Multiple Choice Flashcards
(38 cards)
In which historical period was the discovery of psychiatric medication? A. The nineteenth century B. The seventeen century C. The eighteenth century D. The twentieth century
D. The 20th century
A client believes he is the chauffeur for a major movie star. He describes the limo
sine that is at his disposal and brags about all of the famous people that he has met.
What type of delusion is he exhibiting?
A. Delusion of grandeur
B. Delusion of persecution
C. Delusion of reference
D. Delusion of control
A. Delusion of GRANDEUR
Which of the following is known about schizophrenia?
A. It is a single disease
B. It occurs only in certain cultures
C. Medication can manage symptoms
D. Positive symptoms include social withdrawal, apathy and avolition
C. Medication can manage symptoms
A client says, “Watch out! There is someone standing right behind you.” There is no
one else there. The appropriate response by the nurse is:
A. “I understand that you see someone, but I don’t see anyone there.”
B. “Let’s move away to the other room.”
C. “Tell me more about what you see.”
D. “You are not seeing anything”
A. ‘I understand that you see someone, but I don’t see anyone there’
Interventions for the client who is actively hallucinating include:
A. Touching the client to convey warmth and concern
B. Teaching the client to engage in a conversation or activity such as listening to
music through headphone
C. Providing a quiet environment without radios or TVs
D. Allowing the client to rest in his room undisturbed
B. Teach client to engage in conversation or activity such as listening to headphones
Patients with schizophrenia may help prevent relapse by all of the following
interventions except:
A. Self-monitoring of symptoms such as decreased appetite, difficulty sleeping and mild psychotic symptoms.
B. Identify triggers that bring about increased distress.
C. Using alcohol and other drugs to treat uncomfortable symptoms of schizophrenia
D. Following medication regimes even when they “feel better.”
C. Using alcohol and other drugs to treat uncomfortable symptoms
To work closely with families of patients with schizophrenia the nurse should do all
of the following except:
A. Recognise and acknowledge the care giving burden
B. Prepare the management plan for the patient without the family
C. Provide the education about the illness, relapse prevention, symptom monitoring, and medication management
D. Provide resources to meet needs during crises, for relapse care, and affiliation with sup-port groups
B. Prepare the management plan for the patient without the family
A client with a manic episode has refused to shower for over a week. She has worn
the same dirty clothes for several days and has a strong body odour. What approach would be used in assisting her to shower and change into fresh clothing?
A. Provide limited options to choose from, such as when to shower and what to
wear
B. Negotiate a solution
C. Teach the importance and benefits of regular hygiene practices
D. Use medication to sedate the client
C. Teach the importance and benefits of regular hygiene practices
Which statement by a depressed client taking an antidepressant would indicate that
further teaching is necessary?
A. “Once I start taking medication, I should begin to feel better within a day or two.”
B. “My appetite should improve once my depression is resolved.”
C. “My medications work on the synaptic gap in my brain.”
D. “I can expect to be able to sleep through the night again once I begin to feel
better.”
A.“Once I start taking medication, I should begin to feel better within a day or two
A depressed client states, “I should never have let my dog run out on the street.
Now it’s my fault that he is dead.” Select the one response by the nurse.
A. “I understand that you feel bad about the accident.”
B. “You are not a failure for this one mistake.”
C. “What proof do you have that is your fault?”
D. “I would like to hear you list those things that you are very good at doing.”
A. “I understand that you feel bad about the accident.”
A client admitted to an acute inpatient psychiatric unit 10 days ago for bipolar
disorder eats finger foods pacing the halls if offered by staff members, draws
abstract art in ink on his left hand, sleeps 6 hours each night, and readily takes
prescribed medications. Which of the following most indicates that the client’s
condition is improving?
