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b. Dependent Personality
a. Encourage the client to talk to family members to reminisce things
c. Manic behavior
c. Occupational therapy
6. The 12-year old male patient looks like the nurse’s younger brother who is
missing for years. During assessment and in the implementation of nursing care
the nurse prioritizes this client. One day, when she found the boy crying in his b. Histrionic
room she hugged him and cried with him. This is an example of:
c. Narcissistic
a. Counter-transference
d. Borderline
b. Transference 9. When the client told the nurse that he feels good when he mutilates or cuts
himself the novice psychiatric nurse answered, “Do you know the risks involved
c. Resistance when you cut yourself?” what type of nontherapeutic communication is the nurse
using?
d. Denial
7. A schizophrenic client is under your care. In reinforcing the functional behavior a. Defending
of this client what will the nurse do?
b. Testing
8. A client was brought to the ER. Based on the significant others, the client had
a history of shop stealing. However, no self-mutilating activities are committed by a. Behavior modification
the client. During the interview, the client is very manipulative and aggressive
and impulsive. What personality disorder most likely the client has? b. Milieu therapy
c. Recreational therapy
a. Antisocial
d. Occupational therapy
11. Nurse Marie is caring for a patient that underwent alcohol detoxification. b. Focusing
Which of the following symptoms would Nurse Marie be most concern?
c. Encouraging expression
a. Fever
d. General leads
b. Delusions
14. In a therapeutic communication, “why questions” are discouraged. For what
c. Excessive sweating reason is this question not useful?
d. Increase BP
a. The question is intimidating and the client may be defensive in trying to
explain him/herself.
12. The Distance that is observed when family members or friends are talking is
under what zone: b. It forces the client to recognize his or her problems. The client’s
acknowledgement that s/he doesn’t know things may be helpful to the nurse’s
needs but not the client.
a. Intimate
c. It indicates that the client is right rather than wrong.
b. Therapeutic
d. It tends to make the client used and invaded.
c. Personal 15. An 18 year old client is brought to the ER due to a suicidal attempt. Her
mother told the nurse that she has been drinking alcohol for the last 3 weeks and
d. Social is depressed. In caring for this patient what is the most important consideration?
13. The client is sharing Nurse Marie about his experiences. Suddenly, he a. Administering antidepressant medications
paused, looked to the nurse and is hesitant to continue. The nurse responded,
“Go on, and tell me about it.” What therapeutic communication technique is the
nurse using? b. Alcohol detoxification
a. Exploring
himself the novice psychiatric nurse answered, “Do you know the risks involved
c. Allowing the client to participate in a therapy when you cut yourself?” what type of nontherapeutic communication is the nurse
using?
d. Close monitoring
a. Defending
16. In using a therapeutic communication technique interpreting client cues and
signals is very important. Clear statements of intent such as the client saying that b. Testing
he wants to kill himself is a/an:
a. Covert cues
d. Disagreeing
b. Abstract messages .
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19. Restraints are only used for a certain reason. Which of the following is an
c. Concrete messages
appropriate reason for placing a client in restraints?
d. Overt cues
a. Punishment for stealing the other client’s things
17. A client was admitted due to self-mutilation. One day during one of the
b. Self- harming behaviors
sessions, the client told the nurse that cutting himself feels great. What would be
the nurse’s best response?
c. Verbal abuse
a. “Do you know the risks involved when you cut yourself?” d. Not drinking medications
20. If a client is on restraints which of the following would the nurse do?
b. “I don’t want to hear about that!” a. Leave the client in the room for the whole 8 hours
b. Do not allow the client to eat
c. Take pictures of the client for evaluation
c. “The behavior of cutting is not acceptable.”
d. monitor the extremity circulation
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d. “Tell me more about that.” 21. A client is scheduled for an electroconvulsive therapy (ECT). Which of the
following medications can be given to the client before the procedure?
18. When the client told the nurse that he feels good when he mutilates or cuts
c. “What are the voices telling you?”
a. Atropine
24. What is the most important criteria that must be accomplished by the nurse
c. Hydralazine before dealing with psychiatric patients?
d. Phenobarbital
a. Salary rate
22. To ensure that your client knows about the procedure, risks and outcome and
has been informed of the other alternative therapy. Which of the following must b. Self-awareness
be accomplished?
c. Self-understanding