SUCCEED REVIEW CENTER

PSYCHIATRIC AND MENTAL HEALTH NURSING

1. Prevention of mental illness is best
achieved by:
a. Helping individuals use established
successful coping mechanism
b. Assisting individuals deal with physical
problems
c. Helping individuals deal with physical
problems
d. Assisting individuals deal with family
problems
2. A psychiatric nurse would be more likely to
work with people with mental disorders in
which of the following settings?
a. Shelters
b. Special education centers
c. Prisons
d. All of these
3. Which of the following is an example of
secondary prevention strategy in a
psychiatric ward?
a. Medication administration
b. Screening for hypertension
c. Assessing for skin rashes
d. All of these
4. Helping a patient find an alternative to her
home which has been destroyed by fire, is
an example of what level of prevention
strategy:
a. Primary
c. Tertiary
b. Secondary
d. Any of these
5. Health education, communication and
information dissemination are examples of
activities under:
a. Health promotion
b. Rehabilitation
c. Case Finding
d. Prompt treatment
6. Joharis Window was invented by:
a. Joseph Lupt and Harry Inghan
b. Joseph Luft and Harry Inghan
c. Joseph Lupt and Harry Ingham
d. Jospeh Luft and Harry Ingham
7. The nurse can use self-disclosure with a
patient if:
a. She has experienced the same situation
as the patient
b. The patient asks her directly about his
experience
c. It helps the patient to talk more easily
d. It achieves a specific therapeutic goal
8. The nurses who uses self-disclosure should:
a. Refocus on the patients experience as
quickly as possible
b. Allow the patient to ask questions about
her experience
c. Discuss her experience in detail

d. Have the patient explain his perception

of what the nurse has revealed
9. During the mental status examination a
patient may be asked to explain several
proverbs such as Dont cry over spilled
milk. The purpose is to evaluate the
patients ability to think:
a. Rationally
c. Abstractly
b. Concretely d. Tangentially
10. The terms judgement and insight
sometimes are used incorrectly. Insight is
the ability to:
a. Make appropriate choices
b. Control inappropriate impulses
c. Explain ones psychiatric diagnosis
d. Understand the nature of ones problem
or situation
11. The nurse documents, The patient
described her husbands abuse in an
emotionless tone and with a flat facial
expression. This statement describes the
patients:
a. Feelings
c. Mood
b. Blocking
d. Affect
12. The nurse who suspects that a patients
behaviour has a cultural basis should:
a. Read several articles about the patients
culture
b. Ask staff members of similar culture
about the patients behaviour
c. Observe the patient and his family and
friend interacting with each other and
other staff members
d. Accept the patients behaviour because
it is probably culturally based
13. Which contribution of the psychoanalytic
model is particularly useful to psychiatric
nurses?
a. All behaviour has meaning
b. Behavior that is reinforced will be
perpetuated
c. The first 6 years of a persons life
determine his personality
d. Behavioral deviations result from an
incongruence between verbal and nonverbal communication
14. Which of the following is generally accepted
criterion of mental health
a. Self-acceptance
b. Absence of anxiety
c. Ability to control others
d. Happiness
15. The basis for therapeutic nurse-patient
relationship begins with the nurses:
a. Sincere desire to help others
b. Acceptance of others
c. Self-awareness and understanding

d. Sound knowledge of psychiatric nursing

16. Which of the following should occur during
the working phase of the nurse patientrelationship?
a. The nurse assesses the patients need
and develops a plan of care for the
patient
b. The nurse and the patient together
evaluate and modify the goals of the
relationship
c. The nurse and the patient discuss their
feelings regarding the termination of the
relationship
d. The nurse and the patient explore each
others expectations on the relationship
17. The nurse should introduce information
about the end of the nurse-patient
relationship:
a. During the orientation phase
b. As the goals of the relationship are
reached
c. At least one or two sessions before the
last meeting
d. When the patient is able to tolerate it
18. One example of the psychiatric nurses role
in primary prevention is:
a. Handling crisis intervention in an
outpatient setting
b. Visiting the patients home to discuss
medication management
c. Conducting a post discharge support
group
d. Providing sex education classes for
adolescents
19. The most effective way for the nurse to set
limits for a newly admitted patient who puts
out his cigarettes on the dayroom floor is
to:
a. Restrict the patients smoking to times
when he can be closely supervised by a
staff member
b. Encourage other patients to speak with
the patient about dirtying the dayroom
floor
c. Ask the patient if he puts on his
cigarettes on the floor at home
d. Hand the patient an ashtray and tell him
he must use it or he will not be allowed
to smoke
Wilma, a 27-year old secretary is brought to
the hospital in an agitated state. She is
admitted to the psychiatric unit for observation
and treatment.
20. Before responding to Wilmas initial
outburst, the nurse should:
a. Make sure she is a safe distance from
the patient
b. Move closer to the patient to show that
she is not afraid
c. Assess her own feelings and responses
to the patients behaviour

