CAPT: Psychiatric Nurisng

The Psychiatric Technician observes that when speaking with a client, the client is making up words when expressing himself. These words made up by the client are referred to as which of the following? a) Neologisms b) Echolalia c) Rumination d) Psychogenic fugue

a) Neologisms

What is the first question to ask a client who has just walked into a crisis center for the first time? a. "What has happened that brought you here today?" b. "I see you are anxious and upset, how long have you been this way?" c. "You have scars on your wrists, have you recently attempted suicide?" d. "I see that you have been depressed, do you want to tell me why?"

a. "What has happened that brought you here today?"

A group is meeting and one member has taken the role of harmonizer. Which of the following statements would the Psychiatric Technician expect the client to make? a. "Yes, that would be what I would do." b. "Does everyone agree with what was just said?" c. "Today this group has been working hard to reach a decision about how to handle a difficult situation." d. "Does anyone else have something to add?"

a. "Yes, that would be what I would do."

Which of the following mental health clients is a candidate for treatment in a community based setting? a. A 65 year-old woman in the early stage of Alzheimer's disease. b. A 24 year-old male who has made a suicide attempt. c. A 45 year-old male being treated for depression and no longer gets out of bed. d. A 14 year-old anorexic girl who has lost 6 lbs while treated at home.

a. A 65 year-old woman in the early stage of Alzheimer's disease.

The most effective treatment approach while caring for an elderly patient who is depressed would include... a. A combination of a group therapy and medication and a biological approach. b. Behavioral management. c. Peer social interaction. d. Electroconvulsive therapy.

a. A combination of a group therapy and medication and a biological approach.

Partial Hospitalization Programs have which of the following characteristics? a. Accommodate the schedules of the those clients who work b. Can only be accessed after discharge from an inpatient facility c. Are not reimbursed by Medicare d. Are not available to the homeless population

a. Accommodate the schedules of the those clients who work

The client tells the Psychiatric Technician that she is very afraid to leave her house. She breaks into a sweat when she goes out the front door. Which of the following disorders does this client have? a. Agoraphobia b. Hydrophobia c. Claustrophobia d. Acrophobia

a. Agoraphobia

The client has applied for a habeas corpus. Which of the following is this client requesting? a. An immediate court hearing to determine his sanity. b. A photo copy if his complete medical record. c. An involuntary commitment of his significant other. d. A complete copy of the informed consent.

a. An immediate court hearing to determine his sanity.

The Psychiatric Technician needs to select some toys for the 4 year-old hospitalized child. Which of the following would be the best choice? a. Assembly toys and puzzles b. Pop up toys c. Video games and a telephone d. Rattles and a mobile

a. Assembly toys and puzzles

The client with a schizophrenic disorder characterized by immobility and waxy flexibility will have which type of schizophrenia? a. Catatonic b. Paranoid c. Paranoid d. Undifferentiated

a. Catatonic

Which of the following actions would be indicative of a client with severe anxiety? a. Client has purposeless movements with confused communication. b. Client is very alert. c. Client is irritable and pacing. d. Client is unable to solve simple problems and is fearful of loosing control.

a. Client has purposeless movements with confused communication.

The young adult experiencing extreme anxiety is suddenly unable to move his right arm. The Psychiatric Technician knows that this may be a form of which of the following? a. Conversion disorder b. Phobia c. Compulsion d. Psychosis

a. Conversion disorder

To assist the client with a psychotic disorder develop new coping strategies the Psychiatric Technician should do which of the following? a. Help the client establish a predictable, daily routine. b. Discourage physical activities such as walking. c. Discourage the client from participating in community activities. d. Encourage the client to meet as many new people as possible.

a. Help the client establish a predictable, daily routine.

The client taking an MAO inhibitor is attending a graduation party. Which of the following foods may he have? a. Ice cream milkshake. b. Hot dogs with sauerkraut. c. Tap beer. d. Pepperoni pizza.

a. Ice cream milkshake.

The frequency of those using homecare for mental health services has: a. Increased over recent years. b. Decreased over recent years. c. Remained unchanged over recent years. d. Not been measured.

a. Increased over recent years.

