r .•..~CAL~fSYCH!AmlCNURsmG
· By: Ms. Mai:c~lle D. M~ndoz.a. c, dependency . , . . @codependency . . .
. : 12. which ofthe following behavior is mQst indlcative of
8
..t patient who is undeIBoing detoxification ,h~ili , impairment due to su~ce abuse,in a nurse: · .I
i
·, . complaints to the nurse of severe-~le cramps ancl°'iieadache .r patient report that the nurse is always destructed and tired
-· . an~ ~mands addit.ional methadone which ofthe following . . during the shift. · · · . .. !
.~on should the z,wrse ~e.fiot:- · . . · @patient tepoits of experiencing pairi despite of I
•(3rffk:8Sure the vital signs b: administer PRN'me(fication '' . llocwnentpd administration of pain medicatio'n ·1
C. provide support and reassurance . . . . . , . c, patient report that valuables are mis.,ing · .! •
d. contact the physician . . . i . • ,. · d. patient report ru~e treatment by the .nurse .
.2'. which of the following measure should the n~e include in 11. a,patie11t is experiencing acuteDystoni~ reaction, all fthe .
,.following medicatfo'!5 ar1: prescribe. Which medication ould
the P.!!!I of:care in client who is diagnosed by Bipolar disorder the nurse administer: · · •, ·
mani.s;type:· . . . · ·' · ·
('.i) ~'ellvironmental Stimuli.
b. involve the patient in a competitive activities
c. limitthe Verl>alization'offeelings
' · '
·
. ii. chlorpro~ne Hcl (thoruine) b.1~!'07,Bpani (ativ ) .
(.c-)fipenhydramin.e Hcl (beiladryl) . · \
':a.' alp1'8ZQlam (xanax) •. · · . . · . · .
. l.
d. fo~er independent decision making
. 3. Which ,ofthe folfo:wing ¢teria would be reliable indicator
•. of improvement in a patient who has a diagnosis of Anorexia ·
,· , lA'. the ·outcome that would be most appropriate for a pati nt
:~ a ~ll800si_s of 11gora ,phobi·" ' ~ould be ~ha~ the
1
ent f
nervosa: · , (g)go shopping}n.town · b, touch·~neighbor's dog \
@electrolyte ii,11,alance b: energy level c. handle mo~•without weanpg·gloves
c. fluid intake ·· . . · .d: desire to eat
, " d bathe only once a day ·. ' .
1
j ,
· A'. which of the. following ~teria would indicate improve/ilent l'S. which of the followjng action should the nurse take w~
ti
in an out patient who has anorexia nervosa; ' · g the first contact with a paranoid patient:
' '
self
1
.@the patient identifies the relationship betw~ .~tion traduce and'avoid•~chlng the patient . I
eating behaviors .void eye co,rtact and shake·bancls with the' patient
· .b: ihe patient develop a.plan to control negative' feeling 'c. clOB<, the <joorto ' di~.intervt. ' ·cw. _ room. ~ .temain' Stan<t' g
d. wait for the patient tlie 'CQmmunication
I
c. the patient reports putting thin cloths 9n display on her . ·· · · .
room as a reminder to maint.ain proper weight . ., , a schizophrenic patlcm says to tlie ;llli('se; i'rou are w ·
d: the patient avoids contact with her dysfunctional fiunily a prttty dres~. TQlll&toeli ~'red. ;,V e~les makes ypu
6 . when teaching a Cl!l'e giver of a patient who has dementia of , • ·
the Nzheimer' stype, the nurse ~uld stress the importance· ' .
;~:!!~! ~~x':::fir:~:.nur~:~ ~t,:'~·;1,
oe . ·. -~ ' '11:echolalia . ,_,. ,. l!._conf$bulation '. ·., : :,/ ':.· . .:,._ .. i.,
·c. neol -~: f · .Wloosene.wiof~oo.. < '/,' l.t
. '· a.•intrease stimuli Cb':ia predictable cn\ironment '
c. restrict1ld activities d.i n ~ decisio~ 'making .· ··
•
woZ
17. a
station and'
i>Jione•~ the psychiatric d~ent . - ·iJuises'•'.'J.(.
t~ll the nur~ tbat·her lnisband-was l>i'oug:IJt to #je ,
K. which of the following .1)-mpt~ins is consistent with the
. , diagnosis ofQQrdaiin~~riality: · ., · . bbspiW yesterday after an
taking ovtrdo~ 6£' aspirin. Th~ \;
WODl/lJl the nurse how her husband is doing; The most ,:
a. magical thinmis @ intense labile affect . appropriate action of the nurse is to: ' ' I.. ' • .
c: avoidance ofrelllliomhip • . . . '
!'' : d. multiple somatic complaints · @oxpwn t9 the ~man the she cannot rel~ informatior
'li>out the psycpiatric patient c:"'rfd~ti~ I' ·
7. a patient tells the nurse ."I really don't want to.have this . ·. :
shock treatment, but my <k>ctor insists." which of the ·b. tell the patientthe a Vt'.Omiln wlio says she is his wife is ~n
following responses by the nurse would more th_erapeutic: . the phone and ask him if she wants the nurse to talk .to her
fY. give the wife a brief accurate teport on her husband ·
@ we should cancel.the procedure until o ~I better. condition . , . ' .
b, have-you talk to_yoor doctor about'your fears? "' 110 ..
~- its normal to feel concern · · d. report the ~oinan to the patient primitj doctor i
18. why working on the adolescent psy;o:hiatric unit, the nu~
d. this procedure is the best treatment for your condition
overhears a patient' mentjoruilg •the rtamc of the-other resideqt
%. prior to assisting to ECT, the.nurse notice the signature of
while he is talking on the telephone._ The b~t response by tlje•·
, the patient's significant others on the consent fOf'!Jl ..Which of nurse would be to:
the following actions should the nurse take first: · , . .
., ~nte;v~~ i~medJately tbs, patient.of
t\:heck to verify the legal guardianship for the patient . confident1al1ty . • • r
. b. ask the'patient to ~,cplain,why the fonn doesn't have the 1
b. ignore the incide11t but ro-emphasized confidentiality at :
.patient's own signature. ·
•· the next community meetin8 .' '
C. proceed with µle treatment
· CY.'talk to the .patient after the pho~ call is finished
d. cill the third party to witneSl! the signature . • i d. insist that the patient tenninaie the te~ephone call
. 9. a patient is beipg treated for incapitcitating.ritualistic , . .immediately . .
behavipl'. Which of the following behaviors would indicate to ' ·1,9. which of tho following nursing actions would be most
the nurse that tlle patient is achieving a s~rt tenn goal: effecµve when encouraging a'~ressed patient to be less J
,a. the patient gives up the rituals · · socially isolated: . . .
1. the patient identify. control mechanism · J. move the patient to room closer to the nurses station.
patient'resumes activities of daily living
@~~~ore stable rytieJ!t t~ ~mpany_tjw patie~t.to i
d. the patient gets insight in the childho,od trauma . ,activities. . j • • • • • •• ';
•,10. an 85 y/o patfont,lives al~ne and J-,as.a_majo~ depressio~ • ·, ·c. assigned a psychiatric techniciiin to monitor the _patie11t J
and has being prepared (or discharge. Which ofthefollowmg activity.' ' '
nursing actio115 would be ~ t therapeutic in!tia!IY;: . . ·_. .d.' ~p1am'·to the patient.that ~ntinued isolation may delay i
(a) contact _the client religJous group to ob~ a vts1tors pass
.b. ~ge for food delivery py tho_home delivery meal ·
·programs , . . .. '
. 20. .:e!!~!:d~ iaifonMti~ t~ depres~
. his.family about ECT. Which ofthe followfug statement .. ·1
a pa~~t and i.
:=~
.c..enroll the patient in a day care -. · · , would the'nurae include in the teaching: . ,
. / refei; the J>Bt!ent to a day"Care service - · , . r.:-, the patient 'wi!tba:ve i ~nbruO riluscle twitching during !
·· 11. a patient who is admined for the treatment of eatmg \,.o/ . ' ·,t . ' ' '
· diS()rder displays controlling behaviors, takes responsibility · · )f. rniw ~ .in s restraints fullowing the tr~~ent 1 ·;M '
for .o thm' action, an'd has difficulty identifying fee~ngs. This ·. ' c. patient will remain awake and alert during .the · . . AtctC1t 1~ .
manifestation sugge-1: ,· · · treatment . - ¥0G•IW' . I·
a. learned helplessness _,.lr:.manipulatkm ' d. patient ~'lst remain flat 0~ bed in Ii.is back one hour I
. . S.\ ~ ':)'~9, p<(,~~vti '<>l\'~CAl;\i;, · ! '
'I , . l. ·~
, ,, ,r - ~
0
21. n:::!:ti=i:ant syndrome WMS) is.a ~otentially · . · •b. ~~ol~~Y~:~~veral ~mes tha~ y~ ~u~an~ isA~ ~ts
lethal complit:iltion of treatment with antipsychotic drugs: tim~ to eat now. · ·." . , 1 . . ·. . .
are your
. '. ! • ' -· ,; '
Which of the following.ml\Ilifestations should the 'n\lfse · · · .c. you going to wait for alog time (ood ~II get ·
· recognize _as an early siill ofneuroleptic malisn,ant syndrome. ' · cot(f · . : ·- ,' , . ·
. a difficuJty swallowing , .lf:' unstable BP . . - 2 ~ f d. why do ~u t4i,nk he's alive? why cant yoµ just eat yout
~ l e stiffiicss 1 d.' respi111toty depressi~n .· · . . breakfast. · _ ., · , . ·:
d sulfiram (antabuse) is prescribed for a patient. Which of ·M. which of the following commc~s. if made' by th~ spouse ,. ,
the foll~wing comm'ents,_if IDJ\de'by the patient wduld indicate ; of a patient who has been newly diagnosed w4ft ,.
a C<?__~.undentandingof the action of this medication: · . _ Schizophrenia, would 1qdicate that the spouse has a corr~:
. (;?\"I'll _dtink f!uit
jufoe at social gathering " ·"';ig"'fC:\
1i- 21J understanding of the disorder, . ' .·, • • . ' : . . ·' ·
't( "I'll take my pulse 4 times day''. a . ." . • . I cant;wait for.this !lln~s related pro~le~s to di~P_eaf _;
· c. :1:11 lie down for half an hour before I take my p'ill". • .l,:bt my spouse,and I will go.to thepsych1atn.c support·m the · ,., ~1
d. I II take my antacid before my Antabuse" _ community . .,
';Z. which of the foll9wing $latements, if made by a patient . c.1'11 be glad ifmy spoµse becomes the'person !merrier
whoisbeginning!,i! hiulltCarbonate·(Eslkalith).therapy • ·((_ _- aS!lin . ·· .
would indicate a need for further teaching: .
~"I will take all of my 4aily lithium 'dose at bed tlme.
·.; !:'cpo
12
· .d. my spouse will ito longer live with me because permanent ' ·'
· hospitalization is necessary' · ,. • , ' . · ·. ,: · · ·. ,
b. "I will oontinue to use salt as a seasoning." • · ' ),2. a patient diagnosed with PTSD is troubled by frequent
c. "I will come to_ihe clinic to have my blood check." · nightmares. The patient ask 1,be nurse ''w~at s wrong with
d. \'I wilt report nausea and vomiting to1my nurse." . • mer' which of the folloviing respo~s by the nurse wciul\1 be
24'. a patient says to the nurse,
"if you give_cig~. rwin go most therapeutic: . . . '
tp the group ~erapy. '? which ofthe'following respo~ by _ ., .@manr•P<l<>Ple expedencing intense reaction foll~_wing a
the nurse would be therapeutic: .. . · . frightening experiences ' · . . . .. ,
a l;tere arc your cigarette . ··•, . - . . . ·. b. llightmares are means.of working_- off psychic eri:~gy
@all patient on this unit are expected to go to:the group c. nothing is wring with you · , · ·
therapy· ~o\\fr 0\ f<"-\ " ' ~ ' ." · - d. why do<you think that there is something with you? .
. C. "you can have one cigarette then you can go to the group :p..which of the followingcomments:by the riurse would be
· tlicapy." m,il"--'-blic.- · · {Tlost effective-in dealing wi~ apat~t wh(? has~ d~osis of ·
d. "other patient do not ask me for special treatment. Why severe Anxiety (-t3):· . '. ..
, . are you the only one. " . . , . . a. call me.when yciu are calm enough to'sit down
25. during t h e ~-~ of the therapeutic relationship, a @sit in tltis c~ . c. whe(e'o/ould you like,to sit?
nurse should discuss which of the following topic with the · d. how woul~ you feel about:sitting doW!l -. .. '.· ' . .
client: · · · · · · · ¾. which of the follaw,i ng comments by t~e spouse ofa
(a) mai~tai~in~ confidentiality . b. developi~g coping schqol · patient wbc;, is abusing•alcoho.l inllicates a ~ect . ·
gaining ms1gbt to the behaV1or . understanding of ~e tcnn "blackouts" as.applied. to
d. diSCl,1ssing theprcvi.ous faulty-re~ol),Ship . · ' · ~holism: · . · :_. . · . • : . ·i ,~ · . ·, .·
l() thepatientu·receiving SSRI. ~ch of.the following l \,,
rpy spouse only,drinks"iiftei-wQ!"k ',; '•'/\ ' ' ' ',: -·
instructlonsbou\d the nurse give to the patient: · · : ~Y spouse dririldn~ causes. bi~ ,fo foi-g~ .~me ~ents·· , ·. .
