Psychiatric Nursing (Part1) This is an example of which therapeutic

communication technique?
1.) Building trust is important in A.) Consensual validation
A.) The orientation phase of the relationship B.) Encouraging Comparison
B.) The problem identification subphase of the C.) Accepting
relationship D.) General Lead
C.) All phase of the relationship
D.) The exploitation subphase of the relationship ANS: A

ANS: A 7.) “ Why do you always complain the night

nurse? She is a nice woman and a fine
2.) Abstract standards that provide a person nurse, and has five kids to support. You’re
with his or her code of conduct are wrong when you say she is noisy and
A.) Values uncaring.” This is an example reflects which
B) Attitudes nontherapeutic technique
C.) Beliefs A.) Requesting an explanation
D.) Personal Philosophy B.) Defending
C.) Disagreeing
ANS: A D.) Advising

3.) Ideas that one holds as true are ANS: B

A.) Values
B.) Attitudes 8.) “How does Jerry make you upset? Is a
C.) Beliefs nontherapeutic communication technique
D.) Personal Philosophy because

ANS: C A.) Gives a literal responses

B.) Indicates an external sources of the emotion
4.) The emotional frame of reference by C.) Interprets what the client is saying
which one sees the world is created by D.) Is just another stereotyped comment
A.) Values
B.) Attitudes ANS: B
C.) Beliefs
D.) Personal philosophy 9.) Client: “ I was so upset about my sister
ignoring my pain when I broke my leg.”
ANS: B Nurse: “ When are you going to your next
diabetes education program?”
5.) Client : “I had an accident.” This is a non therapeutic response because
Nurse : “Tell me about your accident” the nurse has
This is an example of which therapeutic A.) Used testing to evaluate the client’s insight
communication technique? B.) changed the topic
A.) Making observation C.) Exhibited an egocentric focus
B.) Offering Self D.) Advised the client what to do
C.) General lead
D.) Reflection ANS: B

ANS: C 10.) When the client says, “ I met Joe at the

dance last week,” what is the best way for
6.) “Earlier today you said you were the nurse to ask the client to describe her
concerned that your son was still upset with relationship with Joe?
you. When I stopped by your room about an A.) “Joe who?”
hour ago, you and your son seemed relaxed B.) “Tell me about Joe”
C.) “Tell me about you and Joe”
and smiling as you spoke to each other. How D.) Joe, you mean that blond guy with the dark
did things go between the two of you?” blue eyes?”
ANS: C B.) Thought Process
C.) Memory
11.) Which help of the following is concrete D.) Sensorium
message?
A.) “Help me put this pile of books on Marsha’s ANS: B
desk.”
B.) “Get this out of here.” 17.) The client’s belief that a news broadcast
C.) When is she coming home?” has special meaning for him as an example
D.) “They said it is too early to get in.” of
A.) Abstract thinking
ANS: A B.) Flight of ideas
C.) Ideas of reference
12.) Which of the following is an example of D.) Thought broadcasting
an open ended question?
A.) Who is the current president of the ANS: C
Philippines?
B.) What concerns you most about your health? 18.) The client who believe everyone is out to
C.) What is you address? get him is experiencing a(n)
D.) Have you lost any weight recently? A.) Delusion
B.) Hallucination
ANS: B C.) Idea of reference
D.) Loose association
13.) Which of the following is an example of a
closed-ended question? ANS: A
A.) How have you been feeling lately?
B.) How is your relationship with your wife? 19.) To assess the client’s ability to
C.) Have you had health problems recently? concentrate, the nurse would instruct the
D.) where are you employed? client to do which of the following
A.) Explain what “ A rolling stone gathers no
ANS: D mosa” means
B.) Name the last three presidents
14.) Assessment data about the client’s C.) Repeat the days of the week backward
speech patterns are categorized in which of D.) Tell what a typical day is like
the following areas?
A.) History ANS C
B.) General appearance and motor behavior
C.) Sensorium and intellectual processes 20.) Which of the following is an example of
D.) Self concept assertive communication?
A.) “I wish you would stop making me angry.”
ANS: B B.) “I feel angry when you walk away when I’m
talking.”
15.) Which of the following is not included in C.) “You never listen to me when I’m talking
the assessment of sensorium and D.) “You make me angry when you interrupt me.”
intellectual processes?
A.) Concentration ANS: B
B.) Memory
C.) Judgement 21.) Which of the following statements about
D.) Orientation anger is true?
A.) Expressing anger openly and directly usually
ANS: C leads to arguments
B.) Anger results from being frustrated, hurt, or
16.) When the nurse is assessing whether or afraid
not the client’s ideas are logical and make C.) Suppressing anger is a sign of maturity
sense, the nurse is examining which of the D.) Angry feelings are a negative response to a
following? situation
A.) Thought content
ANS: B dissociative disorder having difficulty
expressing feelings?
22.) Which of the following types of drugs A.) Distraction
requires cautious use with potentially B.) Reality orientation
aggressive clients? C.) Journaling
A.) Antipsychotic medications D.) Grounding techniques
B.) Benzodiazepines
C.) Mood stabilizers ANS: C
D.) Lithium
27.) Which of the following is true about
ANS: B touching a client who is experiencing a
flashback?
23.) A client is pacing in the hallway with A.) The nurse should stand in front of the client
clenched fists and a flushed face. He is before touching
yelling and swearing. Which phase of the B.) The nurse should never touch a client who is
aggression cycle is he in? having a flashback
A.) Anger C.) The nurse should touch the client only after
B.) Triggering receiving permission to do so
C.) Escalation D.) the nurse should touch the client to increase
D.) Crisis feelings of security

ANS: C ANS: C

24.) The nurse observes a client muttering to 28.) Which of the following is true about
him self and pounding his fist in his other domestic violence between same –sex
hand while pacing in the hallway. Which of partners?
the following principles should guide the A.) Such violence is less common than that
nurse’s action? between heterosexual partners
A.) Only one nurse should approach an upset B.) The frequency and intensity of violence are
client to avoid threatening greater than between heterosexual partners
B.) Clients who can verbalize angry feeling are C.) Rates of violence are about the same as
less likely to become physically aggressive between heterosexual partners
C.) Talking to a client with delusions will not be D.) NOTA
helpful, because the client has no ability to
reason ANS: C
D.) Verbally aggressive clients often calm don
on their own if staff don’t bother them 29.) The nurse working with a client during a
flashback says, “ I know you’re scared, but
ANS: B you’re in a safe place. Do you see the bed in
your room? Do you feel the chair you’re
25.) Which of the following is the best action sitting on?”
for the nurse to take when assessing a child The nurse is using which of the following
who might be abused? techniques?
A.) Confront the parents with the facts and ask A.) Distraction
them what happened B.) Reality orientation
B.) Consult with a professional member of the C.) Relaxation
health team about making a report D.) Grounding
C.) Ask the child which of his parents caused
this injury ANS: D
D.) Say or do nothing; the nurse has only
suspicions, not evidence 30.) Which of the following assessment
findings might indicate elder self-neglect?
ANS: B A.) Hesistancy to talk openly with nurse
B.) Inability to manage personal finances
26.) Which of the following interventions C.) Missing valuables that are not misplaced
would be most helpful for a client with D.) Unusual explanations for injuries
 ANS: B
ANS: B
35.) Situations that are considered risk
31.) Which type of child abuse can be most factors for complicated grief are
difficult to treat effectively? A.) Inadequate support and old age
A.) Emotional B.) Childbirth, marriage and divorce
B.) Neglect C.) Death of spouse or child, death by suicide,
C.) Physical sudden and unexpected death
D.) Sexual D.) Inadequate perception of the grieving
process
ANS: A
ANS: C
32.) Women in battering relationship often
remain in those relationships as a result of 36.) Physiologic responses of complicated
faulty or incorrect beliefs. Which of the grieving include
following beliefs is valid? A.) Tearfulness when recalling significant
A.) If she tried to leave, she would be at memories of the lost one
increased risk for violence B.) Impaired appetite, wt loss, lack of energy,
B.) If she would do a better job of meeting his palpitations
needs, the violence would stop C.) Depression, panic disorders, chronic grief
C.) No one else would put up with her D.) Impaired immune system, increased
dependent clinging behavior prolactin level, increased mortality rate from
D.) She often does things that provoke the heart disease
violent episodes
ANS: D
ANS: A
37.) Critical factors for successful integration
33.) Which of the following accurately lists of loss during the grieving process are
Bowlby’s phases of the grieving process? A.) The client’s adequate perception, inadequate
A.) Denial, anger, depression, bargaining, support, and adequate coping
acceptance B.) The nurse’s trustworthiness and healthy
B.) Shock, outcry, and denial; intrusion of attitudes about grief
thought, distractions and obsessive reviewing of C.) Accurate assessment and intervention by the
