1

Success Point Nursing Classes Varanasi
A Dedicated Institute for Nursing Competitive Exams

(c) Vitamin - D
PAPER - 1 (d) Vitamin - E
1. In following which is the commonest 7. The condition in which the use of a

organic disorder- substance takes on a much higher priority
(a) Dementia than other behaviours, is termed as-
(b) Delirium (a) Acute intoxication
(c) Organic amnestic syndrome (b) Withdrawal state
(d) Organic Hallucination (c) Dependence syndrome
(d) Schizophrenia
2. The condition characterized by
symptoms which develop on total or partial 8. The drug of choice for the treatment of
withdrawal of drug usually after prolonged manic episode, is-
use of the drug, is known as- (a) Haloperiodal
(a) Acute intoxication (b) CPZ
(b) Withdrawal state (c) Lithium
(c) Dependence syndrome (d) Imipramine
(d) Schizophrenia
9. A sexual disorder in which sexual arousal
3. Organic cause of mental disorder occurs with a non living objects such as
includes- bra, panties etc. is termed as-
(a) Hypo or hyper functions of endocrinal (a) Fetishism
glands (b) Voyeurism
(b) Head injury (c) Frotteurism
(c) Sub arachnoid haemorhage and hematoma (d) Zoophilia
(d) All of the above
10. In following which is a cause of
4. Gastro intestinal complication which mental retardation-
may occur due to alcohol dependence is- (a) Down's syndrome
(a) Cirrhosis of liver (b) Microcephaly
(b) Gastritis (c) Birth trauma
(c) Pancreatitis (d) All of the above
11. A child's IQ level ranges between 50 -
5. The complication that may occur due to 70. The child is suffering from-
chronic ovode site use of alcohol is- (a) Mild mental retardation
(a) Rum fits the legal tools of the (b) Moderate mental retardation
(b) Peripheral neuropathy (c) Severe mental retardation
(c) Wernicke korsakoff psychosis (d) Profound mental retardation
12. If IQ level is less than 20, the type of
6. During wernicke's encephalopathy there mental retardation will be-
is deficiency of- (a) Mild mental retardation
(a) Thiamine (Vitamin-B1) (b) Moderate mental retardation
(b) Riboflavin (c) Severe mental retardation
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(d) Profound mental retardation (a) Fetishism (b) Voyeurism
(c) Frotteurism (d) Zoophilia
13. Commonest type of mental retardation
is – 20. A sexual disorder in which the patient is
(a) Mild mental retardation involved in the act of touching and rubbing
(b) Moderate mental retardation a person usually of the other sex, is termed
(c) Severe mental retardation as-
(d) Profound mental retardation (a) Fetishism (b) Voyeurism
(c) Frotteurism (d) Zoophilia
14. In following which is not a
chromosomal abnormality- 21. A sleep disorder in which there is
(a) Down's syndrome difficulty in maintaining sleep is termed as -
(b) Fragil x syndorme (a) Amnesia (b) Insomnia
(c) Cretinism (c) Hypersomnia (d) Somnambulism
(d) Turner's syndrome
22. Persisent or recurrent tendency to
15. The disorder that is found only in observe persons engaged in sexual activity,
females- is termed as-
(a) Schizophrenia (a) Fetishism (b) Voyeurism
(b) MDP (c) Frotteurism (d) Zoophilia
(c) Delusion
(d) Post partum psychosis 23. A psychiatric disorder in which the
patient has an irrational idea and during
16. The disorder that is commonly present this condition patient tries to resist against
with anorexia nervosa is- it but is unable to do this, is known as-
(a) Significant weight loss (a) Compulsion (b) Obsession
(b) Amenorrhea (c) Delusion (d) Delirium
(c) Patient becomes thin
(d) All of the above 24. The drug of choice for the treatment of
generalized anxiety, is-
17. Anorexia nervosa is more common in- (a) Lithium (b) Haloperiodal
(a) Adolescence male (c) Benzodiazepine (d) Imipramine
(b) Old males
(c) Adolescence females 25. In following which is a symptom of
(d) Old females manic attack-
(a) Delusion of nihilism
18. In following which is not a sleep (b) Hopelessness
disorder- (c) Depressed mood
(a) Insomnia (d) Increase PMA
(b) Somnambulism
(c) Amnesia 26. In following which is a cause of
(d) Somniloquy delirium-
(a) Heady injury (b) Drug overdose
19. Persistant involvement in sexual activity (c) Epilepsy (d) All of the above
with animal is termed as-
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27. In following which is not an example of 36. Instability between mild depression and
opioid- mild mania is termed as-
(a) Morphine (b) Heroin (a) Euthymia (b) Dysthymia
(c) Pethidine (d) Naloxone (c) Elation (d) Cyclothymia
28. In which year National Mental 37. The life time risk of depression in male
Health Programme was launched- is about-
(a) 1980 (b) 1982 (a) 1-2% (b) 3-4%
(c) 1987 (d) 1995 (c) 8-10% (d) 20-22%
29. All of these are sexual disorders except- 38. Bipolar mood disorder is also known as-
(a) Exhibitionsim (b) Homosexuality (a) OCD
(c) Incest (d) Phobia (b) MDP
(c) Recurrent disorder
30. A delirious person is most commonly (d) Persistent mood disorder
disoriented regarding-
(a) Time (b) Place 39. Features of depressive episode are-
(c) Person (d) None (a) Increased PMA, more talkative, delusion
of grandiosity
31. Psychosocial therapy includes all of (b) Stupor, more talkative, delusion of
these except- grandiosity
(a) Psychoanalysis (b) Somatic therapy (c) Psychomotor retardation, elation, delusion
(c) Hypnosis (d) Phobia of persecution
(d) Decreased PMA, hopelessness,
32. The most common cause of organic helplessness, stupor
amenstic syndrome is-
(a) Head injury 40. The daily dose of chlorpromazine for
(b) Chronic alcoholism the treatment of schizophrenia is-
(c) Hypoxia (a) 300-1000 mg (b) 5-20 mg
(d) Encephalitis (c) 100-150 mg (d) 1000-2000 mg
33. The psychoactive substance which is 41. The systematic evaluation of behavior,
taken by only oral route (most commonly)- emotion and cognitive functions of an
(a) Alcohol (b) Opoids individual is known as
(c) Cannabis (d) Nicotine (a) Mental status examination
(b) History collection
34. In following which is not an (c) Neurological examination
antidepressant drug- (d) Process recording
(a) Olanzapine (b) Clomipramine
(c) Fluoxetine (d) Sertraline 42. 'ICD-X classification' is used in:
(a) Central Sterile Supply Department (CSSD)
35. Therapeutic blood lithium level is- (b) Operation Theatre
(a) 0.5-1.5m cq/l (b) 0.2-0.8 m eq/L (c) Medical Record Department
(c) 1.5-2.2 m eq/L (d) 2.0-3.0 m eq/L (d) Blood Bank
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43. Which of the following is NOT a sign 50. A characteristic of infants and who have
of mental health? experienced maternal deprivation is :
(a) Unresolved conflict (a) Tendency toward overeating
(b) Lack of self confidence (b) Responsiveness to stimuli
(c) Emotional instability (c) Proneness to illness
(d) Positive attitude (d) Extreme activity
44. Following are the causes of behavior 51. A nurse enters the room of a patient
problems among children except with a cognitive impairment disorder and
(a) Parental factors asks what day of the week it is; what the
(b) Social relationship date, month and year are; and where the
(c) Family environment patient is. The nurse is attempting to
(d) Physical health assess:
(a) Perseveration (b) Orientation
45. Sign of circle in family genogram (c) Confabulation (d) Delirium
indicate:
(a) Male (b) Female 52. Which of the following is the first step
(c) Child (d) Grand parents of Mental Status Examination?
(a) Mood and affect to B
46. Multiple referrals between psychiatrists (b) General appearance and behaviour
and other professionals is known as (c) Speech
(a) Steering and (b) Ping Ponging (d) Higher cognitive function
(c) Ganging (d) Touting
53. The most common assessment for
47. Which of the following are risk factors mentally ill patient is done by:
for childhood psychiatric disorders? (a) Taking psychiatric history
(a) Parental psychopathology (b) Doing neurological examine
(b) Repeated early separation from parents (c) Electroencephalography
(c) Harsh or inadequate parents (d) Mental status examination
54. A patient with antisocial personality
48. You tell a 65 year old patient, "Listen disorder belches loudly. A staff member
carefully and repeat after me: Apple, Pen, asks "Do you know why people find you
Table." If he repeats these three words repulsive?" this statement most likely
immediately after your in the correct would elicit which of the following client
sequence, he has normal: reaction:
(a) Judgment (b) Orientation (a) Defensiveness (b) Embarrassment
(c) Recall (d) Registration (c) Shame (d) Remorseful
49. Standards of mental health practices 55. Which of the following is an

are published by _____ ineffective/nontherapeutic
(a) Trained Nurses Association of India communication?
(b) American Nurses Association (a) Judgmental attitude
(c) State Nursing Council (b) Silence
(d) Indian Nursing Council (c) Focusing
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(d) Informing b. Grand mal epilepsy
c. Myoclonic seizures
56. Which of the following techniques d. All of these
are examples of nontherapeutic
communication? 63. A woman is treated with lithium during
(a) Giving advice (b) Focusing pregnancy. The fetus should be tested for:
(c) Restating (d) Paraphrasing a. Neural tube defects
b. Cardiac malformations
57. Which of the following shows that the c. Urogenital abnormalities
nurse is listening to the client? d. Scalp defects
(a) Turning away from the patient
64. Antipsychotic drug-induced
(b) Nodding and making eye contact
Parkinsonism is treated by:
(c) Looking out of the window
a. Anticholinergics b. Atropine
(d) Checking the patient's case reports c. Prochlorperazine d. Perphenazine
58. One of your colleague states that your 65. What is an appropriate behavior
assigned client looks like a 'drug addict'. modification goal for a client with anorexia
Which of the following best describes your nervosa?
colleague? a. Eat every meal for a week.
(a) Introvert (b) Judgmental attitude b. Gain 1 pound of weight a week.
(c) Extrovert (d) Prejudice c. Attend group therapy every day.
d. Talk about food for 1 hour a day.
59. Responses which to avoid in therapeutic
communication are as follows EXCEPT: 66. During an assessment interview the client
(a) Reflecting and clarifying. relates experiencing overwhelming,
(b) Advice giving. irresistible attacks of sleep. Which sleep
(c) Closed-ended questions. disorder does the nurse conclude the client is
(d) Arguing and judgmental responses. experiencing?
a. Insomnia b. Narcolepsy
60. Which of the following procedures c. Sleep terror d. Sleep apnea
involves injecting radioactive molecules into
the bloodstream? 67. A cachectic adolescent with the diagnoses
a. Positron emission tomography (PET) of anorexia nervosa, dehydration, and
b. Functional magnetic resonance imaging electrolyte imbalances is admitted to a
(FMRI) mental health facility. The adolescent has
c. Magnetic resonance imaging been obsessed with weight, has exercised for
d. Computerized axial tomography hours every day, has taken enemas and
laxatives several times a week, and has
61. Hypnotic drugs are used to treat: engaged in self-induced vomiting. Which is a
a. Psychosis priority when a nurse plans care for this
b. Sleep disorders client?
c. Narcolepsy a. Identifying personal strengths
d. Parkinsonian disorders b. Controlling impulsive behaviors
c. Correcting electrolyte imbalances
62. Phenytoin is used in the treatment of: d. Developing a contract for treatment goals
a. Petit mal epilepsy
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68. Most appropriate sequence of Maslow' 75. Directing anger at a person or object
Hierarchy needs includes: other than its primary source is called:
(a) Safety Biological - Attachment - Self Esteem (a) Denial (b) Projection
(b) Biological-Safety - Attachment - Self (c) Displacement (d) Compensation
Esteem
(c) Attachment - Biological Safety - Self Esteem 76. A 15 years old girl is brought to the
(d) Self Esteem - Attachment - Biological - psychiatry OPD by her neighbors
Safety immediately after a death of her father. She
looks very calm and controlled, does not
69. Maslow's hierarchy of needs is useful show any signs of distress and responds to
to nurses who continually prioritize a client's the questions of the psychiatrist in a gentle
nursing care needs. The most basic or first manner. The analysis of this
level needs include: behavior indicates which defense
(a) Esteem and self-esteem needs mechanism?
(b) Self-actualization (a) Denial (b) Intellectualization
(c) Love and belongingness (c) Rationalization (d) Sublimation
(d) Air, water and food
77. A teenager who required lengthy
70. According Maslow's needs of hierarchy, rehabilitation after an accident decides to
which of the following is a basic need become a physical therapist as a result of his
(a) Oxygen (b) Love experience is an example for
(c) Safety (d) Self-esteem (a) Introjections (b) Projection
(c) Identification (d) Displacement
71. The hierarchy of needs are
described/ explained by: 78. Exclusion of unwanted or experiences,
(a) Erickson (b) Abraham Maslow emotions or ideas from conscious
(c) Freud (d) Sheldon awareness is-
(a) Denial (b) Repression
72. A patient who abuses alcohol and cocaine (c) Regression (d) Projection
tells a nurse that he only use substances
because of his stressful marriage and difficult 79. Which among the following is referred to
jot. Which defence mechanism is this patient as the perfection principle?
using? (a) Id (b) Superego
(a) Rationalization (b) Displacement (c) Energy (d) Ego
(c) Projection (d) Sublimation
80. One of stages as per Freud's psychosexual
73. Using Maslow's hierarchy of needs, a development theory emphasized that an
nurse assigns highest priority to which client infant in first year of life derives pleasure by
need? nursing and sucking, putting finger or things
(a) Elimination (b) Security in mouth:
(c) Safety (d) Belonging (a) Anal stage (b) Phallic stage
(c) Oral stage (d) Latency stage
74. Voluntary rejection of unacceptable
thoughts or feelings from conscious 81. Gender identity is the individual's
awareness is called (a) Sexual behaviour
(a) Sublimation (b) Suppression (b) Sexual orientation
(c) Symbolisation (d) Substitution (c) Sense of being feminine and musculine
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(d) Sense of preferring one sex over other (c) Obsession compulsion disorder
(d) Conversion reaction
82. All of the following are mental health
concerns for elderly clients except: 88. After an accident, a woman comes into
(a) Isolation (b) Grief the emergency room in a severe state of
(c) Depression (d) Aggression anxiety. What is the most appropriate
nursing intervention?
83. The stage which keeps an individual (a) Remaining with the client
physically alert to face the danger arising (b) Putting the client in a quiet room
out of stress is termed (c) Teaching the client deep breathing exercise
(a) Adjustment reaction (d) Collect the detailed history from the client.
(b) Stage of resistance
(c) Exhaustion stage 89. A person thinks that somebody follows
(d) Alarm reaction him because he has secret paper in his
briefcase. It is-
84. Mrs. Geeta is caring for her 90 year old (a) Delusion of persecution
mother-in-law at home. On home visit, nurse (b) Idea of reference
observes that Geeta is having symptoms of (c) Idea of suspect
caregiver stress. Her plan will be to: (d) Delusion of grandeurs
(a) suggest shifting her mother-in-law to
hospital 90. Adaptive mechanism of giving excuses
(b) Refer Mrs. Geeta to a psychiatrist when a person can not solve a problem-
(c) Give Mrs. Geeta a sedative (a) Projection (b) Substitution
(d) Plan respite care for Mrs. Geeta (c) Rationalization (d) Compensation
85. A client is experiencing anxiety attack. 91. A rare condition in which separate
The most appropriate nursing intervention personalities exist in the same person is
should include: called-
(a) Turning on the television (a) Somatoform disorder
(b) Leaving the client alone (b) Delusion
(c) Staying with the client and speaking in (c) Schizophrenia
short sentences (d) Dissociative identity disorder
(d) Ask the client to play with other clients
92. An important intervention in monitoring
86. A client with conversion disorder states the dietary compliance of a client with
that she is unable to move her legs. The nurse bulimia is-
would expect a person with this problem to (a) Allowing the client privacy during
(a) Appear greatly depressed mealtimes
(b) Appear calm and composed (b) Praising her for eating all her meal
(c) Exhibit free-floating anxiety (c) Observing her for 1-2 hours after meals
(d) Demonstrate anxiety when (d) Encouraging her to choose foods she likes
discussing symptoms and to eat in moderation
87. La Belle indifference is related to which 93. A mood stabilising agent is-
of the following neurosis? (a) Bupropion (b) Amitryptine
(a) Phobic anxiety (c) Sertraline (d) Lithium
(b) Anxiety disorder
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94. Which of the following comments, if made
by a patient who has major depression would
indicate an increased risk of suicide- ANSWER KEY, PAPER - 1
(a) I don't have any plan to kill myself 1. (B) 21. (B) 41. (A) 61. (B) 81. (C)
(b) I don't want to share my problem with any 2. (B) 22. (B) 42. (C) 62. (B) 82. (D)
(c) I won't be a problem much longer
(d) My family member can't take care of myself 3. (D) 23. (B) 43. (D) 63. (B) 83. (D)
4. (D) 24. (C) 44. (D) 64. (A) 84. (D)

95. In ICD-10 classification which diseases
are classified in group F 30-39 - 5. (D) 25. (D) 45. (B) 65. (B) 85. (C)
(a) Neurotic and somatoform disorders 6. (A) 26. (D) 46. (B) 66. (B) 86. (B)
(b) Mood disorders
7. (C) 27. (D) 47. (D) 67. (C) 87. (D)
(c) Disorder of adult personaltiy
(d) Mental retardation 8. (C) 28. (B) 48. (C) 68. (B) 88. (C)
9. (A) 29. (D) 49. (B) 69. (D) 89. (A)

96. Diploma in psychiatric nursing was
started in- 10. (D) 30. (A) 50. (C) 70. (A) 90. (C)
(a) 1983 (b) 1987 11. (A) 31. (D) 51. (B) 71. (B) 91. (D)
(c) 1992 (d) 1993
12. (D) 32. (B) 52. (B) 72. (A) 92. (C)
97. In which year psychiatric nursing was 13. (A) 33. (A) 53. (D) 73. (A) 93. (D)
included as an elective subject in DNEA 14. (C) 34. (A) 54. (A) 74. (B) 94. (C)
course-
(a) 1975 (b) 1980 15. (D) 35. (A) 55. (A) 75. (C) 95. (B)
(c) 1987 (d) 1992 16. (D) 36. (D) 56. (A) 76. (B) 96. (A)
17. (C) 37. (C) 57. (B) 77. (C) 97. (B)
98. Ramprakash, a 30 years old person asks
his family members that there some one is 18. (C) 38. (B) 58. (B) 78. (B) 98. (A)
standing outside. When family members see 19. (D) 39. (D) 59. (A) 79. (B) 99. (A)
outside there is nothing. Which of the
following problem, Ramprakash has- 20. (C) 40. (A) 60. (A) 80. (C) 100. (A)
(a) Hallucination (b) Illusion
(c) Phobia (d) Delusion
99. Written consent is obtained prior to “न िं दा से घबराकर अप े लक्ष्य को ा

giving ECT. What is the purpose behind this- छोडे क्ोिंनक लक्ष्य निलते ही अक्सर न िंदा
कर े वालोिं की राय बदल जाती हैं।”
(a) It protects the hospital staff from
legal implications
(b) It makes the procedure easy.
(c) It makes the procedure effective.
(d) There is no need to do so.
100. In which year the psychiatric nursing

was offered as an electrive subject in M.Sc.
nursing first time-
(a) 1975 (b) 1982
(c) 1987 (d) 1999
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8. Roles of nurse in psychiatric ward
PAPER - 2 include except-
(a) Observe the patient for presence of side
1. In ICD-10 classification the diseases that effects of antipsychotic drugs if he is taking
are classified in group F70 - 79 are- (b) Follow five right rule while administering
(a) Neurotic and somatoform disorders drugs
(b) Mood disorders (c) If psychiatric symptoms subside, then
(c) Disorders of adult personality sudden stop the drug
(d) Mental retardation (d) Advise the patient not to use any
psychoactive substances
2. In ICD-10 classification, the psychoactive
substance use disorders are classifed in- 9. The therapy which is aimed at providing
(a) F00-F095 (b) F10-F19 a healthy environment which helps in early
(c) F20-F29 (d) F30-F39 recovery of the patient-
(a) Millieu therapy (b) Aversion therapy
3. In ICD-10 classification of mental (c) Flooding (d) Hypnosis
diseases schizophrenia, schizotypal and
delusional disorders are classified in - 10. One of the most important nursing role
(a) F00-F09 (b) F10-F19 during providing care to the patient who is
(c) F20-F29 (d) F30 F39 on lithium-
(a) Assess blood lithium level
4. In ICD – 10 classification of mental (b) Restrict salt and fluid intake
disorders, organic including sympathetic (c) Maintain intake output chart
mental disorders are classified in – (d) Give medicine before meal
(a) F00 - F09 (b) F10-F19
(c) F20-F29 (d) F30 F39 11. Before giving ECT all the metallic
articles are removed from patient's body
5. As a psychiatric nurse, what steps will because-
you take to protect the psychiatric patient (a) They may be misplaced
from injury - (b) They may be theft
(a) Provide a non stimulating environment (c) Electric current may pass on body parts
(b) Avoid arguments in the ward (d) It may cause difficult to handle patient
(c) Avoid competitive games which may
cause hostility 12. To reduce metallic taste of lithium, it
(d) All of the above should be given-
(a) In the morning
6. In following which is not a sexual (b) After sleeping
disorder - (c) In powder form
(a) Voyeurism (b) Sodismobild (d) During or after meal
(c) Grandiosity (d) Fetishism
13. Nursing care to the patient who is on
7. In following which is a dependence antidepressants includes except-
producing substance- (a) Advice the patient to take medicines at bed
(a) Cocain (b) Alcohol time due to their sedative effect
(c) Opium (d) All of the above
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(b) Give medicines empty stomach to 19. First phase of therapeutic nurse patient
increase absorption relationship is:
(c) Do not give medicines empty stomach (a) orientation phase
because these may cause nausea and (b) pre-interaction phase
vomitting (c) working phase
(d) Give plenty of fluids (d) termination phase
14. If a depressive patient is prescribed to 20. Choose the most therapeutic response to
take antidepressant medicine once in a day. Mr. Shyam's question: "Am I going to
Then patient should be advised to take it- die?"
(a) At bed time (a) "We all are going to die one day."
(b) In morning (b) "What has your doctor told you?"
(c) Before going to office (c) "You really don't want to talk about death,
(d) It can be taken at any time do you?"
(d) "Would you like to talk about your
15. O.D. dose of antipsychotic drug should condition and prognosis?"
be taken at bed time because-
(a) During sleeping it absorbs very fast 21. Self understanding is facilitated by
(b) During sleeping it absorbs slowly study of:
(c) These drugs have sedative effect (a) Newman's window
(d) During night these are more effective (b) Kothari window
(c) Johari window
16. To prevent suicidal attempt, what (d) Bohari window
nursing care will you provide to a patient-
(a) Do not leave the patient alone 22. When a nurse patient relationship is
(b) Do not leave any sharp instrument near the ending the patient may react by
patient (a) Rejecting the nurse
(c) Encourage the patient to talk about his (b) Becoming angry
suicidal (c) Regression and withdrawal
(d) All of the above (d) Acceptance
17. The type of mental retardation in which 23. Most of the goals of nurse relationship
the child requires custodial care, is- can be achieved during:
(a) Mild mental retardation (a) Orientation phase
(b) Moderate mental retardation (b) Trusting phase
(c) Severe mental retardation (c) Termination phase
(d) Profound mental retardation (d) Working phase
18. The chief distinguishing feature of 24. The communication technique in which
psychotic disorder is: repeating the main idea of what the
(a) Overwhelming anxiety patient just said is
(b) Antisocial conduct (a) Accepting MY (b) Reflecting
(c) Obsessive behavior (c) Restating (d) Broad opening
(d) Confusion between fantasy and reality
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25. The recording of conversation between 31. Mrs. A frequently is seen to lean her
the nurse and patient in a psychiatric set up head to one side, cup her ear and move her
is termed as lips when no one is present. She is most
(a) Therapeutic Communication likely experiencing an-
(b) Interview Technique (a) Illusion (b) Hallucination
(c) Process Recording (c) Delusion (d) Obsession
(d) Case Study
32. A75 year old patient has dementia of
26. For most nurses the most difficult part the Alzheimer's type and confabulates. A
of the nurse-client relationship is: nurse should understand that this patient:
(a) Developing an awareness of self and (a) pretends to be someone else.
the professional role in the relationship (b) denies confusion by being jovial
(b) Being able to understand and accept (c) fills in memory gaps with fantasy
the client's behavior (d) rationalism; various behaviours
(c) Accepting responsibility in identifying
and evaluating the real needs of the client 33. A form of speech in which the client
(d) Remaining therapeutic and professional tends to wander away from the intended
at all times, point and never returning to the original
idea is called:-
27. All the following are therapeutic (a) Verbigeration (b) Thought insertion
communication techniques except: (c) Tangentiality (d) Thought block
(a) Advising (b) Observing
(c) Listening (d) Silence 34. Projection: Rationalization, denied
and distortion by a client with
28. Which of the following would not hallucinations and delusions are examples
promote trust in the nurse-patient of disturbance in
relationship? (a) Logic
(a) Fulfilling promises. (b) Association
(b) Maintaining confidentiality. (c) Reality testing
(c) Returning at the stated time. (d) The thought process
(d) examining wound without providing
privacy 35. A patient who keeps repeating a word
over and over is demonstrating
29. Excessive fatigue after minimal physical (a) Neologism (b) Circumstantiality
or mental exertion is: (c) Stereotype (d) Senility
(a) anorexia nervosa
(b) bulimia nervosa 36. Features of manic episode are-
(c) neurasthenia (a) Increased PMA, more talkative, delusion
(d) dissociative disorder of grandiosity
(b) Stupor, more talkative, delusion of
30. Delusion is a disorder of grandiosity
(a) Thinking (b) Memory (c) Psychomotor retardation, elation, delusion
(c) Perception (d) Intellect of persecution
(d) Decreased PMA, hopelessness,
helplessness, stupor
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37. Short time emotional response to an 44. Which of the following terms is related
idea is termed as- to mimicking-
(a) Affect (b) Mood (a) Phobia (b) Echolalia
(c) Thinking (d) Perception (c) Hallucination (d) Delusion
38. Long term emotional response to an 45. Opoid is derived from –

