Tiêu đề WORKBOOK - PSYCH (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 2 | 13. Psychiatric nurses are well aware that a therapeutic relationship is only possible and effective after: A. Professional identification of own emotional difficulties B. There is mutual trust between the nurse and the patient 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?
TOP RANK REVIEW ACADEMY, INC. Page 3 | 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. Situation – To be able to design care plans to help those with personality disorders, the nurse must be familiar with the various types of PDs and the major characteristics of each. 31. A dependent personality is characterized by: A. Mistrust of the significant others B. Incessant demands for attention and support from others C. Inability to postpone gratification D. Lack of enthusiasm for the ordinary activities of life 32. The nurse caring for a client with antisocial personality disorder would place highest priority on which nursing diagnosis? A. Disturbed personal identity B. Fear C. Risk for violence directed at others D. Social isolation 33. A client arrives for her mental health appointment wearing a cocktail dress and theatrical makeup. She announces dramatically and flirtatiously that she needs to be seen immediately because she is experiencing overwhelming psychological distress. The nurse should recognize behaviors suggestive of which axis II diagnosis? A. Borderline personality disorder B. Narcissistic personality disorder C. Histrionic personality disorder D. Antisocial personality disorder 34. A client has been diagnosed with borderline personality disorder. The client is impulsive, shows labile affect, displays frequent angry outbursts and has difficulty tolerating angry feelings without self-injury. The nurse selects which of the following as the priority nursing diagnosis for this client? A. Anxiety B. Risk for self-mutilation C. Risk for violence toward others D. Ineffective coping 35. The mental health nurse is reviewing a 35 year old client’s history before conducting an interview. The client’s history indicates fear of criticism and rejection from others, having few friends and withholding information about thoughts and feelings in anticipation of rejection by others. Based on the data, the nurse suspects that the client may have which personality disorder? A. Schizotypal B. Paranoid C. Avoidant D. Schizoid 36. A patient is having difficulties in establishing and maintaining relationships with others; he does not exhibit psychotic symptoms. The psychiatrist is considering a diagnosis of personality disorder. Based on the above symptoms and her knowledge of the disorder, the nurse would suspect the patient to have what type of personality disorder? A. Schizoid B. Schizotypal C. Borderline D. Dependent SITUATION – Nurse Bob is taking care of different patients having dementia of varied types. She is concerned with the sequelae of the disorder to his patient’s physical, mental and social health. 37. On a 24-hour assessment, Nurse Bob documents that Lola Johana, a client diagnosed with Alzheimer’s disease presents with aphasia. Which client behavior supports this finding? A. Lola Johana is sad and has no ability to experience pleasure. B. Lola Johana is extremely emaciated and appears to be wasting away. C. Lola Johana is no longer able to speak. D. Lola Johana is having difficulty in forming words. 38. In planning her treatment plan, which intervention would be most important in managing Lola Johana’s condition? A. Avoid the use of touch B. Provide a stimulating environment C. Provide a safe environment D. Use restraints whenever necessary 39. The nurse suspects a client is experiencing delirium. A specific assessment information that would support this suspicion includes: A. Slow onset of confusion and agitation. B. Onset is insidious and relentless. C. Sudden onset of confusion. D. The symptoms last for 1 month or longer. 40. She is observed to be repeating the same word over and over again. This symptom is known as: A. Palilalia B. Confabulation C. Aphasia D. Apraxia 41. Discharge plan is being prepared. The family should be instructed to place highest priority to this need in caring for Aling Mrs. Cruz: A. Nutrition B. Safety C. Hygiene D. Comfort 42. Psychiatric nurses may describe a psychopathological condition as: A. a state of emotional balance B. a disturbance in the persons thoughts, feelings and behavior C. always hereditary D. not treatable SITUATION – Society and culture have a great deal of influence on eating behaviors and perceptions of ideal weight. Eating patterns are developed based on attempts to meet these societal norms. 43. The nurse is teaching a group of young adolescents about eating disorders. The nurse consider the sessions effective if the participants state that anorexia nervosa is best as an eating disorder that occurs: A. Only in young girls who are depressed B. Mainly in young girls who perceive themselves to be grossly overweight C. Primarily in young gays who live in chaotic families D. In young boys and girls alike 44. The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, “When the client has bulimia nervosa, an increase in the anxiety level will generally result in: A. Rigidly controlling what he or she eats. B. Binging and purging C. Overeating D. Consuming alcohol 45. A characteristic that would suggest to the nurse that an adolescent may have bulimia would be: A. Redness on knuckles B. A positive body image C. A previous history of gastritis D. Frequent regurgitation and re-swallowing of food 46. The following are the characteristics of anorexia nervosa, except: A. Preoccupied with weight loss B. Thinks she’s fat C. Afraid of gaining weight D. Aware of her eating problem 47. The nurse traces the history of the client to identify the probable cause of her condition. You know that families of anorexia nervosa clients: A. Tends to be chaotic and place high value on achievement B. Often have a history of substance abuse C. Are usually closed systems that discourage outside relationship D. Have an inability to collaborate with others 48. When taking care of a client diagnosed with bulimia nervosa, the least appropriate action of a nurse is: