Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Psychiatric Nursing Test - 8
Test - 8
1. A female client undergoes yearly mammography. This is a type of what level of prevention?
2. The patient complaint of vomiting, diarrhea and restlessness after taking lithane. The nurse’s initial intervention is:
Recognize that this is a normal side effects of lithium and still continue the drug.
Check V/S to validate patient’s concerns.
Notify the physician.
Recognize that this is a sign of toxicity and withhold the next medication.
3. The nurse should know that the normal therapeutic level of lithium is :
.6 to .12 cc3/L
.6 to .12 cc/ml
6 to 12 meq/L
.6 to 1.2 meq/
4. A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurse's highest priority in assessing the client on admission would be to ask him:
About recent stresses.
How he sleeps at night.
If he is thinking about hurting himself.
How he feels about himself
5. A client is brought to the hospital’s emergency room by a friend, who states, "I guess he had some bad junk (heroin) today." In assessing the client, the nurse would likely find which of the following symptoms?
Eye irritation, tinnitus, and irritation of nasal and oral mucosa.
Decreased respirations, constricted pupils, and pallor.
Increased heart rate, dilated pupils, and fever.
Tremulousness, impaired coordination, increased blood pressure, and ruddy complexion.
6. Preparing the client for the termination phase begins:
7. The client is taking sertraline (Zoloft), 50 mg q AM. The nurse includes which of the following in the teaching plan about Zoloft?
Zoloft causes erectile dysfunction in men.
Zoloft increases appetite and weight gain
Zoloft causes postural hypotension
It may take 3-4 weeks before client will start feeling better.
8. The most effective treatment modality for persons if anti social PD is
9. A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?
Complains of dry mouth
State he feels restless in his body
Stops pacing and sits with the nurse
Exhibits increase activity and speech
10. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
Restrict visits with the family
Set-up a strict eating plan for the client
Provide privacy during meals
Encourage client to exercise to reduce anxiety
11. A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate
Flight of ideas
Loosening of association
12. A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner?
Using open ended question and silence
Focusing on self-disclosure of own food preference
Offering opinion about the need to eat
Verbalizing reasons that the client may not choose to eat
13. During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?
Grand mal seizure activity depresses respirations
Muscle relaxations given to prevent injury during seizure activity depress respirations.
Anesthesia is administered during the procedure
Decrease oxygen to the brain increases confusion and disorientation
14. To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of
Frustration & fear of death
Helplessness & hopelessness
Anger & resentment
Anxiety & loneliness
15. 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
16. 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
Excessive weight loss, amenorrhea & abdominal distension
Compulsive behavior, excessive fears & nausea
17. Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should?
Ask the client direct questions to encourage talking
Rake the client into the dayroom to be with other clients
Leave the client alone and continue with providing care to the other clients
Sit beside the client in silence and occasionally ask open-ended question
18. A nursing care plan for a male client with bipolar I disorder should include:
Designing activities that will require the client to maintain contact with reality
Touching the client provide assurance
Providing a structured environment
Engaging the client in conversing about current affairs
19. Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
Alcoholics anonymous (A.A.)
20. A 20 year old client was diagnosed with dependent personality disorder. Which behavior is most likely to be evidence of ineffective individual coping?
Recurrent self-destructive behavior
Inability to make choices and decision without advise
Showing interest in solitary activities