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In caring for hyperactive patient the nurse should be alert for the following symptoms:
C. Social isolation.
A patient says, my car is red, your hair is short, my socks are gold, my wife's cooking is awful, she burns. '' This is called:
A. Ward salad.
B. Flight of idea.
What is the best room assignment for a client with bipolar, manic phase?
A. Alone at the end of the hall:
B. Alone, nearest the nurse stations.
C. What another bipolar client at the end of the hall.
D. With a depressed client near the nurse station.
Which activity would be most therapeutic for challenging the client's hyperactive behavior?
A. Lead some group activity.
B. Clean his room and the day room.
C. Read to other patients.
D. Exercise and move about as much as possible.
The therapeutic relationship is enhanced when staff member uses verbal and non verbal communication to:
A. Give attention and recognition to patients.
B. Foster patient self esteem.
C. Indicate understanding.
D. Communicate a feeling of acceptance and security.
Which cognitive change would the nurse expect on client with Alzheimer's disease?
A. Loss of recent memory.
B. Total memory loss.
C. Loss of remote memory.
D. No memory loss.
9. The most important action for the care a schizophrenic client:
Planning a daily schedule for the client to follow.
Attending education class on hygiene & illness.
Establishing goals & objectives.
Promoting individual therapy.
10. In crisis the aim of intervention is to:
A. Rearrange the life elements of the people involved.
B. Provide treatment for long as possible.
C. Offer support & explore alternatives.
D. A void old lies because these led up to the crisis.
Principles are best defined as:
The following are true about a therapeutic relation except:
A. It considers the social needs & problem.
B. Is directed toward specific goals.
C. Is focused on the patient needs & problems.
D. It has clearly defined parameters.
15. Different factors affecting crisis include all the following except:
A. The persons try to handle the event.
B. In ability to cope.
C. Most crisis are long in duration.
D. The crisis occurs suddenly.
16. The following factors would increase a patients potential for suicide except:
A. Low socioeconomic class.
B. Borderline personality disorder.
C. Being divorced.
D. Being male 60 years or older.
19. Activities which are therapeutic for overactive patient are:
A. Puzzles, cards, and checkers.
B. Writing, finger painting, and modeling clay.
C. Sewing, weaving, and puzzles.
D. Knitting, ceramics, and puzzles.
20. Establishing a therapeutic relation with the suicidal patient contributed to all of the following except:
A. The patient feeling of self worth
B. The patient desire to live.
C. A feeling of being over protected and dependent.
D. The patient beliefs that others want him to live.
12. Children with attention deficit hyperactivity disorder ( ADHD) are usually referred for treatment of the following problems except:
Difficulty in learning leading to school failure.
Difficulty relating to peers.
Difficulty complying with adult requests and command.
Negativistic, defiant, and hostile behavior.
22. Recommendation for parents of a child with ADHD would include which of the following:
Give the child clear and simple direction
Talk to the child for at least one hours each day.
Encourage more peer interaction for the child.
Encourage the parents to plan more family activities.
23. Counseling many be concerned with:
Addressing and resolving specific problem.
Developing insight and knowledge.
Improving relationship with other.
All the above.
24. One of the first psycho stimulants used and abused illegally:
27. The nutritious diet for manic patient should include all of the following except:
A. High calorie.
B. High salt.
C. Supplemental feeding.
D. High protein.
28. The nurse's discharge planes for a patient who has a diagnosis of depression
should include discussion of:
Out patient services.
