PRACTICE TEST QUESTIONS
1. Nurse Tony should first discuss terminating the nurse-client
relationship with a client during the:
a. Termination phase when discharge plans are being made.
b. Working phase when the client shows some progress.
c. Orientation phase when a contract is established.
d. Working phase when the client brings it up.
2. Malou is diagnosed with major depression spends majority of the day
lying in bed with the sheet pulled over his head. Which of the following
approaches by the nurse would be the most therapeutic?
a. Question the client until he responds
b. Initiate contact with the client frequently
c. Sit outside the clients room
d. Wait for the client to begin the conversation
3. Joe who is very depressed exhibits psychomotor retardation, a flat
affect and apathy. The nursein charge observes Joe to be in need of
grooming and hygiene. Which of the following nursing actions would
be most appropriate?
a. Waiting until the client’s family can participate in the client’s care
b. Asking the client if he is ready to take shower
c. Explaining the importance of hygiene to the client
d. Stating to the client that it’s time for him to take a shower
4. When teaching Mario with a typical depression about foods to avoid
while taking phenelzine(Nardil), which of the following would the
nurse in charge include?
a. Roasted chicken
,b. Fresh fish
c. Salami
d. Hamburger
5. When assessing a female client who is receiving tricyclic antidepressant
therapy, which of the following would alert the nurse to the possibility
that the client is experiencing anticholinergic effects?
a. Urine retention and blurred vision
b. Respiratory depression and convulsion
c. Delirium and Sedation
d. Tremors and cardiac arrhythmias
6. For a male client with dysthymic disorder, which of the following
approaches would the nurseexpect to implement?
a. ECT
b. Psychotherapeutic approach
c. Psychoanalysis
d. Antidepressant therapy
7. Danny who is diagnosed with bipolar disorder and acute mania,
states the nurse, “Where is my daughter? I love Louis. Rain, rain go
away. Dogs eat dirt.” The nurse interprets these statements as
indicating which of the following?
a. Echolalia
b. Neologism
c. Clang associations
d. Flight of ideas
8. Terry with mania is skipping up and down the hallway practically
running into other clients. Which of the following activities would the
nurse in charge expect to include in Terry’s plan of care?
a. Watching TV
b. Cleaning dayroom tables
c. Leading group activity
d. Reading a book
, 9. When assessing a male client for suicidal risk, which of the following
methods of suicide would the nurse identify as most lethal?
a. Wrist cutting
b. Head banging
c. Use of gun
d. Aspirin overdose
10. Jun has been hospitalized for major depression and suicidal
ideation. Which of the following statements indicates to the nurse that
the client is improving?
a. “I’m of no use to anyone anymore.”
b. “I know my kids don’t need me anymore since they’re grown.”
c. “I couldn’t kill myself because I don’t want to go to hell.”
d. “I don’t think about killing myself as much as I used to.”
11. Which of the following activities would Nurse Trish recommend to the
client who becomes very anxious when thoughts of suicide occur?
a. Using exercise bicycle
b. Meditating
c. Watching TV
d. Reading comics
12. When developing the plan of care for a client receiving haloperidol,
which of the following medications would nurse Monet anticipate
administering if the client developed extra pyramidal side effects?
a. Olanzapine (Zyprexa)
b. Paroxetine (Paxil)
c. Benztropine mesylate (Cogentin)
d. Lorazepam (Ativan)
13. Jon a suspicious client states that “I know you nurses are spraying
my food with poison as you take it out of the cart.” Which of the
following would be the best response of the nurse?
a. Giving the client canned supplements until the delusion subsides
b. Asking what kind of poison the client suspects is being used
1. Nurse Tony should first discuss terminating the nurse-client
relationship with a client during the:
a. Termination phase when discharge plans are being made.
b. Working phase when the client shows some progress.
c. Orientation phase when a contract is established.
d. Working phase when the client brings it up.
2. Malou is diagnosed with major depression spends majority of the day
lying in bed with the sheet pulled over his head. Which of the following
approaches by the nurse would be the most therapeutic?
a. Question the client until he responds
b. Initiate contact with the client frequently
c. Sit outside the clients room
d. Wait for the client to begin the conversation
3. Joe who is very depressed exhibits psychomotor retardation, a flat
affect and apathy. The nursein charge observes Joe to be in need of
grooming and hygiene. Which of the following nursing actions would
be most appropriate?
a. Waiting until the client’s family can participate in the client’s care
b. Asking the client if he is ready to take shower
c. Explaining the importance of hygiene to the client
d. Stating to the client that it’s time for him to take a shower
4. When teaching Mario with a typical depression about foods to avoid
while taking phenelzine(Nardil), which of the following would the
nurse in charge include?
a. Roasted chicken
,b. Fresh fish
c. Salami
d. Hamburger
5. When assessing a female client who is receiving tricyclic antidepressant
therapy, which of the following would alert the nurse to the possibility
that the client is experiencing anticholinergic effects?
a. Urine retention and blurred vision
b. Respiratory depression and convulsion
c. Delirium and Sedation
d. Tremors and cardiac arrhythmias
6. For a male client with dysthymic disorder, which of the following
approaches would the nurseexpect to implement?
a. ECT
b. Psychotherapeutic approach
c. Psychoanalysis
d. Antidepressant therapy
7. Danny who is diagnosed with bipolar disorder and acute mania,
states the nurse, “Where is my daughter? I love Louis. Rain, rain go
away. Dogs eat dirt.” The nurse interprets these statements as
indicating which of the following?
a. Echolalia
b. Neologism
c. Clang associations
d. Flight of ideas
8. Terry with mania is skipping up and down the hallway practically
running into other clients. Which of the following activities would the
nurse in charge expect to include in Terry’s plan of care?
a. Watching TV
b. Cleaning dayroom tables
c. Leading group activity
d. Reading a book
, 9. When assessing a male client for suicidal risk, which of the following
methods of suicide would the nurse identify as most lethal?
a. Wrist cutting
b. Head banging
c. Use of gun
d. Aspirin overdose
10. Jun has been hospitalized for major depression and suicidal
ideation. Which of the following statements indicates to the nurse that
the client is improving?
a. “I’m of no use to anyone anymore.”
b. “I know my kids don’t need me anymore since they’re grown.”
c. “I couldn’t kill myself because I don’t want to go to hell.”
d. “I don’t think about killing myself as much as I used to.”
11. Which of the following activities would Nurse Trish recommend to the
client who becomes very anxious when thoughts of suicide occur?
a. Using exercise bicycle
b. Meditating
c. Watching TV
d. Reading comics
12. When developing the plan of care for a client receiving haloperidol,
which of the following medications would nurse Monet anticipate
administering if the client developed extra pyramidal side effects?
a. Olanzapine (Zyprexa)
b. Paroxetine (Paxil)
c. Benztropine mesylate (Cogentin)
d. Lorazepam (Ativan)
13. Jon a suspicious client states that “I know you nurses are spraying
my food with poison as you take it out of the cart.” Which of the
following would be the best response of the nurse?
a. Giving the client canned supplements until the delusion subsides
b. Asking what kind of poison the client suspects is being used