~a .iliismed,ication may make u Jee\ sleepy : .. ' C. my spouse becomes~ ,when',he'. s dmilqrig ' ' , ..
®
you may notice some 'tletvoosness or anxiety until-you . d, my spoQ:Je employer does Qot know he drinks ·;. '
· adjust your medicine 31.which'ofthc: following ilu,:si.itg interventions would be·: ··
c. muscle cramping especially· of your neck may occur. ' most effective iii helping 1t parent)yho i_s gne~ing in the loss
d. :~~~:C;!
:/J:!di:!rte:;;ne·and yeast product . i9_:dl~~11uruJ;'.;ictu:~e ~tli the~~~ .
2'1. which of the'fotlowing comments by a patient should b: encourage the.'parents to 'hav~ 8119thet-child f,.~AP
indica~ to the nurse that the patient has idea of refertl!!~: . c. recommend frequent period of sleep during,the day
{,2;those other nurses are talking about ine . . '
I d. distract the parent from thinking about the cliild .. '
· ½':~nurse explain_ed· ~ow my medication wor.ks , , le'."a nurse is eating for apatient from a"different cultµre .
c. do all the nurses here have a college degree ·,. , , - _, ' . potice ~er·p~tient ~d ·not eat food on:the .meal tray.
d. will !l nurse lead the group therapy today . . . · ·. . Which of the following col!lments bytbe nurs:e, de111onstrates
l8'. a patient express many physical complaints during the first ~ -. nderstanding of cu.ltural diversities'. . , ·,
2 weeks on alcohol·rehabilitation unit. The result of the . what'food do you -eat at home, · • · · '
' physical ,examination has been negative, The patient _ _ · need
you to'eat t6 keep yo~ntrengtp. • . . . .
frequently approaches the staff members IQ request med1cat1on c. you wilt loose weigh, if you do not eat. . : . . • .· ·
for his diacomfort .. Based on the patient's behavior whi~h of d. why don't.you ~I me you do not lik~-the hospi~\ food. ,
the.following interp_r_~ on is CQ.i;rec< . . · J,r. a man who has suicidal thought and has dissatisfu~ion
the. patientls' trying to make the staff. feel guilty . with his job is admitte<I to'the psychiatric unit. Which of the
c. the·patient
t--
®
the _n,..;ent is attemppng his anxiety ,,) r( ),~I? • . .
i's experiencing organic pain fto!° ale:<>ho1
, ,. · f~llowing approaches·would be most' likely to elicit bis . · ·
· involvement in, the scbe<lule. activities: ·. · · · . •
@) working with him during a<;tivities_ ,. ·: . . · • . . : ,
withdrawal . . . . . hi/ b. asking him ifhe would lik,e to part1c1pate.~n_t?e ..act1~1t1es.
d. the pati~rit is using a more mature way of ~ting . c. waiting for him to, mow interest jn the act1v1ties. . :.
29. "wneedshlch ~:rbtt;~i~g·. b.ehavi~~ would indicat~ ,, . d. telling him the therapeutic impoftan~ ?f~e ~1v1t1es i
·
. j mprovement i11 the patient w~o.was admitted to:th~ osp1t
b · al ,s_ a 26 y/o woman js brought to the psychiatnc urut be~~ .
of suicidal thought. To,determine ifone-,on-one o~~3f1on is
with the diagno.sis pf ~pe~l\'I~:__._. · ' . . . · · indicated for the woman, the nurse should detemune_1~: •·
('.ythe patient completes-an-assigned task • . .. a any Qnc1n the wom,an_ ' s f~I~ ~as attempted ,sulClde
. b. the patiei;it frequently apologius for his.bebaVJor (i;\the W?~ has_the plan for _~c1de ~· ·
,e: the patient takes naps during t~e day . . . · . . "-i_ the woman has had.a receht loss. , . .
d. the patient shows .interest in -~ other p~ent, o the .umt . d. the _woman has a social.support system . . ',, • . ..
5
JO an elderly widow has dementia of Alzhe~er type says to _which of the following ways shoi.dd the i;iurse m~ervel\e
th~ nurse who offer her breakf~t · "ob no honey. 1 have to -
39
when patient repeatedly l ~ about the past: ·
the 11
wait until•my husband get hefe'w l'he nu_TSF should say to a. help' the patie~ .establish goals for,the future .
woman· · · · ·· · · · ' ·· · 11, give the patient' div
, ersional activity ·
. ·fj)
yo~ husband died 6 years ago, ,let me 'put ~k on_y~ur r . ,
1
· By: Ms. Mai:c~lle D. M~ndoz.a. c, dependency . , . . @codependency . . .
. : 12. which ofthe following behavior is mQst indlcative of
8
..t patient who is undeIBoing detoxification ,h~ili , impairment due to su~ce abuse,in a nurse: · .I
i
·, . complaints to the nurse of severe-~le cramps ancl°'iieadache .r patient report that the nurse is always destructed and tired
-· . an~ ~mands addit.ional methadone which ofthe following . . during the shift. · · · . .. !
.~on should the z,wrse ~e.fiot:- · . . · @patient tepoits of experiencing pairi despite of I
•(3rffk:8Sure the vital signs b: administer PRN'me(fication '' . llocwnentpd administration of pain medicatio'n ·1
C. provide support and reassurance . . . . . , . c, patient report that valuables are mis.,ing · .! •
d. contact the physician . . . i . • ,. · d. patient report ru~e treatment by the .nurse .
.2'. which of the following measure should the n~e include in 11. a,patie11t is experiencing acuteDystoni~ reaction, all fthe .
,.following medicatfo'!5 ar1: prescribe. Which medication ould
the P.!!!I of:care in client who is diagnosed by Bipolar disorder the nurse administer: · · •, ·
mani.s;type:· . . . · ·' · ·
('.i) ~'ellvironmental Stimuli.
b. involve the patient in a competitive activities
c. limitthe Verl>alization'offeelings
' · '
·
. ii. chlorpro~ne Hcl (thoruine) b.1~!'07,Bpani (ativ ) .
(.c-)fipenhydramin.e Hcl (beiladryl) . · \
':a.' alp1'8ZQlam (xanax) •. · · . . · . · .
. l.
d. fo~er independent decision making
. 3. Which ,ofthe folfo:wing ¢teria would be reliable indicator
•. of improvement in a patient who has a diagnosis of Anorexia ·
,· , lA'. the ·outcome that would be most appropriate for a pati nt
:~ a ~ll800si_s of 11gora ,phobi·" ' ~ould be ~ha~ the
1
ent f
nervosa: · , (g)go shopping}n.town · b, touch·~neighbor's dog \
@electrolyte ii,11,alance b: energy level c. handle mo~•without weanpg·gloves
c. fluid intake ·· . . · .d: desire to eat
, " d bathe only once a day ·. ' .
1
j ,
· A'. which of the. following ~teria would indicate improve/ilent l'S. which of the followjng action should the nurse take w~
ti
in an out patient who has anorexia nervosa; ' · g the first contact with a paranoid patient:
' '
self
1
.@the patient identifies the relationship betw~ .~tion traduce and'avoid•~chlng the patient . I
eating behaviors .void eye co,rtact and shake·bancls with the' patient
· .b: ihe patient develop a.plan to control negative' feeling 'c. clOB<, the <joorto ' di~.intervt. ' ·cw. _ room. ~ .temain' Stan<t' g
d. wait for the patient tlie 'CQmmunication
I
c. the patient reports putting thin cloths 9n display on her . ·· · · .
room as a reminder to maint.ain proper weight . ., , a schizophrenic patlcm says to tlie ;llli('se; i'rou are w ·
d: the patient avoids contact with her dysfunctional fiunily a prttty dres~. TQlll&toeli ~'red. ;,V e~les makes ypu
6 . when teaching a Cl!l'e giver of a patient who has dementia of , • ·
the Nzheimer' stype, the nurse ~uld stress the importance· ' .
;~:!!~! ~~x':::fir:~:.nur~:~ ~t,:'~·;1,
oe . ·. -~ ' '11:echolalia . ,_,. ,. l!._conf$bulation '. ·., : :,/ ':.· . .:,._ .. i.,
·c. neol -~: f · .Wloosene.wiof~oo.. < '/,' l.t
. '· a.•intrease stimuli Cb':ia predictable cn\ironment '
c. restrict1ld activities d.i n ~ decisio~ 'making .· ··
•
woZ
17. a
station and'
i>Jione•~ the psychiatric d~ent . - ·iJuises'•'.'J.(.
t~ll the nur~ tbat·her lnisband-was l>i'oug:IJt to #je ,
K. which of the following .1)-mpt~ins is consistent with the
. , diagnosis ofQQrdaiin~~riality: · ., · . bbspiW yesterday after an
taking ovtrdo~ 6£' aspirin. Th~ \;
WODl/lJl the nurse how her husband is doing; The most ,:
a. magical thinmis @ intense labile affect . appropriate action of the nurse is to: ' ' I.. ' • .
c: avoidance ofrelllliomhip • . . . '
!'' : d. multiple somatic complaints · @oxpwn t9 the ~man the she cannot rel~ informatior
'li>out the psycpiatric patient c:"'rfd~ti~ I' ·
7. a patient tells the nurse ."I really don't want to.have this . ·. :
shock treatment, but my <k>ctor insists." which of the ·b. tell the patientthe a Vt'.Omiln wlio says she is his wife is ~n
following responses by the nurse would more th_erapeutic: . the phone and ask him if she wants the nurse to talk .to her
fY. give the wife a brief accurate teport on her husband ·
@ we should cancel.the procedure until o ~I better. condition . , . ' .
b, have-you talk to_yoor doctor about'your fears? "' 110 ..
~- its normal to feel concern · · d. report the ~oinan to the patient primitj doctor i
18. why working on the adolescent psy;o:hiatric unit, the nu~
d. this procedure is the best treatment for your condition
overhears a patient' mentjoruilg •the rtamc of the-other resideqt
%. prior to assisting to ECT, the.nurse notice the signature of
while he is talking on the telephone._ The b~t response by tlje•·
, the patient's significant others on the consent fOf'!Jl ..Which of nurse would be to:
the following actions should the nurse take first: · , . .
., ~nte;v~~ i~medJately tbs, patient.of
t\:heck to verify the legal guardianship for the patient . confident1al1ty . • • r
. b. ask the'patient to ~,cplain,why the fonn doesn't have the 1
b. ignore the incide11t but ro-emphasized confidentiality at :
.patient's own signature. ·
•· the next community meetin8 .' '
C. proceed with µle treatment
· CY.'talk to the .patient after the pho~ call is finished
d. cill the third party to witneSl! the signature . • i d. insist that the patient tenninaie the te~ephone call
. 9. a patient is beipg treated for incapitcitating.ritualistic , . .immediately . .
behavipl'. Which of the following behaviors would indicate to ' ·1,9. which of tho following nursing actions would be most
the nurse that tlle patient is achieving a s~rt tenn goal: effecµve when encouraging a'~ressed patient to be less J
,a. the patient gives up the rituals · · socially isolated: . . .
1. the patient identify. control mechanism · J. move the patient to room closer to the nurses station.
patient'resumes activities of daily living
@~~~ore stable rytieJ!t t~ ~mpany_tjw patie~t.to i
d. the patient gets insight in the childho,od trauma . ,activities. . j • • • • • •• ';
•,10. an 85 y/o patfont,lives al~ne and J-,as.a_majo~ depressio~ • ·, ·c. assigned a psychiatric techniciiin to monitor the _patie11t J
and has being prepared (or discharge. Which ofthefollowmg activity.' ' '
nursing actio115 would be ~ t therapeutic in!tia!IY;: . . ·_. .d.' ~p1am'·to the patient.that ~ntinued isolation may delay i
(a) contact _the client religJous group to ob~ a vts1tors pass
.b. ~ge for food delivery py tho_home delivery meal ·
·programs , . . .. '
. 20. .:e!!~!:d~ iaifonMti~ t~ depres~
. his.family about ECT. Which ofthe followfug statement .. ·1
a pa~~t and i.
:=~
.c..enroll the patient in a day care -. · · , would the'nurae include in the teaching: . ,
. / refei; the J>Bt!ent to a day"Care service - · , . r.:-, the patient 'wi!tba:ve i ~nbruO riluscle twitching during !
·· 11. a patient who is admined for the treatment of eatmg \,.o/ . ' ·,t . ' ' '
· diS()rder displays controlling behaviors, takes responsibility · · )f. rniw ~ .in s restraints fullowing the tr~~ent 1 ·;M '
for .o thm' action, an'd has difficulty identifying fee~ngs. This ·. ' c. patient will remain awake and alert during .the · . . AtctC1t 1~ .
manifestation sugge-1: ,· · · treatment . - ¥0G•IW' . I·
a. learned helplessness _,.lr:.manipulatkm ' d. patient ~'lst remain flat 0~ bed in Ii.is back one hour I
. . S.\ ~ ':)'~9, p<(,~~vti '<>l\'~CAl;\i;, · ! '
'I , . l. ·~
, ,, ,r - ~
0
21. n:::!:ti=i:ant syndrome WMS) is.a ~otentially · . · •b. ~~ol~~Y~:~~veral ~mes tha~ y~ ~u~an~ isA~ ~ts
lethal complit:iltion of treatment with antipsychotic drugs: tim~ to eat now. · ·." . , 1 . . ·. . .
