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NURSING CARE MANAGEMENT V

INSTRUCTION: Select the correct answer for each of the


following questions. Mark only the answers for each item
by shading the box corresponding to the letter of your
choice on the answer sheet provided.
Situation: The nurse in the community abuse and
dependence
1. The nurse explains that alcohol affects numerous
neurotransmitters in the brain. The systems affected
that may have a genetic influence on alcohol
dependence include the:
1.Dopamine system
2.Serotonin system
3. Opioid system
4. Gamma-aminobutyric acid
a. 1 & 2
c. 3 & 4
b. 1,2,&3
d. 1, 2, 3, & 4
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2. Moderate drinking is defined as:
a. No more than two drinks a day for woman
b. No more than two drinks a day for men
c. One drink a day for men and women
d. No more than one drink a day for women and
two drinks a day for men
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3. Among chronic heavy drinkers, the most common
pre-existing condition in the liver prior to cirrhosis is:
a. Viral hepatitis
c. Cholelithiasis
b. Fatty liver
d. Thrombosis of the portal vein
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4. Excessive chronic alcohol use is associated with all of
the following except:
a. Impaired body utilization of vitamins
b. Low resistance to bacterial infections
c. Weight gain
d. Sleep disorders
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5. Cognitive behavioral therapies(CBTs) are among
the most frequently evaluated approaches used to
treat substance use disorders. Which of the following
is a characteristic of CBTs
a. They are based on social learning and behavioral
theories of drug abuse
b. They can be summarized as recognize, avoid
and cope.
c. Treatment involves understanding substance use
with respect to its antecedents and
consequences.
d. All of the above
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Situation: The nurse in a mental health facility assists in
the care of patients with schizophrenic disorders.
6. The nurse plans for a short-term nursing goal for
schizophrenic patients. Which of the following goals is
most appropriate?
a. Protect patient from inappropriate impulses
b. Establish quickly a warm, close relationship
c. Establish a trusting, non-threatening
relationship
d. Set limits on bizarre behavior

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7. The nurse is talking with schizophrenic patient when
suddenly the patient cries out and says I am afraid,
did you hear that? It is terrible. The most appropriate
initial response by the nurse would be:
a. I did not hear anything
b. Who is saying terrible things to you.
c. I did not hear anything, but you seem afraid.
d. Is someone saying things to you?
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8. The best explanation for the term depersonalization
as seen in schizophrenics is:
a. A mechanism seen in chronic schizophrenia.
b. A flight from reality related to oneself or the
environment
c. The patient personalizes all threats and uses
projection
d. The patient cannot tolerate personal
relationships.
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9. The nurse observes one the patients is having
auditory hallucinations and seem disoriented to time
and place. The nurse knows that hallucination can be
explained as an:
a. Sensory experience without foundation in
reality
b. Distortion of real auditory or visual perception.
c. Voice that is heard by the client but is not really
true
d. Idea without foundation in reality
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10. The nurse allows a schizophrenic patient who has
improved to attend group therapy meetings. One day,
the patient jumps up from his chair and runs out of the
room after the group has been laughing at a story told
by one of the participants. He says, You arte all
making fun of me. The patient is displaying:
a. Symbolic rejection
b. Hallucination
c. Depersonalization
d. Ideas without foundation in reality
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Situation: The nurse cares for a 23 year old female with
post traumatic stress disorder (PTSD). The nurse
understand that PTSD is a response to a memory of
physical or emotional trauma.
11. Reliving an event repeatedly through dreams or
flashbacks is a characteristic of which category of
signs and symptoms of PTSD?
a. Intrusive
c. Arousal
b. Avoidance
d. Hypervigilance
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12. Characteristics of this category of signs and
symptoms of PTSD include irritability, difficulty in
concentrating, insomnia and exaggerated reactions to
startling situations.
a. Intrusive
c. Arousal
b. Avoidance
d. Hypervigilance
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13. Anxiety and depression are caused by inadequate