Which of the following would be the most important priority when obtaining an assessment intake with a homeless person? a. Obtain a behavioral and needs assessment. b. Involve a social worker for help in finding a place to live. c. Check with an employment office to obtain suitable employment options. d. Develop a care plan to meet client's needs.

a. Obtain a behavioral and needs assessment.

A four-year-old child is hospitalized and has begun wetting the bed. This is an example of which of the following coping mechanisms? a. Regression b. Transference c. Denial d. Avoidance

a. Regression

The client has told the Psychiatric Technician that when he is discharged next week he is going to shoot his wife. Which of the following would be the best response by the Psychiatric Technician? a. Report this immediately to the charge nurse. b. Include this information in the change of shift report. c. Tell the client that he would be making a big mistake, since the police were aware of his history. d. Respect confidentiality, but let the client know he will have to answer to you.

a. Report this immediately to the charge nurse.

When communicating with a client experiencing a disturbance in cognition which of the following communication strategies would be best a. Speak in a clam, soft, and unhurried manner. b. Approach the client from behind in case he becomes violent. c. Confront the client about delusional beliefs and statements. d. Use only non-verbal communication.

a. Speak in a clam, soft, and unhurried manner.

The Psychaiatric Technician walks in on a teenaged female who has a sharp object and is cutting her arm, causing bleeding. Which of the following is the best initial response for the Psychiatric Technician? a. Stay with the client and direct her to put the object down. b. Go back to the nurses's station and get assistance c. Sit down and ask the client to join you for a talk. d. Remind the client the she will not be eligible for a pass this weekend if she does not follow the plan.

a. Stay with the client and direct her to put the object down.

Psychiatric Technicians who work in a correctional facility have which of the following challenges? a. The goals of incarceration and the health profession are in conflict. b. The correctional facilities do not pay as well as other acute care facilities. c. The hours requires to work are longer than in the private sector. d. There are so few clients in need of assistance in the correctional facility.

a. The goals of incarceration and the health profession are in conflict.

The Psychiatric Technician is helping the client with diverticulosis plan a meal. Which of the following would be part of a well-balanced meal or this client? a. Tossed green salad with raw peppers b. Plain steamed rice c. Mixed nuts d. Sesame seed rolls

a. Tossed green salad with raw peppers

Psychiatric Technician observed the client pinching himself. Which of the following would be appropriate Psychiatric Technician behavior? Verbal redirection and... a. documentation of events. b. restraints to prevent further injury. c. call physician for further orders. d. call a treatment team meeting.

a. documentation of events.

In order for secondary positive reinforcer to be effective Psychiatric Technician must first: a. establish a rapport with the consumer. b. use response priming. c. remove all aversive stimuli. d. provide reinforcement sampling.

a. establish a rapport with the consumer.

The components of objective assessment data are: a. measurable, observable, goal oriented. b. measurable, observable, time limited, and realistic. c. client centered, problem oriented, attainable. d. goal oriented, subjective, and measurable.

a. measurable, observable, goal oriented.

The care plan for a consumer who pinches other clients is that the consumer will be placed in "time out" to extingish the behavior. The consumer dislikes the "time out" yet the pinching increases initially. The increase in the pinching behavior is a. response hierarchy. b. superstitious behavior. c. chaining behavior. d. generalized behavior.

a. response hierarchy.

The Psychiatric Technician's first assessment regarding a client's fearfulness about going to sleep would be..... a. to determine the onset, duration and intensity of the bothersome thoughts. b. to find out previous experiences with progressive relaxation. c. to get a history of previous medication. d. to reassure the client the room is safe.

a. to determine the onset, duration and intensity of the bothersome thoughts.

The Psychiatric Technician wants to decrease the aggressive behavior exhibited by his consumer. The first thing to do is: a. to identify the behavior specifically. b. to punish the consumer when aggressive behavior occurs. c. take a baseline and to put the consumer in time out. d. to apply response cost techniques.

a. to identify the behavior specifically.

Which of the following would be typical of a client with a labile personality? a. A student who makes friends easily on the first day of school. b. A supervisor who rapidly changes from angry to sympathetic. c. A mother who suspects that the grocery clerk has tampered with the vegetables. d. A recently laid off worker who refuses to get out of bed.

b. A supervisor who rapidly changes from angry to sympathetic.