idea is termed as- (a) Unripe seeds of papaver somniferum
(a) Affect (b) Ripe seeds of papaver somniferum
(b) Stable emotions (c) Unripe seed of connabis sativa
(c) Mood (d) Unripe seed of codeine
(d) Perception
46. For treatment of alcoholism, usual dose
39. Daily dose of haloperidol in of disulfiram is-
schizophrenia is- (a) 100-200 mg/day
(a) 5-30 mg (b) 2-5 mg (b) 10-20 mg/day
(c) 100-300 mg (d) 500-1000 mg (c) 250-500 mg/day
(d) 1000-1200 mg/day
40. The features of stuporous catatonia are-
(a) Excitement, mutism, delusion of 47. In following which is not a
grandiosity characteristic of disulfiram ethanol
(b) Mutism, stupor, waxy flexibility, rigidity reaction-
(c) Delusion of persecution,increase in PMA, (a) Tachycardia (b) Hypotension
stupor (c) Hypertension (d) Headache
(d) Stupor, more talkative, delusion of
gradiosity 48. The behaviour therapy which is most
commonly used for treating alcoholism, is
41. Which of the following drugs is given to named as-
the patient who is planned for ECT- (a) Flooding
(a) Muscle relaxant (b) Aversion
(b) Diazepam (c) Systematic desensitization
(c) Barbiturate (d) Hypnosis
(d) Antiemetic
49. Which of the following psychiatric
42. In India cannabis is derived from- disorder often follows Wernicke's
(a) Papaver somniferum encephalopathy-
(b) Sativa indica (a) Delusion
(c) Sativa americana (b) Rum fits
(d) lysergic acid (c) Korsakoff's psychosis
(d) Dementia
43. The most important dependence
producing opioid derivatives are- 50. After ingestion of alcohol by a person
(a) Codein and papaverine who is on disulfiram, disulfiram ethanol
(b) Morphine and heroine reaction starts within-
(c) Heroine and methadone (a) 10 min (b) 30 min
(d) Pethidine and nolaptrine (c) 60 min (d) 120 min
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51. The most common cause of 58. Chapter III of mental health act deals
Wernicke's encephalopathy is- with-
(a) Cerebral infection deide paigutat (a) Various definitions
(b) Chronic alcohol use (b) Information regarding establishment of
(c) Head injury mental health authorities at center and state
(d) Hypoglycaemia levels
(c) Guidelines for establishment of
52. Rum fits are- psychiatric hospitals
(a) Withdrawal syndrome of chronic alcohol (d) The procedure of admission in
use psychiatric hospital
(b) Seizures that occure after delivery
(c) Seizures occure during childhood 59. Indian Evidence Act came in force in-
(d) Seizures occure during head injury (a) 1955 (b) 1872
(c) 1987 (d) 1992
53. In following which substance has
maximum chances of physical and 60. The Mental Health Act was passed on-
phychological dependence- pet
(a) Alcohol (b) Opoids (a) 20 may 1987 (b) 22 may, 1987
(c) Cannabis (d) Nicotine (c) 22 feb, 19816 (d) 20 feb, 1987
54. Cage questionnaire is used to identify 61. The narcotic drugs and psychotropic
severity of- substance act came in force from-
(a) Alcoholism (b) Schizophrenia (a) 1985 (b) 1987
(c) Eclampsia (d) Delusion (c) 1992 (d) 1977
55. Psychological factor causing substance 62. Number of chapters and sections in
use disorder includes- mental health act are-
(a) Poor impulse control (a) 10 chapters and 98 sections
(b) Low self esteem (b) 20 chapters and 100 sections
(c) Escape from reality (c) 10 chapters and 10 sections
(d) All of the above (d) 10 chapters and 90 sections
56. Social factor which may cause 63. In following which is not a type of
substance use disorder, is- psychotherapy-
(a) Peer pressure (a) Behaviour therapy
(b) Intrafamilial struggle (b) Suggestion
(c) Poor family support (c) Electro convulsive therapy
(d) All of the above (d) Hypnosis
57. Eating disorder marked by persistent 64. In following which is not a antipsychotic
eating of unnatural substances such as drug-
plaster, paint, etc. is termed as- (a) Haloperidol
(a) Pica (b) Obestiy (b) Imipramine
(c) Anorexia (d) Bulimia nervosa (c) Chlorpromazine
(d) Trifluoperazine
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65. Indications for the use of (c) Residual schizophrenia
antidepressants are except- (d) Paranoid schizophrenia
(a) Manic attack (b) Depressive episode
(c) OCD (d) Somnambulism 72. The most important factor in a
therapeutic relationship is:
66. The behaviour therapy that is used for (a) Trust (b) Knowledge
the treatment of conditions which are (c) Professionalism (d) Motivating
pleasant but undesirable eg. alcohol
dependence, is- 73. The most difficult and critical phase of
(a) Systematic desensitization nurse patient relationship is:
(b) Aversion therapy (a) Orientation phase
(c) Flooding (b) Working phase
(d) ECT (c) Termination phase
(d) Induction phase
67. Stage of mania which is characterized
by intense sense of happiness, is- 74. In communicating with patients, the
(a) Euphoria (b) Elation word "rapport" means:
(c) Ecstasy (d) Exaltation (a) To discuss problems and treatment with
a patient
68. Stage of mania in which there is severe (b) To report the patients feelings to a doctor
elevation of mood with delusion of (c) To understand the patients
grandeur, is- (d) To show genuine feeling of goodwill
(a) Euphoria (b) Elation
(c) Ecstasy (d) Exaltation 75. In working with the patient, when is the
best time to prepare the patient for the
69. Loss of interest in almost all activities, termination phase?
delusion of nihilism, delusion of poverty are (a) Pre interaction phase
the symptoms of- (b) Orientation
(a) Schizophrenia (b) Depressive attack (c) Termination phase
(c) Manic attack (d) Delirium (d) Working
70. Reduced speech production is termed 76. An important aspect of nurse-

as- patient relationship is:
(a) Poverty of ideation (a) Therapeutic (b) Personal
(b) Mustism (c) Social (d) Casual
(c) Poverty of speech
(d) Echolalia 77. During which phase of therapeutic
communication, the nurse should expect
71. A patient has disinhibited behaviour, that patient may test the competency and
poor self care and hygiene, markedly commitment of a nurse?
impaired social and occupational (a) Pre interaction phase
functioning and extreme social withdrawal, (b) Orientation phase
the patient is suffering from- (c) Working phase
(a) Catatomic schizophrenia (d) Termination phase
(b) Hebephrenic schizophrenia
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78. What are NOT the misconception (b) Analgesic drug
related to mental health? (c) Antiparkinsonian drug
(a) Children do not experience mental (d) Benzodiazepine
health problems
(b) Mental problems do not affect health 84. In following which is not a part of
(c) It is possible to prevent mental health nursing care to the patient who is taking
illness antipsychotic drug-
(d) People with mental health problems (a) Give a piece of lemon for chewing to
are violent and unpredictable reduce dry mouth
(b) Advise the patient to take antacids because
79. Illusion is: these will increase absorption of antipsychotic
(a) Perception without stimuli drug
(b) Misinterpretation of real external stimuli (c) Advise the patient not to take antacids
(c) Clear perception of stimuli because these will decrease absorption of
(d) Wrong perception of stimuli antipsychotics
(d) Explain the patient not to increase or
80. Nurse Monika is caring for a male client decrease or stop taking drugs without
who experiences sensory perception discussing the doctor
without any stimulus. This perception is
known as 85. The drugs which are used to treat extra
(a) Delusion (b) Illusion pyramidal symptoms occured as a side
(c) Hallucination (d) Depression effect of antipsychotics-
(a) Psychotic drugs
81. Nursing care to the patient who is (b) Antiparkinsonian drugs
on antidepressants includes except- (c) Benzodizepines
(a) Advice the patient to take medicines at bed (d) Phenobarbitones
time due to their sedative effect
(b) Give medicines empty stomach to 86. The EPS characterized by involuntary
increase absorption rhythmic stereotyped movement e.g.
(c) Do not give medicines empty stomach protrusion of tongue-
because these may cause nausea and vomiting (a) Parkinsonian
(d) Give plenty of fluids (b) Neuroleptic malignant syndrome
(c) Akathisia
82. Nursing care to the patient who is (d) Tardive dyskinesia
on antidepressants includes except-
(a) Advice the patient to take medicines at bed 87. A patient has adequate speech amount
time due to their sedative effect but content provides little information, the
(b) Give medicines empty stomach to patient is suffering from
increase absorption (a) Poverty of ideation
(c) Do not give medicines empty stomach (b) Mutism
because these may cause nausea and vomiting (c) Poverty of speech
(d) Give plenty of fluids (d) Echolalia
83. Tri-hexyl phenidyl is a-

(a) Antimanic drug
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88. Temporary loss of muscle tone and (c) Help the patient to make better
weakness precipitated by a variety of psychosocial adjustment
emotional states is called:- (d) Prevent the patient from becoming
(a) Cataplexy (b) Catharsis psychotic
(c) Compulsion (d) Confabulation
96. A psychiatric illness, in which patient
89. The information surrounding a stimulus has multiple doubts regarding counting of
is money or locking the door. The person is
(a) Adaptation (b) Context suffering from-
(c) Aura (d) Internal frame (a) Phobia (b) OCD
(c) Anxiety (d) Hysteria
90. Decreased perceptual response to a
repeated stimulus is known as 97. Gustatory hallucination affects the-
(a) Habituation (a) Nose (b) Taste buds
(b) selective attention (c) Ears (d) Skin
(c) Undivided attention
(d) hallucination 98. Manju sees a design of a flower on the
wallpaper and perceives it as an animal.
91. Inability to verbally describe one's This is an example of:
emotionally feelings (a) illusion (b) hallucination
(a) Agitation (b) Akinesia (c) delusion (d) idea of reference
(c) Alexithymia (d) Anhedonia
99. Auditory hallucinations are disorders
92. If patient has irrational fear of eating in of....
company of others, then it is known as- (a) Judgment (b) Perception
(a) Acrophobia (b) Socialphobia (c) Mood (d) Affect
(c) Agrophobia (d) Algophobia
100. A mental disorder in which a person
93. Psychotherapy which is used for the feels that lice are crawling on his arm, but
treatment of OCD, includes- actually there are no lice on his skin, the
(a) Thought stopping and its modification person is suffering from:
(b) Response prevention (a) auditory illusion
(c) Systematic desensitization (b) auditory hallucination
(d) All of the above (c) tactile illusion
(d) tactile hallucination
94. Hysteria is a-
(a) Psychotic disorder
(b) Neurotic disorder
(c) Gynaecological disorder
(d) Obstetrical disorder
95. The primary aim of psychiatric

treatment is to-
(a) Release the of patients symptoms
(b) Return the patient to his home
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ANSWER KEY, PAPER - 2
PAPER - 3
1. (D) 21. (C) 41. (A) 61. (A) 81. (B)
2. (B) 22. (B) 42. (B) 62. (A) 82. (B) 1. Which of the following disorder
have symptom like persecution, grandeur,
3. (C) 23. (D) 43. (B) 63. (C) 83. (C)
idea of reference, incoherence:
4. (A) 24. (C) 44. (B) 64. (B) 84. (B) (a) Disorder of activity
5. (D) 25. (C) 45. (A) 65. (A) 85. (B) (b) Disorder of attention
(c) Disorder of thought
6. (C) 26. (D) 46. (C) 66. (B) 86. (D)
(d) Disorder of perception
7. (D) 27. (A) 47. (C) 67. (C) 87. (A)
8. (C) 28. (D) 48. (B) 68. (D) 88. (A) 2. The condition when a rope may be
perceived by person as a snake in dark is
9. (A) 29. (C) 49. (C) 69. (B) 89. (B) referred as
10. (A) 30. (A) 50. (B) 70. (C) 90. (A) (a) Suspicion (b) Hallucination
11. (C) 31. (B) 51. (B) 71. (B) 91. (C)
(c) Illusions (d) Delusion
12. (B) 32. (C) 52. (A) 72. (A) 92. (B) 3. Which term refers to perceptual
13. (B) 33. (C) 53. (B) 73. (C) 93. (D) abnormality
(a) Delusion (b) Attention
14. (A) 34. (C) 54. (A) 74. (D) 94. (B)
(c) Hallucination (d) Orientation
15. (C) 35. (C) 55. (D) 75. (B) 95. (C)
16. (D) 36. (A) 56. (D) 76. (A) 96. (B) 4. Parrot-like or pathological repetition of
words spoken by another person is known
17. (D) 37. (A) 57. (A) 77. (B) 97. (B)
as
18. (D) 38. (C) 58. (C) 78. (C) 98. (A) (a) Echolalia (b) Neologism
19. (B) 39. (A) 59. (B) 79. (B) 99. (B) (c) Echopraxia (d) Dyscalculia
20. (D) 40. (B) 60. (B) 80. (C) 100. (D)
5. Pathological repetition by imitation of
the behavior of another person is termed
as:
(a) Echolalia (b) Encopresis
(c) Enuresis (d) Echopraxia
“सफलता पा े के नलए हिें पहले यह 6. All of following are types of Delusions

नवश्वास कर ा होगा नक हि यह कर except:
(a) Grandiosity
सकते है।” (b) Persecution
(c) Wrong perception
(d) Ideas of reference
7. Persistently repeating the same word or

idea in response to different questions is
termed:
(a) Perseveration (b) Tangentiality
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(c) Mutism (d) Word salad 13. Drug therapy with thioridazine
(Mellaril) should not exceed a daily dose of
8. A schizophrenia patient says to a nurse, 800 mg to prevent which adverse reaction?
“you are wearing a pretty red dress. a. Hypertension
Tomatoes are red. Vegetables make you b. Respiratory arrest
healthy. I am not healthy". A nurse should c. Tourette syndrome
recognize that these statements are an d. Retinal pigmentation
example of
(a) Echolalia 14. A 6-year-old child with autism is
(b) Confabulation nonverbal and has limited eye contact.
(c) Neologisms What should a nurse do initially to promote
(d) Looseness of associations social interaction?
a. Encourage the child to sing songs with the
9. When thought are too quick without nurse.
association it is called- b. Engage in parallel play while sitting next to
(a) Clang association (b) Flight of idea the child.
(c) Mannerism (d) Catalepsy c. Provide opportunities for the child to play
with other children.
10. The flight of ideas is seen in d. Use therapeutic holding when the child
(a) Mania does not respond to verbal interactions.
(b) Mental retardation
(c) Depression 15. What childhood problem has legal as
(d) Compulsive disorder well as emotional aspects and cannot be
ignored?
11. A client with schizophrenia tells the a. School phobias
nurse, 'My intestines are rotted from the b. Fear of animals
worms chewing on them! This statement c. Fear of monsters
indicates a: d. Sleep disturbances
a. Delusion of persecution
b. Delusion of grandeur 16. A nurse is counseling the family of a
c. Somatic delusion child with school phobia. What should the
d. Jealous delusion parents be taught to do?
a. Accompany the child to the classroom
12. A client with bipolar behavior manic b. Return the child to school immediately
phase is exhibiting euphoria, hyperactivity, c. Instruct the child as to why school
and distractibility. He is unable to remain attendance is necessary
seated during meal time long enough to eat d. Allow the child to enter the classroom
adequately. Which of the following 'finger before other children
foods' would most benefit this client?
a. Bacon, lettuce, and tomato sandwich 17. When planning activities for a child
b. Cheese burger with autism, the nurse considers that
c. Ice cream cone autistic children respond best to:
d. Cut-up vegetables a. loud, cheerful music.
b. large-group activities.
c. individuals in small groups.
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d. their own self-stimulating acts. (c) adult learning
(d) action learning
18. In case of a client with depression, who
has not responded to antidepressant 24. Behavior analysis is based upon
medication, the nurse anticipates what principle of
treatment procedure to be prescribed? (a) classical conditioning
a. Neuroleptic medication (b) cognitive behavior
b. Short-term seclusion (c) operant conditioning
c. Psychosurgery (d) dream analysis
d. Electroconvulsive therapy
25. The highest form of thinking to find
19. What is a defense mechanism? out causes that predict effect is known as
a. A mechanism designed to reduce stress and (a) Reasoning
conflict caused by specific experiences (b) Problem solving
b. A method for negotiating a stage of (c) Decision making
development (d) Resolving conflict
c. Any form of martial arts
d. A mechanism designed to remove 26. Psychosocial theory of development was
psychological barriers proposed by:
(a) Freud (b) Erickson
20. The acquisition of dog phobia can best (c) Clark (d) Miller
be explained by the:
a. Behavioral model 27. One of stages as per Freud's
b. Psychodynamic model psychosexual development theory
c. Humanistic model emphasized that an infant in first year of
d. Medical model life derives pleasure by nursing and
sucking, putting finger or things in mouth:
21. How soon after chlorpromazine (a) Anal stage (b) Phallic stage
(thorazine) administration should the nurse (c) Oral stage (d) Latency stage
expect to see a client's delusional thoughts
and hallucinations eliminated? 28. The superego is that part of psyche
a. Several minutes b. Several hours which:
c. Several days d. Several weeks (a) Is the source of creative energy
(b) Develops from internalizing the concepts
22. Thinking containing erroneous of parents and significant others
conclusions and internal contradiction is (c) Contains the instinctual drives
called:- (d) Operates on the pleasure principle
(a) Autistic thinking and demands immediate gratification
(b) Critical thinking
(c) Illogical thinking 29. Which among the following is referred
(d) Logical thinking to as the perfection principle?
(a) Id (b) Superego
23. Andragogy refers to: (c) Energy (d) Ego
(a) experiential learning
(b) child learning
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30. Oedipus complex occurs at the age of 37. In Following which is a basic technique
(a) Up to 1 year (b) 1 to 2 year for assessing a psychiatric patient-
(c) 2 to 3 year (d) 3 to 6 year (a) Psychiatric history taking
(b) Mental Status Examination
31. All of followings are biological motives (c) Laboratory investigations
except (d) All of the above
(a) Hunger (b) Thirst
(c) Achievement (d) Sexual behaviour 38. Mr. Ramakant, a 46 years old male, is
suffering from schizophrenia. He is on
32. Hygiene factors and motivational antipsychotic therapy. After starting
factors are key concepts in: treatment, Ramakant shows Extra
(a) Expectancy theory Pyramidal Symptoms. Which of the
(b) Goal setting theory following drugs can be given to Ramakant
(c) Herzberg's two factor theory to treat these side-effects-
(d) Maslow's hierarchy of needs (a) Haloperidol
(b) Teri Hexyl Phenidyl
33. The most significant characteristics (c) Chlorpromazine
experienced by a patient with depression is: (d) Olanzapine
(a) Lack of impulse control.
(b) Depress mood & loss of pleasure or 39. Which of the following thought
interest disorders are of content level –
(c) Hypervigilance and nightmares (a) Thought blocking
(d) Aggressive, abusive and violent behavior (b) Delusion
(c) Illusion
34. Neuroleptic Haloperidol decreases (d) Thought retardation
amounts of which neurotransmitter
(a) Acetylcholine (b) Dopamine 40. The Indian Lunacy Act was passed in
(c) Serotonin (d) Histamine the year-
(a) 1987 (b) 1989
35. In standard form of modified ECT, (c) 1912 (d) 1921
short acting muscle relaxant used is
(a) Pancuronium bromide 41. Impulsive behaviour is driven by-
(b) Succinylcholine (a) ID (b) Ego
(c) Thiopental (c) Conscience (d) Superego
(d) Atropine
42. A client in a psychiatric hospital with
36. Mr. Kalyan, a 50 years old male has the diagnosis of major depression is fearful
been admitted in psychiatric ward. and refuses to eat dinner after a visit with a
Psychiatrist asks that Mr. Kalyan is friend. It is most therapeutic for the nurse
suffering from depression. Following to-
symptoms may present in Kalyan except- (a) Allow the client to skip the meal
(a) Feeling of helplessness (b) Provide adequate quiet thinking time
(b) Decreased PMA (c) Offer the client the opportunity to discuss
(c) History of suicidal attempts the visit.
(d) Increased PMA
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(d) Reinforce the importance of adequate 50. A client is delusional, talking about
nutrition people who are plotting to do harm. A
nurse identifies that the client is pacing
43. Tocan economy is a- more than usual and is concerned that the
(a) Behavioural therapy client is beginning to lose control. What is
(b) СВТ the best nursing intervention?
(c) Individual therapy a. Advise the client to use a punching bag.
(d) Hypnotic therapy b. Move the client to a quiet place on the unit.
c. Encourage the client to sit down for a
44. A legal classification of children's while.
behaviour that violates the law- d. Allow the client to continue pacing with
(a) ADHD supervision.
(b) Enuresis
(c) Temper Trantrums 51. A delusional client refuses to eat
(d) Juvenile delinquency because of a belief that the food is poisoned.
What is the most appropriate initial
45. In ____ disease, the symptom in nursing intervention?
children is described as 'driven by motor'- a. State that the food is not poisoned.
(a) ODD (b) OCD b. Taste the food in the client's presence.
(c) ADHD (d) Conduct disorders c. Show the client that other people are eating
without being harmed.
46. In schizophrenia, when an individual d. Tell the client that tube feedings will be
believes he is in danger, this is referred to started if eating does not begin.
as:
a. Delusion of grandeur 52. Which of the following describes the
b. Delusion of persecution cognitive triad of depression?
c. Delusion of control (a) Helplessness, sleeplessness, worthlessness
d. Nihilistic delusion (b) Thoughtlessness, worthlessness,
sleeplessness
47. Serene is an example of: (c) Hopelessness, worthlessness,
a. Antipsychotic b. Antidepressant thoughtlessness
c. Mood-stabilizer d. Anxiolytic (d) Hopelessness, worthlessness, helplessness
48. A subjective feeling about what is right 53. In which of following disease,
or wrong in psychiatric medicine is said to noradrenalin levels are altered?
be: (a) Depression (b) Schizophrenia
a. Values b. Morality (c) Parkinsonism (d) Epilepsy
c. Religion d. Bioethics
54. Which of the following is the symptom
49. Which of the following physical of depression?
symptoms is associated with panic attack? (a) Retarded thinking
a. Heart palpitation b. Perspiration (b) Retarded psychomotor activity
c. Hyperventilation d. All of these (c) Depressive mood
(d) All of these
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55. ____ is considered mood disorder, (a) Antimanicent (b) Antipsychotic
which include the occurrence of depressive (c) Antidepressant (d) Antipyretic
episodes and one or more elated mood
episodes 61. The drugs which are used to treat extra
(a) Depressive disorder pyramidal symptoms occured as a side
(b) bipolar disorder effect of antipsychotics-
(c) Psychotic disorder (a) Psychotic drugs
(d) delusional disorder (b) Antiparkinsonian drugs
(c) Benzodizepines
56. An affective disorder among the (d) Phenobarbitones
following is:
(a) Alzheimer's (b) Depression 62. The EPS characterized by involuntary
(c) Phobia (d) Delirium rhythmic stereotyped movement e.g.
protrusion of tongue-
57. In following which is not a part of (a) Parkinsonian zbog dirbs
nursing care to the patient who is taking (b) Neuroleptic malignant syndrome
antipsychotic drug- (c) Akathisia
(a) Give a piece of lemon for chewing to (d) Tardive dyskinesia
reduce dry mouth
(b) Advise the patient to take antacids because 63. A nursing care plan for a male client
these will increase absorption of antipsychotic with bipolar I disorder should include:
drug a. Providing a structured environment
(c) Advise the patient not to take antacids b. Designing activities that will require the
because these will decrease absorption of client to maintain contact with reality
antipsychotics c. Engaging the client in conversing about
(d) Explain the patient not to increase or current affairs
decrease or stop taking drugs without d. Touching the client provide assurance
discussing the doctor
64. A client in the hyperactive phase of a
58. In oculogyric crisis- mood disorder, bipolar type, is receiving
(a) Eyes look upward and head is turned to lithium. A nurse identifies that the client's
one side lithium blood level is 1.8 mEq/L. What is
(b) Eyes look downward and head is turned to the most appropriate nursing action?
one side a. Continue the usual dose of lithium and note
(c) Patient is unable to talk, watch and hear any adverse reactions.
(d) Patient has strong urge to move about b. Discontinue the drug until the lithium
serum level drops to 0.5 mEq/L.
59. Tri-hexyl phenidyl is a - c. Ask the health care provider to increase the
(a) Antimanic drug dose of lithium because the blood lithium
(b) Analgesic drug level is too low.
(c) Antiparkinsonian drug d. Hold the drug and notify the health care
(d) Benzodiazepine provider immediately because the blood
lithium level may be toxic.
60. In following which drug may cause
oculogyric crisis-
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65. A client is scheduled for a 6-week 72. Which period of age is considered
electroconvulsive therapy (ECT) treatment preoperation stage In Piaget's theory?
program. What intervention is important (a) Birth to 2 years
during the 6-week course of treatment? (b) 2 to 6 years
a. Provision of tyramine-free meals (c) 11 years and above and above
b. Avoidance of exposure to the sun (d) 7 to 11 years
c. Maintenance of a steady sodium intake
d. Elimination of benzodiazepines for nighttime 73. During age of 1 to 3 years, the
sedation developmental stage according to the Freud's
theory is:
66. Neuroleptic malignant syndrome is a (a) Oral (b) Anal
potentially fatal reaction to antipsychotic (c) Genital (d) Phallic
therapy. What signs and symptoms of this
syndrome should the nurse identify? Select 74. Part of mind that distinguishes right from
all that apply. wrong and acts as a censor of behavior is:
a. Jaundice b. Diaphoresis (a) Id (b) Ego
c. Hyperrigidity d. Hyperthermia (c) Libido (d) Superego
67. Anything which evokes a response in 75. The 'ectomorphy personality body type’-
the organism is called the: which is the correct-
(a) Thing (b) Stimulus (a) Large, viscera, soft body
(c) Situation (d) Incidence (b) socialise
(c) Tall, thin, and fragile
68. Repetition of similar actions in similar (d) strong muscular
circumstances is the definition of:
(a) Habit (b) Attitude 76. Which is not a property of an extrovert
(c) Emotion (d) Motivation personality?
(a) Excitement seeks and like variation
69. Aptitudes are defined as: (b) Social in nature
(a) Preferences to perform certain activities (c) Enjoy travelling
(b) High Level of achievement in an area (d) Exhibit extreme aggression
(c) Skills one brings to a given task
(d) Abilities of individual to learn in specific 77. A state of tension or arousal produced
endeavour by need is called:
(a) Drive (b) Motive
70. The individual's capacity to acquire (c) Instincts (d) Conflict
some specific knowledge, skill is:
(a) Attitude (b) Aptitude 78. Concept of self-actualization and 15 basic
(c) Personality (d) Attention personality characteristics were described by
(a) Jahoda (b) Roger
71. A method of self-observation of an (c) Meninger (d) Maslow
individual of their own mental status directly 79. 50 year old Mohan diagnosed as rectal
and by use of their memory is called: cancer and his response to the diagnosis is
(a) Observation (b) introspection that "Nothing is wrong it is just
(c) Experimental (d) clinical Haemorrhoids", which defensive mechanism
he used:
(a) Projection (b) Repression
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(c) Denial (d) Displacement (c) Denial
(d) Acceptance
80. An adult throwing a temper tantrum
when he does not get his own way is an 87. Ravi, a 42 years old male is suffering
example of: from delusion. Which of the following will be
(a) Regression (b) Undoing an accurate nursing action to Ravi-
(c) Sublimation (d) Repression (a) Isolate the patient.
(b) Provide ECT nous
81. A nurse is teaching clients in a medication (c) Challange the patient to prove the delusion.
education group about side effects of (d) Do not challange the patient to prove the
medications. Which drug will cause a delusion.
heightened skin reaction to sunlight?
a. Lithium 88. Mr. Kashyap, a 38 years old male is
b. Sertraline suffering from schizophrenia. Doctor has
c. Methylphenidate advised for giving ECT. Following are the
d. Chlorpromazine parts of before ECT nursing care except-
(a) Hair should be kept clean and dry
82. Antipsychotic drugs can cause (b) There is no need to remove rings and chain.
extrapyramidal side effects. Which responses (c) Encourage the patient to empty bladder
should the nurse document as indicating (d) Take informed consent.
pseudoparkinsonism? Select all that apply.
a. Rigidity b. Tremors 89. In ICD-10 classification the diseases that
c. Mydriasis d. Photophobia are classified in group F40 - 48, are-
e. Bradykinesia (a) Neurotic, stress related and
somatoform disorders
83. A person who deliberately pretends an (b) Mood (affective) disorder
illness is usually thought to be: (c) Disorder of adult personaltiy
(a) Neurotic (d) Mental retardation
(b) using conversion defenses
(c) Malingering 90. Withdrawal symptoms of opium include
(d) out of concept with reality except-
(a) Dilated pupils (b) Anorexia
84. Founder of modern psychology (c) Constipation (d) Rhinnorrhea
(a) Erikson (b) Eugo Carletti
(c) Sigmund Freud (d) Girald Kaplan 91. Alzheimer's disease is more common in-
(a) Infancy (b) Childhood
85. The defense mechanism in which (c) Adulthood (d) Old age
emotional conflicts are are expressed through
motor, sensory, or somatic disability is 92. A disorder in which sexual satisfaction is
identified as: achived by manipulation of sex organs like
(a) Dissociation (b) Psychosomatic penis or clitoris –
(c) Compensation (d) Conversion (a) Frigidity (b) Masturbation
(c) Hypersexuality (d) Impotence
86. A pattern of adjustment followed by an
individual to relieve anxiety is known as 93. To improve socialization of a
(a) Defense mechanisms schizophrenic patient, what steps will you
(b) Compensation take as a nurse-
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(a) Allow the patient to talk to other patients 100. Which type of ECT is commonly used
(b) Encourage the patient to play with other now a days-
patients (a) Indirect and bilateral
(c) Pat the patient for his good performance in (b) Direct and bilateral
the group (c) Indirect and unilateral
(d) All of the above (d) Direct and unilateral
94. All overt and covert activities of human ANSWER KEY, PAPER - 3
beings that can be observed, known as- 1. (C) 21. (D) 41. (A) 61. (B) 81. (D)
(a) Personality (b) Mind
(c) Behaviour (d) Adjustment 2. (C) 22. (C) 42. (C) 62. (D) 82. (A,
B, E)
3. (C) 23. (C) 43. (A) 63. (A) 83. (C)
95. In following which is not a part of nursing
care after giving ECT- 4. (A) 24. (C) 44. (D) 64. (D) 84. (C)
(a) Assess vital signs 5. (D) 25. (A) 45. (C) 65. (D) 85. (D)
(b) Allow the patient to sleep for 30 - 60
6. (C) 26. (B) 46. (B) 66. (B, 86. (A)
minutes C, D)
(c) Do not give anything to drink or eat upto 6 - 7. (A) 27. (C) 47. (A) 67. (B) 87. (D)
8 hours after procedure
(d) Help the patient to perform his daily 8. (D) 28. (B) 48. (B) 68. (A) 88. (B)
activity. 9. (B) 29. (B) 49. (D) 69. (D) 89. (A)
10. (A) 30. (D) 50. (B) 70. (B) 90. (C)
96. Which position is provided to the patient
after giving ECT- 11. (C) 31. (C) 51. (A) 71. (B) 91. (D)
(a) Supine (b) Prone 12. (B) 32. (C) 52. (D) 72. (B) 92. (B)
(c) Side lying (d) Lithotomy
13. (D) 33. (B) 53. (A) 73. (B) 93. (D)
97. Psychoanalysis includes- 14. (B) 34. (B) 54. (D) 74. (D) 94. (C)
(a) Interpretation of dream and emotions.
15. (A) 35. (B) 55. (B) 75. (C) 95. (C)
(b) Free association
(c) Exploring expressed thoughts. 16. (B) 36. (D) 56. (B) 76. (D) 96. (C)
(d) All of the above 17. (D) 37. (D) 57. (B) 77. (A) 97. (D)
98. Nursing care during giving ECT include 18. (D) 38. (B) 58. (A) 78. (D) 98. (B)
except- 19. (A) 39. (B) 59. (C) 79. (C) 99. (C)
(a) Restrain the thighs
20. (A) 40. (C) 60. (B) 80. (A) 100. (A)
(b) Flexion of the head
(c) Observe the patient for grandmal seizures
(d) Observation of general health status
continuously
“निक्षा कभी भी व्यर्थ ही िं होती भले ही
99. Before giving ECT, patient is encouraged वो नकसी भी तरह की ग्रहण की गई हो।”
to empty bladder because-
(a) It may cause renal failure
(b) It will reduce effectivity of treatment
(c) Patient may spoil the bed during procedure
(d) It may cause urinary retention 800
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(a) Chlorpromazine (b) Haloperidol
PAPER - 4 (c) Olanzapine (d) Risperidone
1. Putting a bitter taste on nails for the 9. Purpose of giving atropine before ECT
prevention of nail biting is an example of- is-
(a) Flooding or trading of (a) To increase oral secretions
(b) Aversion therapy (b) To produce anaesthetic effect
(c) Systematic desensitization (c) To decrease oral secretions
(d) Hypnosis (d) For muscle relaxation
2. In oculogyric crisis- 10. Which group of drugs also known

