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2. The essential foundation that must be established early in the therapeutic relationship is: A. confidence B. insight C. trust D. change
3. The basis for building a strong therapeutic nurse-client relationship begins with the nurse’s: A. sincere desire to help others B. acceptance of others C. self-awareness and understanding D. sound knowledge of Psychiatric Nursing
4. For a beginning nurse practitioner in a psychiatric-mental health setting, which behavior would be least effective in helping to achieve personal and professional growth? A. Completing a task for a client instead of repeatedly prompting him to finish it B. Taking time to adjust to a slower pace C. Avoiding frustration when a client refuses to interact D. Use listening and observation skills
5. You are planning a treatment care for a client who has been on the streets for several years. The client has delusions, and frequently responds to auditory hallucinations. Which of the following client needs would be the priority? A. Self-esteem B. Love and Belongingness C. Self-Actualization D. Physical safety
6. Which contribution of the psychoanalytical model is particularly useful to psychiatric nurses? A. All behavior has meaning B. Behavior that is reinforced will be perpetuated C. The first 6 years of a person’s life determine his personality D. Behavioral deviations result from an incongruence between verbal and nonverbal communication
7. The Psychiatric nurses’ role in tertiary prevention is: A. Prevent the spread of disease B. Promote mental health through anticipatory guidance C. Case finding to limit severity of disease D. Prevent the crippling defects of illness through rehabilitation programs
8. A nurse who uses nurturing activities such as bathing or feeding the patient is assuming the role of a: A. Counselor B. Teacher C. Ward Manager D. Parent Surrogate
9. In the application of the nursing process, the nursing diagnoses are prioritized according to: A. the established goals of care B. the nurses’ priority of care C. life threatening potential D. focus on resolution of patient’s problems
10. During the assessment process, the nurse: A. establishes a therapeutic contract B. participates in nursing conferences C. collaborates with other nurse D. utilizes a system of data collection
11. Mrs. Dimalanta age 40 was admitted because of bouts of insomnia, nervousness and poor concentration becoming worst in the last 6 months. What is the initial responsibility of the nurse? A. Assess her level of anxiety B. Encourage husband to stay with her C. Orient her to the unit D. Administer medication to allay anxiety
12. During the orientation phase of the N-C-R initiated by the nurse, the appropriate topic would be: A. Effective coping patterns B. Facts about stress and coping C. Mrs. Dimalanta’s perception of her illness D. Feelings about her family
13. All of the following are physical responses to anxiety EXCEPT: A. Perspiration B. Headache C. Increased pulse & respiration D. Forgetfulness
14. In planning the discharge of a client with chronic anxiety, the goal should focus on which of the following? A. Eliminating all anxiety from daily situations B. Ignoring feelings of anxiety C. Identifying anxiety producing situations . Continued contact with crisis counselor
15. Primary gain associated with Somatoform Disorders, is referred to as: A. Financial compensation from disability B. Relief from anxiety associated with conflict C. Love & attention from support system D. Financial aid from relatives
16. Management of client with Somatoform Disorders includes the following EXCEPT: A. Use of Matter-of-fact attitude B. Help develop insight into his/her condition C. Help use effective coping skills to reduce stress and anxiety D. Ignore somatic complaints
17. The desired outcome for the nursing care of client with Hypochondriasis is: A. Nurse will respond in an authoritative manner when client complains pain B. Client will seek 2nd opinion from healthcare providers C. Client will state the relationship between life events & physical symptoms D. Nurse will reinforce physical symptoms experienced by the client
18. Defense mechanisms used by clients experiencing Dissociative Disorder: A. Dissociation & Undoing B. Dissociation & Repression C. Repression & Projection D. Regression & Denial
19. The Nurse working with a client who has Dissociative Disorder understands that this disorder is likely to begin as a/an: A. gradual loss of memory B. means to avoid responsibilities C. effect of Drug abuse D. protective defense against anxiety
20. Nursing intervention for patients with Dissociative Disorder should be based on the understanding that: A. Patients can recall his identity if he wants to B. Memory Loss is due to their dislike of their original personality C. Patient can recall his anxiety when anxiety subsides D. Memory loss is due to an emotional conflict or an external stressor
Score = Correct answers:
