Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Psychiatric Nursing Test - 9
Test - 9
1. Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
Restlessness & Irritability
Vomiting and Diarrhea
Yawning & diaphoresis
Constipation & steatorrhea
2. When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
Helps the client control the anxiety
Helps the client focus on the inability to deal with reality
Is used by the client primarily for secondary gains
Is under the client’s conscious control
3. Nurse Anna can minimize agitation in a disturbed client by?
increasing appropriate sensory perception
limiting unnecessary interaction
ensuring constant client and staff contact
4. Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?
Allowing a snack to be kept in his room
Ignoring the clients behavior
Reprimanding the client
Setting limits on the behavior
5. 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?
“Would you like me to kill the spiders”
“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”
“You’re having hallucination, there are no spiders in this room at all”
6. A client has come into the emergency room complaining about being followed and that people are trying to kill them. The nurse reviews the clients medications and notes the client is likely to have schizophrenia based on which medication?
7. A patient with catatonic schizophrenia is in the hospital on the mental health unit. The patient has not moved for 3 days. Which of the following nursing interventions best demonstrates that the nurse is upholding the patients safety in this situation?
Place the patient in seclusion until the catatonia has resolved
Administer methylphenidate to control behavior
Start an IV to administer a bolus of normal saline solution
Perform range of motion exercises and apply sequential compression devices
8. A psychiatric and mental health nurse is working with a family who is undergoing group therapy. Which action from the nurse best demonstrates the view of the family as a unit?
Providing health education to all members of the family
Asking about the health needs of individual family members
Organizing a schedule of meeting with each family member involved
Arranging for another therapist to meet with some of the family members at different times
9. A patient is admitted to the psychiatric unit after a suicide attempt. The nurse plans to write a suicide prevention contract. To promote compliance and build a trusting relationship with the patient, the contract should
be written by the physician
be written by the patient
be written jointly by the nurse and the patient
be written by the social worker
10. A 3-year-old and her parents check into the emergency room. The parents are complaining that the babysitter is abusing their child. What action should the nurse take first?
Assess the child.
Call the physician.
Notify the social worker.
Call Child Protective Services.
11. A 7-year-old patient with cystic fibrosis dies unexpectedly. After the death, the staff closest to the patient have trouble coping. Who should be consulted to help the nursing staff cope?
The patient's family
The nurse manager
12. The nurse's patient with panic disorder is crying and hyperventilating and states "Everything is falling apart!" What should be the nurse's priority action?
Ask the patient to talk about it.
Do a breathing exercise with him.
Calmly tell him to stop crying
13. Which of the following therapy techniques attempts to change a patient’s thought processes and behaviors through problem-solving and conscious evaluation of beliefs about the self?
Medicinal interventional therapy
Cognitive behavioral therapy
Peer support therapy
14. A patient being admitted to the ICU asks why he must sign a document stating his wishes regarding life support. Which of the following is the best response?
"All patients must sign that form."
"We want to respect your advance directive decisions in case you are unable to make these decisions later."
"We think something might go wrong, so we want to be safe."
"If you die, we would like to use your body for medical research."
15. A psychiatric nurse is discharging a patient whom the nurse finds charming and very intelligent. What is the appropriate response when the patient asks for the nurse's phone number?
Give an e-mail address instead.
Get the patient's number instead.
Say no and reinforce boundaries.
Provide the phone number.
16. To evaluate whether patient teaching for coping skills has been effective, the psychiatric and mental health nurse asks an adolescent patient to:
perform a return demonstration.
consider the outcomes objectively.
keep a written journal.
set measurable goals.
17. Nursing staff members at a community mental health center are formulating an outpatient treatment plan with a 30-year-old patient with schizophrenia. A major consideration is that:
the patient's contact with the center will diminish as he or she becomes stable, but the patient will continue to need support.
the patient's contact with the center will gradually decrease until his or her therapy can be terminated.
the patient will require a referral for vocational rehabilitation services.
the patient will likely need weekly supportive treatment for life.
18. A supervisor observes inconsistency in the psychiatric and mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:
19. In which circumstance is a breach of patient confidentiality appropriate?
A supervisor inquires about the patient.
The family inquires about the patient without his or her knowledge.
The patient appears sincere in threatening to harm another person.
The patient has participated in illegal activity.
20. Older adults have reached Erikson's developmental stage of ego integrity, when they:
acknowledge that one cannot get everything one wants in life.
assess their lives and identify actions that had value and purpose.
express a wish that life could be relived differently.
feel that they are being punished for things they did not do.