the loss; confiding in others to emote and nurse or helping person
cognitively restructure an account of the loss D.) The client’s predictable and steady
C.) Numbness and denial of the loss, emotional movement from one stage of the process to the
yearning for the loved one and protesting next
permanence of the loss, cognitive
disorganization and emotional despair, ANS: A
reorganizing and reintegrating a sense of self
D.) Reeling, feeling, dealing, healing 38.) The nurse observes a client who is
becoming increasingly upset. He is rapidly
ANS: C pacing, hyperventilating, clenching his jaw,
wringing his hands, and trembling. His
34.) Which of the following give cues to the speech is high-pitched and random; he
nurse that a client may be grieving for a seems preoccupied with thoughts. He is
loss? pounding his fist into his other. The nurse
A.) Sad affect, anger, anxiety, and sudden identifies his anxiety level as
changes in mood A.) Mild
B.) Thoughts, feelings, behavior, and physiologic B.) Moderate
complains C.) Severe
C.) Hallucinations, panic level of anxiety, sense D.) Panic
of impending doom
D.) Complaints of abdominal pain, diarrhea and ANS: C
loss of appetite
39.) When assessing a client with anxiety, the
nurse’s questions should be worries.” How would the nurse evaluate this
A.) Avoided until the anxiety is gone statement?
B.) Open-ended A.) The client is developing insight
C.) Postponed until the client volunteers B.) The client’s coping skills have improved
information C.) The client needs encouragement to verbalize
D.) Specific and directive feelings
D.) The client’s treatment has been successful
ANS: D
ANS: C
40.) During the assessment, the client tells
the nurse that she cannot stop worrying 45.) A client with anxiety is beginning
about her appearance and that she often treatment with lorazepam (Ativan). It is most
removes “old” make up and applies fresh important for the nurse to assess the client’s
make-up every hour or two throughout the A.) Motivation for treatment
day. The nurse identifies this behavior as B.) Family of coping mechanisms
indicative of a(n) C.) Family and social support
A.) Acute stress disorder D.) use of alcohol
B.) Generalized anxiety disorder
C.) Panic Disorder ANS: D
D.) Obsessive-compulsive disorder

ANS: D 46.) Which of the following types of drugs

requires cautious use with potentially
41.) The best goal for a client learning a aggressive clients?
relaxation technique is that the client will A.) Antipsychotic medications
A.) Confront the source of anxiety directly B.) Benzodiazepines
B.) Experience anxiety without feeling C.) Mood stabilizers
overwhelmed D.) Lithium
C.) Report no episodes of anxiety
D.) Suppress anxious feelings ANS: B

ANS: B 47.) Severe muscle tension, limited

perceptual field, frantic
42.) Which of the four classes of medications Ans: Severe
used for panic disorder is considered the
safest because of low incidence of side 48.) Attentive, impatient, optimal learning
effects and lack of physiologic dependence? level
A.) Benzodiazepene Ans: Moderate
B.) Tricyclics
C.) MAOI 49.) Flight, fight, or freeze; out of control;
D.) SSRI irrational
Ans: Panic
ANS: D
50.) Selective inattention, voice changes,
43.) Which of the following would be the best decreased perceptual field
intervention for a client having a panic Ans: Moderate
attack?
A.) Involve the client in a physical activity
B.) Offer a distraction such as music
C.) Remain with the client
D.) Teach the clients a relaxation technique

ANS: C

44.) A client with GAD states “I have learned

that the best thing I can do is to forget my