PSYCHIATRIC NURSING b.
Competitive activity, such as bingo, to increase the
(Ricky Vanguardia)
1. Liza says, “Give me 10 minutes to recall the name of
our college professor who failed many students in our
anatomy class.” She is operating on her:
a. Subconscious c. Unconscious
b. Conscious d. Ego
2. The superego is that part of the psyche that:
a. Uses defensive function for protection.
b. Is impulsive and without moral
c. Determines the circumstances before making
decisions
d. The censoring portion of the mind.
3. Which is the highest priority in the post ECT care?
a. Observe for confusion
b. Monitor respiratory status
c. Reorient to time, place and person
d. Document the client’s response to the treatment
4. Which of the following MAO inhibitors can be taken
without restrictions to food or diet?
a. Fluoxetine (Prozac)
b. Phenelzine (Nardil)
c. Seligiline (Emsam)
d. Tranylcypromine (Parnate)
5. An activity appropriate for the client is:
a. table tennis c. chess
b. painting d. cleaning
6. A teenage girl is diagnosed to have borderline
personality disorder. Which manifestations support the
diagnosis?
a. self-mutilating and labile
b. social withdrawal, inadequacy, sensitivity to
rejection and criticism
c. Suspicious, hypervigilance and coldness
d. Preoccupation with perfectionism, orderliness and
need for control
7. To reduce the anxiety level of Mary, an anxiolytic drug
was prescribed on a short-term basis. This would be:
a. Chlorpromazine (Thorazine) 25 mg. orally three
times a day
b. Diazepam (Valium) 5 mg. orally three times a day
c. Thioridazine hydrochloride (Mellaril) 100 mg. orally
four times a day
d. Benztropine mesylate (Cogentine) 2 mg. orally
twice a day
8. The teaching plan for patients taking MAO inhibitor
must emphasize which of the following:
a. avoid smoking
b. increase intake of custard cake
c. Abstain from red wine
d. Take the drug with food and milk
9. A client who is manic comes to the outpatient
department. The nurse is assigning an activity for the
client. What activity is best for the nurse to encourage
for a client in a manic phase?
a. Solitary activity, such as walking with the nurse, to
decrease stimulation.
client’s self-esteem.
c. Group activity, such as basketball, to decrease
isolation.
d. Intellectual activity, such as scrabble, to increase
concentration.
10. He is prescribed with lithium carbonate adequate fluid
intake is:
a. 1,000 ml/day c. 2,000 ml/day
b. 1,500 ml/day d. 3,000 ml/day
11. The nurse suspects that the client is suffering from
depression. During assessment, what are the most
characteristic signs and symptoms of depression the
nurse would note?
a. Constipation, increased appetite.
b. Anorexia, insomnia.
c. Diarrhea, anger.
d. Verbosity, increased social interaction.
12. After 10 days of lithium therapy, the client's lithium
level is 1.0 mEq/L. The nurse knows that this value
indicates which of the following?
a. A laboratory error.
b. An anticipated therapeutic blood level of the drug.
c. An atypical client response to the drug
d. A toxic level.
13. A male client diagnosed with depression tells the
nurse, “I don’t want to look weak and I don’t even cry
because my wife and my kids can’t bear it.” The
nurse understands that this is an example of:
a. Repression c. Undoing.
b. Suppression d. Rationalization
14. A client with a diagnosis of paranoid disorder is
admitted in the psychiatric hospital. The client tells
the nurse, “the FBI is following me. These people are
plotting against me.” With this statement the nurse
will need to:
a. Acknowledge that this is the client’s belief but not
the nurse’s belief.
b. Ask how that makes the client feel.
c. Show the client that no one is behind.
d. Use logic to help the client doubt this belief.
15. Which physiologic effect should the nurse expect in a
client addicted to hallucinogens and cocaine?
a. Dilated pupils c. Bradycardia
b. Constricted pupils d. Bradypnea
16. Nurse Joey is aware that the signs & symptoms that
would be most specific for diagnosis anorexia are?
a. Excessive weight loss, amenorrhea
b. Slow pulse, 10% weight loss & alopecia
c. Compulsive behavior, excessive fears & nausea
d. Excessive activity, memory lapses & an increased
pulse
17. For a male client with dysthymic disorder, which of
the following approaches would the nurse expect to
implement?
a. ECT
b. Psychotherapeutic approach
