CAPT: Nursing Section
When a rectal tube is used to relieve flatulence or enhance peristalsis, it should be inserted for no more than ________minutes? a. 5 b. 10 c. 15 d. 20
d. 20
An elderly female client asks the psychiatric technician, "What is Lunesta used for and what would be the highest dosage a person can take?" The psychiatric technician responds by stating: a. Anxiety and 1 mg. b. Anxiety and 2 mg. c. Insomnia and 3 mg. d. Insomnia and 6 mg
c. Insomnia and 3 mg.
Which of the following types of drainage would be considered "normal" drainage from a gastrostomy tube? a. Pale, yellow-green liquid. b. Dark brown, coffee ground-like material. c. Semi-formed brown material. d. Well formed brown stool.
a. Pale, yellow-green liquid.
The rationale for use of hand rolls is: a. Prevention of flexion contractures of the hand. b. To maintain the hands in a pronated position. c. To provide active range of motion for the hands. d. To keep the fingers in an abducted position.
a. Prevention of flexion contractures of the hand.
The psychiatric technician is attending an updated class on medication administration at her work site. She learns that there are now six rights regarding accurate administration of medication. The sixth one would be: a. Right documentation. b. Right patient. c. Right medication. d. Right dose.
a. Right documentation.
Which position is used for most of the physical examination and can be uncomfortable for a patient with back problems? a. Supine b. Kneechest c. Prone d. Sim's
a. Supine
The Psychiatric Technician is caring for an African-American woman on complete bed rest. In assessing the skin integrity of this client which of he following would be the first indication that a pressure sore may be developing on the client's heel? a. The heel feels warm to the touch. b. The base of the heel appears reddened. c. The client states she has some discomfort in the heel. d. The skin is just beginning to blister and peel.
a. The heel feels warm to the touch.
The physician orders a stool specimen for ova and parasites (O&P). The Psychiatric Technician will be conscious of which of the following principles? a. The specimen must be kept warm and taken to the laboratory within 30 minutes b. The specimen should be refrigerated until it can be taken to the laboratory. c. Red meat can produce a false positive d. Large quantities of vitamin "C" can produce a false negative.
a. The specimen must be kept warm and taken to the laboratory within 30 minutes
What is the rationale for taping a roll of guaze to the gastrostomy tube? a. To prevent the tube from being ingested by peristalsis. b. To label the tube as the patient's. c. To give the patient something to hold on to. d. As an anchor when giving medications.
a. To prevent the tube from being ingested by peristalsis.
Which type of enema should be retained? a. Medicated. b. Normal saline. c. Soap suds. d. Tap water.
a. Medicated
The purpose of a trochanter roll is... a. To reduce the strain on the care-providers back b. To immobilize the bone to reduce further injury c. To support the patients back when doing a two-person lift d. To support the hips and legs, preventing the external rotation
d. To support the hips and legs, preventing the external rotation
Which of the following actions would be appropriate when caring for an unconscious client? a. Describe the care procedures as you provide the care to the client. b. Discuss the client when completing care. c. Enter the room quietly without talking. d. Perform all care silently
a. Describe the care procedures as you provide the care to the client.
When a restraint is ordered, the patient will need to be observed at least: a. Every 15 minutes. b. Hourly. c. Every 2 hours. d. Every 4 hours.
a. Every 15 minutes.
Which statement by the patient would warrant further investigation? a. "I should request pain medication when I can no longer tolerate the pain." b. "Distraction techniques and imagery will help my pain." c. "I need to change my position as much as I can." d. "I know the medication may not take the pain away completely."
a. "I should request pain medication when I can no longer tolerate the pain."
The Psychiatric Technician is helping a group of teenage moms-to-be understand how to use the food pyramid. Which of the following food choices would satisfy the intake requirements according to the guidelines in the food pyramid for a day? a. 1 serving of broccoli, 2 small apples, 1 banana, 1 carrot 1 tomato. b. 1 bowl of bran cereal, 1 cup of plain steamed rice, bowl of pasta. c. 1 cup of milk, 1 cup yogurt. d. Baked potato, w/ 4 oz sour cream, pasta and butter, 1 can soda, chocolate bar, bowl of frosted flakes, buttered popcorn.
a. 1 serving of broccoli, 2 small apples, 1 banana, 1 carrot 1 tomato.
Which fo the following urine specific gravity measurements indicates the most dilute urine? a. 1.010 b. 1.019 c. 1.020 d. 1.025
a. 1.010
The psychiatric technician is instructed to measure the oxygen saturation in arterial blood for a client using a pulse oximeter. He would know that the normal range for oxygen saturation would be: a. 100-95. b. 100-90. c. 100-85. d. 100-80.
a. 100-95.
What is the best way to secure a wheelchair restraint? a. A quick release knot on the back of the chair. b. A knot secured at the base of the chair. c. A knot behind the patient's back. d. A loop around each arm rest.
a. A quick release knot on the back of the chair.
The Psychiatric Technician is preparing to move a heavy client from the bed to a chair by using a mechanical lift. Which of the following is the correct placement of chains used to connect the sling and the lift? a. Attach the longer chains to the section that supports the upper body. b. Attach the shorter chains to the section that supports the upper body. c. Attach shorter the chains to the side of the lift away from the chair. d. Attach the shorter chains to the side of the lift nearest the chair.
a. Attach the longer chains to the section that supports the upper body.
When teaching the patient to use crutches it is most important to... a. Be sure they understand that their body weight is primarily supported by the hands and arms b. Be sure they understand that their body weight is primarily supported by the uninjured leg and axillary muscles c. Be sure they understand that their body weight is primarily supported by the wrist and uninjured leg d. Be sure they understand that their body weight is primarily supported by the axillary muscles and wrist
a. Be sure they understand that their body weight is primarily supported by the hands and arms
Which of the following would be the most appropriate bath for a person who is comotose? a. Complete bed bath b. Partial bed bath c. Shower using a shower chair d. Towel bath
a. Complete bed bath
The 72 year-old client has an unsteady gait and is on slip/fall precautions. Which of the following interventions by the Psychiatric Technician are most urgent? a. Wipe up a spill on the floor. b. Have a hand rail installed in the client's bathroom. c. Have a care giver ambulate with one hand under the client's elbow. d. Make sure a Physical Therapy consult was filled our for the client.
a. Wipe up a spill on the floor.
Coronary artery disease is a condition in which there is: a. a narrowing of coronary arteries sufficient to prevent adequate blood supply. b. an enlarged myocardium. c. a closing of the coronary arteries. d. an occlusion of one or more coronary arteries.
a. a narrowing of coronary arteries sufficient to prevent adequate blood supply.
To obtain a clean catch urine specimen from a male client, instructions should be given to: a. cleanse the penis using a circular motion outward from the urethral meatus. b. cleanse the penis using downward strokes starting at the urethral meatus. c. void the first stream into a sterile cup. d. wear gloves when collecting the specimen.
a. cleanse the penis using a circular motion outward from the urethral meatus.
Communicable diseases are: a. diseases that can be transmitted from one person to another. b. diseases that cause certain death c. no longer in existence. d. not important to consider when working on a psychiatric unit.
a. diseases that can be transmitted from one person to another.
A patient diagnosed with a Stage III decubitus needs wound care. The Psychiatric Technician cleans the wound with an antiseptic a. from clean to dirty. b. from the surrounding skin to the center of the wound. c. from dirty to clean. d. using the double bagging technique.
a. from clean to dirty.
The patient has had a coffee grounds emesis. The Psychiatric Technician knows that the patient probably has: a. had a recent GI bleed that has subsided b. had a deformed pylorus c. an active upper GI bleed d. a pica behavior problem
a. had a recent GI bleed that has subsided
A client had an elevation of his W B C's. An elevated "W. B. C." might indicate that the client: a. has an infection b. is anemic c. has a bleeding disorder d. is uremic
a. has an infection
The Psychiatric Technician, reinforces the physician's request that his patient with COPD stop smoking. The Psychiatric Technician knows that: a. nicotine reduces airway function and constricts blood vessels b. cigarette smoking increases carbon dioxide consumption c. cigarette smoking causes nervousness d. nicotine causes dilitation of coronary arteries
a. nicotine reduces airway function and constricts blood vessels
A client that has crutches needs instructions on how to get upstairs. The Psychiatric Technician tells him/her to stand at the foot of the stairs bearing weight a. on their good leg and crutches. Put weight on the crutch handles and lift the good leg up on the first stair. Put weight on the good leg, and lift the other leg and crutches up to that step. Repeat for each step. b. on their injured leg and crutches. Put weight on the crutch handles and lift the injured leg up on the first stair. Put weight on the injured leg, and lift the other leg and crutches up to that step. Repeat for each step. c. equally on each leg and the crutches. Put weight on the crutch handles and lift both legs simultaneously up on the first stair. Repeat for each step. d. on the crutches. While bearing weight on the crutch handles lift the good leg and drag the injured leg up on the first stair. Repeat for each step.
a. on their good leg and crutches. Put weight on the crutch handles and lift the good leg up on the first stair. Put weight on the good leg, and lift the other leg and crutches up to that step. Repeat for each step.
Pharyngitis can best be described as: a. sore throat b. a strep throat c. an inability to speak d. spitting up blood
a. sore throat
The treatment of choice for pharyngitis is: a. warm gargles, bed rest and increased fluid intake b. antibiotics, adequate fluids and rest c. a tonsillectomy, rest and soft diet d. pharyngectomy, rest and a bland soft diet
a. warm gargles, bed rest and increased fluid intake
The client is found to be incontinent of urine. Which of the following responses by the Psychiatric Technician would be most appropriate? a. "I see you are wet. I'll help you change into a dry diaper." b. "Your briefs need to be changed. Would you like some help?" c. "You're wet, again. Lets get you clean, for a while." d. " Do you want a clean brief?"
b. "Your briefs need to be changed. Would you like some help?"
Which roller bandage [ace wrap] would appropriate for an average adult client's extremity? a. 1/2 inch b. 2 inch c. 5 inch d. 8 inch
b. 2 inch
The purpose of a "Clinitest" exam is to: a. Identify protein in the blood. b. Assess sugar in the urine. c. Look for ketones in the blood. d. Assess for increased weight loss.
b. Assess sugar in the urine.
When bathing the client, which is the best technique for cleaning the eyes? a. Wash the eyes with warm soap and water. b. Clean the eyes from the inner to outer canthus. c. Wash both eyes at the same time avoiding touching the mouth. d. Assist the client in holding down the lower fornix to clear excessive drainage.
b. Clean the eyes from the inner to outer canthus.
You have an order to obtain a urine culture and sensitivity from a Foley catheter. The procedure for obtaining a urine specimen from a Foley catheter is to: a. Drain at least 30 ml from the Foley bag. b. Clean the rubber port with alcohol and withdraw the specimen with a syringe. c. Disconnect the catheter from the bag and let the urine flow into a cup. d. Discontinue the catheter and have the patient void midstream.
b. Clean the rubber port with alcohol and withdraw the specimen with a syringe.
Ketones in the urine may be a reflection of: a. Weight gain. b. Diabetes that may be out of control. c. Bacteria in the urine. d. Blood in the urine.
b. Diabetes that may be out of control.
The consumer with cirrhosis may have portal hypertension. This condition can lead to which other complication? a. Clotting disorders b. Esophageal varices c. Hypoglycemia d. Malnutrition
b. Esophageal varices
Which of the following interventions by the Psychiatric Technician would be most helpful in promoting the comfort of the client with a Gastrostomy tube? a. Empty and measure the drainage bottle every 8 hours. b. Have the client rinse his mouth with alcohol-free mouth wash q 2h. c. Irrigate the tube with 30 ml NS q 4h. d. Pin NG tube to client's gown to prevent dislodging.
b. Have the client rinse his mouth with alcohol-free mouth wash q 2h.
A client is having her blood pressure taken by the Psychiatric Technician. The client asks what does blood pressure represent. The best response the Psychiatric Technician would give is: a. It is the wave of blood created by contraction of the left ventricle of the heart. b. It is a measure of the pressure exerted by the blood as it pulsates through the arteries. c. It is a measure of the pressure in the veins when the heart ventricles are at rest. d. It is a measure of the volume of blood in the cardiac region.
b. It is a measure of the pressure exerted by the blood as it pulsates through the arteries.
The Psychiatric Technician is caring for an elderly client and is promoting the client's personal hygiene. Which of the following would be the most appropriate action for the Psychiatric Technician to take? a. Encourage the client to take a full bath or shower daily. b. Place a chair in the shower in which a hand-held shower head is installed. c. Encourage the liberal use of bath oils in the bath tub to prevent dry skin. d. Allow the client to lock the bathroom door to ensure privacy and to promote self esteem.
b. Place a chair in the shower in which a hand-held shower head is installed.
Which of the following reflects a basic principle of body mechanics? a. More energy is needed to keep an object moving than to stop it. b. Pushing or pulling is easier than lifting. c. Rocking to use your body weight is not recommended. d. Using the back muscles is recommended.
b. Pushing or pulling is easier than lifting.
The 92 year-old client's BP at 10:00 am was 138/88. At 3:00 pm it is found to be 110/76. Which of the following actions by the Psychiatric Technician would be most appropriate for this client? a. Do nothing as this blood pressure is within normal range. b. Recheck the blood pressure and report the findings to the charge nurse. c. Wait 2 hours and recheck the blood pressure. d. Give the client a cup of coffee or tea.
b. Recheck the blood pressure and report the findings to the charge nurse.
The client in complete renal failure has received too much fluid. Which of the following would be the most effective intervention to restore the normal level of hydration for his client? a. Administer diuretics as ordered. b. Restrict fluid intake as ordered. c. Check urine specific gravity. d. Check lung sounds.
b. Restrict fluid intake as ordered.
The Psychiatric Technician suspects that a consumer has pinworms. After securing a physcian's orders the Psychiatric Technician will take which of the following actions? a. Examine the color of the stool for indications of bleeding b. Scotch tape test collected between 3am and 6 am. c. Guiac test following each bowel movement for eight hours. d. Call the lab and request a blood drawn for levels
b. Scotch tape test collected between 3am and 6 am.
The Psychiatric Technician weighs the client daily for which of the following reasons? a. To help monitor nutritional intake. b. To check for the presence of fluid retention. c. To complete the routine assessment. d. To be used in the calculation of body surface area.
b. To check for the presence of fluid retention.
Constipation is a common adverse reaction to: a. magnesium b. aluminum hydroxide c. steroids d. metamucil
b. aluminum hydroxide
The C.B.C. report is back from the laboratory, the Psychiatric Technician knows that a C.B.C. is a: a. cardiac base count b. complete blood count c. chemical bonding count d. creatinine blood clearance
b. complete blood count
When assisting a client to a chair from a bed, it is the Psychiatric Technician's major responsibility to... a. assess the patient's ability to help. b. maintain safety. c. carry out the procedure at the same time each day. d. use minimum time for the activity.
b. maintain safety.
Which of the following terms refers to the bluish or grayish discoloration of the mucosa and nail beds that is a symptom of oxygen deficiency? a. hypoxia b. pruritus c. tinnitis d. cyanosis
b. pruritus
When administering oxygen it is important for the Psychiatric Technician to: a. put the client in isolation. b. remove all sources of ignition from the area. c. open the windows in the room. d. keep the temperature in the room below 68 degrees F.
b. remove all sources of ignition from the area.
The first symptom of pancreatitis is: a. polyuria, polyphagia, polydypsia. b. steady epigastric pain or left upper quadrant pain that radiates from the umbilical area or back. c. anorexia and bile colored emesis. d. peripheral edema
b. steady epigastric pain or left upper quadrant pain that radiates from the umbilical area or back.
A pulse rate of 140 beats per minute is known as: a. bradycardia b. tachycardia c. proxymalardia d. ectopicardia
b. tachycardia
When applying a sterile gown touch only: a. the neck strap of the gown. b. the inside of the gown. c. the upper portions of the gown. d. the outer arm cuffs of the gown.
b. the inside of the gown.
What would you instruct a consumer to avoid eating if the consumer is on a lowresidue diet? a. Fresh fruits and vegetables. b. whole grain bread and fruits. c. Dairy products. d. Full liquids.
b. whole grain bread and fruits.
Your male patient is requesting assistance with voiding. The patient is unable to ambulate to the bathroom. Which technique would be most helpful? a. Assist the patient with use of a fracture pan. b. Apply a condom catheter to the penis. c. Assist the patient to a standing position with the urinal. d. Turn the patient in the left lateral Sim's position and help place the urinal.
c. Assist the patient to a standing position with the urinal.
The least accurate body site for taking a temperature would be: a. Oral. b. Rectal. c. Axillary. d. Tympanic.
c. Axillary.
The Psychiatric Technician is caring for a client who received a human bite on the arm. After washing the wound with soap and water and dressing it which of the following would be the most appropriate action to take next? a. Fully document the condition and treatment of the client's wound. b. Do nothing as the treatment is now complete. c. Call the physician for further instructions. d. Immobilize the arm and administer Tylenol as needed.
c. Call the physician for further instructions.
A client is experiencing abnormal breathing which involves very deep to very shallow respirations with temporary apnea. This type of irregular breathing pattern is referred to as: a. Biot's. b. Kussmaul's. c. Cheyne-Stroke's. d. Olsen's.
c. Cheyne-Stroke's.
A consumer with ________ should consume a diet low in residue, fiber and high in calories, proteins, and carbohydrates and should take vitamin supplements (especially vitK)? a. gastritis b. a colostomy c. Crohn's disease d. hemorrhoids
c. Crohn's disease
A pedal pule site is used to: a. Determine discrepancies with the radial pulse. b. Identify venous thrombus. c. Determine circulation to the foot. d. As the primary means of checking heart rate.
c. Determine circulation to the foot.
What instructions would you give to a client taking enteric coated medication? a. Place the medication under the tongue and dissolve slowly. b. Crush the tablet and take with pudding or jello. c. Do not chew the medication. d. Take this medication without liquids.
c. Do not chew the medication.
The pain scale that is ideal for children would be the: a. Visual Analogue Scale (VAS) (No pain to pain as bad as it could possibly be). b. Numeric Pain Intensity Scale (0-No pain to 10-Worse possible pain). c. FACES Pain Rating Scale (A Happy Face to a Crying Face). d. Simple Descriptive Pain Intensity Scale (No pain to worst possible pain).
c. FACES Pain Rating Scale (A Happy Face to a Crying Face).
When completing Active ROM exercises on a patient's elbow, which of the following is the correct motion? a. Abduction b. Adduction c. Flexion d. Pronation
c. Flexion
A client had 240 ml cup of ice chips; 120 ml of coffee; and a 4 ounce cup of juice. The client voided 250 ml at noon and had 120 ml of emesis. Calculate I/O. a. Intake: 364 ml, output: 370 ml b. Intake: 360 ml, output: 250 ml c. Intake: 480 ml, output: 370 ml d. Intake: 480 ml, output: 120 ml
c. Intake: 480 ml, output: 370 ml
Family members should understand that showing sadness or crying in front of the dying person is: a. Not to be done as this may depress the client. b. If done, there should be an apology to the client. c. Is acceptable and demonstrates how the person feels. d. Is unacceptable under any circumstances.
c. Is acceptable and demonstrates how the person feels.
The consumer receiving an enema should be placed in the ________position? a. Fowler's b. Lithotomy c. Left Lateral d. Right recumbent
c. Left Lateral
Which of the following nursing interventions has the highest priority for severe withdrawal from alcohol? a. Application of restraints b. Re-orientating to reality. c. Maintenance of nutrition and hydration. d. Identification of social support
c. Maintenance of nutrition and hydration.
An elderly Iranian American male client informs the psychiatric technician during the admission process that he is Muslim. The psychiatric technician would be aware that this client: a. May need privacy when clergy visit, and may ask staff to read Bible passages for him. b. May want a healing ceremony by a tribal shaman and a room visible to the outdoors c. May pray five times a day facing east and may want to wash before prayers. d. May need time for prayer and may wear a yarmulke at all times or only when praying.
c. May pray five times a day facing east and may want to wash before prayers.
Which of the following is contraindicated in a patient with appendicitis, acute surgical abdomen, fecal impaction, or intestinal obstruction? a. Potassium chloride b. Lactated Ringer's c. Mineral Oil d. Normal saline
c. Mineral Oil
When using acetone to remove tape adhesive, which precaution should the Psychiatric Technician take? a. Avoid pulling the hair with the removal of tape. b. Avoid slow movements, pull tape off quickly. c. Never use acetone on an open wound. d. Never use acetone on the client's skin.
c. Never use acetone on an open wound.
After tripping in the hall, the client states that her tooth has fallen out. Which of the following actions by the Psychiatric Technician would be most appropriate? a. Rinse the tooth in a mild soap solution. b. Place the tooth in a mild solution of sodium bicarb. c. Place the tooth in a cup of milk. d. Discard the tooth, since there is no hope of fixing it.
c. Place the tooth in a cup of milk.
You enter the client's room and notice that the trash can is on fire. What is the first step that must be taken? a. Call a code for the fire. b. Close all the doors to contain the fire. c. Remove the client from immediate danger. d. Extinguish the fire with an ABC fire extinguisher.
c. Remove the client from immediate danger.
A psychiatric technician is employed at a group home with six mentally ill clients. She is starting to work with a new client of Chinese descent. She's in charge of meal planning and would know that dietary habits of this culture would include: a. Corn is a staple and many do not drink milk due to lactose intolerance. b. Food is well done and seasoned and they usually do not eat pork. c. There is a specific order for food to be eaten at meals. Peanuts/soybeans are common. d. Food is rich in color, spice, and flavor. Rice and beans are staples.
c. There is a specific order for food to be eaten at meals. Peanuts/soybeans are common.
What is the purpose of aspirating when giving an injection? a. To see if the plunger works. b. To verify the solution in the syringe. c. To see if the needle is in a vein. d. To produce an air bubble to seal the wound upon exit.
c. To see if the needle is in a vein.
Which actions would yield the most accurate oral temperature after the client has just smoked a cigarette? a. Have client rinse mouth with water. b. Make sure thermometer is always placed firmly under the tongue. c. Wait 15 minutes to take the temperature. d. Check that thermometer has been shaken down.
c. Wait 15 minutes to take the temperature.
The Psychiatric Technician observes a human bite on the arm of a client who has just been in a fight. Which of the following is the most appropriate action for the Psychiatric Technician to take first? a. Reassure the client that he will be seen by a medical doctor. b. Immobilize the arm and notify the physician. c. Wash the wound with soap and water and apply a bandage. d. Administer amoxicillin 250 mg PO TID x 10 Days.
c. Wash the wound with soap and water and apply a bandage.
One of your clients has a 10 year history of emphysema. The client tells you he gets short of breath in the morning. Which instruction would be most helpful for this client? a. Exhale in to the incentive spirometer. b. Perform most of your activities in the early morning then rest later in the day. c. When exhaling, let your breath out slowly through a small opening in your lips. d. When you are feeling short of breath, go back to your room and administer your oxygen for 20 minutes at 6 liters/minute.
c. When exhaling, let your breath out slowly through a small opening in your lips.
When instructing a patient to prepare for a guaiac stool specimen, it is most important to tell the client to: a. avoid smoking before the test. b. bring a family member to drive you home from the test. c. do not take aspirin 3 days before the test. d. drink plenty of fluids for 3 days before the test.
c. do not take aspirin 3 days before the test.
The Psychiatric Technician knows that scabies is a skin infection that: a. is caused by lice and is easily transmitted. b. is characterized by silvery white scales c. is caused by a burrowing mite d. can cause psoriatic lesions
c. is caused by a burrowing mite
The Psychiatric Technician knows that a hematocrit level: a. measures the number of white blood cells. b. measures the amount of iron in a red blood cell. c. measures the red blood cells in a given amount of blood. d. measures the amount of bilirubin in the blood.
c. measures the red blood cells in a given amount of blood.
Patients may acquire infections while in the hospital setting. These infections are called: a. fulminating b. environmental c. nosocomial d. inflammatory reactions
c. nosocomial
A client falls and can't bear weight on his/her left leg. He/she is brought into the E.R. with a suspected fracture of the left hip. On examination the Psychiatric Technician would expect the leg to be. a. shortened, with internal rotation. b. adducted, with internal rotation. c. shortened, with external rotation. d. adducted, with internal rotation.
c. shortened, with external rotation.
It has been determined that the client is impacted with feces. Which of the following actions would be the most appropriate for the Psychiatric Technician to take first? a. Place the client on a high fiber diet. b. Increase the client's daily fluid intake. c. Begin a bowel training program. d. Administer an enema as prescribed by the physician.
d. Administer an enema as prescribed by the physician.
Which of the following interventions by the Psychiatric Technician will best address the nutritional needs of the elderly client? a. Have the client increase her intake of carbohydrates and fresh fruits. b. Have the client increase over all nutritional intake. c. Decrease caloric intake to match the decrease in metabolism. d. Assess and evaluate the client's dietary habits.
d. Assess and evaluate the client's dietary habits.
The client had a CVA three years ago that resulted in right-sided hemiparesis. You are assisting the client with getting dressed in the morning. Which technique is most appropriate? a. Utilize clothing that has snap closures. b. Dress the client utilizing techniques that limit the client involvement to decrease energy usage. c. Have the client put on both pants legs at the same time to help with pulling up the pants. d. Assist the client to putting the shirt on the right arm then have the client put on the left sleeve.
d. Assist the client to putting the shirt on the right arm then have the client put on the left sleeve.
Which of the following behavior changes of the client is most likely to be seen in a client with a toothache? a. Client is not participating in the afternoon craft project. b. Client is reading the newspaper in the corner of the room. c. Client is withdrawn and sitting alone. d. Client is selecting foods moderate in temperature.
d. Client is selecting foods moderate in temperature.
The client in chronic renal failure has received too much fluid and now has water intoxication. Which of the following would the Psychiatric Technician expect to see in this client? a. Decreased skin turgor. b. Urine specific gravity above 1.026. c. Increased body temperature. d. Confusion.
d. Confusion.
The psychiatric technician must assesses clients experiencing dementia and taking medications like Aricept (donepezil), Reminyl (galantamine) and Namenda (memantine) for the possible side effects of: a. Drowsiness, hypotension, and weight gain. b. Dry mouth, blurred vision, and extrapyramidal symptoms. c. Insomnia, fatigue, and arrhythmias. d. Dizziness, headache, and gastrointestinal upset.
d. Dizziness, headache, and gastrointestinal upset.
The Psychiatric Technician is encouraging the client to participate in active range of motion involving flexion of the shoulder. Which of the following best addresses this need? a. Hold the client's hand and help her feed himself. b. Hold the client's hands and help hers have her legs. c. Have the client reach for items from the bedside table. d. Have the client comb her hair.
d. Have the client comb her hair.
The diabetic client who is alert and manages her own ADL independently states that her toenails are long and need to be trimmed. Which of the following actions would be most appropriate for the Psychiatric Technician to take? a. Give the client nail clippers and instruct her in their proper use. b. Clip the nail straight across and file the edges to remove the points. c. Soak her feet for 20 minutes prior to clipping the nails straight across. d. Request that a podiatrist visit the client.
d. Request that a podiatrist visit the client.
A patient begins to tell the Psychiatric Technician about the death of her husband.Which would be the best therapeutic communication technique? a. clarifying b. Questioning c. Interpreting d. Silence
d. Silence
Which action is inappropriate when positioning a patient? a. When logroll turning the patient, keep the body in a straight alignment. b. Use a transfer board or bridge for patients who are unable to stand. c. Use a broad base of support when transferring patients. d. When moving a patient to the side of the bed, bed at the back and pull with your arms.
d. When moving a patient to the side of the bed, bed at the back and pull with your arms.
You are performing a bed bath for your client. You are performing the bath by yourself. Which description is best for aseptic technique? a. Use minimal amounts of soap to avoid dry skin. b. Avoid washing soiled areas to keep the wash cloth clean. c. Wash the skin from dirty areas to clean areas. d. When washing the body clean from farther to close.
d. When washing the body clean from farther to close.
Serum levels of ___________ reveal whether the liver is adequately detoxifying medications. a. Albumin b. Alkaline phosphate c. GGT d. apartate aminotranferase and alanine aminotransferase
d. apartate aminotranferase and alanine aminotransferase
The staphylococcal bacteria: a. lives in water below 32C. b. cannot survive for any length of time. c. can survive autoclaving. d. is highly contagious.
d. is highly contagious
The Psychiatric Technician, knows that an electrocardiogram: a. measures the activity of heart sounds b. measures the electrical activity of the heart c. measures chemical activity produced by the electricity of the heart d. measures the electrical pressure in the heart
d. measures the electrical pressure in the heart
Smoking is prohibited in the room of a patient with COPD receiving oxygen because: a. the smoke would irritate the esophagus b. the smoke can increase the up take carbon dioxide c. the smoke would stimulate the heart and cause increased cardiac output d. oxygen supports combustion
d. oxygen supports combustion
When the Psychiatric Technician is practicing good handwashing technique, she will turn off the faucet: a. with her left hand b. with her right hand c. with gloves on d. with a paper towel
d. with a paper towel
