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psychiatric-nursing-practice-Test Bank-3

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ANSWERS AND RATIONALE PSYCHIATRIC NURSING PRACTICE TEST BANK PART 3 Classification: Anxiety disorder, major depressive disorder, phobia, psychotherapy, personality disorder How to deal with an alcoholic Nursing profession test questions and answers for all teachers and students

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PRACTICE TEST QUESTIONS




1. Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should
expect to observe:
a. Hyperactivity
b. Depression
c. Suspicion
d. Delirium


2. Nurse John is aware that a serious effect of inhaling cocaine is?
a. Deterioration of nasal septum
b. Acute fluid and electrolyte imbalances
c. Extra pyramidal tract symptoms
d. Esophageal varices


3. A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently
hospitalized client for signs of opiate withdrawal. These signs would include:
a. Rhinorrhea, convulsions, subnormal temperature
b. Nausea, dilated pupils, constipation
c. Lacrimation, vomiting, drowsiness
d. Muscle aches, papillary constriction, yawning


4. A 48 year old male client is brought to the psychiatric emergency room after
attempting to jump off a bridge. The client’s wife states that he lost his job several
months ago and has been unable to find another job. The primary nursing
intervention at this time would be to assess for:
a. A past history of depression
b. Current plans to commit suicide
c. The presence of marital difficulties
d. Feelings of excessive failure


5. Before helping a male client who has been sexually assaulted, nurse Maureen
should recognize that the rapist is motivated by feelings of:
a. Hostility
b. Inadequacy
c. Incompetence
d. Passion


6. When working with children who have been sexually abused by a family member it

, 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




1. C. When the nurse and client agree to work together, a contract should
be established, the length of the relationship should be discussed in terms of its
ultimate termination.
2. B. The nurse should initiate brief, frequent contacts throughout the day
to let the client know that he is important to the nurse. This will positively affect the
client’s self-esteem.
3. D. The client with depression is preoccupied, has decreased energy, and
is unable to make decisions. The nurse presents the situation, “It’s time for a
shower”, and assists the client with personal hygiene to preserve his dignity and self-
esteem.
4. C. Foods high in tyramine, those that are fermented, pickled, aged, or
smoked must be avoided because when they are ingested in combination with MAOIs
a hypertensive crisis will occur.

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