PsychMental Health Practice Test

Joe who is very depressed exhibits psychomotor retardation, a flat affect and apathy. The nurse in charge observes Joe to be in need of grooming and hygiene. Which of the following nursing actions would be most appropriate? A. Stating to the client that it's time for him to take a shower B. Explaining the importance of hygiene to the client C. Waiting until the client's family can participate in the client's care D. Asking the client if he is ready to take shower

A. Stating to the client that it's time for him to take a shower

A client is experiencing anxiety attack. The most appropriate nursing intervention should include? A. Staying with the client and speaking in short sentences B. Turning on the television C. Ask the client to play with other clients D. Leaving the client alone

A. Staying with the client and speaking in short sentences

A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner? A. Using open ended question and silence B. Offering opinion about the need to eat C. Verbalizing reasons that the client may not choose to eat D. Focusing on self-disclosure of own food preference

A. Using open ended question and silence

Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate? A.Setting limits on the behavior B.Ignoring the clients behavior C.Allowing a snack to be kept in his room D.Reprimanding the Pt

A.Setting limits on the behavior

When developing the plan of care for a client receiving haloperidol, which of the following medications would nurse Monet anticipate administering if the client developed extra pyramidal side effects? A. Benztropine mesylate (Cogentin) B. Lorazepam (Ativan) C. Paroxetine (Paxil) D. Olanzapine (Zyprexa)

A. Benztropine mesylate (Cogentin) Because of its anti cholinergic properties.

When teaching parents about childhood depression Nurse Trina should say? A. It may appear acting out behavior B. Is short in duration & resolves easily C. Looks almost identical to adult depression D. Does not respond to conventional treatment

A. It may appear acting out behavior

Jose is diagnosed withamphetamine psychosis and was admitted in the emergency room.Nurse Ronald would most likely prepare to administer which of the following medication? A. Valium B. Haldol C. Ativan D. Librium

B. Haldol

When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual: A. Is under the client's conscious control B. Helps the client control the anxiety C. Helps the client focus on the inability to deal with reality D. Is used by the client primarily for secondary gains

B. Helps the client control the anxiety

Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer? A. Benzlropine (Cogentin) B. Lorazepam (Ativan) C. Haloperidol (Haldol) D. Naloxone (Narcan)

B. Lorazepam (Ativan)

Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal? A. Yawning & diaphoresis B. Restlessness & Irritability C. Constipation & steatorrhea D. Vomiting and Diarrhea

D. Vomiting and diarrhea Along with muscle spasm, fever, nausea, repetitive, abdominal cramps and backache

Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to: A. Manipulate the environment to bring about positive changes in behavior B. Use natural remedies rather than drugs to control behavior C. Allow the client's freedom to determine whether or not they will be involved in activities D. Role play life events to meet individual needs

A. Manipulate the environment to bring about positive changes in behavior

When nurse Hazel considers a client's placement on the continuum of anxiety, a key in determining the degree of anxiety being experienced is the client's: A. Perceptual field B. Memory state C. Delusional system D. Creativity level

A. Perceptual field

Nurse John recognizes that paranoid delusions usually are related to the defense mechanism of: A. Projection B. Regression C. Identification D. Repression

A. Projection

A nursing care plan for a male client with bipolar I disorder should include: A. Providing a structured environment B. Engaging the client in conversing about current affairs C. Touching the client provide assurance D. Designing activities that will require the client to maintain contact with reality

A. Providing a structured environment

Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be: A. Re-experiencing the trauma in dreams or flashback B. Lack of interest in family & others C. Depression and a blunted affect when discussing the traumatic situation D. Avoidance of situation & certain activities that resemble the stress

A. Re-experiencing the trauma in dreams or flashback

Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have: A. Routine Activities B. Varied Activities C. Minimal decision making D. Multiple stimuli

A. Routine Activities

Erlinda, age 85, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find: A. Transitory short and long term memory loss and confusion B. Permanent short-term memory loss and hypertension C. Transitory short-term memory loss and permanent long-term memory loss D. Permanent long-term memory loss and hypomania

A. Transitory short and long term memory loss and confusion

Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information? A. "Abuser use fear and intimidation" B. "Abuse occurs more in low-income families" C. "Abuser usually have poor self-esteem" D. "Abuser Are often jealous or self-centered"

B. "Abuse occurs more in low-income families"

Terry with mania is skipping up and down the hallway practically running into other clients. Which of the following activities would the nurse in charge expect to include in Terry's plan of care? A. Leading group activity B. Cleaning dayroom tables C. Reading a book D. Watching TV

B. Cleaning dayroom tables

Which of the following liquids would nurse Leng administer to a female client who is intoxicated with phencyclidine (PCP) to hasten excretion of the chemical? A. Shake B. Cranberry Juice C. Grape juice D. Tea

B. Cranberry Juice

Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe: A. Delirium B. Depression C. Suspicion

B. Depression There is no set of symptoms associated with cocaine withdrawal, only the depression that follows the high caused by the drug.

Nurse Ronald could evaluate that the staff's approach to setting limits for a demanding, angry client was effective if the client: A. Apologizes for disrupting the unit's routine when something is needed B. Discuss concerns regarding the emotional condition that required hospitalizations C. No longer calls the nursing staff for assistance D. Understands the reason why frequent calls to the staff were made

B. Discuss concerns regarding the emotional condition that required hospitalizations

Conney with borderline personality disorder who is to be discharge soon threatens to "do something" to herself if discharged. Which of the following actions by the nurse would be most important? A. Ignore the clients statement because it's a sign of manipulation B. Discuss the meaning of the client's statement with her C. Ask a family member to stay with the client at home temporarily D. Request an immediate extension for the client

B. Discuss the meaning of the client's statement with her

Danny who is diagnosed with bipolar disorder and acute mania, states the nurse, "Where is my daughter? I love Louis. Rain, rain go away. Dogs eat dirt." The nurse interprets these statements as indicating which of the following? A. Echolalia B. Flight of ideas C. Neologism D. Clang associations

B. Flight of ideas

During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because? A. Decrease oxygen to the brain increases confusion and disorientation B. Muscle relaxations given to prevent injury during seizure activity depress respirations. C. Grand mal seizure activity depresses respirations D. Anesthesia is administered during the procedure

B. Muscle relaxations given to prevent injury during seizure activity depress respirations.

Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the: A. Length of time on the med. B. Name of the ingested medication & the amount ingested C. Reason for the suicide attempt D. Name of the nearest relative & their phone number

B. Name of the ingested medication & the amount ingested

hen planning care for a male client using paranoid ideation, nurse Jasmin should realize the importance of: A. Giving the client difficult tasks to provide stimulation B. Providing the client with activities in which success can be achieved C. Not placing any demands on the client D. Removing stress so that the client can relax

B. Providing the client with activities in which success can be achieved

A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer's type and depression. The symptom that is unrelated to depression would be? A. Apathetic response to the environment B. Shallow of labile effect C. Neglect of personal hygiene D. "I don't know" answer to questions

B. Shallow of labile effect

When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation? A. The client ignores feelings of anxiety B. The client identifies anxiety producing situations C. The client eliminates all anxiety from daily situations D. The client maintains contact with a crisis counselor

B. The client identifies anxiety producing situations

Which of the following assessment would provide the best information about the client's physiologic response and the effectiveness of the medication prescribed specifically for alcoholwithdrawal? A. Sleeping pattern B. Vital signs C. Mental alertness D. Nutritional status

B. Vital signs

The nurse understands that the therapeutic effects of typical antipsychotic medications are associated with which neurotransmitter change? A. Increased acetylcholine level B. Stabilization of serotonin C. Decreased dopamine level D. Stimulation of GABA

C. Decreased dopamine level

A 60 year old female client who lives alone tells the nurse at the community health center "I really don't need anyone to talk to". The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as? A. Sublimation B. Projection C. Denial D. Displacement

C. Denial

Nurse John is aware that a serious effect of inhaling cocaine is? A. Extra pyramidal tract symptoms B. Acute fluid and electrolyte imbalances C. Deterioration of nasal septum D. Esophageal varices

C. Deterioration of nasal septum

Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed? A. Neuroleptic medication B. Psychosurgery C. Electroconvulsive therapy D. Short term seclusion

C. Electroconvulsive therapy

Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as: A. Delusions B. Neologisms C. Hallucinations D. Loose associations

C. Hallucinations

When performing a physicalexamination on a female anxious client, nurse Nelli would expect to find which of the following effects produced by the parasympathetic system? A. Muscle tension B. Constipation C. Hyperactive bowel sounds D. Decreased urine output

C. Hyperactive bowel sounds

When developing an initial nursing care plan for a male client with a Bipolar I disorder (manic episode) nurse Ron should plan to? A. Isolate his gym tim B. Encourage his participation in programs C. Provide foods, fluids and rest D. Encourage his active participation in unit programs

C. Provide foods, fluids and rest

For a male client with dysthymic disorder, which of the following approaches would the nurse expect to implement? A. ECT B. Antidepressant therapy C. Psychotherapeutic approach D. Psychoanalysis

C. Psychotherapeutic approach

A 25 year old male is admitted to a mental health facility because of inappropriate behavior. The client has been hearing voices, responding to imaginary companions and withdrawing to his room for several days at a time. Nurse Monette understands that the withdrawal is a defense against the client's fear of: A. Phobia B. Powerlessness C. Rejection D. Punishment

C. Rejection

To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should? A. Give client feedback about behavior B. Share an activity with the client C. Respect client's need for personal space D. Encourage the staff to have frequent interaction with the client

C. Respect client's need for personal space

A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for? A. Dizziness B. Seizures C. Respiratory difficulties D. Nausea and vomiting

C. Respiratory difficulties

Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client's room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should? A. Ask the client direct questions to encourage talking B. Leave the client alone and continue with providing care to the other clients C. Sit beside the client in silence and occasionally ask open-ended question D. Rake the client into the dayroom to be with other clients

C. Sit beside the client in silence and occasionally ask open-ended question

A client is suffering from catatonic behaviors. Which of the following would the nurse use to determine that the medication administered PRN have been most effective? A. The client responds to verbal directions to eat B. The client is able to move all extremities occasionally C. The client initiates simple activities without direction D. The client walks with the nurse to her room

C. The client initiates simple activities without direction

In recognizing common behaviors exhibited by male client who has a diagnosis of schizophrenia, nurse Josie can anticipate: A. Slumped posture, pessimistic out look and flight of ideas B. Grandiosity, arrogance and distractibility C. Withdrawal, regressed behavior and lack of social skills D. Disorientation, forgetfulness and anxiety

C. Withdrawal, regressed behavior and lack of social skills

Nurse Anna can minimize agitation in a disturbed client by? A. ensuring constant client and staff contact B. increasing appropriate sensory perception C. limiting unnecessary interaction D. Increasing stimulation

C. limiting unnecessary interaction

A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop: A. Insight into his behavior B. Faith in his wife C. Feeling of self worth D. Better self control

D. Better self control

Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of? A. Flight of ideas B. Concretism C. Associative looseness D. Confabulation

D. Confabulation

Nurse Gerry is aware that the defense mechanism commonly used by clients who are alcoholics is: A. Projection B. Compensation C. Displacement D. Denial

D. Denial

A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate: A. Low self esteem B. Concrete thinking C. Weak ego D. Effective self boundaries

D. Effective self boundaries

A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often: A. Problems with anger and remorse B. Problems with being too conscientious C. Feeling of unworthiness and hopelessness D. Feelings of guilt and inadequacy

D. Feelings of guilt and inadequacy

Within a few hours of alcohol withdrawal, nurse John should assess the male client for the presence of: A. Disorientation, paranoia, tachycardia B. Yawning, anxiety, convulsions C. Tremors, fever, profuse diaphoresis D. Irritability, heightened alertness, jerky movements

D. Irritability, heightened alertness, jerky movements

A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized client for signs of opiate withdrawal. These signs would include: A. Nausea, dilated pupils, constipation B. Rhinorrhea, convulsions, subnormal temperature C. Lacrimation, vomiting, drowsiness D. Muscle aches, papillary constriction, yawning

D. Muscle aches, papillary constriction, yawning

Nurse Tony should first discuss terminating the nurse-client relationship with a client during the: A. Termination phase when discharge plans are being made. B. Working phase when the client shows some progress. C. Working phase when the client brings it up. D. Orientation phase when a contract is established.

D. Orientation phase when a contract is established.

After administering naloxone (Narcan), an opioid antagonist, Nurse Ronald should monitor the female client carefully for which of the following? A. Cerebral edema B. Kidney failure C. Epilepsy D. Respiratory depression

D. Respiratory depression

When assessing a female client who is receiving tricyclic antidepressant therapy, which of the following would alert the nurse to the possibility that the client is experiencing anticholinergic effects? A. Tremors and cardiac arrhythmias B. Respiratory depression and convulsion C. Delirium and Sedation D. Urine retention and blurred vision

D. Urine retention and blurred vision Aticholinergic

Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda's anxiety. The most therapeutic question by the nurse would be? A. Are you feeling upset now? B. Ignore the client C. Would you like to watch TV? D. Would you like me to talk with you?

D. Would you like me to talk with you?