The focus of the psychosocial rehabilitation model includes which of the following? a. Illness, disease, and symptoms. b. Ability of client to function. c. Dependence on caretaker. d. Relationship is one of expert and patient.

b. Ability of client to function.

The father of a 19 year-old rape victim states, "This doesn't happen to good girls." The Psychiatric Technician's best response would be which of the following? a. Respond that his daughter probably didn't provoke the attack. b. Allow the father to ventilate his feelings. c. Assure him that his daughter is not a bad girl. d. Try to find out if the father knows if his daughter uses birth control

b. Allow the father to ventilate his feelings.

The client with hypochondriasis will display which of the following behaviors? a. An abnormal fear of water. b. An abnormal fear about one's health. c. Difficulty adjusting to new people. d. Difficulty adjusting to unfamiliar environments.

b. An abnormal fear about one's health.

A consumer is being restrained in a hospital bed. Which of the following about the use of restraints is correct? a. Observe skin for signs of breakdown q4h. b. Attach restraints to a moveable part of the bed frame. c. Offer opportunity to use the toilet q4h. d. Use 2 double knots to secure restraints.

b. Attach restraints to a moveable part of the bed frame.

The Psychiatric Technician knows that frequent hand washing can be a sign of which of the following? a. Obsession b. Compulsion c. Phobia d. Anxiety

b. Compulsion

The client states that he has "demophobia". The Psychiatric Technician would expect that the client has a fear of which of the following? a. Heights b. Crowds c. Failure d. Acting

b. Crowds

A client with fugue has amnesia and which of the following behaviors? a. Refuses to meet new people. b. Flees. c. Refuses to get out of bed. d. Is very sociable.

b. Flees.

The Psychiatric Technician wants to decrease the consumer's "out of seat" behavior. To accomplish this, the Psychiatric Technician should: a. State in a firm manor and raised voice, " Be seated, now!" b. Give the consumer attention when he is sitting nicely. c. withhold afternoon treats if the consumer is non-compliant. d. not allow the consumer to participate in his favorite class.

b. Give the consumer attention when he is sitting nicely.

The Psychiatric Technician is planning interventions according to Maslow's hierarchy of needs. Which of the following would be the first action to be taken for a client just admitted to the unit? a. Refer the client to a job training program. b. Inform the client about the time and location where meals are served. c. Offer the client a choice between two rooms that are decorated differently. d. Orient the client to the recreation room.

b. Inform the client about the time and location where meals are served.

What would be the best response to give to a client with an established relationship who is reporting active hallucinations? a. Change the subject and focus on activities the client enjoys. b. Inform the client that you do not hear the voices. c. Tell the client he/she only hallucinates during periods of stress so talking will help the voices go away. d. Tell the client he/she could not be hearing voices because the room is quiet.

b. Inform the client that you do not hear the voices.

The Psychiatric Technician demonstrates how the teenage client might handle a confrontation with a sibling. This technique is known as which of the following? a. Role playing b. Modeling c. Confrontation d. Operant conditioning

b. Modeling

The client is somewhat irritable and is focusing on solving a problem. The Psychiatric Technician knows that the client is experiencing what level of anxiety? a. Mild b. Moderate c. Severe d. Panic

b. Moderate

The client seems irritable and tells the Psychiatric Technician, "I need to find a way to help my son now. I really love him." The Psychiatric Technician knows that the client is experiencing which of he following levels of anxiety? a. Panic Mild b. Moderate c. Severe d. Panic

b. Moderate

Assisting a consumer to dress in ageappropriate clothing illustrates the principle of: a. Generalization. b. Normalization. c. Premack. d. Discrimination.

b. Normalization.

A client in the dining room of an acute care psychiatric unit is conscious, but is choking and unable to cough or speak. Which of the following would be the most appropriate action for the Psychiatric Technician to take? a. Obtain a portable suction pump and suction the client's trachea. b. Perform abdominal thrusts. c. Call a code and wait for the code team to arrive. d. Begin CPR with chest compressions.

b. Perform abdominal thrusts.