are your
. '. ! • ' -· ,; '
Which of the following.ml\Ilifestations should the 'n\lfse · · · .c. you going to wait for alog time (ood ~II get ·
· recognize _as an early siill ofneuroleptic malisn,ant syndrome. ' · cot(f · . : ·- ,' , . ·
. a difficuJty swallowing , .lf:' unstable BP . . - 2 ~ f d. why do ~u t4i,nk he's alive? why cant yoµ just eat yout
~ l e stiffiicss 1 d.' respi111toty depressi~n .· · . . breakfast. · _ ., · , . ·:
d sulfiram (antabuse) is prescribed for a patient. Which of ·M. which of the following commc~s. if made' by th~ spouse ,. ,
the foll~wing comm'ents,_if IDJ\de'by the patient wduld indicate ; of a patient who has been newly diagnosed w4ft ,.
a C<?__~.undentandingof the action of this medication: · . _ Schizophrenia, would 1qdicate that the spouse has a corr~:
. (;?\"I'll _dtink f!uit
jufoe at social gathering " ·"';ig"'fC:\
1i- 21J understanding of the disorder, . ' .·, • • . ' : . . ·' ·
't( "I'll take my pulse 4 times day''. a . ." . • . I cant;wait for.this !lln~s related pro~le~s to di~P_eaf _;
· c. :1:11 lie down for half an hour before I take my p'ill". • .l,:bt my spouse,and I will go.to thepsych1atn.c support·m the · ,., ~1
d. I II take my antacid before my Antabuse" _ community . .,
';Z. which of the foll9wing $latements, if made by a patient . c.1'11 be glad ifmy spoµse becomes the'person !merrier
whoisbeginning!,i! hiulltCarbonate·(Eslkalith).therapy • ·((_ _- aS!lin . ·· .
would indicate a need for further teaching: .
~"I will take all of my 4aily lithium 'dose at bed tlme.
·.; !:'cpo
12
· .d. my spouse will ito longer live with me because permanent ' ·'
· hospitalization is necessary' · ,. • , ' . · ·. ,: · · ·. ,
b. "I will oontinue to use salt as a seasoning." • · ' ),2. a patient diagnosed with PTSD is troubled by frequent
c. "I will come to_ihe clinic to have my blood check." · nightmares. The patient ask 1,be nurse ''w~at s wrong with
d. \'I wilt report nausea and vomiting to1my nurse." . • mer' which of the folloviing respo~s by the nurse wciul\1 be
24'. a patient says to the nurse,
"if you give_cig~. rwin go most therapeutic: . . . '
tp the group ~erapy. '? which ofthe'following respo~ by _ ., .@manr•P<l<>Ple expedencing intense reaction foll~_wing a
the nurse would be therapeutic: .. . · . frightening experiences ' · . . . .. ,
a l;tere arc your cigarette . ··•, . - . . . ·. b. llightmares are means.of working_- off psychic eri:~gy
@all patient on this unit are expected to go to:the group c. nothing is wring with you · , · ·
therapy· ~o\\fr 0\ f<"-\ " ' ~ ' ." · - d. why do<you think that there is something with you? .
. C. "you can have one cigarette then you can go to the group :p..which of the followingcomments:by the riurse would be
· tlicapy." m,il"--'-blic.- · · {Tlost effective-in dealing wi~ apat~t wh(? has~ d~osis of ·
d. "other patient do not ask me for special treatment. Why severe Anxiety (-t3):· . '. ..
, . are you the only one. " . . , . . a. call me.when yciu are calm enough to'sit down
25. during t h e ~-~ of the therapeutic relationship, a @sit in tltis c~ . c. whe(e'o/ould you like,to sit?
nurse should discuss which of the following topic with the · d. how woul~ you feel about:sitting doW!l -. .. '.· ' . .
client: · · · · · · · ¾. which of the follaw,i ng comments by t~e spouse ofa
(a) mai~tai~in~ confidentiality . b. developi~g coping schqol · patient wbc;, is abusing•alcoho.l inllicates a ~ect . ·
gaining ms1gbt to the behaV1or . understanding of ~e tcnn "blackouts" as.applied. to
d. diSCl,1ssing theprcvi.ous faulty-re~ol),Ship . · ' · ~holism: · . · :_. . · . • : . ·i ,~ · . ·, .·
l() thepatientu·receiving SSRI. ~ch of.the following l \,,
rpy spouse only,drinks"iiftei-wQ!"k ',; '•'/\ ' ' ' ',: -·
instructlonsbou\d the nurse give to the patient: · · : ~Y spouse dririldn~ causes. bi~ ,fo foi-g~ .~me ~ents·· , ·. .
