Test Bank For Psychiatric Nursing: Contemporary Practice, 7th
Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All
Chapters with Answers and Rationals
50.Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of
prescribed antipsychotic medication. The most important piece of information the nurse in charge
should obtain initially is the:
Length of time on the med.
Name of the ingested medication & the amount ingested
Reason for the suicide attempt
Name of the nearest relative & their phone number - ANSWER: B . In an emergency, lives saving facts
are obtained first. The name and the amount of medication ingested are of outmost important in
treating this potentially life threatening situation.
49.Nurse Tina is caring for a client with depression who has not responded to antidepressant
medication. The nurse anticipates that what treatment procedure may be prescribed.
Neuroleptic medication
Short term seclusion
Psychosurgery
Electroconvulsive therapy - ANSWER: D . Electroconvulsive therapy is an effective treatment for
depression that has not responded to medication
48.When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement
of the discharge maintenance goals. Which goal would be most appropriately having been included in
the plan of care requiring evaluation?
The client eliminates all anxiety from daily situations
The client ignores feelings of anxiety
The client identifies anxiety producing situations
The client maintains contact with a crisis counselor - ANSWER: C . Recognizing situations that produce
anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus.
47.During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure
ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is
necessary because?
Anesthesia is administered during the procedure
Decrease oxygen to the brain increases confusion and disorientation
Grand mal seizure activity depresses respirations
Muscle relaxations given to prevent injury during seizure activity depress respirations. - ANSWER: D .
A short acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this
procedure to prevent injuries during seizure.
46.Nurse Jonel is providing information to a community group about violence in the family. Which
statement by a group member would indicate a need to provide additional information?
"Abuse occurs more in low-income families"
"Abuser Are often jealous or self-centered"
"Abuser use fear and intimidation"
"Abuser usually have poor self-esteem" - ANSWER: A . Personal characteristics of abuser include low
self-esteem, immaturity, dependence, insecurity and jealousy.
45.Nurse Tina is caring for a client with delirium and states that "look at the spiders on the wall".
What should the nurse respond to the client?
"You're having hallucination, there are no spiders in this room at all"
"I can see the spiders on the wall, but they are not going to hurt you"
"Would you like me to kill the spiders"
, "I know you are frightened, but I do not see spiders on the wall" - ANSWER: D . When hallucination is
present, the nurse should reinforce reality with the client.
44.Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina
enters the client's room, the client is found lying on the bed with a body pulled into a fetal position.
Nurse Nina should?
Ask the client direct questions to encourage talking
Rake the client into the dayroom to be with other clients
Sit beside the client in silence and occasionally ask open-ended question
Leave the client alone and continue with providing care to the other clients - ANSWER: C . Clients who
are withdrawn may be immobile and mute, and require consistent, repeated interventions.
Communication with withdrawn clients requires much patience from the nurse. The nurse facilitates
communication with the client by sitting in silence, asking open-ended question and pausing to
provide opportunities for the client to respond.
43.A male client who is experiencing disordered thinking about food being poisoned is admitted to
the mental health unit. The nurse uses which communication technique to encourage the client to eat
dinner?
Focusing on self-disclosure of own food preference
Using open ended question and silence
Offering opinion about the need to eat
Verbalizing reasons that the client may not choose to eat - ANSWER: B . Open ended questions and
silence are strategies used to encourage clients to discuss their problem in descriptive manner.
42.A long term goal for a paranoid male client who has unjustifiably accused his wife of having many
extramarital affairs would be to help the client develop:
Insight into his behavior
Better self control
Feeling of self worth
Faith in his wife - ANSWER: C . Helping the client to develop feeling of self worth would reduce the
client's need to use pathologic defenses.
41.A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse "Yes, its
march, March is little woman". That's literal you know". These statement illustrate:
Neologisms
Echolalia
Flight of ideas
Loosening of association - ANSWER: D . Loose associations are thoughts that are presented without
the logical connections usually necessary for the listening to interpret the message.
40.A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his
work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed
assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
Low self esteem
Concrete thinking
Effective self boundaries
Weak ego - ANSWER: C . A person with this disorder would not have adequate self-boundaries
39.When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that
the ritual:
Helps the client focus on the inability to deal with reality
Helps the client control the anxiety
Is under the client's conscious control
Is used by the client primarily for secondary gains - ANSWER: B . The rituals used by a client with
obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action.
