psych final exam questions with complete solutions
3rd gen antipsychotic Correct Answers abilify
less side effect profile
40. A person was directing traffic on a busy street, rapidly
shouting, "To work, you jerk, for perks" and making obscene
gestures at cars. The person has not slept or eaten for 3 days.
Which assessment findings will have priority concern for this
patient's plan of care?
a. A. Insulting, aggressive behavior
b. B. Pressured speech and grandiosity
c. C. Hyperactivity; not eating and sleeping
d. D. Poor concentration and decision making Correct Answers
C. Hyperactivity; not eating and sleeping
A 23 year old client has been admitted with a diagnosis of
schizophrenia says to the nurse "Yes, its march, March is little
woman". That's literal you know". These statement illustrate:
a. Neologisms
b. Echolalia
c. Flight of ideas
d. Loosening of association Correct Answers d. Loosening of
association
A female victim of a sexual assault is being seen in the crisis
center for a third visit. She states that although the rape occurred
nearly 2 months ago, she still feels "as though the rape happened
yesterday". How should the nurse respond?
a. "In reality, the rape did not just occur. It has been over 2
months now".
,b. "What can you do to alleviate some of your tears about being
assaulted again?"
c. "In time, our goal will be to help you move on from these
strong feelings about your rape".
d. "Tell me more about those aspects of the rape that cause you
to feel like the rape just occurred." Correct Answers c. "In time,
our goal will be to help you move on from these strong feelings
about your rape".
A health teaching plan for a patient taking Parnate should
include which of the following instructions?
a. maintain normal salt and fluid intake (6 12 oz. glasses of fluid
per day)
b. avoid eating aged cheese, processed meats, and red wine.
c. if diarrhea or vomiting occurs stop the medication and call
your doctor
d. do not take diuretics (water pill) while taking this medication
Correct Answers b. avoid eating aged cheese, processed meats,
and red wine.
A nurse in an outpatient clinic is educating new nurses about
illness anxiety disorder (hypochondriasis). The nurse evaluates
that the nurses accurately understand this disorder when they
state:
a. patients with this disorder misinterpret their physical
sensations as evidence of a serious illness
b. patients with this disorder intentionally present with different
symptoms to obtain sympathy from others
c. patients with this disorder channel emotional conflicts into
physical symptoms
, d. patients with this disorder deliberately deceive health care
providers to obtain disability insurance Correct Answers a.
patients with this disorder misinterpret their physical sensations
as evidence of a serious illness
A nurse is admitting a schizophrenic patient who is exhibiting
positive symptoms. Which of the following symptoms could the
nurse expect in this patient?
a. A flat or blunted affect
b. Delusions
c. Poverty of speech
d. Avolition Correct Answers b. Delusions
A nurse suspects that a patient is exhibiting signs of neuroleptic
malignant syndrome. List the symptoms that lead the nurse to
this suspicion: Correct Answers muscle rigidity, reduced LOC,
diaphoresis
A patient diagnosed with bipolar disorder commands other
patients, "Get me a book. Take this stuff out of here," and other
similar demands. The nurse wants to interrupt this behavior
without entering into a power struggle. Which initial approach
should the nurse select?
a. A. Distraction: "Let's go to the dining room for a snack."
b. B. Humor: "How much are you paying servants these days?"
c. C. Limit setting: "You must stop ordering other patients
around."
d. D. Honest feedback: "Your controlling behavior is annoying
others." Correct Answers A. Distraction: "Let's go to the dining
room for a snack."
3rd gen antipsychotic Correct Answers abilify
less side effect profile
40. A person was directing traffic on a busy street, rapidly
shouting, "To work, you jerk, for perks" and making obscene
gestures at cars. The person has not slept or eaten for 3 days.
Which assessment findings will have priority concern for this
patient's plan of care?
a. A. Insulting, aggressive behavior
b. B. Pressured speech and grandiosity
c. C. Hyperactivity; not eating and sleeping
d. D. Poor concentration and decision making Correct Answers
C. Hyperactivity; not eating and sleeping
A 23 year old client has been admitted with a diagnosis of
schizophrenia says to the nurse "Yes, its march, March is little
woman". That's literal you know". These statement illustrate:
a. Neologisms
b. Echolalia
c. Flight of ideas
d. Loosening of association Correct Answers d. Loosening of
association
A female victim of a sexual assault is being seen in the crisis
center for a third visit. She states that although the rape occurred
nearly 2 months ago, she still feels "as though the rape happened
yesterday". How should the nurse respond?
a. "In reality, the rape did not just occur. It has been over 2
months now".
,b. "What can you do to alleviate some of your tears about being
assaulted again?"
c. "In time, our goal will be to help you move on from these
strong feelings about your rape".
d. "Tell me more about those aspects of the rape that cause you
to feel like the rape just occurred." Correct Answers c. "In time,
our goal will be to help you move on from these strong feelings
about your rape".
A health teaching plan for a patient taking Parnate should
include which of the following instructions?
a. maintain normal salt and fluid intake (6 12 oz. glasses of fluid
per day)
b. avoid eating aged cheese, processed meats, and red wine.
c. if diarrhea or vomiting occurs stop the medication and call
your doctor
d. do not take diuretics (water pill) while taking this medication
Correct Answers b. avoid eating aged cheese, processed meats,
and red wine.
A nurse in an outpatient clinic is educating new nurses about
illness anxiety disorder (hypochondriasis). The nurse evaluates
that the nurses accurately understand this disorder when they
state:
a. patients with this disorder misinterpret their physical
sensations as evidence of a serious illness
b. patients with this disorder intentionally present with different
symptoms to obtain sympathy from others
c. patients with this disorder channel emotional conflicts into
physical symptoms
, d. patients with this disorder deliberately deceive health care
providers to obtain disability insurance Correct Answers a.
patients with this disorder misinterpret their physical sensations
as evidence of a serious illness
A nurse is admitting a schizophrenic patient who is exhibiting
positive symptoms. Which of the following symptoms could the
nurse expect in this patient?
a. A flat or blunted affect
b. Delusions
c. Poverty of speech
d. Avolition Correct Answers b. Delusions
A nurse suspects that a patient is exhibiting signs of neuroleptic
malignant syndrome. List the symptoms that lead the nurse to
this suspicion: Correct Answers muscle rigidity, reduced LOC,
diaphoresis
A patient diagnosed with bipolar disorder commands other
patients, "Get me a book. Take this stuff out of here," and other
similar demands. The nurse wants to interrupt this behavior
without entering into a power struggle. Which initial approach
should the nurse select?
a. A. Distraction: "Let's go to the dining room for a snack."
b. B. Humor: "How much are you paying servants these days?"
c. C. Limit setting: "You must stop ordering other patients
around."
d. D. Honest feedback: "Your controlling behavior is annoying
others." Correct Answers A. Distraction: "Let's go to the dining
room for a snack."
