Title WORKBOOK - PSYCH (SC) ✅

TOP RANK REVIEW ACADEMY, INC. Page 2 | C. Patient’s self-esteem needs are satisfied D. Patient is diagnosed a wellness diagnosis 14. The primary task of the nurse in the resolution phase of the nurse-patient relationship is: A. Assist patient to review what he has learned B. Planning therapeutic interventions C. Nursing diagnosis formulation D. Assisting the client in expression of thoughts and feelings 15. A productive therapeutic relationship between a nurse and a client begins with the nurse’s: A. Passion to help clients who cannot cope B. Unconditional positive regard for others C. Self-awareness and understanding D. Psychiatric nursing expertise Situation – Nurse Linda is a young promising nurse who chose to start a professional career as a mental health psychiatric nurse. Part of her orientation and training as a beginning professional nurse is enhancing facilitative personal characteristics. 16. The nurse should introduce information about the end of the nurse-patient relationship: A. As the goals of the realtionship are reached B. During the orientation phase C. At least one or two sessions before the last meeting D. When the patient states that he is ready 17. Establishing a therapeutic contract is the goal of which phase of the nurse-patient relationship? A. Orientation phase B. Working phase C. Pre-orientation phase D. Middle phase Situation - Clinicians are often said to be eclectic, that is, they choose one or a combination of nursing and human behavior sciences. 18. The nurse knows that Erikson identified the developmental tasks of the school-age child from 6 to 12 years as: A. Initiative vs guilt B. Breaking away vs staying at home C. Industry vs inferiority D. Psychosexual impulses vs psychosexual development 19. Under the psychoanalytic model of Freud, the ego functions includes all of the following except: A. Store up experiences in memory B. Operate on the pleasure principle to reduce tension or discomfort C. Control and regulate instinctual drives D. Use defense mechanism to protect self 20. The negative attitude of parents towards infantile masturbation like threatening a boy with the loss of his penis may lead to: A. Electra complex B. Inferiority complex C. Oedipal complex D. Castration complex 21. A defense mechanism used by patient with borderline personality disorder is reaction formation which is described in one of the following statements: A. Blaming someone else for one’s difficulties B. A conscious behavior that is the exact opposite of an unconscious feeling C. Doing something to counteract or make up for a wrong doing in the past D. Unconscious and involuntary forgetting of painful ideas, events and conflicts Situation - In psychiatric and mental health nursing, psychosocial assessment is conducted to construct a picture of the client’s current emotional state, mental capacity, and behavioral function. This assessment serves as the basis for developing a plan of care to meet the client’s needs. 22. Lola Basyang is your 70-year old retired librarian who was brought to the hospital by her children with the diagnosis of Dementia. In order to test her ability to think abstractly, you would ask which of the following? A. “Can you repeat the following numbers: 8, 2, 4, 6, 10” B. “How are a radio and television alike?” C. “What would you do if you fell and hurt yourself?” D. “Can you give me today’s complete date?” 23. The nurse must assess a client's judgment to determine mental status. To best accomplish this, the nurse should have the client: A. interpret proverbs. B. spell words backward. C. count by serial sevens. D. discuss hypothetical situations. 24. During the mental status examination, a client may be asked to explain such proverbs as "Birds of the same feather flock together." The purpose is to evaluate the client's ability to think: A. rationally. B. concretely. C. abstractly. D. tangentially. Situation - As a nurse you will encounter clients with anxiety disorders in every clinical practice setting including primary care and general hospital settings, not just mental health facilities, but also in your own community. You must be ready to apply your knowledge on anxiety disorders to any area in which you choose to work. 25. During client assessment, the nurse finds that the client is experiencing tunnel vision on his crisis The nurse should conclude that this client is experiencing which level of anxiety? A. Mild B. Moderate C. Severe D. Panic 26. When assessing an apparently anxious client, the nurse ensures that questions related to the client’s anxiety are: A. Abstract and nonthreatening B. Avoided until the anxiety disappears C. Avoided until the client brings up the subject D. Specific and direct 27. A physician has just told a client that surgery will be required to treat a health problem. After the physician leaves, the clients reports feeling angry, tense and shaky. The nurse notes that the client’s palms are sweaty and the pupils are dilated. The nurse interprets this to mean that the client is experiencing symptoms consistent with which level of the general adaptation syndrome (GAS)? A. Alarm B. Exhaustion C. Generalized anxiety D. Resistance 28. A client states, “I am always late for everything because I can’t leave my room without checking every drawer and door to make sure they are locked. If I don’t do that, I get so worried that I have to go back. I can’t seem to stop my behavior.” The nurse should take which action at this time? A. Allow the client adequate time to carry out the ritual B. Explore childhood experiences that may have led to the behavior C. Encourage the client to remain in the room until the urge to recheck has decreased D. Remind the client that the staff will not allow others to enter the room. 29. The nurse is caring for a client who was serving in the military during a bombing of an american embassy. Which finding can suggest PTSD? A. Seizures, headache, hypertension B. Goosebumps, memory loss of the trauma, flashbacks C. Anger, depression, flashbacks D. Unexplained paralysis, sweating, elation 30. PTSD and ASD have many similarities. Which of the following characteristics differentiates the two disorders? A. ASD has a longer duration than PTSD. B. The interval from trauma to symptoms is of shorter duration for ASD. C. The client with ASD has at least one dissociated manifestation. D. The ASD client with the dissociative symptoms does have problems coping.