(a) Eyes look upward and head is turned to thymoleptics-
one side (a) Antimanic
(b) Eyes look downward and head is turned to (b) Antidepressants
one side (c) Analgesic
(c) Patient is unable to talk, watch and hear (d) Antiparkinsonian
(d) Patient has strong urge to move about
11. Legislation for mentally retarted person
3. In following which drug may cause is included in-
oculogyric crisis- (a) Primary prevention
(a) Antimanic (b) Antipsychotic (b) Secondary prevention
(c) Antidepressant (d) Antipyretic (c) Tertiary prevention
4. An extra pyramidal symptom
characterized by contraction of neck, jaw 12. The person with disability act came in
and extra oculor muscles- force in-
(a) Parkinsonism (b) Akathisia (a) 1995 (b) 1895
(c) Dystonia (d) Tardive dyskinesia (c) 1987 (d) 2001
5. Which chapter of mental health act deals 13. Developmental mathmatic disorder is
with the discharge of mentally ill person- known as-
(a) Chapter V (b) Chapter VII (a) Dyslexia (b) Dyscalculia
(c) Chapter VIII (d) Chapter IX (c) Dysphasia (d) Autism
6. Dose of atropine given before ECT is- 14. Tertiary prevention of mental
(a) 0.5-0.6 mg (b) 2-3 mg retardation includes-
(c) 0.1-0.2 mg (d) 5-10 mg (a) ↑se education level
(b) Rehabilitation
7. In following which is not a side effect (c) Immunization of children with pentafive,
of benzodiazepines- OPV, BCG and MR vaccines
(a) ↑se salivation (b) Diarrhoea (d) Improvement in socio-economic condition
(c) Epigastric pain (d) Vertigo
15. In following which is a part of
8. The antipsychotic which was first of secondary prevention of MR-
all discovered-
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(a) Early detection and treatment [if possible] 22. Commonest type of phobia is-san
of mental retardation (a) Agoraphobia (b) Algophobia
(b) Rehabilitation (c) Xenophobia (d) Zoophobia
(c) Good perinatal medical care
(d) To improve socio-economic condition 23. Psychotherapy groups in which all
members of the group, join the group at the
16. Primary prevention for mental same time and have a defined membership
retardation includes- is called....
(a) ↑se education level (a) Closed (b) Open
(b) Universal immunization (c) Homogenous (d) Heterogeneous
(c) Genetic counselling
(d) All of the above 24. Who is considered as father of group
therapy
17. Most common type of postpartum (a) Joseph pratt (b) Aron bech
psychosis is- (c) Sigmond freud (d) Joseph wolpe
(a) Depressive episode with psychotic
symptoms 25. Anurse is conducting a group therapy
(b) Schizophrenia session where a client is monopolizing the
(c) Mania group. The appropriate nursing action
(d) Delirium would be:
(a) Ask the client to leave
18. The behaviour therapy which is most (b) Refer the client to another group
commonly used for treating phobia, is- (c) Tell client to stop monopolizing the group
(a) Flooding (d) Suggest that the client stop talking and
(b) Systematic desensitziation try listening to others.
(c) Aversion
(d) Both (a) and (b) 26. The act of purging or purification of
emotions is called:
19. The drugs most commonly used for (a) Confabulation (b) Cataplexy
treating anxiety- (c) Compulsion (d) Catharsis
(a) Antipsychotics (b) Benzodiazepines
(c) Antimanic (d) Antiemetics 27. In a group therapy, members express
both positive and negative feeling in a non
20. Hysterical fits are also known as- threatening atmosphere is called as
(a) Dissociative amnesia (a) Cognition (b) Catharsis
(b) Dissociative fuge (c) Ecopraxia (d) Apraxia
(c) Dissociative convulsions
(d) Dissociative motor disorder 28. Mr. James is withdrawn and non-
communicative; to encourage him to talk,
21. Hypochondriasis is a- the best plan of nursing intervention would
(a) Psychotic disorder be to:
(b) Neurotic disorder (a) Ask simple questions that require answers
(c) Gynaecological disorder (b) Focus on non-threatening subjects
(d) Obstetrical disorder (c) Try to get him to discuss his feelings
(d) Sit and look through magazines with him
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29. Schizophrenia comes under ____ form of (c) Catatonic schizophrenia
psychological disorder. (d) Paranoid schizophrenia
(a) Cyclothymic disorder
(b) Psychotic disorder 35. Catatonia is a type of:
(c) Depressive disorder (a) Phobia (b) OCD
(d) Dysthymic disorder (c) Depression (d) Schizophrenia.
30. The method of helping the individual by 36. A patient presenting the signs and
encouraging him to discover the reason for symptoms of persecution, suspiciousness,
his behaviour is called lack of insight may be having:
(a) Cognitive therapy (a) Hebephrenic Schizophrenia
(b) Crisis intervention (b) Simple Schizophrenia
(c) Individual psycho therapy (c) Paranoid Schizophrenia
(d) Behavioral therapy (d) Undifferentiated Schizophrenia
31. The affect most commonly found in client 37. Catatonic behavior in schizophrenia is
with schizophrenia is one of: characterized by which of the following:
(a) Happiness and elation (a) Resisting attempts to be moved
(b) Apathy and flatness (b) Maintaining rigid, immobile postures
(c) Sadness and depression (c) Decrease in reactivity to the environment
(d) Anger and hostility (d) All of the above
32. The following are presenting symptoms of 38. Which of the following assessment
patients with catatonic schizophrenia, findings should the nurse observe in a client
EXCEPT with schizophrenia?
(a) Stereotyped position with waxy flexibility. (a) Euphoria, distractibility, dramatic
(b) Sudden onset of mutism. mannerisms, energetic.
(c) Disorganized behavior and speech. (b) Argumentative, anhedonia, poor
(d) Have dangerous periods of agitation judgment, manipulative
and explosive behavior. (c) Psychomotor retardation, intense
sadness, loss of energy, suicidal.
33. In Schizophrenia, term anhedonia refers (d) Associative looseness, affect
to disturbance, ambivalence, autistic thinking
(a) Inability to enjoy
(b) Inability to express empathy 39. A therapy which provides a safe
(c) Inability to react to enjoyable or environment to meet the patient's treatment
pleasurable events need is
(d) Inability to react appropriately to (a) Psychotherapy (b) Behavior therapy
social crisis (c) Milieu therapy (d) Microtherapy
34. What will be the diagnosis of the patient 40. Which of the following mental health
in case nurse found patient is giving silly promotion activity is targeted for adults?
smile, had hallucinations, fantasy giggling, (a) Positive and consistent discipline
delusions, do not maintain daily personal (b) Provision for self expression
hygiene: (c) Sex education
(a) Hebephrenic schizophrenia (d) Premarital counseling
(b) Simple schizophrenia
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41. Eradication of unwanted habits by (a) Severe depression with suicidal risk
associating unpleasant condition with it is (b) Severe mania
called: (c) Phobia
(a) Aversive conditioning (d) Hysteria
(b) Desensitization
(c) Classical conditioning 48. Which of the following might increase the
(d) Biofeedback client's risk during ECT?
(a) Degeneration joint disease
42. A behavioural therapy of sudden, direct (b) Insulin-dependent diabetes mellitus
and maximum exposure to the fear (c) Recent myocardial infarction
producing stimulus (d) Use of multiple medication
(a) Biofeedback
(b) Flooding 49. When the thought are coming too quickly
(c) Desensitization and the speech is increased it is called as:
(d) Response prevention (a) Associative looseness
(b) Flight of ideas
43. Which is the example of anti-anxiety (c) Neologism
drug? (d) Dystonia
(a) Promazine (b) Diazepam
(c) Lithium carbonate (d) Perinorm 50. When a client makes up stories to fill in
the blank spaces of memory it is known as:
44. Which of the following medications is the (a) Lying (b) Denying
physician most likely to order for a client (c) Rationalizing (d) Confabulating
experiencing alcohol withdrawal syndrome?
(a) Haloperidol (Haldol) 51. A false belief in which the patient thinks
(b) Chlordiazepoxide (Librium) that he is being talked about by other people
(c) Methodone (Dolophine) is known as:
(d) Phenytoin(Dilantin) (a) Delusion of reference
(b) Delusion of guilt
45. The drug used for the treatment of (c) Delusion of grandeur
bipolar affective disorders is: (d) Delusion of self accusation
(a) Diazepam (b) Penicillin
(c) Lithium (d) Metronidazole 52. When a client says "I can't focus, my
mind keeps wandering" then the nurse
46. A 20 year male is brought to the replies saying "you are having difficulty
Psychiatry Emergency OPD with severe concentrating?". This is the example of
stiffness over the neck and jaw after which communication technique?
receiving Inj. Serenace for his behavioural (a) Focusing (b) Paraphrasing
disturbances. What side effect would be the (c) Summarising (d) Confronting
focus of this consult?
(a) Neuroleptic Malignant Syndrome 53. You observe that a patient becomes
(b) Tardive dyskinesia restless, walking here and there, making
(c) Rabbit syndrome aggressive gestures and abusing everyone
(d) Acute Dystonia verbally. What statement would be most
appropriate to make to this patient?
47. In following which is the major indication (a) "Be calm or else I will give you injection"
of ECT: (b) "Sit in your place; all of us are scared"
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(c) "You look so restless. Tell me what is 61. The group of drug that increases
happening?" catecholamine level in brain-
(d) "I need to restrain you if you don't confine (a) Antiemetic (b) Antidepressants
to your bed" (c) Antimanic (d) All of the above
54. Which of the below is not a part of the 62. A child has following features-absence of
secondary prevention of mental illness- social smile, remains engaged in solitary
(a) Crisis stabilization games, treats people as nonliving organism,
(b) Screening no attachment to relatives. The child is
(c) Rehabilitation suffering from-
(d) Early detection (a) Tic disorder (b) Autism
(c) Delusion (d) Hallucination
55. Which of the following describes the
cognitive triad of depression- 63. The smallest alkali ion which is used for
(a) Helplessness, sleeplessness, sorthlessness the treatment of psychiatric illnesses-
(b) Thoughtlessness, worthlessness, (a) Hydrogen (b) Lithium
sleeplessness (c) Sodium (d) Potassium
(c) Hopelessness, worthlessness,
thoughtlessness 64. In following which is not a habit disorder
(d) Hopelessness, worthlessness, helplessness found in children -
(a) Trichotillomania
56. Unshakeable and persistent ideas are (b) Thumb sucking
called- (c) Amnesia
(a) Delusions (b) Hallucinations (d) Nail biting
(c) Illusions (d) Compulsions
65. The most important risk factor for
57. Which is the commonest side effect of Down's syndrome is-
lithium- (a) Maternal age < 18 years
(a) Seizures (b) Diarrhoea (b) Maternal age > 35 yrs
(c) Skin rashes (d) Tremor (c) Low birth weight
(d) TORCH infection
58. Side effects of lithium use are, except-
(a) Muscular weakness 66. In following which statement does not
(b) Nephrotic syndrome fulfil the criteria of hypochondriasis-
(c) Hyperthyroidism (a) Long term preoccupation of having any
(d) Metallic taste serious disease
59. The drug which is used as a first line (b) Investigations do not show any abnormality
treatment of acute mania- (c) There is no tendency for changing the
(a) Lithium doctors
(b) Haloperidol (d) All of the above
(c) Sodium valproate
(d) Both (a) and (c) 67. Sleep talking is also known as-
(a) Hypermnesia (b) Somnambulism
60. The group of drug which is also known as (c) Somniloquy (d) Insomnia
minor tranquilizers-
(a) Anțimanic (b) Antidepressants 68. Which of the following sentences is
(c) Antianxietic (d) Antipsychotic correct regarding tardive dyskinesia-
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(a) It is a side effect of antipsychotic drugs (b) Custodial care
(b) It is a cause of schizophrenia (c) Practice of nursing in new & emerging role
(c) It is a cause of mania (d) Dilemmas in care
(d) It is a type of psychotherapy
75. All of the following are neurotic
69. A memory disturbance in which familiar disorders except:
object is treated as unfamiliar object, is (a) Schizophrenia
known as- (b) Anxiety
(a) Jamais Vu (b) Deja-Vu (c) OCD
(c) Confabulation (d) Hypermnesia (d) Exogenous depression
70. Before giving ECT, lipstick, nail polish or 76. The basic difference between psychosis
any other make up should be removed. What and neurosis is
is the purpose behind this- (a) Clinical features (b) Severity
(a) These may reduced the effect of ECT (c) Insight (d) Duration of illness
(b) To do this is very essential to check for
cyanosis 77. A normal environment for a dementia
(c) This should not be done on patient must have:
(d) Lipstick or nail polish may increase voltage (a) Increased stimuli
of ECT (b) Creative environment
(c) Full of pictures
71. Nursing intervention which is provided (d) Restricting activity
before giving ECT, is-
(a) Obtain written consent 78. Acute phase of normal grief usually last
(b) Remove artificial dentures for
(c)The patient should be given nothing orally (a) 1-2 weeks (b) 3-4 weeks
before treatment (c) 10-12 weeks (d) 6-8 weeks
(d) All of the above 79. The emotional state an individual
experience to the loss of loved object is-
72. The nursing care should be given after (a) Grief (b) Mourning
ECT includes- (c) Bereavement (d) Agony
(a) Assessment of vital signs
(b) Reassure the patient 80. All of the following are true about
(c) Put the railing up, to prevent the patient nursing care for a patient with delirium
from falling EXCEPT
(d) All of the above (a) Allow the client to wear his/her own clothes
(b) Avoid room changes, especially at night
73. Adverse effect or complication that may (c) Refrain family members to stay with patient
occur after giving electroconvulsive therapy, (d) Avoid physical restraint whenever possible
is-
(a) Amnesia (b) Park 81. Which is the best nursing intervention to
(c) Headache (d) All of the above meet need of individual who demonstrate
obsessive compulsive behavior?
74. What are the trends in psychiatric (a) Restricting their movements
nursing? (b) Calling attention to their behavior
(a) Certificate program for (c) Keeping them busy to distract them
graduate an experienced nurses (d) Supporting but limiting their behavior
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d. Taking medications containing aspirin
82. In case you find any patient is pre
occupied with repeated thought that his/her 87. Which is the correct one "theory
hands are dirty and wash frequently for long of emotion"?
time; it is an example of: (a) Canon-bard theory
(a) Phobia (b) Obsession (b) McClelland's theory
(c) Hallucination (d) Delusion (c) Freud's theory
(d) Erikson's theory
83. A client is receiving doxepin (Silenor).
For which most dangerous side effect of 88. Emotions are expressed through
tricyclic antidepressants should a nurse (a) Language (b) Facial expression
monitor the client? (c) Attitude (d) All of above
a. Mydriasis b. Dry mouth
c. Constipation d. Urinary retention 89. Psychological changes during
emotional arousal results from activation of
84. A client with mild Alzheimer disease has the sympathetic division of the:
been taking galan- tamine (Razadyne), and (a) Autonomic nervous system
the health care provider prescribes (b) Parasympathetic system
paroxetine (Paxil) for depression. For what (c) Central nervous system
effect should a nurse assess the client when (d) Peripheral nervous system
these medications are taken concurrently?
a. Allergic b. Dystonic 90. Personality is largely influenced by
c. Additive d. Extrapyramidal (a) Speech (b) Gesture
(c) Social interaction (d) Language
85. A primary nurse observes that a client
has become jaundiced after 2 weeks of 91. The relationship that is of extreme
antipsychotic drug therapy. The primary importance in the formation of personality
nurse continues to administer the is:
antipsychotic until the health care provider (a) Peer (b) Sibling
can be consulted. What does the nurse (c) Parent-child (d) Heterosexual
manager conclude concerning this situation?
a. Jaundice is sufficient reason to discontinue 92. Study of Piaget are related to:
the antipsychotic. (a) Development of language of children
b. The blood level of antipsychotics must be (b) Development of cognitive
maintained once established. function or intellectuals
c. Jaundice is a benign side effect of (c) Development of social relation of children
antipsychotics that has little significance. (d) None of above
d. The prescribed dose for the antipsychotic
should have been reduced by the nurse. 93. When an individual is not able to decide
amongst two equally important goals it
86. A health care provider prescribes is referred as
haloperidol (Haldol) for a client. What (a) Substitution (b) Conflict
should the nurse teach the client to avoid (c) Repression (d) Projection
while taking this medication?
a. Driving at night 94. The best method of conflict resolution is:
b. Staying in the sun (a) Forcing (b) Compromising
c. Ingesting aged cheeses (c) Collaboration (d) Smoothing
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95. Frustration is directly associated with ANSWER KEY, PAPER - 4
(a) Problem (b) Anxiety 1. (B) 21. (B) 41. (A) 61. (B) 81. (D)
(c) Goal (d) Tension
2. (A) 22. (A) 42. (B) 62. (B) 82. (B)
96. All of the following is types of conflict 3. (B) 23. (A) 43. (B) 63. (B) 83. (A)
except 4. (C) 24. (A) 44. (B) 64. (C) 84. (C)
(a) Intrapersonal (b) Manifest
(c) Interpersonal (d) Intragroup 5. (A) 25. (D) 45. (C) 65. (B) 85. (A)
6. (A) 26. (D) 46. (D) 66. (C) 86. (B)
97. The arrangement of events and dates in
7. (A) 27. (B) 47. (A) 67. (C) 87. (A)
the order of their occurrence is
(a) Fragmented order 8. (A) 28. (B) 48. (C) 68. (A) 88. (D)
(b) chronological order
9. (C) 29. (B) 49. (B) 69. (A) 89. (A)
(c) Descending order
(d) statistics 10. (B) 30. (C) 50. (D) 70. (B) 90. (C)
11. (C) 31. (B) 51. (A) 71. (D) 91. (C)
98. What medication should the nurse expect
to administer to actively reverse the overdose 12. (A) 32. (C) 52. (B) 72. (D) 92. (B)
sedative effects of benzodiazepines? 13. (B) 33. (C) 53. (C) 73. (D) 93. (B)
a. Lithium
14. (B) 34. (A) 54. (C) 74. (C) 94. (B)
b. Flumazenil
c. Methadone 15. (A) 35. (D) 55. (B) 75. (A) 95. (D)
d. Chlorpromazine 16. (D) 36. (C) 56. (A) 76. (C) 96. (B)
99. A depressed client has been prescribed a 17. (A) 37. (D) 57. (D) 77. (C) 97. (B)
tricyclic antidepressant. How long should the 18. (D) 38. (D) 58. (C) 78. (D) 98. (B)
nurse inform the client it will take before
19. (B) 39. (C) 59. (D) 79. (A) 99. (B)
noticing a significant change in the
depression? 20. (C) 40. (D) 60. (C) 80. (C) 100. (A)
a. 4 to 6 days b. 2 to 4 weeks
c. 5 to 6 weeks d. 12 to 16 hours
100. When teaching a patient, who has a

