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Psychiatric Mental Health Nursing Test Part 1
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All the questions in the quiz along with their answers are shown below. Your answers are bolded. The
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correct answers have a green background while the incorrect ones have a red background.
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1. Your patient is very dependent and submissive. There are times that the patient is very clingy. This behavior
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reflects what type of personality disorder?
a. Antisocial personality
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b. Dependent Personality
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c. Manic behavior
d. Anxiety disorder
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Dependent personality is characterized by dependence, submission and being clingy. Antisocial personality is
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impulsive, aggressive and manipulative.
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2. The appropriate therapeutic distance between you and a psychiatric patient is?
a. 12 inches
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b. 35 inches
c. 12 feet
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d. 4 feet
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Intimate zone: 0-18 inches. Parents with young children, people who mutually desire personal contact, or people
whispering. Personal zone: 18-36 inches. Between family and friends talking. Social zone: 4-12 feet. Communication
la
in social, work and business settings. Public zone: 12-25 inches. Speaker and an audience. Therapeutic distance: 3-6
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feet.
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3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also reminded her to use her therapeutic
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communication skills in dealing with clients. Which of the following techniques enlaces therapeutic communication?
a. What are you thinking about?
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b. What made you think that way?
c. Why did you say that?
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d. Let’s not talk about that. What do you think?
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This is using the therapeutic technique BROAD OPENING that allows the client to take the initiative to introduce a
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topic.
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4. Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should focus on helping the client be
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oriented with the physical set-up and daily events. Which of the following is the most effective nursing intervention in
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orienting patients who has Alzheimer’s disease?
a. Encourage the client to talk to family members to reminisce things
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b. Provide simple and easily understood directions
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c. Perform tasks with a variety of activities each day
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d. Have the client socialize with other patients
a
Providing a daily routine and directions easily understood by the client would help orienting a client with Alzheimer’s
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disease.
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sh
Sp
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5. A therapy that focuses on the remotivation of clients by directing their attention outside themselves to relieve
preoccupation with personal thoughts, feelings, and attitudes is known as:
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a. Pharmacologic therapy
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Sp
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b. Music therapy
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c. Occupational therapy
d. Recreational therapy
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Recreational therapy- Focuses on remotivation of clients by directing their attention outside themselves to relieve
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Sp
preoccupation with personal thoughts, feelings, and attitudes. Clients learn to cope with stress through activity.
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Activities are planned to meet specific needs and encourage the development of leisure-time activities or hobbies.
Recreational therapy is especially useful with those people who have difficulty relating to others (e.g., the regressed,
la
withdrawn, or immobilized person). Examples of recreational activities include group bowling, picnics, sing-along, and
bingo.
sh
Sp
ne
6. The 12-year old male patient looks like the nurse’s younger brother who is missing for years. During assessment
and in the implementation of nursing care the nurse prioritizes this client. One day, when she found the boy crying in
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his room she hugged him and cried with him. This is an example of:
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a. Counter-transference
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Sp
b. Transference
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c. Resistance
d. Denial
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When the nurse displays affection or emotion toward the client counter-transference is occurring. Transference is
observed when the patient is displaying emotions towards the nurse.
sh
Sp
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7. A schizophrenic client is under your care. In reinforcing the functional behavior of this client what will the nurse do?
a. Enumerate the symptoms of schizophrenia to the client
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b. Correct delusional thoughts to orient to reality
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c. Compliment the client for cessation of acting out behaviors
sh
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d. Encourage the client to drink his medications religiously
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According to B.F. Skinner’s behavior medication technique, a client should be praise for good behaviors to help him
modify his faulty actions.
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sh
8. A client was brought to the ER. Based on the significant others, the client had a history of shop stealing. However,
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no self-mutilating activities are committed by the client. During the interview, the client is very manipulative and
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aggressive and impulsive. What personality disorder most likely the client has?
a. Antisocial
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b. Histrionic
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c. Narcissistic sh
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d. Borderline
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Antisocial P.D is characterized by aggression, manipulation and impulsivity. Histrionic people are emotional, dramatic
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and theatrical. Narcissistic people are boastful, egotistical and have superiority complex. Borderline PD is
characterized by impulsivity, self-destruction and very unstable mood.
sh
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9. When the client told the nurse that he feels good when he mutilates or cuts himself the novice psychiatric nurse
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answered, “Do you know the risks involved when you cut yourself?” what type of nontherapeutic communication is
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the nurse using?
