PSYCHIATRIC REHABILITATION TECHNICIAN
CERTIFICATION EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
1. A client with schizophrenia reports hearing voices telling them to harm
themselves. What is the first priority for the Psychiatric Rehabilitation
Technician (PRT)?
A. Encourage the client to ignore the voices
B. Notify the supervising clinician immediately
C. Ask the client to write down what the voices say
D. Provide reassurance that the voices are not real
Rationale: Immediate safety is the top priority. Notifying a clinician ensures
timely intervention and risk management.
2. A client exhibits rapid, pressured speech, grandiose ideas, and decreased
need for sleep. Which disorder is most consistent with these symptoms?
A. Major depressive disorder
B. Bipolar I disorder, manic episode
C. Generalized anxiety disorder
D. Schizoaffective disorder
Rationale: Manic episodes in Bipolar I disorder typically include elevated mood,
grandiosity, decreased need for sleep, and pressured speech.
3. A client refuses medication due to side effects. Which approach aligns best
with recovery-oriented practice?
, A. Force the client to take medication
B. Engage in shared decision-making and explore alternatives
C. Ignore the refusal and continue treatment plan
D. Threaten hospitalization
Rationale: Recovery-oriented care emphasizes collaboration and informed
choice, respecting the client’s autonomy.
4. Which intervention is most appropriate for a client experiencing acute
anxiety in the rehabilitation setting?
A. Assigning additional tasks to distract
B. Guided deep-breathing and grounding exercises
C. Encouraging the client to confront anxiety triggers immediately
D. Providing caffeine to improve alertness
Rationale: Grounding and relaxation techniques are evidence-based
interventions for acute anxiety and help the client regain control.
5. A client with dementia is repeatedly trying to leave the facility unsafely.
What is the first action for the PRT?
A. Restrain the client physically
B. Implement a safety protocol and notify the nurse/clinician
C. Scold the client for attempting to leave
D. Allow unsupervised exit to reduce agitation
Rationale: Safety protocols must be followed; restraint is a last resort, only under
supervision and policy guidelines.
, 6. Which of the following best describes the purpose of a psychiatric
rehabilitation plan?
A. To ensure the client remains dependent on staff
B. To support the client in achieving personal recovery goals
C. To document only medications and symptoms
D. To fulfill insurance requirements
Rationale: Rehabilitation plans are client-centered and focus on promoting
independence and recovery.
7. A client demonstrates persistent auditory hallucinations despite stable
medication. The PRT observes increased agitation. Which is the most
appropriate response?
A. Tell the client the voices are imaginary
B. Stay with the client, provide a calm environment, and notify the
clinician
C. Leave the client alone to prevent overstimulation
D. Argue with the client about reality testing
Rationale: Remaining present and calming the client while involving the clinical
team ensures safety and support.
8. Which ethical principle requires the PRT to respect a client’s personal
choices whenever possible?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
, Rationale: Autonomy emphasizes the client’s right to make decisions about their
own care.
9. A client with borderline personality disorder becomes angry and threatens
staff verbally. The PRT should:
A. Maintain a calm, neutral stance and ensure safety
B. Respond with equal firmness to establish authority
C. Ignore the threat to avoid escalation
D. Confine the client to a room immediately
Rationale: De-escalation and safety are prioritized; confrontation can worsen
the situation.
10.When documenting a client’s progress, which statement is most appropriate?
A. “Client was bad today.”
B. “Client refused to talk; staff frustrated.”
C. “Client refused to participate in group activity; alternative coping
strategy discussed.”
D. “Client is hopeless.”
Rationale: Documentation should be objective, specific, and professional,
reflecting interventions and client behavior accurately.
11.Which of the following is an example of a milieu therapy intervention?
A. Administering medication
B. Organizing structured group activities to promote social skills
C. Providing individual psychotherapy
D. Completing intake assessments
CERTIFICATION EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
1. A client with schizophrenia reports hearing voices telling them to harm
themselves. What is the first priority for the Psychiatric Rehabilitation
Technician (PRT)?
A. Encourage the client to ignore the voices
B. Notify the supervising clinician immediately
C. Ask the client to write down what the voices say
D. Provide reassurance that the voices are not real
Rationale: Immediate safety is the top priority. Notifying a clinician ensures
timely intervention and risk management.
2. A client exhibits rapid, pressured speech, grandiose ideas, and decreased
need for sleep. Which disorder is most consistent with these symptoms?
A. Major depressive disorder
B. Bipolar I disorder, manic episode
C. Generalized anxiety disorder
D. Schizoaffective disorder
Rationale: Manic episodes in Bipolar I disorder typically include elevated mood,
grandiosity, decreased need for sleep, and pressured speech.
3. A client refuses medication due to side effects. Which approach aligns best
with recovery-oriented practice?
, A. Force the client to take medication
B. Engage in shared decision-making and explore alternatives
C. Ignore the refusal and continue treatment plan
D. Threaten hospitalization
Rationale: Recovery-oriented care emphasizes collaboration and informed
choice, respecting the client’s autonomy.
4. Which intervention is most appropriate for a client experiencing acute
anxiety in the rehabilitation setting?
A. Assigning additional tasks to distract
B. Guided deep-breathing and grounding exercises
C. Encouraging the client to confront anxiety triggers immediately
D. Providing caffeine to improve alertness
Rationale: Grounding and relaxation techniques are evidence-based
interventions for acute anxiety and help the client regain control.
5. A client with dementia is repeatedly trying to leave the facility unsafely.
What is the first action for the PRT?
A. Restrain the client physically
B. Implement a safety protocol and notify the nurse/clinician
C. Scold the client for attempting to leave
D. Allow unsupervised exit to reduce agitation
Rationale: Safety protocols must be followed; restraint is a last resort, only under
supervision and policy guidelines.
, 6. Which of the following best describes the purpose of a psychiatric
rehabilitation plan?
A. To ensure the client remains dependent on staff
B. To support the client in achieving personal recovery goals
C. To document only medications and symptoms
D. To fulfill insurance requirements
Rationale: Rehabilitation plans are client-centered and focus on promoting
independence and recovery.
7. A client demonstrates persistent auditory hallucinations despite stable
medication. The PRT observes increased agitation. Which is the most
appropriate response?
A. Tell the client the voices are imaginary
B. Stay with the client, provide a calm environment, and notify the
clinician
C. Leave the client alone to prevent overstimulation
D. Argue with the client about reality testing
Rationale: Remaining present and calming the client while involving the clinical
team ensures safety and support.
8. Which ethical principle requires the PRT to respect a client’s personal
choices whenever possible?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
, Rationale: Autonomy emphasizes the client’s right to make decisions about their
own care.
9. A client with borderline personality disorder becomes angry and threatens
staff verbally. The PRT should:
A. Maintain a calm, neutral stance and ensure safety
B. Respond with equal firmness to establish authority
C. Ignore the threat to avoid escalation
D. Confine the client to a room immediately
Rationale: De-escalation and safety are prioritized; confrontation can worsen
the situation.
10.When documenting a client’s progress, which statement is most appropriate?
A. “Client was bad today.”
B. “Client refused to talk; staff frustrated.”
C. “Client refused to participate in group activity; alternative coping
strategy discussed.”
D. “Client is hopeless.”
Rationale: Documentation should be objective, specific, and professional,
reflecting interventions and client behavior accurately.
11.Which of the following is an example of a milieu therapy intervention?
A. Administering medication
B. Organizing structured group activities to promote social skills
C. Providing individual psychotherapy
D. Completing intake assessments