c. Psychoanalysis
d. Antidepressant therapy
1
18. Danny who is diagnosed with bipolar disorder and
acute mania, states the nurse, “Where is my
daughter? I love Louis. Rain, rain go away. Dogs eat
dirt.” The nurse interprets these statements as
indicating which of the following?
a. Echolalia c. Clang associations
b. Neologism d. Flight of ideas
19. The common complication after ECT is commonly
associated with:
a. Transient loss of memory and disorientation
b. Nausea and vomiting
c. Fractures
d. Hypertension and increased in cardiac rate
20. In assessing a client's suicide potential, which
statement by the client would give the nurse the
HIGHEST cause for concern?
a. my thoughts of hurting my self are scary to me
b. I’d like to go to sleep and not wake up
c. I’ve thought about taking pills and alcohol till I
pass out
d. Id like to be free from all these worries
21. In a remotivation session with a group of patients, an
appropriate topic to discuss is which of the following?
a. Religion c. sports
b. family d. love
22. The nurse is administering disulfiram {antabuse} to a
client with history of alcoholism. Before receiving
therapy, which of the following is required fore the
client?
a. Be committed attending AA meeting weekly
b. Admit to himself and to other person that he is
alcoholic
c. Remain alcohol free for six hours
d. Remain alcohol free for twelve hours
23. Agnosia in a patient with Alzheimer means that he
a. has language disturbance
b. can not hold on to objects
c. is forgetful
d. cannot recognize and identify
24. Signs and symptoms that a client is developing
impending alcohol withdrawal delirium include
diaphoresis, tremors
a. bradycardia and hypertention
b. bradycardia and hypotension
c. tachycardia and hypertension
d. tachycardia and hypotention
25. A 60 year old female client who lives alone tells the
nurse at the community health center “I really don’t
need anyone to talk to”. The TV is my best friend. The
nurse recognizes that the client is using the defense
mechanism known as?
a. Displacement c. Sublimation
b. Projection d. Denial
26. A depressed client has been started on a tricyclic
antidepressant. The nurse teaches the client to expect
to notice within:
a. 12-16 hours c. 1-4 weeks
b. 4-6 days d. 5-6 weeks
27. Soon after admission of depressed client, the nurse
needs to evaluate the potential for suicide. The best
approach to gain this information would be:
a. Asking the client about plans for future
b. Asking the clients about suicide while in the group
c. Asking the family if the client has ever attempted
suicide
d. Asking the if suicide was ever or is now being
considered
28. If clients do not abide by their diet restrictions while
taking a monoamine oxidase inhibitor, it is likely that
they will develop:
a. generalized urticaria
b. an occipital headache
c. severe muscle spasm
d. sudden, severe hypertension
29. Many of the major tranquilizers display untoward side
effects. The one side effect displaying irreversible
abnormal. Involuntary movements of the tongue and
mouth is:
a. Akathisia
b. Tardive dyskinesis
c. Agranulocytosis
d. Dystonia
30. This is a tricyclic antidepressant drug:
a. phenelzine (Nardil)
b. flouxetine (Prozac)
c. Sertraline (Zoloft)
d. Imipramine (Tofranil)
31. The recovery of Marc from alcoholism will initially be
affected by which of the following factors:
a. nurse-client interaction
b. support system
c. Acceptance that he’s alcoholic
d. Drugs available
32. After one week of antidepressant medication, Teresa
still manifests depression. The nurse evaluates this is:
a. Unusual because action of antidepressant drug is
immediate
b. Unexpected because therapeutic effectiveness
takes within a few days
c. Expected because therapeutic effectiveness takes
2-4 weeks
d. Ineffective result because perhaps the drug’s
dosage is inadequate
33. The patient verbalizes “Masama ang pakiramdam ko.
Hindi ako nakatulog kagabi. A therapeutic response of
the nurse would be:
a. “Baka ini-istorbo ka na naman ng mga boses mo.”
b. “sinabimo sana sa nars para nabihyan ka ng
sedative drug mo.”
c. “Relax lang. Huwag ka masyadong mag-iisip ng
mga problema mo.”
d. Maaari mo bang sabihin sa akin ang mga naiisip at
nararamdaman mo?”
34. Soledad is terminally ill with cancer. Looking sad, she
expresses “wala ma yata akong pag-asang mabuhay
pa.” A response which fosters hope is:

2
 a. “Mukhang napakabigat ng diramdam niyo. Andito
po ako at pwede tayong mag-usap.”
b. Huwag po ninyong isipin ang sakit ninyo. Bale
wala yon. Andito naman ako para maka-usap
niyo.”
c. “lakasan mo ang loob mo. Lahat naman po tayo
doon ang patutunguhan.
d. “Gagaling din po kayo. Huwag po kayong mag-
alala.”
35. Camilia verbalizes “Pinag-uusan nila ako. Ayaw nila
ako.” A therapeutic response is:
a. ”Nalulungkot ba ang pakiramdam mo?”
b. Hayaan mo sila. Ang mahalaga ay ang palagay mo
sa sarili mo.”
c. “Sinongnila ang tinutukoy mo?”
d. “Huwag mong isipin yan. Hindi tama yan.”
36. During group therapy, Nicanor was provoked, became
furious and started shouting: “Walang hiya ako! Ako
ang bida dito!” The nurse’s best action is:
a. take him away from the group until he manages to
have control of himself.
b. Immediately restraint him and put him into
isolation to protect other clients
c. Prevent him from becoming more furious by giving
an extra PRN dose of sedative
d. Respond with “Nicanor, pare-pareho lang kayo ng
mga ibang pasyente dito.”
37. Nicanor becomes verbally assaultive to the nurse. He
says “Ikaw nurse, wala kanga lam! Marunong pa ako
sa iyo e. Ano ba ang pinagmamalaki mo?” The nurse
responds therapeutically by:
a. admonishing him with “ ako ang nurse ditto.
Dapat sumunod ka sa akin.”
b. Acknowledging his behavior, however, put him in
his right sense. Respond with “oo nga, galit ka sa
nurse pero hindi tama na naninigaw ka.”
c. Acknowledging his behavior and respond,
“Nagagalit ka sa nurse at nawawalan ka nang
control sa sarili mo.”
d. Ignoring the behavior of the client.
38. A client is admitted to the hospital in the manic pace
of bipolar disorder. When placing a diet order for the
client, which foods would most appropriate?
a. A bowl of soup, crackers, and a dish of peaches
b. A cheese sandwich, carrot sticks, fresh grapes, a
cookies
c. Roast chicken, mashed potatoes, and peas
d. A tuna sandwich, an apple, and a dish of ice
cream
39. During the night a 50-year-old man veteran
posttraumatic stress syndrome wakens shaking and
tells you that someone is trying to smother him. What
is the appropriate response of the nurse in this
situation?
a. “It was a bad dream. You are safe. I’ll stay here
with you until you go back to sleep”
b. “We can talk about it tomorrow. Try to see if you
can get back to sleep”
c. “It was only a dream. There’s nothing to be
frightened about.”
d. “I’ll call the physician and see whether I can get you
medication to help you go back to sleep”
40. The nurse is working with a client with anorexia
nervosa even though the client has been eating all her
meals and snacks; her weight has remained
unchanged for 1 week. Which of the following
interventions is indicating?
a. Supervise the client closely for two hour after meals
and snacks
b. Increase the daily caloric intake from 1500 to 2000
calories
c. Increase the client’s fluid intake
d. Request an order from the physician for fluoxitine
41. The characteristics of anxiety have been defined in a
variety of ways. Which of the following is not one of
the characteristics?
a. Part of a process instead of an isolated phenomenon
b. A warning sign of perceive danger or threat
c. A sense of powerlessness in the face of a less
visible threat
d. A subjective experience of physical pain
42. A client being treated in a chemical dependency unit
tells the nurse that he only uses drugs when under
stress. Which of the following defense mechanism is
the client using?
a. Rationalization
b. Intellectualization
c. Denial
d. Projection
43. Mr. Licayan, a client with major depression is
scheduled for elctroconvulsive therapy (ECT)
tomorrow. The nurse would plan for which of the
following activities?
a. Force fluids six to eight hours before treatment.
b. Administer succinylcholine (Anectine) to sedate
the client.
c. Encourage Mr. Licayan’s wife to accompany him.
d. Reorient Mr. Licayan frequently during
posttreatment care.
44. Jessa is treated in a mental health clinic for a phobic
disorder characterized by the client’s fear of riding in
an airplane. The treatment method used was
systematic desensitization. The nurse would evaluate
the treatment and deem it successful if:
a. she plans a trip requiring airplane travel
b. she rides on an airplane for a short trip
c. she recognizes the unrealistic nature of fear of
riding on an airplane
d. she verbalizes a decreased fear about airplane trips
45. The most advantageous therapy for a preschool-aged
child with a history of physical and sexual abuse would
be:
a. play therapy c. group therapy
b. psychodrama d. family therapy
46. Mr. Magno is admitted for panic attacks. He frequently
experiences shortness of breath, palpitations, nausea,