diagnosis of schizophrenia about success-
independent living in the community, a nurse “ ा कभी भागे और ही कभी रुके, बस
should encourage the patient to:
a. Establish a structured daily routine
हिेिा चलते रहें।”
b. Spend time alone
c. Plan a program of self-fulfillment.
d. Discontinue medication when symptoms
disappear
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(c) Cognitive therapy
PAPER - 5 (d) Behavior therapy
1. Which of the following comments, if 8. Learning is defined as:

made by a patient who has major (a) Any change in behavior
depression would indicate an increased risk (b) Acquisition of information adis
of suicide? (c) Maturational change
a. "I think I will lie down. I feel like sleeping" (d) Relatively permanent change in
b. "I won't be a problem much longer" behavior acquired by experience
c. "I think the doctor should give me more
medicine" 9. When intense emotions are expressed
d. "I miss my family, especially my children” with creative and cultural acts, it is called
(a) Physical catharsis
2. Emotion can be best expressed through (b) Mental catharsis
which of the following? (c) Free expression
a. Language b. Gesture (d) Emotional catharsis
c. Facial expression d. All of the above
10. A patient expressing severe anger on
3. Treatment of ADHD involves the nurse, physical change occur during this
following drugs, except: emotional condition are except-
a. Amphetamine b. Antidepressants (a) Increased gastric acid secretion
c. Barbiturates d. Lithium carbonate (b) Increased face & neck muscle tone
(c) Hypertension
4. The following delusions are common in (d) Hypotension
depression, except:
a. Delusion of poverty 11. Which of the following categories would
b. Delusion of nihilism a 70 year old adult be placed in?
c. Delusion of grandeur (a) Intimacy vs. Isolation
d. Delusion of persecution (b) Generativitiy vs. Stagnation
(c) Integrity vs. Despair
5. Fear shown in the image is known as: (d) Longevity vs. Guilt
a. Xenophobia
b. Claustrophobia 12. Which part of the mind is associated
c. Anthophobia with practical reality principle?
d. Acrophobia (a) Hyper-ego (b) Super-ago
(c) Ego (d) Id
6. Fear shown in the image is known as:
a. Xenophobia 13. Who is 'Father of Psychoanalytical
b. Claustrophobia Theory'?
c. Anthophobia (a) Lawrence Kohlberg
d. Acrophobia (b) Jean Piaget
(c) Abraham Maslow
7. The therapy based on learning theory is: (d) Sigmund Freud
(a) Psychoanalysis
(b) Logo therapy
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14. Significant components of personality as (a) Rorschach ink blot test
described by Sigmund Freud are - (b) Wechsler scale
(a) Conscious, preconscious & subconscious (c) CAGE scale
(b) Id, ego & superego (d) Child behavioral checklist
(c) Dream interpretation
(d) Defense mechanism 23. In Maslow's Hierarchy of basic human
needs, the highest level of need is:
15. All of the following are explained by (a) Safety and Security (b) Self-sacrifice
Freud in Psychoanalytical theory except: (c) Self-actualization (d) Self-esteem
(a) Id (b) Ego
(c) Grandiosity (d) Superego 24. During bilateral ECT, each electrode is
placed-
16. What name did Freud give to his model (a) 2.5-4.0 cm below the midpoint on a line
of development which comprises id, ego joining the tragus of ear and lateral canthus of
and superego? eye
(a) Genetic model (b) Unconscious model (b) 2.5 - 4.cm above the midpoint on a line
(c) Structural model (d) Topographical model joining the tragus of the ear and lateral
canthus of eye
17. Theory of psychosexual development (c) Midpoint of the line joining the tragus of
was derived by: ear and centre of occiput
(a) Jean Piaget (b) Sigmund Freud (d) Just above the tragus of ear
(c) L. Kohlberg (d) K. Lawrence
25. Correct order of steps of systematic
18. National institute for mentally desensitization is-
retarded situated at- (a) Relaxation training, hierarchy
(a) Mumbai (b) Delhi formation, systematic desensitization
(c) Pune (d) Hyderabad (b) Flooding, relaxation training,
systematic desensitization
19. The normal IQ level of human beings is (c) Relaxation training, hierarchy
(a) 80 to 100 (b) 120 and above formation, supervision
(c) 110 to 120 (d) 90 to 110 (d) Hierarchy formation, relaxation training,
aversion therapy
20. Father of Intelligence test is
(a) Alfred Binet (b) Erick Erickson 26. Before giving unilateral ECT, in which
(c) Alfred Adler (d) Carl Jung side of head electrodes are placed in a right
handed person -
21. Rorschach inkblot test, Thematic (a) Right side
apperception test are based on (b) Left side
phenomenon of: (c) It may be placed in right or left side
(a) Observation (b) Projection (d) In between right and left
(c) Identification (d) Transference
27. The psychotherapy which is used for the
22. Which of the following tools is treatment of conditions which are pleasant
commonly used to test a person's but undesirable-
intellectual function? (a) Flooding
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(b) Aversion therapy (c) Neurotic depression
(c) Millieu therapy (d) Unipolar/bipolar severe depression
(d) Systematic desensitization
35. Presence of anxiety with severe
28. Schedule of giving ECT is- motor restlessness is termed as-
(a) Daily (a) Alexithymia (b) Agitation
(b) 3 times in a week (c) Anhedonia (d) Distractibility
(c) Weekly
(d) Twice in a week 36. Chapter IV of mental health act deals
with-
29. The solution which is used for (a) Various definitions
moistening electrodes before ECT, is- (b) Information regarding establishment of
(a) Dettol (b) Betadine mental health authorities at center and state
(c) H2O2 (d) Normal Saline levels
(c) Guidelines for establishment of
30. Purpose of giving succinylcholine before psychiatric hospitals
ECT is- (d) The procedure of admission in
(a) To increase oral secretions psychiatric hospital
(b) To produce anaesthetic effect
(c) To decrease oral secretions 37. In India the commonest way of
(d) For muscle relaxation committing suicide is-
(a) Hanging
31. Preparations of a patient before giving (b) Ingestion of poison
ECT include except- (c) Drowning
(a) Obtain written consent (d) Jumping in front of train
(b) Empty bladder and bowel
(c) Give light breakfast just before giving 38. Commonest cause of death among
ECT psychiatric patient is-
(d) Loosen the cloth (a) Schizophrenia
(b) Anorexia nervosa
32. At which body fluid alcohol level, coma (c) Suicide
may occure- (d) Hysteria
(a) 25-100 mg% (b) 100-200 mg%
(c) 200-300 mg% (d) 350-400 mg% 39. In following which is not a
psychiatric emergency-
33. Which chapter of mental health act (a) a new psychiatric disorder with acute
aimed at protection of human rights of onset
psychiatiric ill patients- (b) a chronic psychiatric disorder without
(a) Chapter VI (b) Chapter VII relapse
(c) Chapter VIII (d) Chapter IX (c) an organic psychiatric disorder
(d) withdrawal syndrome in a alcoholic patient
34. In which disease, electro convulsive
therapy is generally not used- 40. A condition of artificially induced
(a) Psychotic severe depression increased suggestibility is known as-
(b) Post partum severe depression (a) Aversion (b) Flooding
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(c) Abreaction (d) Hypnosis 48. Term trichotillomania is defined as-
(a) Bed wetting
41. Which of the following behaviour (b) Abnormal involuntary movement
therapy acts on following principle (c) Pulling out of hair
"Pairing of the pleasant stimulus with an (d) Repetition of words rapidly
unpleasant response"-
(a) Systematic desensitization 49. An abnormal involuntary movement
(b) Aversion therapy which occurs suddenly, repetitively, rapidly
(c) Flooding and is purposeless, termed as-
(d) ECT (a) Enuresis (b) Tic
(c) Stuttering (d) Encopresis
42. Systematic desensitization is the
treatment of choice in- 50. A chromosomal syndrome in which
(a) Phobia and OCD (b) Depression trisomy 21 is found-
(c) MDP (d) Schizophrenia (a) Turner's syndrome
(b) Down's syndrome
43. In following which is not a behaviour (c) Fragile x syndrome
therapy- (d) Cretinism
(a) Systematic desensitization
(b) Aversion therapy moving 51. Repetitive passing of urine at
(c) ECT inapprpriate places, is termed as-
(d) Flooding (a) Enuresis (b) Tic
(c) Stuttering (d) Encopresis
44. The amount of current passed in an
ECT session is- 52. Repetitive passing of stool at
(a) 100-300 mA (b) 200-1600 mA inapprpriate time and/ or place is termed
(c) 200-1600 Amp (d) 50-60 mA as-
(a) Enureris (b) Tic
45. The duration of ECT is about- (c) Stuttering (d) Encopresis
(a) 6.6 to 1 second (b) 0.1 to 1 minute
(c) 1-2 minute (d) 20-30 second 53. The group of mentally retarted children
referred to as 'dependent', is-
46. Contraindication of electro convulsive (a) Mild MR (IQ 50 - 70)
therapy is- (b) Moderate MR (IQ 35 - 49)
(a) Raised intracranial pressure (c) Severe MR (IQ 20-34)
(b) MI (d) Profound MR (IQ <20)
(c) Severe hypertension
(d) All of the above 54. The group of mentally retarted children
referred to as 'trainable', is-
47. Contraindication of lithium use is- (a) Mild MR (IQ 50 - 70)
(a) Presence of heart related or (b) Moderate MR (IQ 35 - 49)
neurological diseases (c) Severe MR (IQ 20 - 34)
(b) During first trimester of pregnancy (d) Profound MR (IQ<20) 10)
(c) Presence of blood dyscrasia
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55. Deepak, who has acute psychosis and complains of loose, watery stools
has been on haloperidol 20 mg/day for the and difficulty in walking. The serum
last 2 days, has an episode characterized by lithium level of the client is expected to be:
tongue protrusion, oculogyric crisis, (a) 0.5 mEq/L (b) 1.0 mEq/L
stiffness and abnormal posture of limbs and (c) 1.3 mEq/L (d) 1.9 mEq/L
trunk without loss of consciousness for 20
minutes before being presented to casualty. 61. Which of the following need serum
This improves within a few minutes after level monitoring?
administration of diphenhydramine HCl. (a) Lorazepam (b) Lithium
The most likely diagnosis will be: (c) Amitriptyline (d) Haloperidol
(a) tardive dyskinesia
(b) acute dystonia 62. First lithium toxicity symptom noted by
(c) akathisia nurse into a patient getting lithium
(d) neuroleptic malignant syndrome therapy-
(a) Violent behavior
56. A young adult male is brought to the (b) More depressed mood
psychiatric emergency department with (c) Anorexia
hyperactivity, excessive speech and (d) Tremors in hand
grandiose delusions. Which of the following
drug would you expect to be prescribed for 63. In which of the following situation nurse
him? should inform doctor immediately if patient
(a) Flu Phenazine Decanoate is on antipsychotic drugs and blood
(b) Fluoxetine pressure falls by:
(c) Lithium carbonate (a) 40-50mm of Hg
(d) Zolpidem (b) 20-30mm of Hg
(c) 10-20mm of hg
57. Which of the following clinical features (d) Varies frequently
alert the nurse to lithium toxicity:
(a) Increasingly agitated behaviour 64. Client on haloperidol has pill rolling
(b) Marked increased food intake tremors and muscle rigidity. He is likely
(c) Sudden increase in blood pressure manifesting
(d) Anorexia with nausea and vomiting (a) Tardive dyskinesia
(b) Akinesia
58. The therapeutic effective serum lithium (c) Pseudoparkinsonism
concentration level is monitored - (d) Dystonia
(a) 12-24 hrs. (b) 24-28 hrs.
(d) 10-14 days (c) 3-5 days 65. Disorientation is most commonly seen
in:
59. Most common side effect of Lithium is: a. Organic brain damage
(a) Fine tremors (b) Weight gain b. Schizophrenia
(c) Polydipsia (d) Polyuria c. Mania
d. None of these
60. A client receiving Lithium carbonate
66. Late signs of heroin withdrawal are:
a. Yawning and diaphoresis
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b. Restlessness and irritability (b) Or process of storage
c. Constipation and steatorrhea (c) A series of passive data files
d. Vomiting and diarrhea (d) An active system that encodes, stores, and
retrieves information
67. Food that should be avoided in an
alcohol withdrawal client? 74. Which is not a stage of process of
a. Milk b. Orange juice memory?
c. Soda d. Regular coffee (a) Retention (b) Recall
(c) Recognition (d) Reorganization
68. How can an agitation in a disturbed
client be minimized? 75. Self directed rational judgment that helps
a. Increasing stimulation to make patient carful decisions is referred as:
b. Limiting unnecessary interaction (a) Interpretation (b) Analysis
c. Increasing appropriate sensory perception (c) Critical thinking (d) Problem solving
d. Ensuring constant client and staff contact
76. "Classical conditioning" theory of
69. A 44-year-old client is unable to learning
function since her husband asked for a (a) Thorndike (b) Ivan Pavlov
divorce 2 weeks ago. She is brought to the (c) Waston (d) Ernold
crisis intervention center by a friend. What
type of crisis reflects this situation? 77. Thinking is a mental process that deals
a. Social b. Situational with-
c. Maturational d. Developmental (a) thoughts & ideas
(b) motives & movement
70. The primary nursing interventions for (c) actions & reaction
the newly admitted patient with bulimia (d) feelings & emotions
nervosa would be:
a. Teach client to measure intake and output 78. Psychological changes in an individual
b. Involve client in planning daily meal from birth to old age is referred as:
c. Observe client during meals (a) General (b) Developmental
d. Monitor client continuously (c) Physiological (d) Social
71. Antidote for methanol: 79. In a situation, in which a person is faced

a. Ethanol b. BAL with demands from two or more roles-
c. EDTA d. None of these (a) Role distance (b) Role playing
(c) Role conflict (d) Role-set
72. Depression:
a. Is a normal part of aging 80. A client with chronic undifferentiated
b. Is not a normal process of aging schizophrenia is receiving an antipsychotic
c. Includes symptoms, such as loss of interest, medication. For which potentially
sadness, weight loss and worthless feelings irreversible extrapyramidal side effect
d. B and C are the correct answers should a nurse monitor the client?
a. Torticollis
73. Memory can be best described as b. Oculogyric crisis
(a) A series of storage bins or boxes c. Tardive dyskinesia
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d. Pseudoparkinsonism 86. Which of the following actions should
the nurse take first following a violent
81. A nurse is educating a client who is episode on a psychiatric unit?
taking clozapine (Clozaril) for paranoid (a) Conduct a staff debriefing
schizophrenia. What should the nurse (b) Contact hospital administration
emphasize about the side effects of (c) Discuss the incident with the other patient
clozapine? (d) Call hospital security
a. Risk for falls
b. Inability to sit still 87. Which of the following psychiatric
c. Increase in temperature disorder are comparatively common in
d. Dizziness upon standing female except -
(a) bipolar affective disorder
82. Name the drive that becomes active (b) transvestism
when the physiological balance within our (c) anorexia nervosa
body, called homeostasis, is disturbed: (d) social phobia
(a) Physiological drive
(b) Unconscious drive 88. Third phase of body's adaptation to
(c) Personal drive. stress is
(d) Social drive (a) Resistance (b) Reaction
(c) Rebound (d) Exhaustion
83. Which of the following types of need
represents the need for individuals to reach 89. Pedophilia is a form of
their full potential through development of (a) Mental abuse
unique capabilities? (b) Child sexual abuse
(a) Self-esteem needs (c) Verbal abuse
(b) Security needs (d) Physical abuse
(c) Self-actualisation
(d) Physiological needs 90. Alarm, resistance, concepts related to
(a) Health Belief Model
84. The human need to get value and (b) Trans theoretical Model
respect from others is called as: (c) Health Promotion Model
(a) safety & security need (d) General Adaptation Syndrome
(b) esteem need
(c) stimulation need 91. The ability of a person to readily
(d) physiology need recover from stressful situations is called:
(a) Hardiness (b) Resilience
85. The correct order of response to stress (c) Androgyny (d) Mental Freedom
is:
(a) Alarm reaction - exhaustion-resistance 92. An individual cannot during the time
(b) Resistance - exhaustion - alarm reaction immediately following serious airplane
(c) Alarm reaction resistance - exhaustion crash due to which of these?
(d) Resistance - alarm reaction - exhaustion (a) dissociative fugue
(b) dissociative amnesia
(c) fractured amnesia
(d) retrograde amnesia
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93. Psychosexual disorder in which 100. The nurse assesses the client recently
sexual behaviour is directed to animals diagnosed with AIDS for which of the
(a) Fetishism (b) Bestiality following expected psychological responses?
(c) Frotteurism (d) Transvestism (a) Anxiety and depression
(b) Cognitive impairment
94. All of the following features characterize (c) Delusions and hallucinations
a hysterical fit except: (d) Somatic complaints.
(a) Tongue bite is absent
(b) Movements are irregular and bizarre ANSWER KEY - 5
(c) Incontinence of urine does not occur 1. (B) 21. (B) 41. (B) 61. (B) 81. (C)
(d) It usually occurs in the absence of
people and unsafe places 2. (D) 22. (B) 42. (A) 62. (C) 82. (A)
3. (C) 23. (C) 43. (C) 63. (B) 83. (C)

95. The situation in which individuals
4. (C) 24. (B) 44. (B) 64. (C) 84. (B)
experience symptoms and have excessive
worry or belief that they are suffering from a 5. (C) 25. (A) 45. (A) 65. (A) 85. (C)
physical illness despite lack of medical 6. (B) 26. (A) 46. (D) 66. (D) 86. (D)
evidence is known as
(a) Pain disorder 7. (D) 27. (B) 47. (D) 67. (D) 87. (B)
(b) Dissociative disorder 8. (D) 28. (B) 48. (C) 68. (B) 88. (D)
(c) Phobic disorder
(d) Somatoform disorder 9. (D) 29. (D) 49. (B) 69. (B) 89. (B)
10. (D) 30. (D) 50. (B) 70. (D) 90. (D)
96. Loss of personal identity and wandering
11. (C) 31. (C) 51. (A) 71. (A) 91. (B)
away from psychiatric hospital is referred as
(a) Fugue (b) Split personality 12. (C) 32. (D) 52. (D) 72. (C) 92. (B)
(c) Possession state (d) Trance State 13. (D) 33. (C) 53. (C) 73. (D) 93. (B)
97. Psycho-somatic illness can be 14. (B) 34. (C) 54. (B) 74. (D) 94. (D)
differentiated from hysteria by- 15. (C) 35. (B) 55. (B) 75. (C) 95. (D)
(a) Altered sensorium
16. (C) 36. (D) 56. (C) 76. (B) 96. (A)
(b) Autonomic disturbances
(c) Involuntary movements 17. (B) 37. (B) 57. (D) 77. (A) 97. (B)
(d) Skeleton muscle atrophy 18. (D) 38. (C) 58. (A) 78. (B) 98. (B)
98. Hysteria is a 19. (D) 39. (B) 59. (A) 79. (C) 99. (D)
(a) Mood disorder 20. (A) 40. (D) 60. (D) 80. (C) 100. (A)
(b) Neurotic disorder
(c) Psychotic disorder
(d) Personality disorder
“यनद आप वही करते है जो आप हिेिा से
99. Illness which seems to result from an करते आए है , तो आपको उत ा ही निलेगा
interaction of physical and psychological
factor is called नजत ा हिेिा से निलता आया है ।”
(a) Hysterical (b) Somatic
(c) Conversion (d) Psychosomatic
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(c) Dependency (d) Role blurring
PAPER - 6
7. Psychological treatment for the
1. Anxiety is caused by: personality problems, adjustment is done
(a) An objective threat by:
(b) A subjective perceived threat (a) Milieu therapy
(c) Hostility turned to self (b) Family therapy
(d) Masked depression (c) Individual therapy
(d) Psycho therapy
2. A mental illness specific to certain Indian
populations where there is severe anxiety 8. The following features are characteristics
and hypochondriacally concerns are of an antisocial personality, except:
called: (a) Pleasure seeking
(a) Nervios (b) Root work (b) Inability to work under supervision
(c) Amok (d) Dhat (c) Deep emotional relationship
(d) Drug abuse and alcohol dependence
3. The level of anxiety that enhance the
individual's power of perception is:- 9. A client is admitted to an inpatient unit
(a) Mild (b) Panic for alcohol detoxification. The nurse plans
(c) Moderate (d) Severe to protect the client from injury resulting
from which of the following complications?
4. The personality disorder that is (a) Anxiety (b) Tremors
characterized primarily by mistrust is: (c) Seizures (d) Headache.
(a) Paranoid personality disorder
(b) Antisocial personality disorder 10. For the clients with alcoholism, the
(c) Dependent personality disorder primary rehabilitator is the:
(d) Schizotypal personality disorder (a) Client (b) Nurse
(c) Physician (d) Entire health team
5. A patient with anti-social personality
disorder is admitted to psychiatric unit. She 11. Gamophobia means-
is told that all meals are served in dining (a) fear of marriage
room and patients are expected to be (b) fear of close place
dressed in street clothes when they come in (c) fear of divorce
to eat. She however demands that breakfast (d) fear of social isolation
must be served in her room. What action
should the e nurse take? 12. Irrational fear related to closed space
(a) Bring the breakfast tray as requested is referred as
(b) Warn her that her behavior will be (a) Acrophobia (b) Agoraphobia
reported (c) Claustrophobia (d) Nosophobia
(c) Tell her that you will do it only once
(d) Tell her that rules apply to everyone 13. The nurse should assess a patient who is
in manic episode for which of the
6. The main personality problem for clients following manifestations?
who needs props to blur reality is usually? (a) Waxy flexibility (b) Flight of ideas
(a) Mistrust (b) Ego ideal (c) Flat affect (d) Hypersomnia
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14. All of the following are neurotic (b) The accepting attitude of the clinical
disorders except: family
(a) Conversion disorders (c) Client's emotional or motivational
(b) Mania readiness
(c) Exogenous depression (d) Qualitative level of client's physical state
(d) Phobia
21. The intervention used to help a client to
15. A Scale that cannot be used to assess a cope refer to
subject for a mood disorder is: (a) Psychotherapy
(a) Hamilton rating scale (b) Psycho-education
(b) Wakefield questionnaire (c) Supportive therapy
(c) Edinburgh inventory (d) Self care group
(d) Beck inventory
22. The process by which trained personnel
16. When communicating with a paranoid uses psychological methods to help people
client, the main principle is to with psychological problem is known as:
(a) Express doubt and do not argue. (a) Psychotherapy (b) Psychoanalysis
(b) Use logic and be persistent. (c) Psychosurgery (d) Psychiatry
(c) Provide an anxiety free environment.
(d) Encourage ventilation of anger. 23. Benzodiazepines reduce anxiety by
acting on which neurotransmitter-
17. The nurse expects to assess which of the (a) GABA (b) Serotonin
following in a client with the diagnosis of (c) Nor-adrenaline (d) Dopamine
Paranoid Schizophrenia
(a) Anger, auditory hallucination, 24. A monoamine oxidase inhibitor (MAOI)
persecutory hallucination is prescribed. What should the nurse teach
(b) Abnormal motor activity, the client to avoid?
frequent posturing, autism (a) Prolonged exposure to the sun
(c) Flat affect, anhedonia, alogia (b) Ingesting wines and aged cheeses
(d) Silly behaviour, poor personal (c) Engaging in active physical exercise
hygiene, incoherent speech (d) Over the counter NSAID medications
18. Positive symptom of Schizophrenia is: 25. While taking Psychiatric history, which
(a) Hallucination (b) Flat affect of the following information are collected
(c) Anhedonia (d) Avolition by the psychiatric nurse-
(a) History of present illness
19. Hypnotherapy is least effective on (b) Past psychiatric history
people suffering from (c) Family history
(a) Anxiety (b) Hypertension (d) All of the above
(c) Pain (d) Schizophrenia
26. An extra pyramidal symptom in which
20. When rehabilitating a client addicted to there is difficulty in sitting still-
alcohol. The most important factor is (a) Parkinsonism (b) Akathisia
(a) The availability of community resources (c) Dystonia (d) Tardive dyskinesia
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27. Which of the following delusions (b) Teach social skills
common in depression? (c) Deter deviant behaviour
(a) Delusion of Nihilism (d) Establish support systems
(b) Delusion of poverty
(c) Delusion of persecution 33. Which factor is most closely associated
(d) All of the above with successful smoking cessation?
(a) Enrolment in a short-term support group
28. Mr. Raju says that he is the first lead of (b) Lack of reliance on nicotine gum as
the world and he is born with a special a secondary intervention
mission in life. These are the symptoms of:- (c) Preparation of a plan to deal with
(a) Autochthonous delusion potential relapses
(b) Delusion of grandeur (d) Reliance on a single intervention
(c) Delusion of persecution
(d) Delusion of reference 34. The purpose of self help group is to
provide:
29. Persecutory delusion is more common (a) Support (b) Confrontation
in – (c) Psychotherapy (d) Self-awareness
(a) Schizophrenia
(b) Paranoid schizophrenia 35. If a group therapy has been successful,
(c) Manic depressive psychosis an individual will most likely be expected to
(d) Bipolar affective disorder (a) Be free from all emotional problems
(b) Be more understanding of behavior of
30. A 40-year-old client is admitted with the other
diagnosis of delusions of grandeur. Which (c) Gain personal insights into his or her
of the following option supports this own behavior
diagnosis? (d) Be free from anxiety
(a) Delusion for being responsible for evil
world 36. Therapy in which the patient is
(b) delusion of being highly famous & instructed to concentrate slowly on one
important point or object is known as:
(c) Delusion of being connected to (a) Reality psycho therapy
client unrelated to oneself (b) Individual psycho therapy
(d) Delusion of being killed (c) Hypnotherapy
(d) Supportive therapy
31. An exaggerated concept of one's
importance, power & knowledge of identity 37. A patient approached Nurse asking for
is advice on how to deal with his alcohol
(a) Delusion of Control addiction. Nurse should tell the client that
(b) Delusion of Reference the only effective treatment for alcoholism
(c) Delusion of Persecution is:
(d) Delusion of Grandiosity (a) Psychotherapy
(b) Alcoholics anonymous
32. The most beneficial purpose of group (c) Total abstinence
therapy is to: (d) Aversion Therapy
(a) Control anxiety
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38. The process of altering the state of 44. Problems like stealing, lying, gambling
consciousness induced by conditioning and are classified as:
skilled use of suggestions is known as (a) Educational difficulties
(a) Cognitive therapy (b) Anti-social
(b) Hypnosis (c) Psycho-somatic so
(c) Aversion therapy (d) Bad habits
(d) Relaxation therapy
45. Autism is diagnosed at
39. An 11 year old boy is restless & hardly (a) Infancy
ever sits on his seat & roams around the (b) 3d year (Toddler age)
hall & whole of the class has difficulty to (c) 5th year
concentrate. This boy is suffering from: (d) School age
(a) Conduct disorder
(b) Attention deficit hyperactivity disorder 46. In ____ disease, the symptom in
(c) Depression disorder children is described as "driven by
(d) Schizophrenia motor".
(a) OCD (b) ADHD
40. What is the expected outcome when (c) ODD (d) Conduct disorder
working with a client who has experienced
a crisis? 47. Major developmental disorder is:
(a) Stabilization of moods with medications (a) Avoidant disease
(b) Recovery from the crisis and return to pre- (b) Mental retardation
crisis levels of functioning (c) Attention deficit hyperactive disorder
(c) Recovery from the crisis with ECT (d) Disruptive behaviour disorder
(d) Recovery from
the crisis with pharmacologic management 48. The most effective psychotherapy for a
9 year old child diagnosed with ADHD is-
41. Children with AHD are known to have (a) Play therapy
deficits in which of the following brain (b) Milieu therapy
areas: (c) Behaviour therapy
(a) Motor functioning (d) Family therapy
(b) Perception
(c) Executive functioning 49. Reduce speech production is termed as:
(d) Memory (a) Poverty of speech (b) Mutism
(c) Poverty of ideation (d) Echolalia
42. Following are the major psychiatric
emergencies, except one 50. Complex developmental brain disorder
(a) Rape (b) Disaster with severity of intellectual and behavior
(c) Suicide (d) Grief reaction defect is
(a) Psychosis (b) Hysteria
43. All of the following are common (c) Mania (d) Autism
behavioural problems in children except:
(a) Thumb sucking (b) Temper tantrum 51. Physical symptoms in psychosomatic
(c) Alcoholism (d) Enuresis disorder occurs due to disturbance in
(a) Emotion (b) Physical
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(c) Environmental (d) Inheritance 59. The defense mechanism used by a lady
who is unable to bear a child engages self in
52. Cognitive behavior therapy is used working with children is:
for managing: (a) Compensation (b) Displacement
(a) Anxiety (b) Mania (c) Sublimation (d) Identification
(c) Schizophrenia (d) Bipolar disorder
60. The behavior of a diabetic person who
53. The sum total of behaviour of an eats sweets regularly is an indication of:
individual is known as: (a) Displacement (b) Dislocation
(a) Psychology (b) Anthropology (c) Denial (d) Fixation
(c) Sociology (d) Epidemiology
61. When a person retreat or revert to
54. Sleep walking in medical terms is infantile or childish level of behaviour is
(a) hypersomnia (b) somnambulism called
(c) somnolent (d) insomnia (a) Suppression (b) Repression
(c) Regression (d) Sublimation
55. Finding a logical reason for the things
that one wants to do "Sour grapes" 62. A nurse encourages a client to join a
mechanism is: self-help group after being discharged from
(a) Projection (b) Rationalization a mental health facility. What is the
(c) Identification (d) Sublimation purpose of having people work in a group?
a. Support b. Confrontation
56. A defence mechanism that allow to c. Psychotherapy d. Self-awareness
convert our unacceptable behaviour into a
acceptable form is 63. Which is the most important assessment
(a) Introjection (b) Sublimation data for a nurse to gather from the client in
(c) Projection (d) Displacement crisis?
a. The client's work habits
57. Which of following is example of b. Any significant physical health data
sublimation c. A history of emotional problems in the
(a) Blaming the teacher for failing in exams family
(b) Child starts bedwetting after birth of d. The client's perception of the circumstances
sibling surrounding the crisis
(c) A woman has no memory of being
sexually assaulted as a child 64. What is the priority goal when planning
(d) A young man who is dealing with Vic care for a client in crisis?
aggression by playing football a. Referring the client for occupational therapy
b. Restoring the client's psychologic
58. Channelling of a strong and socially equilibrium
unacceptable drive or urge into a form that c. Scheduling the client for follow-up
is acceptable to society is called as counseling
(a) Regression (b) Sublimation d. Having the client gain insight into the
(d) Replacement (c) Identification problem
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65. A nurse's best approach when caring b. seeking sympathy from the nurse.
for a confused, older client is to provide an c. regressing to an earlier developmental level.
environment with: d. avoiding responsibility for previous
a. space for privacy. behavior.
b. group involvement.
c. trusting relationships. 72. A nurse reminds a client that it is time
d. activities that are varied. for group therapy. The client responds by
yelling at the nurse, "You are always telling
66. Nurse asks the client, how do you feel me what to do, just like my father!" What
about yourself? The nurse is assessing the defense mechanism is the client using?
client's: a. Regression
(a) Identity (b) Self esteem b. Transference
(c) Body image (d) Role performance c. Reaction formation
d. Cognitive distortion
67. Which of the following is the warning
sign of poor mental health among 73. Psychiatric test shown in the picture is:
children? a. Objective test
(a) Fidgeting (b) Suicidal ideas b. Projective test
(c) Substance use (d) Hallucinations c. Neuropsychological test
d. Rating Scale
68. Which of the following childhood
disorder improves with increase in age- 74. An individual's ability to test
(a) Conduct disorder assumptions about the world by empirical
(b) Emotional problems thoughts is called:
(c) Temper tantrums (a) Reality perception (b) Autonomy
(d) Sleep disorder (c) Positive attitude (d) Integration
69. The nurses responsibility while giving 75. The ability to produce a novel and
an oral medicine to a psychiatric patient- unique ideas is called as:
(a) Give the medicine to the patient's attendant (a) Intelligence (b) Aptitude
(b) Keep the medicine on the bedside table (c) Prudence (d) Creativity
(c) Give medicine & observe that swallowed
(d) Tell the patient to take the medication 76. Identify the type of reinforcement that
increases the possibility of a response by
70. Dyslexia refers to the: presenting a pleasurable stimulus after a
(a) Learning disability desired response:
(b) Behavioral disability (a) Negative reinforcement
(c) Motor disability (b) Positive reinforcement
(d) Psychological disability (c) Continuous reinforcement
(d) Partial reinforcement
71. A client diagnosed with major
depression tells a nurse, “No matter what I 77. Operant conditioning was proposed by:
do, everything turns out bad." The nurse (a) Ivan Pavlov
concludes that this is an example of: (b) BF Skinner
a. using a cognitive distortion. (c) Sigmund Freud
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(d) Abraham Maslow diaphoresis. These findings suggest which
life-threatening reaction?
78. Development and modification of a. Tardive dyskinesia
behaviour occurs due to: b. Dystonia
(a) Maturation (b) Conditioning c. Neuroleptic malignant syndrome
(c) Learning (d) Thinking d. Akathisia
79. Why is observation an especially 83. During the assessment stage, a client
important aspect of nursing care for a with schizophrenia leaves his arm in the air
withdrawn client? after the nurse has taken his blood
a. It assists in confirming the client's pressure. His action shows an evidence of:
diagnosis. a. Somatic delusions
b. It helps in understanding the client's b. Waxy flexibility
behavior. c. Neologisms
c. The staff is informed about the client's d. Nihilistic delusions
illness.
d. The degree of the client's depression is 84. Patient diagnosed with major
indicated. depression disorders spends majority of the
day lying in bed with the sheet pulled over
80. In what situation should a nurse his head. Which of the following
anticipate that a client will experience a approaches by the nurse would be the most
phobic reaction? therapeutic?
a. Seeking attention from others a. Question the client until he responds
b. Thinking about the feared object b. Initiate contact with the client frequently
c. Coming into contact with the feared object c. Sit outside the client's room
d. Being exposed to an unfamiliar d. Wait for the client to begin the
environment conversation
81. A nurse is interviewing a client with a 85. Which of the following is one of the
phobia. Which treatment should the nurse advantages of the newer antipsychotic
inform the client has the highest success medication risperidone (Risperdal)?
rate? a. The absence of anticholinergic effects
a. Insight therapy to determine the origin of b. A lower incidence of extrapyramidal
the fear effects
b. Systematic desensitization using relaxation c. Photosensitivity and sedation
techniques d. No incidence of neuroleptic malignant
c. Psychotherapy aimed at rearranging syndrome
psychotic thought processes
d. Psychoanalytic exploration of repressed 86. A client with schizophrenia hears a
conflicts of an earlier developmental phase voice telling him he is evil and must die.
The nurse understands that the client is
82. A client with chronic schizophrenia who experiencing:
takes neuroleptic medication is admitted to a. A delusion
the psychiatric unit. Nursing assessment b. Flight of ideas
reveals rigidity, fever, hypertension, and c. Ideas of reference
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d. A hallucination (c) Academic achievement
(d) Mental growth
87. Which of the following medications
would the nurse expect the physician to 94. The first task in psychology is to
order to reverse a dystonic reaction? carefully observe and objectively describe:
a. Prochlorperazine (Compazine) (a) Behavior (b) Personality
b. Diphenhydramine (Benadryl) (c) Social institution (d) Motivation
c. Haloperidol
d. Midazolam 95. Abnormal Psychology is mainly the
study of:
88. Which of the following is an acronym (a) Normality of mind
for MMSE? (b) Unconscious level of mind
a. Multi-memory state examination (c) Subconscious level of mind
b. Multiple mental strata evaluation (d) Abnormality of mind
c. Mini-mental state examination
d. Meta-mental structural evaluation 96. The full form of GAS in the context
of response to stress is:
89. Extremely depressed clients seem to do (a) General alarm syndrome
best in settings where they have: (b) General adaptation syndrome
a. Multiple stimuli (c) General alarm signals
b. Routine activities (d) General adaptation system
c. Minimal decision-making
d. Varied activities 97. Reattribution therapy is used in:
(a) Depression
90. The stage of growth & development (b) Mania
basically concerned with role identification (c) Somatoform disorder
is: (d) Psychosis
(a) Oral stage (b) Oedipal stage
(c) Latency stage (d) Genital stage 98. Propranolol can be used to allay
anxiety associated with:
91. Which of the following is NOT a stage (a) Chronic neurotic disorder
of socialization? (b) Schizophrenia
(a) Latency stage (b) Despair stage (c) Short-term stressful situations
(c) Oral stage (d) Oedipal stage (d) Endogenous depression
92. Which of the following is the genetic 99. Arrange the following events in the order
cause of Intellectual Disability (formerly of their occurrence in Panic circle:
termed as Mental Retardation)? I. Apprehension or worry
(a) Poor housing (b) Birth asphyxia II. Body sensations
(c) Phenylketonuria (d) Maternal Rubella III. Perceived threat
IV. Interpretation of sensations as
93. Intellectual quotient (IQ) tells about – catastrophic
(a) Intellectual maturity V. Trigger stimulus
(b) Mental age in relation to chronological Codes:
age (a) I, III, II, V, IV
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(b) V, II, III, I, IV
(c) V, III, I, II, IV PAPER - 7
(d) III, V, I, II, IV
1. A client with OCD spends many hours
100. Repetitive behavior pattern performed each day washing her hands. Most likely
in a stereotype manner is known as: reason she washes her hands so much is
(a) Compulsion (b) Obsession that it-
(c) Repressions (d) Replication (a) Relieves anxiety
(b) Reduces the probability of infection
(c) Gives a feeling of control over her life
ANSWER KEY, PAPER - 6 (d) Increase self-concept
1. (B) 21. (A) 41. (A) 61. (C) 81. (B)
2. Which of the following is NOT a sign/
2. (D) 22. (A) 42. (D) 62. (A) 82. (C) symptom of obsessive-compulsive disorder?
3. (A) 23. (A) 43. (C) 63. (D) 83. (B) (a) Obsessive thoughts
(b) Fear of germs or dirt
4. (A) 24. (B) 44. (B) 64. (B) 84. (B)
(c) No fear of self-harm
5. (D) 25. (D) 45. (B) 65. (C) 85. (B) (d) Compulsive acts
6. (C) 26. (B) 46. (B) 66. (B) 86. (D)
3. Which of the following pairs is not the
7. (D) 27. (B) 47. (B) 67. (A) 87. (B)
negative symptom of Schizophrenia?
8. (A) 28. (B) 48. (C) 68. (C) 88. (C) (a) Emotional flattening and Asociality
9. (C) 29. (B) 49. (B) 69. (C) 89. (B)
(b) Anhedonia and amotivation
(c) Poverty of speech and apathy
10. (A) 30. (B) 50. (D) 70. (A) 90. (D) (d) Hallucinations and Bizarre behavior
11. (A) 31. (D) 51. (A) 71. (A) 91. (B)
12. (C) 32. (D) 52. (A) 72. (B) 92. (C)
4. One of the following is not the primary
symptom of schizophrenia:
13. (B) 33. (C) 53. (A) 73. (B) 93. (B) (a) Autistic thinking
14. (B) 34. (A) 54. (B) 74. (A) 94. (A) (b) Apnea
(c) Ambivalence
15. (C) 35. (C) 55. (B) 75. (D) 95. (D)
(d) Associative looseness
16. (C) 36. (C) 56. (B) 76. (B) 96. (B)
17. (A) 37. (B) 57. (D) 77. (B) 97. (C) 5. A disorder manifested by disturbance in
thinking, mood and behaviour is referred
18. (A) 38. (B) 58. (B) 78. (C) 98. (A)
as:
19. (D) 39. (B) 59. (C) 79. (B) 99. (C) (a) MDP-Mania (b) Schizophrenia
20. (C) 40. (B) 60. (C) 80. (C) 100. (A) (c) MDP-Depression (d) Psychosis
6. The brunt of illness in Schizophrenia, is

“अप े आप को नवकनसत करें , याद रखें on
गनत और नवकास नजिंदा इिं सा की (a) Cognition (b) Affect
(c) Conation (d) Consciousness
न िा ी है।”
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7. Bleuler's four A's of schizophrenia 13. The components of desensitization
include all of the following, EXCEPT: includes:-
(a) Affective disturbance a) Hierarchy construction
(b) ambivalence b) Visualization
(c) Auditory hallucination c) Relaxation
(d) autistic thinking d) Item presentation
(a) a, b, c (b) b, c, d
8. Art of winning friends and influencing (c) a, c, d (d) a, b, c, d
people is known as:
(a) Motivation (b) Persuasion 14. The technique of exposing a client to
(c) Education (d) Information fear producing sensation in a gradual
manner is called
9. In Psychiatry, therapy involving (a) Biofeedback
environment is called as (b) Systematic desensitization
(a) Group therapy (c) Imaging
(b) Family therapy (d) Relaxation techniques
(c) Behaviour therapy
(d) Milieu therapy 15. Behavior therapy techniques include
all, except:
10. Release of feelings that takes place by (a) Modeling
talking about an emotionally charged area (b) Exposure & response prevention
is (c) Reinforcement
(a) Clarification (b) Abreaction (d) Free association
(c) Suggestion (d) Exploration
16. In trying to relieve the patient, the
11. Mr. Raju was crying out to the nurse, nursing sister asks him to identify a really
describing the loss of his wife in an happy scene he has experienced. This is
accident. Nurse did not interrupt but called:
allowed him to express his feelings. This (a) Relaxation therapy
technique is called:- (b) Guided imagery
(a) Reassurance (b) Ventilation (c) Hypnosis
(c) Abreaction (d) Persuasion (d) Transcendental meditation
12. A client in a psychiatric hospital with 17. In case psychiatric patient is having
the diagnosis of major depression is tearful liver or cardio vascular disorder; nurse
and refuses to eat dinner after a visit with a should take precautions while
friend. It is most therapeutic for the nurse administering:
to (a) Antidepressants (b) Antihistamines
(a) Allow the client to skip the meal (c) Anticholinergic (d) Antipsychotic
(b) Provide adequate quit thinking time
(c) Offer client opportunity to discuss the visit 18. A client receiving the MAOI agent is
(d) Reinforce importance of adequate instructed by the nurse about dietary
nutrition restriction for foods high in tyramine to
prevent which adverse effect?
(a) Gastrointestinal upset
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(b) Hypertensive crisis therapy. Nurse should carefully observe the
(c) Neuromuscular effects client for:
(d) Urinary retention (a) Respiratory difficulties
(b) Seizures
19. All are antidepressants drugs except- (c) Nausea and vomiting
(a) Tricyclic antidepressants (d) Dizziness
(b) Monoamine oxidase inhibitors
(c) Selective serotonine reuptake inhibitors. 25. The most common form of ECT used in
(d) Thiazides the hospital is
(a) Direct ECT
(b) Modified ECT
20. Selective Serotonin reuptake inhibitors
(c) Both of the above
(SSRIs) belong to which of category
(d) None of the above
psychotropic drug?
(a) Antipsychotics
26. During ECT-electrodes are placed on:
(b) Anti-depressants (a) Sub-mandibular region
(c) Mood stabilizers (b) Temporal region
(d) Hypnotics (c) Supra-mandibular region
(d) Occipital region
21. A 34 years old female has 3 months
history of disturbed sleep with 27. Nurse attending to a patient receiving
early morning awakening, decreased ECT in a psychiatry department should
appetite, lethargy, multiple body pains, ensure the compliance of all of the following
feelings low & worthlessness. Most EXCEPT
appropriate treatment in this case will be: (a) emptying of bladder & bowl is not necessary
(a) Antipsychotics (b) Antidepressants (b) patient's hair should be kept clean and dry
(c) Anxiolytics (d) Hypno-sedatives (c) hairpins, bracelets, body piercing should
be removed
22. Test perform before administering (d) take informed consent from a patient's legal
imipramine- Their
(a) ECG
(b) Heart rate 28. An indication for primary use of
(c) Respiration rate electroconvulsive therapy is:
(d) Body temperature (a) Non compliance with treatment
(b) Major depression with psychotic features
23. The nurse teaches clients that they should (c) Severe agitation
follow their diet restrictions while taking a (d) Antisocial behaviour
monoamine oxidase inhibitor. What will
develop if they do not follow 29. The major contraindication of giving
these restrictions? ECT to the patient is:
(a) Occipital headaches (a) Alcoholism
(b) Generalized urticaria (b) Bronchial asthma
(c) Severe muscle spasms (c) Myocardial infarction
(d) Sudden drop in blood pressure (d) Increased intracranial pressure
24. A neuromuscular blocking 30. What is the other name for delusions
agent is administered to a client before ECT of persecution?
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(a) Infidelity (b) Passivity 36. The hallucination in which the content is
(c) Paranoid delusion (d) Grandiose consistent with either a depressed or manic
mood is called-
31. What is meant by thought broadcasting? (a) Somatic hallucination
(a) Delusion that one's thoughts are being (b) Mood congruent hallucination
controlled by others (c) Mood incongruent hallucination
(b) Experience of thoughts being removed from (d) Haptic hallucination
one's mind
(c) Unpleasant expression of thoughts 37. "Schedule activity" therapy is used for
(d) Delusion that one's thoughts can be heard by the patient with-
others (a) Negative symptoms of schizophrena
(b) Depression
32. A client with a psychotic disorder refuses (c) Mania
to bathe or change her clothes. Which of the (d) OCD
following interventions is congruent with the
role of the nurse as a mother surrogate? 38. Day dreaming is also known as-
(a) Allow the client to make decisions (a) Regression (b) Submission
about hygiene (c) Fantasy (d) Projection
(b) Assist client to bathe and change clothes
(c) Encourage family members to talk to client 39. ____ is an acute disturbance of
(d) Put the client in private room to consciousness and change in cognition that
avoid offending others develops over a brief period
(a) Dementia (b) Amnesia
33. Temporary discharge of the patient from (c) Hallucination (d) Delirium
the psychiatric hospital is referred as
(a) Parole (b) Abscond 40. The group of drug which is also known as
(c) Termination (d) Escape minor tranquilizers-
(a) Antimanic (b) Antidepressants
34. Which term refers to science that deals (c) Antianxietic (d) Antipsychotic
with promotion of mental health and
prevention of mental illness through the 41. If ECT is given with muscle relaxants and
application of psychiatry and psychology? general anaesthesia, then it is known as-
(a) Mental health (a) Direct ECT (b) Modified ECT
(b) Mental hygiene (c) Bilateral ECT (d) Unilateral ECT
(c) Basic psychology
(d) Applied psychology
42. Indication for ECT includes-
35. Mentally healthy individual can be (a) Severe catatonia (b) Severe depression
defined as those who: (c) Schizophrenia (d) All of the above
(a) Have insight into their own problems
(b) Are able to meet their own basic needs 43. Indications for the use of benzodiazepines
(c) Are not exhibiting pathological include except-
(d) Are free from both physical and emotional (a) Anxiety disorder
problems (b) Hypersomnia
(c) Premedication in anaeshtesia
(d) To prdocue skeletal muscle relaxation
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44. Best test for diagnosis of organic (b) Social psychology
mental disorder is: (c) General psychology
(a) Sentence completion test (d) Parapsychology
(b) Rorschach test
(c) Bender gestalt test 51. Depression:
(d) Thematic appreciation test a. Is a normal part of aging
b. Is not a normal process of aging
45. The main difference between chronic and c. Includes symptoms, such as loss of interest,
organic brain syndrome is that the former sadness, weight loss and worthless feelings
(a) Occurs suddenly and reversible d. B and C are the correct answers
(b) Is, progressive and reversible
(c) Tends to be progressive and irreversible 52. A characteristic that would suggest the
(d) Occurs suddenly and irreversible nurse that Miss Shikha may have bulimia
would be:
46. Which one of the following is the earliest a. Frequent regurgitation and reswallowing of
sign of dementia? food
(a) Speech disorders b. Previous history of gastritis
(b) Loss of attention c. Badly stained teeth
(c) Memory slips d. Positive body image
(d) Visual perception problems
53. An 80-year-old woman has sudden onset
47. _____ is an acquired global impairment of right- sided paresis, short-term memory
of intellect, memory and personality but loss, depression, right visual field defect, and
without impairment of consciousness. mild expressive aphasia, indicating a possible
(a) Dementia (b) Delirium stroke. The most likely part of the brain
(c) Schizophrenia (d) Depression affected is the:
a. Right hemisphere b. Left hemisphere
48. Psychological mechanism that reduces c. Brainstem d. Cerebellum
anxiety arising from unacceptable or
potentially harmful stimuli. The determines
that this is use of 54. Language development in an autistic
(a) Affective reaction child resembles:
(b) Withdrawal pattern a. Scanning speech b. Speech lag
(c) Defense mechanism c. Shuttering d. Echolalia
(d) Ritualistic behavior
55. A nurse is caring for a client having
49. Who is known as the Father of suicidal thoughts. So, a nurse should alert for
Psychology? the feeling of:
(a) Abraham Jacobi a. Frustration and fear of death
(b) Jean Piaget b. Anger and resentment
(c) Abraham Maslow c. Anxiety and loneliness
(d) Wilhelm Wundt d. Helplessness and hopelessness
50. The branch of psychology that deals with 56. A client with a diagnosis of schizophrenia
the group behavior and inter-relationships of is discharged from the hospital. At home the
people is: client forgets to take the medication, is
(a) Geopsychology unable to function, and must be
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rehospitalized. What medication may be d. Leave food in the client's room that can be
prescribed that can be administered on an eaten when desired.
outpatient basis every 2 to 3 weeks?
a. Lithium 61. A depressed client tells a nurse, "I want
b. Diazepam to die." Which is the nurse's most
c. Fluvoxamine therapeutic response?
d. Fluphenazine a. "You would rather not live."
b. "You are not alone in feeling this way."
57. A nurse is teaching clients about dietary c. "When was the last time you felt this way?"
restrictions when taking a monoamine d. "Do you believe that there is life after
oxidase inhibitor (MAOI). What response death?"
does the nurse tell them to anticipate if they
do not follow these restrictions? 62. In Erickson's theory, adolescent develop
a. Occipital headaches a sense of....
b. Generalized urticaria (a) Initiative. (b) Intellect.
c. Severe muscle spasms (c) Industry. (d) Identity.
d. Sudden drop in blood pressure
63. Psychosocial development stage for infant
58. What is the most important tool a nurse is
brings to the therapeutic nurse-client (a) Initiative vs Guilt
relationship? (b)Autonomous vs Shame
a. Oneself and a desire to help (c) Trust vs Mistrust
b. Knowledge of psychopathology (d) Industry vs Inferiority
c. Advanced communication skills
d. Years of experience in psychiatric nursing 64. According to Erikson, which of the
following stages is seen in adolescents?
59. A client is admitted to a psychiatric (a) Trust vs Mistrust
hospital after a month of unusual behavior (b) Initiative vs Guilt
that included eating and sleeping very little, (c) Autonomy vs Shame and doubt
talking and singing constantly, and going on (d) Identity vs Role confusion
frequent shopping sprees. In the hospital, the
client is demanding, bossy, and sarcastic. 65. According to Erikson's eight stages of
Which disorder does the nurse associate with development, initiative vs. guilt takes place
these behaviors? at
a. Bipolar disorder, manic phase (a) 10-15 years
b. Antisocial personality disorder (b) 20-25 years
c. Obsessive-compulsive disorder (c) 13 - 19 years
d. Chronic undifferentiated schizophrenia (d) 3-6years
60. How should the nursing staff provide for 66. Erickson theory of emotional
the nutritional needs of a client experiencing development emphasized that 6-12 years of
periods of extreme mania and hyperactivity? child wants adults to recognize him/her, have
a. Accept that the client will eat if hungry. strong sense of duty and engage in many
b. Allow the client to prepare meals to eat when tasks; this is known as:
desired. (a) Sense of initiative
c. Offer high-calorie snacks frequently that the (b) Sense of identity
client can hold. (c) Sense of intimacy
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(d) Sense of industry 72. Patient is admitted to the emergency
room with drug-induced anxiety related to
67. What should a nurse include in the plan over ingestion of prescribed antipsychotic
of care for a client with vascular dementia? medication. The most important piece of
a. A reeducation program information the nurse in- charge should
b. Details for supportive care obtain initially is the:
c. An introduction of new leisure-time activities a. Length of time on the medication
d. Plans for involvement in group therapy b. Name of the ingested medication and the
sessions amount ingested
c. Reason for the suicide attempt
68. A client with dementia has been cared for d. Name of the nearest relative and phone
by the spouse for 5 years. During the last number
month the client has become agitated and
aggressive and is incontinent of urine and 73. Propranolol (inderal) is used in the
feces. What is the priority nursing care while mental health setting to manage which of the
this client is in an inpatient mental health following conditions?
facility? a. Antipsychotic-induced akathisia and anxiety
a. Managing the behavior b. The manic phase of bipolar illness as a mood
b. Preventing further deterioration stabilizer
c. Focusing on the needs of the spouse c. Delusions for clients suffering from
d. Establishing an elimination retraining schizophrenia
program d. Obsessive-compulsive disorder (OCD) to
reduce ritualistic behavior
69. What is the most appropriate nursing
intervention for clients who exhibit mild 74. The internal drive or externally arising
cognitive impairment? stimulus which leads to action or thought
a. Reality orientation is called:
b. Behavioral confrontation (a) Emotion (b) Motivation
c. Reflective communication (c) Motive (d) Anxiety
d. Reminiscence group therapy
75. Psychological tests are connected
70. What is Rorschach's projective test with assessment of
designed to measure? (a) Personality only
a. Unconscious intentions (b) Perception only
b. Dreams (c) All aspects of psychological functioning
c. Conscious desires (d) Sociability
d. Brain size
76. Individual differences in interest, ability
71. A long-term goal for a paranoid male and capacity in a specific field is measured by
client, who has unjustifiably accused his wife applying one of the following test:
of having many extramarital affairs, would (a) Attitude test
be to help the client develop: (b) Mental ability test
a. Insight into his behavior (c) Aptitude test
b. Better self-control (d) Intelligence quotient test
c. Feeling of self-worth
d. Faith in his wife 77. Rorschach's projective test is designed
to measure:
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(a) Unconscious intensions b. Restrict the client's fluids for the rest of the
(b) Dreams day.
(c) Conscious desires c. Toilet the client more frequently with
(d) Brain size supervision.
d. Withhold the client's privileges each time
78. Any test measures the attainments or the client voids
accomplishments of an individual after a
period of training or learning in known as: 83. The following are symptoms of anxiety
(a) Aptitude test except:
(b) Achievement test (a) Palpitations
(c) Personality test
(b) Gastric discomfort
(d) Intelligence test
(c) Bradycardia
(d) Frequency of micturition
79. Unattractive man selects expensive,
stylish clothes to draw attention to himself.
84. Anxiety neurosis is characterized by all
The defense mechanism exemplified here
except
is:
(a) suicidal intent
(a) Dissociation (b) Compensation
(b) over-concern
(c) Denial de valgus (d) Conversion
(c) panic attacks
(d) multiple somatic complaint.
80. A defense mechanism in which original
goals or desires are substituted by others is
85. State of uneasiness arising out of
called:
anticipation of danger is termed as:
(a) substitution (b) sublimation
(a) Obsessions (b) Anxiety
(c) projection (d) displacement
(c) Phobia (d) Compulsions
81. An acutely ill client with the diagnosis
86. A young lady spends several hours
of schizophrenia has just been admitted to
in organizing, reorganizing and checking
the mental health unit. What is the most
the orderliness of her clothing cabinet. Her
therapeutic initial nursing intervention?
behavior indicates:
a. Spend time with the client to build trust and
(a) Transference (b) Exhibitionism
demonstrate acceptance.
(c) Compulsion (d) Obsession
b. Involve the client in occupational therapy
and use diversional activity.
87. The most common psychotherapy used
c. Delay one-to-one client interactions until
to help a person with OCD is:-
medications reduce the psychotic symptoms.
(a) Behavior modification
d. Involve the client in multiple small-group
(b) Abreaction
discussions to distract attention from the
(c) Transaction Therapy
fantasy world.
(d) Flooding
82. How should a nurse intervene when a
88. A psychotherapy technique effective
regressed, emotionally disturbed client
in obsessive rumination is
voids on the floor in the sitting room of the
(a) Thought stopping (b) Flooding
mental health unit?
(c) Sensitization (d) Exposure
a. Make the client mop the floor.
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89. Which defense mechanism is used by a (b) Infection
patient with obsessive compulsive (c) Metabolic disorders
disorder? (d) All
(a) Repression (b) Denial
(c) Suppression (d) Undoing 95. Clouding of consciousness is
characteristic of
90. Olanzapine (Zyprexa) is prescribed for (a) Schizophrenia (b) Dementia
a client with bipolar disorder, manic (c) Hysteria (d) Delirium
episode. What cautionary advice nurse give
the client? 96. Which activity would best meet the
a. Sit up slowly. diversional needs of a client who markedly
b. Report double vision. impaired with Alzheimer disease?
c. Expect increased salivation. (a) Playing a simple card game
d. Take the medication on an empty stomach. (b) Singing familiar songs
(c) Working with play dough
91. What is the best nursing intervention to (d) Putting a puzzle together
encourage a withdrawn, non-
communicative client to talk? 97. A drug used to treat Alzheimer's disease
a. Focus on nonthreatening subjects. is
b. Try to get the client to discuss feelings. (a) Aspirin (b) Chlorpromazine
c. Ask simple questions that require "yes" or (c) Tacrine (d) Sertraline
"no" answers.
d. Sit quietly while looking through 98. Common hallucinations during
magazines with the client. delirium/dementia:
(a) Visual hallucination
92. A client comes to a mental health center (b) Auditory hallucination
with severe anxiety evidenced by crying, (c) Gustatory hallucination
wringing the hands, and pacing. What (d) Tactile hallucination
should be the first nursing intervention?
a. Stay physically close to the client. 99. Which of the following is NOT a sign
b. Gently ask what is bothering the client. of Alzheimer's Dementia?
c. Tell the client to try to relax by sitting (a) Memory loss
quietly. (b) Loss of weight
d. Involve the client in a nonthreatening (c) Misplacing things
activity. (d) Disorientation
93. The most common degenerative changes 100. What is "sundowning"

occurring are called: (a) Incontinence during night
(a) Senile dementia (b) Stereotyped behaviour and activities
(b) Amnesia (c) Worsening of symptoms and confusion
(c) Korsakoff dementia in the evening
(d) Paramensia (d) Unconscious filling of memory gaps
94. Causes of delirium are:

(a) Head trauma
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ANSWER KEY, PAPER - 7
PAPER - 8
1. (A) 21. (B) 41. (B) 61. (A) 81. (A)
2. (C) 22. (A) 42. (D) 62. (D) 82. (C) 1. The most common cause/type of
dementia is
3. (D) 23. (A) 43. (B) 63. (C) 83. (C)
(a) Pick's disease
4. (B) 24. (A) 44. (C) 64. (D) 84. (A) (b) Parkinson's disease
5. (B) 25. (B) 45. (C) 65. (D) 85. (B)
(c) Alzheimer's disease
(d) Tics disease
6. (A) 26. (B) 46. (C) 66. (D) 86. (C)
7. (C) 27. (A) 47. (A) 67. (B) 87. (A) 2. An individual who is addicted to heroin
8. (B) 28. (B) 48. (C) 68. (A) 88. (A)
is likely to experience which of the
following symptoms of withdrawal?
9. (D) 29. (D) 49. (D) 69. (A) 89. (D) (a) Increased heart rate and blood pressure
10. (B) 30. (C) 50. (B) 70. (A) 90. (A) (b) Tremors, insomnia and seizures
(c) Lack of co-ordination and unsteady gait.
11. (C) 31. (D) 51. (C) 71. (C) 91. (A)
(d) Nausea, vomiting, diarrhea and
12. (C) 32. (B) 52. (C) 72. (B) 92. (A) diaphoresis
13. (D) 33. (A) 53. (B) 73. (A) 93. (A)
3. A young patient is brought to emergency
14. (B) 34. (B) 54. (D) 74. (C) 94. (D)
ward due to drug overdose of cocaine
15. (D) 35. (D) 55. (D) 75. (C) 95. (D) following intravenous administration.
16. (B) 36. (B) 56. (D) 76. (C) 96. (A) Which among the following will be his
symptoms?
17. (A) 37. (B) 57. (A) 77. (A) 97. (C) (a) Agitation (b) Bradycardia
18. (B) 38. (C) 58. (A) 78. (B) 98. (A) (c) Hyperthermia (d) Seizures
19. (D) 39. (D) 59. (A) 79. (B) 99. (B)
4. With barbiturate and benzodiazepine
20. (B) 40. (C) 60. (C) 80. (A) 100. (C) abuse and dependency, sedative
intoxication is generally associated with:
(a) Slurred speech
(b) Uncoordinated motor movements
(c) Impairment in attention and speech
“ज्ञा एक ऐसा न वेि है नजसका िु ाफा
हिारी जीव के अिंत तक भी निलता 5. A client with alcohol dependency suffers
रहता है।” from numbness, itching and pain in
extremities. Which of the following a nurse
should expect?
(a) Neuralgia
(b) Bell's Palsy
(c) Neurasthenia
(d) Peripheral Neuritis
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6. Irrational and intense fear of traveling (a) Hypoglycemic agents
is: (b) Antibiotics
(a) Agarophobial (b) Hodophobia (c) Diuretics
(c) Aerophobia (d) Thanatophobia (d) Antacids
7. Bulimia Nervosa and Anorexia Nervosa 13. A nurse is giving instructions to a client
are- receiving lithium citrate. The nurse tells the
(a) Sleep disorder client to do which of the following to
(b) Eating disorder prevent lithium toxicity:
(c) Nervous disorder (a) Avoid becoming dehydrated during
(d) None of these exercise
(b) Instruct the client to change positions
8. The drug of choice to treat Bullimia slowly
nervosa is: (c) Restrict salt intake in the diet
(a) antidepressant (e.g. SSRI) (d) Limit fluid intake
(b) glucose 10%
(c) benzodiazepines 14. Which of the following nurse's advice is
(d) thiamine TV the most important for a female patient
who takes lithium for manic episodes?
9. Delusions are common in depression (a) She can continue her exercise
except: because lithium toxicity is very rare.
(a) Delusion of Nihilism (b) She should stop walking.
(b) Delusion of persecution (c) need to maintain her hydration to She W
(c) Delusion of grandeur avoid lithium toxicity.
(d) Delusion of poverty (d) She should stay in shade when she walks.
10. Delusion of abnormally in body 15. The client has been taking Lithium
functions are carbonate for hyperactivity/Mania, as
(a) Grandiose (b) Somatic prescribed. While the client is taking this
(c) Nihilistic (d) Persecutory drug, it is essential to ensures that the
patient has adequate intake of:
11. Preoccupation with a fear of having a (a) Iodine (b) Iron
serious physical illness, not based on real or (c) sodium (d) calcium
organic pathology is:
(a) Hypochondriasis 16. Important daily nursing care of bipolar
(b) Hypoesthesia mood disorder (BPMD) patient taking
(c) Psychosomatic disorder regular lithium therapy
(d) Hyper tonicity (a) Collection of urine specimen
(b) Collection of sputum specimen
12. The nurse is teaching a group of (c) Collection of blood sample
patients about the mood-stabilizing (d) Collection of gastric juice
medication, lithium carbonate. Which of
the following 9xmedications should instruct 17. The function of gland which is affected
the patients to avoid because of the in lithium toxicity is
increased risk of lithium toxicity? (a) Parathyroid (b) Pituitary
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(c) Adrenal (d) Thyroid medication methylphenidate (Ritalin).
What time should the daily dose be
18. The definition of nihilistic delusion is: administered?
a. A false belief about the functioning of the a. Before breakfast
body b. Just after breakfast
b. A belief that the body is deformed or c. Immediately before lunch
defective in a specific way d. As soon as the child awakens
c. False ideas about the self, others, or the
world 23. A child is diagnosed with attention
d. The inability to carry out motor activities deficit hyperactivity disorder (ADHD).
What is a strategy that the nurse should
19. An addict presents with increased teach the parents to assist in coping with
sweating, lacrimation, diarrhea, yawning this disorder?
and rhinorrhea. These symptoms may a. Orient the child to reality.
occur due to withdrawal of: b. Reward appropriate conduct.
a. Heroin b. Cocaine c. Suppress feelings of frustration.
c. Cannabis d. Alcohol d. Use restraints when behavior is out of
control.
20. Yesterday, a client with schizophrenia
began treatment with haloperidol (Haldol). 24. A nurse is caring for a client who has a
Today, the nurse notices that the client is diagnosis of conversion disorder with
holding his head to one side and paralysis of the lower extremities. Which is
complaining of neck and jaw spasms. What the most therapeutic nursing intervention?
should the nurse do? a. Encouraging the client to try to walk
a. Assume that the client is posturing. b. Explaining to the client that there is nothing
b. Tell the client to lie down and relax. wrong
c. Evaluate the client for adverse reactions to c. Avoiding focusing on the client's physical
haloperidol. symptoms.
d. Put the client on the list for the physician to d. Helping the client follow through with the
see tomorrow. physical therapy plan
21. Which of these nursing actions belongs 25. Hospitalization or day-treatment

to the secondary level of preventive centers are often indicated for the
intervention? treatment of a client with an obsessive-
a. Providing mental health consultation to compulsive disorder because these settings:
health care providers a. prevent the client from completing rituals.
b. Providing emergency psychiatric services b. allow the staff to exert control over the
c. Being politically active in relation to mental client's activities.
health issues c. resolve the client's anxiety because decision
d. Providing mental health education to making is minimal.
members of the community d. provide the neutral environment the client
needs to work through conflicts.
22. A nurse is teaching the parents of a
child with attention deficit hyperactivity 26. Based on the knowledge of
disorder (ADHD) about the prescribed electroconvulsive treatment, the nurse
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explains to the student nurse that atropine (b) Different cultures
is given before the treatment primarily to: (c) Religious values
a. Minimize intestinal contractions (d) Negative feelings
b. Decrease anxiety
c. Dry up body secretions 33. Which of the following is an expected
d. Prevent aspiration reaction from a client who has just been
told by the physician that his tumor is
27. Client is receiving monoamine oxidase malignant and has metastasis in to several
inhibitors (MAOIS) as part of the organs?
treatment. Which food would be most (a) Crying uncontrollably
important for the nurse to stress to avoid? (b) Criticizing medical care
a. Organ meats b. Sardines (c) Refusing to visit visitors
c. Shellfish d. Legumes (d) Asking for additional medical
consultations
28. A nurse enters the ward and notices
that Mrs Sheetal is constantly watching the 34. Kubler-Ross's five successive stages of
floor and looks very anxious. What should death and dying are:
be the nurse's most therapeutic treatment (a) Denial, anger, depression,
in minimizing client anxiety? bargaining, acceptance
a. Would you like to watch TV? (b) Bargaining, denial, anger,
b. Would you like me to talk with you? depression, acceptance
c. Are you feeling upset now? (c) Denial, anger, bargaining,
d. Ignore the client and do the rest of the work depression, acceptance
(d) Anger, bargaining, denial, depression,
29. A child with a diagnosis of reactive acceptance
attachment disorder would:
a. Have more positive relation with the father 35. The period of acceptance of loss during
than the mother which a person learns to deal with the loss
b. Cling to mother and cry on separation is known as:
c. Be able to develop only superficial relation (a) Idealization (b) Bereavement
with the others (c) Mourning (d) None of these
d. Have been physically abused
36. A dying person goes through all of
30. In one of the types of mental the following stages EXCEPT:
retardation children are trainable: (a) Denial (b) Conflict
(a) Moderate (b) Severs (c) Depression (d) Acceptance
(c) Profound (d) Mild
37. A patient diagnosed with a terminal
31. Who classified personality as extrovert illness tells the doctor, "Life is not fair. This
and introvert? cannot happen to me". This is an
(a) Geordon All port (b) Karl G. Jung expression of:
(c) Watson (d) Bruner de (a) Denial (b) Bargaining
(c) Introspection (d) Acceptance
32. Social psychology deals with
(a) Human behavior
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38. According Kubler-Ross, 1st stage of c. are generally necessary for the client to
dying is cope with a stressful situation.
(a) Anger d. will usually resolve when the client learns
(b) Denial and isolation. to cope with ongoing family conflicts.
(c) Depression
(d) Bargaining 43. What behavior by a client with a long
history of alcohol abuse is an indication
39. Complicated grief also known as - that the client may be ready for treatment?
(a) Unresolved grief (b) A typical grief a. Drinking only socially
(c) Chronic grief (d) Both a and b b. Not drinking for a week
c. Hospitalization for detoxification
40. A client with a general anxiety disorder d. Verbalizing an honest desire for help
says to the nurse, "What can I do to
prevent overreacting to stress?" What is 44. Sildenafil (Viagra) is prescribed for a
the nurse's best response? man with erectile dysfunction. A nurse
a. "Hone your problem-solving skills." teaches the client about which common side
b. "Improve your time management skills." effects of this drug? Select all that apply.
c. "Ignore situations that you cannot change. a. Flushing b. Headache
d. "Develop a wide variety of coping c. Dyspepsia d. Constipation
strategies.
45. A client with a long history of alcohol
41. The parents of an adolescent who is dependence spends 28 days in an alcohol
experiencing posttraumatic stress disorder rehabilitation unit. What type of referral
have decided to care for their child at does the nurse anticipate will be included in
home. What is the priority intervention the discharge plan?
that the home health nurse must include in a. Halfway house
the plan of care? b. Family therapist
a. Encourage the parents to keep their child c. Psychoanalytic therapy group
within the home environment. d. Community-based self-help group
b. Help the parents identify their child's
problems that cause them to be fearful. 46. A client with catatonic schizophrenia is
c. Assist the parents to understand that their mute, can't perform activities of daily
child may avoid emotional attachments. living, and stares out of the window for
d. Discuss with the parents their feelings of hours. What is the nurse's first priority?
ambivalence about what their child is a. Assist the client with feeding
enduring. b. Assist the client with showering
c. Reassure the client about safety
42. A nurse considers that in a conversion d. Encourage socialization with peers
disorder pseudoneurologic symptoms such
as paralysis or blindness: 47. A client is admitted to the psychiatric
a. are unconscious methods for getting unit of a local hospital with chronic
attention. undifferentiated schizophrenia. During the
b. will subside if the client is helped to focus next several days, the client is seen
on getting healthy. laughing, yelling, and talking to herself.
This behavior is characteristic of:
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a. Delusion (b) science of mind
b. Looseness of association (c) science of experience
c. Illusion (d) science of Soul
d. Hallucination
53. Which of the following is the
48. Which of the following are not appropriate nursing intervention for a
antidepressant drugs? patient with a terminal illness who is
a. Tricyclic antidepressants passing through the acceptance stage?
b. Monoamine oxidase inhibitors (MAOIS) (a) Allowing the patient to cry
c. Selective serotonin reuptake inhibitors (b) Encouraging unrestricted visiting
(SSRIs) (c) Explaining the patient what is being done
d. Antiretroviral drugs (d) Being around though not speaking
49. Which of the following is an example of 54. Deficiency of which of the

repression? following neurotransmitters in the brain
a. Stopping yourself from behaving the way will cause Alzheimer's disease?
you want to (a) Acetylcholine (b) Serotonin
b. Suppressing bad memories or current (c) GABA (d) Dopamine
thoughts that cause anxiety
c. Suppressing your natural instincts 55. The development of multiple
d. Stopping others from behaving cognitive deficits manifested by memory
inappropriately impairment and cognitive disturbance
would indicate which diagnosis?
50. A 23-year-old client admitted with a (a) Delirium
diagnosis of schizophrenia says to the nurse (b) Asperger's syndrome
'I own five cigars. I've been to Havana. She (c) Dementia
rose out of the water, in a bikini! (d) Schizophrenia
'That's literal you know. These statements
illustrate: 56. A client with personality disorders is
a. Neologisms complaining to other clients. Which is the
b. Echolalia best intervention in such a case?
c. Flight of ideas (a) Ignore the behavior
d. Loosening of association (b) Set limits to the behavior
(c) Reprimand the client
51. 'Psychology' as the scientific study of (d) Allow the client to go to place of his
activities of organism in relation to its choice
Environment is defined by:
(a) J.B Watson 57. Which of the following is NOT a
(b) Sigmund Freud symptom of alcohol withdrawal?
(c) Woodworth (a) Redness of face
(d) William James (b) Persistent insomnia
(c) Profuse sweating
52. E.B. Titchener (1867-1927) defined (d) Tremors
'Psychology' as the science of:
(a) conscious experience
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58. Which one of the following is derived 64. The most serious complication of
from the plant 'Cannabis Sativa'? anorexia nervosa:
(a) Morphine (b) Opium (a) High risk of mortality
(c) Ganja (d) Cocaine (b) Coexisting depression
(c) Poor family relationships
59. A type of personality characterized by (d) Social isolation
an inability to form warm close social
relationship is: 65. Which is the characteristic of anorexia
(a) Melancholic Personality nervosa?
(b) Schizoid Personality (a) Obsessed with weight loss
(c) Cyclothymic Personality (b) Body image disturbance
(d) Histrionic Personality. (c) (Obsessed with weight loss) + (Body
image disturbance)
60. Which of the following approaches (d) Vomiting with nausea
would be use with a client most appropriate
to use with suffering from narcissistic 66. A client with schizophrenia is admitted
personality disorder when discrepancies to an acute care psychiatric unit. Which
exist between what the client states & what clinical findings indicate positive signs and
actually exist: symptoms associated with schizophrenia?
(a) Rationalization a. Withdrawal, poverty of speech,
(b) Supportive confrontation inattentiveness
(c) Limit setting b. Flat affect, decreased spontaneity, asocial
(d) Consistency behavior
c. Hypomania, labile mood swings, episodes
61. Which of the following foods would the of euphoria
nurse eliminate from the diet of a client in d. Hyperactivity, auditory hallucinations,
alcohol withdrawal: loose associations
(a) Milk (b) Orange Juice
(c) Tea (d) Regular Coffee 67. A nurse is teaching a client and family
about the characteristics of dementia of the
62. Alcohol withdrawal symptoms are as Alzheimer type. What characteristic should
follows, EXCEPT the nurse include?
(a) Euphoria a. Periodic exacerbations
(b) Tremor b. Aggressive acting-out behavior
(c) Hallucinations c. Hypoxia of selected areas of brain tissue
(d) Anxiety and insomnia d. Areas of brain destruction called senile
plaques
63. What phase of drinking pattern is a
person experiencing if he/she uses alcohol 68. How should a nurse expect a client's
as a stress reliever? anxiety to be manifested physiologically?
(a) Crucial phase a. Constricted pupils
(b) Pre alcoholic phase b. Narrowed bronchioles
(c) Chronic phase c. Decreased blood pressure
(d) Early alcoholic phase d. Increased blood glucose level
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69. The nurse is administering risperidone (d) Restrict visits with the family
(Risperdal) to a client who is scheduled to
be discharged. Before discharge, which 74. Anorexia nervosa complications are:
instruction should the nurse provide to the (a) Hypokalemia, dehydration, anemia,
client? electrolye imbalance
a. Get adequate sunlight. (b) Obesity, electrolyte imbalance, anemia
b. Continue driving as usual. (c) Protein deficiency, dehydration, anemia
c. Avoid foods rich in potassium. (d) Vitamin and protein deficiency with
d. Get up slowly when changing positions. anemia
70. The nurse is performing a follow-up 75. Nurse is aware that the major health
teaching session with a client discharged 1 complication associated with intractable
month ago. The client is taking fluoxetine anorexia nervosa would be:
(Prozac). What information would be (a) Cardiac dysrhythmias resulting to
important for the nurse to obtain during cardiac arrest
this client visit regarding the side/adverse (b) Glucose intolerance resulting in
effects of the medication? protracted hypoglycemia
a. Cardiovascular symptoms (c) Endocrine imbalance cause cold
b. Gastrointestinal dysfunctions amenorrhea
c. Problems with mouth dryness (d) decreased metabolism cause cold
d. Problems with excessive sweating intolerance
71. The nurse is describing the medication 76. All of the following are signs of
side and adverse effects to a client who is anorexia nervosa, EXCEPT
taking oxazepam (Serax). What (a) Frequent eating habits
information should the nurse incorporate (b) Dry hair and skin
in the discussion? (c) Fatigue
a. Consume a low-fiber diet. (d) Anxious and hopeless look
b. Increase fluids and bulk in the diet.
c. Rest if the heart begins to beat rapidly. 77. Persistent lack of appetite often
d. Take antidiarrheal agents if diarrhea occurring with vomiting and severe weight
occurs. loss is referred to as
(a) Stuttering (b) Anorexia nervosa
72. What is the typical age for onset of (c) Bulimia nervosa (d) Pica
anorexia nervosa?
(a) 8-10 years (b) 10-12 years 78. Nurse is caring for a client diagnosed
(c) 14-16 years (d) 18 year and above with bulimia nervosa. The most
appropriate initial goal for a client
73. Nurse is developing a plan of care for a diagnosed with bulimia nervosa is:
female client with anorexia nervosa. Which (a) Encourage to avoid foods
action should the nurse include in the plan: (b) Identify anxiety causing situations
(a) Provide privacy during meals (c) Eat only three meals a day
(b) Set-up a strict eating plan for the client (d) Avoid shopping plenty of groceries
(c) Encourage client to exercise to
reduce anxiety
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79. An eating disorder in which binge eating 86. A patient is admitted with a diagnosis of
is followed by depression and guilt, self- bipolar disorder, manic phase. Which of the
induced vomiting and purging is: following activities would be appropriate for
(a) anorexia nervosa the patient?
(b) bulimia nervosa (a) Doing cross word puzzles
(c) dysphagia (b) Reading quietly in room
(d) binge eating disorder (c) Playing a game of table tennis
(d) Working with modelling clay
80. Fear of heights is termed as:
(a) Algophobia (b) Claustrophobia 87. Which of the following is the most
(c) Acrophobia (d) Gamophobia lethal method of Suicide?
(a) Wrist cutting (b) Taking poison
81. What is the term used to describe an (c) Use of gun (d) Rowning
irrational fear of being in places away from
the familiar setting of one's home? 88. A patient in a locked psychiatric unit asks
(a) Claustrophobia (b) Agoraphobia if he may have a razor to shave. The nurse is
(c) Brontophobia (d) Acrophobia aware that razors are considered sharps and
therefore must be:
82. A hyperactive client is not eating. The (a) Used under direct observation
nurse recognizes that this may be because (b) Only given to responsible patients
he: (c) Only given if a suicide assessment has been
(a) Is so busy that he does not take time to eat. and performed first
(b) Feels that he does not deserve the food (d) Signed out to responsible patients and signed
(c) Believes that he does not need the food in when returned
(d) Wishes to avoid the clients in dining room
89. For the treatment of mania, lithium is
83. Which of the following foods are for used in the form of-
manic patients? (a) Lithium sulphate (b) Lithium carbonate
(a) Finger Foods (b) Liquid Foods (c) Lithium nitrate (d) Lithium chloride
(c) Semi-solid Foods (d) Solid Foods
90. Example of mood stabilizer is-
84. Nurse can minimize agitation in a (a) Sodium valproate
disturbed client by: (b) Carbamazepine
(a) Increasing stimulation (c) Amikacin
(b) Limiting unnecessary interaction (d) Both (a) and (b)
(c) Increasing appropriate sensory perception
(d) Ensuring constant client and staff contact 91. In following which statement does not
fulfil the criteria of psychosis-
85. In approaching a client during a period (a) Insight is absent
of great over activity, it is essential to: (b) Contact with reality is present
(a) Use a firm, warm, consistent approach (c) Marked disturbances in personality
(b) Anticipate and physically control the (d) Presence of characteristic symptoms
client's hyperactivity like delusions and hallucinations
(c) Allow the client to choose the activities in
hot which to participate 92. Therapeutic dose of lithium carbonate is-
(d) Let the client know the staff will not (a) 2-6 mg/day (b) 900-1500 mg/day
tolerate destructive behavior (c) 100-300 mg/day (d) 20-60 mg/day
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93. The group of mentally retarted children (d) Delusion of grandeur
reffered to as 'educable', is-
(a) Mild MR (IQ 50 - 70) 100. Mania is characterized by:
(b) Moderate MR (IQ 35 - 49) a. Paranoid delusion
(c) Severe MR (IQ 20-34) b. High self-esteem
(d) Profound MR (IQ <20) c. Loss of insight
d. Loss of orientation
94. No speech production is termed as-
(a) Poverty of ideation ANSWER KEY, PAPER - 8
(b) Mutism
1. (C) 21. (B) 41. (C) 61. (D) 81. (B)
(d) Echolalia 2. (D) 22. (B) 42. (C) 62. (A) 82. (A)
3. (D) 23. (B) 43. (D) 63. (B) 83. (A)