~a .iliismed,ication may make u Jee\ sleepy : .. ' C. my spouse becomes~ ,when',he'. s dmilqrig ' ' , ..
®
you may notice some 'tletvoosness or anxiety until-you . d, my spoQ:Je employer does Qot know he drinks ·;. '
· adjust your medicine 31.which'ofthc: following ilu,:si.itg interventions would be·: ··
c. muscle cramping especially· of your neck may occur. ' most effective iii helping 1t parent)yho i_s gne~ing in the loss
d. :~~~:C;!
:/J:!di:!rte:;;ne·and yeast product . i9_:dl~~11uruJ;'.;ictu:~e ~tli the~~~ .
2'1. which of the'fotlowing comments by a patient should b: encourage the.'parents to 'hav~ 8119thet-child f,.~AP
indica~ to the nurse that the patient has idea of refertl!!~: . c. recommend frequent period of sleep during,the day
{,2;those other nurses are talking about ine . . '
I d. distract the parent from thinking about the cliild .. '
· ½':~nurse explain_ed· ~ow my medication wor.ks , , le'."a nurse is eating for apatient from a"different cultµre .
c. do all the nurses here have a college degree ·,. , , - _, ' . potice ~er·p~tient ~d ·not eat food on:the .meal tray.
d. will !l nurse lead the group therapy today . . . · ·. . Which of the following col!lments bytbe nurs:e, de111onstrates
l8'. a patient express many physical complaints during the first ~ -. nderstanding of cu.ltural diversities'. . , ·,
2 weeks on alcohol·rehabilitation unit. The result of the . what'food do you -eat at home, · • · · '
' physical ,examination has been negative, The patient _ _ · need
you to'eat t6 keep yo~ntrengtp. • . . . .
frequently approaches the staff members IQ request med1cat1on c. you wilt loose weigh, if you do not eat. . : . . • .· ·
for his diacomfort .. Based on the patient's behavior whi~h of d. why don't.you ~I me you do not lik~-the hospi~\ food. ,
the.following interp_r_~ on is CQ.i;rec< . . · J,r. a man who has suicidal thought and has dissatisfu~ion
the. patientls' trying to make the staff. feel guilty . with his job is admitte<I to'the psychiatric unit. Which of the
c. the·patient
t--
®
the _n,..;ent is attemppng his anxiety ,,) r( ),~I? • . .
i's experiencing organic pain fto!° ale:<>ho1
, ,. · f~llowing approaches·would be most' likely to elicit bis . · ·
· involvement in, the scbe<lule. activities: ·. · · · . •
@) working with him during a<;tivities_ ,. ·: . . · • . . : ,
withdrawal . . . . . hi/ b. asking him ifhe would lik,e to part1c1pate.~n_t?e ..act1~1t1es.
d. the pati~rit is using a more mature way of ~ting . c. waiting for him to, mow interest jn the act1v1ties. . :.
29. "wneedshlch ~:rbtt;~i~g·. b.ehavi~~ would indicat~ ,, . d. telling him the therapeutic impoftan~ ?f~e ~1v1t1es i
·
. j mprovement i11 the patient w~o.was admitted to:th~ osp1t
b · al ,s_ a 26 y/o woman js brought to the psychiatnc urut be~~ .
of suicidal thought. To,determine ifone-,on-one o~~3f1on is
with the diagno.sis pf ~pe~l\'I~:__._. · ' . . . · · indicated for the woman, the nurse should detemune_1~: •·
('.ythe patient completes-an-assigned task • . .. a any Qnc1n the wom,an_ ' s f~I~ ~as attempted ,sulClde
. b. the patiei;it frequently apologius for his.bebaVJor (i;\the W?~ has_the plan for _~c1de ~· ·
,e: the patient takes naps during t~e day . . . · . . "-i_ the woman has had.a receht loss. , . .
d. the patient shows .interest in -~ other p~ent, o the .umt . d. the _woman has a social.support system . . ',, • . ..
5
JO an elderly widow has dementia of Alzhe~er type says to _which of the following ways shoi.dd the i;iurse m~ervel\e
th~ nurse who offer her breakf~t · "ob no honey. 1 have to -
39
when patient repeatedly l ~ about the past: ·
the 11
wait until•my husband get hefe'w l'he nu_TSF should say to a. help' the patie~ .establish goals for,the future .
woman· · · · ·· · · · ' ·· · 11, give the patient' div
, ersional activity ·
. ·fj)
yo~ husband died 6 years ago, ,let me 'put ~k on_y~ur r . ,
1
