CH1
1.The primary purpose of the Community Mental Health Center Act of 1963 was
a.getting better treatment in larger, more urban areas.
b.moving patients to their home community for treatment.
c.providing former patients with employment opportunities.
d.removing the stigma of living in an institution.
2.Managed care is designed to
a.control health-care costs by limiting access to care.
b.keep health-care costs from increasing over time.
c.limit the amount of money paid to physicians and hospitals.
d.maintain a balance between the quality and costs of health care.
3.Hospitals established by Dorothea Dix were designed to provide which of the following?
a.Asylum
b.Confinement
c.Therapeutic milieu
d.Public safety
4.Hildegard Peplau is best known for her writing about which of the following?
a.Community-based care
b.Humane treatment
c.Psychopharmacology
d.Therapeutic nurse–client relationship
5.Mental health parity laws ensure
a.better quality mental health treatment.
b.equality in insurance coverage for mental illness.
c.mental health treatment without stigma.
d.persons receiving treatment really need it.
,CH 2
1.The nurse is teaching a client taking an MAOI about foods with tyramine that he or she
should avoid. Which of the following statement indicates that the client needs further
teaching?
a.“I’m so glad I can have pizza as long as I don’t order pepperoni.”
b.“I will be able to eat cottage cheese without worrying.”
c.“I will have to avoid drinking nonalcoholic beer.”
d.“I can eat green beans on this diet.”
2.A client who has been depressed and suicidal started taking a tricyclic antidepressant 2
weeks ago and is now ready to leave the hospital to go home. Which of the following is a
concern for the nurse as discharge plans are finalized?
a.The client may need a prescription for diphenhydramine (Benadryl) to use for side
effects.
b.The nurse will evaluate the risk for suicide by overdose of the tricyclic
antidepressant.
c.The nurse will need to include teaching regarding the signs of neuroleptic malignant
syndrome.
d.The client will need regular laboratory work to monitor therapeutic drug levels.
3.The signs of lithium toxicity include which of the following?
a.Sedation, fever, restlessness
b.Psychomotor agitation, insomnia, increased thirst
c.Elevated WBC count, sweating, confusion
d.Severe vomiting, diarrhea, weakness
4.Which of the following is a concern for children taking stimulants for ADHD for several
years?
a.Dependence on the drug
b.Insomnia
c.Growth suppression
d.Weight gain
5.The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The
client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following
PRN medications, which would the nurse administer?
a.Haloperidol (Haldol), 5 mg PO
b.Benztropine (Cogentin), 2 mg PO
c.Propranolol (Inderal), 20 mg PO
d.Trazodone, 50 mg PO
6.Client teaching for lamotrigine (Lamictal) should include which of the following?
a.Eat a well-balanced diet to avoid weight gain.
b.Report any rashes to your doctor immediately.
c.Take each dose with food to avoid nausea.
d.This drug may cause psychological dependence.
7.Which of the following physician orders would the nurse question for a client who has
stated “I’m allergic to phenothiazines?”
, a.Haldol, 5 mg PO bid
b.Navane, 10 mg PO bid
c.Prolixin, 5 mg PO tid
d.Risperdal, 2 mg bid
8.Clients taking which of the following types of psychotropic medications need close
monitoring of their cardiac status?
a.Antidepressants
b.Antipsychotics
c.Mood stabilizers
d.Stimulants
, CH 3
1.Which of the following theorists believed that a corrective interpersonal relationship with
the therapist was the primary mode of treatment?
a.Sigmund Freud
b.William Glasser
c.Hildegard Peplau
d.Harry Stack Sullivan
2.Dream analysis and free association are techniques in which of the following?
a.Client-centered therapy
b.Gestalt therapy
c.Logotherapy
d.Psychoanalysis
3.Four levels of anxiety were described by
a.Erik Erikson.
b.Sigmund Freud.
c.Hildegard Peplau.
d.Carl Rogers.
4.Correcting how one thinks about the world and oneself is the focus of
a.behaviorism.
b.cognitive therapy.
c.psychoanalysis.
d.reality therapy.
5.The personality structures of id, ego, and superego were described by
a.Sigmund Freud.
b.Hildegard Peplau.
c.Frederick Perls.
d.Harry Stack Sullivan.
6.The nursing role that involves being a substitute for another, such as a parent, is called
a.counselor.
b.resource person.
c.surrogate.
d.teacher.
7.Psychiatric rehabilitation focuses on
a.client’s strengths.
b.medication compliance.
c.social skills deficits.
d.symptom reduction.
8.When a nurse develops feelings toward a client that are based on the nurse’s past
experience, it is called
a.countertransference.
b.role reversal.
c.transference.
d.unconditional regard.
