Post Test AB Pscyh Flashcards
(25 cards)
1
Q
- When asked how the patient is feeling, they replied that
they feel skryszygy. What is your most appropriate reply?
A. Ignore the reply as the client may dwell on their
delusion
B. Clarify what the patient means by skryszygy
C. Refer the patient to their psychiatrist for a dose of
antipsychotic medications
D. Move on to the next topic of the conversation
A
B. Clarify what the patient means by skryszygy
2
Q
- The patient suddenly screams at the ward because they
thought that a cardboard cutout of a person outside the
hospital is a person who is pointing a gun at them. You will
educate the client that they are experiencing:
A. Delusions
B. Hallucinations
C. Illusions
D. Hard/positive symptoms
A
C. Illusions
3
Q
- You are assessing a 30-year-old patient diagnosed with
major depressive disorder and they mentioned that they want
to kill themselves. What is your therapeutic response?
A. “Do not think of that. You are worth more than what
you think.”
B. “When do you want to kill yourself?”
C. “What are you feeling?”
D. “In terms of your family, how is your relationship with
your mother?”
A
B. “When do you want to kill yourself?”
4
Q
- What manifestation of this patient will indicate that suicide
precautions must be intensified?
A. The client is suddenly happier this morning compared
to your shift yesterday
B. The client angrily screams after getting annoyed.
C. The client has been crying continuously for 1 hour
D. The client mentions that they will kill themselves in a
month.
A
A. The client is suddenly happier this morning compared
to your shift yesterday
5
Q
- You have seen that this patient of yours has refused his
morning medications and does not go to their scheduled group
therapy. They appear restless, tense, and anxious. You identify
this patient to be at what stage of the anger cycle?
A. Triggering
B. Escalation
C. Crisis
D. Recovery
A
A. Triggering
6
Q
- Suddenly, a patient called you in panic stating that the client
is alone in the bathroom. You immediately go to the restroom
and find your client at the verge of hanging themself. After
putting the client out of the situation, they still insist on
hanging themself. What is your priority intervention?
A. Put the client on one-to-one monitoring with a nurse
B. Assess other patients in the ward if they were hurt by
the patient
C. Remove all items that the client may use to hang
themself
D. Remove the client from the situation and assess need
for 4-point restraints
A
D. Remove the client from the situation and assess need
for 4-point restraints
7
Q
- You identify the client to be in the postcrisis phase. What
intervention is appropriate for this client?
A. Assist the client to relax and sleep
B. Remove the restraints at one time
C. Allow the client to express their apologies and include
them in the next group session
D. Invite other nurses in the ward to implement
show-of-force
A
C. Allow the client to express their apologies and include
them in the next group session
8
Q
- The following are statements made by a nurse to a patient
with major depressive disorder will engage them to participate
in an activity, except?
A. “You can join our group session any time you feel like
it. You are always welcome”
B. “We have a group session at 1 PM. I’ll assist you to go
there”
C. “I’ll assign you to fold linens in the ward later after
your medications”
D. “We can set-up the lego model together later before
lunchtime”
A
A. “You can join our group session any time you feel like
it. You are always welcome”
9
Q
- Which of the following is considered a fact in mood
disorders?
A. The incidence of depression is up to three times
greater in second-degree relatives
B. 57% of people with mood disorders \ exhibit psychosis
C. Major depression is a mood disorder that robs the
person of joy and self-esteem despite being
productive at work.
D. People with bipolar disorder cycle between mania,
normalcy, depression or between mania and normalcy
or depression and normalcy.
A
D. People with bipolar disorder cycle between mania,
normalcy, depression or between mania and normalcy
or depression and normalcy.
10
Q
- What charting in a nurse’s report for a patient who is
suicidal indicate a need for moreteaching?
A. Assessed plan for suicide
B. Patient monitored at 8:00 AM, 8:30 AM, 9:00 AM, and
9:30 AM. Assured patient safety.
C. Patient agreed to a no-harm contract.
D. Patient’s room maintained to be free from materials
that can be used to harm self.
A
B. Patient monitored at 8:00 AM, 8:30 AM, 9:00 AM, and
9:30 AM. Assured patient safety.
11
Q
- A patient went to the middle of the ward and began
stripping their clothes off. When the nurse approached the
patient, he said that he wanted to have sex with him. What is
the most appropriate response?
A. “I feel disappointed in you. We talked about this
before”
B. “I will have to put you in restraints due to your
behavior”
C. “I am your nurse in this hospital. Let us go to your
room so you can wear your clothes privately.”
D. “What are you feeling right now?”
A
C. “I am your nurse in this hospital. Let us go to your
room so you can wear your clothes privately.”
12
Q
- What activity is appropriate for a patient with mania?
A. Watching a game of UAAP volleyball
B. Walking with another client with mania
C. Cleaning the activity room
D. Knitting
A
C. Cleaning the activity room
13
Q
- Which is the most important outcome that a patient
admitted with major depressive disorder should achieve upon
discharge?
A. The client remains free from any injuries
B. The client can solve their own problems effectively
C. The patient develops trust to their nurse-in-charge
D. The patient is knowledgeable of which hotline to call
in cases of anxiety or depression
A
B. The client can solve their own problems effectively
14
Q
- What is not a component of effective limit setting in a
client’s behavior?
A. Identifying what is unacceptable behavior.
B. Identifying the expected or desired behavior.
C. Planning the consequences after setting the limit and
the contract
D. Following through with the consequence if needed.
A
C. Planning the consequences after setting the limit and
the contract
15
Q
- What is an assumption of the nurse when a client needs to
be secluded or restrained?
A. Seclusion or restraints can be used whenever the
client is uncooperative.
B. The client can be secluded or restrained in their own
room.
C. Seclusion or restraints is a humane nursing
intervention,
D. The client loses their right to refuse treatment when
seclusion or restraint is needed.
A
D. The client loses their right to refuse treatment when
seclusion or restraint is needed.
16
Q
- Select all symptoms which are not considered to be
positive symptoms of schizophrenia.
I. Imitating all actions of the nurse-in-charge
II. Fast-paced talking of unconnected and unrelated
ideas
III. Outlandish behavior
IV. Seeing Jesus in the ward
V. Sticking to one topic during a conversation
A. All of the above
B. I, IV, V
C. I, III, V
D. None of the above
A
D. None of the above
17
Q
- A patient manifested that they used to be a dancer but is
not enjoying the activity lately. They elaborated that they do
not feel interest in anything that they are doing. What is this a
symptom of?
A. Soft symptom
B. Anhedonia
C. Avolition
D. Apathy
A
B. Anhedonia
18
Q
- A patient who claims that people are looking for them to
kill them approaches the nurse stating that they need to
escape the unit. What is the most appropriate intervention?
A. Assess the meaning behind the client’s delusions.
B. Encourage the client to verbalize their feelings.
C. Present reality to the client by reorienting them to
time, place, and person.
D. Distract the client to participate in a group activity.
A
A. Assess the meaning behind the client’s delusions
19
Q
- The client refuses to eat the food served by the dietary
department because they believe it is poisoned. What
intervention by the nurse demonstrates correct understanding
of managing a patient’s delusions?
A. Taste the food in front of the client to make them feel
assured it is not poisonous
B. Threaten the client that they will be restrained if they
do not eat
C. Unpack the food in front of the client
D. Allow the client to get snacks from the vending
machine with supervision
A
D. Allow the client to get snacks from the vending
machine with supervision
20
Q
- What is a therapeutic response for a patient documented
to have ideas of reference who stated that the security guards
in the front of the unit are planning to harm them?
A. “I will talk to the security guards about your concern.”
B. “The security guards are here to keep you, the other
patients, and the staff safe, as per their duty”
C. “Do you really think they want to harm you?”
D. “What makes you think that they are planning to
harm you?”
A
B. “The security guards are here to keep you, the other
patients, and the staff safe, as per their duty”
21
Q
- A nurse found out that their patient in a medical ward was
raped by their parent. The nurse appropriately reports this
assessment to which of the following agencies/departments?
A. Bantay Bata 163
B. Department of Social Welfare and Development
C. Nearest child protection agency
D. Philippine National Police
A
B. Department of Social Welfare and Development
22
Q
- The following are signs that child abuse is most likely
present in a pediatric client, except?
A. Recurrent pain on urination
B. Child was brought to the clinic for scald injuries in the
face after 1 week
C. Mother tells that the bruises were due to a home
accident. The next day, she adds that it is due to a
fight with a neighbor.
D. Abrasions on knees due to a bicycle crash, as
reported by the parent
A
D. Abrasions on knees due to a bicycle crash, as
reported by the parent
23
Q
- Which of the following is a characteristic of a sexual
abuser?
A. They usually come from a low-income family
B. They are usually a stranger to the victim
C. They are most likely sexually abused as a child
D. Only males can be sexual abusers
A
C. They are most likely sexually abused as a child
24
Q
- A woman comes to an emergency department with a
broken nose and multiple bruises after being beaten by her
husband. She states, “The beatings have been getting worse, and I’m afraid, next time, he will kill me.” Which is the
appropriate nursing response?
A. Let’s plan your options together, so that you don’t
have to go home.
B. You can’t teach old dogs new tricks. Your husband will
always stay the same.”
C. There are things you can do to prevent him from
losing control.
D. Why don’t we call the police so that they can confront
your husband with his behavior?
A
A. Let’s plan your options together, so that you don’t
have to go home.
25
25. A college student was sexually assaulted when they went
out on a date. After several weeks of crisis intervention
therapy, which client statement should indicate to a nurse that
the student is handling this situation in a healthy manner?
A. My partner has trouble controlling his sexual urges.
B. If I don't put myself in a dating situation, I won't be
at risk.
C. Next time I will think twice about wearing revealing
clothes.
D. I know that it was not my fault.
D. I know that it was not my fault.
