St.

Josephs College of Quezon City

PSYCHIATRIC NURSING BSN III
Unit Test R.L.E.
LIFE CHANGE RECOVERY CENTER, Inc.
SCORE: ________
Name: __________________________________________
Last Name
I.

First Name

Date: ____________

M.I.

IDENTIFICATION Fill in the blanks with the correct answer.

A. Nurse Patient Interaction
_________________ 1. The nurse starts to define the problem and sets expectations.
_________________ 2. The client develops independent care.
_________________ 3. The nurse observes and assesses patients personality.
_________________ 4. The nurse promotes patients self-esteem.
_________________ 5. The nurse reduces the level of anxiety and fear.
B. LCRC Orientation
_________________ 6. Full name of Head Psychiatrist in LCRC.
Types of admitting clients with mental and behavioral problems:
_________________ 7
_________________ 8
_________________ 9
_________________ 10. How many regular staff nurse/s is/are hired in LCRC?
_________________ 11. Whose main responsibility do where the inspection of any object/s brought by the
patient/s before entering the room?
C. Clients with Psychiatric Disorders
_________________ 12. Cranial Nerve VIII is known as:
_________________ 13. Known as mental disorder characterized by periods of elevated mood and
periods of depression.
_________________ 14. Consists of the name, age, birthdate, address, religion pertaining to
admitting client.

II.

MULTIPLE CHOICE Choose the best answer. Write capital letters only.
_______ 15. A client was admitted recently with a diagnosis of schizophrenia, paranoid type. Since admission,
the client has had several verbal outbursts of anger but has not been violent. A staff member tells the nurse the
client is pacing up and down the hallway very rapidly and muttering in an angry manner. What would the nurse do
first?
A. prepare a PRN intramuscular injection of haloperidol (haldol) to give the client
B. observe the clients behavior and approach the client in a nonthreatening manner
C. contact the clients psychiatrist and request an order to place the client in seclusion
D. gather several staff members to approach the client together
_______16. A client with paranoid delusions believes the hospital food is being poisoned by the staff. The nurse
knows the meal presentation that is the most effective method of encouraging nutritional intake is to serve:
A. the clients favorite foods in an attractive arrangement
B. only warm foods that arrive from the kitchen with lids in place

C. individual items that are pre-packaged and sealed

D. food items that are the same as what other clients in the dining room are eating
_______ 17. The nurse understands that the best explanation for involuntary admission for psychiatric treatment
is that:
A. a psychiatrist has determined the clients behavior is irrational
B. the client exhibits behavior that is a threat to either the client or to society
C. The client is unable to manage the affairs necessary for daily life
D. the client has broken a law
_______ 18. A client who is taking chlorpromazine hydrochloride (Thorazine) is experiencing extrapyramidal sideeffects (EPS). The nurse understands that EPS is:
A. dysfunction of the cardiovascular system
B. involuntary muscle movements
C. similar to a seizure disorder
D. a toxic reaction of the liver
_______ 19. A client is admitted with a history of extremely elevated, irritable mood for a week. On assessment
the nurse notes grandiosity, insomnia, flight of ideas, and psychomotor agitation. The nurse sets as a priority
short term goal. The client will demonstrate:
A. improvement in judgement
B. adequate nutrition and rest
C. understanding of medication regimen
D. stability of mood
D. Therapeutic Communication
_______ 20. The nurse is establishing a helping relationship with the client. In addressing the client, the nurse
should:
A. Use the clients first name.
B. Touch the client right away to establish contact.
C. Sit far enough away from the client.
D. Knock before entering the clients room.
_______ 21. In using communication skills with clients, the nurse evaluates which response as being the most
therapeutic?
A. Why dont you stick to the special diet?
B. I noticed that you didnt eat lunch. Is something wrong?
C. I think you need to find another physician thats better than this one.
D. We cant continue talking about your financial problems right now. Its time for your bath.
E. Charting/Documenting
_______ 22. Guidelines should be followed when documenting client care. The nurse recognizes that the
following is the most appropriate notation:
A. 1230 Clients vital signs taken
B. 0700 Client drank adequate amount of fluids
C. 0900 Meperidine (Demerol) given for lower abdominal pain
D. 0830 Increased intravenous (IV) fluid rate to 100 ml per hour according to protocol
_______ 23. Client is wheezing and experiencing some dyspnea on exertion. This is an example of:
A. The S in SOAP documentation
B. FOCUS documentation
C. The P of PIE
D. The R in DAR documentation

Tell me and I forget, teach me and I may remember, involve me and I learn. Benjamin Franklin
Prepared by: JORIC M. MAGUSARA, RN, RPT
17 February 2016