Which of the following is a characteristic of a therapeutic milieu? a. Only a select few interactions arte an opportunity for therapeutic intervention. b. Problem solving is achieved by discussion, negotiation, and consensus. c. Peer pressure is not effective and not encouraged. d. Decision making and treatment are directed from the psychiatrist.

b. Problem solving is achieved by discussion, negotiation, and consensus.

A 28 Year-old male states following a crippling motor vehicle accident, "How will my wife ever find me attractive?" The best response by the Psychiatric Technician is which of the following? a. State, "This is a common reaction. Don't worry." b. State, "You seem very concerned about your relationship between you and your wife." c. Have someone from a support group for paraplegics meet with the client and his wife. d. Offer the client Valium which has been previously prescribed.

b. State, "You seem very concerned about your relationship between you and your wife."

A group is meeting and one member makes the following statement, "Today, we have been focusing in how we can be more assertive in our interactions at work." This client is playing which of the following roles? a. Self-discloser b. Summarizer c. Consensus validator d. Dominator

b. Summarizer

The Psychiatric Technician is preparing the client for ECT and is administering atropine for which of the following reasons? a. To provide relaxation. b. To reduce respiratory secretions. c. To reduce discomfort. d. To provide an amnesic effect.

b. To reduce respiratory secretions.

The parents of a 10 year-old client consent to treatment of their son. This is referred to as which of the following? a. Implied consent b. Vicarious consent c. Presumed consent d. Suspended consent

b. Vicarious consent

When a response hierarchy occurs following the extinction of a behavior the best action by the Psychiatric Technician is: a. remove the consumer from the group. b. continue with the planned program. c. terminate the program and develop a new one. d. punish the consumer's whenever the behavior occurs.

b. continue with the planned program.

During the recoil stage of trauma recovery, the victim is likely to display: a. paralyzing fear. b. periods of looking and acting normal. c. disbelief and confusion. d. symptoms of depression

b. periods of looking and acting normal.

Which of the following behaviors would increase the consumers potential for social interaction? a. increased time in the recreation room watching movies. b. saying "hello" and smiling. c. increased field trip exposure. d. hands in his pockets.

b. saying "hello" and smiling.

A 12 year-old child is using intellectualization as a coping mechanism. Which of the following statements would the Psychiatric Technician expect to hear from this child? a. "Will you stay with me in the waiting room?" b. "I'm taking this IV out myself." c. "How does the cardiac monitor work?" d. "I don't really have a brain tumor."

c. "How does the cardiac monitor work?"

Which of the following describes the term "scope of practice"? a. Suggested guidelines for practice. b. The job description written by the employer. c. A legal document stating the function of a person in a designated occupation. d. A list of ethical mandates of the employer.

c. A legal document stating the function of a person in a designated occupation.

The client states that she has "acrophobia". The Psychiatric Technician would expect that the client has a fear of which of the following? a. Going out in public. b. Going to the beach. c. Being in high places. d. Spiders.

c. Being in high places.

In a facility licensed for physical restraints, what determines which restraints to use in on particular client? a. Choose the ones that the Psychiatric Technician is most familiar with. b. Choose the one the client likes the least. c. Choose the least restrictive one. d. Choose the one that is most easily accessible.

c. Choose the least restrictive one.

The 16 year-old client has been caught shoplifting. The mother states, "It's my fault. I don't earn enough money to get the things she wants." Which of the following best describes the behavior of the mother? a. Denial b. Comorbidity c. Codependency d. Avoidance

c. Codependency

The use of denial as a coping mechanism in children is which of the following? a. Rare b. Permanent c. Common d. Never seen

c. Common

What behavior would be most appropriate to teach if you wanted to increase socialization and would be incompatible with the behavior of pinching? a. Smiling. b. Hands in boxing gloves. c. Hands in his pockets. d. Good eye contact.

c. Hands in his pockets.

The Psychiatric Technician is assisting the new, single mother to bond with her newborn. Which of the following actions should the mother be encouraged to do to help with the bonding process? a. Find a part-time job with set hours. b. Encourage the father to provide for the infant financially. c. Hold the infant close to her, making skin to skin contact. d. Find a support group for single mothers in her community.

c. Hold the infant close to her, making skin to skin contact.

Which of the following about psychogenic amnesia is correct? a. The nervous system is not intact. b. It resembles ordinary forgetfulness. c. It usually follows a stressful event. d. Memory loss is gradual.

c. It usually follows a stressful event.

The Psychiatric Technician who asks the question, "What would you do if you saw someone drop a lighted cigarette on the carpet?" is testing which of the following? a. Abstract thinking b. Insight c. Judgment d. Orientation

c. Judgment

The client with a family history of colon cancer wants to reduce his risk for developing colon cancer. Which of the following diets would the Psychiatric Technician recommend? a. 2 Gm Na b. 3000 cal ADA c. Low fat, high fiber d. High carbohydrate

c. Low fat, high fiber

What is the first priority for a client experiencing extreme suspiciousness, panic anxiety and command hallucinations? a. Use medical restraints. b. Closely observe the patient but avoid creating suspiciousness c. Maintain low level of stimuli in clients environment and remove all dangerous objects for the environment. d. Administer a tranquilizing medication and call the physician.

c. Maintain low level of stimuli in clients environment and remove all dangerous objects for the environment.

Which of the following will best help the health team to be cohesive? a. All members should have advanced degrees in mental health. b. A rigid timetable for achievement of goals should be set. c. Members should develop mutual trust and good communication skills. d. All members should have the same philosophical approach to the clients.

c. Members should develop mutual trust and good communication skills.

A mother is reminded of her own youth when her teenage daughter is caught shoplifting and gives the daughter money to purchase the item to keep her out of trouble. This is an example of which of the following? a. Aggressive conditioning. b. Passive conditioning. c. Negative conditioning. d. Assertive conditioning.

c. Negative conditioning.

The client states, "I'm always worrying about my son. Sometimes I can't concentrate on anything else." This may be an example of which of the following? a. Compulsion b. Delusion c. Obsession d. Phobia

c. Obsession

The 22 year-old client has an abnormal, excessive fear of being disfigured. The Psychiatric Technician knows that the client has which of these? a. Delusion b. Hallucination c. Phobia d. Obsession

c. Phobia

The Psychiatric Technician is counseling a parent suspected of abusing her daughter. Which of the following may be considered to be a factor in child abuse? a. Parental psychosis. b. Low socio-economic household. c. Poor coping ability. d. Parent has average self esteem.

c. Poor coping ability.

The Psychiatric Technician is assisting the client recovering from a CVA to regain awareness of his paralyzed side. Which of the following actions should the Psychiatric Technician take? a. Provide painful stimuli to the affected area. b. Provide painful stimuli to the affected area c. Provide direct visual contact of the area via mirrors and grooming. d. Restrain the affected body part.

c. Provide direct visual contact of the area via mirrors and grooming.

Which of the following behaviors by the Psychiatric Technician is likely to increase the possibility of violence by the clients on the unit? a. Setting clear limits b. Consistence in staff approaches. c. Pushing for disclosure d. Attention given to appropriate behavior by the client

c. Pushing for disclosure

Which of the following is an example of acting out as a coping mechanism in an 8 year-old child? a. Denying that she really has diabetes. b. Inquiring how the x-ray machine works. c. Refusing to stay in bed when bed rest is ordered. d. Charming the therapist out of the afternoon physio-therapy session.

c. Refusing to stay in bed when bed rest is ordered.

The client states to the Psychiatric Technician, "I'm going to slit my roommate's throat one of these days." Keeping in mind the client's right to confidentiality, which of the following actions should the Psychiatric Technic a. Discretely inform the roommate of the client's intention. b. Say nothing; the Psychiatric Technician is bound by the client's confidentiality rights. c. Report the conversation to the charge nurse or supervisor. d. Document the conversation on the chart but say nothing.

c. Report the conversation to the charge nurse or supervisor.

