NURS 307 Final Test
Which of the following patients on the acute care psychiatric unit needs the immediate
attention of the nurse? - answer patient recently admitted with schizophrenia and is an
alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug free. The
patient is experiencing repeated occurrences of vivid frightening images and thoughts.
Which term would the nurse use to document this finding? - answer Flashbacks
Which condition would the nurse be most concerned about when caring for a patient
who abuses alcohol? - answer Suicidal potential
Which patient response to the question "have you ever drank more alcohol or used
more drugs that you meant to?" should immediately cause the nurse to assess further?
- answer"I figured you would ask me about that."
Which patient behaviors should the nurse suspect as related to alcohol withdrawal? -
answerhyperalert state, jerky movements, easily startled
A patient in community mental health centre, smokes up to half a pack of cigarettes
daily but has tried with limited success to cut back over the last two weeks. Today he
asked the pharmacist about various products that could aid his attempts to quit smoking
in time for him to manage a long overseas flight next month with his friends who are
allergic to smoke. What phase of change is this patient demonstrating? -
answerpreparation
Which of the following describes characteristics of generalized anxiety disorder (GAD): -
answerDifficulty concentrating, easily fatigued, and occurs for at least 6 months.
The nurse is performing health education with a patient who lives with an anxiety
disorder. The patient states that he is eager to adopt new strategies that will help him to
deal more effectively with his anxiety. Which of the following actions should the nurse
suggest? - answerRepeating positive statements to himself when he feels anxious, such
as "I'm anxious now, but I'll be okay."
A patient has presented in the emergency department stating that she is having a "heart
attack." Assessment reveals, however, that the patient is having a panic attack. The
nurse will most likely administer what drug? - answerAlprazolam (Xanax)
Which answer presents the accurate clinical course of bulimia nervosa? - answerMany
observable outward signs, binge and purge in secret, treatment is often initiated by the
,family, treatment often occurs in the community, complete recovery is possible but
relapse rates are high
Interventions by way of the spiritual domain have little effect on Bulimia patients. True or
False? - answerFalse
Binge eating is defined as rapid, episodic, impulsive, and uncontrollable ingestion of
large amount of food over short period of time. True or False?
True
False - answerTrue
The major distinction between bulemia nervosa and binge eating disorder (BED) is -
answerPurging
The belief that chaotic families with unclear boundaries are more likely to have
members with eating disorders is an example of which type of theoretical perspective. -
answerPsychosocial
Which of the following best describes the term "mood"? - answerPervasive and
sustained emotion that colors one's perception of the world and how one functions in it
Which of the following is NOT an observable expression of mood? - answerDysphoric
(feeling unhappy and full of anxiety)
A client diagnosed with bipolar disorder is being treated with lithium. The nurse should
instruct the client to use moderation with foods high in - answersodium
The primary difference between a mania and hypomania is - answerThe duration of the
manic episode
Many antidepressant medications have anticholinergic side effects. Which of the
following is NOT an anticholinergic effect? - answerSinus bradycardia
Which of the following is NOT a mood stabilizer? - answerBenzatropine (Cogentin)
Which describes the difference between Bipolar I and Bipolar II disorders? -
answerHypomania
A patient taking an SSRI decides to take St. Johns Wart to help her depression. Which
of the following conditions is she more susceptible to? - answerSerotonin syndrome
Bipolar II disorder is best described as: - answerPeriods of major depression and
hypomania
Lithium carbonate is the most widely used mood stabilizer prescribed for clients
experiencing bipolar disorder, however due to its side-effect profile, it is poorly tolerated
,in at least a third of treated patients. Which of the following medications may be
prescribed as an alternative to lithium carbonate? - answercarbamezapine (Tegretol)
A severely depressed patient has been taking an antidepressant Sertraline (Zoloft) for
14 days. During a follow-up visit, the patient smiles euphorically and states, "I feel so
much better now." How might the nurse interpret this behaviour change? - answerThe
patient may have decided to carry out a suicide plan.
Which of the following best defines obsessive-compulsive disorder? - answerUnwanted
thoughts, intrusive persistent thoughts, impulses, or images that cause anxiety and
distress
A general anxiety disorder is manifested through persistent thoughts and impulses or
images that cause anxiety and distress. True or False? - answerFalse
Persistent thoughts, impulses, or images that cause anxiety and distress best describes
which anxiety related symptom?