levels of serotonin or:
a. Thyroxin
c. Aldosterone
b. Norepinephrine
d. Dopamine
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14. The physician ordered a Benzodiazepine to treat
acute anxiety for the patient with PTSD. Which
nursing consideration is indicated for a patient taking
this drug? Monitor for:
a. tremors
b. hypertension
c. dizziness, headache, and sleep disturbances
d. drowsiness, fatigue, and impaired
coordination
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15. The nurses observes that the patient is having a
flashback. The nurse should avoid which of the
following actions:
a. Talk to the patient
b. Touch the patient
c. Administer medications
d. Use distractive tactics
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Situation: The nurse in a mental health facility admits a
young female client with a disorder known as
hypochondriasis. The nurse is aware that this disorder
is manifested by fear and feeling of worthlessness.
16. Which of the following nursing diagnosis is most
appropriate for the client?
a. Anticipatory Grieving
b. Risk for injury
c. Deficient Diversional Activity
d. Risk for Situational Low-esteem
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17. A nursing goal for this client should focus on which of
the following areas?
a. Relieving the fear of serious illness
b. Recovering the lost or altered functions
c. Determining the cause of sleep disturbance
d. Giving positive reinforcement for
accomplishments related to physical appearance.
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18. Which of the following nursing interventions is
appropriate for this client?
a. Help the client eliminate the stress in her life
b. Teach the client adaptive coping strategies
c. Encourage the client to focus on identification of
physical symptoms
d. Comfort the client and tell her there is nothing
wrong with her that it is all in her head.
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19. Which of the following therapeutic strategies can a
nurse use to reduce anxiety in this client?
a. Suicide precautions
b. Electroconvulsive therapy
c. Relaxation Exercise
d. Pharmacologic intervention
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20. This client continually focuses on gastrointestinal


problems and constantly asks the nurse to meet her
demands. Which of the following would be the best
nursing approach?
a. Provide for the clients basic needs but do not
respond to her every demand, which reinforces
secondary gains.
b. Anticipate the clients demands and spend
time with her even though she does not
demand it
c. Ignore the demands because the nurse knows it
is not necessary to respond
d. Assign various staff members to work with the
client so no staff member will become negative.
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Situation: A nurse cares for an adolescent female client
with a diagnosis of anxiety disorder.
21. Which of the following behaviors demonstrate a
caring attitude by nurse for this client?
a. Verbalize concern about the client
b. Arrange group activities for the client
c. Hold psycho educational groups on medications
d. Let the adolescent client sign the treatment and
care plan
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22. Which of the following factors should the nurse
consider when assisting this client in verbalizing her
feelings? The client may
a. Regard the problem
b. Believe the medication only are useful
c. Intellectualize anxiety
d. Decide that therapy is not beneficial
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23. Which of the following symptoms would this client
most likely display when assessed for muscle
tension?
a. Tachycardia c. Difficulty in sleeping
b. Restlessness d. Strong startle response
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24. The client complains to the nurse about several other
minor health problems she is experiencing. Which of
the following concerns must the nurse keep in mind
when caring for clients with anxiety disorder? Clients
a. May have a variety of somatic symptoms
b. Are prone to unhealthy binge eating episodes
c. Will experience secondary gains from mental
illness
d. Undergo an alteration in their self-care skills
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25. Which of the following findings should the nurse
expect when talking about school to this adolescent
client with anxiety disorder? The client
a. Has been arguing with classmates for the past
month
b. Has been lying to her parents and teachers
c. Has gained 10lbs in the past month
d. Expresses concern about her grades
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Situation: A Nurse cares for a male client with
paranoid personality disorder. The nurse notices that
the client is mistrustful and shows hostile behavior.

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26. What other traits is expected from a client with


