NURSING 326 : Psychiatric Mental Health Nursing
Tests 1&2 - Latest Updated Test Bank, Grade A+
work.
All the questions in the quiz along with their answers are shown below. Your answers are bolded.
• Your patient is very dependent and submissive. There are times that the patient is very clingy. This
behaviorreflects 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.
• 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.
Communicationin social, work and business settings. Public zone: 12-25 inches. Speaker and an audience.
Therapeutic distance: 3-6feet.
• 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 patients. 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 patient to take the initiative to introduce a
topic.
• Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should focus on helping the patient
be oriented with the physical set-up and daily events. Which of the following is the most effective nursing
intervention inorienting patients who has Alzheimer’s disease?
• a. Encourage the patient 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 patient socialize with other patients
Providing a daily routine and directions easily understood by the patient would help orienting a patient with
Alzheimer’s disease.
, • A therapy that focuses on the remotivation of patients by directing their attention outside themselves to
relievepreoccupation with personal thoughts, feelings, and attitudes is known as:
• a. Pharmacologic therapy
• b. Music therapy
• c. Occupational therapy
• d. Recreational therapy
Recreational therapy- Focuses on remotivation of patients by directing their attention outside themselves to
relieve preoccupation with personal thoughts, feelings, and attitudes. patients 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, andbingo.
• 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 patient. One day, when she found
the boy crying inhis 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 patient counter-transference is occurring. Transference is
observed when the patient is displaying emotions towards the nurse.
• A schizophrenic patient is under your care. In reinforcing the functional behavior of this patient what will the nurse
do?
• a. Enumerate the symptoms of schizophrenia to the patient
• b. Correct delusional thoughts to orient to reality
• c. Compliment the patient for cessation of acting out behaviors
• d. Encourage the patient to drink his medications religiously
According to B.F. Skinner’s behavior medication technique, a patient should be praise for good behaviors to help
himmodify his faulty actions.
• A patient was brought to the ER. Based on the significant others, the patient had a history of shop stealing.
However, no self-mutilating activities are committed by the patient. During the interview, the patient is very
manipulative and aggressive and impulsive. What personality disorder most likely the patient has?
• a. Antisocial
• b. Histrionic
• c. Narcissistic
• d. Borderline
Antisocial P.D is characterized by aggression, manipulation and impulsivity. Histrionic people are emotional,
dramaticand theatrical. Narcissistic people are boastful, egotistical and have superiority complex. Borderline PD is
characterized by impulsivity, self-destruction and very unstable mood.
, • When the patient 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 isthe nurse using?
• a. Defending
• b. Testing
• c. Making stereotyped comments
• d. Disagreeing
Testing is appraising a patient’s degree of insight such as by asking the patient of the risks involved when he cut
himself. This forces the patient 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.‖
• 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
• Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following symptoms
wouldNurse Marie be most concern?
• a. Fever
• b. Delusions
• c. Excessive sweating
• d. Increase BP
Once hallucinations and delusions are present; the patient’s condition will most likely progress to delirium tremens.
• 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.
Communicationin social, work and business settings. Therapeutic distance: 3-6 feet.
• The patient is sharing Nurse Marie about his experiences. Suddenly, he paused, looked to the nurse and is
hesitantto 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 patient is saying without taking away the
initiative for the interaction. They also encourage the patient to continue if he or she is hesitant or uncomfortable of
the topic. Examples include, ―Go on,‖ ―Tell me about it,‖ and ―And then?‖
, • In a therapeutic communication, ―why questions‖ are discouraged. For what reason is this question not useful?
• a. The question is intimidating and the patient may be defensive in trying to explain him/herself.
• b. It forces the patient to recognize his or her problems. The patient’s acknowledgement that s/he doesn’t
knowthings may be helpful to the nurse’s needs but not the patient.
• c. It indicates that the patient is right rather than wrong.
• d. It tends to make the patient used and invaded.
Using ―why question‖ is asking to patient the patient to provide reasons for thoughts, feeling and behaviors. The
questionis intimidating and the patient may be defensive in trying to explain him/herself.
NURSING 326 : Psychiatric Mental Health Nursing
Tests 1&2 - Latest Updated Test Bank, Grade A+
work.
• An 18 year old patient is brought to the ER due to a suicidal attempt. Her mother told the nurse that she has
beendrinking alcohol for the last 3 weeks and is depressed. In caring for this patient what is the most important
consideration?
• a. Administering antidepressant medications
• b. Alcohol detoxification
• c. Allowing the patient to participate in a therapy
• d. Close monitoring
Safety is the most important consideration in patient with a suicidal attempt. This is achieved by removing harmful
objects around the patient and monitoring the patient closely.
• In using a therapeutic communication technique interpreting patient cues and signals is very important.
Clearstatements of intent such as the patient saying that he wants to kill himself is a/an:
• a. Covert cues
• b. Abstract messages
• c. Concrete messages
• d. Overt cues
Overt cues are clear statements of intent such as the patient saying, ―I want to die.‖ Covert cues are vague or
hidden messages such as if a patient verbalizes, ―No one can help me.‖ Abstract messages are unclear patterns of
words that often contain figures of speech that are difficult to interpret. Example is when the nurse asked the
patient, ―What are you doing here?‖ Concrete messages are patterns of words that the nurse uses where words
are explicit and does need an explanation.
• A patient was admitted due to self-mutilation. One day during one of the sessions, the patient told the
nurse thatcutting himself feels great. What would be the nurse’s best response?
• a. ―Do you know the risks involved when you cut yourself?‖
• b. ―I don’t want to hear about that!‖
Tests 1&2 - Latest Updated Test Bank, Grade A+
work.
All the questions in the quiz along with their answers are shown below. Your answers are bolded.
• Your patient is very dependent and submissive. There are times that the patient is very clingy. This
behaviorreflects 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.
• 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.
Communicationin social, work and business settings. Public zone: 12-25 inches. Speaker and an audience.
Therapeutic distance: 3-6feet.
• 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 patients. 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 patient to take the initiative to introduce a
topic.
• Mr. Juan is diagnosed with Alzheimer’s disease. The nurse’s intervention should focus on helping the patient
be oriented with the physical set-up and daily events. Which of the following is the most effective nursing
intervention inorienting patients who has Alzheimer’s disease?
• a. Encourage the patient 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 patient socialize with other patients
Providing a daily routine and directions easily understood by the patient would help orienting a patient with
Alzheimer’s disease.
, • A therapy that focuses on the remotivation of patients by directing their attention outside themselves to
relievepreoccupation with personal thoughts, feelings, and attitudes is known as:
• a. Pharmacologic therapy
• b. Music therapy
• c. Occupational therapy
• d. Recreational therapy
Recreational therapy- Focuses on remotivation of patients by directing their attention outside themselves to
relieve preoccupation with personal thoughts, feelings, and attitudes. patients 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, andbingo.
• 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 patient. One day, when she found
the boy crying inhis 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 patient counter-transference is occurring. Transference is
observed when the patient is displaying emotions towards the nurse.
• A schizophrenic patient is under your care. In reinforcing the functional behavior of this patient what will the nurse
do?
• a. Enumerate the symptoms of schizophrenia to the patient
• b. Correct delusional thoughts to orient to reality
• c. Compliment the patient for cessation of acting out behaviors
• d. Encourage the patient to drink his medications religiously
According to B.F. Skinner’s behavior medication technique, a patient should be praise for good behaviors to help
himmodify his faulty actions.
• A patient was brought to the ER. Based on the significant others, the patient had a history of shop stealing.
However, no self-mutilating activities are committed by the patient. During the interview, the patient is very
manipulative and aggressive and impulsive. What personality disorder most likely the patient has?
• a. Antisocial
• b. Histrionic
• c. Narcissistic
• d. Borderline
Antisocial P.D is characterized by aggression, manipulation and impulsivity. Histrionic people are emotional,
dramaticand theatrical. Narcissistic people are boastful, egotistical and have superiority complex. Borderline PD is
characterized by impulsivity, self-destruction and very unstable mood.
, • When the patient 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 isthe nurse using?
• a. Defending
• b. Testing
• c. Making stereotyped comments
• d. Disagreeing
Testing is appraising a patient’s degree of insight such as by asking the patient of the risks involved when he cut
himself. This forces the patient 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.‖
• 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
• Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following symptoms
wouldNurse Marie be most concern?
• a. Fever
• b. Delusions
• c. Excessive sweating
• d. Increase BP
Once hallucinations and delusions are present; the patient’s condition will most likely progress to delirium tremens.
• 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.
Communicationin social, work and business settings. Therapeutic distance: 3-6 feet.
• The patient is sharing Nurse Marie about his experiences. Suddenly, he paused, looked to the nurse and is
hesitantto 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 patient is saying without taking away the
initiative for the interaction. They also encourage the patient to continue if he or she is hesitant or uncomfortable of
the topic. Examples include, ―Go on,‖ ―Tell me about it,‖ and ―And then?‖
, • In a therapeutic communication, ―why questions‖ are discouraged. For what reason is this question not useful?
• a. The question is intimidating and the patient may be defensive in trying to explain him/herself.
• b. It forces the patient to recognize his or her problems. The patient’s acknowledgement that s/he doesn’t
knowthings may be helpful to the nurse’s needs but not the patient.
• c. It indicates that the patient is right rather than wrong.
• d. It tends to make the patient used and invaded.
Using ―why question‖ is asking to patient the patient to provide reasons for thoughts, feeling and behaviors. The
questionis intimidating and the patient may be defensive in trying to explain him/herself.
NURSING 326 : Psychiatric Mental Health Nursing
Tests 1&2 - Latest Updated Test Bank, Grade A+
work.
• An 18 year old patient is brought to the ER due to a suicidal attempt. Her mother told the nurse that she has
beendrinking alcohol for the last 3 weeks and is depressed. In caring for this patient what is the most important
consideration?
• a. Administering antidepressant medications
• b. Alcohol detoxification
• c. Allowing the patient to participate in a therapy
• d. Close monitoring
Safety is the most important consideration in patient with a suicidal attempt. This is achieved by removing harmful
objects around the patient and monitoring the patient closely.
• In using a therapeutic communication technique interpreting patient cues and signals is very important.
Clearstatements of intent such as the patient saying that he wants to kill himself is a/an:
• a. Covert cues
• b. Abstract messages
• c. Concrete messages
• d. Overt cues
Overt cues are clear statements of intent such as the patient saying, ―I want to die.‖ Covert cues are vague or
hidden messages such as if a patient verbalizes, ―No one can help me.‖ Abstract messages are unclear patterns of
words that often contain figures of speech that are difficult to interpret. Example is when the nurse asked the
patient, ―What are you doing here?‖ Concrete messages are patterns of words that the nurse uses where words
are explicit and does need an explanation.
• A patient was admitted due to self-mutilation. One day during one of the sessions, the patient told the
nurse thatcutting himself feels great. What would be the nurse’s best response?
• a. ―Do you know the risks involved when you cut yourself?‖
• b. ―I don’t want to hear about that!‖
