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Psychiatric Mental Health Nursing EXAM Test Part 1 Questions with answers GRADED A+

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Psychiatric Mental Health Nursing EXAM Test Part 1 Questions with answers GRADED A+

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Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+


All the questions in the quiz along with their answers are shown below. Your answers are
bolded. The correct answers have a green background while the incorrect ones have a red
background.


1. Your patient is very dependent and submissive. There are times that the patient is very
clingy. This behavior reflects what type of personality disorder?
▪ a. Antisocial personality
▪ b. Dependent Personality
▪ c. Manic behavior
▪ d. Anxiety disorder
Dependent personality is characterized by dependence, submission and being clingy. Antisocial
personality is impulsive, aggressive and manipulative.


2. The appropriate therapeutic distance between you and a psychiatric patient is?
▪ a. 12 inches
▪ b. 35 inches
▪ c. 12 feet
▪ d. 4 feet
Intimate zone: 0-18 inches. Parents with young children, people who mutually desire personal contact,
or people whispering. Personal zone: 18-36 inches. Between family and friends talking. Social zone: 4-
12 feet. Communication in social, work and business settings. Public zone: 12-25 inches. Speaker and
an audience. Therapeutic distance: 3-6 feet.


3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also reminded her to use
her therapeutic communication skills in dealing with clients. Which of the following techniques
enlaces therapeutic communication?
▪ a. What are you thinking about?
▪ b. What made you think that way?
▪ c. Why did you say that?
▪ d. Let’s not talk about that. What do you think?
This is using the therapeutic technique BROAD OPENING that allows the client to take the initiative to
introduce a topic.


4. Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should focus on helping the
client be oriented with the physical set-up and daily events. Which of the following is the most
effective nursing intervention in orienting patients who has Alzheimer’s disease?
▪ a. Encourage the client to talk to family members to reminisce things
▪ b. Provide simple and easily understood directions
▪ c. Perform tasks with a variety of activities each day
▪ d. Have the client socialize with other patients
Providing a daily routine and directions easily understood by the client would help orienting a client with
Alzheimer’s disease.


5. A therapy that focuses on the remotivation of clients by directing their attention outside
themselves to relieve preoccupation with personal thoughts, feelings, and attitudes is known as:
▪ a. Pharmacologic therapy




Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+

, Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+

▪ b. Music therapy
▪ c. Occupational therapy
▪ d. Recreational therapy
Recreational therapy- Focuses on remotivation of clients by directing their attention outside themselves
to relieve preoccupation with personal thoughts, feelings, and attitudes. Clients learn to cope with
stress through activity.
Activities are planned to meet specific needs and encourage the development of leisure-time activities
or hobbies. Recreational therapy is especially useful with those people who have difficulty relating to
others (e.g., the regressed, withdrawn, or immobilized person). Examples of recreational activities
include group bowling, picnics, sing-along, and bingo.


6. The 12-year old male patient looks like the nurse’s younger brother who is missing for years.
During assessment and in the implementation of nursing care the nurse prioritizes this client. One
day, when she found the boy crying in his room she hugged him and cried with him. This is an
example of:
▪ a. Counter-transference
▪ b. Transference
▪ c. Resistance
▪ d. Denial
When the nurse displays affection or emotion toward the client counter-transference is occurring.
Transference is observed when the patient is displaying emotions towards the nurse.


7. A schizophrenic client is under your care. In reinforcing the functional behavior of this client what will
the nurse do?
▪ a. Enumerate the symptoms of schizophrenia to the client
▪ b. Correct delusional thoughts to orient to reality
▪ c. Compliment the client for cessation of acting out behaviors
▪ d. Encourage the client to drink his medications religiously
According to B.F. Skinner’s behavior medication technique, a client should be praise for good behaviors
to help him modify his faulty actions.


8. A client was brought to the ER. Based on the significant others, the client had a history of shop
stealing. However, no self-mutilating activities are committed by the client. During the interview, the
client is very manipulative and aggressive and impulsive. What personality disorder most likely the
client has?
▪ a. Antisocial
▪ b. Histrionic
▪ c. Narcissistic
▪ d. Borderline
Antisocial P.D is characterized by aggression, manipulation and impulsivity. Histrionic people are
emotional, dramatic and theatrical. Narcissistic people are boastful, egotistical and have superiority
complex. Borderline PD is characterized by impulsivity, self-destruction and very unstable mood.


9. When the client told the nurse that he feels good when he mutilates or cuts himself the novice
psychiatric nurse answered, “Do you know the risks involved when you cut yourself?” what type of
nontherapeutic communication is the nurse using?
▪ a. Defending
▪ b. Testing


Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+

, Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+
▪ c. Making stereotyped comments
▪ d. Disagreeing




Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+

, Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+

Testing is appraising a client’s degree of insight such as by asking the patient of the risks involved
when he cut himself. This forces the client to recognize his problems. Defending is attempting to
protect someone from a verbal attack. Stereotyped comments are meaningless clichés such as “it’s for
your own good.”


10.A therapy that assists with discharge planning and rehabilitation, focusing on vocational skills
and activities of daily living (ADL) to raise self-esteem and promote independence is called:
▪ a. Behavior modification
▪ b. Milieu therapy
▪ c. Recreational therapy
▪ d. Occupational therapy
Occupational therapy - Assists with discharge planning and rehabilitation, focusing on vocational skills
and activities of daily living (ADL) to raise self-esteem and promote independence
11. Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following
symptoms would Nurse Marie be most concern?
▪ a. Fever
▪ b. Delusions
▪ c. Excessive sweating
▪ d. Increase BP
Once hallucinations and delusions are present; the client’s condition will most likely progress to delirium
tremens.


12. The Distance that is observed when family members or friends are talking is under what zone:
▪ a. Intimate
▪ b. Therapeutic
▪ c. Personal
▪ d. Social
Personal zone: 18-36 inches. Between family and friends talking. Intimate zone: 0-18 inches. Parents
with young children, people who mutually desire personal contact, or people whispering. Social zone:
4-12 feet. Communication in social, work and business settings. Therapeutic distance: 3-6 feet.


13. The client is sharing Nurse Marie about his experiences. Suddenly, he paused, looked to the nurse
and is hesitant to continue. The nurse responded, “Go on, and tell me about it.” What therapeutic
communication technique is the nurse using?
▪ a. Exploring
▪ b. Focusing
▪ c. Encouraging expression
▪ d. General leads
General leads indicate that the nurse is listening and following what the client is saying without taking
away the initiative for the interaction. They also encourage the client to continue if he or she is
hesitant or uncomfortable of the topic. Examples include, “Go on,” “Tell me about it,” and “And
then?”


14. In a therapeutic communication, “why questions” are discouraged. For what reason is this question
not useful?
▪ a. The question is intimidating and the client may be defensive in trying to explain him/herself.
▪ b. It forces the client to recognize his or her problems. The client’s acknowledgement that s/he
doesn’t know things may be helpful to the nurse’s needs but not the client.


Psychiatric Mental Health Nursing EXAM Test Part
1 Questions with answers GRADED A+

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