Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
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Previous Exam Questions
Psychiatric Nursing Test - 7
Test - 7
1. Which is the characteristic of anorexia nervosa?
Obsessed with weight loss
Body image disturbance
(Obsessed with weight loss) + (Body image disturbance)
vomiting with nausea
2. Which of the following comments, if made by a patient who has major depression would indicate an increased risk of suicide?
I don't have any plan to kill myself.
I don't want to share my problem with any one.
I won't be a problem much longer.
My family member can't take care of myself.
3. Gamophobia means-
Fear of closed place
Fear of marriage
Fear of divorce
Fear of social isolation
4. In dissociative identity disorder the host identity refers to:
The one that was the first to emerge as new identity
The one that is the most dominant
The one that existed before the onset of the disorder
The one that is the most aggressive
5. Which of the following is a widely used classical conditioning method for treating nocturnal enuresis?
Alarm system technique
Bell book and candle technique
6. Persistent or recurrent episodes of depersonalization are the central features of Depersonalization Disorder These symptoms are characterised by:
Feelings of detachment or estrangement from the self
The sense of living in a dream or in a film
A sense of not being in control of their behaviour
All of the above
7. If a client says, “God is punishing me” or “Why me?”, how should the nurse aide respond?
Reply, “God doesn’t punish people.
Ignore the client
8. 48-year-old Hispanic woman is seen by a psychiatric clinical nurse specialist after receiving a call by her son. According to the son, since his father's death 7 months ago, his mother has lost 30 pounds and can't sleep. During her initial visit, the patient states, 'My husband talks to me in his visits, but his words make no sense to me. I don't understand what he wants me to do.' What is an appropriate nursing diagnosis?
Bipolar mood disorder
9. 21-year-old patient has a diagnosis of schizophrenia and is stuporous, yet exhibits sudden, excessive motor activity with repetitive sit-ups. What is this behavior called?
10. As a nurse, you wish to reinforce functional behavior in your schizophrenic patient. Which intervention will accomplish reinforcement?
Facilitate learning about the importance of medication compliance using written materials for reinforcing medication use
Focus on the feelings of delusion to reinforce reality and decrease false beliefs by talking to the patient.
Educate the patient about the symptoms of schizophrenia
Praise the patient for reality-based perceptions and cessation of acting-out behaviors
11. Which of the following questions is appropriate to assess for disturbances in a patient's relationships?
Have you ever used alcohol or illegal drugs?
How has your appetite been in the past month?
What are your main worries?
What do you talk about with friends?
12. Which of the following symptoms of alcohol detoxification would you be most concerned about?
Increased heart rate
Vitamin and mineral depletion
Hallucinations and delusions.
13. What is the priority nursing intervention to help orient a patient who has Alzheimer's disease?
Post a schedule in the dining room of daily activities
Provide a daily routine and easy-to-read clocks
Use an overhead loudspeaker to announce upcoming events.
Have the patient live alone in a private room.
14. Which of the following assessments is used to confirm alcohol intake
Hair shaft analysis
15. Which of the following questions is most appropriate to ask in screening for a potential problem of high alcohol intake?
Have you felt you should cut down on your alcohol consumption?
Do you enjoy getting smashed?
In the last week, have you had a glass of wine?
Have you ever thought about killing someone?
16. Prolonged alcohol ingestion can cause disorders of the liver such as
17. A patient has been admitted to your unit with a drug overdose, and you need to assess for acidosis and hypoxemia. Which test should you perform?
Complete blood count (CBC)
Arterial blood gases (ABG).
Partial thromboplastin time (PTT)
18. 48-year-old Hispanic woman is seen by a psychiatric clinical nurse specialist after receiving a call by her son. According to the son, since his father's death 7 months ago, his mother has lost 30 pounds and can't sleep. During her initial visit, the patient states, 'My husband talks to me in his visits, but his words make no sense to me. I don't understand what he wants me to do.' What is an appropriate nursing diagnosis?
Bipolar mood disorder
19. Your neighbor's husband comes to talk to you. He says his wife has not left the house in 2 weeks, has a flat mood, and has lost interest in her usual activities. You recognize these as the primary symptoms of
Bipolar manic episodes.
20. A 22-year-old female is admitted to the unit following a suicide attempt. She has a 2-week history of depression as well as a history of abusing multiple substances and anorexia nervosa. What is your first nursing priority?
Administering the Beck depression scale.
Contracting for eating behavior