Psychiatric Nursing (Post-Lecture Examination)

1/27/24, 11:10 PM Psychiatric Nursing (Post-Lecture Examination)
Psychiatric Nursing (Post-Lecture

Examination)
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* Indicates required question
GENERAL INSTRUCTIONS: Read and analyze the questions carefully before

answering. Select the SINGLE BEST ANSWER/RESPONSE and choose the letter that
correspond to your answer.
1. Which phase of the nurse-patient relationship is the nurse promoting * 1 point

patient’s verbalization of feelings?
Pre-orientation phase
Orientation phase
Working phase
Termination phase
https://docs.google.com/forms/d/e/1FAIpQLSfsn7wx-pUfVdOMl35XgDENUl-INXBzuWjvnSxJJksVWV6kew/formResponse 1/19
2. Which of the following behaviors will the nurse consider as a challenge * 1 point
during the termination phase?
Patient transferring to the nurse their feelings regarding a significant other
The patient acting like their symptoms have not been addressed
The patient not wanting to interact with the nurse
The nurse having misconceptions and preconceived judgment to the patient
3. A person who got their heart broken by a basketball athlete proceeds to * 1 point
claim that all people who play basketball are trash. What ego defense
mechanism is this person manifesting?
Generalization
Reaction formation
Splitting
Undoing
4. A person who just lost their mother proceeds to choose not to think * 1 point
about the incident because they were preparing for the board exams. What
ego defense mechanism is this person manifesting?
Denial
Repression
Dissociation
Suppression
5. A male who is attracted to fellow males bullies those who are effeminate * 1 point
and is part of the LGBT community. What ego defense mechanism is this
person using?
Reaction formation
Undoing
Displacement
Projection
6. A nurse who mentions words such as “go on,” “you can proceed,” or “I’m * 1 point
listening.” is utilizing which therapeutic communication technique?
Showing attention
Broad opening
Silence
General leads
7. The nurse’s reply to a patient who mentioned: “I feel pressured to finish * 1 point
my tasks” is “It seems like you are stressed with your workload” is using
what therapeutic communication technique?
Translating into feelings
Reflecting
Making observations
Restating
8. Which element of verbal communication indicates that the nurse was * 1 point
able to deliver the message intended?
The nurse speaking in clear detail
The environment is quiet and is free from distractions
The nurse listening to the patient
The patient saying “I understand”
9. The nurse who pats the patient’s shoulder to convey camaraderie or * 1 point
rubbing the patient’s back to comfort them is utilizing which nonverbal

communication technique?
Haptics
Proxemics
Kinetics
Paralanguage
10. What is considered a therapeutic distance when interacting with a * 1 point
patient?
0-1 feet
2-4 feet
3-6 feet
5-10 feet
11. The mother of a terminally-ill patient with cancer talks to the doctor and * 1 point
nurse stating, “Maybe there’s something else we can do? What if we try a
new therapy that you guys have not done yet?” is at what stage of grief?
Anger
Bargaining
Depression
Acceptance
12. Which of the following interventions is appropriate for the nurse to * 1 point
perform for a patient who is at the acceptance stage of grief?
Work towards ending the contract with the patient
Allow the client to express feelings and convey caring by touch
Give verbal support to the client
Explain to the family and friends that the patient may want to spend time alone
13. A man wants to grieve the loss of a woman who he is sleeping with * 1 point
behind her husband’s back. However, he cannot show his feelings to his
wife and kids. What type of grief is the man experiencing?
Anticipatory grief
Complicated grief
Unresolved grief
Disenfranchised grief
14. Which of the following statements best describes the function of the id? * 1 point
The moral compass of a person which composes of socially and morally acceptable
values
The person’s innermost desires and impulses
The behavior of a person as a result of satisfying their impulse while being socially
acceptable
The mediating force between their primal urges and conscience
15. After listening to a patient’s concern, the nurse mentions “I think you * 1 point
should choose what you feel like will be the best for you.” Is the nurse’s
response therapeutic?
Yes. They are promoting the patient’s autonomy
No. The nurse gave advice.
Yes. They did not choose for the patient.
No. The nurse should decide what is best for the patient.
16. A nurse who mentioned “when life gives you lemons, make lemonades” * 1 point
to a patient who is sharing about their challenges is an example of which
non-therapeutic communication techniques?
Stereotyping
Advising
Rejecting
Probing
17. Which of the following is true regarding crisis? * 1 point
All crises should be prevented
All crises are psychologically damaging to a person
All persons respond negatively to a crisis
A crisis can be caused by both expected and unexpected events
18. Which of the following can be classified as situational crisis? * 1 point
Taking the board exams
Failing the board exams
A super typhoon
Genocide in Palestine
19. How should a nurse interact with a patient experiencing a crisis? * 1 point
Calm and soothing voice
Specific and directive commands
Letting the patient solve the problem on their own
The approach to a patient should be based on their presenting behavior post-crisis
20. What is the goal of crisis intervention? * 1 point
To solve the problems for the patient
To relieve the patient’s negative feelings
To prioritize the patient’s families
To redirect the patient’s attention to the current situation
21. When a patient experiences stress, what is the physiological * 1 point