paranoid personality disorder? The client
a. Depends on others to make important decision
b. Avoids responsibility for health care actions
c. Cannot follow limits set on behavior
d. Is afraid another person will inflict harm
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27. The client makes an inappropriate and reasonable
report to the nurse. Which of the following principles
of good communications skills is important for the
nurse to use?
a. Tell the client that you dont share his
interpretation
b. Use logic to address the clients concern
c. Use nonverbal communication to address the
issue
d. Confront the client about the stated misperception
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28. The client discusses current problems with the nurse.
Which of the following interventions should have
priority in the nursing care plan? Have the client
a. Discuss the use of defense mechanism
b. Clarify his thoughts and beliefs about an
event
c. Look at the sources of frustration
d. Focus on the ways to interact with others
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29. The nurse notices that the client has impaired social
skills. Which of the following short-term goals is most
appropriate for the client?
a. Address positive and negative feelings about self
b. Obtain feedback from other people
c. Discuss anxiety-provoking situations
d. Identify personal feelings that hinder social
interaction
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30. Which of the following long-term goals is appropriate
for this client?
a. Take steps to address disorganized thinking
b. Become involved in activities that foster
social relationships
c. Verbalize a realistic view of self
d. Become appropriately interdependent on others
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Situation: A nurse works in a health care facility where
she/he encounters clients with gender identity
disorder
31. The nurse reviews Eriksons developmental tasks.
According to this theorist, an adolescent who is
suffering from gender identity disorder is unable to
progress through which of the following
developmental tasks?
a. Initiative versus guilt
b. Intimacy versus isolation
c. Industry versus inferiority
d. Identity versus role confusion
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32. The nurse understands that gender identity disorder
that results in the person believing he or she is really
the opposite sex is:
a. Transvestitism
c. Exhibitonism

b. Transsexualism
d. Homosexuality
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33. A transsexual client wishes to have a sexual
reassignment operation. He tells the nurse he is
ready to begin hormonal therapy. Which of the
following facts about the client must be true before
estrogen therapy is started? He has
a. Been functioning sexually as a female
b. Cross-dressed and lived as the opposite sex
for several years
c. Decided he needs more psychotherapy
d. Decided against undergoing the operation
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34. Which of the following reasons best explains the
rationale for estrogen therapy for a male client who
wishes to undergo sexual reassignment surgery? To
a. Assist with cross-dressing
b. Develop breasts
c. Cause menstruation
d. Develop body hair
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35. A 39-year old male wishes to undergo a sexreassignment operation because he feels trapped in
his male body. Which of the following actions is the
next step the client should take if he wants to have
the operation?
a. Attend psychotherapy
b. Tell his family and friends
c. Visit transsexual bars
d. See a surgeon
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Situation 8- A 30 year old female client is admitted to a
mental health facility for depression and suicidal
tendencies
36. The nurse prepares a care plan for this client. Which
of the following nursing care objectives or goals is
given highest priority?
a. Reassure the client of her worthiness in a gentle
manner
b. Use measures to protect the client from
harming herself
c. Maintain calm environment in which the client can
express her feelings and thoughts
d. Provide for contact between the client and her
husband
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37. The nurse formulates a nursing diagnosis for the
client Potential for self-directed violence. Which action
should take priority?
a. Assign the client to a double room occupied by
another client
b. Instruct the client to call any staff member when
she has thoughts of harming herself
c. Remove all potentially harmful objects from
the environment of the client
d. Let the client agree to sign a no-harm contract
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38. Generally, it is difficult for a nurse to maintain
effective relationships with depressed clients who
experience suicidal ideation because of the clients:

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a. Poor personal grooming which invites disgust and


ridicule from others
b. Pessimism which causes frustration and
anger in others
c. Laziness which keeps the clients from putting
much effort to get well
d. Independence which prevents the clients from
asking for assistance
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39. The nurse correctly judges that the danger of a
suicide attempt is greatest when the clients behavior
indicates that she:
a. Has an increased energy level
b. Has resumed her former
lifestyle
c. Is at a point of deepest despair
d. Agrees to visit with an estranged sister
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40. The nurse evaluates the treatment done on this client.
Which of the following behaviors indicate that
progress is being made? The client shows an
improvement in her:
a. Activity level c. Self-concept
b. Appetite
d. Sleeping pattern
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Situation: The nurse reviews the concepts of
somatoform disorder before taking on an
assignment to care for clients with somatoform
disorders.
41. The etiological of a somatoform disorder may involve:
a. Traumatic child hood memories
b. Difficult learning experiences in elementary school
c. Negative personal assessment
d. Deficit in neurotransmitters
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42. The diagnosis of somatoform disorders essentially is:
a. A somatic complaint limited to one organ system
b. An event that precedes a physical illness which
occurred recently
c. A physical condition with organic pathological
cause
d. A disorder that occurs in the absence of
organic findings
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43. Clients with somatoform disorders:
a. Usually seek for medical attention
b. Have organic pathologic disorders
c. Regularly attend psychotherapy sessions without
encouragement
d. Are eager to discern the true reasons for their
physical symptoms
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44. The client with a somatoform disorder complains of
physical symptoms
a. to cope with delusional thinking
b. in response to anxiety
c. to gain attention
d. to avoid unpleasant emotions
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45. According to one psychodynamic theory, the ego


defense mechanism which describes the underlying
disorder is:
a. suppression of grief
b. repression of anger
c. denial of depression
d. preoccupation with pain
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SITUATION: A nurse cares for a male client who is
scheduled for electroconvulsive therapy or ECT.
46. The nurse knows that ECT is most commonly
prescribed for clients being treated for:
a. Somatoform disorder
b. Chronic schizophrenia
c. Major depression
d. Antisocial personality disorder
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47. The nurse review the admission record of this client
and notes than an informed consent was not obtained
for the procedure because the admission was an
involuntary act. Which of the following actions is
appropriate for the nurse to carry out? An informed
consent:
a. Does not need to be obtained
b. Should be obtained from the family
c. Needs to be obtained from the client
d. Must be obtained by the physician
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48. The nurse prepares the client o ECT scheduled at 8
oclock in the morning . which of the following would
not be a component of the plan of care of the nurse?
a. Withhold feed and fuids for 6 hours before the
treatment
b. Have the client void before the procedure
c. Remove dentures and contact lenses before the
procedure
d. Administer tap water enema the night before
the procedure
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49. The client just had electroconvulsive therapy and
asks to drink water. Which of the following
assessment is priority for the nurse when meeting the
request of the client?
a. Monitor the gag reflex
b. Take the blood pressure
c. Obtain a body temperature
d. Determine the level of consciousness
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50. After the ECT of this client, which of the following
nursing interventions is correct?
a. Let the client sleep undisturbed
b. Allow the family to visit immediately
c. Restrain the client until completely awake
d. Assess the clients vital signs
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SITUATION: The nurse cares for alcoholic clients in
the rehabilitation unit
51. The most important approach the nurse assumes
when caring for an alcoholic client is to:
a. establish strict guidelines of behavior
b. maintain a good nurse-client relationship

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c. maintain a non-judgmental attitude toward the


client
d. outline explicitly expectations of the client
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52. The nurse encourages a chronic alcoholic client to
attend sessions of self-help groups such as the
Alcoholics Anonymous (AA). The nurse is aware that
AA has helped rehabilitate alcoholics probably
because people find it easier to change their behavior
when they:
a. know that rehabilitated alcoholics sympathize with
them
b. can depend on rehabilitated alcoholics to help them
identify personal problems related to alcoholism
c. have the support of rehabilitated alcoholics
d. realize that rehabilitated alcoholics will help them
develop mechanism to cope with their condition
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53. Which of the following facts should the nurse
communicate to alcoholic clients?
a. an occasional social drink is acceptable behavior
for the alcoholic
b. attendance at a self-help group meeting everyday
may cure alcoholism
c. abstinence is the basis of successful treatment
d. participation of family members will make treatment
successful
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54. The client denies he is an alcoholic. Which of the
following nursing actions would be most effective in
decreasing the clients denial about his alcoholism?
a. teach the client assertiveness techniques
b. give client reading materials about the disease of
alcoholism
c. explain the physiological effects of alcohol on the
body
d. point out concrete problems that are direct
consequence of alcoholism
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55. The client craves to have drink while under
rehabilitation. Which of the following measures would
the nurse institute to help client resent the desire to
drink?
a. get support from alcoholic clients
b. provide one-to-one supervision by the staff
c. keep the client locked in a room
d. search visitors before they are allowed to visit the
client
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SITUATION: The nurse in the psychiatric unit is
assigned to an 18-year old male with suicidal
tendencies.
56. While taking clients history, the nurse observes that
the client had been telling friends and members of his
family he planned to commit suicide. The nurse
recognizes that:
a. most adolescents threaten to commit suicide
b. if the individual made threats in the past, there is no
need to intervene
c. threats of suicide should not be ignored
d. if the individual does not have a specific plan, the
threat is not serious

