Psychiatric Nursing Quiz

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Psychiatric nursing core concepts.

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Yvette Joy Dumalhin

Philippines

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Psychiatric Nursing Quiz


Psychiatric Nursing QuizOnline version Psychiatric nursing core concepts. by Yvette Joy Dumalhin 1 What is the primary goal of therapeutic communication in psychiatric nursing? a To build trust and encourage open expression. b To give orders and commands. c To treat physical health only. d To diagnose mental illness. 2 The thought process characterized by a series of ideas without apparent logical connections is referred to as? a Confabulation b Flight of ideas c Tangentiality d Loosening of association 3 The ability to understand one’s own behavior and emotion is called? a Intelligence b Insight c Judgement d Personality 4 Which medication class is commonly used for agitation in acute psychosis? a Antipsychotics. b Opioids c Antidepressants. d Mood stabilizers. 5 What is the role of confidentiality in psychiatric nursing? a Ignore patient wishes. b Only protect medical records. c Protect patient privacy and promote trust. d Share patient details freely with family. 6 Which therapy focuses on identifying and changing negative thought patterns? a Humanistic therapy b Cognitive Behavioral Therapy (CBT) c Existential therapy d Psychoanalysis 7 What is the primary purpose of psychosocial rehabilitation in mental health care? a Restore function, independence, and social skills. b Replace family support c Only med management d Ignore functional goals 8 Which symptom is typical of major depressive disorder? a Elevated mood and increased energy b Excessive happiness c Persistent sadness and loss of interest. d Fast, unrelated thoughts 9 What is essential for informed consent in psychiatric treatment? a No information given b Coercion by staff c Consent is unnecessary in psychiatry d Respect for autonomy and capacity to consent. 10 Which technique helps reduce anxiety through controlled breathing? a Rapid shallow breathing b Breath-holding c Diaphragmatic breathing. d Hyperventilation 11 A female client who's at high risk for suicide needs close supervision. To best ensure the client's safety, the nurse should: a Check on the client frequently at irregular intervals throughout the night b Assure the client that the nurse will hold in confidence anything the client says c Disregard decreased communication by the client because this is common in suicidal clients d Repeatedly discuss previous suicide attempts with the client 12 A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client's wrists are scratched from a recent suicide attempt. Based on this finding, the nurse should formulate a nursing diagnosis of: Choose one or more answers a Ineffective individual coping related to feelings of guilt b Risk for violence: Directed toward other related to verbal threats c Risk for violence: Self-directed related to impulsive mutilating acts d Situational low self-esteem related to feelings of loss of control 13 A female client begins to experience alcoholic hallucinosis. The nurse is aware that the best nursing intervention at this time is: a Checking the client's blood pressure every 15 minutes and offering juices b Providing a quiet environment and administering medications as needed and prescribed c Keeping the client restrained in bed d Restraining the client and measuring blood pressure every 30 minutes 14 The nurse is aware that which client is at highest risk for suicide? a One who appears depressed, frequently thinks of dying, and gives away all personal possessions b One who plans a violent death and has the means readily available c One who talks about wanting to die d One who tells others that he or she might do something if life doesn't get better soon 15 Why is it important for the nurse to be aware of the multiple factors that can influence an individual's mental health? a A holistic nursing assessment requires this awareness b Rates of illness differ among various groups c The DSM-V cannot be used without the information d The nurse must contribute this data for epidemiological research 16 After several therapeutic encounters with a patient who recently attempted suicide, the behavior that would cause the nurse to consider the possibility of countertransference is that: a The client states the nurse is concerned about her, just like her father b The client's reaction toward the nurse seems realistic and appropriate c The nurse develops a trusting relationship with the client d The nurse feels exceptionally happy when the client's mood begins to lift 17 Termination of the therapeutic nurse-client relationship with a client has been handled successfully when the nurse: a Discusses with the client the changes that have happened during their time together and evaluates outcome attainment b Avoids upsetting the client by focusing on other clients beginning 1 week before the client's discharge c Gives the client his personal telephone number and permission to call after discharge d Offers to meet the client for coffee and conversation three times a week for 2 weeks after discharge 18 During which phase of the nurse-client relationship can the nurse anticipate that identified client issues will be explored and resolved? a The dysfunctional phase b The identifying phase c The termination phase d The working phase 19 The nurse attempts to explain to the family of a mentally ill client how the nurse-client relationship differs from other interpersonal relationships. The best explanation is that: a The focus is creation of a partnership in which each member is concerned with growth and satisfaction of the other b The focus is on the client; problems are discussed by the nurse and client; and solutions are implemented by the client c The focus is socialization; mutual needs are met; and feelings are shared d The focus shifts from nurse to client; advice is given by both parties; and solutions are implemented by each 20 The nurse wishes to demonstrate genuineness within the context of the nurse-client relationship with his client who has been diagnosed with schizophrenia. The nurse will need to: a Be aware of his own feelings and use congruent communication strategies b Consistently make value judgements about client behaviors c Encourage the client to depend on him for support and reassurance d Use extensive self-revelation in client interactions 21 The client mentions to the nurse " I'm still on restriction to the unit and I'd really like to start attending off-unit activities. Would you ask a doctor to upgrade my privileges?" The best response for the nurse would be: a "Do you think you are so unimportant that you can't speak to a doctor and that a nurse must intercede" b "I'll be glad to mention it when I see the doctor later today" c "That's a good topic for you to take up with a doctor. You'll be meeting at 2pm" d "Why are you asking me to do this when you're perfectly capable of speaking for yourself" 22 While working with a client to establish outcomes for treatment, the nurse believes that an outcome suggested by the client is not in the client's best interest. The best action for the nurse would be to: a Explore the consequences that might occur if the outcome is achieved b Formulate a different, appropriate outcome for the client c Remain silent d Tell the client that the outcome is not realistic 23 During the initial assessment interview the client becomes anxious and evasive when the nurse asks her if she has ever heard voices when no one else was around. The client asks, "what do you need to know that for?" the nurse should say: a "I can see this subject makes you uncomfortable. We can discuss this at another time” b "Please be honest about this," after repeating the question c "Sometimes questions seem highly personal, but we have our reasons for asking each one" d "What purpose do you think we might have in asking about whether you hear voices?" 24 Which of the following statements is most true about the difference between delusions and hallucinations? a Delusions are always true and hallucinations are always false b Delusions are based on facts and hallucinations are based on beliefs c Delusions are false beliefs while hallucinations are false perceptions d Delusions are systems, hallucinations are beliefs 25 The patient rushes up to you and says "They're after me. They want to torture me and kill me." This is an example of: a Abstract thinking b Auditory hallucinations c Delusions of persecution d Idea of reference 26 Which nursing diagnosis for a psychiatric client is properly worded? a Defensive coping related to lack of insight associated with illicit drug use b Hopelessness related to depression c Imbalanced nutrition: less than body requirements related to poor self-concept as evidenced by reporting "I'm not worthy of eating" d Spiritual distress as evidenced by saying "God has abandoned me" 27 The nurse introduces the matter of a contract during the first session because contracts: a Are binding and prevent either party from prematurely ending the relationship b Are indicative of the feeling tone established between the participants c Specify what the nurse will do for the client d Spell out the participation and responsibilities of both parties 28 The remark by a client that would indicate passage into the working phase of the nurse-client relationship is a "I don't have any problems" b "It is so difficult for me to talk about problems" c "I don't know how talking about things twice a week can help" d "I think I would like to find a way to deal with my anger without blowing up" 29 During a nurse-client interview the client attempts to shift the session focus from himself to the nurse by asking personal questions. The nurse should respond by saying a "Nurses prefer to direct the interview." b "This time we spend together is for you to discuss your concerns." c "You have no right to ask questions about my personal life." d "You've turned the tables on me." 30 A client is hospitalized with a mood disorder displays an elevated, unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse can begin care planning based on the expectation that the psychiatrist is most likely to prescribe a medication classified as an: a Anticholinergic b Antidepressant c Mood stabilizer d Psychostimulant 31 Fluoxetine and sertraline are what type of medication? a Heterocyclics b MAO Inhibitors c Neuroleptics d Serotonin-Specific Agents 32 A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advise the client to which of the following? a Change position slowly. b Discontinue medication once the symptoms went away. c Get a daily source of sunlight. d Take it on an empty stomach. 33 A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse effect related to this medication? a Liver function studies b Platelet count c Random blood sugar d White blood cell 34 A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? a Apply a sunscreen before being exposed to the sun. b Decrease the dosage if signs of illness decrease. c Increase dose to 50 mg 2x/ day if signs of illness don't decrease. d Take the medication 1 hour before a meal. 35 A patient diagnosed with schizophreniform disorder is prescribed fluphenazine 5 mg three times daily. After a week, the patient’s hallucinations and delusions have subsided but the patient is still unkempt and has a flat affect. Which statement best describes the patient’s residual symptoms? a Fluphenazine is effective for the positive symptoms of schizophrenia b Fluphenazine is the wrong treatment for this patient’s condition c The dose of fluphenazine is not high enough d The patient’s symptoms are a side effect of fluphenazine 36 What does BAD stand for? Written answer 37 What is PS? Written answer 38 DS stands for: Written answer 39 UNOP would mean what? Written answer 40 M&B in psychiatry stands for: Written answer 41 What would AVH mean in Psychiatry? Written answer 42 What is MDD? Written answer 43 LTFU in psychiatric nursing means Written answer 44 OH is a diagnosis for perception problems due to biological reasons and stands for what? Written answer 45 In mood problems, what does RDD stand for? Written answer

