Pychiatric Nursing - Psych 11 - Wattpad

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Pychiatric Nursing

Psych 11

1. The nurse recognized that Jimmy had conceptualized his problem and the next priority goal in the care plan is:

a. help the client find meaning in his experience
b. help the client to plan alternatives
c. help the client cope with present problem
d. help the client to communicate

2. The nurse is guided that Jimmy is aware of his concerns of the "here and now" when he crossed out which item from this "list of what to know"

a. anxiety laden unconscious conflicts
b. subjective idea of the range of mild to severe anxiety
c. early signs of anxiety
d. physiological indices of anxiety

3. While Jimmy was discussing the signs and symptoms of anxiety with his nurse, he recognized that complete disruption of the ability to perceive occurs in:

a. panic state of anxiety
b. severe anxiety
c. moderate anxiety
d. mild anxiety

4. Jimmy initiates independence and takes an active part in his self care with the following EXCEPT:

a. agreeing to contact the staff when he is anxious
b. becoming aware of the conscious feeling
c. assessing need for medication and medicating himself
d. writing out a list of behaviors that he identifies as anxious

5. The nurse notes effectiveness of Interventions in using subjective and objective data in the:

a. initial plans or order
b. database
c. problem list
d. progress notes

Situation 2 – A research study was undertaken in order to identify and analyze a disabled boy’s coping reaction pattern during stress.

6. This study which is a depth study of one boy is a:

a. case study
b. longitudinal study
c. cross-sectional study
d. evaluative study

7. The process recording was the principal tool for data collection. Which of the following is NOT a part of a process recording?

a. Non verbal narrative account
b. Audio and interpretation
c. Audio-visual recording
d. Verbal narrative account

8. Which of these does NOT happen in a descriptive study?

a. Exploration of relationship between two or more phenomena
b. Exploration of relationships between two or more phenomena
c. Manipulation of phenomenon in real life context
d. Manipulation of a variable

9. The investigator also provided the nursing care of the subject. The investigator is referred to as a/an.

a. Participant-observer
b. Observer researcher
c. Caregiver
d. Advocate

10. To ensure reliability of the study, the investigator analysis and interpretations were:

a. subjected to statistical treatment
b. correlated with a list coping behaviors
c. subjected to an inter-observe agreement
d. scored and compared standard criteria

Situation 3 – During the morning endorsement, the outgoing nurse informed the nursing staff that Regina, 5 years old, was given Flurazepam (Dalmane) 15 mg at 10:00pm because she had trouble going to sleep. Before approaching Regina, the nurse read the observation of the night nurse.

11. Which of the following approaches of the nurse validates the data gathered?

a. “I learned that you were up till ten last night, tell me what happened before you were finally able to sleep and how was your sleep?”
b. “Hmm…You look like you had a very sound sleep. That pill you were given last night is effective isn’t it?”
c. “Regina, did you sleep we!!?”
d. “Regina, how are you?”

12. Regina is a high school teacher. Which of these information LEAST communicate attention and care for her needs for information about her medicine?

a. Guided by a medication teaching plan go over with her the purpose, indications and special instructions, about the medication and provide her a checklist
b. Provide a drug literature
c. Have an informal conversation about the medication and its effects
d. Ask her what time she would like to watch the informative video about the medication

13. The nurse engages Regina in the process of mutual inquiry to provide an opportunity for Regina to

a. face emerging problems realistically
b. conceptualize her problem
c. cope with her present problem
d. perceive her participation in an experience

14. Which of these responses indicate that Regina needs further discussion regarding special instructions?

a. “I have to take this medicine judiciously.”
b. “I know I will stop taking the medicine when there is an advice from the doctor for me to discontinue.”
c. “I will inform you and the doctor any untoward reactions I have.”
d. “I like taking this sleeping pill. It solves my problem of insomnia. I wish I can take it for life.”