A. Eats finger foods
B. Has decreased amount of “body art”
C. Sleeps 6 hours per night
D. Takes medication
C. Sleeps 6 hours per night
12. A patient was driving along a deserted country road when the bridge she was driving over collapsed causing her to be trapped in her car for several hours until help arrived. A year lat-er she still has nightmares about the event, and re-experiences the feelings of fear and isola-tion associated with being trapped in the car in swirling water up to her neck. She avoids driving over bridges. She indicates that her relationships have not been ‘normal’ since the event because she is so tense. The data collected are consistent with the symptoms of: A. Agoraphobia B. Panic attacks C. Generalised anxiety disorder D. Post-traumatic stress disorder
D. Post-traumatic stress disorder
Appropriate discharge criteria for a patient with chronic anxiety disorder are that the
patient will:
A. Experience no more anxiety
B. Suppress anxiety symptoms and focus on the future
C. Identify situations and events that trigger anxiety
D. Recognise the need to take medications for life to control anxiety
C. Identify situations and events that trigger anxiety
The nurse admits a client who is a university student. The student immediately
announces that she has been studying for final examinations in several courses. The
student is pacing and expresses concern that this time in the hospital away from studies will cause a drop in grades and the parents will be angry if HDs are not attained in each course. Which statement represents the most appropriate nursing diagnosis for this client?
A. Disorder with suicidal ideation secondary to panic disorder
B. Violence directed towards others related to confusion and impaired impulse
control as evidenced by depression
C. Experience related to feelings of unreality as evidenced by unmet needs
D. Ineffective individual coping related to fear of failure as evidenced by inability to meet role expectations
D. Ineffective individual coping related to fear of failure as evidenced by inability to meet role expectations
You are working with a client who has been diagnosed as having social anxiety
disorder. People with this disorder experience severe anxiety when they:
A. Leave the solitude of their house and in all situations
B. Speak or perform in public or meet new people
C. Are in crowded places by themselves
D. Have to attend meetings or go to the movies alone
B. Speak or perform in public or meet new people
. A client at the community mental health clinic brings a sterile towel and places it on
any surface on which he sits. Such behaviour primarily allows the client to:
A. Punish himself for being phobic
B. Receive extra attention for his condition
C. Reduce his anxiety level
D. Replace feelings of guilt
C.
A client has had surgery and is recovering in the intensive care unit 72 hours after his
admission. The client exhibits tremors, jumps in a jerky manner when one enters the room, has a heart rate of 132, has a high fever and complains of bugs in his room. The nurse should take the following action:
A. Document the signs and symptoms and call them to the attention of the surgeon when he makes rounds
B. Leave a message for the registrar to consider ordering antipsychotic medication
C. Notify the doctor immediately of suspected alcohol withdrawal and ask for order
D. Refer the client for alcohol evaluation
C.
Co-dependence refers to the relationship between:
A. The addict and his or her dealer
B. Two addicts or abusers
C. An abuser and the significant other who facilitates the substance abuse
D. The nurse and the substance abuser
C.
Strategies a nurse might use to deal with the demanding quality of clients with dramatic
and emotional personality disorders include all of the following except:
A. Setting the time limits you devote to these clients’ demands
B. Communicating with colleagues to ensure a consistent approach toward these clients
C. Giving these clients a little extra attention so there will be a positive feeling between you and them
D. Responding to these clients’ needs in a professional, efficient manner
C.
An effective nursing response to clients with schizoid personality disorder and
schizotypal personality disorder might include any of the following except:
A. Designing a behaviour modification program to improve social skills and increase
inventory of expressive traits
B. Accepting clients for what they are
C. Giving clients honest feedback on how their behaviour is seen by others
D. Relating to clients in a professional, matter-of-fact manner
C.
In caring for a person with a paranoid personality disorder, the nurses should not attempt
to:
A. Respond to the client in an unemotional way
B. Focus on the major features of the client’s dysfunctional behaviour
C. Try to convince the client that their paranoid feelings are unfounded
D. Give honest feedback to the client on how the client’s behaviour is perceived
C.
Which term is defined as an enduring pattern of behaviour that is pervasive and
inflexible, and limits a person’s ability to function in society?
A. Personal ideal
B. Personality
C. Personality trait
D. Personality disorder
D.
Which personality disorder has as its essential feature the need to be the centre
of attention, sexual seductiveness, and exaggerated expression of emotions?
A. Avoidant personality disorder
B. Dependent personality disorder
C. Histrionic personality disorder
D. Narcissistic personality disorder
C.
When a nurse is working with a client with a diagnosis of antisocial personality
disorder, the nurse needs to realise that when this client does not get his way:
A. The nurse may be at physical risk from the client
B. The client will become passive-aggressive
C. The client will become self-abusive and may harm himself
D. The client will likely sue the nurse or the hospital
A.