d. Recognize that it takes time for

relationships to develop and not feel
hurt
21. What would be the most therapeutic initial
response by the nurse?
a. Say nothing, accept what the patient
has said and remain nearby
b. Say, Wilma, weve just met. Why do
you think Im mean?
c. Say, Im only trying to be helpful. Let
me help you put your things away
d. Say, Ill be back in half an hour, then
leave the patients room
22. As Wilma puts her things away, she talks
rapidly and folds and unfolds her clothes
several times. She cannot seem to settle
down. Which nursing diagnostic category is
most applicable initially?
a. Self-care deficit
b. Anxiety
c. Impaired verbal communication
d. Powerlessness
23. The nurse needs to complete Wilmas
admission interview. In light of the patients
initial behaviour, which nursing approach is
best?
a. Allow Wilma as much time as she needs
to arrange her clothes and belongings
b. Recognize that Wilma is upset but stress
that the admission interview must be
completed
c. Tell Wilma that her repetitious behaviour
is interfering with the interview and that
she must stop and cooperate
d. Suggest that Wilma finish arranging her
belongings later and mention that she
needs to complete her admission
interview.
24. The best way to continue Wilmas mental
status interview is to ask:
a. Why are you here, Wilma?
b. What events led to your coming to the
hospital?
c. What do you want us to do for you
while you are here?
d. Tell me about your family, Wilma
Vilma, age 40 us admitted to the medical unit
for treatment of peptic ulcer. (40-41)
25. A nursing assistant remarks, I dont know
whats wrong with Vilma. She never looks at
me when I talk to her. He just stares at the
floor. How should the nurse respond to the
nursing assistant?
a. I wouldnt worry about it. Thats just
how some people are
b. When I give her his medication, Ill ask
her if she is aware that she does this
c. You need to develop more patience
with Vilma. It takes time for patients to
feel at ease in the hospital

d. What seems to bother you most about

Vilmas not looking at you?
26. The nurse can help nursing assistant
understand patient responses that are
different from her own way by explaining
the importance of:
a. Accepting the patients way of
responding and treat all patients alike
b. Suppressing any feelings of discomfort
or anxiety that the patients behaviours
create
c. Evaluating behaviours in the context of
the patients cultural background
d. Confronting the patient about his
behaviours in order to understand their
meaning]
27. Besides his loud rapid speech, Greta swings
his feet and rapidly taps her fingers on the
arm of the chair. Yet she says, I certainly
feel calm today. I didnt know life could be
so tranquil. Which response by the nurse is
most appropriate?
a. Im glad to hear you are feeling calm
and settled this morning
b. You told me that you are calm, but your
body seems to be sending a different
message
c. I think we should talk about how calm
the weather is today
d. Im glad you are feeling so calm. Things
will be better for you now you can
count on that
28. Gretas anxiety level takes a toll on the
nurse, and she feels her body tensing. The
nurse momentarily questions the
therapeutic quality of her listening skills.
Which behaviour on the nurses part
indicates her decreased attention to Gretas
problems?
a. Moving her chair so she directly faces
Greta
b. Leaning forward toward Greta
c. Maintaining direct eye contact
d. Crossing her arms and legs
29. Which statement is most appropriate to end
the one-to-one session with Greta?
a. Your body seems more relaxed now,
Greta
b. Today we talked about how your body
can provide clues to your feelings
c. Did you think todays session was of
value of you?
d. Im going to have a lunch now, our time
is up
Danilo, age 21 has just been admitted to the
inpatient psychiatric unit. Her facial expression
indicates severe panic and she repeatedly
states, I know the police are going to shoot
me. They found out that Im the daughter of
the devil