29. Patients with obsessive compulsive behavior will be helped to decrease their harmful act by:
A. Substituting safe environment.
B. Restraining them.
C. Restricting all activities.
D. Encouraging them to react to it.
30. Many clients with schizophrenia often experience opposite emotions simultaneously. The nurse recognizes this phenomena as:
A. Double bind.
C. Loss associations.
D. Inappropriate affect.
1- The nurse observed that the patient suffers from rapid abrupt changes in his emotional state, unrelated to external stimuli. The psychiatric term that best describes this symptom is:
a. Irritable mood b. Euphoria
c. Labile affect d. Apathy
5-Characteristics of mentally health person means that he:
a. Feels comfortable about himself
b. Feels right about other people
c. Is able to meet the life demands
d. All the above
6-When counselling families encountering problems, it is most important for the nurse to be:
a. Honest intention to help
b. Communicating on approachable manner
c. Able to demonstrate the acceptance of others as individual.
d- All the above
Child identifies with the parent of the same sex and starts to take on the values and standards of his or her parents during the:
a) Oral stage c) Phallic stage
b) Anal stage d) Genital stage
10- Which stage of growth and development is basically concerned with the control over impulses
According to Erikson if the individual experiences severe inconsistency and anxiety in the stage of infancy, he will experience which one of the following behavioral outcomes?
a) Mistrust c) Guilt
b) Shame d) Inferiority
In caring for a hallucinating patient, the nurse should:
a. Tell him to stop it
b. Put him in a quiet room
c. Keep him busy in a stimulating environment
d. Avoid interrupting his hallucinations
13- Mohamed is angry with and actually hates his boss, but to his coworkers he appears to be the boss’s favorite. This is an example of:
Repression. b- Projection.
Reaction formation. d- Rationalization
14- When depressed patient starts antidepressive drugs, the nurse should be careful that:
a. He might develop severe headache
b. He might be excessively cheerful
c. He might have the energy to commit suicide
d. He might be hypomanic
15- While the manic- depressive patient is in an excited stage, the nurse should:
a. Seclude and restrain him to prevent him from harming others
b. Allow him to act out his feelings to relieve his tensions
c. Talk to him and tell him to calm down or else he will be restrained
d. Remain with him as much as possible and be calmly reassuring
16- The most helpful actions by the nurse in termination phase would be:-
a. Meet most often with the patient
b. Have longer interview sessions
c. Discourage contact with other personnel
d. Talk about future plan
19-Which of the following are features of the disease ADHD?
a. Inattention to present tasks ِ b. Hyperactive behavior c. Impulsive behavior d. All of the above
20 -The nurse guided by a crisis intervention model would assess of the following ?
a. Communication patterns, coping skills, problem solving
b. Situational support , expression of feeling ,anxiety
c. Perception of event , situational support, coping skills
d. Coping skills , reality testing , cognitive distortions
21 - Cocaine is a member of which of the following drug groups
a. Barbiturates b. Antidepressant
c. Opiate d. Euphoriants
22- Manifestations of childhood anxiety disorders include all the following Except :
a. Inability to form trusting relationships
b. Crying and following in infancy
c. Over concern for the safety for primary caregivers
d. Excessive hand washing and counting
23 – The onset of symptoms of ADHD occur :
a. Before the age of 8 years
b. Before the age of 7 years
c. Before the age of 6 years
d. Before the age of 5 years
24 -Adolescents with untreated ADHD are at high risk for development of :
b. Aggressive behaviors
c. Anxiety disorders
d. Autistic disorders
25 – Suicidal patient reports a sudden recent change in mood .The nurse knows that
a. This is a high risk factor
b. The crisis has probably passed
c. The patient may be manic-depressive
d. The patient is responding to the added attention of precaution
26 – The manic patient fails to eat because he
a. Believes the food is poisoning
b. Is so busy that he does not take time to eat
c. Believe that he does not need the food
d. feels that he does not deserve the food
27 – The therapeutic relationship is enhanced when staff member uses verbal and non verbal communication to:
a. Give attention and recognition to patients
b. Foster patient self esteem
c. Indicate understanding
d. All of the above
28 – The following are true about a therapeutic relation Except:
It considers the social needs and problem
Is directed toward specific goals
Is focused on the patient needs and problems
d. Encourage the patient to withhold negative opinions
29 – Depressed patients seem to be best in settings where they have:
a. Many varied activities
b. A great deal of stimuli
c. A simple daily schedule
d. Very permissive and stress- free
30 – The nurse will use which of the following methods to determine a patient’s potential risk of suicide :
Allow patient to bring up the subject of suicide
Observe patient’s behavior for cues of suicidal ideation
Question patient directly about suicidal thought
Question patient about plans for the future
verbal and non-verbal communication are important tools for the psychiatric nurse because;
it allows her to understand patients, complaints and respond to his needs
helps her to express his feeling freely
it allows her to control the patient expression
all of the above
the first phase of the nurse-patient relationship mainly involves
helping the patient try out new patterns of behavior
making casual patient contacts
Establishing therapeutic goals
establishing comfortable rapport
The nurse observed that the patient suffers from rapid abrupt changes in his emotional state, unrelated to external stimuli, the psychiatric term that best describes this symptom is:
Which one of the following ego defenses is operating when an individual retreats to past levels of behavior and seeks a dependent role in an effort to reduce anxiety
During the second phase of crisis intervention, the nurse is likely to observe which of the following in the patient
Increased level of anxiety
Effective problem solving
Reaching out for help
Short attention span and rumination
Counseling many be concerned with
Addressing and resolving specific problems
Developing insight and knowledge
Improving relationship with others
All the above
2. Which of the following statements is most typical of client with the diagnosis of hypochondriasis
a. I feel fatigued easily
b.“I think I have stomach cancer”.
c. “No body understands my problems”.
d. “I haven’t been able to concentrate”.
3. The nurse observed that the patient suffers from rapid abrupt changes in his emotional state, unrelated to external stimuli. The psychiatric term that best describes this symptom is:
a. Irritable mood b. Euphoria
4. While talking, the psychiatric patient repeats the same words stated by the nurse. This symptom is called:
a. Mutism b. Echolalia
c. Echopraxia d. Perseveration
5. A movement by a patient in one direction and immediately followed by a movement in the opposite direction is called
a. Stereotypy b. Déjà Vu
c. Amnesia d. Ambivalencz
8. Characteristics of mental health are most accurately described as being:
a. Culturally determined.
b. Clearly differentiated from characteristics of mental illness.
c. Relatively stable in each individual.
d. Measured as precisely as characteristics of physical health.
9- Prior to “E.C.T.” the patient should do the followings except:
a- Have an empty stomach.
b- Have void.
c- Have a lose fitting clothing and dentures removed.
d- Not worry about the procedure.
11- In the overactive patient, feeding problems result from the patient:
a. Feeling unworthy of food
b. Being preoccupied with trivialities
c. Not slowing down long enough to eat
d. Thinking the food is poisoned
12-The overactive patient needs a structured environment to prevent him from:
a. Manipulating personnel
c. Confusion and further excitement
d. Autistic thinking and flight of ideas
13-The crisis that occurs as one grows older is called
a. Situational crisis
b. Maturational crisis
c. Crisis of value
d. Crisis of spirit
14- Communication is best defined as :
a. Conversation between two people
b. Reciprocal exchange of different messages between two people or group
c .A process the nurse uses to convey her feelings
d. The ability to use verbal communication
15- Verbal and non-verbal communications are important tools for the psychiatric nurse because:
a. It allows her to understand patients' complaints and can respond to his needs
b. It helps her to express her feeling freely
c. It allows her to control the patient expression
d. All of the above
16- When talking to a psychiatric patient for the first time, the nurse should realize:
a. That hostile behavior from the patient indicates that the nurse's initial approach has been inadequate
b. That the patient's case history should be read and discussed with the doctor before talking with the patient
c. That the patient's physical appearance provides an accurate index as to whether or not he will be receptive to the nurse
d. That the patient is stranger to the nurse, and the nurse is stranger to the patient
17-Which of the following patient behaviors is best indicating that the relationship is in the working phase?
a. The patient attempt to familiarize himself with the nurse
b. The patient makes an effort to describe his problem in detail
c. The patient tries to summarize his progress in the relationship
d. The patient challenges the limits of the relationship his emotional state, unrelated to external stimuli, the psychiatric term that best describes this symptom is: