Post test SAS 6

Mr. Ian a newly registered nurse is assigned in the psychiatric ward , he first prioritized
the general appearances and motor behavior of the patient. For this kind of
assessment, she is correct about the assessment if *
1 point

he focused on the client’s verbal communication such as loudness, quality, tone of the voice of the patient
as well as the level of coherence, organization speech.
he deals on how the patient interprets and understand the nature of the environment to accept as a personal
responsibility.
he assessed on how the patient thinks and express their ideas as well as emotions.
he observed the grooming, dress attire, posture, gait, eye contact and facial expression of the patient.

While assessing the general appearance and motor behavior of the patient. She
observed that her patient is experiencing overall slowed movements. She is correct if
she interprets this assessment as: *
1 point

psychomotor retardation
waxy flexibility
echopraxia
none of the choices

. In the psychiatric ward, Ms. Smiley observed that there is a patient is having an
imitation of movements made by the other. The other student nurse ask Ms. Smiley of
what the patient is doing. Ms. Smiley is correct if she states that: *
1 point

the patient is doing an echolalia, which means that the patient is imitating the movements made by the
other.
the patient is having an imitation of movement made by other people that what we call an
echopraxia.
what the patient is doing is thinking that he/she is in the world of full of magic and fantasy.
the patient thinks that there is someone who try to kill him/her.

. In the hallway of the psychiatric ward, there is one patient that suddenly stops
walking in the hallway. Nurse Smiley interprets this action as waxy flexibility. All of the
following are incorrect about waxy flexibility except one: *
1 point

waxy flexibility is inventing new words that he/she only understand.

. waxy flexibility is inability or refusal to speak
waxy flexibility is a maintenance of posture or position over time even when it is awkward.
waxy flexibility is showing little or slow to respond facial expression

. Nurse Smiley, is having an interaction to her assigned patient. She observed that her
patient is always following of what Ms. Smiley said. She thought that the patient is
making fun of her but the nurse supervisor told her that the patient is like that. She ask
the nurse supervisor about the patient’s condition. The nurse supervisor is correct if
he/she states that: *
1 point

the patient is having a word of salad

none of the choices
the patient is having a flight of ideas.
the patient is experiencing a loose of associations

All of the following are the problems of the nurse-client relationship except one: *
1 point

Counter Transference
Resistance
None of the choices
Transference

A problem in nurse-client relationship that develop feelings by the nurse towards the
client. *
1 point

Transference
Counter transference
intimate relationship
All of the choices

The nurse is talking to a client. The client abruptly says to the nurse, “The moon is full.
Astronauts walk on the moon. Walking is a good health habit.” The client’s behavior
most likely indicates: *
1 point

Loose of associations
Flight of ideas
Neologism
Word of Salad

. It is already dinner time, Nurse Mary Rose, instruct the patient to eat their dinner but
the patient washes his/her hand for about an hour before he/she will eat the dinner,
What kind of perceptual disturbances does the patient have? *
1 point

obsession compulsion
obsession and compulsion
obsession
compulsion

The assigned patient of Ms. Smiley suddenly shout that she saw an alien at the back
of Ms. Smiley. When she turned at the back, it was just Nurse Mary Rose who wear a
mascot of alien in preparation of costume party. What will be the best response of Ms
Smiley? *
1 point

It is not an alien, it is just your nurse Mary Rose who wear a mascot for the best in costume contest.
Are you okay?! It is not an alien.
Alien?! Oh yes, it is an alien. We better call the police to kill that alien.
You alien, keep away from him/her.