Test Bank For Psychiatric Nursing: Contemporary Practice, 7th
Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All
Chapters with Answers and Rationals
The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but responsive. The
mother states, "I think he took some of my pain pills." During initial assessment of the teenager, what
information is most important for the nurse to obtain from the parents?
A. If he has seemed depressed recently
B. If a drug overdose has ever occurred before
C. If he might have taken any other drugs
D. If he has a desire to quit taking drugs - ANSWER: Answer: C
Will guide immediate treatment. A and B are also important but secondary to C. D is not appropriate
at this time.
A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most
indicative of depression?
A. Grandiose ideation
B. Self-destructive thoughts
C. Suspiciousness of others
D. A negative view of self and the future - ANSWER: Answer: D
Negative self-image and feelings of hopelessness about the future are specific indicators of
depression. A and/or C occurs with paranoia or paranoid ideation. B may be seen in depressed
patients but not always.
A female client with obsessive-compulsive disorder (OCD) is describing her obsessions and
compulsions and asks the nurse why these make her feel safer. What information should the nurse
include in this client's teaching plan? (Select all that apply)
A. Compulsions relieve anxiety
B. Anxiety is the key reason for OCD
C. Obsessions cause compulsions
D. Obsessive thoughts are linked to levels of neurochemicals
E. Antidepressant medications increase serotonin levels - ANSWER: Answer: A, B, D, E
Compulsions do relieve anxiety, anxiety is the key reason for OCD, obsessive thoughts are thought to
be caused by neurochemcial imbalances, and antidepressents are thought to help with this
imbalance, particularly of serotonin.
Obsessions do not all lead to compulsions
A male client with schizophrenia tells the nurse that the voices he hears are saying, "You must kill
yourself". To assist the client with coping with these thoughts, which response is best for the nurse to
provide?
A. Tell yourself that the voices are unreasonable
B. Exercise when you hear the voices
C. Talk to someone when you hear the voices
D. The voices aren't real so ignore them - ANSWER: Answer: A
Promote self-talk to negate the voices
, Talking to someone else might be hard because clients with schizophrenia have a hard to engaging
with others. exercise might help but to abstractly for the patient to utilize in the moment. The voices
can be relentless and not able to be ignored
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to
state that someone is trying to steal his clothing. The most appropriate action for the nurse to take is
to
A. Encourage the client to actively participate in assigned activities on the unit.
B. Place a lock on the client's closet.
C. ignore the client's paranoid ideation to extinguish these behaviors.
D. Explain to the client that his suspicions are false. - ANSWER: Answer: A
Use diversion to help client focus on activities that will help with his therapeutic progress.
B encourages his ideation, ignoring may lower self-esteem, and trying to rationalize ideation should
be avoided.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin decanoate) is being
discharged in the morning. A repeat does of medication is scheduled for 20 days after discharge. The
client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days. Which
statement by the client indicates a need for health teaching?
A. "When I return from my tropical island vacation, I will go to the clinic to get my Prolixin injection."
B. "While I'm on my vacation and when I return, I will not eat or drink anything that contains alcohol."
C. "I will notify the health care provider if I have a sore throat or flu-like symptoms."
D. "I will continue to take my benzotropine mesylate (Congentin) every day." - ANSWER: Answer: A
Client should say that they will wear sunscreen and avoid direct sun because photosensitivty is a side
effect of Prolixin. Congentin is often given with Prolixin to avoid EPS. C lists signs of agranulocytosis
which is also a side effect of Prolixin.
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit.
Which complaint related to administration of this drug would the nurse expect this client to make?
A. "My mouth feels like cotton."
B. "That stuff gives my indigestion."
C. "This pill gives me diarrhea."
D. "My urine looks pink." - ANSWER: Answer: A
penelzine (Nardil) is an antidepressent that is a MAO inhibitor and has anticholinergic side effects
An anxious client expressing a fear of people and open places is admitted to the psychiatric unit. What
is the most effective way for the nurse to assist this client?
A. Plan an outing within the first week of admission.
B. Distract her whenever she expresses her discomfort about being with others.
C. Confront her fears and discuss the possible causes of these fears.
D. Accompany her outside for an increasing amount of time each day. - ANSWER: Answer: D
Use gradual desensitization to help patient overcome phobia
A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of the
nurses, "You fat tub of lard! Get something done around here!" What is the best initial action for the
nurse to take?
A. Have the orderly escort the client to his room.
B. Tell the client his healthcare provider will be notified if he continues to be verbally abusive.
C. Redirect the clients energy by asking him to tidy the recreation room.
D. Call the healthcare provider to obtain a prescription for a sedative. - ANSWER: Answer: C
Use redirection when possible
Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All
Chapters with Answers and Rationals
The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but responsive. The
mother states, "I think he took some of my pain pills." During initial assessment of the teenager, what
information is most important for the nurse to obtain from the parents?
A. If he has seemed depressed recently
B. If a drug overdose has ever occurred before
C. If he might have taken any other drugs
D. If he has a desire to quit taking drugs - ANSWER: Answer: C
Will guide immediate treatment. A and B are also important but secondary to C. D is not appropriate
at this time.
A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most
indicative of depression?
A. Grandiose ideation
B. Self-destructive thoughts
C. Suspiciousness of others
D. A negative view of self and the future - ANSWER: Answer: D
Negative self-image and feelings of hopelessness about the future are specific indicators of
depression. A and/or C occurs with paranoia or paranoid ideation. B may be seen in depressed
patients but not always.
A female client with obsessive-compulsive disorder (OCD) is describing her obsessions and
compulsions and asks the nurse why these make her feel safer. What information should the nurse
include in this client's teaching plan? (Select all that apply)
A. Compulsions relieve anxiety
B. Anxiety is the key reason for OCD
C. Obsessions cause compulsions
D. Obsessive thoughts are linked to levels of neurochemicals
E. Antidepressant medications increase serotonin levels - ANSWER: Answer: A, B, D, E
Compulsions do relieve anxiety, anxiety is the key reason for OCD, obsessive thoughts are thought to
be caused by neurochemcial imbalances, and antidepressents are thought to help with this
imbalance, particularly of serotonin.
Obsessions do not all lead to compulsions
A male client with schizophrenia tells the nurse that the voices he hears are saying, "You must kill
yourself". To assist the client with coping with these thoughts, which response is best for the nurse to
provide?
A. Tell yourself that the voices are unreasonable
B. Exercise when you hear the voices
C. Talk to someone when you hear the voices
D. The voices aren't real so ignore them - ANSWER: Answer: A
Promote self-talk to negate the voices
, Talking to someone else might be hard because clients with schizophrenia have a hard to engaging
with others. exercise might help but to abstractly for the patient to utilize in the moment. The voices
can be relentless and not able to be ignored
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to
state that someone is trying to steal his clothing. The most appropriate action for the nurse to take is
to
A. Encourage the client to actively participate in assigned activities on the unit.
B. Place a lock on the client's closet.
C. ignore the client's paranoid ideation to extinguish these behaviors.
D. Explain to the client that his suspicions are false. - ANSWER: Answer: A
Use diversion to help client focus on activities that will help with his therapeutic progress.
B encourages his ideation, ignoring may lower self-esteem, and trying to rationalize ideation should
be avoided.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin decanoate) is being
discharged in the morning. A repeat does of medication is scheduled for 20 days after discharge. The
client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days. Which
statement by the client indicates a need for health teaching?
A. "When I return from my tropical island vacation, I will go to the clinic to get my Prolixin injection."
B. "While I'm on my vacation and when I return, I will not eat or drink anything that contains alcohol."
C. "I will notify the health care provider if I have a sore throat or flu-like symptoms."
D. "I will continue to take my benzotropine mesylate (Congentin) every day." - ANSWER: Answer: A
Client should say that they will wear sunscreen and avoid direct sun because photosensitivty is a side
effect of Prolixin. Congentin is often given with Prolixin to avoid EPS. C lists signs of agranulocytosis
which is also a side effect of Prolixin.
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit.
Which complaint related to administration of this drug would the nurse expect this client to make?
A. "My mouth feels like cotton."
B. "That stuff gives my indigestion."
C. "This pill gives me diarrhea."
D. "My urine looks pink." - ANSWER: Answer: A
penelzine (Nardil) is an antidepressent that is a MAO inhibitor and has anticholinergic side effects
An anxious client expressing a fear of people and open places is admitted to the psychiatric unit. What
is the most effective way for the nurse to assist this client?
A. Plan an outing within the first week of admission.
B. Distract her whenever she expresses her discomfort about being with others.
C. Confront her fears and discuss the possible causes of these fears.
D. Accompany her outside for an increasing amount of time each day. - ANSWER: Answer: D
Use gradual desensitization to help patient overcome phobia
A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of the
nurses, "You fat tub of lard! Get something done around here!" What is the best initial action for the
nurse to take?
A. Have the orderly escort the client to his room.
B. Tell the client his healthcare provider will be notified if he continues to be verbally abusive.
C. Redirect the clients energy by asking him to tidy the recreation room.
D. Call the healthcare provider to obtain a prescription for a sedative. - ANSWER: Answer: C
Use redirection when possible
