Psychiatric Nursing D.

Haldol for Mang Boyet, a schizophrenic

patient
1. The CNS is composed of the brain, the spinal
cord, and associated nerves that control 5. Mental health problems have 4 facets as a public
voluntary acts. Structurally the brain is divided health burden. Mang Lerkey has been diagnosed
into the cerebrum, cerebellum, brain stem, and to have Bipolar Disorder. He is now being
limbic system. An emergency psychiatric client discriminatedby the community and is labeled as
presents with amnesia, hyperthermia and “Baliw” because of his illness. This is an example
unexplained loss of appetite. Accompanying of ?
family members state that the client suffered a A. Defined burden
head injury while falling from a ladder several B. Undefined burden
days previously. The nurse concludes that the C. Hidden burden
client’s symptoms are consistent with trauma to D. Future burden
which area of the brain?
A. Thalamus 6. A 16-year old client with a diagnosis of
B. Hypothalamus undifferentiated schizophrenia has become very
C. Cerebrum clingy and begins sucking her thumb while
D. Cerebellum interacting with the nurse. The nurse interprets
this behavior as which of the following?
2. Psychoanalytic theory supports the notion that all A. Repression
human behavior is caused and can be explained B. Regression
(deterministic theory). Freud believed that C. Rationalization
D. Projection
repressed (driven from conscious awareness)
sexual impulses and desires motivated much 7. The nurse is developing short-term goals for a
human behavior. Under the psychoanalytic client who repeatedly makes statements about
model of Freud, the ego functions include all of not deserving things. The nurse determines that
the following except: which of the following is an appropriate short-
term goal?
A. Store up experiences in memory A. Identify distorted thoughts
B. Operate on the pleasure principle to reduce B. Describe self-care patterns
tension or discomfort C. Discuss family relationships
C. Control and regulate instinctual drives D. Explore communication skills
D. Use defense mechanism to protect self
8. During conversation with a client, the nurse
3. Psychosocial growth occurs in sequential phases observes that he shifts from one topic to the next
and each stage is dependent on completion of on a regular basis. Which disorder is the client
the previous stage and life task. The nurse is most likely to have?
aware that according to Erikson, a young child’s A. Flight of ideas
increased vulnerability to anxiety in response to B. Concrete thinking
separations or pending separations from C. Ideas of reference
significant others results from failure to complete D. Loose associations
the developmental task called:
9. Nurse Lara is giving a report to the nurse on the
A. Trust next shift. Which description of a client’s
experience and behavior can be shared as an
B. Identity example of the client experiencing an illusion?
A. “The client tried to push me away, hit me,
C. Initiative and cursed at me every time I went into the
room to take vital signs.”
D. Autonomy B. “Repeatedly the client yelled, ‘I keep hearing
my mother’s voice telling me to get dressed
4. The clients in psychiatric nursing includes and run away.’”
individuals, families, groups and communities. C. “Whenever I went to leave the room, the
The scope of psychiatric nursing encompasses client became anxious and grabbed my
primary to tertiary level of prevention. Secondary hand and begged me to stay.”
level of prevention in mental health and D. “Every time the client looked at the shadows
psychiatric nursing encompasses all of the on a wall she said, ‘There are frightening
following except: faces on that wall.’”
A. Assisting the community to better
understand basic emotional needs 10. Sandra is demonstrating hostility toward the
B. Electroconvulsive therapy for manic nursing staff he just met. The nurse interprets the
patients behavior as:
C. Mini mental exam in the admission room A. Intellectualization
B. Transference
C. Triangulation
 D. Splitting E. Hypertensive crisis
2. The nurse is aware that cognitive-behavioral F. Mouth ulcers
therapy is most appropriate for a client who is G. Respiratory distress
experiencing low self-esteem. What is the best
intervention for the nurse to use for facilitation of
this therapy? 17. Brando, a client who has just had electroconvulsive
E. Conditional positive regard therapy (ECT) asks the nurse for a drink of water. What is
F. Analysis of free association the most important intervention by the nurse?
G. Classical conditioning A. Take the client’s blood pressure
H. Examination of negative thought patterns E. Monitor the gag reflex
F. Obtain a body temperature
12.Nurse Alex is teaching a group of students about the G. Determine the level of consciousness
benefits of using group psychotherapy. Which statement
best describes the rationale for group psychotherapy? 18. A nurse is administering haloperidol (Haldol) to a client
A. It decreases the focus on the individual experiencing psychosis. What are the most appropriate
B. It fosters the physician-client relationship nursing interventions?
C. It confronts the individuals with their 1. Review subcutaneous objectives
shortcomings 2. Closely monitor vital signs,
D. It fosters a new learning environment especially temperature
13. Which group therapy intervention is of primary 3. Provide the client the opportunity
importance to a client with panic disorder? to pace
A. Explore how secondary gains are derived 4. Monitor blood glucose levels
from the disorder 5. Provide the client with hard candy
B. Discuss new ways of thinking and feeling 6. Monitor for signs and symptoms of
about panic attacks urticarial
C. Work to eliminate manipulative behavior
used for meeting needs A. 1, 3, 6
D. Learn risk factors and other demographics E. 2, 3, 5
associated with panic disorder F. 2, 3, 4, 5
14. What is the major purpose of group therapy for G. All except 1
adolescents who witnessed the violent death of a peer?
A. To learn violence prevention strategies
B. To talk about appropriate expression of 19. The nurse is teaching the family of a client with a
anger psychiatric disorder about traditional antipsychotic drugs
C. To discuss the effect of the trauma on their and their effect on symptoms. Which of the following
lives symptoms would be most responsive to these types of
D. To develop trusting relationships among drugs?
their peers A. Apathy
E. Delusions
15. Eating disorders include anorexia nervosa and F. Social withdrawal
bulimia nervosa. The most common used treatment for G. Attention impairment
patient’s eating disorders is Behavior Modification.
One of Nurse Melvin’s patient is Anna, 23, a patient 20. A client begins to display some bothersome and
diagnosed to have anorexia nervosa. She has shown dismaying new symptoms from his antipsychotic medicine.
improvement in her psychopathologic behavior. Nurse He is concerned because he had noted improvement of his
Melvin utilized behavior modification therapy to change her psychotic symptoms but is now experiencing
problematic behavior, this therapy is best exemplified by: uncontrollable restlessness of his limbs and head. The
A. Helping Anna recognize her own thoughts client calls the clinic to ask what is happening and how he
and repatterning them to promote can stop it. What is the best response by the nurse?
behavioral change A. Tell the client to ignore these symptoms
because they will go away.
B. Explain that he should try to experiment with
E. Giving negative punishments everytime she
different dosages to see how he feels
fails to consume required dietary allowance C. Inform him that if he develops blurred vision
F. Giving Anna privileges which are important or a fever that he must go to the nearest
to her everytime she exhibits weight gain emergency room
G. Letting Anna verbalize her own feelings D. Reassure him that he is experiencing signs
of tardive dyskinesia and should see his
psychiatric provider to begin a medication
16. A nurse is providing teaching for a client with bipolar that helps resolve these symptoms
disorder who is scheduled for electroconvulsive therapy
(ECT). The client asks the nurse if there are any adverse 21. What is the nursing intervention most appropriate for
effects from the therapy. What is the best response by the an individual experiencing symptoms of depression?
nurse? I. Consult the physician about prescribing a
A. Cholestatic jaundice bedtime sleep medication
 J. Allow the client to sit at the nurses’ station
for comfort
K. Allow the client to watch television until he is
sleepy
L. Encourage the client to take a warm bath
before retiring

22. The nurse is developing a plan of care for a client with

depression who has been admitted to the inpatient unit
because of an attempted suicide. What is the priority goal
for this client?
A. The client will seek out the nurse when
feeling self-destructive
E. The client will identify and discuss actual
and perceived losses
F. The client will learn strategies to promote
relaxation and self-care
G. The client will establish healthy and mutually
caring relationships

23. A nurse is caring for a client who reports that he thinks

about suicide every day. The nurse anticipates that the
client’s care will include which of the following?
A. A no-suicide contract
E. Weekly outpatient therapy
F. A second psychiatric opinion
G. Intensive inpatient treatment

24. Susan, a client diagnosed with major depression has

been admitted to an inpatient unit. Susan’s family
members are upset and tell the nurse they do not
understand what is wrong. What is the best response by
the nurse?
A. Address how depression is a lifelong illness
E. Explain that depression is an illness and can
be treated
F. Describe how depression masks a person’s
true feelings
G. Teach how depression causes frequent
disorganized thinking

25. The nurse is developing a plan of care for a client with

a risk of suicide. What is the most important nursing
intervention for the nurse to include?
A. Using a caring approach
B. Developing a strong relationship with the
client
C. Establishing suicide contract to ensure his
safety
D. Encouraging avoidance of overstimulating
activities