Psychiatric Nursing Quiz

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About this activity

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Psychiatric Nursing QuizOnline version

by Yvette Joy Dumalhin

What is the primary goal of therapeutic communication in psychiatric nursing?

The thought process characterized by a series of ideas without apparent logical connections is referred to as?

The ability to understand one’s own behavior and emotion is called?

Which medication class is commonly used for agitation in acute psychosis?

What is the role of confidentiality in psychiatric nursing?

Which therapy focuses on identifying and changing negative thought patterns?

What is the primary purpose of psychosocial rehabilitation in mental health care?

Which symptom is typical of major depressive disorder?

What is essential for informed consent in psychiatric treatment?

Which technique helps reduce anxiety through controlled breathing?

A female client who's at high risk for suicide needs close supervision. To best ensure the client's safety, the nurse should:

A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client's wrists are scratched from a recent suicide attempt. Based on this finding, the nurse should formulate a nursing diagnosis of:

A female client begins to experience alcoholic hallucinosis. The nurse is aware that the best nursing intervention at this time is:

The nurse is aware that which client is at highest risk for suicide?

Why is it important for the nurse to be aware of the multiple factors that can influence an individual's mental health?

After several therapeutic encounters with a patient who recently attempted suicide, the behavior that would cause the nurse to consider the possibility of countertransference is that:

Termination of the therapeutic nurse-client relationship with a client has been handled successfully when the nurse:

During which phase of the nurse-client relationship can the nurse anticipate that identified client issues will be explored and resolved?

The nurse attempts to explain to the family of a mentally ill client how the nurse-client relationship differs from other interpersonal relationships. The best explanation is that:

The nurse wishes to demonstrate genuineness within the context of the nurse-client relationship with his client who has been diagnosed with schizophrenia. The nurse will need to:

The client mentions to the nurse " I'm still on restriction to the unit and I'd really like to start attending off-unit activities. Would you ask a doctor to upgrade my privileges?" The best response for the nurse would be:

While working with a client to establish outcomes for treatment, the nurse believes that an outcome suggested by the client is not in the client's best interest. The best action for the nurse would be to:

During the initial assessment interview the client becomes anxious and evasive when the nurse asks her if she has ever heard voices when no one else was around. The client asks, "what do you need to know that for?" the nurse should say:

Which of the following statements is most true about the difference between delusions and hallucinations?

The patient rushes up to you and says "They're after me. They want to torture me and kill me." This is an example of:

Which nursing diagnosis for a psychiatric client is properly worded?

The nurse introduces the matter of a contract during the first session because contracts:

The remark by a client that would indicate passage into the working phase of the nurse-client relationship is

During a nurse-client interview the client attempts to shift the session focus from himself to the nurse by asking personal questions. The nurse should respond by saying

A client is hospitalized with a mood disorder displays an elevated, unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse can begin care planning based on the expectation that the psychiatrist is most likely to prescribe a medication classified as an:

Fluoxetine and sertraline are what type of medication?

A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advise the client to which of the following?

A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse effect related to this medication?

A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client?

A patient diagnosed with schizophreniform disorder is prescribed fluphenazine 5 mg three times daily. After a week, the patient’s hallucinations and delusions have subsided but the patient is still unkempt and has a flat affect. Which statement best describes the patient’s residual symptoms?

What does BAD stand for?

What is PS?

DS stands for:

UNOP would mean what?

M&B in psychiatry stands for:

What would AVH mean in Psychiatry?

What is MDD?

LTFU in psychiatric nursing means

OH is a diagnosis for perception problems due to biological reasons and stands for what?

In mood problems, what does RDD stand for?