95. The schizophrenia that is characterized
by extreme retardation of psychomotor 4. (D) 24. (C) 44. (A, 64. (A) 84. (B)
B, C)
activity-
5. (D) 25. (D) 45. (D) 65. (C) 85. (A)
(a) Hebephrenic schizophrenia
(b) Stuporous catatotnic schizophrenia 6. (B) 26. (D) 46. (A) 66. (D) 86. (D)
(c) Paranoid schizophrenia 7. (B) 27. (B) 47. (D) 67. (D) 87. (C)
(d) Latent schizophrenia
8. (A) 28. (B) 48. (D) 68. (D) 88. (A)
96. A patient has adequate speech amount 9. (C) 29. (C) 49. (B) 69. (D) 89. (B)
but content provides very little information,
10. (B) 30. (A) 50. (D) 70. (B) 90. (D)
the patient is suffering from-
(a) Povety of ideation 11. (A) 31. (B) 51. (D) 71. (B) 91. (B)
(b) Mutism 12. (C) 32. (A) 52. (B) 72. (C) 92. (B)
(d) Echolalia 13. (A) 33. (D) 53. (D) 73. (B) 93. (A)
14. (C) 34. (C) 54. (A) 74. (A) 94. (B)
97. A patient uses newly formed words whose
15. (C) 35. (C) 55. (C) 75. (C) 95. (D)
explanation cannot be understood, the
patient is suffering from- 16. (A) 36. (B) 56. (D) 76. (A) 96. (A)
(a) Delusion (b) Neologism
17. (D) 37. (A) 57. (A) 77. (B) 97. (B)
(c) Hallucinations (d) Amnesia
18. (C) 38. (B) 58. (C) 78. (B) 98. (C)
98. In following which is not a feature of 19. (A) 39. (D) 59. (B) 79. (B) 99. (C)
manic episode-
(a) Elevated and expansive mood 20. (C) 40. (D) 60. (C) 80. (C) 100. (B)
(b) Patient becomes more talkative
(c) Reduced level of psychomotor activity
(d) Delusion of grandeur
“िु श्किल वक्त हिारे नलए आई े की
99. In following which is a feature of तरह होते है , जो हिें हिारी क्षिता का
depressive episode- सही एहसास नदलाता है।”
(a) Elevated and expansive mood
(b) Patient becomes more talkative
(c) Reduced level of psychomotor activity
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d. Introduce an element of pleasure into
PAPER - 9 fearful situations.
1. The nurse understands that one of the 6. What treatment should a nurse
most difficult tasks for the depressed client anticipate will be ordered for a client with
is the: severe, persistent, intractable depression
a. Remorse and guilty and suicidal ideation?
b. Need for comforting a. Electroconvulsive therapy
c. Anger towards others b. Short-term psychoanalysis
d. Feeling of low self-esteem c. Nondirective psychotherapy
d. High doses of anxiolytic drugs
2. A nurse concludes that a client is using
displacement. Which behavior has the 7. During the orientation tour for three new
nurse identified? staff members, a young, hyperactive manic
a. Ignoring unpleasant aspects of reality client greets them by saying, "Welcome to
b. Resisting any demands made by others the funny farm. I'm Jo-Jo, the head yo-yo."
c. Using imaginative activity to escape reality Which meaning can the nurse assign to the
d. Directing pent-up emotions to other than client's statement?
the primary source a. Trying to fill the "life-of-the-party" role
b. Looking for attention from the new staff
3. A nurse is teaching parents of a child c. Unable to distinguish fantasy from reality
with attention deficit hyperactivity disorder d. Anxious over the arrival of new staff
(ADHD). What should the nurse include as members
the most frequently prescribed medication
for this disorder? 8. The nurse anticipate that initial
a. Lorazepam (Ativan) treatment of an adolescent with anorexia
b. Haloperidol (Haldol) nervosa should specifically include
c. Methylphenidate (Ritalin) (a) Family psychotherapy sessions
d. Methocarbamol (Robaxin) (b) Correction of electrolyte imbalance
(c) Separation from family members
4. A nurse is planning care for a group of (d) Medication to reduce anxiety
hospitalized children. Which age group
does the nurse anticipate will have the most 9. Which of the following medical condition
problem with separation anxiety? is commonly found in clients with
a. 12 to 18 years Bulimia Nervosa?
b. 5 to 11½ years (a) Allergies (b) Cancer
c. 6 to 30 months (c) Diabetes (d) Hepatitis A
d. 36 to 59 months
10. A client with an alcohol problem starts
5. What is an appropriate way a nurse can to talk to a nurse about wanting a drink.
help a client to decrease anxiety? Which of the following terms best describes
a. Avoid unpleasant events. what this client is experiencing?
b. Prolong exposure to fearful situations. (a) Craving (b) Potentiation
c. Acquire skills with which to face stressful (c) Recidivism (d) Tolerance
events.
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11. Chronic alcoholic patients are treated 17. What kind of food should be given for
initially by: a patient with Mania?
(a) Use of paraldehyde (a) Milk (b) Meat
(b) Use of tranquilizers (c) Fish (d) Sandwich
(c) Providing high protein diet
(d) I/M injection of thiamine 18. Clients with the diagnosis of bipolar
disorders, manic episode, most likely will
12. Fear of going outside to open space is exhibit signs of:
called as: (a) Passivity (b) Dysphoria
(a) Algophobia (b) Agoraphobia (c) Anhedonia (d) Grandiosity
(c) Acrophobia (d) Amphiphobia
19. Patient with mania are having all of the
13. What is the other name for fear of following symptoms except:
death? (a) Elated and unstable mood
(a) Claustrophobia (b) Acrophobia (b) Sluggish and fatigue
(c) Gamophobia. (d) Thanatophobia (c) Increased pressure of speech
(d) Increased motor activity
14. During ward rounds, you find that a 24
year old patient with mania is very abusive 20. Exaggerated feeling of well-being are
and aggressive; there is imminent danger of called
his becoming physically assaultive. What (a) Ecstasy (b) Euphoria
you should NOT do? (c) Empathyap (d) Delusion
(a) Avoid reassuring touching of the patient
(b) Confront him 21. A patient says to a nurse, "Everyone
(c) Keep a safe distance from him would be better off if I wasn't alive."
(d) Use of clear language Which nursing diagnosis would be made
based on this statement?
15. While caring for manic patient, the (a) Risk for self-directed violence
nurses ring for manic patient, the nu should (b) Ineffective coping
keep the unit (c) Impaired social interaction
(a) Active and stimulating (d) Disturbed thought processes
(b) Cheerful, but not too stimulating
(c) Very permissive and stress free 22. A nurse is caring for a client with
(d) Active, interesting and exciting suicide thoughts must be alert for the
feelings of:
16. In case of a violent psychiatric patient (a) Frustration and fear of thought
who is becoming increasingly agitated, (b) Anger and resentment
which of the following action might (c) Anxiety and loneliness
increase the agitation and acting out (d) Helplessness and hopelessness
behaviour-
(a) Teaching relaxation 23. Which of the following activities are
(b) Being Assertive recommended to a patient who becomes
(c) Responding early anxious when thoughts of suicide occur?
(d) Providing choices (a) watching television
(b) reading a magazine
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(c) using exercise bike independent living in the community, a
(d) meditating nurse should encourage the patient to:
(a) Establish a structured daily routine
24. Which of the following would be a (b) Spend time alone
priority nursing intervention for a patient (c) Plan a programme of self fulfilment
who has suicidal behaviour? (d) Discontinue medication when
(a) Actively involve patient in the unit symptoms disappear.
activities
(b) Explain consequences of suicidal attempts 30. Which of the following is an
(c) Avoid bringing up the subject of suicide appropriate nursing action to a patient with
(d) Ask the patient whether he/she has a a delusion?
thought of or has plan of committing suicide (a) Isolate the patient as he or she may
harm other people.
25. Suicidal tendencies most commonly seen (b) Do not challenge the patient in proving
in the delusion
(a) Females (c) Promise that antipsychotic drugs in order
(b) Severe depression to improve the though content
(c) Younger agediad (d) Make it to a point to challenge the patient
(d) Neurotic disorders in A proving the delusion
26. Common risk of severe depression is: 31. A client is diagnosed with generalized
(a) Fatigability (b) Hallucinations anxiety disorder. For what behavior should
(c) Thought block (d) Suicide the nurse assess a client to determine the
effectiveness of therapy?
27. The most accurate definition of a. Participates in activities
'depression', as used in psychiatry, is: b. Learns how to avoid anxiety
(a) A disturbance in mood as a reaction to the c. Takes medication as prescribed
Para loss of a love object d. Identifies when anxiety is developing
(b) A total loss of control over
emotional impulses 32. A client's admitting history indicates
(c) An inability to make decisions or function signs of akathisia. What clinical finding
(d) A disturbance in mood as a result should the nurse expect when assessing for
of frustration of instinctual strivings. akathisia?
a. Facial tics
28. Depression is characterized by all, b. Motor restlessness
except: c. Maintaining a body position for hours
(a) Psychomotor retardation d. Repeating the movements of another
(b) Loosening of association person
(c) Inability to experience pleasure in
any activity 33. What is the most appropriate way for
(d) Pervasive sadness the nurse to help a withdrawn, emotionally
disturbed adolescent client to accept the
29. When teaching a patient who has a realities of daily living?
diagnosis of schizophrenia about successful a. Assist the client to care for personal
hygiene needs.
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b. Encourage the client to keep up with school (b) D. Goldman
studies. (c) Harold A. Sackeim
c. Persuade the client to join the other clients (d) Sigmund Freud
in group activities.
d. Leave the client alone when there appears 40. When you ask the patient "What did
to be a disinterest in daily activities. you have for breakfast?", she answered
"Roti, Katti, Matti, Patti, Thatti...". What
34. A nurse is caring for a client who uses is this response called as?
ritualistic behavior. What common (a) Neologismide (b) Verbigeration
antiobsessional medication does the nurse (c) Flight of ideas (d) Clang association
anticipate will be prescribed?
a. Benztropine b. Amantadine 41. Handy-Dandy this is my work and want
c. Fluvoxamine d. Diphenhydr shop apple pie-custard pie, this is
(a) Neologism (b) Word salad
35. Modifies ECT is not given frequently on (c) Flight of ideas (d) Clang association
routine practice because of:
(a) Myocardial infarction 42. Meaningless and incoherent mixture of
(b) Non availability of anesthetist words and phrases is termed as:
(c) Osteoporosis (a) Word salad (b) Paralalia
(d) Respiratory difficulties (c) Verbigeration (d) Neologism
36. A state of diminished consciousness in 43. A rare condition in which separate

which the patient remains mute and still personalities exist in same person is called:
with the eyes open is called:- (a) Dissociative identity disorder (DID)
(a) Catatonia (b) Stupor (b) Delusion
(c) Panic (d) Hysteria (c) Schizophrenia
(d) Somatoform disorder
37. A type of behaviour in which a person
does opposite of what is required 44. Sudden voluntary repetitive movements
(a) Negativism (b) Depersonalization of voluntary muscle into children is termed
(c) Delirium (d) Psychosis as-
(a) Pica (b) Tic syndrome
38. ......is the procedure of artificial (c) Echolalia (d) Echopraxia
induction of grand mal seizure, through the
application of electrical current to the 45. The psychotic persons invents new
brain. words, that are meaningless to others but
(a) Transcranial magnetic stimulation have symbolic meaning to psychotic person
(b) Reflexology called
(c) Phototherapy (a) Associative looseness
(d) Electroconvulsive therapy (b) Neologism
(c) Clang association
39. The first therapeutic use of electricity (d) Word salad
induced seizures in the treatment of mental
disorders is related to 46. What is the term used to explain the
(a) Bini and Cereletti condition in which a patient perceives that
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his/her face is distorted and his/her leg have 52. A severely depressed client is to have
become short? electroconvulsive therapy (ECT). What
(a) Illusion should a nurse include when discussing this
(b) Hallucination therapy with the client?
(c) Depersonalization a. Sleep will be induced and treatment will not
(d) Denationalisation cause pain.
b. Treatment is totally safe with the new
47. A patient who refuses to eat stating that methods of administration.
his food is poisoned is a typical example of c. You can ask any question you like, but it is
(a) Suicidal ideation (b) Delusions better not to talk about it.
(c) Negativism (d) Hallucinations d. There may be some unrecoverable short-
term and long- term memory loss.
48. False fixed idea or belief that patient
accepts as real are called 53. A withdrawn client refuses to get out of
(a) Delusion (b) Hallucinations bed and becomes upset when asked to do so.
(c) Illusion (d) Magical thinking What nursing action is most therapeutic?
a. Require the client to get out of bed.
49. Which of the following communication b. Stay with the client until the client calms
techniques should be avoided by nurses? down.
(a) Belittling (b) Validating c. Give the client the prn antipsychotic that is
(c) Reflecting (d) Listening prescribed.
d. Leave the client alone in bed for as long as
50. A female patient is admitted in acute the client wishes.
psychiatric ward after a suicidal attempt.
54. A nurse is assisting with the
She says to you "Why am I still alive?
administration of electroconvulsive therapy
There is no valid reason for me to live in
(ECT) to a severely depressed client. What
this world. Whatever happened in my life
side effect of the therapy should the nurse
was a failure only. I am good for nothing". anticipate?
What would be your response that a. Loss of appetite
promotes therapeutic communication with b. Postural hypotension
this patient? c. Complete temporary loss of memory
(a) "You have many reasons to live for" d. Confusion immediately after the treatment
(b) "Why are you thinking in a negative way?"
(c) "You are depressed now. That's why you 55. A nurse is caring for a hyperactive, manic
are talking so" client who exhibits flight of ideas and is not
(d) "You have been feeling like a failure for eating. What may be the reason why the
a while?" client is not eating?
a. Feels undeserving of the food
51. The World Health Organization b. Is too busy to take the time to eat
identified mental illness as accounting for c. Wishes to avoid others in the dining room
what percentage of the global burden of d. Believes that there is no need for food at this
disease? time
(a) 23% (b) 80%
(c) 90% (d) 14%
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56. Which activity is most appropriate for a What term best reflects what the client is
nurse to introduce to a depressed client experiencing?
during the early part of hospitalization? a. Dissociation b. Somatization
a. Board game c. Stress response d. Anxiety reaction
b. Project involving drawing
c. Small aerobic exercise group 61. What characteristic of anxiety is
d. Card game with three other clients associated with a diagnosis of conversion
disorder?
57. What should a nurse include in the initial a. Free floating
plan of care for a client with the long- b. Relieved by the symptom
standing, obsessive-compulsive behavior of c. Consciously felt by the client
hand washing? d. Projected onto the environment
a. Determine the purpose of the ritualistic
behavior. 62. A nurse is discussing plans with a client
b. Limit the time allowed for the ritualistic who has decided to withdraw from alcohol.
behavior. What should the nurse recommend as one of
c. Suggest a symptom substitution technique to the most effective treatments for alcoholism?
refocus the ritualistic behavior. a. Individual or group psychotherapy
d. Develop a routine schedule of activities to b. Admission to an alcoholic unit in a hospital
reduce the need for the ritualistic behavior. c. Daily administration of disulfiram (Antabuse)
d. Active membership in Alcoholics
58. A nurse is caring for a client diagnosed Anonymous
with an obsessive- compulsive disorder. What
is the basis for the obsessions and 63. A client has the diagnosis of histrionic
compulsions? personality disorder. Which behavior should
a. Unconscious control of unacceptable feelings the nurse expect when assessing this client?
b. Conscious use of this method to punish a. Boastful and egotistical
themselves b. Rigid and perfectionistic
c. Acceptance of voices that tell them the c. Extroverted and dramatic
doorknobs are unclean d. Aggressive and manipulative
d. Fulfillment of a need to punish others by
carrying out an annoying procedure 64. Clients addicted to alcohol often use the
defense mechanism of denial. What is the
59. What is the priority discharge criterion reason why this defense is so often used?
for a client who is using ritualistic a. Reduces their feelings of guilt
behaviors? b. Creates the appearance of independence
a. Verbalizes positive aspects about the self c. Helps them live up to others' expectations
b. Follows the rules of the therapeutic milieu d. Makes them look better in the eyes of others
c. Intervenes to maintain increasing anxiety at a
manageable level 65. Delirium tremens is commonly seen in
d. Recognizes that hallucinations occur at times which one of these?
of extreme anxiety (a) alcohol abuse
(b) alcohol withdrawal
60. An anxious client reports experiencing (c) alcohol tolerance
pain in the abdomen and feeling empty and (d) alcohol dependence
hollow. A diagnostic workup reveals no
physical causes of these clinical findings.
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66. Abrupt withdrawal of barbiturate use 74. Best nursing intervention for a delusion
could cause a person to experience: patient with confusion at night time is to
(a) Ataxia (b) Urticaria (a) Keep patient next to nursing station
(c) Diarrhoea (d) Seizures (b) Use indirect light source
(c) Keep TV on
67. In following which is not a (d) Play soft music on
withdrawal symptom of alcohol
(a) Rum fits 75. Best method to treat schizophrenia
(b) delirium tremens (a) Psychotherapy
(c) Cirrhosis of liver (b) Drug therapy
(d) alcoholic hallucination (c) Psychotherapy + drug therapy
(d) Behavioural therapy
68. A 20 year old client was diagnosed with
dependent personality disorder. Which 76. The priority nursing intervention for a
behavior is most likely to be evidence of patient who is admitted with paranoid
ineffective individual coping: schizophrenia-
(a) Recurrent self-destructive behavior (a) Establish a structured daily routine
(b) Avoiding relationship (b) Plan a programme of self fulfilment
(c) Showing interest in solitary activities (c) Provide patient and others with
(d) Inability to make choices and safe environment
decision without advice (d) Do mini mental status examination
69. Fear of pain is referred as: 77. The desensitization method is utilized
(a) Acrophobia (b) Algophobia successfully by clients experiencing phobias.
(c) Agoraphobia (d) Xenophobia This method focuses on:
(a) Assertiveness training
70. Which factor does not activate human (b) Imagery
behavior? (c) Modeling
(a) Aggression (b) Power (d) Role playing
(c) Curiosity (d) Depression
71. Which of the following is exhibited by a 78. Systematic desensitization is introduced

mother with postpartum depression? by..
(a) Confusion (b) Hallucinations (a) John Hickley (b) Albert Ellis
(c) Delusions (d) Uncontrolled crying (c) Wolpe (d) Aaron Beck
72. Which of the following is not a symptom 79. Psychotherapeutic use of movement is
of depression? called
(a) Loss of interest in daily activities (a) dance therapy
(b) Delusion of guilt (b) relaxation therapy
(c) Suicidal ideas (c) recreational therapy
(d) Delusion of grandiosity (d) music therapy
73. An affective alteration symptom exhibited 80. Which of the following technique is used
by a patient with severe depression is: in psychotherapy?
(a) Apathy (b) Tearfulness (a) Dream analysis (b) ECT
(c) Anger (d) Social isolation (c) Projective (d) Narcotic need
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81. Types and techniques of psychosocial 89. Amphetamines are having all of the
therapy are all except: following actions except:
(a) Individual (b) Interpersonal (a) Mood elevation (b) Feeling of well being
(c) Intrapersonal (d) Group (c) Sedation (d) Increased alertness
82. The techniques of psychoanalysis includes 90. Librium is a:

the following, EXCEPT:- (a) Antimanic drug
(a) Exploration (b) Free association (b) Antidepressant drug
(c) Clay association (d) Transference (c) Tranquilizer drug
(d) Antiparkinson drug
83. Primary aim of psychiatric treatment is
to- 91. Nurse must observe one of the following
(a) Release the patients of symptoms. side effects in a patient who is on
(b) Return the patient to his home. antipsychotics
(c) Help the patient to make better (a) arrhythmia
psychosocial adjustment. (b) hypertension
(d) Prevent patient from becoming psychotic. (c) EPS
(d) anorexia, Electroconvulsive
84. Disulfiram is a drug used in treatment of-
92. Which of the following is not typical anti-
(a) Malaria (b) AIDS psychotic and does not have marked extra
(c) Alcoholism (d) Mania pyramidal side effects?
(a) Chlorpromazine (b) Fluphenazine
85. The alcohol sensitizing drug that is used (c) Clozapine (d) Haloperidol
for the treatment of alcoholism is
(a) Haloperidol (b) Disulfiram
(c) Carbamazepine (d) Phenobarbitone
93. What is the main side effect of ECT:
86. Anti-abuse therapy is used in: (a) Retrograde amnesia
(a) Opioid dependence (b) Fracture
(b) Alcohol abuse (c) Hypotension
(c) Cannabis dependence (d) Seizure
(d) Tobacco abuse.
94. A patient who is on haloperidol is
87. Treatment of ADHD involves the observed pacing and shifting weight from one
following drugs except: feet to another, which of the following is the
(a) Amphetamine client exhibiting?
(b) Antidepressants (a) Akathisia
(c) Barbiturates (b) Acute dystonic reaction
(d) Lithium carbonate (c) Parkinsonism
(d) Tardive dyskinesia
88. Which drug is the choice for Attention
Deficit Hyperactivity Disorder? 95. The most serious complication of a major
(a) Benzodiazepine (b) NS stimulant tranquilizer
(c) Anti-psychotics (d) Anticonvulsant (a) Parkinsonian symptom
(b) Photosensitivity
(c) Agranulocytosis
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(d) Hypotension ANSWER KEY, PAPER - 9
1. (A) 21. (A) 41. (B) 61. (B) 81. (C)
96. Neuroleptic drugs are also known as:
(a) Antiepileptics (b) Antipsychotics 2. (D) 22. (D) 42. (A) 62. (D) 82. (C)
(c) Hypnotics (d) Antidepressants 3. (D) 23. (C) 43. (A) 63. (C) 83. (C)
4. (C) 24. (D) 44. (B) 64. (A) 84. (C)

97. Psychotropic medications that block the
acetylcholine receptor may result in which of 5. (C) 25. (B) 45. (B) 65. (B) 85. (B)
the following side effects? 6. (A) 26. (D) 46. (C) 66. (D) 86. (B)
(a) Dry mouth (b) Sexual dysfunction
(c) Nausea (d) Priapism 7. (D) 27. (D) 47. (B) 67. (C) 87. (C)
8. (B) 28. (B) 48. (A) 68. (D) 88. (B)

98. Largectil in high doses is mostly given in
9. (C) 29. (A) 49. (A) 69. (B) 89. (C)
one of the following conditions
(a) Schizophrenia 10. (A) 30. (B) 50. (D) 70. (D) 90. (C)
(b) Exogenous depression 11. (D) 31. (D) 51. (D) 71. (D) 91. (C)
(c) Anxiety
(d) Endogenous depression 12. (B) 32. (B) 52. (A) 72. (D) 92. (C)
13. (D) 33. (A) 53. (A) 73. (A) 93. (A)
99. The nurse notes that a client with
schizophrenia and receiving an antipsychotic 14. (B) 34. (C) 54. (D) 74. (B) 94. (A)
medication is moving her mouth, protruding 15. (B) 35. (B) 55. (B) 75. (C) 95. (C)
her tongue, and grimacing as she watches
16. (A) 36. (B) 56. (B) 76. (C) 96. (B)
television. The nurse determines that the
client is experiencing which medication 17. (D) 37. (A) 57. (D) 77. (B) 97. (A)
complication? 18. (D) 38. (D) 58. (A) 78. (C) 98. (A)
a. Parkinsonism
b. Tardive dyskinesia 19. (B) 39. (A) 59. (C) 79. (A) 99. (B)
c. Hypertensive crisis 20. (B) 40. (D) 60. (B) 80. (A) 100. (B)
d. Neuroleptic malignant syndrome
100. A client who has been taking buspirone

