Psychiatric Nursing
The most effective nursing strategy to prevent infection would be to - CORRECT
ANSWER-wash hands before and after any direct client contact
The highest achievable total score in the Apgar scoring system for newborn babies is -
CORRECT ANSWER-10
The physician needs to know the oral temperature of a client. The client recently smoked
a cigarette. The psychiatric technician would wait how many minutes before taking the
client's oral temperature? - CORRECT ANSWER-15 minutes
The physician now needs a pedal pulse from the same client. The psychiatric technician
knows this pulse site is being used - CORRECT ANSWER-to determine circulation to
the foot
The psychiatric technician is assigned to administer medication for the A.M. shift. On
Mrs. Smith's medication administration record it states that one medication is to be
given "p.c." The psychiatric technician would administer this medication - CORRECT
ANSWER-after meals
The client is to be given Demerol and Vistaril IM. The psychiatric technician would inject
the needle at what angle? - CORRECT ANSWER-90 degrees
A diagnosis of hypertension would not be made unless the client has abnormally high
blood pressure for at least two consecutive visits at the physician's office. The criteria
that is used to determine hypertension is - CORRECT ANSWER-over 140 mm Hg
systolic and/or 90 mm Hg diastolic
A client is having her blood pressure taken by the psychiatric technician. The client asks
what does blood pressure represent. The best response the psychiatric technician would
,give is - CORRECT ANSWER-"It is a measure of the pressure exerted by the blood
as it pulsates through the arteries"
A client is suffering from osteoporosis - a condition that causes bones to become
porous and less dense. This results in increased susceptibility to fracture and collapse.
The physician would order an increased amount of which foods to help treat this
condition? - CORRECT ANSWER-Liver, milk, egg yolks
The bed position in which the client's head and trunk are raised 45 degrees to 90
degrees is referred to as - CORRECT ANSWER-fowler's position
The prodromal signs/symptoms of AIDS (acquired immune deficiency syndrome) are -
CORRECT ANSWER-fatigue, night sweats, intermittent fever, severe diarrhea
A client complains of a lesion on his penis. The physician examines it and sees that it is
reddish in color. The client states that it is painless and that he has been sexually
promiscuous. - CORRECT ANSWER-syphilis
A client is experiencing abnormal breathing which involves very deep to very shallow
respirations with temporary apnea. This type of irregular breathing pattern is referred to
as - CORRECT ANSWER-Cheyne-Stroke's
Debbie Lawson is a seven years old. Her mother brings her to the family physician
because Debbie has a rash on her body and is running a slight fever. The diagnosis is
chickenpox. This childhood disease is caused by what virus? - CORRECT ANSWER-
Herpesvirus
The most common cause of accidental deaths for children that are one year old or less
is - CORRECT ANSWER-Choking
The psychiatric technician is preparing to give the client a bed bath. The temperature of
the water should be between - CORRECT ANSWER-110-115 F
,The client would be bathed in what order? - CORRECT ANSWER-Face, arms, hand,
chest and abdomen, legs and feet, back and perineum
The appropriate toothbrushing technique for clients would consist of - CORRECT
ANSWER-using tepid water, a soft toothbrush and brushing at a 45 degree angle
The client has been complaining that she is having difficulty sleeping the past few
months. The physician has prescribed a low dose of a sedative-hypnotic for a temporary
period of time. Client teaching to promote a regular sleep pattern would include -
CORRECT ANSWER-get adequate exercise during the day and established a regular
bedtime
Carol Stevens was brought into the emergency room. She was restless and complained
of being thirsty. The nurse took her vital signs and discovered that Carol had a pulse of
140 and pale looking and when she touched her hands they were cold and clammy. The
most probably medical condition Carol is suffering from is - CORRECT ANSWER-shock
Mrs. Clark has been a diabetic for ten years. She has been admitted to the hospital for
another possible medical problem. Her doctor prescribes regular insulin for her. The
injection was given at 07:00. If Mrs. Clark has a reaction it will most likely be - CORRECT
ANSWER-before lunch
Mrs. Clark would receive her injection of insulin how many minutes before meals? -
CORRECT ANSWER-30
When the psychiatric technician is ready to administer the insulin he/she would
remember to - CORRECT ANSWER-inject the syringe at a 45 or 90 degree angle
A diabetic coma means there is too little insulin or too much sugar. It is usually caused
by excessive eating, infection or illness or skipping an insulin injection. The symptoms of
a diabetic coma are - CORRECT ANSWER-Flushed, dry skin, fruity odor breath,
vomiting
, When a diabetic person has an insulin reaction the emergency treatment would consist
of - CORRECT ANSWER-drinking fruit juice
Areas of the body that the diabetic person needs to pay close attention to are the -
CORRECT ANSWER-feet, legs, eyes
The normal blood sugar range is - CORRECT ANSWER-80-120
The clinical signs of wound evisceration are - CORRECT ANSWER-Opening of incision
and visible protrusion of organs
Mr. Kent has been complaining of chest pains for the past few days. The physician
decides to keep Mr. Kent in the hospital for close observation and to run some tests. To
measure the electric impulses from the heart, Mr. Kent would be given an - CORRECT
ANSWER-Electrocardiogram
Mr. Kent was diagnosed as having angina pectoris. His treatment consisted of bed rest,
decreasing stress in his life and taking nitroglycerin. When Mr. Kent experiences chest
pain he would take the nitroglycerin by which of the following routes? - CORRECT
ANSWER-sublingual
An elderly woman was admitted to the hospital with symptoms of paralysis, weakness,
and aphasia. The most likely diagnosis would be - CORRECT ANSWER-
Cerebrovascular Accident
One of the possible complications of cerebrovascular accident would be - CORRECT
ANSWER-pulmonary embolism
The psychiatric technician would implement which of the following nursing interventions
initially for the problem of aphasia? - CORRECT ANSWER-Provide a chalkboard and
chalk for the client to use
The psychiatric technician walks into a client's room and discovers the client lying on the
floor. He shakes the client while calling his name and there is no response. The