EXAM PREPARATION

ANSWERS
1. Delirium tremens is associated with all, except
A. Hypothermia
B. Rapid pulse
C. Coarse tremors
D. Clouding of consciousness
E. Albuminuria
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2. Features of delirium are all, except
A.Fast EEG rhythm
B.Visual hallucinatons
C.Altered sensorium
D.Clouding of consciousness
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3. Visual hallucinatons, illusions, fugue, disorientaton are
typical features of
A. Schizophrenia
B. Delirium
C. Dissociatie disorders
D. Dementa
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4. Impaired consciousness, visual hallucinatons, hyperactvity
and fragmentary delusions are typically seen in
A. Dementa
B. Schizophrenia
C. Delirium
D. Delusional disorder
E.
5. Clouding of consciousness is characteristc of
A. Hysteria
B. Delirium
C. Schizophrenia
D. Dementa
6. Patents sufering from which of the following conditons are
also called "Sundowners"?
A. Delirium
B. Alcoholic hallucinosis
C. Dementa
D. Schizophrenia
E.
7. To prevent and treat delirium tremens, it must be recognized
that
A.Electrolyte imbalance should be corrected
B.Patent must be well hydrated
C.Onset occurs 72-96 hours afer alcohol withdrawal
D.All are true
E.
8. Which of the following is the most accurate in regard to
dementa?
A.Auditory hallucinaton
B.Reiersible
C.Impairment of memory
D.Primary delusions
9. Which of the following is the most accurate in regard to
dementa?
A.Auditory hallucinaton
B.Reiersible
C.Impairment of memory
D.Primary delusions
10. A delirium associated with glossits, stomatts, and
dermatts is suggestve of
A.Wernicke's syndrome
B.Porphyria
C.Pellagra
D.Myxoedema
11. Which of the following conditon is believed to be caused by
chronic infecton of the brain by the spirochete Treponema
pallidum?
A.Creutzfeldt–Jakob disease (CJD )
B.Huntngton's Chorea
C.Parkinson's disease
D.General paresis of the insane (GPI) - Given
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12. The most common post-operatve psychiatric conditon is
A. Delusional disorder
B. Depression
C. Delirium
D. Mania
E. personality disorders
13. The most common cause of dementa is
A.General paresis of insane
B.Multple sclerosis
C.Alzheimer's disease - Given
D.Mult infarct lesion
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14. The preferred drug of treatment in delirium is
A.Clozapine
B.Chlorpromazine
C.Resperidone
D.Thioridazine
E.Haloperidol
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15. Excessive sexual desire in women is termed as
A.Nymphomania
B.Frigidity
C.Vaginismus
D.Satyriasis
16. According to Freud, the term used for "that force by which the sexual
instnct is represented in the mind" is:
A. Dispositons
B. Narcissism
C. Condensaton
D.Libido
17. Sexual gratfcaton by rubbing against or touching a
nonconsentng person is termed as
A.Exhibitonism
B.Voyeurism
C.Froteurism
D.Fetshism
18. Persistent or recurrent tendency to observe unsuspectng persons,
naked disrobing or engaged in sexual actvity is termed as
A. Sadism
B. Froteurism
C. Exhibitonism
D.Voyeurism
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19. The charge nurse of a psychiatric unit is planning the client
assignment for the day. The most appropriate staf to be assigned
to a client with a potental for violence is which of the following:
A.A tmid nurse
B.A mature experienced nurse
C.an inexperienced nurse
D.a sof spoken nurse
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20. The client who joins a support group and frequently
preaches against abuse, is demonstratng the use of:
A.projecton - Giien
B.ratonalizaton
C.reacton formaton
D.denial
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21. Situaton: Clients with personality disorders have difcultes in their
social and occupatonal functons. Clients with personality disorder will
most likely:
A.Seek treatment willingly from some personally distressing
symptoms
B.respond to antanxiety medicaton
C.recoier with therapeutc interienton
D.manifest enduring paterns of infexible behaviors
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22. Clients who are suspicious primarily use projecton for
which purpose:
A.to show resentment towards others
B.manipulate others
C.to deal with feelings and thoughts that are not acceptable
D.deny reality
23. A client tends to be insensitve to others, engages in abusive
behaviors and does not have a sense of remorse. Which
personality disorder is he likely to have?
A.Paranoid
B.Histrionic
C.Antsocial
D.Narcissistc
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24. The nurse closely observes the client who has been displaying
aggressive behavior. The nurse observes that the client’s anger is
escalatng. Which approach is least helpful for the client at this tme?
A.Maintain a safe distance from the client
B.Acknowledge the client’s behaiior
C.Initate confnement measures
D.Assist the client to an area that is quiet
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25. A teenage girl is diagnosed to have borderline personality disorder.
Which manifestatons support the diagnosis?
A.Preoccupaton with perfectonism, orderliness and need for control
B.Lack of self esteem, strong dependency needs and impulsiie
behaiior
C.social withdrawal, inadequacy, sensitvity to rejecton and critcism
D.Suspicious, hyperiigilance and coldness
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26. Situaton: A 42 year old male client, is admited in the ward because
of bizarre behaviors. He is given a diagnosis of schizophrenia paranoid
type. The client should have achieved the developmental task of:
A.Ego integrity is. despair
B.Trust is. mistrust
C.Industry is. inferiority
D.Generatvity vs. stagnaton
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27. The plan of care for clients with borderline personality
should include:
A.Restrictng her from other clients
B.Limit setng and fexibility in schedule
C.Ensuring she adheres to certain restrictons
D.Giiing medicatons to preient actng out
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28. The plan of care for clients with borderline personality
should include:
A.Restrictng her from other clients
B.Limit setng and fexibility in schedule
C.Ensuring she adheres to certain restrictons
D.Giiing medicatons to preient actng out
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29. Situaton: nowledge and skills in the care of violent clients is vital in the
psychiatric unit. A nurse observes that a client with a potental for violence is
agitated, pacing up and down the hallway and making aggressive remarks.
Which of the following statements is most appropriate to make to this patent?
A.You need to stop that behaiior now.
B.You will need to be restrained if you do not change your behaiior.
C.You will need to be placed in seclusion.
D.What is causing you to become agitated?
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30. Five months afer the incident the client complains of
difculty to concentrate, poor appette, inability to sleep and
guilt. She is likely sufering from:
A.Somatoform Disorder
B.Adjustment disorder
C.Post traumatc disorder
D.Generalized Anxiety Disorder
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31. Situaton: A 29 year old client newly diagnosed with breast cancer
is pacing, with rapid speech headache and inability to focus with what
the doctor was saying. The nurse assesses the level of anxiety as:
A.Mild
B.Severe
C.Moderate
D.Panic
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32. Which of the following medicatons will likely be ordered for
a client with anxiety?
A.Valium
B.Prozac
C.Lithium
D.Risperdal
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33. During the inital care of rape victms the following are to
be considered EXCEPT:
A.Maintain a non-judgmental approach.
B.Accompany the client in the examinaton room.
C.Touch the client to show acceptance and empathy
D.Assure priiacy.
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34. The client on Haldol has pill rolling tremors and muscle
rigidity. He is likely manifestng:
A.dystonia
B.tardiie dyskinesia
C.Pseudoparkinsonism
D.akinesia
35. Crisis interventon carried out to the client has this primary
goal:
A.Help her return to her pre-rape level of functon
B.Assist the client to express her feelings
C.Support her adaptie coping skills
D.Help her identfy her resources
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36. The most critcal factor for nurse Afa to determine during
crisis interienton would be the client’s:
A. Aiailable situatonal supports
B. Willingness to restructure the personality
C. Underlying unconscious confict
D. Deielopmental theory
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37. Nurse Gify is aware that a serious efect of inhaling
cocaine is?
A. Acute fuid and electrolyte imbalances
B. Deterioraton of nasal septum
C. Extra pyramidal tract symptoms
D. Esophageal iarices
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38. A 48 year old male client is brought to the psychiatric
emergency room afer atemptng to jump of a bridge. The
client’s wife states that he lost his job seieral months ago and has
been unable to fnd another job. The primary nursing interienton
at this tme would be to assess for:
A. Feelings of excessiie failure - Giien
B. The presence of marital difcultes
C. Current plans to commit suicide
D. A past history of depression
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39. Francis who is addicted to cocaine withdraws from the
drug. Nurse Alpha should expect to obserie:
• Hyperactvity
• Delirium
• Suspicion
• Depression
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40. Kris periodically has acute panic atacks. These atacks are
unpredictable and haie no apparent associaton with a
specifc object or situaton. During an acute panic atack, Kris
may experience:
A. Heightened concentraton
B. Decreased perceptual feld
C. Decreased cardiac rate
D. Decreased respiratory rate
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41. Nurse Opoku is aware that the therapy that has the highest success
rate for people with phobias would be:
A. Systematc desensitzaton using relaxaton technique
B. Insight therapy to determine the origin of the anxiety and
fear
C. Psychotherapy aimed at rearranging maladaptie thought
process
D. Psychoanalytcal exploraton of repressed conficts of an
earlier deielopment phase
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42. Kakari, age 85, with major depression undergoes a sixth
electroconiulsiie therapy (ECT) treatment. When assessing the
client immediately afer ECT, the nurse expects to fnd:
A. Permanent short-term memory loss and hypertension
B. Transitory short and long term memory loss and confusion
C. Permanent long-term memory loss and hypomania
D. Transitory short-term memory loss and permanent long-term
memory loss
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43. Barbara with bipolar disorder is being treated with lithium
for the frst tme. Nurse Clint should obserie the client for
which common adierse efect of lithium?
A. Constpaton
B. Polyuria
C. Seizures
D. Sexual dysfuncton
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44. Discharge instructons for a male client receiiing tricyclic
antdepressants include which of the following informaton?
A. Don’t consume alcohol
B. Restrict fuid and sodium intake
C. Restrict fuids and sodium intake
D. Discontnue if dry mouth and blurred iision occur
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45. The nurse understands that the therapeutc efects of
typical antpsychotc medicatons are associated with which
neurotransmiter change?
A. Stmulaton of GABA
B. Stabilizaton of serotonin
C. Decreased dopamine level
D. Increased acetylcholine leiel
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46. A client is admited to the hospital. Twelve hours later the nurse
observes hand tremors, hyperexicitability, tachycardia, diaphoresis
and hypertension. The nurse suspects alcohol withdrawal. The nurse
should ask the client:
a. at what tme was your last drink taken?
b. Why didn’t you tell us you’re a drinker?
c. Do you drink beer or hard liquor?
d. How long haie you been drinking?
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47. The most efectve treatment modality for persons if ant-social
Personality Disorder is
a. hypnotherapy
b. gestalt therapy
c. behavior therapy
d. crisis interienton
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48. Which of the f: is not a characteristc of PD?
a. disregard rights of others
b. loss of cognitve functoning
c. fails to conform to social norms
d. not capable of experiencing guild or remorse for their behaiiour
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49. Freud stresses out that the EGO
a. Distnguishes between things in the mind and things in the reality.
b. Moral arm of the personality that striies for perfecton than
pleasure.
c. Reserioir of instncts and driies
d. Control the physical needs instncts
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50. The client ients out the following statement: “I am iery upset with
what happened to my wife. She lef me without saying anything. I am
nothing now.” Which statement describes ialidatng as a response from
a nurse?
a. “Maybe she lef you because you were drinking too much.”
b. “Don’t’ worry she will realize how much she loied you and will come
back.”
c. “You’re telling me that you were very sad because of your wife
leaving, isn’t it?”
d. “She was wrong in leaiing you.”
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