Prt 2

Question 1

She had worked with Adolf Meyer and initiated the first nursing program?

A. Eufemia Jane Taylor
B. Hildegard Peplau
C. Dorothea Dix
D. Harriet Bailey

Answer 1

B. Hildegard Peplau

Question 2

Electroconvulsive therapy was introduced in which year?

A. 1935
B. 1936
C. 1937
D. 1938

Answer 2

D. 1938

Question 3

Which of the following describes the psychiatric-mental health nurse role as an advocate?

A. Administers antipsychotic medications to a schizophrenic patient.
B. The nurse feeds and bathes a catatonic client
C. The nurse informs the client and then supports him or her in whatever decision he or she makes
D. Disseminates information about alcohol and its effects.

Answer 3

C. The nurse informs the client and then supports him or her in whatever decision he or she makes

Question 4

During her shift in the psychiatric facility, nurse Dahlia performs bedside care such as providing comfort measures, taking vitals, administering prescribed medication. She is performing which nursing role?

A. Advocate
B. Technician
C. In-Service Educator
D. Therapist

Answer 4

B. Technician

Question 5

Nurse Dahlia instruct her patient Thalia regarding her medications, follow-up check up and the availability of community resources for her therapies. What role is the nurse performing?

A. Teacher
B. Counselor
C. Advocate
D. Surrogate

Answer 5

A. Teacher

Question 6

In the performance of her duty nurse Dahlia ensures that patient Thalia is placed in a safe environment conducive for her recovery. The nurse is performing which role?

A. Technician
B. Milieu Manager

Answer 6

B. Milieu Manager

Question 7

Who among the multidisciplinary mental health team is responsible for diagnosis, treatment, prevention of mental disorders, prescribe medicines & somatic therapy?

A. Registered Nurse
B. Psychologist
C. Psychiatric Nurse Clinical D. D. Specialist
E. Psychiatrist

Answer 7

E. Psychiatrist

Question 8

What is the role of the clinical psychologist as member of the multidisciplinary mental health team?

A. Administering and monitoring medications
B. Diagnoses conditions and prescribes medical treatment
C. co-ordinates with the clinical nurse specialist
D. administer psychiatric testing

Answer 8

C. co-ordinates with the clinical nurse specialist

Question 9

Nurse Elsa does not become upset or responds negatively to her client’s outbursts, anger, or acting out. Nurse Elsa conveys what essential quality of a Psychiatric nurse?

A. Acceptance
B. Empathy
C. Genuine Interest.

Answer 9

A. Acceptance

Question 10

Which characteristic of a psychiatric nurse is exemplified when the nurse has the ability to understand by seeing situation from another’s perspective?

A. Acceptance
B. Empathy
C. Genuine Interest
D. Self-awareness

Answer 10

B. Empathy

Question 11

A client with schizophrenia has been started on medication therapy with CLOZAPINE. The nurse should assess the result of which laboratory study to monitor for adverse effects from this medication?

A. Platelet count
B. Blood glucose level
C. Liver function studies
D. white blood cell count

Answer 11

D. white blood cell count

Question 12

The nurse is administering risperidone to a client with schizophrenia who is scheduled to be discharged. Before discharge, which instruction should the nurse provide?

A. get adequate sunlight
B. continue driving as usual
C. avoid foods rich in potassium
D. get up slowly when changing positions

Answer 12

D. get up slowly when changing positions

Question 13

A hospitalized client started on MAOI therapy. The nurse instructs the client which foods are acceptable to consume? SATA

Figs
Yogurt
Crackers
Aged cheese
Toss salad
Avocado

Answer 13

all

Question 14

A hospitalized client begun taking bupropion as antidepressant agent. The nurse determines which is an adverse effect, indicating that the client is taking an excessive amount of medication?

A. Constipation
B. Seizure activity
C. Increased weight
D. Dizziness when getting upright

Answer 14

B. Seizure activity

Question 15

Monoamine oxidase inhibitors (MAOIs) are given as anti- depressant. Which among the following belongs to this classification? SATA

Haldol
Parnate
Nardil
Marplan
Valium

Answer 15

Parnate, Nardil, marpian

Question 16

The nurse notes that the client with schizophrenia receiving
antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches the television. The nurse noted that the client is experiencing which medication complication?

A. Parkinsonism
B. tardive dyskinesia
C. hypertensive crisis
D. neuroleptic malignant syndrome

Answer 16

B. tardive dyskinesia

Question 17

The following principles, guide health care providers in administering medications to clients with mental illness. Which among the following is NOT a correct statement in relation to the principles?

A. medications are given for the treatment of target symptoms
B. lower doses are given to clients for sustaining effects over time
C. psychotropic medication dosages often are decreased abruptly
D. compliance of the medication regimen often is enhanced when the regimen is a s simple a s possible

Answer 17

C. psychotropic medication dosages often are decreased abruptly

Question 18

This denotes the amount of drug needed to produce a given effect.

A. efficacy
B. half-life
C. potency
D. peak of action

Answer 18

C. potency

Question 19

Antipsychotic drugs commonly act in the blockage of receptors of what neurotransmitter?

A. serotonin
B. norepinephrine
C. dopamine
D. GABA

Answer 19

C. dopamine

Question 20

Conventional types of antipsychotics are listed below. Select all the medications belonging to this classification:

A. Chlorpromazine (Tofranil)
B. Fluphenazine (Prolixin)
C. Haloperidol (Haldol)
D. Clozapine (Clorazil)
E. Risperidone (Respirdal)

Answer 20

A. Chlorpromazine (Tofranil)
B. Fluphenazine (Prolixin)
C. Haloperidol (Haldol)

Question 21

Nurse Vincent prepares the antipsychotic medication of his 35-year old male patient diagnosed with schizophrenia. The most preferred form of the medication to give is:

A. intramascular injection
B. oral tablet
C. liquid oral form
D. intravenously

Answer 21

B. oral tablet

Question 22

Nurse Estal reviews his concepts about neuroleptic malignant syndrome. He recalls that it is important to be vigilant since this could happen:

A. after Initiation of therapy
B. when there is a change from one medication to another
C. After a dosage increase
D. Combination of drugs
E. all of the above

Answer 22

E. all of the above

Question 23

Nurse Troy noticed his patient developing Neuroleptic Malignant syndrome 6 hours after the initial administration of Haldol. He confirms his observation recalling the different manifestations of NMS which includes: SATA

Fever
Encephalopathy or altered mental state
Vital signs are not stable
Elevated CPK
Rigidity of muscles

Answer 23

all

Question 24

Nurse Drake arrived at the area and noticed patient Paolo standing near the stairs going to the second floor, confused, with high fever, and suspected to manifest Neuroleptic Malignant Syndrome. Nurse Drake anticipated that patient Paolo may have seizure at any time. When seizure happens, which is the initial intervention Nurse Drake will do is:

A. initiate 02 therapy
B. cannulation for IV fluid initiation
C. placing the patient in a safe area
D. give PRN medication

Answer 24

C. placing the patient in a safe area

Question 25

Nurse Darius noticed his patient manifesting muscular rigidity, difficulty of swallowing, and stiffness of the tongue. This is one of the side effects of antipsychotic regimen which is called:

A. Otardive dyskinesia
B. akathisia
C. hypertensive crisis
D. dystonia

Answer 25

D. dystonia