You are interviewing a 16 year old female who is bipolar and 6 months pregnant. She smokes and drinks alcohol daily. What is an important concept to remember? a. Smoking and drinking may harm the unborn fetus. b. She should take her medication for her bipolar disorder to ensure her good mental health throughout her pregnancy. c. Respect each patent's personal values and cultural beliefs and respond in a nonjudgemental manner. d. Offer her substance abuse counseling and encourage her to understand her drinking will interfere with treatment of her bipolar disease.

c. Respect each patent's personal values and cultural beliefs and respond in a nonjudgemental manner.

The Psychiatric Technician is trying to help the ADD-HD client to learn to develop successful ways of learning new tasks. Which of the following actions should the Psychiatric Technician take? a. Provide a brightly colored environment with a variety of things to look at. b. Encourage client to play sedentary games, such as checkers, during breaks. c. Schedule breaks frequently. d. Offer positive reinforcement only for successful achievement of goals.

c. Schedule breaks frequently.

Which of the following is the most common psychiatric condition of the homeless population? a. Anxiety. b. Depression. c. Schizophrenia. d. Manic depression.

c. Schizophrenia.

A client becomes agitated during a group session and throws a glass against the wall. The registered nurse says that she is going to call a code and place the client in seclusion. Which of the following would be the best response by the Psych Tech. a. Suggest that the client be placed in leather restraints instead of seclusion. b. Call the physician on call and obtain a verbal order for the seclusion. c. Tell the nurse that you have an excellent rapport with the client and would like to try to talk him down first. d. Prepare to take down the client and place him in seclusion.

c. Tell the nurse that you have an excellent rapport with the client and would like to try to talk him down first.

Which of the following is an indication that the Psychosocial Rehabilitation Model is being used as the guide for care of the client? a. The setting is a 30 bed unit with 4 clients to a room. b. Clients are medicated until all symptoms are controlled. c. The client is a member of the team planning care. d. The focus is on controlling the client's fear of open spaces.

c. The client is a member of the team planning care.

Which of the following clients needs to be treated in an inpatient setting rather than community setting? The client who: a. Shows signs of depression and performs his own ADL. b. Has the 3rd stage of Alzheimer's disease and lives with her daughter. c. The client with psychosis who refuses to take his medication. d. The post-partum mother who shows no interest in caring for her newborn.

c. The client with psychosis who refuses to take his medication.

The Psychiatric Technician has been told to observe the group process of the support group that is gathering in the meeting room. Which of the following should the Psychiatric Technician focus on? a. What time the meeting ends. b. What topics the group discusses. c. The interaction between group members. d. When the group decides to meet next.

c. The interaction between group members.

The Psychiatric Technician is preparing the client for ECT and is to administer Anectine for which of the following reasons? a. To act as an amnesic effect. b. To provide anesthesia. c. To provide skeletal muscle paralysis. d. To reduce respiratory secretions.

c. To provide skeletal muscle paralysis.

The Psychiatric Technician who works in a correctional facility: a. Is not obligated to promote the clients' health. b. Cares for those who are not mentally ill. c. Will most likely work with clients who have a dual diagnosis. d. Are not held to the same standard as those working in an acute care facility.

c. Will most likely work with clients who have a dual diagnosis.

Over a period of time, the group leader has observed that whenever the consumer clenches his fist, shortly thereafter, he attacks staff or peers. Behaviorally, the fist-clenching is: a. an eliciting stimuli. b. a respondent. c. an antecedent d. an aversive

c. an antecedent

The next step in a behavior plan after identifying the behavior to change would be to: a. put the consumer on a deprivation schedule. b. continuously sample the consumer's responses. c. take a baseline of the consumer's behavior. d. identify the consumer's reinforcement schedule.

c. take a baseline of the consumer's behavior.

Which of the following would be considered an open-ended question? a. "What time do you generally eat dinner?" b. "How old were you when your father left?" c. "Are you sad today?" d. "Tell me more about your reaction to the accident?"

d. "Tell me more about your reaction to the accident?"

The Psychiatric Technician encounters a 15 year-old client who is threatening suicide. Which of the following actions would be the most appropriate for the Psychiatric Technician to take? a. Assure the client that his confidentiality will be maintained. b. Leave the client briefly to get more help. c. Don't make eve contact; it may scare him. d. Acknowledge the client's feelings.

d. Acknowledge the client's feelings.