diaphoresis, and terror. What should the nurse include
in the care plan for Mr. Magno when he is having a
panic attack?
a. Calm reassurance, deep breathing, and medication
as ordered.
b. Teach Mr. Magno problem solving in relation to his
anxiety.
3
 c. Explain the physiologic responses of anxiety. according to behavioral theories, symptoms represent
d. Explore alternate methods for dealing with the which definition?
cause of his anxiety a. A response to anxiety arising from interpersonal
relationship
47. Cecilia’s problem is that she always sees and thinks b. Learned behaviors that are maintained because
negative things hence she is always fearful. Phobia is they are reinforced
a symptom described as: c. Internal conflicts arising from early childhood
a. Organic trauma
b. Psychosomatic d. A combination of past unresolved problems and
c. Psychotic current problems
d. Neurotic
56. The person released from a prison for selling narcotics
48. The history of a female client who has just been has been rehabilitated and now works for a youth
admitted to the unit and is very depressed reveal a drug prevention agency. This person’s current
weight loss of 10 pounds in 2 weeks, sleeping 3 hours behavior reflects which of the following defense
a night, and poor hygiene. The client stated, “I’m no mechanisms?
good to anyone. Everyone would be better off without a. Denial c. reaction-formation
me.” Which of the following questions would the nurse b. Displacement d. sublimation
ask first?
a. “What do you mean?” 57. Each time Ms. Roble is scheduled for a therapy session
b. “Are you thinking about hurting yourself?” she develops headache and nausea. The nurse might
c. “Doesn’t your family care about you?” interpret this behavior as
d. “What happened to make you think that?” a. Conversion
b. Reaction formation
49. Which of the following factors are associated with c. Projection
increased risk for schizophrenia? d. Suppression
a. Alcoholism
b. adolescent pregnancy 58. A male client who has delusion of persecution and
c. overcrowded schools auditory hallucinations is admitted for psychiatric
d. poverty evaluation after stabbing a friend. Later, the nurse on
the unit greets the client by saying, “Good evening.
50. A common effects of CNS stimulants is: How are you?” the client, who has been referring to
a. Hypotension c. Sedation himself as “man,” answers, “the man is bad,” this is
b. Anorexia d. All of the above an example of:
a. Dissociation
51. In planning care for a client, the nurse identifies b. Transference
privileges to be used as rewards for desirable c. Repression
behavior. These privileges serve as: d. Reaction formation
a. an extinctive response
b. operant conditioning 59. When counseling the 20 year old parent of a 13 month
c. a behavioral technique old, the nurse should expect the defense mechanism
d. a positive reinforce most often used by the physically abusive parent is:
a. Introjection
52. Towards her adolescence, Kim begins to feel about b. Transference
herself. Which of the following behaviors indicates that c. Manipulation
she has developed her own identity? d. Displacement
a. Secures the approval of her parents on what
career to take 60. Marina utilizes projection this means that she:
b. Seeks the approval of her best friend a. unconsciously refuses to accept feeling, thought
c. Joins a civic-oriented club because all her friends or impulse and attributes it to someone else.
are there b. justifies behavior, attitudes and feelings with
d. Makes her own choice on what course to take on excuses
college c. involuntarily refuses to acknowledge reality
d. involuntarily excludes wishes, impulses, memories
53. Which stages in man’s development is concerned with and feelings from awareness
personality and moral values?
a. Preschool c. Adolescent 61. Mrs. Dizon was visiting her son at the Psychiatry Ward.
b. Adult d. School Which of the following items will the nurse not allow to
be brought inside the ward?
54. Level of consciousness were thoughts and experiences a. string rosary bracelet
can be recalled at will and is manifested by “tip of the b. box of cake
tongue” experience: c. bottle of coke
a. Conscious c. Unconscious d. rubber shoes
b. Subconscious d. None of the above
62. A female client has gone from 110 to 90 pounds, and
55. The psychiatric nurse practitioner uses theories of the she has stopped menstruating. Based on this
behavioral theorist in group and individual therapy:
4
 information, the nursing diagnosis would be alteration
in nutrition: less than body requirements related to:
a. Excessive exercise program
b. Self-induced vomiting
c. Loss of 15% of body weight
d. Abuse of laxatives
