1. A client continues to stalk a man whom she met briefly 3 years ago. She
believes he loves her and eventually will marry her and has been
sending him cards and gifts. When she violates a restraining order he
has obtained, a judge orders her to undergo a 10-day psychiatric
evaluation. What is the most probable psychiatric diagnosis for this
client?
a. Delusional disorder jealous type
b. Induced psychotic disorder
c. Delusional disorder erotomanic type
2. The nurse can use self-disclosure with a client if:
a. The nurse has experienced the same situation as the client.
b. The client asks the nurse directly about the experience.
c. It helps the client to talk more easily.
d. It achieves a specific therapeutic goal.
3. The nurse who uses self-disclosure should:
a. Refocus on the client's experience as quickly as possible.
b. Allow the client to ask questions about the nurse's experience.
c. Discuss the nurse's experience in detail.
d. Have the client explain his or her perception of what the nurse has
revealed.
4. During the mental status examination, a client may be asked to explain
such proverbs as "Don't cry over spilled milk." The purpose is to
evaluate the client's ability to think:
a. Rationally.
b. Concretely.
c. Abstractly.
d. Tangentially.
5. The terms "judgment" and "insight" are sometimes used incorrectly.
Insight is the ability to:
a. Make appropriate choices.
b. Control inappropriate impulses.
c. Explain one's psychiatric diagnosis.
d. Understand the nature of one's problem or situation.
6. The nurse documents, "The client described her husband's abuse in an
emotionless tone and with a flat facial expression." This statement
describes the client's:
a. Feelings.
b. Blocking.
c. Mood.
d. Affect.
,7. A client changes topics quickly while relating past psychiatric history.
This client's pattern of thinking is called:
a. Looseness of association.
b. Flight of ideas.
c. Tangential thinking.
d. Circumstantial thinking.
8. A client doesn't make eye contact with the nurse during an interview.
The nurse suspects that the client's behavior has a cultural basis.
What should the nurse do first?
a. Read several articles about the client's culture.
b. Ask staff members of a similar culture about the client's behavior.
c. Observe how the client and the client's family and friends
interact with one another and with other staff members.
d. Accept the client's behavior because it's probably culturally-based.
9. Which principle of the psychoanalytic model is particularly useful to
psychiatric nurses?
a. All behavior has meaning.
b. Behavior that is reinforced will be perpetuated.
c. The first 6 years of a person's life determine personality.
d. Behavioral deviations result from an incongruence between verbal
and nonverbal communication.
10.According to Freud's psychosexual theory, the ego has several
functions. The primary function of the ego is to:
a. Serve as the source of instinctual drives.
b. Stimulate psychic energy.
c. Operate as a conscience that controls unacceptable drives.
d. Test reality and direct behavior.
11.Erikson described the psychosocial tasks of the developing person in
his theoretical model. He proposed that the primary developmental
task of the young adult (ages 18 to 25) is:
a. Intimacy versus isolation.
b. Industry versus inferiority.
c. Generativist versus stagnation.
d. Trust versus mistrust.
12.What is a generally accepted criterion of mental health?
a. Absence of anxiety
b. Self-acceptance
c. Ability to control others
d. Happiness
,13.The basis for building a strong, therapeutic nurse-client relationship
begins with the nurse's:
a. Sincere desire to help others.
b. Acceptance of others.
c. Self-awareness and understanding.
d. Sound knowledge of psychiatric nursing.
14.What occurs during the working phase of the nurse-client
relationship?
a. The nurse assesses the client's needs and develops a care plan.
b. The nurse and client evaluate and modify the goals of the
relationship.
c. The nurse and client discuss their feelings about terminating the
relationship.
d. The nurse and client explore each others' expectations of the
relationship.
15.When should the nurse introduce information about the end of the
nurse-client relationship?
a. During the orientation phase
b. As the goals of the relationship are reached
c. At least one or two sessions before the last meeting
d. When the client can tolerate it
16.Which of the following is an example of the role of the psychiatric
nurse in primary prevention?
a. Handling crisis intervention in an outpatient setting
b. Visiting a client's home to discuss medication management
c. Conducting a post-discharge support group
d. Providing sexual education classes for adolescents
17.The most effective way for the nurse to set limits for a newly admitted
client who puts out cigarettes on the floor of the room designated for
smoking is to:
a. Restrict the client's smoking to times when a staff member can
supervise closely.
b. Encourage other clients to speak with the client about dirtying the
floor.
c. Ask if the client puts out cigarettes on the floor at home.
d. Hand the client an ashtray and state that he must use it or he
won't be allowed to smoke.
18.A busy attorney with a successful law practice is admitted to an acute
care facility with epigastric pain. Since admission, the client has called
, the nurse every 15 minutes with one request or another. This client is
most likely exhibiting:
a. Repression.
b. Summarization.
c. Regression.
d. Conversion.
19.A person loses an important advertising account and gets a flat tire
while driving home. That evening, the person begins to find fault with
everyone. Which defense mechanism is the person using?
a. Displacement
b. Projection
c. Regression
d. Sublimation
20.Which term refers to the primary unconscious defense mechanism
that keeps intense, anxiety-producing situations out of a person's
conscious awareness?
a. Introjection
b. Regression
c. Repression
d. Denial
21.An adolescent, age 17, rarely expresses feelings and usually remains
passive. However, when angry, her face becomes flushed and her
blood pressure rises to 170/100 mm Hg. Her parents are passive and
easygoing. The adolescent may be using which defense mechanism to
handle anger?
a. Displacement
b. Introjection
c. Projection
d. Sublimation
22.Upon returning home from work, a young man discovers that his
mother has been in a serious automobile accident. Initially, he
responds to the news by stating, "No, I don't believe it. It can't be
true." Which defense mechanism is he using?
a. Introjection
b. Suppression
c. Denial
d. Repression
23.A client is brought to the facility in an agitated state and is admitted to
the psychiatric unit for observation and treatment. While putting
personal items away, the client talks rapidly and folds and unfolds
believes he loves her and eventually will marry her and has been
sending him cards and gifts. When she violates a restraining order he
has obtained, a judge orders her to undergo a 10-day psychiatric
evaluation. What is the most probable psychiatric diagnosis for this
client?
a. Delusional disorder jealous type
b. Induced psychotic disorder
c. Delusional disorder erotomanic type
2. The nurse can use self-disclosure with a client if:
a. The nurse has experienced the same situation as the client.
b. The client asks the nurse directly about the experience.
c. It helps the client to talk more easily.
d. It achieves a specific therapeutic goal.
3. The nurse who uses self-disclosure should:
a. Refocus on the client's experience as quickly as possible.
b. Allow the client to ask questions about the nurse's experience.
c. Discuss the nurse's experience in detail.
d. Have the client explain his or her perception of what the nurse has
revealed.
4. During the mental status examination, a client may be asked to explain
such proverbs as "Don't cry over spilled milk." The purpose is to
evaluate the client's ability to think:
a. Rationally.
b. Concretely.
c. Abstractly.
d. Tangentially.
5. The terms "judgment" and "insight" are sometimes used incorrectly.
Insight is the ability to:
a. Make appropriate choices.
b. Control inappropriate impulses.
c. Explain one's psychiatric diagnosis.
d. Understand the nature of one's problem or situation.
6. The nurse documents, "The client described her husband's abuse in an
emotionless tone and with a flat facial expression." This statement
describes the client's:
a. Feelings.
b. Blocking.
c. Mood.
d. Affect.
,7. A client changes topics quickly while relating past psychiatric history.
This client's pattern of thinking is called:
a. Looseness of association.
b. Flight of ideas.
c. Tangential thinking.
d. Circumstantial thinking.
8. A client doesn't make eye contact with the nurse during an interview.
The nurse suspects that the client's behavior has a cultural basis.
What should the nurse do first?
a. Read several articles about the client's culture.
b. Ask staff members of a similar culture about the client's behavior.
c. Observe how the client and the client's family and friends
interact with one another and with other staff members.
d. Accept the client's behavior because it's probably culturally-based.
9. Which principle of the psychoanalytic model is particularly useful to
psychiatric nurses?
a. All behavior has meaning.
b. Behavior that is reinforced will be perpetuated.
c. The first 6 years of a person's life determine personality.
d. Behavioral deviations result from an incongruence between verbal
and nonverbal communication.
10.According to Freud's psychosexual theory, the ego has several
functions. The primary function of the ego is to:
a. Serve as the source of instinctual drives.
b. Stimulate psychic energy.
c. Operate as a conscience that controls unacceptable drives.
d. Test reality and direct behavior.
11.Erikson described the psychosocial tasks of the developing person in
his theoretical model. He proposed that the primary developmental
task of the young adult (ages 18 to 25) is:
a. Intimacy versus isolation.
b. Industry versus inferiority.
c. Generativist versus stagnation.
d. Trust versus mistrust.
12.What is a generally accepted criterion of mental health?
a. Absence of anxiety
b. Self-acceptance
c. Ability to control others
d. Happiness
,13.The basis for building a strong, therapeutic nurse-client relationship
begins with the nurse's:
a. Sincere desire to help others.
b. Acceptance of others.
c. Self-awareness and understanding.
d. Sound knowledge of psychiatric nursing.
14.What occurs during the working phase of the nurse-client
relationship?
a. The nurse assesses the client's needs and develops a care plan.
b. The nurse and client evaluate and modify the goals of the
relationship.
c. The nurse and client discuss their feelings about terminating the
relationship.
d. The nurse and client explore each others' expectations of the
relationship.
15.When should the nurse introduce information about the end of the
nurse-client relationship?
a. During the orientation phase
b. As the goals of the relationship are reached
c. At least one or two sessions before the last meeting
d. When the client can tolerate it
16.Which of the following is an example of the role of the psychiatric
nurse in primary prevention?
a. Handling crisis intervention in an outpatient setting
b. Visiting a client's home to discuss medication management
c. Conducting a post-discharge support group
d. Providing sexual education classes for adolescents
17.The most effective way for the nurse to set limits for a newly admitted
client who puts out cigarettes on the floor of the room designated for
smoking is to:
a. Restrict the client's smoking to times when a staff member can
supervise closely.
b. Encourage other clients to speak with the client about dirtying the
floor.
c. Ask if the client puts out cigarettes on the floor at home.
d. Hand the client an ashtray and state that he must use it or he
won't be allowed to smoke.
18.A busy attorney with a successful law practice is admitted to an acute
care facility with epigastric pain. Since admission, the client has called
, the nurse every 15 minutes with one request or another. This client is
most likely exhibiting:
a. Repression.
b. Summarization.
c. Regression.
d. Conversion.
19.A person loses an important advertising account and gets a flat tire
while driving home. That evening, the person begins to find fault with
everyone. Which defense mechanism is the person using?
a. Displacement
b. Projection
c. Regression
d. Sublimation
20.Which term refers to the primary unconscious defense mechanism
that keeps intense, anxiety-producing situations out of a person's
conscious awareness?
a. Introjection
b. Regression
c. Repression
d. Denial
21.An adolescent, age 17, rarely expresses feelings and usually remains
passive. However, when angry, her face becomes flushed and her
blood pressure rises to 170/100 mm Hg. Her parents are passive and
easygoing. The adolescent may be using which defense mechanism to
handle anger?
a. Displacement
b. Introjection
c. Projection
d. Sublimation
22.Upon returning home from work, a young man discovers that his
mother has been in a serious automobile accident. Initially, he
responds to the news by stating, "No, I don't believe it. It can't be
true." Which defense mechanism is he using?
a. Introjection
b. Suppression
c. Denial
d. Repression
23.A client is brought to the facility in an agitated state and is admitted to
the psychiatric unit for observation and treatment. While putting
personal items away, the client talks rapidly and folds and unfolds