15. Regina commits to herself that she understood and will observe all the medicine precautions by;

a. affixing her signature to the teaching plan that she has understood the nurse
b. committing what she learned to her memory
c. verbally agreeing with the nurse
d. relying on her husband to remember the precautions

Situation 4 – The nurse-patient relationship is a modality through which the nurse meets the client’s needs.

16. The nurse’s most unique tool in working with the emotionally ill client is his/her:

a. theoretical knowledge
b. personality make up
c. emotional reactions
d. communication skills

17. The psychiatric nurse who is alert to both the physical and emotional needs of clients is working from the philosophical framework that states:

a. All behavior is meaningful, communicating a message or a need
b. Human beings are systems of interdependent and interrelated parts
c. Each individual has the potential for growth and change in the direction of positive mental health
d. There is a basic similarity among all human beings

18. One way to increase objectivity in dealing with one’s fears and anxieties is through the process of:

a. observation
b. intervention
c. validation
d. collaboration

19. All of the following response are non therapeutic. Which is the MOST direct violation of the concept, congruence of behavior?

a. Responding in a punitive manner to the client
b. Rejecting the client as a unique human being
c. Tolerating all behavior in the client
d. Communicating ambivalent messages to the client

20. The mentally ill person responds positively to the nurse who is warm and caring. This demonstration of the nurse’s role as:

a. counselor
b. mother surrogate
c. therapist
d. socializing agent

Situation 5 – The nurse engages the client in a nurse-patient interaction.

21. The best time to inform the client about terminating the nurse-patient relationship is

a. when the client asks how long one relationship would be
b. during the working phase
c. towards the end of the relationship
d. at the start of the relationship

22. The client says, “I want to tell you something but can you promise that you will keep this, a secret?” A therapeutic response of the nurse is:

a. “Yes, our interaction is confidential provided the information you tell me is not detrimental to your safety.”
b. “Of course yes, this is just between you and me. Promise!”
c. “Yes, it is my principle to uphold my client’s rights.”
d. “Yes, you have the right to invoke confidentiality of our interaction.”

23. When the nurse respects the client’s self-disclosure, this is a gauge for the nurse’s:

a. trustworthiness
b. loyalty
c. integrity
d. professionalism

24. Rapport has been established in the nurse-client interaction time. I am committed to have this time available for us while you are at the hospital and ends after your discharge.”

a. “The best time to talk is during the nurse-client interaction time. I am committed to have this time available for us while you are at the hospital and ends after your discharge.”
b. “Yes, if you keep it confidential, this is part of privileged communication.”
c. “I am committed for your care.”
d. “I am sorry, though I would want to, it is against hospital policy.”

25. The client has not been visited by relatives for months. He gives a telephone number and requests the nurse to call. An appropriate action of the nurse would be:

a. Inform the attending psychiatric about the request of the client
b. Assist the client to bring his concern to the attention of the social worker
c. “Here (gives her mobile phone). You may call this number now.”
d. Ask the client what is the purpose of contacting his relatives

...

Answers

Here are the answers for the exam. Unfortunately, rationales are not given. If you need clarifications or disputes, please direct them to the comments section and we will be glad to give you an explanation.

1. C
2. C
3. B
4. A
5. D
6. A
7. C
8. D
9. D
10. A
11. A
12. D
13. D
14. D
15. A
16. D
17. C
18. B
19. B
20. C
21. D
22. A
23. A
24. A
25. A
26. A
27. A
28. B
29. C
30. C
31. A
32. A
33. A
34. D
35. D
36. C
37. D
38. B
39. A
40. A
41. B
42. C
43. A
44. B
45. C
46. A
47. B
48. A
49. D
50. A
51. D
52. B
53. B
54. A
55. A
56. A
57. C
58. D
59. A
60. B
61. A
62. B
63. D
64. D
65. D
66. B
67. D
68. C
69. C
70. C
71. C
72. B
73. B
74. A
75. B
76. B
77. B
78. C
79. B
80. C
81. B
82. B
83. D
84. D
85. D
86. B
87. A
88. B
89. D
90. B
91. C
92. A
93. D
94. B
95. C
96. D
97. A
98. B
99. A
100. A