Scanning speech
Echolalia
Speech lag
Shuttering
12. To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
Anxiety & loneliness
Anger & resentment
Helplessness & hopelessness
Frustration & fear of death
13. "Profound mentally retarded"-when the IQ Score is
35-49
50-70
20-34
below 20
14. The 'ectomorphy personality body type"-which is the correct
Large, viscera, soft body
socialise
Tall, thin,and fragile
strong muscular
15. Who has classified Type A and Type B personality
Allport
Hens eyesanch
Carl jung
Sheldon
16. Thinking is also referred as-
Motivation
cognition
Emotions
Perceptions
17. In a situation, in which a person is faced with demands from two or more roles
Role distance
Role playing
Role conflict
Role-set
18. OCD is best managed with which of the following psychotherapy:
Psychodynamic
Interpersonal
Cognitive behaviour
Supportive
19. Creating imaginary events to fill up the memory gap is known as-
Circumstantiality
Neologism
Confabulation
Compulsion
20. The part of mind that distinguish right from wrong & acts as censor of behaviour is known as
Id
Ego
Superego
all the above
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