The Psychiatric Technician is preparing the client for ECT and is to administer Sodium Brevitol for which of the following reasons? a. To relax smooth muscles. b. To relax skeletal muscles. c. To reduce respiratory secretions. d. As a short acting anesthesia.

d. As a short acting anesthesia.

What would be the most important consideration for a client admitted with delirium tremens? a. Promote understanding of clients substance abuse and dependency. b. Provide psychological support and promote a restful environment. c. Encourage the client to participate in a 12-step treatment program. d. Assess vital signs and observe for increase in heart rate and blood pressure.

d. Assess vital signs and observe for increase in heart rate and blood pressure.

The client has been taking Nardil (phenalazine) and now states he has a pounding headache. The Psychiatric Technician should take which of the following actions? a. Get an order for Tylenol and have the client rest a while. b. Teach the client relaxation techniques, such as meditation. c. Have the client rest quietly in a darkened room for 30 minutes. d. Check the client's blood pressure and inquire about his eating habits.

d. Check the client's blood pressure and inquire about his eating habits.

Which of the following actions would be indicative of a client with anxiety that is at a panic level? a. Client is very alert. b. Client is irritable and pacing. c. Client has purposeless movements with confused communication. d. Client is unable to solve simple problems and is fearful of loosing control.

d. Client is unable to solve simple problems and is fearful of loosing control.

A 15 year old has been admitted following a suicide attempt. The Psychiatric Technician knows that a suicide attempt by a teenager is usually which of the following? a. An accident as a result of carelessness. b. Attention seeking behavior. c. Done as a dare by friends. d. Indication of need for intervention.

d. Indication of need for intervention.

The client is very alert and is speaking in a controlled voice. He is most likely experiencing which of the following levels of anxiety? a. Panic b. Severe c. Moderate d. Mild

d. Mild

A 12 year-old boy brings home a passing grade for a subject he previously failed. The father rewards him with a trip to the movies. This is an example of which of the following? a. Aggressive conditioning. b. Passive conditioning. c. Assertive conditioning. d. Positive conditioning.

d. Positive conditioning.

Which of the following will the client with a schizophrenic disorder find helpful? a. Open ended questions that encourage verbal discussion. b. Speaking to him in a loud, clear voice. c. Avoiding contact with the client. d. Provide a flexible but consistent approach.

d. Provide a flexible but consistent approach.

The Psychiatric Technician is working with a chronically mentally ill client in a homeless shelter. The priority of care for this client is which of the following? a. Intensive psychotherapy. b. Assistance with self care activities. c. Making an appointment with the social worker. d. Providing the client with a list of community services.

d. Providing the client with a list of community services.

The 16 year-old client will demonstrate the actions of the mother and the Psychiatric Technician will demonstrate the actions of this client in an effort to understand the feeling and attitudes of another person. This technique is referred to as which of a. Behavior modification. b. Confrontation. c. Modeling. d. Role playing.

d. Role playing.

A group has been meeting and one member makes the following statement, "I felt betrayed when my wife teased me in front of our friends." Which of the following group roles is this client taking? a. Harmonizer b. Clarifier c. Compromiser d. Self-discloser

d. Self-discloser

The movement of treatment from the institution to the community increases the likelihood that the Psychiatric Technician will: a. Find employment difficult. b. Be able to work only in an acute care facility. c. Only focus in discharge planning. d. Work in a variety of settings.

d. Work in a variety of settings.

The consumer's antecedent is clenching his fist prior to striking a peer. When this behavior is observed the Psychiatric Technician's best response is to: a. ignore the behavior. b. firmly tell the consumer to stop it. c. place the consumer in time out. d. engage the consumer in another activity.

d. engage the consumer in another activity.

The consumer is always pestering the group leader for candy and can become aggressive. In planning an intervention to decrease this "begging" behavior, the group leader's best response would be: a. give the consumer his final allotment of candy and say firmly "that's all for today". b. ignore the begging behavior when it is inappropriate. c. turn her back to the consumer and attend to another resident. d. give a treat to all the other residents in her group who are "behaving" excluding the consumer who is begging.

d. give a treat to all the other residents in her group who are "behaving" excluding the consumer who is begging.