CAPT: Psychiatric Nursing Exam
During the recoil stage of trauma recovery, the victim is likely to display:
a. paralyzing fear.
b. periods of looking and acting normal. - CORRECT ANSWER
c. disbelief and confusion.
d. symptoms of depression.
Psychiatric Technician observed the client pinching himself. Which of the
following would be appropriate Psychiatric Technician behavior? Verbal
redirection and...
a. documentation of events. - CORRECT ANSWER
b. restraints to prevent further injury.
c. call physician for further orders.
d. call a treatment team meeting.
The Psychiatric Technician walks in on a teenaged female who has a sharp object
and is cutting her arm, causing bleeding. Which of the following is the best initial
response for the Psychiatric Technician?
a. Stay with the client and direct her to put the object down. - CORRECT ANSWER
b. Go back to the nurse's station and get assistance.
c. Sit down and ask the client to join you for a talk.
d. Remind the client that she will not be eligible for a pass this weekend if she does not
follow the plan.
The Psychiatric Technician's first assessment regarding a client's fearfulness about
going to sleep would be.....
a. to determine the onset, duration and intensity of the bothersome thoughts. -
CORRECT ANSWER
b. to find out previous experiences with progressive relaxation.
,c. to get a history of previous medication.
d. to reassure the client the room is safe.
What is the first priority for a client experiencing extreme suspiciousness, panic
anxiety and command hallucinations?
a. Use medical restraints.
b. Closely observe the patient but avoid creating suspiciousness.
c. Maintain low level of stimuli in client's environment and remove all dangerous
objects from the environment. - CORRECT ANSWER
d. Administer a tranquilizing medication and call the physician.
What is the first question to ask a client who has just walked into a crisis center for
the first time?
a. "What has happened that brought you here today?" - CORRECT ANSWER
b. "I see you are anxious and upset, how long have you been this way?"
c. "You have scars on your wrists, have you recently attempted suicide?"
d. "I see that you have been depressed, do you want to tell me why?"
What would be the best response to give to a client with an established
relationship who is reporting active hallucinations?
a. Change the subject and focus on activities the client enjoys.
b. Inform the client that you do not hear the voices. - CORRECT ANSWER
c. Tell the client he/she only hallucinates during periods of stress so talking will help the
voices go away.
d. Tell the client he/she could not be hearing voices because the room is quiet.
What would be the most important consideration for a client admitted with
delirium tremens?
a. Promote understanding of client's substance abuse and dependency.
b. Provide psychological support and promote a restful environment.
c. Encourage the client to participate in a 12-step treatment program.
,d. Assess vital signs and observe for increase in heart rate and blood pressure. -
CORRECT ANSWER
Which of the following would be the most important priority when obtaining an
assessment intake with a homeless person?
a. Obtain a behavioral and needs assessment. - CORRECT ANSWER
b. Involve a social worker for help in finding a place to live.
c. Check with an employment office to obtain suitable employment options.
d. Develop a care plan to meet client's needs.
The most effective treatment approach while caring for an elderly patient who is
depressed would include...
a. A combination of group therapy and medication and a biological approach. -
CORRECT ANSWER
b. Behavioral management.
c. Peer social interaction.
d. Electroconvulsive therapy.
You are interviewing a 16-year-old female who is bipolar and 6 months pregnant.
She smokes and drinks alcohol daily. What is an important concept to remember?
a. Smoking and drinking may harm the unborn fetus.
b. She should take her medication for her bipolar disorder to ensure her good mental
health throughout her pregnancy.
c. Respect each patient's personal values and cultural beliefs and respond in a
nonjudgmental manner. - CORRECT ANSWER
d. Offer her substance abuse counseling and encourage her to understand her drinking
will interfere with treatment of her bipolar disease.
The Psychiatric Technician wants to decrease the aggressive behavior exhibited by
his consumer. The first thing to do is:
a. to identify the behavior specifically. - CORRECT ANSWER
b. to punish the consumer when aggressive behavior occurs.
, c. take a baseline and to put the consumer in time out.
d. to apply response cost techniques.
The next step in a behavior plan after identifying the behavior to change would be
to:
a. put the consumer on a deprivation schedule.
b. continuously sample the consumer's responses.
c. take a baseline of the consumer's behavior. - CORRECT ANSWER
d. identify the consumer's reinforcement schedule.
In order for a secondary positive reinforcer to be effective, the Psychiatric
Technician must first:
a. establish a rapport with the consumer. - CORRECT ANSWER
b. use response priming.
c. remove all aversive stimuli.
d. provide reinforcement sampling.
The Psychiatric Technician wants to decrease the consumer's "out of seat"
behavior. To accomplish this, the Psychiatric Technician should:
a. State in a firm manner and raised voice, "Be seated, now!"
b. Give the consumer attention when he is sitting nicely. - CORRECT ANSWER
c. withhold afternoon treats if the consumer is non-compliant.
d. not allow the consumer to participate in his favorite class.
The consumer is always pestering the group leader for candy and can become
aggressive. In planning an intervention to decrease this "begging" behavior, the
group leader's best response would be:
a. give the consumer his final allotment of candy and say firmly "that's all for today."
b. ignore the begging behavior when it is inappropriate.
c. turn her back to the consumer and attend to another resident.
d. give a treat to all the other residents in her group who are "behaving" excluding
the consumer who is begging. - CORRECT ANSWER
During the recoil stage of trauma recovery, the victim is likely to display:
a. paralyzing fear.
b. periods of looking and acting normal. - CORRECT ANSWER
c. disbelief and confusion.
d. symptoms of depression.
Psychiatric Technician observed the client pinching himself. Which of the
following would be appropriate Psychiatric Technician behavior? Verbal
redirection and...
a. documentation of events. - CORRECT ANSWER
b. restraints to prevent further injury.
c. call physician for further orders.
d. call a treatment team meeting.
The Psychiatric Technician walks in on a teenaged female who has a sharp object
and is cutting her arm, causing bleeding. Which of the following is the best initial
response for the Psychiatric Technician?
a. Stay with the client and direct her to put the object down. - CORRECT ANSWER
b. Go back to the nurse's station and get assistance.
c. Sit down and ask the client to join you for a talk.
d. Remind the client that she will not be eligible for a pass this weekend if she does not
follow the plan.
The Psychiatric Technician's first assessment regarding a client's fearfulness about
going to sleep would be.....
a. to determine the onset, duration and intensity of the bothersome thoughts. -
CORRECT ANSWER
b. to find out previous experiences with progressive relaxation.
,c. to get a history of previous medication.
d. to reassure the client the room is safe.
What is the first priority for a client experiencing extreme suspiciousness, panic
anxiety and command hallucinations?
a. Use medical restraints.
b. Closely observe the patient but avoid creating suspiciousness.
c. Maintain low level of stimuli in client's environment and remove all dangerous
objects from the environment. - CORRECT ANSWER
d. Administer a tranquilizing medication and call the physician.
What is the first question to ask a client who has just walked into a crisis center for
the first time?
a. "What has happened that brought you here today?" - CORRECT ANSWER
b. "I see you are anxious and upset, how long have you been this way?"
c. "You have scars on your wrists, have you recently attempted suicide?"
d. "I see that you have been depressed, do you want to tell me why?"
What would be the best response to give to a client with an established
relationship who is reporting active hallucinations?
a. Change the subject and focus on activities the client enjoys.
b. Inform the client that you do not hear the voices. - CORRECT ANSWER
c. Tell the client he/she only hallucinates during periods of stress so talking will help the
voices go away.
d. Tell the client he/she could not be hearing voices because the room is quiet.
What would be the most important consideration for a client admitted with
delirium tremens?
a. Promote understanding of client's substance abuse and dependency.
b. Provide psychological support and promote a restful environment.
c. Encourage the client to participate in a 12-step treatment program.
,d. Assess vital signs and observe for increase in heart rate and blood pressure. -
CORRECT ANSWER
Which of the following would be the most important priority when obtaining an
assessment intake with a homeless person?
a. Obtain a behavioral and needs assessment. - CORRECT ANSWER
b. Involve a social worker for help in finding a place to live.
c. Check with an employment office to obtain suitable employment options.
d. Develop a care plan to meet client's needs.
The most effective treatment approach while caring for an elderly patient who is
depressed would include...
a. A combination of group therapy and medication and a biological approach. -
CORRECT ANSWER
b. Behavioral management.
c. Peer social interaction.
d. Electroconvulsive therapy.
You are interviewing a 16-year-old female who is bipolar and 6 months pregnant.
She smokes and drinks alcohol daily. What is an important concept to remember?
a. Smoking and drinking may harm the unborn fetus.
b. She should take her medication for her bipolar disorder to ensure her good mental
health throughout her pregnancy.
c. Respect each patient's personal values and cultural beliefs and respond in a
nonjudgmental manner. - CORRECT ANSWER
d. Offer her substance abuse counseling and encourage her to understand her drinking
will interfere with treatment of her bipolar disease.
The Psychiatric Technician wants to decrease the aggressive behavior exhibited by
his consumer. The first thing to do is:
a. to identify the behavior specifically. - CORRECT ANSWER
b. to punish the consumer when aggressive behavior occurs.
, c. take a baseline and to put the consumer in time out.
d. to apply response cost techniques.
The next step in a behavior plan after identifying the behavior to change would be
to:
a. put the consumer on a deprivation schedule.
b. continuously sample the consumer's responses.
c. take a baseline of the consumer's behavior. - CORRECT ANSWER
d. identify the consumer's reinforcement schedule.
In order for a secondary positive reinforcer to be effective, the Psychiatric
Technician must first:
a. establish a rapport with the consumer. - CORRECT ANSWER
b. use response priming.
c. remove all aversive stimuli.
d. provide reinforcement sampling.
The Psychiatric Technician wants to decrease the consumer's "out of seat"
behavior. To accomplish this, the Psychiatric Technician should:
a. State in a firm manner and raised voice, "Be seated, now!"
b. Give the consumer attention when he is sitting nicely. - CORRECT ANSWER
c. withhold afternoon treats if the consumer is non-compliant.
d. not allow the consumer to participate in his favorite class.
The consumer is always pestering the group leader for candy and can become
aggressive. In planning an intervention to decrease this "begging" behavior, the
group leader's best response would be:
a. give the consumer his final allotment of candy and say firmly "that's all for today."
b. ignore the begging behavior when it is inappropriate.
c. turn her back to the consumer and attend to another resident.
d. give a treat to all the other residents in her group who are "behaving" excluding
the consumer who is begging. - CORRECT ANSWER
