NURSING 123 Questions and Answers Latest 2022/2023,100% CORRECT

NURSING 123 Questions and Answers Latest 2022/2023 FA7 1. Which of the following personality disorders is characterized by display of grandiosity, arrogance and taking advantage of others for one’s own benefit? a. Narcissistic b. Antisocial c. Dependent d. Borderline 2. A mother comes to the pediatric clinic because her previously continent 6-year-old son has resumed bedwetting. Aer discovering that there is a new baby in the home, the nurse explains to the mother that the son is most likely using the defense mechanism of: a. Regression b. Repression c. Identification d. Rationalization 3. A psychological consequence due to exposure to a stressful experience involving actual or threatened death: a. Post-Traumatic Stress Disorder (PTSD) b. Generalized Anxiety Disorder (GAD) c. Obsessive Compulsive Disorder (OCD) d. Phobia 4. Before eating a meal, a client with obsessive-compulsive disorder must wash his hands for 18 minutes, comb his hair 444 strokes, and switch the bathroom light on and off 44 times. What is the most appropriate long-term treatment goal for this client? a. Systematically decrease the amount of me spent in – and the number of repetitions of – rituals. b. Omit one unacceptable behavior each day. c. low ample me for the client to complete all rituals before each meal. d. Increase the client’s acceptance of therapeutic drug use. 5. Your client experience sleeplessness due to increasing ritualistic behavior. Which of the following treatment plans should be prioritized? a. Decrease the amount of me doing the ritual. b. Suggest she perform the rituals earlier. c. Prescribed hypnotic medications. d. Decrease anxiety by modifying the rituals. 6. Which of the following personality disorder is categorically described as dramatic, emotional and/or erratic? a. Histrionic b. Obsessive-compulsive c. Narcissistic d. Paranoid 7. Which type of psychotherapy will be best utilize in managing patients with Obsessive Compulsive disorders? a. Behavior therapy b. Aversion therapy c. Systematic desensitization d. Cognitive therapy 8. The nurse is teaching a client about the appropriate use of lorazepam (Ativan) to manage anxiety. Which of the following statements indicates that the client understands the nurse’s teaching? a. “My medicine is not for the everyday stress of life.” b. “It’s safe to have a glass of wine while taking this medicine.” c. “It’s safe to have a glass of wine while taking this medicine.” d. “It’s okay to double my dose if I need to. ” 9. A nurse must recognize that in treating a client with dependent personality disorder, the ultimate goal of the therapy is treating which of the following problems? a. Subservience to others b. Harshness in dealing with others. c. Manipulative of others d. Lack of empathy towards others 10. Characterized by a person’s intrusive thoughts related to rituals a. Obsessive Compulsive Disorder (OCD) b. Panic Disorder c. Post-Traumatic Stress Disorder (PTSD) d. Phobia 11. Which of the following Somatoform disorders is referred to as a preoccupation with a fear that one has or will get a serious disease? a. Hypochondriasis b. Body Dysmorphic Disorder c. Somatization d. Conversion Disorder 12. A nurse is interviewing a client on admission to the mental health inpatient unit who was involved in a fire two months ago. The client is complaining of insomnia, difficulty, concentrating, nervousness, hypervigilance, and is frequently thinking about fires. The nurse assesses these symptoms to be indicative of: a. Post-traumatic stress disorder b. Obsessive compulsive disorder (OCD) c. Phobia d. Dissociative disorder 13. A client is admitted to a surgical unit with a diagnosis of cancer. The client is scheduled for surgery in the morning. When the nurse enters the room and begins the surgical preparation, the client states, I’m not having surgery. You must have the wrong person! My results were negative. I’ll be going home tomorrow.” The nurse recognizes that the ego defense mechanism that may be operating here is: a. Denial b. Delusions c. Psychosis d. Displacement 14. When discussing the present problems of a client with paranoid personality disorder, which of the following nursing interventions is given priority in the plan of care? a. Talk about ways of using appropriate defense mechanism. b. Emphasize social interactions. c. Let him discuss his feelings about the event. d. Find out the causes of anxiety. 15. During an office visit, a prenatal client with mitral stenosis states that she has been under a lot of stress lately. During the examination, the client questions everything the nurse does and behaves anxiously. The appropriate nursing action at this me would be to: a. Explain the purpose of the nurse’s actions and answer all questions. b. Ignore her unfounded concerns and continue with the assessment. c. Tell her not to worry. d. Refer her to a counselor. 16. A client with agoraphobia experiences severe panic attacks when attempting to leave the house. His client’s outpatient treatment plan includes behavioral therapy to systematically decrease the amount of anxiety that occurs when leaving the house. Which statements best reflect successful therapy? a. The client’s stands outside the door to the house and holds onto the doorknob. b. The client leaves the house and controls anxiety with an anxiolytic. c. The client leaves the house and experiences sweaty palms. d. The client leaves the house and experiences shortness of breath. 17. Which of the following nursing interventions is given the highest priority for a client with dependent personality disorder? a. Ease his feelings of insecurity. b. Discuss situations that make him anxious. c. Establish and maintain reality. d. Identify good and bad responses. 18. A client with paranoia will show which behavior? a. Mistrust and suspiciousness b. Social discomfort and low self-esteem c. Grandiosity and lack of empathy d. Disregard and deceit 19. Which statement best differentiates Obsession and Compulsion? a. Obsessions are recurrent, persistent, intrusive, and unwanted thoughts, images or impulses while compulsions are ritualistic and repetitive behaviors or actions. b. Obsession is not repetitive while compulsion is repetitive. c. The patient can control obsessions but cannot control compulsions. d. Compulsions are recurrent persistent, intrusive, and unwanted thoughts, images or impulses while obsessions are ritualistic and repetitive behaviors or actions. 20. A client with depressive personality disorder tends to be which of the following? a. Suicidal b. Manipulative c. Submissive d. Maniacal 21. As you assess your client with borderline personality disorder, his mental health history would reveal which of the following? a. Low self-esteem b. Social isolation c. Compulsive behaviours d. Manipulativeness 22. Which of the following characteristics is NOT observed in patients with personality disorder? a. Causes the person emotional distress b. Usually diagnosed in adolescence or early childhood c. Enduring patterns of deviant behavior d. Difficulty in working and loving 23. Which of the following refers to a technique wherein the nurse helps the client to replace negative thought with positive patterns of thinking? a. Cognitive reconstructing b. Limit setting c. Thought stopping d. Positive self-talk 24. Which of the following approaches will be most therapeutic when caring for paranoid patients? a. Punctual, firm, affected b. Reassuring, sympathetic and empathetic c. Relaxed, casual, humorous d. Punctual, predictable, consistent 25. Which of the following personality disorders is prone to psychotic symptoms when faced with a stressful situation? a. Paranoid b. Narcissistic c. Passive Aggressive d. Borderline 26. Illogical, persistent fear of a specified object a. .Phobia b. Obsessive Compulsive Disorder (OCD) c. Panic Disorder d. Post-Traumatic Stress Disorder (PTSD 27. Which of the following is the most appropriate nursing intervention for a depressive personality disorder? a. Cognitive reconstructing technique b. Promote self-esteem c. teach social skills d. Confrontation techniques 28. Which of the following personal disorders would not require the teaching of social skills? a. Obsessive compulsive b. Borderline c. Schizotypal d. Histrionic 29. A psychological condition arising in response to terrifying event a. Panic Disorder b. Obsessive Compulsive Disorder (OCD) c. Generalized Anxiety Disorder (GAD) d. Phobia 30. A nurse observes an anxious client blocking the hallway, walking three steps forward and then two steps backward. Other clients are agitated trying to get past. The nurse intervenes by: a. Standing alongside the client and saying “You’re very anxious today.” b. Walking alongside the client and saying, “You’re not going anywhere very fast doing this.” c. Talking the client to the TV lounge and saying’ “Relax and watch television now.” d. Stopping the behavior and saying, “You’re going to be exhausted. 31. Her husband has physically and emotionally abused a client who is receiving therapy for depression for the past 8 years. She described her husband as an excellent provider who works hard and is good with the children. This client is using which defense mechanism. a. Compensation b. Reaction formation c. Identification d. Projection 32. All but one are therapeutic interventions when caring for OCD patients: a. Assign task that can be done repetitively. b. Impose limits every time the behavior becomes repetitive. c. Facilitate self-expression. d. Establish a routine for him. 33. Which of the following interventions would be most helpful when a patient experiences a panic attack? a. staying with her and remaining calm, confident and reassuring. b. reducing environment stimuli c. encouraging her to identify the events which precipitated the attack. d. encouraging her to interact with others to reduce her anxiety through diversion. 34. Excessive and uncontrollable worry about everyday events a. a. Generalized Anxiety Disorder (GAD) b. Obsessive Compulsive Disorder (OCD) c. Panic Disorder d. Phobia 35. A nurse is caring for a client with Hodgkin’s disease who will be receiving radiation and chemotherapy. Which statement by the client indicates a positive coping mechanism to be used during these treatments? a. “I have selected a wig even though I will miss my own hair.” b. “I know losing my hair won’t bother me.” c. “I will be one of the few who doesn’t lose hair.” d. “I will not leave the house bald.” 36. The nurse should realize that the greatest stumbling block in treating clients with personality disorders is which of the following? Group of answer choices a. Resists change in behavior b. Addictive anti-psychotic drugs c. Needs long term therapy d. Unrelieved by drug therapy 37. A hospitalized client started to increase her ritualistic tile counting at bed time and could not sleep. Which of the following is the most appropriate nursing intervention? a. Administer anti-anxiety medication b. Provide scheduled activities for rituals c. Administer medication for sleep d. Substitute activity to relieve anxiety 38. Before using confrontation techniques, a nurse must understand which of the following facts regarding rituals? Group of answer choices a. Decreases levels of anxiety b. Habitual behavior c. Unrelieved by medication d. Unmodified behavior 39. During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide, open mouth and raised eyebrows. What should the nurse do first? a. Assist with deep breathing into a paper bag b. Administer an anxiolytic I.M. c. Orient the client to person, place, and time. d. Set limits for acting out delusional behaviors. 40. A 30-year-old client has been diagnosed with schizoid personality disorder. What would be the most appropriate nursing intervention for this client? a. Improve client’s functioning in the community b. Foster client’s self reliance and autonomy c. Serious, straight forward approach d. Assess for self-harm risk 41. An important feature of conversion disorder is: a. The physical symptom is life threatening. b. There is no evidence of pathological breakdown. c. There is evidence of pathophysiological breakdown. d. Physical symptom is symbolically related to psychological conflict or need. 42. Victim of sexual assault can experience posttraumatic stress reactions after the attack. Which of the following statements best describes symptoms associated with posttraumatic stress disorder (PTSD)? a. flashbacks, recurring dreams and numbness b. fatigue and self-blame c. denial of the event d. anger, guilt and humiliation 43. Which one of the following medications would be prescribed to reduce or eliminate panic attack.? a. Antidepressant b. Antipsychotic c. Anti-anxiety d. anticholinergic 44. Which of the following behavior would you NOT expect in an obsessive-compulsive person? a. Manipulativeness b. Efficiency c. Perfectionism d. flexibility 45. Which of the following actions by the nurse would cause the greatest anxiety to a patient diagnosed with dependent personality disorder? a. Discussing hospital rules b. Criticizing him c. Asking personal questions d. Pointing out his eccentric behaviors 46. Because of washing rituals, Sarah is always late for meals and does not have enough time to finish eating. Which of the following is an effective nursing intervention? a. Notify Sarah one hour before mealtime, so she can start her washing rituals b. Interrupt the washing rituals and insist that she come for meal on time c. Allow Sarah to continue her rituals and let her meet her non-nutritional needs d. Give her food after the other client have eaten 47. In creating a treatment plan for a client with borderline personality disorder, a nurse must make adjustment for which associated condition? a. Hallucination Quizlet b. Delusion c. Mania d. Depression Canvas 48. Which of the following personality disorder is marked by extreme emotions and attention seeking: a. Histrionic b. Borderline c. Schizotypal d. Schizoid c 49. An obsessive-compulsive silent who arranges his bed before sleeping is using which defense mechanism? a. Controlling b. Projection c. Schizoid fantasy d. Externalization FA 8 1. Which of the following statements best defines Depression? A. Feelings of unreality and detachment from one’s self and environment. B. Feelings of hopelessness, inability to cope and general state of lowered mood. C. Alternating moods of sadness and elation, unpredictability and forgetfulness. D. Alternating moods of sadness and elation, unpredictability and forgetfulness. 2. The patient complains that even after 2 months of taking Lithium, he experiences metallic taste when taking his medications. How should the nurse interpret this to the patient? A. It is a sign of toxicity. B. All of the options C. The drug is expired. D. It is normal 3. Gerry, 40 years old, was diagnosed with chronic schizophrenia. His history indicates that he has been taking neuroleptic medication for many years. Assessment reveals unusual movements of the tongue, neck, and arms. Which condition should the nurse suspect? A. Neuroleptic Malignant Syndrome B. Tardive Dyskinesia C. Akathisia D. Dystonia 4. While looking out the window, a client with schizophrenia remarks, “that school across the street has creatures in it that are waiting for me.” Which of the following terms best describes what the creatures represent? A. Delusion NASA NCLEX B. anxiety attack C. Projection D. hallucination 5. Which of the following would be most important for the nurse to do for a client who is beginning therapy with TCA? A. Anticipate a need for antidiarrheal agent B. Have the client change position slowly C. Monitor for hypertensive crisis D. Assess for prompt elevation in mood 6. Which of the following nursing interventions should be considered in a client taking Lithium? A. Decreased sodium in the diet. B. Exercise during extremely hot weather. C. Drink 1 liter of water daily. D. none of the options 7. Which of the following medications would the nurse expect the physician to order for treatment of acute dystonia? A. Prochlorperazine (Compazine) B. Diphenhydramine (Benadryl) C. Haloperidol (Haldol) D. Midazolam (Versed) 8. According to the Biologic Theory of Schizophrenia the disorder is caused by elevation of what neurotransmitter? A. Serotonin and norepinephrine B. Acetylcholine and norepinephrine C. Dopamine D. Norepinephrine and adrenaline 9. A patient receiving Clorpromazine (Thorazine) complains of dizziness and weakness. The nurse finds that her blood pressure is 100/80. What must the nurse do in order to properly evaluate these findings? A. Ask the patient if this has ever happened before B. Determine if the patient has eaten her breakfast C. Discover what the patient was doing just before the feeling of dizziness occurred D. Ascertain the patient’s usual blood pressure 10. Which of the following food and beverage content should a patient taking MAOIs avoid hypertensive crisis? A. Tyramine B. Tofranil C. Melamine D. Tacrine 11. A client is in the manic phase of bipolar disorder. To help the client maintain adequate nutrition, the nurse should plan to: A. offer finger foods and sandwiches B. provide large, attractive meals C. let client choose favorite foods D. provide a stimulating mealtime environment 12. Which of the following drugs will most likely decrease Andy’s hallucination? A. Clomipramine (Anafranil) B. Carbamazepine (Tegretol) C. Fluoxetine (Prozac) D. Chlorpromazine (Thorazine) 13. What is the nurse’s best action after finding out that serum lithium level of her patient reveals 1.3 mEq/L? A. Notify doctor and request for reversal treatment. B. Explain that the patient might need hemodialysis. C. Document the findings. D. all of the options 14. Schizophrenia is defined as: A. Splitting of mind and affect B. Multiple personality C. Dissociative and demented D. Split personality 15. Which of following laboratory value must be assessed prior to initiation of Lithium therapy? A. Creatinine B. Immunoglobulin E C. CBC with differential count D. Chest x-ray 16. Which of the following is important when restraining a violent client? A. Always tie restraints to side rails B. Secure restraints to the gurney with knots to prevent escape C. risk for violence toward self and others D. Have three staff members present, one for each side of the body and one for the head. 17. Gerry has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that Gerry is experiencing pseudoparkinsonism? A. Involuntary rolling of the eyes B. Tremors, cogwheeling rigidity and masklike face C. Restlessness, difficulty sitting still, and pacing D. Extremity and neck spasms, facial grimacing, and jerky movements 18. During one of his interactions with his patients, Nurse Rolland suddenly paused from talking and then stated that a voice tells her that she would be the next ruler of the world. Nurse Rolland would interpret this behavior as: A. Delusions B. Hallucination C. False belief D. Illusion 19. To which of the following conditions will ECT be most likely indicated? A. All of the options B. Catatonic stuporn C. Severe depression D. Acute suicidal patient 20. Which among the following medications is administered before ECT procedure? A. Methohexital – a short acting anesthetic B. All of the options C. Atropine – to lessen the salivation D. Anectine – a muscle relaxant that prevents the external manifestation of grand mal seizures 21. Gerry develops a very high temperature, severe muscle rigidity, tachycardia, and rapid deterioration in mental status. The nurse suspects what complications of antipsychotic therapy? A. Agranulocytosis B. Extrapyramidal effects C. Neuromalignant syndrome (NMS). D. Anti-cholinergic effects 22. Delma, a 35-year-old client is admitted to the unit. “I’m a well-known physician, “ and begins to order nurses to prepare her bath while she orders her tray and telephones her colleagues. Her husband states that she’s too busy to eat and sleep and is losing weight. Her admitting diagnosis is bipolar disorder, manic phase. For which of the following events should the nurse plan? A. One –to –one treatment to occupy the client’s time. B. Rapid mood changes from elation to depression C. Boredom and the need for minute-to minute activities D. Erratic and unpredictable behavior if challenged 23. Agranulocytosis is a common complication of which antipsychotic drug? A. Haldol B. Clozaril C. Marplan D. Clonidine 24. A 24 year old client is experiencing an acute schizophrenic episode. He has vivid hallucinations that are making him agitated. The nurse’s best response at this time would be to: A. tell him his fear is unrealistic B. engage the client in reality-oriented activities C. take the client’s vital signs D. explore the content of the hallucinations NASA NCLEX 25. A sign of psychiatric disturbance that is characterized by posturing. Which of the following indicates postural disturbance in patients with psychiatric disorders? A. Echolalia B. Echopraxia C. Stereotypal’ D. Catatonia 26. A client with schizophrenia tells the nurse he hears the voices of his dead parents. To help the client ignore the voices, the nurse should recommend that he: A. call a friend and discuss the voices and his feelings about them Canvas B. engage in strenuous exercise C. sit in a quiet, dark room and concentrate on the voices D. listen to a personal stereo through headphones and sing along with the music NASA NCLEX 27. Nursing care immediately after ECT will be most concerned about managing which of the following side effects? A. Long term amnesia B. Short term amnesia C. Seizure D. Drowning 28. Involuntary movement of facial muscles is common antipsychotic side effect also known as: A. Dystonia B. Dyskinesia C. Akinesia D. akathasia 29. How long should the patient wait before experiencing therapeutic effects of antidepressant medications? a. 4-6 weeks b. 3-8 weeks c. 1 week d. 2-4 weeks 30. Benztropine (Cogentin) is used to treat the extrapyramidal effects induced by antipsychotics. This drug exerts its effect by: a. decreasing the anxiety causing muscle rigidity b. increasing norepinephrine in the CNS c. increasing the level of acetylcholine in the CNS d. blocking the cholinergic activity in the CNS 31. Positive manifestations of Schizophrenia include: a. Poor insight and judgment, and poor self-care and awareness b. Social withdrawal and blunted effect c. Disordered thinking, paranoia and agitation d. Lack of motivation and poverty of speech 32. Diane, a client with a personality disorder, exhibits manipulative disorder. Care planning for this client should include: a. Verbal reinforcement when the client functions within established limits. b. Reasonable expectations with varying limits c. Freedom to do as the client chooses when behavior improves d. Limitations per unit rules without restrictions for broken rules 33. The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered? a. To reduce psychotic symptoms b. To relieve anxiety c. To reduce extrapyramidal symptoms d. To control nausea and vomiting 34. Schizophrenia is characterized by: a. loss of identity and self-esteem b. multiple personalities and decreased self-esteem c. Disturbances in affect, perception in thought content and form d. persistent memory impairment and confusion 35. Disturbances in what neurotransmitter predisposes patients to Manic episodes? a. Acetylcholine b. GABA c. Dopamine d. Norepinephrine 36. The drug of choice for manic episodes of bipolar disorders. Which of the following drugs is indicated for bipolar clients during their manic episodes? a. Lithium b. Valium c. Wellbutrin d. Haldol 37. Which of the following is an important consideration to account when caring for patients taking antidepressant medications? a. Patients may not get well b. Patients may have sudden change of mind c. Patients may suffer withdrawal symptoms. d. Improving emotional state predisposes to increased risk of suicide. 38. To which DSM-V diagnostic criteria will a patient be categorized if he demonstrates inability to groom himself by appearing dirty and wearing dirty clothes and behaviors such as acting silly and laughing inappropriately? a. Paranoid type b. Catatonic type c. Disorganized type d. Undifferentiated type 39. The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority? a. risk for violence toward self and others b. altered nutrition: Less than body requirements c. Impaired verbal communication d. Ineffective family coping 40. When caring for a patient with an eating disorder, the nurse understands that depression associated with the disorder often predisposes patients to suicidal tendencies. Which of the following nursing diagnosis best describes this situation? a. Impaired social interaction b. Ineffective individual coping c. Potential for self-directed violence d. Impaired adjustment 41. The nurse is planning discharge teaching with a client taking clozapine. Which of the following is essential to include? a. Caution client not to be outdoors in the sunshine without protective clothing. b. Instruct the client about dietary restriction. c. Remind the client to go to the lab to have blood drawn for a WBC count. d. Give the client a chart to record a daily pulse rate. 42. Foods high in tyramine includes: a. All of the options b. Chicken liver and smoked beef c. Avocado, banana, beer and vodka d. Salami and soy sauce 43. The nurse takes a patient’s blood pressure and note it is 96/65. It is time for her 9AM Chlorpromazine and Artane. After checking her blood pressure, what would you do first?Group of answer choices a. Check her previous blood pressure readings b. Withhold the medications and notify the doctor c. Give the Artane and give the Chlorpromazine d. Give the Artane and hold the chlorpromazine FA 9 1. A school-aged child diagnosed with attention deficit hyperactivity disorder is prescribed with methylphenide hydrochloride (Ritalin). Assessment of which of the following would alert the school nurse to the possibility that the child is experiencing a common side effect of the drug a. Weight gain b. Vomiting c. Photosensitivity d. Growth retardation 2. When teaching the parents of a child with attention deficit hyperactivity disorder (ADHD), which of the following statements by the parents would indicate the need for further teaching a. “We’ll use simple, clear directions and instructions” b. “We’ll set up rules with specific times for eating, sleeping, and playing” c. “We’ll have him do his homework at the kitchen table with his brothers and sisters” d. “We’ll make sure he completes one task before going on to another” 3. The immediate goal of nursing interventions in the care of a client with anorexia nervosa in which of the following: a. Establish a target weight to be achieved by discharged b. Gain insight into the effects of anorexia on her physical health c. Change her irrational thinking about her body d. Restore nutritional status to normal 4. An important principle for the nurse to follow in interacting with retarded children is a. Treat the child according to his chronological age b. Seen that if the child appears contented, his needs are being met c. Treat the child according to his developmental level d. Provide an environment appropriate to their development task as scheduled 5. The nurse is performing an assessment on a client with dementia. Which data gathered during assessment indicate a manifestation associated with dementia? a. Improvement in sleeping b. Presence of personal hygiene care c. Confabulation d. Absence of sundown syndrome 6. Which of the following is particularly important when planning care for a client with bulimia a. Daily urine output b. Good oral hygiene c. Meticulous skin care d. Monitoring daily weight 7. A hospitalized male adolescent flirts and is sexually provocative toward a female nurse. The nurse can respond MOST therapeutically by doing which of the following a. Telling him she is married and too old for him b. Ignoring his flirtations and provocative behaviors c. Introducing him to female clients her own age d. Encouraging him to watch TV in his room 8. Bulimia nervosa is characterized by which of the following a. Self-induced starvation b. Amenorrhea c. Dramatic weight loss d. Uncontrollable craving for food 9. The pedophile’s choice of a sex object is primarily based on a. Feelings of tenderness toward children b. Difficulty relating with adults c. Preferred for a passive sexual role d. Fears of incestuos impulses 10. A 2-year old child is diagnosed with autistic disorder. Behaviors specific to this disorder would include which of the following a. Superior intellectual development, resistance to change, and a need to make eye contact with adults b. Clinging, self-destructive behavior, and rudimentary attempts to communicate C. pre- occupation with objects, a personal language, and a various self- stimulating behaviors d. Twirling behavior, delusions and hallucinations 11. The nurse is assessing a client with early signs of dementia. The nurse asks the client what he ate for breakfast that morning. The purpose of this question is to determine which of the following? Group of answer choices a. Remote memory b. Recent memory c. Orientation d. Food preferences 12. When assessing disturbed children, which of the following assessments would be most indicative of a severe emotional problem? Group of answer choices a. Unresponsiveness to the environment b. Poor school performance c. Physical complaints d. Behavioral outbursts 13. The difference between clients with anorexia nervosa and bulimia nervosa in which of the following? Group of answer choices a. Bulimia can be life threatening, whereas anorexia is seldom so. b. There is no real difference between these two types d. Anorexic clients are proud of their control over eating, whereas bulimic clients are ashamed of their behaviour. 14. A nurse is performing an assessment on a 16-year-old female client who has been diagnosed with anorexia nervosa. Which statement by the client would the nurse identify as a priority requiring further assessment? Group of answer choices a. “I check my weight every day without fail.” b. “My best friend was in the hospital with this disease a year ago.” c. “I’ve been told that I am 10% below ideal body weight.” d. “I exercise 3 to 4 hours every day to keep my slim figure.” 15. Which of the following statements would indicate that medication teaching for the parents of a 5-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective?Group of answer choices a. “We’re so glad that Ritalin will eliminate the problems of ADHD.” b. "We’ll teach him the proper way to take the medication so he can manage it independently.” c. “We’ll be sure he takes Ritalin at the same time everyday, just before bedtime.” d. “We’ll be sure to record his weight on a weekly basis.” 16. The nurse is talking with an outpatient client who has diagnosed with bulimia 3 months ago. The nurse decides that the client needs more education about the illness if she makes which of the following comments: Group of answer choices a. If i start severely restricting my eating, i may be building up to a bingeing episode b. When i'm not bingeing and purging, i can skip that eating disorder support group c. I know that this illness is chronic and intermittent. I will always have to control it d. My depression is gone so i dont need my antidepressant any longer` 17. The nurse can distinguish delirium from dementia by knowing which of the following? Group of answer choices a. Delirium has a gradual onset and can be resolved b. Dementia has a gradual onset and is progressive in course c. Delirium has an acute onset and is progressive in course d. Dementia has an acute onset and can be resolved 18. A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to Group of answer choices a. Move the client next to the nurse’s station. b. Use an indirect light source and turn off the television c. Play soft music during the night, and maintain a well-lit room. d. Keep the television and soft light on during the night. 19. A 16 -year-old female with anorexia nervosa is admitted to the unit. The most appropriate short-term outcome is that the client will: Group of answer choices a. Accept herself as having value and worth b. Admit she has a fear of gaining weight c. Follow a nutritionally balanced diet for her age. d. Identify her problems and potential alternative coping strategies. 20. An 8-year-old with attention deficit hyperactivity disorder is jumping off the bed onto a chair. Initially the best response by the nurse would be: Group of answer choices a. “Stop that right now.” b. “You are going to hurt yourself.” c. "Why are you jumping off the bed?” d. “I need to talk to you.” 21. Clients with eating disorders are at risk for which of the following? Group of answer choices a. Electrolyte imbalance b. Tachypnea c. Hyperthermia d. Insomnia 22. In planning care for a child diagnosed with hyperactivity, the nurse would include which of the following interventions? a. Allowing the child space and autonomy to decrease energy b. Teaching relaxation exercises c. Teaching appropriate anger expression d. Providing structure in activities 23. The nurse develops a nursing diagnosis of self-care deficit for an older client with dementia. Which of the following is an appropriate goal for this client? a. The client will function at the highest level of independence possible b. The client will be admitted to a long term care facility to have activities of daily living needs met c. The nursing staff will attend to all the client’s activities of daily living needs during hospital stay d. The client will complete all activities of daily living independently within a 1 hour of time frame 24. When working with a client with anorexia nervosa, which of the following nursing diagnosis is the most difficult to resolve successfully? a. Disturbed body image b. Deficient knowledge on nutritious foods c. Social isolation d. Imbalanced nutrition: Less than body requirements 25. It is best for parents to teach healthy interpersonal relationships to their children by: a. Modelling to their children b. Encouraging their children to attend secondary school c. Encouraging their children at home to behave properly d. Teaching their children good manner and right conduct 26. The nurse is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client? a. Giving the client as much time to eat as desired b. Providing one to one supervision during meals for one hour afterward c. Trying to persuade the client to act and this restore nutritional balance d. Letting the client eat without other clients to create a normal mealtime atmosphere. 27. In addition to significant weight loss, which of the following finding might alert the nurse to suspect anorexia nervosa a. Amenorrhea b. Seizures c. Gastroenteritis d. Hypothermia 28. A 2-year-old child is brought into the physician’s office by his parents who are concerned by his behavior. They describe how the child resists their affection, twirls around frequently, and refuses to respond to other children and adults. Based on the analysis of these behaviors, which of the following would the nurse suspect? a. Autism b. ADHD c. Schizophrenia d. Tourette syndrome 29. Mental retardation is: a. A condition of subaverage intellectual functioning that originates during the developmental period and is associated with impairment in adaptive behavior b. A lack of developmental of sensory abilities c. A delay in normal growth and developmental caused by an inadequate environment d. A severe lag in neuromuscular development and motor abilities FA #3 1. A client with an Axis I diagnosis of bipolar disorder, mania, states to the nurse, “I’m the Prince of Wales and you will be my Queen Anna. Get ready for our wedding.” Which of the following replies by the nurse would be most appropriate? a. “No, you know better, we are not going to be married. There will be no wedding.” b. “You are Sam Smith, a client here in the hospital. And I’m Marjorie, a nurse here on the unit.” c. “Sorry, but I am already happily married and won’t be getting ready for a wedding.” d. You are not a prince and I cannot be your queen. We are not going to be married.” 2. The nurse acts as a parent surrogate when she does which of the following? a. Helps the patient participate in socially acceptable activities b. Assist the patient and his family to know their rights and responsibilities c. Administer medication as ordered d. Assist in self care activities such as bathing and grooming 3. A client in her first postpartum month has developed mastitis secondary to breast feeding. Her nurse, a mother who developed and recovered from mastitis after her third child, says, “I remember the discomfort I had and now quickly it resolved when I began getting treatment. The therapeutic communication being used by the nurse is: a. Self-disclosure b. Clarification c. restating d. Reflection 4. When an individual continuously strives to grow as a person aiming for a higher status quo, this person has a positive mental health based on which component? a. Mastery of the environment b. Maximization of one’s potential c. Tolerating life uncertainties d. Stress management 5. Blaming other individuals for own wrong act is a defense mechanism which is: a. Sublimation b. Projection c. regression d. repression 6. A 23 year-old male client accuses your co-staff nurse; Ms. Jennie of lying to him. As a nurse, what do you think could be your best response to the client? a. “I can’t speak for Ms. Jennie but I see you’re upset. Tell me your concerns.” b. “I can assure you that all nurses here have good values like honesty” c. “No one here would lie to you” d. “Ms. Jennie is not capable of doing such a thing to anyone” 7. Upon entering client’s room, the client frowns and states, “I’ve had my damn light on for 20 minutes. It’s about time you got here. I’m sick of this place and the staff.” The nurse best response would be; a. “I’m sorry. I was busy with another client.” b. "My name is Mary and I’m your nurse for today.” c. "You seem upset this morning.” d. “You’ve had your light on for 20 minutes?” 8. Dina states, “I’m the queen of the world.” The nurse knows that this is: a. looseness of association b. Flight of ideas c. Delusion of Persecution d. delusion of grandeur 9. During the working phase of the nurse-client relationship, the clinic nurse observes that the client displays resistance behaviours towards problem solving process. . The most appropriate interpretation of the behavior is that the client: a. needs to be referred to the psychiatrist as soon as possible b. needs to be admitted to the hospital c. requires further treatment and is not ready to be discharged d. is displaying typical behaviours that can occur during the working phase 10. Which of the following communication relayed by the nurse to the client implies a concrete message? a. “Help me put this pile of books on Marsha’s desk” b. “Get this out of here” c. “When is she coming home?” d. “They said it is too early to get in. 11. When the nurse shows active listening and assisting client in identifying stresses that causes anxiety, the psychiatric role she/he assumes is: a. Therapist b. Socializing agent c. Technical agent d. Counsellor 12. Linda reviews her notes in Psychiatric nursing before the first day of her assignment in a psychiatric unit. She recalls that a near accurate definition of mental health is: a. absence of negative ways of dealing with problems b. presence of mental stability c. absence of mental illness d. presence of mental organization 13. A client who has been admitted a surgery seems preoccupied and anxious the night before the operation. Which comment by the nurse would promote therapeutic communication? a. “It isn’t unusual to worry about surgery. If you’d like, I’ll ask the physician for something to help you help.” b. “Would you like me to call a chaplain to talk with you about any concerns you may have about surgery?” c. “Are you worried about your surgery tomorrow?” d. “You seem worried about something. Would it help to talk about it?” 14. Which of the following best describes therapeutic use of self? a. Ability to effect change in the patient without imposing one’s spiritual values b. Being skillful and artistic in giving treatment c. Being accurate in the administration of medication d. Ability to consciously structure nursing intervention and establish relatedness 15. A client with major depression states, “Life isn’t worth living anymore. Nothing matters.” Which of the following responses by the nurse would be best? a. “Are you thinking about killing yourself?” b. "Why do you think that way?” c. “You shouldn’t feel that way.” d. “Things will get better, you know.” 1. During the termination phase of the nurse-client relationship, the clinic nurse observes that the client has made several sarcastic remarks and has an angry effect. The most appropriate interpretation of the behaviour is that the client: a. Requires further treatment and is not ready to be discharged b. Needs to be admitted to the hospital c. Needs to be referred to the psychiatrist as soon as possible d. Is displaying typical behaviours than can occur during termination 2. Which of the following communication relayed by the nurse to the client implies a concrete message? a. When is she coming home b. They said it is too early to get in c. Help me put this pile of books on marsha’s desk d. Get this out of here 3. Behavior can be changed through conditioning with external or environmental conditions of stimulus a. Carl Rogers b. BF Skinner c. Abrahan MAslow d. Ivan Pavlov 4. A client with bipolar disorder, manic phase has just sat down to watch television in the lounge. As the nurse approaches the lounge area, the client states “The sun is shining. WHere is my son? I love Lucy. Let’s play ball” The client is displaying a. Use of neologism b. Flight of ideas (2) c. Use of word salad d. Loose association of thought process 5. The nurse is trying to establish rapport with a newly admitted client. Which technique block effective communication with a client? a. Giving advice b. Using silence c. Asking open-ended question d. Reflecting 6. A theorist believed that human behavior is motivated by repressed sexual impulses and desires. a. Eric Erickson b. Sigmun Freud c. Harry Stack Sullivan d. Jean Piaget 7. During the early part of the interaction, the nurse asked after a period of silence. “Perhaps we would talk about leaving.” The nurse utilized which communication technique: a. Encouraging b. Understanding c. Suggesting d. Focusing on client 8. A theorist who believed that human behavior is motivated by repressed sexual impulses and desires a. Harry Stack sullivan b. Sigmund Freud c. Jean Piaget d. Eriic Erickson 9. Believed that problems result when the person is out of touch with the self or the environment a. Behaviorism Theorists b. Psychoanalytic Theorists c. Existential Theorists d. Interpersonal Theorists 10. While visiting a client with multiple sclerosis, the community health nurse observes that the client looks untidy and sad. The client suddenly says, ‘’ I can't even find the strength to comb my hair’’, and bursts into tears. Which of the following response by the nurse would the best a. It must be frustrating not to be able to care go yourself b. Why haven't your husband been helping you c. How many days have you been able to comb your hair d. Tell me more about your thinking 11. The son of a client with alzheimer’s disease reports feeling guilty because, at times , he wishes his father would die. What is the nurse’s best response a. Perhaps you should consider putting your father in a nursing home b. Being responsible for your father’s care must be difficult c. There is no reason to feel guilty. You’ve given your father excellent care d. Everyone in your situation must feel like that at all times. 12. A nurse employed in a mental health unit of a hospital is the leader of a group psychotherapy session. The nurse’s role in the termination stage of group development is to; a. Encourage problem solving b. Acknowledge the contribution of each group’s work c. Encourage members to become acquainted with one another d. Encourage accomplishment of the group’s work 13. The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor says to the nurse. How is carol doing she is my best friend and is seen at your clinic every week. The appropriate nursing response is which of the following gagooo a. I cannot discuss any client situation with you b. If you want to know about carol, you need to ask her yourself c. Im not supposed to discuss this, but because you are my neighbor, i can tell you that she is doing great, d. I’m not supposed to discuss this but because you are my neighbor, i can tell you that she really has some problems 14. People learn their behavior from their history or past experiences particularly those experiences that were repeatedly reinforced. a. Carl rogers b. Abraham maslow c. Ivan pavlov d. B.f skinner 15. The patient says a word with linkage or small sounds like rang, bang in order to compensate for communication deficits; a. Clang association b. Punning c. Echolalia d. echopraxia 16. A theorist stated that childhood development is based on sexual energy as the driving force a. Jean piaget b. Sigmund freud c. Harry stack sullivan d. Eric erickson 17. The foundation of the therapeutic process is the therapeutic relationship. What is the essential opponent that the nurse must bring to the relationship a. Empathy b. Reframing c. Confrontation d. Humor 18. SITUATION: Anita is experiencing ape-trauma syndrome in an acute phase. She had been invited to a fraternity party. She had too much drink and she was raped by her date. The day after, she was brought to the hospital. She has feelings of anger, humiliation, helplessness, nausea, vomiting, nightmare and muscle tension. When the nurse approached Anita, initially she was just crying , felt she was in a nightmare and she was at a loss. The appropriate nursing diagnosis is: a. Ineffective coping b. Sexual dysfunction c. Situational self-esteem d. Sexual violence 19. The nurse can best handle the answering of personal questions asked by the client in any phase of the nurse-client relationship by: a. Providing brief, truthful answers and redirecting focus of the conversation. b. Reviewing the positive and negative aspects of the subject c. Offering an honest, brief expression of personal views on the subject raised d. Gently reminding the client that the nurse’s feelings are not the client’s concern 20. . All treatment team members are seen as equally important in helping clients meet their treatment goals. This type of therapy approach is: a. Behaviour modification b. Milieu therapy c. Rational emotive therapy d. Interpersonal therapy 21. The depressed client verbalized the low self-esteem and self-worth typified by statements such as “I’m such a failure. I can’t do anything right.” The best nursing response would be to: a. Identify recent behaviours or accomplishments that demonstrate client’s skills b. Thell the client that this is not true, that we all have purpose in life. c. Reassure the client that you know how the client is feeling and that things will get better d. Remain with the client and sit in silence; this will encourage client to verbalize feelings. 22. A client with Axis I diagnosis of bipolar disorder, mania, states to the nurse , “I’m the prince of Wales and you will be my Queen Anna. Get ready for our wedding.” Which of the following replies by the nurse would be the most appropriate? a. “You are Sam Smith, a client here in the hospital. And I’m Marjorie, a nurse here in the unit.” b. “You are not a prince and I cannot be your queen. We are not going to be married.” c. “No, you know better, we are not going to be married. There will be no wedding.” d. “Sorry but I am already happily married and won’t be getting ready for a wedding.” 23. A 23 year-old male client accuses of your staff nurse; Ms. Jennie of lying to him. As a nurse, what do you think could be your best response to the client? a. “I can’t speak for Ms. Jennie but I see you’re upset. Tell me your concerns.” b. “No one here would lie to you.” c. “I can assure you that all nurses here have good values like honesty.” d. “Ms. Jennie is not capable of doing such thing to anyone.” 24. Which of the following is not included in the tasks of the working phase of the therapeutic relationship? a. Build trust b. Encourage expression of feelings c. Facilitate behavior change d. Promote self-esteem 25. Social skills is NOT primarily indicated for psychiatric patients who are: a. Experiencing recurrence of symptoms in front of particular people or among people in general b. Having difficulties starting and maintain interpersonal relationships c. Having chronic episodes of stress and anxiety while interacting with others d. In acute stage of illness 26. Adults, “singing and acting like children” is a form of: a. Sublimation b. Displacement c. Regression d. Compensation 27. A man is hospitalized for benign prostatic hypertrophy and is scheduled for a transurethral prostatic resection. He has a history of myocardial infarction two years ago. The day nurse states that the patient has been quiet, withdrawn, and was seen crying but continually states he is OK. During evening rounds the patient is silently crying. The goal with the patient would be: a. Encourage him to express his thoughts about his illness, surgery and its effect upon his life. b. Encourage him to express his fears about the possibility of dying as a result of Surgery. c. Let him know you are concerned about his behavior because it is very important to rest the night before an operation d. Relieve his anxiety by making sure to have plenty of time to do his pre-operative teaching. 28. The client asks the nurse about the milieu therapy. The nurse responds, knowing that the primary focus of milieu can be best described as which of the following? a. A cognitive approach to changing behavior b. A form of behaviour modification therapy c. A living learning or working environment d. A behaviour approach to changing behaviour 29. SITUATION: Through the nurse-patient relationship, the nurse intervenes utilizing effective communication techniques. The following are varied situations in a psychiatry ward. The patient verbalizes, “Masama ang pakiramdam ko. Hindi ako makatulog kagabi.” A therapeutic response of the nurse would be: a. Relax lang! Huwag ka masyadong mag isip ng mga problema mo.” b. “Baka ini-istorbo ka na naman ng mga boses.” c. Sinabi mo sana sa nars para nabigyan ka ng sedative drug mo.” d. “Maari mo bang sabihin sa akin ang mga naisip at naramdaman mo?” 30. Theorist that developed the client-centered therapy. a. Abraham Maslow b. Ivan Pavlov c. Carl Rogers d. B.F Skinner 31. A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing: a. Ideas of reference. b. A hallucination. c. Flight of ideas. d. A delusion 32. SITUATION: Bernie and John in their late 40’s have been married for 20 years and at the peak of their careers. Suddenly, Bernice discovered that her husband was falling in love with another woman. Shaken by this situation, she started to have problems sleeping and could not function well at work at the risk of losing her job. John asked forgiveness and regret very much the hurt his wife was going through and suffered guilt feelings. Bernie and John are going through a: a. Developmental crisis b. Anticipated crisis c. Situational crisis d. Both developmental and situational crisis 33. DSM IV (TR) 4th edition is a taxonomy published that describes all the mental disorders with a specific diagnosis to provide a standardized nomenclature and language for all mental health professionals. Axis V of this taxonomy focuses on: a. Global assessment of Functioning (GAF) 0-100 b. Clinical disorder that is the focus of treatment c. Medical indication d. Psychosocial and environmental problems 34. A client admitted in an acute psychotic states that she hears “terrible voices in the head” and thinks her neighbor is “out to get her.” Which of the following would be the nurse’s best response? a. “What exactly are these “terrible voices” saying to you? b. How long have you been hearing these terrible voices? c. “What has your neighbor been doing that bothers you? d. “We won’t let your neighbor visit, so you’ll be safe.” 35. “Self-awareness, knowledge and understanding of human behavior and communication skills define what are the essentials in caring for every nurse able to demonstrate.” a. Self mastery b. Assertiveness c. Positive self projection d. Therapeutic use of self 36. The longest and most productive phase of the NPR is a. Working phase b. Per - orientation phase c. Termination phase d. Orientation phase 37. According to sigmund freud the human personality was believed to function at three levels of awareness. The subconscious functions as a. Watchman - prevents unacceptable memories to come to awareness b. When the person is fully awake c. When the person si sleeping d. Storage or reservoir of painful stimuli 38. After the first psychotherapeutic session, a patient was found to be weeping bitterly pounding the bed and shouting “i can’t remember anything” the nurse responds by a. Patting him reassuringly on the back and saying “i know it's hard to bear” b. Sitting in the room and listening attentively c. Stand in front and say gently “stop crying i will play card with you” d. Sitting beside him and saying “your memory will soon return” 39. Which of the following responses would be most helpful for a client who is euphoric, intrusive and interrupts other clients engaged in conversations to the point where they get up and leave or walk away? a. “You are being rude and uncaring” b. “You should remember to use your manners” c. “You know better than to interrupt someone” d. “When you interrupt others, they leave the area” 40. During the working phase of the nurse-client relationship, the clinic nurse observes that the client displays resistance behaviours towards the problem solving process. The most appropriate interpretation of the behaviors is that the client: a. Needs to be admitted to the hospital b. Needs to be referred to the psychiatrist as soon as possible c. Requires further treatment and is not ready to be discharged d. Is displaying typical behaviors that can occur during the working phase 41. Nicanor becomes verbally assaultive to the nurse. He says “ikaw nurse wala kang alam! Marunong pa ko sa iyo e. Ano ba ang pinagmamalaki mo!” the nurse responds therapeutically by a. Acknowledging his behavior and respond, “nagagalit ka sa nurse at nawawala ka ng control sa sarili mo” b. Ignoring the behavior of the patient c. Admonishing him with “ako and nurse dito dapat sumunod ka sa akin” d. Acknowledging his behavior however put him in his right senses; respond with “OO nga, galit ka sa nurse pero hindi tama na naninigaw ka” 42. A client with major depression is considering cognitive therapy. The client asks the nurse “how does this treatment work?” the nurse responds and tells the client that a. This type of treatment helps you examine how your past life has contributed to your problems b. This type of treatment helps you confront your fears by gradually escaping you to them c. This type of treatment helps you examine how your thoughts and feelings contribute to your difficulties d. This type of treatment will help you relax and develop new coping skills 43. Which of the following best describes therapeutic use of self? a. Being skillful and artistic in giving treatment b. Being accurate in the administration of medication c. Ability to consciously structure nursing intervention and establish relatedness d. Ability to effect change in the patient without imposing one’s spiritual values 44. Transference occurs when: a. Client displaces onto the therapist attitudes and feelings that the client originally expressed in other relationship. b. Therapist displaces onto the client attitudes or feelings from his or her past c. All of the options d. Client do not engage in treatment and refuse to answer questions. 45. During the initial interview, a client with a compulsive eating disorder remarks, “I can’t stand myself and the way I look.” Which of the following statements by the nurse would be most therapeutic? a. “Everyone who has the same problem feels like you do.” b. “I dont think you look bad at all.” c. “Don’t worry; you’ll soon be back in shape. d. “Tell me more about your feelings.” 46. An accepting attitudes requires being: a. Tolerant of the fault of others b. Non-judgemental c. Aware of one’s biases d. In control of tendency to blame 47. Soledad is terminally ill of cancer. Looking sad she expresses. “Wala na yata akong pag-asang mabuhay pa.” A response which foster hope is: a. “Huwag po ninyong isipin ang sakit ninyo. Baka wala on. Andito naman ako para makausap ninyo.” b. “Lakasan and loob ninyo. Lahat naman po tayo ay doon ang pagtutunguhan.” c. “Gagaling din po kayo. Huwag po kayong mag-alala.” d. “Mukhang napakabigat ang dinaramdam ninyo. Andito po ako at pwede tayong magu-usap.” 48. The client accomplishes certain task during the three phases of the nurse-patient relationship. He is now in the working phase when: a. All of the above b. Client works interdependently with the nurse, expresses feelings and makes full use of services offered. c. Client no longer needs professional services and gives up dependent behavior d. Client engages in treatment, providing explanation, information, answering queries. 49. A client who has been admitted a surgery seems preoccupied and anxious the night before the operation. Which comment by the nurse would promote therapeutic communication? a. “It isn’t unusual to worry about surgery. If you’d like, I’ll ask the physician for something to help you help.” b. “Would you like me to call a chaplain to talk with you about any concerns you may have about surgery?” c. “Are you worried about your surgery tomorrow?” d. “You seem worried about something. Would it help to talk about it?” 50. A client with major depression states, “Life isn’t worth living anymore. Nothing matters.” Which of the following responses by the nurse would be the best? a. “Why do you think that way?” b. “Are you thinking about killing yourself?” c. “Things will get better, you know.” d. “You shouldn’t feel that way.” Confidentiality means respecting the client’s right to keep his or her information private. When can the nurse share information about the client? a. “I’d like to understand what you are saying, but you are too confused now”. b. “Why don’t you take a rest now and then we can talk again later this afternoon”. c. “You aren’t making any senses; let’s talk about something else”. d. “I’d like to understand what you are saying, but I’m having difficulty following you”. A 25 year-old client is complaining about his difficulty in sleeping at night. What would be the most appropriate therapeutic response of the nurse? a. “You should try to relax in order to get some sleep”. b. “Why do you feel this way?”. c. “What do you think is going on that you are unable to sleep”. d. “Why can’t you sleep”. A 45-year old college professor has superior functioning in a wide range of activities; life’s problems never seem to get out of his hand. He is sought out by others because of his or her many positive qualities. No changes in his mood and affect has been observed for two weeks. a. AxisV b. Axis III c. AxisI d. Axis II When speaking with a client diagnosed with schizophrenia, the nurse notices that the client keeps interjecting sentences that have nothing to do with the main thoughts being expressed. The client asks whether the nurse understands. The nurse should reply: a. “I’d like to understand what you are saying, but you are too confused now”. b. “Why don’t you take a rest now and then we can talk again later this afternoon”. c. “You aren’t making any senses; let’s talk about something else”. d. “I’d like to understand what you are saying, but I’m having difficulty following you”. A client newly diagnosed with bulimia is attending a nurse-led group at the mental center. She tells the group that they only came because her husband said he would divorce her if she didn’t get help. Which of the following responses by the nurse would be most appropriate? a. “You sound angry with your husband, is that correct?” b. “Tell me more about why you are her and how you feel about that”. c. “You will find that you will coming to group. These people are a lot of fun” d. “Tell me something about what has caused you to be bullimic”. Based on Sigmund Freud’s structure of personality which of the following will acts as integrator/mediator to modulate anxiety feeling? a. ID b. Ego c. Superego d. Conscience An excessive thought and speech associated with excessive and unnecessary details irrelevant to the question. The person never returns to central point and never answers the original question: a. Loose association b. Circumstantiality c. Tangentiality d. Waxy flexibility Which of the following communication relayed by the nurse to the client implies a concrete message? a. “They said it is too early to get in”. b. “Get this out of here” c. “When is she coming home?” d. “Help me put this pile of books on Marsha’s desk” A client with major depression tells the nurse, “Life isn’t worth living. I can’t stand the pain any longer”. What is the nurse’s best response? a. “I think you may want to take a dose of lorazepam” b. Sometimes when people feel depressed and helpless, they feel like hurting themselves. Do you feel like hurting yourself? c. Perhaps you should discuss this in group therapy today” d. “You don’t feel like living?” Which of the following best describes therape