1. Which of the following are true statements about neurotransmitters? Select all that apply.
0.5 pt/1 pt
Neurotransmitters are nerve cells that generate and transmit electrochemical impulses
Neurotransmitters are responsible for essential functions in human emotion and behavior
Neurotransmitters are targets for the mechanism of action of many psychotropic
medications
Neurotransmitters are limited to the study of psychiatric disease processes alone
2. A male client is found sitting on the floor of the bathroom in the day treatment clinic with
moderate lacerations on both wrists. Surrounded by broken glass, she sits staring blankly
at her bleeding wrists while staff members call for an ambulance. How should nurse
Grace approach her initially?
Call for staff back-up before entering the room and restraining her
Approach her slowly while speaking in a calm voice, calling her name, and telling her that
the nurse is here to help her
Move as much glass away from her as possible and sit next to her quietly
Enter the room quietly and move beside her to assess her injuries
Ensuring the safety of the client and the nurse is the priority at this time. Therefore, the nurse
should approach the client cautiously while calling her name and talking to her in a calm,
confident manner. The nurse should keep in mind that the client shouldn’t be startled or
overwhelmed. After explaining that the nurse is there to help, the nurse should observe the
client’s response carefully. If the client shows signs of agitation or confusion or poses a threat,
the nurse should retreat and request assistance. The nurse shouldn’t attempt to sit next to the
client or examine injuries without first announcing the nurse’s presence and assessing the
dangers of the situation.
3. While making rounds, Mary noticed one of her clients saying the following line: “I have
money, want to study. Daddy wants honey, honey honey bee…This is an example of?
Neologism
Flight of ideas
Clang association
Word salad
Clang association is group of words the client says that includes rhyming.
4. Nurse Jonel is providing information to a community group about violence in the family.
Which statement by a group member would indicate a need to provide additional
information?
“Abuser usually have poor self-esteem”
“Abuser use fear and intimidation”
, “Abuse occurs more in low-income families”
“Abuser Are often jealous or self-centered”
Personal characteristics of an abuser include low self-esteem, immaturity, dependence,
insecurity and jealousy.
5. A male client is admitted to the substance abuse unit for alcohol detoxification. Which of
the following medications is nurse Apple most likely to administer to reduce the
symptoms of alcohol withdrawal?
Clhordiazepoxide (Librium)
naloxone (Narcan)
magnesium sulfate
haloperidol (Haldol)
Chlordiazepoxide (Librium) and other tranquilizers help reduce the symptoms of alcohol
withdrawal. Haloperidol (Haldol) may be given to treat clients with psychosis, severe agitation,
or delirium. Naloxone (Narcan) is administered for narcotic overdose. Magnesium sulfate and
other anticonvulsant medications are only administered to treat seizures if they occur during
withdrawal.
6. A client is admitted to the psychiatric unit accompanied by her husband. She brings six
suitcases and three shopping bags. She orders the nurse to carry her bags. Her husband
states she has been purchasing items that they cannot afford and has not slept for 4 nights.
The husband apologizes to the nurse for his wife's demanding behavior. Which of the
following possible replies by the nurse would be best?
"I understand. What happened to set her off like this?"
"It's all right. We have been treated worse"
"It must be hard for you to see her like this"
"I'm sure she's doing the best she can"
7. A client is admitted to the psychiatric unit accompanied by her husband. She brings six
suitcases and three shopping bags. She orders the nurse to carry her bags. Her husband
states she has been purchasing items that they cannot afford and has not slept for 4 nights.
The client is scheduled to go to the radiology department. Before taking the client for her
x-ray examination, which of the following actions should the nurse take?
say nothing before taking her to the x-ray department
bring another staff member along in case she resists going to the x-ray department
provide a detailed explanation of the x ray procedure
explain the x-ray procedure in simple terms
8. A client with bipolar disorder, manic phase has just sat down to watch television in the
, lounge. As the nurse approaches the lounge area, the client states 'The sun is shining.
Where is my son? I love Lucy. Let's play ball' The client is displaying
depersonalization
use of neologism
concreteness
flight of ideas
9. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) utilizes a
multiaxial classification system involving assessment on several axes, allowing the
practitioner to identify all the factors that relate to a person’s condition. Reporting mental
retardation and personality disorders as well as prominent maladaptive personality
features and defense mechanisms is categorized under:
Axis II
Axis I
Axis III
Axis IV
The DSM-IV-TR is a taxonomy published by APA. It describes mental disorders, outlining
specific diagnostic criteria for each based on clinical experience and research, utilizing a
multiaxial classification system composed of five axes. Axis II is foreporting mental retardation
and personality disorders as well as prominent maladaptive personality features and defense
mechanisms.
10. A client is being admitted to the psychiatric unit. She responds to some of the nurse's
questions with one word answers. Her eyes are downcast, and her movements are very
slow. The nurse observes that the client has bathed, is wearing a clean blouse and slacks,
and has combed her hair. Which statement by the nurse would be most helpful for the
client?
"I'm glad you combed your hair today"
"You look good today"
"I like your blouse and slacks"
"I'm glad you're feeling better today"
11. Another reason why she refuses to take Thorazine is because she complains of robot like
movement and slurred speech. The nurse’s action is:
Decrease the dosage of Thorazine
Withhold medication until referral is made to the doctor
Avoid giving foods that are rich in tyramine
Explain the extrapyramidal side effects and administer Benadryl as ordered by the
physician
, Decreasing the dosage of the drug is not a nursing function. Extrapyramidal symptoms (EPS)
includes the following but not limited to akinesia, akathisia, bradykinesia, stiffness, and tremors.
These are expected side effects of Thorazine and other antipsychotic medications. This must be
properly explained to the patient to prevent suspicious thinking.
12. When the nurse creates an environment to facilitate healing, the nurse’s actions are based
on which of the following assumptions? Select all that apply.
Treatment plans can be formulated by observing social behaviors
Group settings can support ego strengths
A healthy relationship cannot be transferred to other relationships
A therapeutic relationship can be a healing experience
13. The psychodynamics of depression is:
Lax super-ego
Internalized hostility feelings
Weak super-ego
Narcissistic personality
In depression, the mechanism is employed primarily to deny hostility.
Use of denial frequently exacerbates depression, as anger becomes
directed towards the self, and patients are not able to use their angry
feelings effectively to address interpersonal problems
14. When planning the discharge of a client with chronic anxiety, Nurse Michelle evaluates
achievement of the discharge maintenance goals. Which goal would be most
appropriately having been included in the plan of care requiring evaluation?
The client identifies anxiety producing situations
The client eliminates all anxiety from daily situations
The client ignores feelings of anxiety
The client maintains contact with a crisis counsellor
Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or
avoid specific stimulus.
15. The nurse engages Cattrina Mae in the process of mutual inquiry to provide an
opportunity for the client to:
Face emerging problems realistically
Cope with her present problem
Perceive her participation as an experience
Conceptualize her problem
0.5 pt/1 pt
Neurotransmitters are nerve cells that generate and transmit electrochemical impulses
Neurotransmitters are responsible for essential functions in human emotion and behavior
Neurotransmitters are targets for the mechanism of action of many psychotropic
medications
Neurotransmitters are limited to the study of psychiatric disease processes alone
2. A male client is found sitting on the floor of the bathroom in the day treatment clinic with
moderate lacerations on both wrists. Surrounded by broken glass, she sits staring blankly
at her bleeding wrists while staff members call for an ambulance. How should nurse
Grace approach her initially?
Call for staff back-up before entering the room and restraining her
Approach her slowly while speaking in a calm voice, calling her name, and telling her that
the nurse is here to help her
Move as much glass away from her as possible and sit next to her quietly
Enter the room quietly and move beside her to assess her injuries
Ensuring the safety of the client and the nurse is the priority at this time. Therefore, the nurse
should approach the client cautiously while calling her name and talking to her in a calm,
confident manner. The nurse should keep in mind that the client shouldn’t be startled or
overwhelmed. After explaining that the nurse is there to help, the nurse should observe the
client’s response carefully. If the client shows signs of agitation or confusion or poses a threat,
the nurse should retreat and request assistance. The nurse shouldn’t attempt to sit next to the
client or examine injuries without first announcing the nurse’s presence and assessing the
dangers of the situation.
3. While making rounds, Mary noticed one of her clients saying the following line: “I have
money, want to study. Daddy wants honey, honey honey bee…This is an example of?
Neologism
Flight of ideas
Clang association
Word salad
Clang association is group of words the client says that includes rhyming.
4. Nurse Jonel is providing information to a community group about violence in the family.
Which statement by a group member would indicate a need to provide additional
information?
“Abuser usually have poor self-esteem”
“Abuser use fear and intimidation”
, “Abuse occurs more in low-income families”
“Abuser Are often jealous or self-centered”
Personal characteristics of an abuser include low self-esteem, immaturity, dependence,
insecurity and jealousy.
5. A male client is admitted to the substance abuse unit for alcohol detoxification. Which of
the following medications is nurse Apple most likely to administer to reduce the
symptoms of alcohol withdrawal?
Clhordiazepoxide (Librium)
naloxone (Narcan)
magnesium sulfate
haloperidol (Haldol)
Chlordiazepoxide (Librium) and other tranquilizers help reduce the symptoms of alcohol
withdrawal. Haloperidol (Haldol) may be given to treat clients with psychosis, severe agitation,
or delirium. Naloxone (Narcan) is administered for narcotic overdose. Magnesium sulfate and
other anticonvulsant medications are only administered to treat seizures if they occur during
withdrawal.
6. A client is admitted to the psychiatric unit accompanied by her husband. She brings six
suitcases and three shopping bags. She orders the nurse to carry her bags. Her husband
states she has been purchasing items that they cannot afford and has not slept for 4 nights.
The husband apologizes to the nurse for his wife's demanding behavior. Which of the
following possible replies by the nurse would be best?
"I understand. What happened to set her off like this?"
"It's all right. We have been treated worse"
"It must be hard for you to see her like this"
"I'm sure she's doing the best she can"
7. A client is admitted to the psychiatric unit accompanied by her husband. She brings six
suitcases and three shopping bags. She orders the nurse to carry her bags. Her husband
states she has been purchasing items that they cannot afford and has not slept for 4 nights.
The client is scheduled to go to the radiology department. Before taking the client for her
x-ray examination, which of the following actions should the nurse take?
say nothing before taking her to the x-ray department
bring another staff member along in case she resists going to the x-ray department
provide a detailed explanation of the x ray procedure
explain the x-ray procedure in simple terms
8. A client with bipolar disorder, manic phase has just sat down to watch television in the
, lounge. As the nurse approaches the lounge area, the client states 'The sun is shining.
Where is my son? I love Lucy. Let's play ball' The client is displaying
depersonalization
use of neologism
concreteness
flight of ideas
9. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) utilizes a
multiaxial classification system involving assessment on several axes, allowing the
practitioner to identify all the factors that relate to a person’s condition. Reporting mental
retardation and personality disorders as well as prominent maladaptive personality
features and defense mechanisms is categorized under:
Axis II
Axis I
Axis III
Axis IV
The DSM-IV-TR is a taxonomy published by APA. It describes mental disorders, outlining
specific diagnostic criteria for each based on clinical experience and research, utilizing a
multiaxial classification system composed of five axes. Axis II is foreporting mental retardation
and personality disorders as well as prominent maladaptive personality features and defense
mechanisms.
10. A client is being admitted to the psychiatric unit. She responds to some of the nurse's
questions with one word answers. Her eyes are downcast, and her movements are very
slow. The nurse observes that the client has bathed, is wearing a clean blouse and slacks,
and has combed her hair. Which statement by the nurse would be most helpful for the
client?
"I'm glad you combed your hair today"
"You look good today"
"I like your blouse and slacks"
"I'm glad you're feeling better today"
11. Another reason why she refuses to take Thorazine is because she complains of robot like
movement and slurred speech. The nurse’s action is:
Decrease the dosage of Thorazine
Withhold medication until referral is made to the doctor
Avoid giving foods that are rich in tyramine
Explain the extrapyramidal side effects and administer Benadryl as ordered by the
physician
, Decreasing the dosage of the drug is not a nursing function. Extrapyramidal symptoms (EPS)
includes the following but not limited to akinesia, akathisia, bradykinesia, stiffness, and tremors.
These are expected side effects of Thorazine and other antipsychotic medications. This must be
properly explained to the patient to prevent suspicious thinking.
12. When the nurse creates an environment to facilitate healing, the nurse’s actions are based
on which of the following assumptions? Select all that apply.
Treatment plans can be formulated by observing social behaviors
Group settings can support ego strengths
A healthy relationship cannot be transferred to other relationships
A therapeutic relationship can be a healing experience
13. The psychodynamics of depression is:
Lax super-ego
Internalized hostility feelings
Weak super-ego
Narcissistic personality
In depression, the mechanism is employed primarily to deny hostility.
Use of denial frequently exacerbates depression, as anger becomes
directed towards the self, and patients are not able to use their angry
feelings effectively to address interpersonal problems
14. When planning the discharge of a client with chronic anxiety, Nurse Michelle evaluates
achievement of the discharge maintenance goals. Which goal would be most
appropriately having been included in the plan of care requiring evaluation?
The client identifies anxiety producing situations
The client eliminates all anxiety from daily situations
The client ignores feelings of anxiety
The client maintains contact with a crisis counsellor
Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or
avoid specific stimulus.
15. The nurse engages Cattrina Mae in the process of mutual inquiry to provide an
opportunity for the client to:
Face emerging problems realistically
Cope with her present problem
Perceive her participation as an experience
Conceptualize her problem
