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Psychiatric Mental Health Nursing Test Part 1

c. Why did you say that?


Mark the letter of your choice then click on the next button. Your score will be
posted as soon as the you are done with the quiz. We will be posting more of this
soon. d. Let’s not talk about that. What do you think?
Top of Form
1. Your patient is very dependent and submissive. There are times that the
patient is very clingy. This behavior reflects what type of personality disorder? 4. Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention
should focus on helping the client be oriented with the physical set-up and daily
events. Which of the following is the most effective nursing intervention in
a. Antisocial personality orienting patients who has Alzheimer’s disease?

b. Dependent Personality
a. Encourage the client to talk to family members to reminisce things
c. Manic behavior

b. Provide simple and easily understood directions


d. Anxiety disorde
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2. The appropriate therapeutic distance between you and a psychiatric patient is? c. Perform tasks with a variety of activities each day

d. Have the client socialize with other patients


a. 12 inches
5. A therapy that focuses on the remotivation of clients by directing their attention
b. 35 inches outside themselves to relieve preoccupation with personal thoughts, feelings, and
attitudes is known as:
c. 12 feet

d. 4 feet a. Pharmacologic therapy


3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also
reminded her to use her therapeutic communication skills in dealing with clients. b. Music therapy
Which of the following techniques enlaces therapeutic communication?

c. Occupational therapy

a. What are you thinking about?


d. Recreational therapy

b. What made you think that way?

6. The 12-year old male patient looks like the nurse’s younger brother who is
missing for years. During assessment and in the implementation of nursing care
the nurse prioritizes this client. One day, when she found the boy crying in his b. Histrionic
room she hugged him and cried with him. This is an example of:

c. Narcissistic

a. Counter-transference
d. Borderline

b. Transference 9. When the client told the nurse that he feels good when he mutilates or cuts
himself the novice psychiatric nurse answered, “Do you know the risks involved
c. Resistance when you cut yourself?” what type of nontherapeutic communication is the nurse
using?

d. Denial

7. A schizophrenic client is under your care. In reinforcing the functional behavior a. Defending
of this client what will the nurse do?
b. Testing

a. Enumerate the symptoms of schizophrenia to the client


c. Making stereotyped comments

b. Correct delusional thoughts to orient to reality


d. Disagreeing

c. Compliment the client for cessation of acting out behaviors


10. A therapy that assists with discharge planning and rehabilitation, focusing on
vocational skills and activities of daily living (ADL) to raise self-esteem and
d. Encourage the client to drink his medications religiously promote independence is called:

8. A client was brought to the ER. Based on the significant others, the client had
a history of shop stealing. However, no self-mutilating activities are committed by a. Behavior modification
the client. During the interview, the client is very manipulative and aggressive
and impulsive. What personality disorder most likely the client has? b. Milieu therapy

c. Recreational therapy
a. Antisocial

d. Occupational therapy
11. Nurse Marie is caring for a patient that underwent alcohol detoxification. b. Focusing
Which of the following symptoms would Nurse Marie be most concern?

c. Encouraging expression

a. Fever
d. General leads

b. Delusions
14. In a therapeutic communication, “why questions” are discouraged. For what
c. Excessive sweating reason is this question not useful?

d. Increase BP
a. The question is intimidating and the client may be defensive in trying to
explain him/herself.

12. The Distance that is observed when family members or friends are talking is
under what zone: b. It forces the client to recognize his or her problems. The client’s
acknowledgement that s/he doesn’t know things may be helpful to the nurse’s
needs but not the client.

a. Intimate
c. It indicates that the client is right rather than wrong.

b. Therapeutic
d. It tends to make the client used and invaded.

c. Personal 15. An 18 year old client is brought to the ER due to a suicidal attempt. Her
mother told the nurse that she has been drinking alcohol for the last 3 weeks and
d. Social is depressed. In caring for this patient what is the most important consideration?