mechanism responsible for their physical symptoms?
Sympathetic nervous system
Parasympathetic nervous system
Autonomic nervous system
Somatic nervous system
22. A female adolescent approached you in the school health clinic and * 1 point
mentions that they are sexually attracted to other females. With your
knowledge on the appropriate interventions to assist their development,
what is the theoretical basis to addressing the development of this child?
The child may is at-risk for role confusion in the identity vs. role confusion stage of
Erikson’s theory
The child must be given a chance to experience relationships with the sex similar
and opposite to them.
The child has regressed to the latency stage as they are preoccupied with bonding to
their same sex as compared to the opposite sex.
The child must be redirected to activities with males and their parents must be
informed
23. What aspect of the adolescent’s sexuality is her concern revolving * 1 point
around?
Sexual orientation
Gender identity
Gender expression
Sex, assigned at birth
24. Which of the following is not considered to be a part of a person’s * 1 point

possible sexual orientation?
Homosexuality
Androgynous
Heterosexuality
Bisexuality
25. Patient Maria is an 18-year old transgender male who is admitted for * 1 point
counseling prior the initiation of his gender reassignment. All demonstrate
that nurse Pedro is adept in using gender-sensitive communication, except
which statement?
"Good afternoon, Ma'am Maria. I would like to ask what pronouns you would prefer
that we use?"
"As a transgender male, do you have a partner?"
"What do you identify as?"
"Good afternoon! I can see that your given name is Maria. Are you comfortable with
us calling you that?"
26. After asking what happened to the patient as to why they were * 1 point
admitted, the patient replied:
“He rained the train brain grain strain the crane.”
The nurse documents this response as:
Schizophasia
Clang association
Neologism
Stilted language
27. When asked by the head nurse how the nurse was able to identify that * 1 point
their patient is experiencing perseveration, the nurse states that it is
because:
The patient only replies to me using words
The patient keeps repeating what I say
The patient only wants to talk about their foot
The patient’s only reply to me is “If there’s a will, there’s a way”
28. After 30 minutes of talking about the history of their partner’s love life, * 1 point
the patient answers that they feel devastated after being asked how they
are, the nurse knows that the patient just demonstrated:
Tangentiality
Flight of ideas
Looseness of association
Circumstantiality
29. An admitted patient with major depressive disorder has only * 1 point
consistently shown a depressed mood for the past week since the nurse
met them. The nurse documents this patient as having which affect
disturbance?
Restrictive affect
Flat affect
Blunt affect
Labile affect
30. Which of the following interventions would be most helpful to a client * 1 point
who manifests that they are starting to forget their long-term memories?
Always inform the patient of the time, date, and the place where they are
Tell the patient that they have nothing to worry about
Challenge the patient to recall their memories even if they mention they really cannot
Ask the patient to bring an item that is memorable to them
31. Which of the following statements of a patient indicate that they are * 1 point
experiencing anxiety?
I feel restless about my interview tomorrow
I feel uneasy about my schedule next week
I am scared of my boss
I want to cry about what happened to me last night
32. The nurse knows that the best time to provide health teaching to a * 1 point
patient is when they experience what level of anxiety?
The patient should be free from anxiety to facilitate the best learning
Experiencing mild anxiety
Undergoing moderate anxiety
When the patient is panicking
33. A patient whose head and chest is pounding and wants to vomit is * 1 point
experiencing what level of anxiety?
Mild anxiety
Moderate anxiety
Severe anxiety
Panic anxiety
34. Which of the following interventions by a nurse will be the most * 1 point
effective for a patient who is experiencing moderate anxiety?
Remain with the client and address the physical symptoms first
Ask a patient to verbalize their anxiety
Put the patient in a quiet, non stimulating room to decrease exposure to stimulus
Redirect and refocus the patient to other tasks
35. When must a nurse first administer intramuscular anxiolytics to help a * 1 point
patient deal with their own anxiety?
Mild anxiety
Moderate anxiety
Severe anxiety
Panic anxiety
36. What is the difference between panic disorders and anxiety disorders? * 1 point
Both patients feel uneasy about what they feel
Anxiety is a general feeling while panic is a specific feeling
Anxiety disorders are diagnosed if the patient feels such for more than 6 months
Panic disorders occur without a stimulus while anxiety disorders do
37. Which of the following best describes a panic disorder? * 1 point
The patient is worried about their unexpected panic attacks
Patient is indifferent about their disorder
The patient experiences frequent panic attacks
The patient experiences physical symptoms of panic such as palpitations, sense of

suffocation, and abdominal distress
38. After the client’s session, they mention that their psychiatrist asked him * 1 point
to express his anxiety, the thoughts causing the feeling, helped him
recognize the reality behind his thoughts, and was asked to create a plan to
address his thoughts based on reality. The nurse recognizes that the client
underwent which therapy?
Cognitive behavioral therapy
Grounding therapy
Relaxation technique
Catharsis
39. What is the nurse’s priority to a patient who is experiencing panic? * 1 point
Remain with the client
Call a physician
Ensure a safe environment
Touch the patient
40. What statement by a patient to be discharged with a prescription of * 1 point

benzodiazepines indicates that they need further education?
I need to avoid drinking alcohol and driving alone, especially at night
I expect that this drug will solve my anxiety
I should not suddenly stop taking the drug
It may take weeks before I experience the effects of this drug
41. Which of the following best describes that the patient is experiencing * 1 point
functional neurologic deficit disorder?
The patient’s physical complaints have no organic cause
A patient’s anxiety and worry starts and make the symptoms worse
The patient knows when they want and not want to feel the symptom
The patient is not alarmed about their sudden loss of vision
42. What symptom indicates that the patient has anorexia nervosa? * 1 point
The patient is aware of their eating disorder
The patient binges food and then purges it
The patient is an adolescent
The patient has a decreased body mass index
43. Which of the following interventions will most likely help a patient with * 1 point
anorexia nervosa?
Administer nutrition via an intravenous line
Ask a patient to eat with others to motivate them to eat properly as well
Give privacy to the patient to process their emotions after eating
Help a patient relieve their anxiety associated with their eating habits
44. Which description would best fit a client who has a schizoid personality * 1 point
disorder?
The patient’s manner to keep their relationships with others is to threaten them by
hurting themselves
The patient has a constant need for admiration and importance
The patient avoids social relationships because they are scared of being criticized
The patient prefers to be isolated from other people
45. When asked by the significant other of a patient with dependent * 1 point
personality disorder about the plan of care for the patient, the nurse who
mentions this statement indicates that they need to revise their care plan?
The patient would most likely undergo behavioral therapy
One of the focuses for this patient is for them to be able to create and maintain
meaningful and stable relationships with others
A goal for this patient is for them to find work best suited for their situation
The healthcare team will work towards integrating the client’s life for their best
functioning inside our institution
46. Which neurotransmitters are altered in a patient with mood disorders, * 1 point
such as bipolar disorder?
Norepinephrine and dopamine
Dopamine and serotonin
Norepinephrine and serotonin
Acetylcholine and dopamine
47. Which of the following manifestations of a patient will indicate that the * 1 point
healthcare team will need to intensify their suicide precautions?
The patient cries and is sad most of the time
The patient shouts at their bed because of irritation
The patient calls their loved ones saying sorry
The patient is talking to the nurse about their feelings
48. What is the most therapeutic reply of a nurse to a patient who mentions * 1 point
that they want to end their life soon?
How do you want to kill yourself?
Do not talk about that. There are better things to look forward to in life.
What else do you feel?
Let me talk to my supervisor about that?
49. A patient who punches the nurse out of their anger is at what stage of * 1 point
the assault cycle?
Triggering
Escalation
Crisis
Recovery
50. What is an important consideration that the nurse should take note of * 1 point
for patients who are restrained?
Seclusion or restraints can be used whenever the client is uncooperative.
The client can be secluded or restrained in their own room.
Seclusion or restraints is a humane nursing intervention,
The client loses their right to refuse treatment when seclusion or restraint is needed.
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1/27/24, 11:10 PM Psychiatric Nursing (Post-Lecture Examination)

Psychiatric Nursing (Post-Lecture

* Indicates required question

GENERAL INSTRUCTIONS: Read and analyze the questions carefully before

1. Which phase of the nurse-patient relationship is the nurse promoting * 1 point

Patient transferring to the nurse their feelings regarding a significant other

The patient not wanting to interact with the nurse

The nurse having misconceptions and preconceived judgment to the patient

Translating into feelings

able to deliver the message intended?

The nurse speaking in clear detail

The environment is quiet and is free from distractions

The nurse listening to the patient

The patient saying “I understand”

rubbing the patient’s back to comfort them is utilizing which nonverbal

10. What is considered a therapeutic distance when interacting with a * 1 point

perform for a patient who is at the acceptance stage of grief?

Work towards ending the contract with the patient

Allow the client to express feelings and convey caring by touch

Give verbal support to the client

The person’s innermost desires and impulses

The mediating force between their primal urges and conscience

Yes. They are promoting the patient’s autonomy

No. The nurse gave advice.

Yes. They did not choose for the patient.

17. Which of the following is true regarding crisis? * 1 point

All crises should be prevented

All crises are psychologically damaging to a person

All persons respond negatively to a crisis

A crisis can be caused by both expected and unexpected events

18. Which of the following can be classified as situational crisis? * 1 point

Taking the board exams

Failing the board exams

Calm and soothing voice

Specific and directive commands

Letting the patient solve the problem on their own

The approach to a patient should be based on their presenting behavior post-crisis

20. What is the goal of crisis intervention? * 1 point

To solve the problems for the patient

To relieve the patient’s negative feelings

To prioritize the patient’s families

To redirect the patient’s attention to the current situation

21. When a patient experiences stress, what is the physiological * 1 point

Sympathetic nervous system

Parasympathetic nervous system

Autonomic nervous system

Somatic nervous system

Sex, assigned at birth

24. Which of the following is not considered to be a part of a person’s * 1 point

"As a transgender male, do you have a partner?"

"What do you identify as?"

“He rained the train brain grain strain the crane.”

The nurse documents this response as:

The patient only replies to me using words

The patient keeps repeating what I say

The patient only wants to talk about their foot

The patient’s only reply to me is “If there’s a will, there’s a way”

Tell the patient that they have nothing to worry about

Ask the patient to bring an item that is memorable to them

I feel restless about my interview tomorrow

I feel uneasy about my schedule next week

I want to cry about what happened to me last night

Experiencing mild anxiety

Undergoing moderate anxiety