PSYCHIATRIC NURSING TEST

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MULTIPLE CHOICE:   Select the one correct answer.
1. During a special meeting to discuss the unexpected suicide of on e of the female clients while on a weekend pass, the nurse overhears another client maon softly, “I’m next.  Oh, my God, I’m next. They couldn’t prevent hers and they can’t protect me.” It would be most therapeutic for the nurst to respond by saying:
A. You are afraid you will hurt yourself?”
B. “The other client was a lot sicker that you”
C. “It’s different. The other client was home, you are here.”
D.“There is no need to worry.  All passes will be cancelled for a while.”

2. During a one-to-one interaction with a nurse, the client states,”I’m worried about going home.” The nurse responds, “Tell me more about this.” This response is an example of:
A. Focusing
B. Clarifying
C. Reflecting
D. Refocusing

3. The most advantageous therapy for a preschool-aged child with a history of physical and sexual abuse would be:
A. Play therapy
B. Psychodrama
C. Group therapy
D. Family therapy

4. If clients do not follow their diet restrictions while taking an MAO inhibitor, it is likely that they will develop:
A. Generalized uticaria
B. An occipital headache
C. An occipital headache
D. Sudden, severe hypotension

5. Neuroleptics are the drugs of choice to relieve symptoms of:
A. Psychosis
B. Depression
C. Hyperkinesis
D. Narcotic withdrawal

6. A 52 year old male client with a diagnosis of schizophrenia is about to be discharged to a halfway house. This is his 5th admission in less than a year. He improves while in the hospital but after discharge he forgets to take his meds., and is unable to function, and returns to the hospital. A medication that copuld be given IM to this client on an out-patient basis every 2 to 3 weeks would be:
A. Haldol
B. Valium
C. Lithium carabaonate
D. Prolixin deconoate

7. The aspect of ECT therapy that can result in the most serious complication is the use of:
A. Positive pressure to inflate the alveoli
B. Electric voltage to induce the seizures
C. Succinylcholine chloride (Anectine) to relax muscles
D. Methohexitalsodium (Brevital sodium) to induce sleep.

8. A client with depression is to receive fluoxetine (Prozac). A precaution that the nurse must keep in mind when initiating treatment with this drug is that:
A. Eating cheese or pickled herring or drinking wine may cause a hypertensive crisis
B. I must be given with milk and crackers to avoid hyperacidity and discomfort
C. The blood level my not be sufficient to cause noticeable improvement for 2 to 4 weeks,.
D. Blood levels will need to be obtained weekly for 3 months to check for appropriate levels.

9. Drugs such as trihexyphenidyl (Artane), biperiden (Akineton), or benztropine (Cogentin) is ofter prescribed in conjunction with:
A. Barbiturates
B. Antidepressants
C. Antianxiety agents/anxiolytics
D. Antipsychotic agents/neuroleptics

10. The superego is that part of the psyche that:
A. Contains the instinctual drives
B. Is the source of creative energy
C. Operates on the pleasure principle and demands immediate gratification
D. Develops from internalizing the concepts of parents and significant others.

11. Incidents of child molestation that come out years later when the victim is an adult can best be explained by the ego defense mechanism of:
A. Repression
B. Regression
C. Rationalization
D. Reaction Formation

12. The major difference between anorexia nervosa and bulimia nervosa is that the individual with bulimia nervosa:
A. Is obese and is attempting to lose weight
B. Has a distorted body image and sees the body as fat
C. Recognizes that there is a problem but is helpless to correct it
D. Is struggling with a conflict of dependence versus independence

13. The current trend in the treatment of the older adult with delirium, dementia, or other cognitive disorders is to:
A. Provide occupational therapy
B. Maintain them in the community
C. Medicate during stressful periods
D. Encourage the assumption of responsibility

14. Drug abuse is best defined as:
A. A physiologic need for a drug
B. A psychologic dependence on a drug
C. A compulsion to take a drug on either a continuous or periodic basis
D. An excessive drug use inconsistent with acceptable medical practice.

15. The nurse is aware that the approach to be used during crisis intervention should be:
A. Passive and reflective
B. Active and goal directed
C. Interpretative and analytical
D. Future oriented and passivevv