lOMoARcPSD|67008152
CHAPTER 2: Neurobiological
UNIT 1: Current Theories and Practice Theories and Psychopharmacology
1. The nurse is teaching a client taking an
CHAPTER 1: Foundations of MAOI about foods with tyramine that he or
Psychiatric–Mental Health Nursing she should avoid. Which statement indicates
that the client needs further teaching?
1. The primary purpose of the Community
Mental Health Center Act of 1963 was to: a. “I’m so glad I can have pizza as long as I
a. get better treatment in larger, more urban don’t order pepperoni.”
areas. b. “I will be able to eat cottage cheese
b. move patients to their home communities without worrying.”
for treatment. c. “I will have to avoid drinking
c. provide former patients with employment nonalcoholic beer.”
opportunities.
d. remove the stigma of living in an d. “I can eat green beans on this diet.”
institution.
2. A client who has been depressed and
2. Managed care is designed to: suicidal started taking a tricyclic
a. control health care costs by limiting antidepressant 2 weeks ago and is now ready
access to care. to leave the hospital to go home. Which is a
b. keep health care costs from increasing concern for the nurse as discharge plans are
over time. finalized?
c. limit the amount of money paid to
physicians and hospitals. a. The client may need a prescription for
d. maintain a balance between the quality diphenhydramine (Benadryl) to use for side
and costs of health care. effects.
b. The nurse will evaluate the risk for
3. Hospitals established by Dorothea Dix suicide by overdose of the tricyclic
were designed to provide: antidepressant.
a. asylum. c. The nurse will need to include teaching
b. confinement. regarding the signs of neuroleptic malignant
c. therapeutic milieu. syndrome.
d. public safety.
d. The client will need regular laboratory
4. Hildegard Peplau is best known for her work to monitor therapeutic drug levels.
writing about
a. community-based care. 3. The signs of lithium toxicity include
b. humane treatment. which?
c. psychopharmacology.
d. therapeutic nurse–client relationship. a. Sedation, fever, and restlessness
b. Psychomotor agitation, insomnia, and
5. Mental health parity laws ensure: increased thirst
a. better quality mental health treatment. c. Elevated WBC count, sweating, and
b. equality in insurance coverage for mental confusion
illness.
c. mental health treatment without stigma. d. Severe vomiting, diarrhea, and weakness
d. that persons receiving treatment really 4. Which is a concern for children taking
need it. stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomnia
c. Growth suppression
d. Weight gain
5. The nurse is caring for a client with
schizophrenia who is taking haloperidol
messages.downloaded_by
, lOMoARcPSD|67008152
(Haldol). The client complains of 6 .
restlessness, cannot sit still, and has muscle ______________________Carbamazepine
stiffness. Of the following prn medications, (Tegretol)
which would the nurse administer? 7. ______________________ Clonazepam
a. Haloperidol (Haldol), 5 mg PO (Klonopin)
b. Benztropine (Cogentin), 2 mg PO 8. ______________________ Quetiapine
c. Propranolol (Inderal), 20 mg PO (Seroquel)
d. Trazodone, 50 mg PO
CHAPTER 3: Psychosocial Theories
and Therapy
6. Client teaching for lamotrigine (Lamictal)
1. Which theorist believed that a corrective
should include which instructions?
interpersonal relationship with the therapist
a. Eat a well-balanced diet to avoid weight was the primary mode of treatment?
gain.
a. Sigmund Freud
b. Report any rashes to your doctor
b. William Glasser
immediately.
c. Hildegard Peplau
c. Take each dose with food to avoid nausea.
d. Harry Stack Sullivan
d. This drug may cause psychological
dependence.
2. Dream analysis and free association are
techniques in which modality?
7. Which physician order would the nurse
question for a client who has stated, “I’m a. Client-centered therapy
allergic to phenothiazines?” b. Gestalt therapy
a. Haldol, 5 mg PO bid c. Logotherapy
b. Navane, 10 mg PO bid d. Psychoanalysis
c. Prolixin, 5 mg PO tid
d. Risperdal, 2 mg bid 3. Four levels of anxiety were described by
a. Erik Erikson.
8. Clients taking which type of psychotropic b. Sigmund Freud.
medications need close monitoring of their
c. Hildegard Peplau.
cardiac status?
d. Carl Rogers.
a. Antidepressants
b. Antipsychotics
4. Correcting how one thinks about the
c. Mood stabilizers
world and oneself is the focus of
d. Stimulants
a. behaviorism.
FILL-IN-THE-BLANK QUESTIONS
b. cognitive therapy.
Identify the drug classification for each
c. psychoanalysis.
medication.
d. reality therapy.
1. ______________________ Clozapine
(Clozaril)
2. ______________________ Fluoxetine 5. The personality structures of id, ego, and
(Prozac) superego were described by
3. ______________________ Amitriptyline a. Sigmund Freud.