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a. Defending
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b. Testing
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c. Making stereotyped comments
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d. Disagreeing
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sh
Sp
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, lOMoARcPSD|22830792
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sh
Testing is appraising a client’s degree of insight such as by asking the patient of the risks involved when he cut
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himself. This forces the client to recognize his problems. Defending is attempting to protect someone from a verbal
la
attack. Stereotyped comments are meaningless clichés such as “it’s for your own good.”
tz
sh
Sp
10. A therapy that assists with discharge planning and rehabilitation, focusing on vocational skills and activities of
ne
daily living (ADL) to raise self-esteem and promote independence is called:
a. Behavior modification
la
b. Milieu therapy
c. Recreational therapy
sh
Sp
d. Occupational therapy
ne
Occupational therapy - Assists with discharge planning and rehabilitation, focusing on vocational skills and activities
of daily living (ADL) to raise self-esteem and promote independence
la
11. Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following symptoms would
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Nurse Marie be most concern?
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Sp
a. Fever
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b. Delusions
c. Excessive sweating
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d. Increase BP
Once hallucinations and delusions are present; the client’s condition will most likely progress to delirium tremens.
sh
Sp
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12. The Distance that is observed when family members or friends are talking is under what zone:
a. Intimate
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b. Therapeutic
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c. Personal
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d. Social
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Personal zone: 18-36 inches. Between family and friends talking. Intimate zone: 0-18 inches. Parents with young
children, people who mutually desire personal contact, or people whispering. Social zone: 4-12 feet. Communication
la
in social, work and business settings. Therapeutic distance: 3-6 feet.
sh
Sp
13. The client is sharing Nurse Marie about his experiences. Suddenly, he paused, looked to the nurse and is hesitant
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to continue. The nurse responded, “Go on, and tell me about it.” What therapeutic communication technique is the
la
nurse using?
a. Exploring
tz
b. Focusing sh
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c. Encouraging expression
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d. General leads
la
General leads indicate that the nurse is listening and following what the client is saying without taking away the
initiative for the interaction. They also encourage the client to continue if he or she is hesitant or uncomfortable of the
sh
topic. Examples include, “Go on,” “Tell me about it,” and “And then?”
Sp
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14. In a therapeutic communication, “why questions” are discouraged. For what reason is this question not useful?
a
a. The question is intimidating and the client may be defensive in trying to explain him/herself.
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b. It forces the client to recognize his or her problems. The client’s acknowledgement that s/he doesn’t know
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things may be helpful to the nurse’s needs but not the client.
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c. It indicates that the client is right rather than wrong.
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d. It tends to make the client used and invaded.
la
Using “why question” is asking to client the client to provide reasons for thoughts, feeling and behaviors. The question
is intimidating and the client may be defensive in trying to explain him/herself.
sh
Sp
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15. An 18 year old client is brought to the ER due to a suicidal attempt. Her mother told the nurse that she has been
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drinking alcohol for the last 3 weeks and is depressed. In caring for this patient what is the most important
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consideration?
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a. Administering antidepressant medications
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b. Alcohol detoxification
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c. Allowing the client to participate in a therapy
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d. Close monitoring
Safety is the most important consideration in client with a suicidal attempt. This is achieved by removing harmful
sh
Sp
objects around the client and monitoring the client closely.