30. To initiate a therapeutic nurse-patient

relationship with Danilo, the nurse should
say:
a. You certainly look stressed, Daniclo
Can you tell me about the upsetting
events that have occurred in your life
recently?
b. Hello, my name is Anny. Im a nurse
and I will care for you when I am on
duty. Would you like to me to call you
Danilo or do you prefer something
else?
c. You are having very frightening
thoughts. I will help you find ways to
cope with this scary thinking
d. Hello, Danilo I am going to be caring
for you while I am on duty. You look very
frightened, but tomorrow Im sure youll
feel better
31. After the assessment and intake procedures
are completed, the nurse explains that she
will try to be available to talk with danilo,
when needed and that she will spend time
with her each morning from 10:00 until
10:30 in a specific corner of the dayroom.
The main rationale for communicating
these planned nursing interventions is to:
a. Provide a structured environment for
Danilo
b. Instil hope in Danilo
c. Attempt to establish a trusting
relationship
d. Provide time for completing nursing
responsibilities
32. Brando reports that he hears the voice of
his brother, who was recently killed in an
auto accident, telling him to hang himself
so the two brothers can be together. How
should the nurse respond?
a. Thats impossible. Dead people cant
talk
b. Well be placing you on suicide
precautions so you wont act on his
command
c. Tell me what your brother was like
d. Killing yourself doesnt guarantee that
youll join your brother
33. Mr. Manny Pacqui asks the nurse to speak
with his wife about her over-protectiveness.
He says that he has tried everything and
that his wife refuses to change. The most
appropriate intervention is to:
a. Talk to Mrs. Pacqui about her parenting
behaviours
b. Provide Mr. Manny with a referral for
family therapy
c. Suggest that Mr. Manny discuss the
problem with Dionisias physician
d. Ask Dionisia about her relationship with
her parents

34. During initial assessment, the nurse

suspects that Taliling may be having a
situational crisis. Which question is most
effective in beginning to explore this
possibility?
a. What has changed in your life recently
b. Do you think your symptoms are
related to a recent event
c. What do you think is causing your
symptoms
d. Tell me all about yourself
35. Taliling relates that her father died 7 years
ago and that her mother is extremely lonely
and misses her father very much. While
listening to Taliling, the nurse should further
assess for:
a. The patients feelings about her mother
b. The patients feelings about her father
c. Any recent losses in the patients life
d. The patients relationships with relatives
andfriends
36. Most people respond emotionally to the
thought of electric current passing trough their
brain. When discussing the subject with the
patient, the nurse should:
a. Use the term shock in a neutral, calm
manner
b. Refer to the procedure as the patients
treatment instead of shock therapy.
c. Refer to it as ECT
d. Explain how the convulsions are artificially
induced
37. B. and her husband begin to express
concern about the proposed ECT treatment.
Which nursing action is most appropriate
initially?
a. Refer all questions to the physician who
will actually administer the ECT treatment
b. Listen for misconceptions and clarify any
confusing information
c. Orient B. and her husband to the ECT unit
so they can become familiar and
comfortable with the surroundings
d. Provide B. and her husband with booklets
explaining the procedure in simple,
understandable terms
38. By providing B. and her husband with an
opportunity to discuss ECT treatment openly
and directly, the nurse communicates the idea
that:
a. ECT should not be feared
b. ECT will reverse the depression
c. ECT is a positive treatment alternative
d. ECT is a safe procedure
39. B. asks the nurse, Why do I have to file a
consent form. Which response is most
appropriate?
a. It indicates that you have been fully
informed about the procedure and the risks
involved.