(Elavil) b. Hildegard Peplau.
4. ______________________ Benztropine c. Frederick Perls.
(Cogentin)
d. Harry Stack Sullivan.
5 .
______________________Methylphenidate
(Ritalin)
messages.downloaded_by
, lOMoARcPSD|67008152
6. The nursing role that involves being a 5. Behavior is learned from past experience
substitute for another, such as a parent, is that is reinforcing.
called __________________________________
a. counselor. 6. Client-centered therapy
b. resource person. __________________________________
c. surrogate. 7. Gestalt therapy
__________________________________
d. teacher.
8. Hierarchy of needs
__________________________________
7. Psychiatric rehabilitation focuses on 9 . L o g o t h e r a p y
a. client’s strengths. __________________________________
b. medication compliance. 10. Rational emotive therapy
c. social skills deficits. __________________________________
d. symptom reduction. 11. Reality therapy
__________________________________
8. When a nurse develops feelings toward a
client that are based on the nurse’s past
experience, it is called CHAPTER 4: Treatment Settings
and Therapeutic Programs
a. countertransference.
1. All are characteristics of ACT except
b. role reversal.
which?
c. transference. C -P N
a. Services are provided in the home or
d. unconditional regard. community.
b. Services are provided by the client’s case
9. A group that was designed to meet weekly manager.
for 10 sessions to deal with feelings of c. There are no time limitations on ACT
depression would be a(n) services.
a. closed group. d. All necessary support systems are
b. educational group. involved in ACT.
c. open group.
d. support group.
FILL-IN-THE-BLANK QUESTIONS 2. Inpatient psychiatric care focuses on all
the following except
Write the name of the appropriate theorist
beside the statement or theory. Names may a. brief interventions.
be used more than once. b. discharge planning.
1. The client is the key to his or her own c. independent living skills.
healing.
d. symptom management.
__________________________________
2. Social and psychological factors influence
3. Which intervention is an example of
d e v e l o p m e n t .
primary prevention implemented by a public
__________________________________
health nurse?
3. Behavior change occurs through
a. Reporting suspected child abuse
conditioning with environmental stimuli.
_________________________________ b. Monitoring compliance with medications
for a client with
4. People make themselves unhappy by
clinging to irrational beliefs. schizophrenia
__________________________________ c. Teaching effective problem-solving skills
to high school students
messages.downloaded_by
CHAPTER 2: Neurobiological
UNIT 1: Current Theories and Practice Theories and Psychopharmacology
1. The nurse is teaching a client taking an
CHAPTER 1: Foundations of MAOI about foods with tyramine that he or
Psychiatric–Mental Health Nursing she should avoid. Which statement indicates
that the client needs further teaching?
1. The primary purpose of the Community
Mental Health Center Act of 1963 was to: a. “I’m so glad I can have pizza as long as I
a. get better treatment in larger, more urban don’t order pepperoni.”
areas. b. “I will be able to eat cottage cheese
b. move patients to their home communities without worrying.”
for treatment. c. “I will have to avoid drinking
c. provide former patients with employment nonalcoholic beer.”
opportunities.
d. remove the stigma of living in an d. “I can eat green beans on this diet.”
institution.
2. A client who has been depressed and
2. Managed care is designed to: suicidal started taking a tricyclic
a. control health care costs by limiting antidepressant 2 weeks ago and is now ready
access to care. to leave the hospital to go home. Which is a
b. keep health care costs from increasing concern for the nurse as discharge plans are
over time. finalized?
c. limit the amount of money paid to
physicians and hospitals. a. The client may need a prescription for
d. maintain a balance between the quality diphenhydramine (Benadryl) to use for side
and costs of health care. effects.
b. The nurse will evaluate the risk for
3. Hospitals established by Dorothea Dix suicide by overdose of the tricyclic
were designed to provide: antidepressant.
a. asylum. c. The nurse will need to include teaching
b. confinement. regarding the signs of neuroleptic malignant
c. therapeutic milieu. syndrome.
d. public safety.
d. The client will need regular laboratory
4. Hildegard Peplau is best known for her work to monitor therapeutic drug levels.
writing about
a. community-based care. 3. The signs of lithium toxicity include
b. humane treatment. which?
c. psychopharmacology.
d. therapeutic nurse–client relationship. a. Sedation, fever, and restlessness
b. Psychomotor agitation, insomnia, and
5. Mental health parity laws ensure: increased thirst
a. better quality mental health treatment. c. Elevated WBC count, sweating, and
b. equality in insurance coverage for mental confusion
illness.
c. mental health treatment without stigma. d. Severe vomiting, diarrhea, and weakness
d. that persons receiving treatment really 4. Which is a concern for children taking
need it. stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomnia
c. Growth suppression
d. Weight gain
5. The nurse is caring for a client with
schizophrenia who is taking haloperidol
messages.downloaded_by
, lOMoARcPSD|67008152
(Haldol). The client complains of 6 .
restlessness, cannot sit still, and has muscle ______________________Carbamazepine
stiffness. Of the following prn medications, (Tegretol)
which would the nurse administer? 7. ______________________ Clonazepam
a. Haloperidol (Haldol), 5 mg PO (Klonopin)
b. Benztropine (Cogentin), 2 mg PO 8. ______________________ Quetiapine
c. Propranolol (Inderal), 20 mg PO (Seroquel)
d. Trazodone, 50 mg PO
CHAPTER 3: Psychosocial Theories
and Therapy
6. Client teaching for lamotrigine (Lamictal)
1. Which theorist believed that a corrective
should include which instructions?
interpersonal relationship with the therapist
a. Eat a well-balanced diet to avoid weight was the primary mode of treatment?
gain.
a. Sigmund Freud
b. Report any rashes to your doctor
b. William Glasser
immediately.
c. Hildegard Peplau
c. Take each dose with food to avoid nausea.
d. Harry Stack Sullivan
d. This drug may cause psychological
dependence.
2. Dream analysis and free association are
techniques in which modality?
7. Which physician order would the nurse
question for a client who has stated, “I’m a. Client-centered therapy
allergic to phenothiazines?” b. Gestalt therapy
a. Haldol, 5 mg PO bid c. Logotherapy
b. Navane, 10 mg PO bid d. Psychoanalysis
c. Prolixin, 5 mg PO tid
d. Risperdal, 2 mg bid 3. Four levels of anxiety were described by
a. Erik Erikson.
8. Clients taking which type of psychotropic b. Sigmund Freud.
medications need close monitoring of their
c. Hildegard Peplau.
cardiac status?
d. Carl Rogers.
a. Antidepressants
b. Antipsychotics
4. Correcting how one thinks about the
c. Mood stabilizers
world and oneself is the focus of
d. Stimulants
a. behaviorism.
FILL-IN-THE-BLANK QUESTIONS
b. cognitive therapy.
Identify the drug classification for each
c. psychoanalysis.
medication.
d. reality therapy.
1. ______________________ Clozapine
(Clozaril)
2. ______________________ Fluoxetine 5. The personality structures of id, ego, and
(Prozac) superego were described by
3. ______________________ Amitriptyline a. Sigmund Freud.
(Elavil) b. Hildegard Peplau.
4. ______________________ Benztropine c. Frederick Perls.
(Cogentin)
d. Harry Stack Sullivan.
5 .
______________________Methylphenidate
(Ritalin)
messages.downloaded_by
, lOMoARcPSD|67008152
6. The nursing role that involves being a 5. Behavior is learned from past experience
substitute for another, such as a parent, is that is reinforcing.
called __________________________________
a. counselor. 6. Client-centered therapy
b. resource person. __________________________________
c. surrogate. 7. Gestalt therapy
__________________________________
d. teacher.
8. Hierarchy of needs
__________________________________
7. Psychiatric rehabilitation focuses on 9 . L o g o t h e r a p y
a. client’s strengths. __________________________________
b. medication compliance. 10. Rational emotive therapy
c. social skills deficits. __________________________________
d. symptom reduction. 11. Reality therapy
__________________________________
8. When a nurse develops feelings toward a
client that are based on the nurse’s past
experience, it is called CHAPTER 4: Treatment Settings
and Therapeutic Programs
a. countertransference.
1. All are characteristics of ACT except
b. role reversal.
which?
c. transference. C -P N
a. Services are provided in the home or
d. unconditional regard. community.
b. Services are provided by the client’s case
9. A group that was designed to meet weekly manager.
for 10 sessions to deal with feelings of c. There are no time limitations on ACT
depression would be a(n) services.
a. closed group. d. All necessary support systems are
b. educational group. involved in ACT.
c. open group.
d. support group.
FILL-IN-THE-BLANK QUESTIONS 2. Inpatient psychiatric care focuses on all
the following except
Write the name of the appropriate theorist
beside the statement or theory. Names may a. brief interventions.
be used more than once. b. discharge planning.
1. The client is the key to his or her own c. independent living skills.
healing.
d. symptom management.
__________________________________
2. Social and psychological factors influence
3. Which intervention is an example of
d e v e l o p m e n t .
primary prevention implemented by a public
__________________________________
health nurse?
3. Behavior change occurs through
a. Reporting suspected child abuse
conditioning with environmental stimuli.
_________________________________ b. Monitoring compliance with medications
for a client with
4. People make themselves unhappy by
clinging to irrational beliefs. schizophrenia
__________________________________ c. Teaching effective problem-solving skills
to high school students
messages.downloaded_by