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16. In using a therapeutic communication technique interpreting client cues and signals is very important. Clear
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statements of intent such as the client saying that he wants to kill himself is a/an:
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a. Covert cues
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Sp
b. Abstract messages
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c. Concrete messages
d. Overt cues
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Overt cues are clear statements of intent such as the client saying, “I want to die.” Covert cues are vague or hidden
messages such as if a client verbalizes, “No one can help me.” Abstract messages are unclear patterns of words that
sh
Sp
often contain figures of speech that are difficult to interpret. Example is when the nurse asked the client, “What are
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you doing here?” Concrete messages are patterns of words that the nurse uses where words are explicit and does
need an explanation.
la
tz
sh
17. A client was admitted due to self-mutilation. One day during one of the sessions, the client told the nurse that
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cutting himself feels great. What would be the nurse’s best response?
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a. “Do you know the risks involved when you cut yourself?”
b. “I don’t want to hear about that!”
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c. “The behavior of cutting is not acceptable.”
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d. “Tell me more about that.”
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Presenting reality is the best in this situation as it is obvious that the client is misinterpreting the reality. Asking the
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client to tell the nurse more about is validating the actions of cutting himself.
la
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18. A behavior that can indicate the speaker’s thoughts, feelings, needs and values that he or she acts out
unconsciously is called:
sh
Sp
a. Verbal communication
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b. Communication
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c. Nonverbal communication
d. Congruent message
sh
Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact,
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facial expression, tone of voice, speed and hesitations in speech, grunts and groans and distance from the listeners.
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This type of communication can indicate the speaker’s thoughts, feelings, needs and values that he or she acts out
a
unconsciously.
tz
l
sh
19. Restraints are only used for a certain reason. Which of the following is an appropriate reason for placing a client
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in restraints?
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a. Punishment for stealing the other client’s things
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b. Self- harming behaviors
c. Verbal abuse
sh
Sp
la
Downloaded by charity nimo ()
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ne
sh
Psychiatric Mental Health Nursing Test Part 1
ne
la
tz
All the questions in the quiz along with their answers are shown below. Your answers are bolded. The
sh
Sp
correct answers have a green background while the incorrect ones have a red background.
ne
1. Your patient is very dependent and submissive. There are times that the patient is very clingy. This behavior
la
reflects what type of personality disorder?
a. Antisocial personality
sh
Sp
b. Dependent Personality
ne
c. Manic behavior
d. Anxiety disorder
la
Dependent personality is characterized by dependence, submission and being clingy. Antisocial personality is
tz
impulsive, aggressive and manipulative.
sh
Sp
ne
2. The appropriate therapeutic distance between you and a psychiatric patient is?
a. 12 inches
la
b. 35 inches
c. 12 feet
sh
Sp
d. 4 feet
ne
Intimate zone: 0-18 inches. Parents with young children, people who mutually desire personal contact, or people
whispering. Personal zone: 18-36 inches. Between family and friends talking. Social zone: 4-12 feet. Communication
la
in social, work and business settings. Public zone: 12-25 inches. Speaker and an audience. Therapeutic distance: 3-6
tz
sh
feet.
Sp
ne
3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also reminded her to use her therapeutic
la
communication skills in dealing with clients. Which of the following techniques enlaces therapeutic communication?
a. What are you thinking about?
sh
b. What made you think that way?
c. Why did you say that?
Sp
ne
d. Let’s not talk about that. What do you think?
la
This is using the therapeutic technique BROAD OPENING that allows the client to take the initiative to introduce a
tz
topic.
sh
Sp
4. Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should focus on helping the client be
ne
oriented with the physical set-up and daily events. Which of the following is the most effective nursing intervention in
la
orienting patients who has Alzheimer’s disease?
a. Encourage the client to talk to family members to reminisce things
sh
b. Provide simple and easily understood directions
Sp
c. Perform tasks with a variety of activities each day
ne
d. Have the client socialize with other patients
a
Providing a daily routine and directions easily understood by the client would help orienting a client with Alzheimer’s
tz
disease.
l
sh
Sp
ne
5. A therapy that focuses on the remotivation of clients by directing their attention outside themselves to relieve
preoccupation with personal thoughts, feelings, and attitudes is known as:
la
a. Pharmacologic therapy
sh
Sp
la
Downloaded by charity nimo ()
Sp
, lOMoARcPSD|22830792
ne
sh
b. Music therapy
ne
c. Occupational therapy
d. Recreational therapy
la
tz
Recreational therapy- Focuses on remotivation of clients by directing their attention outside themselves to relieve
sh
Sp
preoccupation with personal thoughts, feelings, and attitudes. Clients learn to cope with stress through activity.
ne
Activities are planned to meet specific needs and encourage the development of leisure-time activities or hobbies.
