PART A - MULTIPLE CHOICE QESTIONS

1 The nurse expects a client exhibiting flight of ideas to do which of the following?

A Make sudden stops in the flow of conversation

B Coin new words or combinations of several words
C Provide excessive detail those delays starting a point
D Talk excessively while frequently shifting from one idea to another

2 Client tells the nurse that his body is made of wood and is quite heavy. The nurse
interprets this as which of the following?
A Obsession
B Compulsion
C Hallucination
D Depersonalization

3 The main symptom of Bipolar I Disorder has experienced

A A full syndrome of manic or mixed symptoms

B Hallucination and Delusion
C Panic attack
D Anxiety

4 4. Commonly defined as a fixed false belief and is used in everyday language to

describe a belief that is either false, fanciful or derived from deception. In
psychiatry is

A A hallucination
B An illusion
C A delusion
D Sympathy

5 A perception in the absence of a stimulus that the person may or may not believe is
real. Occur in any sensory modalityvisual, auditory, olfactory, gustatory, tactile.
In psychiatry is

A A hallucination
B An illusion
C A delusion
D Sympathy
6 The treatment for Bipolar disorder is Lithium carbonate as

A Sodium valproate
B Calcium
C Natrium
D Electrolit

7 Periodical test on serum lithium is necessary for patient under going lithium
carbonate therapy because
A Over dosage, usually with plasma concentrations over 1.5mmol Li+/liter,
may be fatal and toxic effects
B Over dosage, usually with plasma concentrations over 1.5mmol Li+/liter,
may hypertension
C Low dosage, usually with plasma concentrations lower 1.5mmol Li+/liter,
may be anxiety
D Over dosage, usually with plasma concentrations over 1.5mmol Li+/liter,
may heart attack

8 Which of the statement below did not fulfil social phobia

A Public speaking
B Using public restroom
C Eating, drinking, writing in public
D Blood injection

9 Anti Parkinson drug to be given together with antipsychotic drug, the purposes is

A Reducing side effect of dopamine treatment

B To prevent aggressive behaviour patient
C Reducing of hallucination
D Reducing of delusion

10 A client receiving the neuroleptic medication chlorpromazine (Thorazine) exhibits

excessive drooling and fine hand tremors. Which medication would the nurse expect
the physician to order?
A Benztropine (Cogentin)
B Acetaminophen (Tylenol)
C Lorazepam (Ativan)
D Naproxen (Aleve)
11 A client with schizophrenia is sitting quietly in his room, smiling and talking to
himself. This behavior may be an indicator that the client is:
A confabulating.
B hallucinating
C disoriented.
D Delusional.

12 During her community presentation covering secondary prevention of schizophrenia,

the community health nurse correctly states that incidence of schizophrenia in the
general population is approximately:
A 0.05%.
B 1%.
C 7%
D 10%.

13 A client with schizophrenia states, "The TV screen is constantly communicating with

me." Which of the following would the nurse document?
A Ideas of influence
B Ideas of reference
C Delusions of grandeur
D Looseness of association

14 A client is admitted to the hospital because of suicidal thoughts. The nurse knows
that the incidence of suicide is highest among which population?
A Children younger than age 10
B Single, young women
C Older, widowed men
D Married adults

15 A client's history includes three documented episodes of hypomania. The nurse

understands that hypomania:
A Is a state of extreme excitement and euphoria that does not require
hospitalization.
B Is a depressive state that is not considered full-blown depression.
C Is a state of slowed thinking with both sad and euphoric episodes.
D Is a state of mania that is less severe than a manic episode
16 Which finding would lead the nurse to suspect that a female client has insight into the
mental disorder she is experiencing?
A Demonstration of self-understanding related to the origin of behavior
B Placement of responsibility for problems on dysfunctional family
C Verbalization of acceptance of her mental illness
D Suggestion that problems are related to bad nerves

17 When administering the neuroleptic haloperidol (Haldol) to a client, the nurse

understands that it is decreasing the amounts of which neurotransmitter?
A Acetylcholine
B Dopamine
C Serotonin
D Histamine

18 For the client receiving the antipsychotic medication clozapine (Clozaril), which
laboratory study would be most important for the nurse to monitor?
A Complete blood count
B Liver function study
C Renal function study
D Thyroid profile

19 A client receiving the neuroleptic medication chlorpromazine (Thorazine) exhibits

excessive drooling and fine hand tremors. Which medication would the nurse expect
the physician to order?
A Benztropine (Cogentin
B Acetaminophen (Tylenol)
C Lorazepam (Ativan)
D Naproxen (Aleve)

20 Condition where pt is having voice without sources is called

A Delusion
B Nihilism
C Hallucination
D Stupor and anxiety
PART B

Question 1.

Psychiatric diseases are becoming more common in Malaysia.

a) Explain THREE (3) factors of psychiatric aetiology.

(6 marks)

The psychiatric patients are manage by using psychotropic drugs and electroconvulsive
therapy (ECT).

b) State FOUR (4) advantages of ECT treatment.

(4 marks)

c) Explain your nursing responsibilities; before, during and after electroconvulsive therapy.
(10 marks)

- END OF THE QUESTION -