Obsessions
Compulsions
Ruminations
Fixations - answerObsessions
Washing, cleaning, checking, counting, repeating actions, ordering, making
confessions, and requesting assurances if sequence is disturbed, person experiences
anxiety are examples of - answerCommon obsessions
A breakdown in integrated functions of memory, consciousness, perception of self,
environment, or sensory and motor behaviour' best describes which symptom
associated with OCD. - answerDissociation
Which of the following personality disorders is characterized by the patient "living crisis
to crisis"? - answerBorderline
True or false, a pervasive pattern of disregard for, and violation of, the rights of others
best describes histrionic personality disorder. - answerFalse
A pattern of grandiosity, need for admiration, and general lack of empathy, best
describes which type of personality disorder. - answerNarcissistic Personality Disorder
There are three clusters of personality disorders A, B, C. Which of the following is NOT
included in any one of the three clusters of PD: - answerDelusional Personality Disorder
Which of the following is a positive symptom of schizophrenia? - answerHallucinations
Which of the following medication issues can be addressed BEST by the patient? -
answerCompliance
, Which of the following BEST describes a delusional disorder - answerStable, well
systemized and logical, nonbizarre delusions
Which neurotransmitter of the following has a different effect on the brain from the
others? - answerγ-Aminobutyric acid (GABA)
Bruce is a newly admitted client who has schizophrenia with paranoid behaviours.
Bruce's family mention that they really don't understand what caused Bruce's illness.
The nurse should answer in terms of the - answerneurobiological-genetic model
Terry's nursing care plan includes the nursing order, to assess for auditory
hallucinations. What behaviours suggest the client may be hallucinating? -
answerdarting eyes, tilted head, mumbling to self
A client has been prescribed a neuroleptic drug to treat a psychiatric disorder. The
nurse should explain to the client and client's family that neuroleptic drugs are the same
as: - answerantipsychotic medications
Which of the following theories is related to dopamine? - answerhyperactivity of the
mesolimbic tract
A client is admitted to the unit wearing torn and soiled clothing and looking confused.
She is suspicious of others, has a flat affect, and talks very little. Which of the following
would the nurse identify as the initial priority for this client? - answerHelping the client
feel safe and secure.
A client has been prescribed chlorpromazine CPZ (Largactil) for treatment of
schizophrenia. The nurse understands that this medication blocks the transmission of -
answerDopamine
The treatment of psychiatric and mental health care before the mid-20th century was
primarily influenced by what factor? - answerlack of understanding regarding the
etiology of mental illness
Which of the following events best exemplifies the trends in Canadian treatment of
mental illness in the second half of the 20th century? - answera reduction in the size of
large mental hospitals
A nurse can best demonstrate contemporary principles of psychiatric mental health care
by performing what action? - answerprioritizing the quality of the nurse-client
relationship
A psychiatric mental health nurse has been asked to join an interdisciplinary team that
has been commissioned to address the mental health needs of underserved Canadians.
The team is most likely to address which group? - answeraboriginal people
Which of the following patients on the acute care psychiatric unit needs the immediate
attention of the nurse? - answer patient recently admitted with schizophrenia and is an
alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug free. The
patient is experiencing repeated occurrences of vivid frightening images and thoughts.
Which term would the nurse use to document this finding? - answer Flashbacks
Which condition would the nurse be most concerned about when caring for a patient
who abuses alcohol? - answer Suicidal potential
Which patient response to the question "have you ever drank more alcohol or used
more drugs that you meant to?" should immediately cause the nurse to assess further?
- answer"I figured you would ask me about that."
Which patient behaviors should the nurse suspect as related to alcohol withdrawal? -
answerhyperalert state, jerky movements, easily startled
A patient in community mental health centre, smokes up to half a pack of cigarettes
daily but has tried with limited success to cut back over the last two weeks. Today he
asked the pharmacist about various products that could aid his attempts to quit smoking
in time for him to manage a long overseas flight next month with his friends who are
allergic to smoke. What phase of change is this patient demonstrating? -
answerpreparation
Which of the following describes characteristics of generalized anxiety disorder (GAD): -
answerDifficulty concentrating, easily fatigued, and occurs for at least 6 months.
The nurse is performing health education with a patient who lives with an anxiety
disorder. The patient states that he is eager to adopt new strategies that will help him to
deal more effectively with his anxiety. Which of the following actions should the nurse
suggest? - answerRepeating positive statements to himself when he feels anxious, such
as "I'm anxious now, but I'll be okay."
A patient has presented in the emergency department stating that she is having a "heart
attack." Assessment reveals, however, that the patient is having a panic attack. The
nurse will most likely administer what drug? - answerAlprazolam (Xanax)
Which answer presents the accurate clinical course of bulimia nervosa? - answerMany
observable outward signs, binge and purge in secret, treatment is often initiated by the
,family, treatment often occurs in the community, complete recovery is possible but
relapse rates are high
Interventions by way of the spiritual domain have little effect on Bulimia patients. True or
False? - answerFalse
Binge eating is defined as rapid, episodic, impulsive, and uncontrollable ingestion of
large amount of food over short period of time. True or False?