b. Your physician should have explained

this to you yesterday. Didnt he tell you
about signing a consent.
c. Its just a hospital rule. Sign here please.
d.Most of the medications used can be
dangerous. Your consent is required.
40. When B. returns to her room after
awakening from the ECT treatment, the nurse
should:
a. Place a No Visitors sign on the door so
she can rest undisturbed
b. Perform a complete physical assessment
c. Orient her to person, place and time
d. Remain with her until all confusion
disappears
41. Which other nursing action should the
nurse perform after the patient returns from
ECT treatment?
a. Take vital Signs every 15 minutes for the
next two hours
b. Open all locked closets so the patient can
have access to her belongings
c. Offer the patients a cigarette if she
smokes, to help her relax.
d. Touch the patients by grasping her hand
or massaging her shoulders while talking to
her
42. Which side effects are most common after
ECT treatment?
a. Headache and dizziness
b. Diarrhea and urinary incontinence
c. Nausea and vomiting
d. Temporary memory loss and confusion
43. Electroconvulsive Therapy was developed
by:
a. Hugo Cerletti and Luciiano Bini
b. Huggo Cerletti and Luciano Bini
c. Hugo Cerleti and Luciano Bini
d. Hugo Cerletti and Luciano Biini
44. The electrical current for ECT is:
a. 60 110 volts
c. 60 140
volts
b. 70 120 volts
d. 70 150
volts
45. The ECT is indicated for:
1. Severe depression
3. Panoria
2. Suicide
4. Catatonic Stupor
a. 1,2,3
b. 1,2 c. 1
d. All of the
Above
46. A patient changes topics quickly while
relating his past psychiatric history. However,
the nurse is able to follow his thoughts. The
patients pattern of thinking is called.
a. looseness of association
b. flight of ideas
c. clang association
d. confabulation
47. A patient states, The sun is shining.
Where is my sun? I love Lucy. Lets play ball.
The patient is displaying?
a. clang association c. derealization

b. flight of ideas
d.
neologanism
48.The main function confabulation serves in
patients with dementia, is to:
a. lessen isolation
b. protect their self esteem
c. control others
d. enhance memory recall
49. A patient has mistakenly perceived that a
coiled lamp cord is a snake. This is an Example
of:
a. illusion
c. delusion
b. hallucination
d.
confabulation
50. All of the following are disturbances in
thinking except:
a. hallucinationc. looseness of association
b. delusion
d. clang association
51. Barongans depression does not improve
with antidepressant medication, and the
physician orders electroconvulsive therapy
(ECT). ECTs mechanism of action is:
a. related to the patients perception of ECT
as well deserved punishment
b. unclear and present
c. related to an increased production of
chemicals in the brain
d. similar to that of antidepressant drugs
52. Which of the following medications is given
to a patient before ECT, to prevent aspiration?
a. Atropine sulfate
c. Brevital
b. Ritalin
d. Anectine
53. Which of the following statements, indicate
a common side effect of ECT, when a patient
says:
a. I cant sleep.
c. I know you.
b. I have a headache.
d. I feel that my
muscles are stiff.
54. An appropriate intervention for a patient
after ECT is to:
a. Check the consent
c. Serve meals right
away
b. Re- orient the patient
d. Assist the patient
to ambulate
55. Which of the following complains should
the nurse address initially after ECT?
a. I have a headache.
c. I cant
remember anything.
b. I cant breathe. d. Im hungry.
56. Erikson described the psychosocial tasks of
the developing person in his theoretical model.
The primary developmental task of the young
adult ( age 18 to 25) is:
a. intimacy versus isolation
b. industry versus inferiority
c. generativity versus stagnation
d. trust versus mistrust
57. Joseph, 5-years-old had been brought to
the emergency room by their neighbor with
second degree burns in his right hand.

According to Freud, Joseph is at what stage of

psychosexual development?
a. latency
c. anal
b. oral
d. phallic
58. Karen, 19 year old college student belongs
to what stage of psychosexual development?
a. anal
c. genital
b. latency
d. phallic
59. Three year old Joshua belongs to what
stage of development?
1. anal
3. sensory motor
2. phallic
4.
preoperational
a. 1,3
b. 1,4
c. 2,3
d. 2,4
60. A child who belongs to the phallic stage in
Freuds , theory, must develop which of the
following developmental tasks according to
Erickson?
a. trust
c. initiative
b. autonomy
d. industry
61. One afternoon the nurse on the unit
overhears a young female client having an
argument with her boyfriend. A while later the
client complains to the nurse that dinner is
always late and the meals are terrible. The
nurse recognizes that the defense mechanism
the client is using is:
a. Projection
c. Displacement
b. Dissociation
d.
Intellectualization
62. Although upset by a young clients
continuous complaints about all aspects of
care, the nurse ignores them and attempts to
divert the conversation. Immediately following
this exchange with the client, the nurse
discusses with a friend the various stages of
development of young adults. The defense
mechanism the nurse is using:
a. Substitution
c.
Identification
b. Sublimation
d.
Intellectualization
63 During an interview with the parents of an
adolescent female, the nurse notices that her
father continually defends and makes excuses
for all of his daughters actions whereas her
mother seems to feel her daughter is just lazy
and that there is nothing wrong with her that
she couldnt change with some effort. The
nurse recognizes that the dynamic used by this
family is known as:
a. Coalition
c. Passive
aggression
b. Resignation
d. Reaction
Formation
64. The nurse is aware that according to
Erikson, a childs increased vulnerability to
anxiety in response to separations or pending
separations from significant others results from
failure to complete the developmental task
called:

a. Trust
c. Initiative
b. Identity
d. Autonomy
65. The nurse knows that Erikson identified the
developmental conflict of the preschool child
from 3-5 years as:
a. Initiative versus guilt
c. Initiative
versus inferiority
b. Industry versus inferiority
d.
Industry versus guilt
66. The nurse evaluates that a client has
understood about the side effects and
precations associated with the neuroleptic
Haloperidol (Haldol) when the client states:
a.
I will immediately report any diarrhea
or vomiting to my doctor.
b.
I will not eat any Tyramine-containing
foods while Im taking Haldol.
c.
Ill maintain an adequate fluid intake
because I may urinate more than usual.
d.
Ill avoid direct sunlight and use
sunburn preventive products when I go
outdoors.
67.
When caring for a middle-age female
client who has lost 20 pounds over the last 2
months, cries easily, sleeps poorly, and refuses
to participate in any family or social activities
that she previously enjoyed, it is most
important for the nurse to:
a. Provide the client with a high-calorie, high
protein diet
b. Set firm, consistent limits to reduce the
clients crying episodes
c. Assure the client that she will regain her
usual function in a short time
d. Allow the client to externalize her feelings,
especially anger, in a safe manner
68.
A client recently admitted to the hospital
with the diagnosis of Schizophrenia, Paranoid
type, says to the nurse, I know theyre spying
on me here, too. Im not safe anywhere! The
most therapeutic response by the nurse should
be:
a. Nobodys spying on you in here.
b. Why do you feel theyd want to follow you
here?
c. You dont feel safe anywhere, not even in
the hospital?
d. You are safe in the hospital; nothing can
happen to you here.
69.
To foster a therapeutic relationship with
a deeply depressed, unresponsive client who
remains curled up in bed and refuses to talk,
the nurse must first break through the clients
withdrawal. Initially, this can best be achieved
by:
a. Sitting quietly next to the client for set
periods of time each hour.
b. Urging the client to participate in simple
games with other client
c. Touching the client gently on the arm when
the opportunity arises
d. Informing the client that going to the lounge
is required in the daytime

70.
When assessing an adolescent client
with the diagnosis of Schizophrenia,
undifferentiated type, the nurse should expect
the client to experience which signs and
symptoms?
a. Paranoid delusions and hypervigilance
b. Depression and psychomotor retardation
c. Loosened associations and hallucinations
d. Ritualistic behavior and obsessive thinking
71.
The nurse counselor is working with a
couple and their two sons, ages 14 and 16. One
son has been in trouble at school because of
truancy and poor grades. The other son
appears quiet and withdrawn. The parents
have had severe marital problems for the past
10 years. The priority nursing diagnosis for this
family at this time is:
a. Impaired Parenting related to marital
problems
b. Impaired adjustments related to the children
growing older
c. Disabled family coping related to the sons
school problems
d. Impaired Social interaction related to an
inability to form relationships
72.
The nurse is working with an adolescent
client diagnosed with conduct disorder. While
working on the goal of meeting personal needs
without manipulating others, the nurse should
implement which strategies?
1. Discuss how others can precipitate
anxiety
2. Provide Physical outlets for aggressive
feelings
3. Establish a contract regarding
manipulative behavior
4. Develop activities that provide
opportunities for success
5. Encourage the client to verbalize
negative feelings to others
a. 1,2,3
b. 3,4,5
b. 2,3,4
d. All of the above
73.
When a disturbed client who has a
history of using neologism says to the nurse,
My jacket hss kelong mon, the nurse should
responds by:
a. Trying to learn the language of the client
b. Telling the client that these words are not
understood
c. Communicating in simple terms directed
towards the client
d. Recognizing that the client needs a nurse
who can understand the fantasies expressed
74.
A disturb client, unprovoked, attacks
another client. A short-term plan for this client
should include:
a. Getting the client to apologize for the attack
to the other client
b. Having a staff member whom the client
trusts stay with the client
c. Protecting others from the clients impulsive
acts and secluding the client
d. Keeping the client actively participating in
activities and in contract with reality