(Buspar) for 1 month returns to the clinic for “कभी ये ित सोनचए नक आप अकेले हो,
a follow-up assessment. The nurse
determines that the medication is effective if
बश्कि ये सोनचए नक आप अकेले ही
the absence of which manifestation has काफी हो।”
occurred?
a. Paranoid thought process
b. Rapid heartbeat or anxiety
c. Alcohol withdrawal symptoms
d. Thought broadcasting or delusions
Contact: 9140012365, 8209125841 Page 77
5. A client diagnosed with delirium becomes
PAPER - 10 disoriented and confused at night. Which
intervention should the nurse implement
1. A hospitalized client has begun taking initially?
bupropion (Wellbutrin) as an antidepressant a. Move the client next to the nurse's station.
agent. The nurse understands that which is an b. Use an indirect light source and turn off
adverse effect, indicating that the client is the television.
taking an excessive amount of medication? c. Keep the television and a soft light on during do
a. Constipation the night.
b. Seizure activity d. Play soft music during the night, and maintain a
c. Increased weight well-lit room.
d. Dizziness when getting upright
6. A client is admitted to the mental health unit
2. A client gives the home health nurse a bottle with a diagnosis of depression. The nurse
of clomipramine (Anafranil). The nurse notes should develop a plan of care for the client that
that the medication has not been taken by the includes which intervention?
client in 2 months. Which behavior observed in a. Encouraging quiet reading and writing for
the client would validate noncompliance with the first few days
this medication? b. Identification of physical activities that will
a. Complaints of insomnia provide exercise
b. Complaints of hunger and fatigue c. No socializing activities, until the client asks to
c. A pulse rate less than 60 beats/minute participate in milieu
d. Frequent hand-washing with hot soapy water d. A structured program of activities in which the
client can participate
3. A client is scheduled for discharge and will
be taking phenobarbital sodium (Luminal) for 7. An adult is diagnosed with schizotypal
an extended period. The nurse would place personality disorder. How should a nurse
highest priority on teaching the client which describe the client's behavior?
point that directly relates to client safety? a. Rigid and controlling
a. Take the medication only with meals. b. Submissive and immature
b. Take the medication at the same time each day. c. Arrogant and attention seeking
c. Use a dose container to help prevent d. Introverted and emotionally withdrawn
missed doses.
d. Avoid drinking alcohol while taking this 8. A nurse is working in the orientation phase
medication. of a therapeutic relationship with a client who
has borderline personality disorder. What will
4. A client is admitted to a medical nursing unit be most difficult for the client at this stage of
with a diagnosis of acute blindness after being the relationship?
involved in a hit-and-run accident. When a. Controlling anxiety
diagnostic testing cannot identify any organic b. Terminating the session on time
reason why this client cannot see, a mental c. Accepting the psychiatric diagnosis
health consult is prescribed. Which condition d. Setting mutual goals for the relationship
will be the focus of this consult?
a. Psychosis 9. Increased suicidal tendency is associated
b. Repressions with alteration in the brain levels of:
c. Conversion disorder a. Noradrenaline b. Serotonin
d. Dissociative disorder c. Dopamine d. GABA
Contact: 9140012365, 8209125841 Page 78
10. A client is receiving haloperidol (Haldol) to 15. Most antipsychotic medications exert which
reduce psychotic symptoms. As he watches of following effects on the central nervous
television with other clients, the nurse notes system (CNS)?
that he has trouble sitting still. He seems a. Stimulate the CNS by blocking postsynaptic
restless, constantly moving his hands and feet dopamine, norepinephrine, and serotonin
and changing position. When the nurse asks receptors.
what is wrong, he says he feels jittery. How b. Sedate the CNS by stimulating serotonin at
should the nurse manage this situation? the synaptic cleft.
a. Ask the client to sit still or leave the room c. Depress the CNS by blocking the postsynaptic
because he is distracting the other clients. transmission of dopamine, serotonin, and nor-
b. Ask the client if he is nervous or anxious epinephrine.
about something. d. Depress the CNS by stimulating the release
c. Give, as needed, a dose of a prescribed of acetylcholine.
anticholinergic agent to control akathisia.
d. Administer, as needed, a dose of haloperidol 16. Sobbing and grunting would be forms of
to decrease agitation what kind of nonverbal messages?
a. Kinesis b. Paralanguage
11. Benztropine (Cogentin) is used to treat the c. Proxemics d. Appearance
extrapyramidal effects induced by
antipsychotics. This drug exerts its effect by: 17. Separation of a thought or memory from its
a. Decreasing the anxiety causing muscle rigidity. associated feeling or emotion is known as:
b. Blocking the cholinergic activity in the central (a) Intellectualisation (b) Projection
nervous system (CNS). (c) Isolation (d) Idolisation
c. Increasing the level of acetylcholine in the
CNS. 18. Unwanted thought with repetitive
d. Increasing norepinephrine in the CNS. ritual behaviour refer to
(a) Stress (b) Phobia
12. Somatoform disorders include which of the (c) OCD (d) Anxiety
following:
a. Conversion disorder 19. ADHD is a childhood disorder also known
b. Somatization disorder as
c. Hypochondriasis (a) Hyperkinetic disorder
d. All of these (b) Hypokinetic disorder
(c) Hyperactivity disorder
13. Which of the following is not a common (d) Hypoactive disorder
motor symptom in conversion disorder?
a. Paralysis b. Impaired balance 20. The client with antisocial personality
c. Urinary retention d. Double vision disorder:
(a) Suffers from a great deal of anxiety
14. What medication would probably be (b) Is generally unable to postpone gratification
ordered for the acutely aggressive (c) Rapidly learns by experience & punishment
schizophrenic client? (d) Has a great sense of responsibility
a. Chlorpromazine (Thorazine) towards others
b. Haloperidol (Haldol)
c. Lithium carbonate (Lithonate) 21. Mistrust of other people and constant
d. Amitriptyline (Elavil) unwarranted suspicion is seen in which of the
following personality disorder is?
(a) Antisocial personality disorder
(b) Paranoid personality disorder
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(c) Schizoid personality disorder b. At the same time each evening
(d) Schizotypal personality disorder c. Evenly spaced around the clock
d. As needed when the client complains
22. Which of the neurotransmitter is deficient of depression
in depression?
(a) Serotonin (b) SHT 30. The nurse is reviewing the assessment data
(c) Both (a) and (b) (d) GABA of a client admitted to the mental health unit.
The nurse notes that the admission nurse
23. The disease characterized by 4 A's of documented that the client is experiencing
Bleuler is- anxiety as a result of a situational crisis. The
(a) MDP (b) OCD nurse determines that this type of crisis could
(c) Schizophrenia (d) Delirium be caused by which event?
a. Witnessing a murder
24. The alcohol sensitizing drug that is used for b. The death of a loved one
the treatment of alcoholism is- c. A fire that destroyed the client's home
(a) Phenobarbitonew (b) Disalfiram d. A recent rape episode experienced by the client
(c) Carbamezapine (d) Haloperidol
31. The emergency department nurse is caring
25. Most severe withdrawl syndrome of alcohol for an adult client who is a victim of family
is- violence. Which priority instruction should be
(a) Delirium tremens included in the discharge instructions?
(b) Rum fits a. Information regarding shelters
(c) Cirrhosis of liver b. Instructions regarding calling the police
(d) Alcoholic hallucinosis c. Instructions regarding self-defense classes
d. Explaining the importance of leaving the
26. In following which is a clinical feature violent situation
of delirium-
(a) Clouding of consciousness 32. The nurse is planning care for a client being
(b) Disorientation admitted to the nursing unit who attempted
(c) Visual hallucination of suicide. Which priority nursing intervention
(d) All of the above should the nurse include in the plan of care?
a. One-to-one suicide precautions
27. In following which is a disorder of b. Suicide precautions with 30-minute checks
attention- c. Checking the whereabouts of the client every
(a) Amnesia (b) Paramnesia 15 minutes
(c) Distractibility (d) Delusion d. Asking the client to report suicidal
thoughts immediately
28. A psychiatric patient is able to understand
his symptoms, now we can say that- 33. Which type of therapeutic approach has the
(a) Insight is completely present in the patient characteristic that all team members are seen
(b) Insight is completely absent in the patient as equally important in helping clients meet
(c) Insight is partially present in the patient their goals?
(d) The patient has no psychiatric problem a. Milieu therapy
b. Interpersonal therapy
29. A client's medication sheet contains a c. Behavior modification
prescription for sertraline (Zoloft). To ensure d. Rational emotive therapy
safe administration of the medication, how
should the nurse administer the dose? 34. While being treated, a client is introduced
a. On an empty stomach to short periods of exposure to the phobic
Contact: 9140012365, 8209125841 Page 80
object while in a relaxed state. What term is (c) Paramnesia (d) Anemia
used to describe this form of behavior
modification? 42. Partially or completely absence of memory
a. Milieu therapy is known as-
b. Aversion therapy (a) Amnesia (b) Hypermnesia
c. Self-control therapy (c) Paramnesia (d) Anemia
d. Systematic desensitization
43. A mental disorder in which patient becomes
35. A client is admitted to the drug self critical and believes that he is a criminal, is
detoxification unit for cocaine withdrawal. known as-
What is the nurse's primary concern while (a) Delusion of persecution
working with clients withdrawing from (b) Delusion of grandeur
cocaine? (c) Nihilistic delusion
a. Risk for self-injury (d) Delusion of guilt
b. Potential for seizure
c. Danger of dehydration 44. A disorder of thought content in which
d. Probability of injuring others patient falsely believes that he is the prime
minister or he believes that he is very rich, this
36. Following are the examples of type of disorder is known as-
psychotrophic drugs except- (a) Delusion of persecution
(a) Risperidone (b) Lithium (b) Delusion of grandeur
(c) Deriphylline (d) Imipramine (c) Nihilistic delusions
(d) Delusion of guilt
37. Type of amnesia in which patient is unable
to recall the recent events, is known as- 45. Mental disorder hypochondriasis is defined
(a) Retrograde amnesia as-
(b) Anterograde amnesia (a) A false fixed belief, unrelated with
(c) Circumscribed amnesia person's intelligence level
(d) Paramnesia (b) A disorder in which patient is over conscious
about his bodily health
38. In following which is not an affect disorder- (c) Irrational fear of a specific type of stimulus
or situation
(a) Elation (b) Depression (d) Misinterpretation of stimulus
(c) Hallucination (d) Grief
46. A mental disorder in which patient finally
39. Excessive retention of memories is termed reaches his objective but only after many
as- unnecessary details, is termed as-
(a) Amnesia (b) Hypermnesia (a) Perseveration
(c) Paramnesia (d) Anemia (b) Verbigeration
(c) Circumstantiality
40. A psychiatric disorder in which the patient (d) Tangentiality
has two opposite feelings towards the same
thing at a same time, is known as- 47. Mental disorder phobia is defined as-
(a) Echolalia (b) Ambivalence (a) A false fixed belief, unrelated with person's
(c) Perseveration (d) Illusion intelligence level
(b) A disorder in which patient is over
41. In following which is not a memory conscious about his bodily health
disorder- (c) Irrational fear of a specific type of stimulus or
(a) Amnesia (b) Hypermnesia situation
Contact: 9140012365, 8209125841 Page 81
(d) Misinterpretation of stimulus The nurse understands that which is the
purpose of this approach?
48. In following which is not a thought a. Providing a supportive environment
disorder- b. Examining intrapsychic conflicts and past
(a) Perseveration (b) Verbigeration issues
(c) Circumstantiality (d) Tangentiality c. Emphasizing social interaction with clients
who withdraw
49. The nurse is monitoring a hospitalized d. Helping the client to examine
client who abuses alcohol. Which findings dysfunctional thoughts and beliefs
should alert the nurse to the potential for
alcohol withdrawal delirium? 54. The nurse employed in a mental health unit
a. Hypotension, ataxia, hunger of a hospital is the leader of a group
b. Stupor, lethargy, muscular rigidity psychotherapy session. What is the nurse's role
c. Hypotension, coarse hand tremors, lethargy during the termination stage of group
d. Hypertension, changes in level of development?
consciousness, hallucinations a. Acknowledging that the group has identified
goals
50. The nurse is planning activities for a client b. Encouraging the accomplishment of the
diagnosed with bipolar disorder with group's work
aggressive social behavior. Which activity c. Acknowledging the contributions of each
would be most appropriate for this client? group member
a. Chess b. Writing d. Encouraging members to become
c. Ping pong d. Basketball acquainted with one another
51. The nurse is conducting a group therapy 55. A client has been receiving oxycodone
session. During the session, a client diagnosed (OxyContin) for moderate pain associated with
with mania consistently disrupts the group's multiple injuries sustained in a motor vehicle
interactions. Which intervention should the collision. The client has returned three times
nurse initially implement? for refills of the prescription. What behavior,
a. Setting limits on the client's behavior in addition to the client's slurred speech, leads
b. Asking the client to leave the group session the nurse to suspect opioid intoxication?
c. Asking another nurse to escort the client out a. Mood ability
of the group session b. Hypervigilance
d. Telling the client that they will not be able to as c. Constricted pupils
attend any future group sessions d. Increased respirations
52. A client is unwilling to go out of the house 56. A client is responding within an hour of
for fear of "making a fool of myself in public." receiving naloxone to combat respiratory
Because of this fear, the client remains depression from an overdose of heroin. Why
homebound. Based on these data, which mental should a nurse continue to closely monitor this
health disorder is the client experiencing? client's status?
a. Agoraphobia b. Social phobia a. The drug may cause peripheral neuropathy.
c. Claustrophobia d. Hypochondriasis b. Naloxone and heroin when combined can cause
cardiac depression.
53. When a client is admitted to an inpatient c. Symptoms of the heroin overdose may return
mental health unit with the diagnosis of after the naloxone is metabolized.
anorexia nervosa, a cognitive behavioral d. Hyper excitability and amnesia may cause the
approach is used as part of the treatment plan. client to thrash about and become abusive.
Contact: 9140012365, 8209125841 Page 82
57. What is the primary nursing concern when (d) All of above
caring for a client who is grossly impaired by
stimulants? 64. Type of personality in which an individual
a. Drowsiness b. Seizure activity feels helplessness, hopelessness and always
c. Fluid imbalance d. Suicidal ideation blaming themselves-
(a) Cyclothymic (b) Hypomanic
58. While a client is attending an Alcoholics (c) Melancholic (d) Paranoid
Anonymous (AA) meeting, a nurse talks with
the client's spouse about the purpose of AA. 65. Circumstantiality is the disorder of-
What is the priority goal of this self-help (a) Orientation (b) Perception
group? (c) Memory (d) Thought
a. Change destructive behavior.
b. Develop functional relationships. 66. Which of the following mental disorder is
c. Identify how they present themselves to others. characterized by stereotype movement-
d. Understand their patterns of interacting within (a) Mannerism (b) Catalepsy
the group. (c) Verbigeration (d) Negativism
59. What should a nurse identify as the most 67. A mental disorder characterized by
important factor in rehabilitation of a client stereotype speech is-
addicted to alcohol? (a) Mannerism (b) Illusion
a. Motivational readiness (c) Verbigeration (d) Negativism
b. Availability of community resources
c. Accepting attitude of the client's family 68. In following which is not a disorder of
d. Qualitative level of the client's physical state motor activity-
(a) Mannerism (b) Compulsion
60. What characteristic of the environment is (c) Automatism (d) Delusion
most therapeutic for clients with the diagnosis
of bulimia nervosa? 69. Disorder of consiousness in which the
a. Controlling patient remains motionless and mute, is-
b. Empathetic (a) Confusion
c. Focused on food (b) Clouding of consciousness
d. Based on realistic limits (c) Hallucination
(d) Stupor
61. Type of personality in which an individual
is outgoing, cheerful and full of energy is- 70. A mental disorder in which a person feels
(a) Cyclothymic (b) Hypomanic that lice are crawling on his arm. But in
(c) Melancholic (d) Paranoid actually there are no lice on his skin. The
person is suffering from-
62. Type of personality in which an individual (a) Auditory illusion
has alternating periods of elation and (b) Auditory hallucination
depression is- (c) Tactile illusion
(a) Cyclothymic (b) Hypomanic (d) Tactile hullucination
(c) Melancholic (d) Paranoid
71. A client is diagnosed with an adjustment
63. Features of atheletic personality are- disorder with mixed anxiety and depression.
(a) Thin, round, happy, very social What should the nurse anticipate as the client's
(b) Thin body built, tall, social lacking emotions primary problem?
(c) Muscular built, strong body, very active, a. Low self-esteem
aggressive and success oriented b. Deficient memory
Contact: 9140012365, 8209125841 Page 83
c. Intolerance to activity d. defense mechanisms.
d. Disturbed personal identity
77. The nurse should instruct the patient with
72. A nurse begins a relationship with a client Parkinson's disease to avoid which of the
with the diagnosis of schizotypal personality following?
disorder. What is the best initial nursing a. Walking in an indoor shopping mall
action? b. Sitting on the deck on a cool summer evening
a. Set limits on manipulative behavior. c. Walking to the car on a cold winter day
b. Encourage participation in group therapy. d. Sitting on the beach in the sun on a summer
c. Respect the client's need for social isolation. day
d. Recognize that seductive behavior is expected.
78. The initial nursing intervention for the
73. A hospitalized client who was diagnosed significant others during shock phase of a grief
with a borderline personality disorder reaction should be focused on:
consistently breaks the unit's rules. How will a. Presenting full reality of the loss of the
confronting the client about this behavior help individuals
the client? b. Directing the individual's activities at this time
a. Controls anger c. Staying with the individuals involved
b. Reduces anxiety d. Mobilizing the individual's support system
c. Sets realistic goals
d. Becomes more self-aware 79. A man hits his neighbor. Next day, he feels
that police is behind him and his brain is being
74. Evaluation of clients with anorexia nervosa controlled by radio waves by his neighbor. The
requires reassessment of behaviors after probable diagnosis is:
admission. Which finding indicates that the a. OCD
therapy is beginning to become effective? b. Passive feeling
a. Food is hidden in pockets of clothing c. Thought insertion
b. Statement that the hospitalization has been d. Delusion of persecution
helpful 80. The cognitive changes during old age
c. Weight gain of six pounds since admission 3 mostly affect which of the following aspects?
weeks ago a. Emotion b. Memory
d. Remains in the dining room eating for 1 hour c. Sentiment d. Intelligence
after others have left
81. Parkinson's disease is caused by:
75. The nurse assesses a client with the a. Hereditary factors
diagnosis of bipolar disorder, manic episode. b. Death of brain cells due to old age
Which clinical findings support this diagnosis? c. Impairment of dopamine producing cells in the
Select all that apply. brain
a. Passivity b. Dysphoria d. Demyelination of the nerve cells
c. Anhedonia d. Grandiosity
82. A client diagnosed with AIDS becomes
76. In the process of development the confused and has fluctuating memory loss,
individual strives to maintain, protect, and difficulty in concentration, and diminished
enhance the integrity of the self. The nurse motor speed. Which would be the probable
determines that this usually is accomplished cause of this client's symptoms?
through the use of a. Impaired immune response
a. affective reactions. b. Persistent generalized lympha-denopathy
b. withdrawal patterns. c. Kaposi sarcoma
c. ritualistic behaviors. d. AIDS dementia complex
Contact: 9140012365, 8209125841 Page 84
department nurse must ensure that the client
83. Kailash approached nurse asking for advice understands which of the following?
on how to deal with his alcohol addiction. a. Results of treatment are rapid and dramatic but
Nurse should tell the client that the only may not last
effective treatment for alcoholism is: b. Although uncomfortable, this reaction isn't
a. Psychotherapy serious
b. Alcoholics anonymous c. The client shouldn't buy drugs on the street
c. Total abstinence d. The client must take benztropine (Cogentin)
d. Aversion therapy as prescribed to prevent a return of symptoms.
84. Which of the following assessments would 89. Since admission, 4 days ago, a client has
provide the best information about the client's refused to take a shower stating, "There are
physiologic response and the effectiveness of poison crystals hidden in the showerhead. They
the medication prescribed specifically for will kill me if I take a shower! Which nursing
alcohol withdrawal? action is the most appropriate?
a. Sleeping pattern b. Mental alertness a. Dismantling the showerhead and showing the
c. Nutritional status d. Vital signs client that there is nothing in it
b. Explaining that other clients are complaining
85. A nurse administers a unit of blood to a about the client's body odor
client without receiving informed consent. c. Asking a security officer to assist in giving the
Performing a procedure, such as administering client a shower
blood products, without receiving informed d. Accepting these fears and allowing the client to
consent can lead to which of the following take a sponge bath
charges?
a. Assault and battery 90. When an individual expresses his failures
b. Fraud and difficulties by blaming others is known:
c. Breach of confidentiality (a) Repression (b) Projection
d. Harassment (c) Sublimation (d) Denial
86. After administering naloxone (Narcan), an 91. The series of processes by which an
opioid antagonist, Nurse Ronald should individual maintains a satisfactory equilibirum
monitor the female client carefully for which of with his world-
the following? (a) Personality (b) Projection
a. Respiratory depression (c) Behaviour (d) Adjustment
b. Epilepsy
c. Kidney failure 92. Which of the following terms is directly not
d. Cerebral edema associated with psychiatric nursing-
(a) ECT (b) Eclampsia
87. Which of the following activities would a (c) Elation (d) Phobia
nurse recommend to the client, who becomes
very anxious when thoughts of suicide occur? 93. A patient has following features i.e. more
a. Using exercise bicycle talkative, uses playful languages and tries to do
b. Meditating many activities at a time. The patient is
c. Watching TV suffering from -
d. Reading comics (a) Schizophrenia (b) Depressive attack
(c) Manic attack (d) Delirium
88. When discharging a client after treatment
for a dystonic reaction, the emergency 94. An unpleasurable reaction to a real or
threatened situation is termed as-
Contact: 9140012365, 8209125841 Page 85
(a) Fear (b) Anxiety
(c) Apathy (d) Ambivalence ANSEWR KEY, PAPER - 10
95. In following which is an un-pleasurable 1. (B) 21. (B) 41. (A) 61. (B) 81. (C)
affect disorder- 2. (D) 22. (C) 42. (A) 62. (A) 82. (D)
(a) Exaltation (b) Ecstasy
3. (D) 23. (C) 43. (D) 63. (C) 83. (C)
(c) Depression (d) All
4. (C) 24. (B) 44. (B) 64. (C) 84. (D)
96. A pleasurable affect disorder in which
5. (B) 25. (A) 45. (B) 65. (D) 85. (A)
person has symptoms of grandiosity, is-
(a) Elation (b) Exaltation 6. (D) 26. (D) 46. (C) 66. (A) 86. (A)
(c) Grief (d) Euphoria
7. (D) 27. (C) 47. (C) 67. (C) 87. (A)
97. In following which is not a pleasurable 8. (D) 28. (A) 48. (B) 68. (D) 88. (D)
affect disorder- 9. (B) 29. (B) 49. (D) 69. (D) 89. (D)
(a) Elation (b) Exaltation
(c) Grief (d) Euphoria 10. (C) 30. (B) 50. (B) 70. (D) 90. (B)
11. (B) 31. (A) 51. (A) 71. (A) 91. (D)
98. Irrational pathological fear of pain, is
known as- 12. (D) 32. (A) 52. (B) 72. (C) 92. (B)
(a) Hydrophobia (b) Algophobia 13. (D) 33. (A) 53. (D) 73. (D) 93. (C)
(c) Acrophobia (d) Xenophobia
14. (B) 34. (D) 54. (C) 74. (C) 94. (A)
99. Irrational pathological fear of strangers, 15. (C) 35. (A) 55. (C) 75. (D) 95. (C)
is termed as-
(a) Agrophobia (b) Zoophobia 16. (B) 36. (C) 56. (C) 76. (D) 96. (B)
(c) Algophobia (d) Xenophobia 17. (C) 37. (B) 57. (B) 77. (D) 97. (C)
100. "Delusion of negation" is also known as- 18. (C) 38. (C) 58. (A) 78. (C) 98. (B)
(a) Delusion of persecution 19. (A) 39. (B) 59. (A) 79. (C) 99. (D)
(b) Delusion of grandeur
20. (B) 40. (B) 60. (D) 80. (B) 100. (C)
(c) Nihilistic delusions
(d) Delusion of guilt
“हौसले के तरकि िें कोनिि का वो तीर

नजिंदा रखो, हार जाओ चाहे नजिंदगी िें
सब कुछ िगर नफर से जीत े की उम्मीद
नजिंदा रखो।”
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Success Point Nursing Classes Varanasi

A Dedicated Institute for Nursing Competitive Exams

1. In following which is the commonest 7. The condition in which the use of a

49. Standards of mental health practices 55. Which of the following is an

4. (D) 24. (C) 44. (D) 64. (A) 84. (D)

9. (A) 29. (D) 49. (B) 69. (D) 89. (A)

99. Written consent is obtained prior to “न िं दा से घबराकर अप े लक्ष्य को ा

100. In which year the psychiatric nursing

38. Long term emotional response to an 45. Opoid is derived from –

70. Reduced speech production is termed 76. An important aspect of nurse-

83. Tri-hexyl phenidyl is a-

95. The primary aim of psychiatric

“सफलता पा े के नलए हिें पहले यह 6. All of following are types of Delusions

7. Persistently repeating the same word or

2. In oculogyric crisis- 10. Which group of drugs also known

100. When teaching a patient, who has a

1. Which of the following comments, if 8. Learning is defined as:

71. Antidote for methanol: 79. In a situation, in which a person is faced

3. (C) 23. (C) 43. (C) 63. (B) 83. (C)

6. The brunt of illness in Schizophrenia, is

93. The most common degenerative changes 100. What is "sundowning"

94. Causes of delirium are:

21. Which of these nursing actions belongs 25. Hospitalization or day-treatment

49. Which of the following is an example of 54. Deficiency of which of the

3. (D) 23. (B) 43. (D) 63. (B) 83. (A)

36. A state of diminished consciousness in 43. A rare condition in which separate

71. Which of the following is exhibited by a 78. Systematic desensitization is introduced

82. The techniques of psychoanalysis includes 90. Librium is a:

4. (C) 24. (D) 44. (B) 64. (A) 84. (C)

8. (B) 28. (B) 48. (A) 68. (D) 88. (B)

100. A client who has been taking buspirone

“हौसले के तरकि िें कोनिि का वो तीर

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