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57. The nurse prepares a plan care. Which of the
following is the most important objective?
a. recognized a continued desire to commit suicide
b. observe the client closely at all times
c. involve the client in activities with others to mobilize
him
d. provide a safe environment to protect the client
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58. When assessing a client for possible suicide, the
nurse should observe if the client:
a. begins to talk about leaving the hospital
b. is hostile and sarcastic to the staff
c. seems satisfied and detached
d. identifies with problems expressed by other clients
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59. When assessing a suicidal client who suddenly
appears cheerful and motivated, the nurse should
recognize that the client:
a. is responding to treatment and is no longer
depressed
b. may have finalized a suicide plan
c. is likely sleeping well because of the medications
given
d. has made a new friends and has a support group
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60. The client makes an attempt to commit suicide during
the night shift. The staff intervenes quickly in time to
prevent harm. In assessing the situation, the most
important rationale for the staff to discuss the incident
is that:
a. the staff needs to file an incident report so that the
hospital administration is kept informed
b. the staff needs to reenact the attempted suicide so
that they understand exactly what happened
c. the staff is aware that there is a high probability the
client will make another attempt in the future
d. the staff needs to discuss the behavior of the
client to find out what cues in his behavior
might have warned them that he was
contemplating suicide
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SITUATION: The nurse works in a rehabilitation center
for drug dependents.
61. In caring for an adolescent with suspected narcotic
(heroin) overdose, the nurse will monitor the
adolescent for what signs?
a. euphoric
b. constricted pupils and respiratory depression
c. drowsiness
d. aggressive behavior
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62. Which of the following nursing intervention would
receive the lowest priority for the client with an
overdose of heroin?
a. monitor vital signs
b. monitor breathing patterns
c. discuss treatment options
d. prepare for cardiopulmonary resuscitation

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63. The nurse is aware that drug abuse is best defined
as:
a. a psychological dependence on a drug
b. a physiological need for a drug
c. an excessive drug use inconsistent with
acceptable medical practice
d. a compulsion to take a drug on either continuous or
periodic basis
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64. The nurse understand that hard drugs cause
dependence because of the drugs ability to:
a. decrease motor activity
b. clear sensorium
c. ease pain
d. blur reality
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65. The nurse expect an addicted clients basic
personality to be marked by insecurity and:
a. weak id drives
b. the need to delay gratification
c. infantile passion for self-gratification
d. the use of psychosomatic mechanisms
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SITUATION: The nurse assists a family in the care of
their daughter suffering from post traumatic stress
disorder.
66. While caring for this client, the family notices that loud
noise cause a serious anxiety response. Which of the
following explanations by the nurse would help the
family understand the clients response?
a. clients often experience extreme fear about normal
environmental stimuli
b. environmental triggers can cause the client to
react emotionally
c. after a trauma, the client cannot respond to stimuli
in an appropriate manner
d. the respond indicates that another emotional
problem needs investigation
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67. Which of the following instructions should the nurse
include about relationships for this client with post
traumatic stress disorder?
a. Assess the clients discomfort when talking about
feelings to family members
b. Encourage the client to resume former roles as
soon as possible
c. Warn the client that she will have a tendency to be
overdependent in relationships
d. Explain that avoiding emotional attachment
protects against anxiety
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68. Which of the following nursing interventions would
best help this client and her family handle
interpersonal conflict at home? Have the family
a. discuss how to change dysfunctional family
patterns
b. teach the client to identify defensive behavior
c. agree not to tell the client what to do about
problems

d. arrange for the client to participate in social


activities
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69. Which of the following action would be most
appropriate when speaking with this client about the
trauma she experienced?
a. ask questions to convey an interest in the details
b. obtain validation of what client says from another
party
c. request that the client write down what is being said
d. listen attentively
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70. Which of the following actions would the nurse
include in the plan or care for this client who keeps
saying that the trauma she experienced was just a
case of bad luck?
a. work with the client to take steps to move on with
life
b. assist the client in defining the experience as a
trauma
c. encourage the client to verbalize the experience
d. help the client accept positive and negative feelings
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SITUATION: A male who is dying from acquired
immunodeficiency syndrome (AIDS) is admitted to the
psychiatric unit because according to the family
members, he attempted to commit suicide. His close
friend recently died from AIDS.
71. The nurse carries out suicide precautions. One of the
staff members remarks that it is not necessary
because the client is dying anyway. The nurse should
a. Agree with the staff member and discontinue with
suicide preparation
b. Assign the staff member who made such comments
to another client
c. Call for a multidisciplinary staff meeting
d. Request the psychiatrist to talk with the staff
member
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72. The client begins to talk about his feelings related to
his illness and the loss of his friend. He cries while
talking to the nurse. Which of the following would be
the nurses best response?
a. Tell him it is okay to cry
b. Change the subject
c. Try to appear busy
d. Tell him to stop crying
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73. The nurse who is usually most effective when caring
for a dying client is one who:
a. Attends contemplated his or her own death and
dying
b. Has contemplated his or her own death and
mortality
c. Views dying people as distinct population of
people in need of comfort
d. Can provide compassionate and physical care
while remaining distant emotionally
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74. Which of the following philosophies would most likely


help the client and his family best cope during the final
stages of the clients illness?
a. Expect the worst and be grateful when it does not
happen
b. Plan ahead for the remaining good times that will
be spent together
c. Live each day as it comes as fully as possible
d. Relive the pleasant memories of days gone by
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75. Which of the following behaviors and reactions the
nurse may expect to observe in a client who is going
through the dying process?
a. Fear and anxiety
c. indifferent
b. Aggression
d. focus is external
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SITUATION: The nurse in a mental health facility
assists in the care of patients with anxiety and stress
disorders.
76. The most effective nursing intervention for a severely
anxious patient who is seen pacing vigorously in the
hall would be to:
a. Instruct the patient to sit down and quit pacing
b. Place the patient in bed to reduce stimuli and
allow him to rest
c. Allow the patient to walk until he is physically tired
d. Give the patient PRN medication and walk with
the patient at a gradually slowing pace
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77. A patient Is experiencing a high degree of anxiety. It is
important for the nurse to recognize if additional help is
required because
a. Being alone with an anxious patient is dangerous
b. It will take another person to direct the client into
activities to relieve anxiety
c. Hospital protocol for handling anxious patients
requires at least two people
d. If the patient is out of control, another person
will help to decrease his anxiety level
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78. A male patient becomes upset and breaks a chair
when a visitor he is expecting does not show up. The
first nursing intervention should be to:
a. Set limits and restrict the patients behavior
b. Stay with the patient during the stressful time
c. Ask direct questions about the patients behavior
d. Plan with the patient for how long he can better
handle frustration
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79. Person with personality disorders tend to be
manipulators. Which principle is important for the
nurse to know in planning the care of a person with
this diagnosis?
a. The establishment of a nurse-client relationship
will decrease the patients manipulation
b. The nurse should appeal to the patients sense of
loyalty in adhering to the rules
c. The nurse should allow manipulations so as not to
raise the patients anxiety
d. When the patients manipulations are not
successfully, anxiety will increase

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80. A patient with a diagnosis of obsessive-compulsive
disorder constantly does repetitive cleaning. The nurse
knows that this behavior is most probably an attempt
to:
a. Control others
b. Decrease the time available for interaction with
people
c. Decrease the anxiety to a tolerate level
d. Focus attention on non-threatening tasks
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SITUATION: The nurse cares for a 55 year old male
patient who had heart failure (HF) and is depressed.
The nurse read a recent study which revealed that
while depressed patients may have higher risk of
heart failure; patients suffering from cardiovascular
disease are more prone depressive symptoms
81. A term for a chronic depressive state in which the
patient experiences fewer than five symptoms of
depression that last at least for two years is called:
a. Major depression
c. Dysthymia
b. Depressive psychosis d. Minor depression
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82. Mood disturbance among patients with chronic heart
failure is greatest among those who:
a. Had previously led extremely active social lives
b. Were most uncertain about how the disease
would progress
c. Were unable to continue working
d. Also had other cardiovascular disorders
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83. According to a study conducted in 2003, major
depression is most prevalent among those who are:
a. Younger than 60 years old
c. Female
b. Male d. Older than 80 years old
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84. The risk of dying within a year of diagnosis among
patients with heart failure and with major depression
is:
a. Twice that of patients with heart failure without
major depression
b. About the same as that of patients with heart
failure without major depression
c. Three times that of patients with heart failure
without major depression
d. Half that of patients with heart failure without major
depression
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85. Compared with pharmacologic intervention in patients
with both heart failure and depression, psychosocial
and psychotherapeutic interventions:
a. Are undesirable for most patients
b. Take longer to be effective
c. Tend to increase dyspnea
d. Are considerable less effective
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SITUATION: A nurse reviews the theories and
approaches used in psychiatric care