75.
The nurse is aware that the medication
used to prevent symptoms of withdrawal in
clients with a long history of alcohol abuse is:
a. Lorazepam (Ativan)
b. Phenobarbital (Luminal)
c. Chlorphromazine (Thorazine)
d. Methadone hydrochloride (Methadone)
76.
A female nurse has been caring for a 75year-old depressed woman who reminds her of
her grandmother. The nurse spends extra time
with her every day and brings her home-baked
cookies. The nurses behavior reflects:
a. Affiliation
c. Compensation
b. Displacement
d. Countertransference
77.
An older adult accompanied by family
members, is admitted to the hospital with
symptoms of dementia. During the admission
procedure the initial statement by the nurse
that would be most helpful to this client is:
a. You are somewhat disoriented now, but do
not worry. You will be all right in a few days
b. I am the nurse on duty today. You are at the
hospital. Your family can stay with you for a
while
c. Let me introduce you to the staff here first.
In a short while Ill get you acquainted with our
unit routine
d. Do not be frightened I am the nurse, and
everyone here in the hospital is here to help
you get well
78.
The nurse is aware that a 6-year-old with
normal psychosocial development should have
achieved Eriksons developmental conflicts
related to trust, autonomy and:
a. Identity
c. Initiative
b. Intimacy
d. Industry
79.
The daycare treatment team and a
client with an obsessive-compulsive personality
disorder decide it would be therapeutic for the
client to get a part-time job. On the day of the
job interview, the client comes to the center
very anxious and displays an increase in
compulsive behaviors. The nurse could best
respond to these behavioral changes by
stating:
a. I know you are anxious, but make yourself
go and try to conquer your fear
b. If going to an interview makes you this
anxious, it seems youre not ready to work
c. Going for you interview triggered some
feelings in you. Describe what youre feeling at
this time
d. It must be that you really dont want that
job after all. I think you should think more
about it
80.
A group of clients from a psychiatric unit
are going to a professional ballgame
accompanied by staff members. The purpose
of visits into the community under the
supervision of staff members is to:
a. Help the clients return to reality under
controlled conditions

b. Assist the clients in adjusting to anxieties in

the community
c. Observe the clients abilities to cope with a
more complex society
d. Broaden the clients experiences by
providing exposure to cultural activities
81.
To foster a healthy grieving response to
the birth of a stillborn child, the nurses best
acknowledgement of the mothers questions
about the cause is:
a. You are young, wait and see, youll have
other children
b. You may be wondering if something you did
caused this
c. Its Gods will, we have to have faith that it
was for the best
d. This often happens when something is
wrong with the baby
82.
On day the nurse and a young adult
client sit together and draw. The client draws a
face with horns on top of the head and
says,This is me, Im devil. The nurse should
respond.
a. I dont see a devil. Why do you see a
devil?
b. lets go to the mirror to see what you look
like
c. You are not a devil. Why do you talk about
yourself like that?
d. When I look at you, I see an attractive
young person, not a devil
83.
The nurse is aware that most clients
with phobias use the defense mechanisms of:
a. Dissociation and denial
b. Introjection and sublimation
c. Projection and displacement
d. Substitution and reaction formation
84.
The nurse manager recognizes that one
of the nurses in ICU may be experiencing
burnout. The nurse manager should plan to
help this nurse begin to confront the problem
by:
a. Transferring to another nursing care unit
b. Choosing a nursing position on a low-stress
unit
c. Attending educational programs as often as
possible
d. Identifying personal responses to daily work
stresses
85.
A client is admitted to a psychiatric unit
with a history of sleeplessness, lack of interest
in eating and charging of excessive purchases
to charge accounts. The adaptation that the
nurse should expect the client to exhibit in the
hospital would include:
a. Depressed mood
b. Increased insight into behavior
c. Decreased psychomotor activity
d. Intrusive involvement with environmental
activities
86.
A client leaves group therapy in the
middle of the session. The nurse finds the
client obviously upset and crying. The client
tells the nurse that the groups discussion was