1.The primary purpose of the Community Mental Health Center Act of 1963 was
a.getting better treatment in larger, more urban areas.
b.moving patients to their home community for treatment.
c.providing former patients with employment opportunities.
d.removing the stigma of living in an institution.
2.Managed care is designed to
a.control health-care costs by limiting access to care.
b.keep health-care costs from increasing over time.
c.limit the amount of money paid to physicians and hospitals.
d.maintain a balance between the quality and costs of health care.
3.Hospitals established by Dorothea Dix were designed to provide which of the following?
a.Asylum
b.Confinement
c.Therapeutic milieu
d.Public safety
4.Hildegard Peplau is best known for her writing about which of the following?
a.Community-based care
b.Humane treatment
c.Psychopharmacology
d.Therapeutic nurse–client relationship
5.Mental health parity laws ensure
a.better quality mental health treatment.
b.equality in insurance coverage for mental illness.
c.mental health treatment without stigma.
d.persons receiving treatment really need it.
,CH 2
1.The nurse is teaching a client taking an MAOI about foods with tyramine that he or she
should avoid. Which of the following statement indicates that the client needs further
teaching?
a.“I’m so glad I can have pizza as long as I don’t order pepperoni.”
b.“I will be able to eat cottage cheese without worrying.”
c.“I will have to avoid drinking nonalcoholic beer.”
d.“I can eat green beans on this diet.”
2.A client who has been depressed and suicidal started taking a tricyclic antidepressant 2
weeks ago and is now ready to leave the hospital to go home. Which of the following is a
concern for the nurse as discharge plans are finalized?
a.The client may need a prescription for diphenhydramine (Benadryl) to use for side
effects.
b.The nurse will evaluate the risk for suicide by overdose of the tricyclic
antidepressant.
c.The nurse will need to include teaching regarding the signs of neuroleptic malignant
syndrome.
d.The client will need regular laboratory work to monitor therapeutic drug levels.
3.The signs of lithium toxicity include which of the following?
a.Sedation, fever, restlessness
b.Psychomotor agitation, insomnia, increased thirst
c.Elevated WBC count, sweating, confusion
d.Severe vomiting, diarrhea, weakness
4.Which of the following is a concern for children taking stimulants for ADHD for several
years?
a.Dependence on the drug
b.Insomnia
c.Growth suppression
d.Weight gain
5.The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The
client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following
PRN medications, which would the nurse administer?
a.Haloperidol (Haldol), 5 mg PO
b.Benztropine (Cogentin), 2 mg PO
c.Propranolol (Inderal), 20 mg PO
d.Trazodone, 50 mg PO
6.Client teaching for lamotrigine (Lamictal) should include which of the following?
a.Eat a well-balanced diet to avoid weight gain.
b.Report any rashes to your doctor immediately.
c.Take each dose with food to avoid nausea.
d.This drug may cause psychological dependence.
7.Which of the following physician orders would the nurse question for a client who has
stated “I’m allergic to phenothiazines?”
, a.Haldol, 5 mg PO bid
b.Navane, 10 mg PO bid
c.Prolixin, 5 mg PO tid
d.Risperdal, 2 mg bid
8.Clients taking which of the following types of psychotropic medications need close
monitoring of their cardiac status?
a.Antidepressants
b.Antipsychotics
c.Mood stabilizers
d.Stimulants
, CH 3
1.Which of the following theorists believed that a corrective interpersonal relationship with
the therapist was the primary mode of treatment?
a.Sigmund Freud
b.William Glasser
c.Hildegard Peplau
d.Harry Stack Sullivan
2.Dream analysis and free association are techniques in which of the following?
a.Client-centered therapy
b.Gestalt therapy
c.Logotherapy
d.Psychoanalysis
3.Four levels of anxiety were described by
a.Erik Erikson.
b.Sigmund Freud.
c.Hildegard Peplau.
d.Carl Rogers.
4.Correcting how one thinks about the world and oneself is the focus of
a.behaviorism.
b.cognitive therapy.
c.psychoanalysis.
d.reality therapy.
5.The personality structures of id, ego, and superego were described by
a.Sigmund Freud.
b.Hildegard Peplau.
c.Frederick Perls.
d.Harry Stack Sullivan.
6.The nursing role that involves being a substitute for another, such as a parent, is called
a.counselor.
b.resource person.
c.surrogate.
d.teacher.
7.Psychiatric rehabilitation focuses on
a.client’s strengths.
b.medication compliance.
c.social skills deficits.
d.symptom reduction.
8.When a nurse develops feelings toward a client that are based on the nurse’s past
experience, it is called
a.countertransference.
b.role reversal.
c.transference.
d.unconditional regard.