Recreational therapy is especially useful with those people who have difficulty relating to others (e.g., the regressed,
la
withdrawn, or immobilized person). Examples of recreational activities include group bowling, picnics, sing-along, and
bingo.
sh
Sp
ne
6. The 12-year old male patient looks like the nurse’s younger brother who is missing for years. During assessment
and in the implementation of nursing care the nurse prioritizes this client. One day, when she found the boy crying in
la
his room she hugged him and cried with him. This is an example of:
tz
a. Counter-transference
sh
Sp
b. Transference
ne
c. Resistance
d. Denial
la
When the nurse displays affection or emotion toward the client counter-transference is occurring. Transference is
observed when the patient is displaying emotions towards the nurse.
sh
Sp
ne
7. A schizophrenic client is under your care. In reinforcing the functional behavior of this client what will the nurse do?
a. Enumerate the symptoms of schizophrenia to the client
la
b. Correct delusional thoughts to orient to reality
tz
c. Compliment the client for cessation of acting out behaviors
sh
Sp
d. Encourage the client to drink his medications religiously
ne
According to B.F. Skinner’s behavior medication technique, a client should be praise for good behaviors to help him
modify his faulty actions.
la
sh
8. A client was brought to the ER. Based on the significant others, the client had a history of shop stealing. However,
Sp
no self-mutilating activities are committed by the client. During the interview, the client is very manipulative and
ne
aggressive and impulsive. What personality disorder most likely the client has?
a. Antisocial
la
b. Histrionic
tz
c. Narcissistic sh
Sp
d. Borderline
ne
Antisocial P.D is characterized by aggression, manipulation and impulsivity. Histrionic people are emotional, dramatic
la
and theatrical. Narcissistic people are boastful, egotistical and have superiority complex. Borderline PD is
characterized by impulsivity, self-destruction and very unstable mood.
sh
Sp
9. When the client told the nurse that he feels good when he mutilates or cuts himself the novice psychiatric nurse
ne
answered, “Do you know the risks involved when you cut yourself?” what type of nontherapeutic communication is
a
the nurse using?
tz
a. Defending
l
sh
b. Testing
Sp
c. Making stereotyped comments
ne
d. Disagreeing
la
sh
Sp
la
Downloaded by charity nimo ()
Sp
, lOMoARcPSD|22830792
ne
sh
Testing is appraising a client’s degree of insight such as by asking the patient of the risks involved when he cut
ne
himself. This forces the client to recognize his problems. Defending is attempting to protect someone from a verbal
la
attack. Stereotyped comments are meaningless clichés such as “it’s for your own good.”
tz
sh
Sp
10. A therapy that assists with discharge planning and rehabilitation, focusing on vocational skills and activities of
ne
daily living (ADL) to raise self-esteem and promote independence is called:
a. Behavior modification
la
b. Milieu therapy
c. Recreational therapy
sh
Sp
d. Occupational therapy
ne
Occupational therapy - Assists with discharge planning and rehabilitation, focusing on vocational skills and activities
of daily living (ADL) to raise self-esteem and promote independence
la
11. Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following symptoms would
tz
Nurse Marie be most concern?
sh
Sp
a. Fever
ne
b. Delusions
c. Excessive sweating
la
d. Increase BP
Once hallucinations and delusions are present; the client’s condition will most likely progress to delirium tremens.
sh
Sp
ne
12. The Distance that is observed when family members or friends are talking is under what zone:
a. Intimate
la
b. Therapeutic
tz
c. Personal
sh
Sp
d. Social
ne
Personal zone: 18-36 inches. Between family and friends talking. Intimate zone: 0-18 inches. Parents with young
children, people who mutually desire personal contact, or people whispering. Social zone: 4-12 feet. Communication
la
in social, work and business settings. Therapeutic distance: 3-6 feet.
sh
Sp
13. The client is sharing Nurse Marie about his experiences. Suddenly, he paused, looked to the nurse and is hesitant
ne
to continue. The nurse responded, “Go on, and tell me about it.” What therapeutic communication technique is the
la
nurse using?
a. Exploring
tz
b. Focusing sh
Sp
c. Encouraging expression
ne
d. General leads
la
General leads indicate that the nurse is listening and following what the client is saying without taking away the
initiative for the interaction. They also encourage the client to continue if he or she is hesitant or uncomfortable of the
sh
topic. Examples include, “Go on,” “Tell me about it,” and “And then?”
Sp
ne
14. In a therapeutic communication, “why questions” are discouraged. For what reason is this question not useful?
a
a. The question is intimidating and the client may be defensive in trying to explain him/herself.
tz
b. It forces the client to recognize his or her problems. The client’s acknowledgement that s/he doesn’t know
l
sh
things may be helpful to the nurse’s needs but not the client.
Sp
c. It indicates that the client is right rather than wrong.
ne
d. It tends to make the client used and invaded.
la
Using “why question” is asking to client the client to provide reasons for thoughts, feeling and behaviors. The question
is intimidating and the client may be defensive in trying to explain him/herself.
sh
Sp
la
Downloaded by charity nimo ()
Sp
, lOMoARcPSD|22830792
ne
sh
ne
15. An 18 year old client is brought to the ER due to a suicidal attempt. Her mother told the nurse that she has been
la
drinking alcohol for the last 3 weeks and is depressed. In caring for this patient what is the most important
tz
consideration?
sh
a. Administering antidepressant medications
Sp
b. Alcohol detoxification
ne
c. Allowing the client to participate in a therapy
la
d. Close monitoring
Safety is the most important consideration in client with a suicidal attempt. This is achieved by removing harmful
sh
Sp
objects around the client and monitoring the client closely.
ne
16. In using a therapeutic communication technique interpreting client cues and signals is very important. Clear
la
statements of intent such as the client saying that he wants to kill himself is a/an:
tz
a. Covert cues
sh
Sp
b. Abstract messages
ne
c. Concrete messages
d. Overt cues
la
Overt cues are clear statements of intent such as the client saying, “I want to die.” Covert cues are vague or hidden
messages such as if a client verbalizes, “No one can help me.” Abstract messages are unclear patterns of words that
sh
Sp
often contain figures of speech that are difficult to interpret. Example is when the nurse asked the client, “What are
ne
you doing here?” Concrete messages are patterns of words that the nurse uses where words are explicit and does
need an explanation.
la
tz
sh
17. A client was admitted due to self-mutilation. One day during one of the sessions, the client told the nurse that
Sp
cutting himself feels great. What would be the nurse’s best response?
ne
a. “Do you know the risks involved when you cut yourself?”
b. “I don’t want to hear about that!”
la
c. “The behavior of cutting is not acceptable.”
sh
d. “Tell me more about that.”
Sp
Presenting reality is the best in this situation as it is obvious that the client is misinterpreting the reality. Asking the
ne
client to tell the nurse more about is validating the actions of cutting himself.
la
tz
18. A behavior that can indicate the speaker’s thoughts, feelings, needs and values that he or she acts out
unconsciously is called:
sh
Sp
a. Verbal communication
ne
b. Communication
la
c. Nonverbal communication
d. Congruent message
sh
Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact,
Sp
facial expression, tone of voice, speed and hesitations in speech, grunts and groans and distance from the listeners.
ne
This type of communication can indicate the speaker’s thoughts, feelings, needs and values that he or she acts out
a
unconsciously.
tz
l
sh
19. Restraints are only used for a certain reason. Which of the following is an appropriate reason for placing a client
Sp
in restraints?
ne
a. Punishment for stealing the other client’s things
la
b. Self- harming behaviors
c. Verbal abuse
sh
Sp
la
Downloaded by charity nimo ()
Sp