too much to tolerate. The most therapeutic

nursing action would be to:
a. Request kindly but firmly that the client
return to the group to work out conflicts
b. Suggest that the client accompany the nurse
to a quiet place so that they can talk about the
situation
c. Ask the group leader what happened in the
group session and base intervention on this
additional information
d. Respect the clients right to decline therapy
at this time and report the incident to the rest
of the health care team members
87.
A client sits huddled in a chair and
leaves it only to crouch in a corner. The nurse,
observing this realizes that this behavior is
classified as:
a. Reactive
c. Dissociative
b. Regressive
d. Hallucinatory
88.
When caring for a withdrawn, reclusive
psychotic client, the priority goal would be for
the client to develop:
a. Trust
c. A sense of
identity
b. Self-worth
d. An ability to socialize
89.
When reviewing the medications for a
group of clients on a psychiatric unit, the nurse
recognizes the pharmacotherapy for anxiety
disorders is moving away from
benzodiazepines and moving toward:
a. Anticholinergics c. Anti-psychotic meds
b. Lithium carbonate
d. SSRI
90.
A client has been experiencing
delusions. The nurse understands that
according to psychodynamic theory, delusions
are:
a. A defense against anxiety
b. Precipitated by external stimuli
c. The result of paleologic thinking
d. Subconscious expression of anger
91.
A nurse on the psychiatric unit is
assigned to work with a client who appears
reclusive and mistrustful of everyone. The
nurse can help the client to develop trust by:
a. Attempting to be prompt for their scheduled
meetings
b. Stating sincerely that the nurse cares about
the clients feelings
c. Handing the client medication and not
watching to see if it is swallowed
d. Listening attentively to the clients positive
feelings and ignoring negative feelings
92.
A female client in the terminal stage of
cancer is admitted to the hospital in severe
pain. The client refuses medication for the pain
because it puts her to sleep and she wants to
be awake. One day, despite the clients
objection, a nurse administers the pain
medication saying, You know that this will
make you more comfortable.The nurse in this
situation could be charged with:
a. Battery
c. Invasion of privacy
b. Assault
d. Lack of informed
consent

93.
The nurse, recognizing the possible
cause of alcohol-induced amnestic disorder,
should take into consideration that the client is
probably experiencing:
a. A deficiency in thiamine
b. An iron intake reduction
c. An increase in serotonin
d. A riboflavin malabsorption
94.
The day after the birth of their baby, the
parents are upset to learn that the baby has a
heart defect. At this time, it would be most
helpful for the nurse to:
a. Explain the diagnosis in a variety of ways
b. Allow the parents to express their feelings
c. Encourage the parents to talk with other
parents
d. Assure the parents that surgery will correct
the problem
95.
An older client with vascular dementia
has difficulty following simple directions for
selecting clothes to be worn for the day. The
nurse identifies that these problems are the
result of:
a. Receptive aphasia
b. Impaired judgment
c. Decrease attention span
d. Clouding of consciousness
96.
The nurse is creating a therapy group
for low-functioning clients. Which client would
be the most appropriate member?
a. 77-years old man with anxiety and mild
dementia
b. 52-year old man with alcoholism and an
antisocial personality
c. 28-year old woman with bipolar disorder in a
hypermanic sate
d. 38-year old woman whose depression is
responding to medication
97.
In addition to suicide, an awareness of
serious health problems in adolescents requires
that the school nurse teach the faculty that
adolescents are at risk for:
a. Rubella and mononucleosis
b. Heroin abuse and malnutrition
c. Genital herpes and alcohol abuse
d. Diabetes ad use of marijuana
98.
During the admission interview of a
client with a diagnosis of bipolar I disorder,
manic episodes, the nurse would expect the
client to demonstrate:
a. Flight of ideas
c. Associative
looseness
b. Ritualistic behaviors
d. Delusions of
persecution
99.
To therapeutically relate to parents who
are known to have maltreated their child, the
nurse must first:
a. Identify personal feelings about child
abusers
b. Recognize the emotional needs of the
parents
c. Call authorities to report the suspected
incident
d. Gather information about the childs home
environment

100. A young woman who has just lost her

first job comes to the mental health clinic very
upset and states, Without warning, I just start
crying even without any reason. The nurses
initial response should be:
a. Do you know what makes you cry
b. Most of us need to cry from time to time
c. Crying unexpectedly can be very upsetting
d. Are you having any other problems at this
time?
--------------------GOOD LUCK and
GODBLESS--------------Bryan Dimen, RN, MAN
Life is like riding a bicycle. To keep your
balance, you must keep moving. Albert
Einstein
Never let your success get to your head and
never let your failure get to your heart

DARE TO DREAM AND ACT ON THAT

DREAM