63. According to biogenic amine theory, an individual with
depression has a deficiency in which of the following
neurotransmitters?
a. Dopamine and thyroxin
b. GABA and acetylcholine
c. Cortisone and epinephrine
d. Serotonin and norepinephrine
64. After telling the nurse to “pray for me,” a client gives
away personal possessions and shows sudden
calmness. The nurse recognizes that this behavior may
signal which of the following?
a. Major depression c. Suicidal ideation
b. Panic attack d. Severe anxiety
65. All of the following are physical responses to anxiety
EXCEPT:
a. Perspiration
b. Headache
c. Increased pulse & respiration
d. Forgetfulness
66. A technique that enhances a communication is
illustrated by one of the following statements:
a. “ I would like to spend time with you”
b. “I am sure he only meant to help you”
c. “It is for your own good.”
d. “why do you feel this way?
67. One morning, Dino, 35 years old with chronic paranoid
schizophrenia tells the nurse, “Some people are going
to get me today. Report them to the police quickly!”
The nurse responds by saying, “Tell me more about
those people.” The nurse’s response is:
a. Non-therapeutic because the nurse is unrealistic
b. Non-therapeutic because it reinforces the client’s
delusion
c. Therapeutic because it fosters the patients trust in
the nurse
d. Therapeutic, because it addresses the patient’s
situation
68. One day after admission, he says to the nurse, “can
you help me? I have been through a lot of anguish.”
The nurse responds by saying:
a. You have to help yourself over with your feeling of
anxiety
b. I’ll be able to understand better if you will tell me
more about your feelings
c. I think you have to divert your mind by engaging
in some recreational activities
d. If you need me, I am here to help you
69. Which of the following nursing interventions would be
the priority for client immediately after receiving ECT?
a. assessing vital signs and reorienting
b. applying restraints to prevent injury
c. administering previously held medications
d. encouraging intake of fluids and nutritious food
70. Which of the following complaints should the nurse
address initially after ECT?
a. “I have a headache”
b. “I cant breath”
c. “I cant remember anything”
d. “I’m hungry”
71. A client has been taking haloperidol (haldol) 5mg
three times per day, to treat schizophrenia. The nurse
routinely assesses for extrapyramidal side effects.
Which of the following would not be an extrapyramidal
side effect?
a. Dry mouth and urine retention
b. Eyes rolling upward uncontrollably
c. Excessive motor restlessness
d. Tremors and shuffling gait
72. Which of the following is an adverse effect associated
with the use of Antipsychotic drug?
a. Sedation
b. Neuroleptic Malignant Syndrome
c. Extrapyramidal symptoms
d. Anticholinergic Effects
73. The nurse is preparing to administer lithium (Eskalith)
to a client with bipolar disorder. The client complains
of nausea and muscle weakness, and his speech is
slurred. His lithium level is 1.6 mEq/L. The best action
for the nurse to take is to
a. Chart the client’s symptoms after giving the
lithium.
b. Explain that these are common side-effects.
c. Withhold the client’s lithium.
d. Administer a PRN antiparkinsonism drug.
74. Mr. Salud’s wife complains that his depression isn’t any
better after one week on amitriptyline (Elavil). The
nurse’s best response is to
a. Tell Mrs. Salud she will contact the physician.
b. Question Mrs. Salud about what response she
expects.
c. Explain that it may take one to three weeks to see
any improvement.
d. Suggest that Mr. Salud change antidepressants.
75. Which of the following are considered positive signs of
schizophrenia?
a. delusion, anhedonia, alogia
b. hallucination, delusions, asocial
c. delusion, hallucinations, disordered thinking
d. disordered thinking, anhedonia, illusions
76. A client with OCD reveals that he was late for his
appointment “because of my dumb habit. I have to
take off my socks and put them back on 41 times! I
can’t stop until I do it just right.” The nurse interprets
the client’s behavior as most likely representing an
effort to obtain which of the following?
a. Relief of anxiety.
b. Control of his thoughts.
c. Attention from others
d. Safe expression of hostility.
77. A hospitalized client with an antisocial personality
disorder stole money from an elderly client on the
5
 unit. Which of the following is the most appropriate for
a nurse to say this client
a. “Why did you take the money?
b. “Let’s talk about how you felt when you took the
money”
c. “The consequences of stealing are loss of
privileges.”
d. “This client is defenseless against you.”