13. The client is sharing Nurse Marie about his experiences. Suddenly, he a. Administering antidepressant medications
paused, looked to the nurse and is hesitant to continue. The nurse responded,
“Go on, and tell me about it.” What therapeutic communication technique is the
nurse using? b. Alcohol detoxification

a. Exploring
himself the novice psychiatric nurse answered, “Do you know the risks involved
c. Allowing the client to participate in a therapy when you cut yourself?” what type of nontherapeutic communication is the nurse
using?

d. Close monitoring

a. Defending
16. In using a therapeutic communication technique interpreting client cues and
signals is very important. Clear statements of intent such as the client saying that b. Testing
he wants to kill himself is a/an:

c. Making stereotyped comments

a. Covert cues
d. Disagreeing

b. Abstract messages .
Top of Form
19. Restraints are only used for a certain reason. Which of the following is an
c. Concrete messages
appropriate reason for placing a client in restraints?

d. Overt cues
a. Punishment for stealing the other client’s things

17. A client was admitted due to self-mutilation. One day during one of the
b. Self- harming behaviors
sessions, the client told the nurse that cutting himself feels great. What would be
the nurse’s best response?
c. Verbal abuse

a. “Do you know the risks involved when you cut yourself?” d. Not drinking medications

20. If a client is on restraints which of the following would the nurse do?
b. “I don’t want to hear about that!” a. Leave the client in the room for the whole 8 hours
b. Do not allow the client to eat
c. Take pictures of the client for evaluation
c. “The behavior of cutting is not acceptable.”
d. monitor the extremity circulation
Bottom of Form
d. “Tell me more about that.” 21. A client is scheduled for an electroconvulsive therapy (ECT). Which of the
following medications can be given to the client before the procedure?

18. When the client told the nurse that he feels good when he mutilates or cuts
c. “What are the voices telling you?”
a. Atropine

d. “Are you sure about that?”


b. Epinephrine

24. What is the most important criteria that must be accomplished by the nurse
c. Hydralazine before dealing with psychiatric patients?

d. Phenobarbital
a. Salary rate

22. To ensure that your client knows about the procedure, risks and outcome and
has been informed of the other alternative therapy. Which of the following must b. Self-awareness
be accomplished?
c. Self-understanding

a. A signed informed consent by a client’s family member


d. Standard of nursing practice

b. A signed informed consent by a 23-year old client who has voluntarily


admitted himself in the unit. 25. If a client is a chain smoker, how should his medication dosage be adjusted?

c. A signed informed consent of a 23-year old client’s parent


a. Same medication dose

d. A signed informed consent by a 17-year old client


b. Increase the dose
23. The client says that he is hearing voices. What is nurse’s initial response?
c. Decrease the dose

a. “I don’t hear any voices.”


d. Withhold the dose

b. “From where are those voices coming from?”


Intimate zone: 0-18 inches. Parents with young children, people who mutually
desire personal contact, or people whispering. Personal zone: 18-36 inches.
Between family and friends talking. Social zone: 4-12 feet. Communication in
social, work and business settings. Public zone: 12-25 inches. Speaker and an
audience. Therapeutic distance: 3-6 feet.
3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also
reminded her to use her therapeutic communication skills in dealing with clients.
Which of the following techniques enlaces therapeutic communication?
 a. What are you thinking about?
 b. What made you think that way?
 c. Why did you say that?
 d. Let’s not talk about that. What do you think?
This is using the therapeutic technique BROAD OPENING that allows the client
to take the initiative to introduce a topic.
4. Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention
should focus on helping the client be oriented with the physical set-up and daily
events. Which of the following is the most effective nursing intervention in
orienting patients who has Alzheimer’s disease?
 a. Encourage the client to talk to family members to reminisce things
ANSWERS  b. Provide simple and easily understood directions
 c. Perform tasks with a variety of activities each day
All the questions in the quiz along with their answers are shown below. Your  d. Have the client socialize with other patients
answers are bolded. The correct answers have a green background while the Providing a daily routine and directions easily understood by the client would help
incorrect ones have a red background. orienting a client with Alzheimer’s disease.
1. Your patient is very dependent and submissive. There are times that the 5. A therapy that focuses on the remotivation of clients by directing their attention
patient is very clingy. This behavior reflects what type of personality disorder? outside themselves to relieve preoccupation with personal thoughts, feelings, and
 a. Antisocial personality attitudes is known as:
 b. Dependent Personality  a. Pharmacologic therapy
 c. Manic behavior  b. Music therapy
 d. Anxiety disorder  c. Occupational therapy
Dependent personality is characterized by dependence, submission and being  d. Recreational therapy
clingy. Antisocial personality is impulsive, aggressive and manipulative. Recreational therapy- Focuses on remotivation of clients by directing their
2. The appropriate therapeutic distance between you and a psychiatric patient is? attention outside themselves to relieve preoccupation with personal thoughts,
 a. 12 inches feelings, and attitudes. Clients learn to cope with stress through activity. Activities
 b. 35 inches are planned to meet specific needs and encourage the development of leisure-
 c. 12 feet time activities or hobbies. Recreational therapy is especially useful with those
 d. 4 feet people who have difficulty relating to others (e.g., the regressed, withdrawn, or
immobilized person). Examples of recreational activities include group bowling,  b. Testing
picnics, sing-along, and bingo.  c. Making stereotyped comments
6. The 12-year old male patient looks like the nurse’s younger brother who is  d. Disagreeing
missing for years. During assessment and in the implementation of nursing care Testing is appraising a client’s degree of insight such as by asking the patient of
the nurse prioritizes this client. One day, when she found the boy crying in his the risks involved when he cut himself. This forces the client to recognize his
room she hugged him and cried with him. This is an example of: problems. Defending is attempting to protect someone from a verbal attack.
 a. Counter-transference Stereotyped comments are meaningless clichés such as “it’s for your own good.”
 b. Transference 10. A therapy that assists with discharge planning and rehabilitation, focusing on
 c. Resistance vocational skills and activities of daily living (ADL) to raise self-esteem and
 d. Denial promote independence is called:
When the nurse displays affection or emotion toward the client counter-  a. Behavior modification
transference is occurring. Transference is observed when the patient is  b. Milieu therapy
displaying emotions towards the nurse.  c. Recreational therapy
7. A schizophrenic client is under your care. In reinforcing the functional behavior  d. Occupational therapy
of this client what will the nurse do? Occupational therapy - Assists with discharge planning and rehabilitation,
 a. Enumerate the symptoms of schizophrenia to the client focusing on vocational skills and activities of daily living (ADL) to raise self-
 b. Correct delusional thoughts to orient to reality esteem and promote independence
 c. Compliment the client for cessation of acting out behaviors 11. Nurse Marie is caring for a patient that underwent alcohol detoxification.
 d. Encourage the client to drink his medications religiously Which of the following symptoms would Nurse Marie be most concern?
According to B.F. Skinner’s behavior medication technique, a client should be  a. Fever
praise for good behaviors to help him modify his faulty actions.  b. Delusions
8. A client was brought to the ER. Based on the significant others, the client had  c. Excessive sweating
a history of shop stealing. However, no self-mutilating activities are committed by  d. Increase BP
the client. During the interview, the client is very manipulative and aggressive Once hallucinations and delusions are present; the client’s condition will most
and impulsive. What personality disorder most likely the client has? likely progress to delirium tremens.
 a. Antisocial 12. The Distance that is observed when family members or friends are talking is
 b. Histrionic under what zone:
 c. Narcissistic  a. Intimate
 d. Borderline  b. Therapeutic
Antisocial P.D is characterized by aggression, manipulation and impulsivity.  c. Personal
Histrionic people are emotional, dramatic and theatrical. Narcissistic people are  d. Social
boastful, egotistical and have superiority complex. Borderline PD is characterized Personal zone: 18-36 inches. Between family and friends talking. Intimate zone:
by impulsivity, self-destruction and very unstable mood. 0-18 inches. Parents with young children, people who mutually desire personal
9. When the client told the nurse that he feels good when he mutilates or cuts contact, or people whispering. Social zone: 4-12 feet. Communication in social,
himself the novice psychiatric nurse answered, “Do you know the risks involved work and business settings. Therapeutic distance: 3-6 feet.
when you cut yourself?” what type of nontherapeutic communication is the nurse 13. The client is sharing Nurse Marie about his experiences. Suddenly, he
using? paused, looked to the nurse and is hesitant to continue. The nurse responded,
 a. Defending
“Go on, and tell me about it.” What therapeutic communication technique is the  d. Overt cues
nurse using? Overt cues are clear statements of intent such as the client saying, “I want to
 a. Exploring die.” Covert cues are vague or hidden messages such as if a client verbalizes,
 b. Focusing “No one can help me.” Abstract messages are unclear patterns of words that
 c. Encouraging expression often contain figures of speech that are difficult to interpret. Example is when the
 d. General leads nurse asked the client, “What are you doing here?” Concrete messages are
General leads indicate that the nurse is listening and following what the client is patterns of words that the nurse uses where words are explicit and does need an
saying without taking away the initiative for the interaction. They also encourage explanation.
the client to continue if he or she is hesitant or uncomfortable of the topic. 17. A client was admitted due to self-mutilation. One day during one of the
Examples include, “Go on,” “Tell me about it,” and “And then?” sessions, the client told the nurse that cutting himself feels great. What would be
14. In a therapeutic communication, “why questions” are discouraged. For what the nurse’s best response?
reason is this question not useful?  a. “Do you know the risks involved when you cut yourself?”
 a. The question is intimidating and the client may be defensive in trying to  b. “I don’t want to hear about that!”
explain him/herself.  c. “The behavior of cutting is not acceptable.”
 b. It forces the client to recognize his or her problems. The client’s  d. “Tell me more about that.”
acknowledgement that s/he doesn’t know things may be helpful to the Question was not answered
nurse’s needs but not the client. Presenting reality is the best in this situation as it is obvious that the client is
 c. It indicates that the client is right rather than wrong. misinterpreting the reality. Asking the client to tell the nurse more about is
 d. It tends to make the client used and invaded. validating the actions of cutting himself.
Using “why question” is asking to client the client to provide reasons for thoughts, 18. When the client told the nurse that he feels good when he mutilates or cuts
feeling and behaviors. The question is intimidating and the client may be himself the novice psychiatric nurse answered, “Do you know the risks involved
defensive in trying to explain him/herself. when you cut yourself?” what type of nontherapeutic communication is the nurse
15. An 18 year old client is brought to the ER due to a suicidal attempt. Her using?
mother told the nurse that she has been drinking alcohol for the last 3 weeks and  a. Defending
is depressed. In caring for this patient what is the most important consideration?  b. Testing
 a. Administering antidepressant medications  c. Making stereotyped comments
 b. Alcohol detoxification  d. Disagreeing
 c. Allowing the client to participate in a therapy Testing is appraising a client’s degree of insight such as by asking the patient of
 d. Close monitoring the risks involved when he cut himself. This forces the client to recognize his
Safety is the most important consideration in client with a suicidal attempt. This is problems. Defending is attempting to protect someone from a verbal attack.
achieved by removing harmful objects around the client and monitoring the client Stereotyped comments are meaningless clichés such as “it’s for your own good.”
closely. 19. Restraints are only used for a certain reason. Which of the following is an
16. In using a therapeutic communication technique interpreting client cues and appropriate reason for placing a client in restraints?
signals is very important. Clear statements of intent such as the client saying that  a. Punishment for stealing the other client’s things
he wants to kill himself is a/an:  b. Self- harming behaviors
 a. Covert cues  c. Verbal abuse
 b. Abstract messages  d. Not drinking medications
 c. Concrete messages One the patient attempts to harm himself, restraints is acceptable.
20. If a client is on restraints which of the following would the nurse do?  c. Self-understanding
 a. Leave the client in the room for the whole 8 hours  d. Standard of nursing practice
 b. Do not allow the client to eat Question was not answered
 c. Take pictures of the client for evaluation Before a nurse can understand him/herself, being aware of what his/her
 d. monitor the extremity circulation strengths, weaknesses, limitations, belief and principles is very essential. A nurse
When a client is placed on restraint, monitor the circulation to prevent physiologic who barely knows and understand herself cannot effectively establish a
damage of the extremity. therapeutic communication with psychiatric clients.
21. A client is scheduled for an electroconvulsive therapy (ECT). Which of the 25. If a client is a chain smoker, how should his medication dosage be adjusted?
following medications can be given to the client before the procedure?  a. Same medication dose
 a. Atropine  b. Increase the dose
 b. Epinephrine  c. Decrease the dose
 c. Hydralazine  d. Withhold the dose
 d. Phenobarbital Smoking cigarettes increases the metabolism of some psychiatric medications,
Before ECT atropine can be given to the client to decrease oral and respiratory thus, medication dose should be increased.
function thereby preventing risks of aspiration. Atropine is antiarrythmic and at
the same time an anticholinergic medication.
22. To ensure that your client knows about the procedure, risks and outcome and
has been informed of the other alternative therapy. Which of the following must
be accomplished?
 a. A signed informed consent by a client’s family member
 b. A signed informed consent by a 23-year old client who has voluntarily
admitted himself in the unit.
 c. A signed informed consent of a 23-year old client’s parent
 d. A signed informed consent by a 17-year old client
Clients of legal age can sign an informed consent.
23. The client says that he is hearing voices. What is nurse’s initial response?
 a. “I don’t hear any voices.”
 b. “From where are those voices coming from?”
 c. “What are the voices telling you?”
 d. “Are you sure about that?”
Question was not answered
Initially the nurse has to assess what the voices are telling the client to promote
safety. Because if the voices are telling the client to kill himself or someone
safety precautions must be implemented.
24. What is the most important criteria that must be accomplished by the nurse
before dealing with psychiatric patients?
 a. Salary rate
 b. Self-awareness