38.A nursing care plan for a male client with bipolar I disorder should include:
Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All
Chapters with Answers and Rationals
50.Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of
prescribed antipsychotic medication. The most important piece of information the nurse in charge
should obtain initially is the:
Length of time on the med.
Name of the ingested medication & the amount ingested
Reason for the suicide attempt
Name of the nearest relative & their phone number - ANSWER: B . In an emergency, lives saving facts
are obtained first. The name and the amount of medication ingested are of outmost important in
treating this potentially life threatening situation.
49.Nurse Tina is caring for a client with depression who has not responded to antidepressant
medication. The nurse anticipates that what treatment procedure may be prescribed.
Neuroleptic medication
Short term seclusion
Psychosurgery
Electroconvulsive therapy - ANSWER: D . Electroconvulsive therapy is an effective treatment for
depression that has not responded to medication
48.When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement
of the discharge maintenance goals. Which goal would be most appropriately having been included in
the plan of care requiring evaluation?
The client eliminates all anxiety from daily situations
The client ignores feelings of anxiety
The client identifies anxiety producing situations
The client maintains contact with a crisis counselor - ANSWER: C . Recognizing situations that produce
anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus.
47.During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure
ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is
necessary because?
Anesthesia is administered during the procedure
Decrease oxygen to the brain increases confusion and disorientation
Grand mal seizure activity depresses respirations
Muscle relaxations given to prevent injury during seizure activity depress respirations. - ANSWER: D .
A short acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this
procedure to prevent injuries during seizure.
46.Nurse Jonel is providing information to a community group about violence in the family. Which
statement by a group member would indicate a need to provide additional information?
"Abuse occurs more in low-income families"
"Abuser Are often jealous or self-centered"
"Abuser use fear and intimidation"
"Abuser usually have poor self-esteem" - ANSWER: A . Personal characteristics of abuser include low
self-esteem, immaturity, dependence, insecurity and jealousy.
45.Nurse Tina is caring for a client with delirium and states that "look at the spiders on the wall".
What should the nurse respond to the client?
"You're having hallucination, there are no spiders in this room at all"
"I can see the spiders on the wall, but they are not going to hurt you"
"Would you like me to kill the spiders"
, "I know you are frightened, but I do not see spiders on the wall" - ANSWER: D . When hallucination is
present, the nurse should reinforce reality with the client.
44.Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina
enters the client's room, the client is found lying on the bed with a body pulled into a fetal position.
Nurse Nina should?
Ask the client direct questions to encourage talking
Rake the client into the dayroom to be with other clients
Sit beside the client in silence and occasionally ask open-ended question
Leave the client alone and continue with providing care to the other clients - ANSWER: C . Clients who
are withdrawn may be immobile and mute, and require consistent, repeated interventions.
Communication with withdrawn clients requires much patience from the nurse. The nurse facilitates
communication with the client by sitting in silence, asking open-ended question and pausing to
provide opportunities for the client to respond.
43.A male client who is experiencing disordered thinking about food being poisoned is admitted to
the mental health unit. The nurse uses which communication technique to encourage the client to eat
dinner?
Focusing on self-disclosure of own food preference
Using open ended question and silence
Offering opinion about the need to eat
Verbalizing reasons that the client may not choose to eat - ANSWER: B . Open ended questions and
silence are strategies used to encourage clients to discuss their problem in descriptive manner.
42.A long term goal for a paranoid male client who has unjustifiably accused his wife of having many
extramarital affairs would be to help the client develop:
Insight into his behavior
Better self control
Feeling of self worth
Faith in his wife - ANSWER: C . Helping the client to develop feeling of self worth would reduce the
client's need to use pathologic defenses.
41.A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse "Yes, its
march, March is little woman". That's literal you know". These statement illustrate:
Neologisms
Echolalia
Flight of ideas
Loosening of association - ANSWER: D . Loose associations are thoughts that are presented without
the logical connections usually necessary for the listening to interpret the message.
40.A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his
work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed
assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
Low self esteem
Concrete thinking
Effective self boundaries
Weak ego - ANSWER: C . A person with this disorder would not have adequate self-boundaries
39.When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that
the ritual:
Helps the client focus on the inability to deal with reality
Helps the client control the anxiety
Is under the client's conscious control
Is used by the client primarily for secondary gains - ANSWER: B . The rituals used by a client with
obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action.
38.A nursing care plan for a male client with bipolar I disorder should include:
