Psychiatric Nursing Practice Test 5 (Exam Mode)
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- 1.60 year old post CVA patient is taking TPA for his disease, the nurse understands that this is an example of what level of prevention?
- A.
Primary
- B.
Secondary
- C.
Tertiary
- D.
Nota
- 2.A female client undergoes yearly mammography. This is a type of what level of prevention?
- A.
Primary
- B.
Secondary
- C.
Tertiary
- D.
Nota
- 3.A Diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA. He then underwent therapy on how to use his new prosthetic leg. This is a type of what level of prevention?
- A.
Primary
- B.
Secondary
- C.
Tertiary
- D.
Nota
- 4.As a care provider, The nurse should do first:
- A.
Provide direct nursing care.
- B.
Participate with the team in performing nursing intervention.
- C.
Therapeutic use of self.
- D.
Early recognition of the client’s needs.
- 5.As a manager, the nurse should:
- A.
Initiates nursing action with co workers.
- B.
Plans nursing care with the patient.
- C.
Speaks in behalf of the patient.
- D.
Works together with the team.
- 6.The nurse shows a patient advocate role when
- A.
Defend the patients right
- B.
Refer patient for other services she needs
- C.
Work with significant others
- D.
Intercedes in behalf of the patient.
- 7.Which is the following is the most appropriate during the orientation phase?
- A.
Patients perception on the reason of her hospitalization
- B.
Identification of more effective ways of copin
- C.
Exploration of inadequate coping skills
- D.
Establishment of regular meeting of schedules
- 8.Preparing the client for the termination phase begins:
- A.
Pre orientation
- B.
Orientation
- C.
Working
- D.
Termination
- 9.A helping relationship is a process characterized by:
- A.
Recovery promoting
- B.
Mutual interaction
- C.
Growth facilitating
- D.
Health enhancing
- 10.During the nurse patient interaction, the nurse assesses the ff: to determine the patients coping strategy:
- A.
How are you feeling right now?
- B.
Do you have anyone to take you home?
- C.
What do you think will help you right now?
- D.
How does your problem affect your life?
- 11.As a counselor, the nurse performs which of the ff: task?
- A.
Encourage client to express feelings and concerns
- B.
Helps client to learn a dance or song to enable her to participate in activities
- C.
Help the client prepare in group activities
- D.
Assist the client in setting limits on her behavior
- 12.Freud stresses out that the EGO
- A.
Distinguishes between things in the mind and things in the reality.
- B.
Moral arm of the personality that strives for perfection than pleasure.
- C.
Reservoir of instincts and drives
- D.
Control the physical needs instincts.
- 13.NMS is characterized by :
- A.
Hypertension, hyperthermia, flushed and dry skin.
- B.
Hypotension, hypothermia, flushed and dry skin.
- C.
Hypertension, hyperthermia, diaphoresis
- D.
Hypertension, hypothermia, diaphoresis
- 14.Which of the following drugs needs a WBC level checked regularl?
- A.
Lithane
- B.
Clozaril
- C.
Tofranil
- D.
Diazepam
- 15.Initially, The nurse identifies which of the ff: Nursing diagnosis:
- A.
Self centred disturbance
- B.
Impaired social interaction
- C.
Sensory perceptual alteration
- D.
Altered thought process
- 16.Which of the ff: is not a characteristic of PD?
- A.
Disregard rights of others
- B.
Loss of cognitive functioning
- C.
Fails to conform to social norms
- D.
Not capable of experiencing guild or remorse for their behaviour
- 17.The most effective treatment modality for persons if anti social PD is
- A.
Hypnotherapy
- B.
Gestalt therapy
- C.
Behavior therapy
- D.
Crisis intervention
- 18.Which of the following is not an example of alteration of perception?
- A.
Ideas of reference
- B.
Flight of ideas
- C.
Illusion
- D.
Hallucination
- 19.The type of anxiety that leads to personality disorganization is:
- A.
Mild
- B.
Moderate
- C.
Severe
- D.
Panic
- 20.A client is admitted to the hospital. Twelve hours later the nurse observes hand tremors, hyperexicitability, tachycardia, diaphoresis and hypertension. The nurse suspects alcohol withdrawal. The nurse should ask the client:
- A.
At what time was your last drink taken?
- B.
Why didn’t you tell us you’re a drinker?
- C.
Do you drink beer or hard liquor?
- D.
How long have you been drinking?
- 21.Client with a history of schizophrenia has been admitted for suicidal ideation. The client states "God is telling me to kill myself right now." The nurse's best response is:
- A.
I understand that god’s voice are real to you, But I don’t hear anything. I will stay with you.
- B.
The voices are part of your illness; it will stop if you take medication
- C.
The voices are all in your imagination, think of something else and itll go away
- D.
Don’t think of anything right now, just go and relax.
- 22.In assessing a client's suicide potential, which statement by the client would give the nurse the HIGHEST cause for concern?
- A.
My thoughts of hurting myself are scary to me
- B.
I’d like to go to sleep and not wake up
- C.
I’ve thought about taking pills and alcohol till I pass out
- D.
I’d like to be free from all these worries
- 23.A client who was wandering aimlessly around the streets acting inappropriately and appeared disheveled and unkempt was admitted to a psychiatric unit and is experiencing auditory and visual hallucinations. The nurse would develop a plan of care based on:
- A.
Borderline personality disorder
- B.
Anxiety disorder
- C.
Schizophrenia
- D.
Depression
- 24.A decision is made to not hospitalize a client with obsessive-compulsive disorder. Of the following abilities the client has demonstrated, the one that probably most influenced the decision not to hospitalize him is his ability to:
- A.
Hold a job.
- B.
Relate to his peers.
- C.
Perform activities of daily living.
- D.
Behave in an outwardly normal
- 25.A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurse's highest priority in assessing the client on admission would be to ask him:
- A.
How he sleeps at night.
- B.
If he is thinking about hurting himself.
- C.
About recent stresses.
- D.
How he feels about himself.
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