78. Cherry is admitted to the psychiatric unit with a
diagnosis of borderline personality disorder. All of the
following components of a nursing history/data base
are extremely important to explore with this client
except:
a. ego-strength assessment
b. social history
c. cognitive aspect of mental status examination
d. past psychiatric treatment history
79. Which of the following mood disorders has a defining
characteristic of feeling depressed most of the day for
a 2-year period?
a. Cyclothymia c. hypomania
b. Dysthymia d. bipolar
80. Which of the following interventions is most effective
in lowering a client’s risk of suicide?
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 over-stimulating
activities
81. Mr. Pinca has been severely depressed for two weeks.
He had mentioned “ending it all” prior to admission.
Which of the following questions should the nurse ask
during the prescreen assessment?
a. “How long have you thought about harming
yourself?”
b. “What is it that makes you think about harming
yourself?”
c. “How has your concentration been?”
d. “What specifically have you thought about doing
to harm yourself?”
82. the most advantageous therapy for a preschool-aged
child with a history of physical and sexual abuse would
be:
a. play therapy c. group therapy
b. psychodrama d. family therapy
83. A client states that she hears God’s voice telling her
that she has sinned and needs to be punished. Which
of the following nursing diagnosis would be most
appropriate?
a. Disturbed Sensory Perception related to guilt as
evidenced by auditory hallucinations.
b. Social Isolation related to mistrust, as evidenced
by withdrawal behaviors.
c. Disturbed Thought Processes related to increased
anxiety as evidenced by delusional thinking.
d. Impaired Verbal Communication related to
disordered thinking as evidenced by loose
associations.
84. In planning for a client who has negative symptoms of
Schizophrenia, the nurse would anticipate a problem
with:
a. Grandiosity
b. motivation for activities
c. delusion
d. tactile hallucinations
85. Louise, 15 years old is hospitalized for treatment of
anorexia nervosa. She is 64 inches tall and weighs 100
pounds. The primary objective in the treatment of the
hospitalized anorexic client is to:
a. decrease the client’s anxiety
b. increase insight into the disorder
c. help the mother to relinquish control
d. get the client to eat and gain weight
86. Brenda, aged 74, was recently admitted to a nursing
home because of confusion, disorientation, and
negativistic behavior. Her family states that Brenda is
in good health. Brenda asks you, “Where am I?” The
best response for the nurse to make is
a. Don’t worry Brenda. You’re safe here.
b. Where do you think you are?
c. What did your family tell you?
d. You’re at the nursing home.
87. The nurse makes the following assessment of a 14-
year-old gymnast: underweight, hair loss, yellowish
skin, facial lanugo, and peripheral edema. These
findings are suggestive of which of the following
disorders?
a. Anorexia nervosa
b. Bulimia nervosa
c. Pica
d. Ulcerative colitis
88. An adult is recovering from a severe depression.
Which of the following behaviors alerts the nurse to a
risk for suicide?
a. The client sleeps most of the day.
b. The client has sudden cheerfulness
c. The client loses five pounds.
d. The client does not attend unit activities.
89. Which of the behaviors listed below would assist the
nurse in establishing the diagnosis of borderline
personality disorders?
a. Impulsivity
b. Hallucinations
c. Self-mutilation
d. Narcissism
90. The drug used for aversion therapy from alcohol is:
a. Methadone
b. Cognex
c. antabuse
d. Librium
91. A client on an inpatient psychiatric unit refuses to eat
and states that the staff is poisoning her food. Which
action should the nurse include in the client’s care
plan?
a. Explain to the client that the staff can be trusted.
b. Show the client that others eat the food without
harm.
6
 c. Offer the client factory-sealed foods and d. use of laxatives, diuretics & enemas to
beverages. compensate for calories consumed
d. Institute behavior modification with privileges
dependent on intake. 100. When 40 year old Lito was admitted to the
hospital, he frequently exposes himself to female staff
92. The primary reason for assigning a private room for nurses. He derives pleasure at the sight of shrieking
Joanne, a manic client, is: woman. This is behavior is known as:
a. Decrease environmental stimuli a. Necrophilia
b. Prevent the patient’s excessive activity from b. Sadism
disturbing others c. Voyeurism
c. Deter the patient from interrupting the nurses d. Exhibitionism
d. Provide the patient with a quiet place to thinking
about her problems