ST. LOUIS REVIEW CENTER INC. BAGUIO BRANCH / TEL. # (074) 445-8085 / 300-2085

86. According to Freudian theory, a client who is extremely


hostile to a person he just met without apparent
reason is exhibiting a phenomenon called:
a. Splitting
c. triangulation
b. transference d. intellectualization
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87. According to behavioral theories, symptoms are
described as:
a. Learned behaviors that are maintained
because they are reinforced
b. A response to anxiety arising from interpersonal
relationships
c. A combination of past unresolved problems and
current problems
d. Internal conflicts arising from early childhood
trauma
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88. According to psychological theories, treatment of
symptoms should involve which of the following
actions?
a. Using desensitization
b. Using family therapy
c. Uncovering past events
d. Modifying behavior by manipulating the
environment
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89. The nurse recalls that using groups in psychotherapy
is advantageous because group therapy:
a. Fosters the physician-client relationship
b. Fosters a new learning environment
c. Decreases the focus on the individual
d. Confronts individuals with their shortcomings
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90. One of the curative factors of group therapy, which
assists group participants in recognizing common
expressions and responses is:
a. Altruism
c. Existential factors
b. Universality
d. Catharsis
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SITUATION: A nurse cares for a female client with
suspected paranoid personality disorder.
91. Which of the following traits is expected from a client
with paranoid personality disorder? The client
a. cant follow limits set on behavior
b. is afraid another person will inflict harm
c. avoids responsibility for health care actions
d. depends on others to make important decision
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92. Which of the following behaviors is characteristic of a
client with paranoid personality disorder?
a. exhibitionist
b. impulsive
c. secretive
d. self-destructive
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93. Which of the following types of behavior is expected
from a client diagnosed with paranoid personality
disorder?
a. eccentric

b. exploitative
c. hypersensitive
d. seductive
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94. Which of the following characteristics is expected of a
client with paranoid personality disorder who receives
bad news? The client
a. is overly dramatic after hearing the facts
b. focuses on self to not become overanxious
c. responds from a rational, objective point of
view
d. doesnt spend time thinking about the information
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95. The client with paranoid personality disorder discusses
current problems with her nurse. Which of the
following nursing interventions has priority in the care
plan? Have the client
a. look at sources of frustration
b. focus on ways to interact with others
c. discuss the use of defense mechanisms
d. clarify thoughts and beliefs about an event
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______________________________________________
______________________________________________
Situation: The nurse in a mental health facility assists
in the care
96. Which of the following conditions is correct about fear
and anxiety?
a. decrease respiratory rate
b. Activate the fight or flight survival response
c. Abnormal reactions to a perceived threat
d. Decrease heart rate
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______________________________________________
______________________________________________
97. A pattern of excessive anxiety and worry about certain
events or activities that lasts 6 months or longer
characterizes:
a. generalized anxiety disorder
b. Panic disorder
c. Obsessive compulsive disorder
d. Procedural anxiety
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______________________________________________
98. Signs and symptoms experienced by a patient with
generalized anxiety disorder include:
a. fear of dying
b. a feeling of detachment from reality
c. difficulty in concentrating
d. chest pain
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99. A fear of dying or losing control characterizes:
a. procedural anxiety
b. social anxiety disorder
c. panic disorder
d. generalized anxiety disorder
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______________________________________________
100.
Which of the following disorders is characterized
by a persistent, unwanted, intrusive idea?
a. obsessive compulsive disorder
b. social anxiety disorder
c. post traumatic stress disorder
d. panic disorder

ST. LOUIS REVIEW CENTER INC. BAGUIO BRANCH / TEL. # (074) 445-8085 / 300-2085

______________________________________________
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Better a little with


righteousness than much
gain with injustice

ST. LOUIS REVIEW CENTER INC. BAGUIO BRANCH / TEL. # (074) 445-8085 / 300-2085