True
False - answerTrue
The major distinction between bulemia nervosa and binge eating disorder (BED) is -
answerPurging
The belief that chaotic families with unclear boundaries are more likely to have
members with eating disorders is an example of which type of theoretical perspective. -
answerPsychosocial
Which of the following best describes the term "mood"? - answerPervasive and
sustained emotion that colors one's perception of the world and how one functions in it
Which of the following is NOT an observable expression of mood? - answerDysphoric
(feeling unhappy and full of anxiety)
A client diagnosed with bipolar disorder is being treated with lithium. The nurse should
instruct the client to use moderation with foods high in - answersodium
The primary difference between a mania and hypomania is - answerThe duration of the
manic episode
Many antidepressant medications have anticholinergic side effects. Which of the
following is NOT an anticholinergic effect? - answerSinus bradycardia
Which of the following is NOT a mood stabilizer? - answerBenzatropine (Cogentin)
Which describes the difference between Bipolar I and Bipolar II disorders? -
answerHypomania
A patient taking an SSRI decides to take St. Johns Wart to help her depression. Which
of the following conditions is she more susceptible to? - answerSerotonin syndrome
Bipolar II disorder is best described as: - answerPeriods of major depression and
hypomania
Lithium carbonate is the most widely used mood stabilizer prescribed for clients
experiencing bipolar disorder, however due to its side-effect profile, it is poorly tolerated
,in at least a third of treated patients. Which of the following medications may be
prescribed as an alternative to lithium carbonate? - answercarbamezapine (Tegretol)
A severely depressed patient has been taking an antidepressant Sertraline (Zoloft) for
14 days. During a follow-up visit, the patient smiles euphorically and states, "I feel so
much better now." How might the nurse interpret this behaviour change? - answerThe
patient may have decided to carry out a suicide plan.
Which of the following best defines obsessive-compulsive disorder? - answerUnwanted
thoughts, intrusive persistent thoughts, impulses, or images that cause anxiety and
distress
A general anxiety disorder is manifested through persistent thoughts and impulses or
images that cause anxiety and distress. True or False? - answerFalse
Persistent thoughts, impulses, or images that cause anxiety and distress best describes
which anxiety related symptom?
Obsessions
Compulsions
Ruminations
Fixations - answerObsessions
Washing, cleaning, checking, counting, repeating actions, ordering, making
confessions, and requesting assurances if sequence is disturbed, person experiences
anxiety are examples of - answerCommon obsessions
A breakdown in integrated functions of memory, consciousness, perception of self,
environment, or sensory and motor behaviour' best describes which symptom
associated with OCD. - answerDissociation
Which of the following personality disorders is characterized by the patient "living crisis
to crisis"? - answerBorderline
True or false, a pervasive pattern of disregard for, and violation of, the rights of others
best describes histrionic personality disorder. - answerFalse
A pattern of grandiosity, need for admiration, and general lack of empathy, best
describes which type of personality disorder. - answerNarcissistic Personality Disorder
There are three clusters of personality disorders A, B, C. Which of the following is NOT
included in any one of the three clusters of PD: - answerDelusional Personality Disorder
Which of the following is a positive symptom of schizophrenia? - answerHallucinations
Which of the following medication issues can be addressed BEST by the patient? -
answerCompliance
, Which of the following BEST describes a delusional disorder - answerStable, well
systemized and logical, nonbizarre delusions
Which neurotransmitter of the following has a different effect on the brain from the
others? - answerγ-Aminobutyric acid (GABA)
Bruce is a newly admitted client who has schizophrenia with paranoid behaviours.
Bruce's family mention that they really don't understand what caused Bruce's illness.
The nurse should answer in terms of the - answerneurobiological-genetic model
Terry's nursing care plan includes the nursing order, to assess for auditory
hallucinations. What behaviours suggest the client may be hallucinating? -
answerdarting eyes, tilted head, mumbling to self
A client has been prescribed a neuroleptic drug to treat a psychiatric disorder. The
nurse should explain to the client and client's family that neuroleptic drugs are the same
as: - answerantipsychotic medications
Which of the following theories is related to dopamine? - answerhyperactivity of the
mesolimbic tract
A client is admitted to the unit wearing torn and soiled clothing and looking confused.
She is suspicious of others, has a flat affect, and talks very little. Which of the following
would the nurse identify as the initial priority for this client? - answerHelping the client
feel safe and secure.
A client has been prescribed chlorpromazine CPZ (Largactil) for treatment of
schizophrenia. The nurse understands that this medication blocks the transmission of -
answerDopamine
The treatment of psychiatric and mental health care before the mid-20th century was
primarily influenced by what factor? - answerlack of understanding regarding the
etiology of mental illness
Which of the following events best exemplifies the trends in Canadian treatment of
mental illness in the second half of the 20th century? - answera reduction in the size of
large mental hospitals
A nurse can best demonstrate contemporary principles of psychiatric mental health care
by performing what action? - answerprioritizing the quality of the nurse-client
relationship
A psychiatric mental health nurse has been asked to join an interdisciplinary team that
has been commissioned to address the mental health needs of underserved Canadians.
The team is most likely to address which group? - answeraboriginal people