93. Jenny is place on Lithium therapy. Early signs of

toxicity incude:
a. Tinnitus c. ataxia
b. Vomiting d. stupor

94. To reduce overt aggression from a manic patient the

following are appropriate measures EXCEPT:
a. Participation in competitive games
b. Encouraging relaxation techniques
c. Reduction in environmental stimuli
d. Encourage client to discuss angry feelings

95. The biochemical theory of manic behavior may be

related to:
a. Neurotransmitter deficiency
b. Excessive level of Norepinephrine
c. Increased cholinergic activity
d. Decreased noreadrenergic activity

96. Cheryl was given a diagnosis of Depression with

Suicidal tendencies. You noticed that Cheryl combed
her hair for the first time while in the hospital. You
validate the meaning of her behavior by saying:
a. “Tell me how you did that”
b. “I sense that you feel good today. Tell me what’s
happening”
c. “I like the way you arranged your hair, It’s nice.”
d. “Is that your favorite hairdo?”

97. The appropriate activity for a depressed withdrawn

client should be:
a. reading a novel
b. playing chess
c. taking a walk
d. listening to music

98. Barbie, a 20 y/o college student needs help for

uncontrolled eating & self-induced vomiting. She has
been diagnosed with Bulimia Nervosa. What would be
an appropriate nursing intervention for her?
a. Give positive reward for every weight gain
b. Tell Barbie that she’ll be forced to eat soon after
purging
c. Tell Barbie that she’ll be given extra food tray
d. Barbie must be observed two hours after each
meal

99. One of the most common characteristic of persons

suffering from Bulimia is binge-eating. This refers to:
a. insatiable appetite
b. eating unusually large amount of food over a short
period of time
c. self-induced vomiting
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