“Psychiatric Mental Health Nursing Test Part 1” plus 1 more nursing article(s): NursingCrib.com Updates

---

Psychiatric Mental Health Nursing Test Part 1 Posted: 26 Nov 2010 01:01 AM PST December 2010 Nursing Board Exam Review Questions on Psychiatric Nursing. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more of this soon. 1. Your patient is very dependent and submissive. There are times that the patient is very clingy. This behavior reflects what type of personality disorder? a. Antisocial personality b. Dependent Personality c. Manic behavior d. Anxiety disorder 2. The appropriate therapeutic distance between you and a psychiatric patient is? a. 12 inches b. 35 inches c. 12 feet d. 4 feet 3. Nurse Anna is instructing the new nurse to the psychiatric set-up. She also reminded her to use her therapeutic communication skills in dealing with clients. Which of the following techniques enlaces therapeutic communication? a. What are you thinking about? b. What made you think that way? c. Why did you say that? d. Let's not talk about that. What do you think? 4. Mr. Juan is diagnosed with Alzheimer's disease. The nurse's intervention should focus on helping the client be oriented with the physical set-up and daily events. Which of the following is the most effective nursing intervention in orienting patients who has Alzheimer's disease? a. Encourage the client to talk to family members to reminisce things b. Provide simple and easily understood directions c. Perform tasks with a variety of activities each day d. Have the client socialize with other patients 5. A therapy that focuses on the remotivation of clients by directing their attention outside themselves to relieve preoccupation with personal thoughts, feelings, and attitudes is known as: a. Pharmacologic therapy b. Music therapy c. Occupational therapy d. Recreational 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 room she hugged him and cried with him. This is an example of: a. Counter-transference b. Transference c. Resistance d. Denial 7. A schizophrenic client is under your care. In reinforcing the functional behavior of this client what will the nurse do? a. Enumerate the symptoms of schizophrenia to the client b. Correct delusional thoughts to orient to reality c. Compliment the client for cessation of acting out behaviors d. Encourage the client to drink his medications religiously 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 the client. During the interview, the client is very manipulative and aggressive and impulsive. What personality disorder most likely the client has? a. Antisocial b. Histrionic c. Narcissistic d. Borderline 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 when you cut yourself?" what type of nontherapeutic communication is the nurse using? a. Defending b. Testing c. Making stereotyped comments d. Disagreeing 10. A therapy that assists with discharge planning and rehabilitation, focusing on vocational skills and activities of daily living (ADL) to raise self-esteem and promote independence is called: a. Behavior modification b. Milieu therapy c. Recreational therapy d. Occupational therapy 11. Nurse Marie is caring for a patient that underwent alcohol detoxification. Which of the following symptoms would Nurse Marie be most concern? a. Fever b. Delusions c. Excessive sweating d. Increase BP 12. The Distance that is observed when family members or friends are talking is under what zone: a. Intimate b. Therapeutic c. Personal d. Social 13. The client is sharing Nurse Marie about his experiences. Suddenly, he 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? a. Exploring b. Focusing c. Encouraging expression d. General leads 14. In a therapeutic communication, "why questions" are discouraged. For what reason is this question not useful? a. The question is intimidating and the client may be defensive in trying to explain him/herself. 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. c. It indicates that the client is right rather than wrong. d. It tends to make the client used and invaded. 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 is depressed. In caring for this patient what is the most important consideration? a. Administering antidepressant medications b. Alcohol detoxification c. Allowing the client to participate in a therapy d. Close monitoring 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 he wants to kill himself is a/an: a. Covert cues b. Abstract messages c. Concrete messages d. Overt cues 17. A client was admitted due to self-mutilation. One day during one of the sessions, the client told the nurse that cutting himself feels great. What would be the nurse's best response? a. "Do you know the risks involved when you cut yourself?" b. "I don't want to hear about that!" c. "The behavior of cutting is not acceptable." d. "Tell me more about that." 18. 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 when you cut yourself?" what type of nontherapeutic communication is the nurse using? a. Defending b. Testing c. Making stereotyped comments d. Disagreeing 19. Restraints are only used for a certain reason. Which of the following is an appropriate reason for placing a client in restraints? a. Punishment for stealing the other client's things b. Self- harming behaviors c. Verbal abuse d. Not drinking medications 20. If a client is on restraints which of the following would the nurse do? 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 d. monitor the extremity circulation 21. A client is scheduled for an electroconvulsive therapy (ECT). Which of the following medications can be given to the client before the procedure? a. Atropine b. Epinephrine c. Hydralazine d. Phenobarbital 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 be accomplished? a. A signed informed consent by a client's family member b. A signed informed consent by a 23-year old client who has voluntarily admitted himself in the unit. c. A signed informed consent of a 23-year old client's parent d. A signed informed consent by a 17-year old client 23. The client says that he is hearing voices. What is nurse's initial response? a. "I don't hear any voices." b. "From where are those voices coming from?" c. "What are the voices telling you?" d. "Are you sure about that?" 24. What is the most important criteria that must be accomplished by the nurse before dealing with psychiatric patients? a. Salary rate b. Self-awareness c. Self-understanding d. Standard of nursing practice 25. If a client is a chain smoker, how should his medication dosage be adjusted? a. Same medication dose b. Increase the dose c. Decrease the dose d. Withhold the dose Related posts: Nursing Board Review: Psychiatric Nursing Practice Test Part 2 Nursing Board Review: Psychiatric Nursing Practice Test Part 1 Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 1

Principles of Sterility – Principle 3, 4 and 5 Posted: 25 Nov 2010 11:44 PM PST Principle Number 3: Tables are only sterile at Table Level Edges and sides of the table drape are considered contaminated. Below the table level is also considered unsterile. Any sterile person who touches a part of the drape hanging below the table level is considered unsterile. Any object or equipment that drops below the table surface is considered contaminated. In unfolding and placing a sterile drape any portion of that falls below the table surface is unsterile and should not be moved or touched or brought back up to the level of the table. To prevent cords and tubing from sliding to the edge of the table, it should be fastened with a non-sharp device or object. Principle Number 4: Sterile Persons Touch ONLY Sterile Items while Unsterile OR Personnel Touch Only Unsterile Items Sterile OR personnel comes in direct contact with persons who wears gowns and gloves only. The items that they will touch are the sterile equipments. Any supply brought by an unsterile staff should transfer the item in a sterile manner. Unsterile OR personnel (circulator), should not directly come in contact with a gowned and gloved person. Principle Number 5: Unsterile persons avoid reaching over sterile field and sterile persons avoid touching or leaning over an unsterile area. In cases where a solution has to be poured into a sterile basin, the unsterile OR personnel should only hold the lip of the bottle over the basin to prevent any contact with the sterile area. To prevent the circulator from reaching over a sterile area when pouring solutions, the scrub person places the basin and glasses or any container for solutions near the edge of the table. This prevents the circulator from reaching over the sterile area by just standing near the edge of the table to fill the container with the liquid solution. When surgeons perspire on their brows, he or she should to turn away from the sterile field and have the sweat removed by the circulator. In draping or covering an unsterile table the scrub person drops the sterile drape at the center of the table while holding the fan-folded drape high and standing back from the table to protect the sterile gown. Sterile gloves are protected by cuffing a drape. The sterile OR personnel should place the gloved hands inside the sterile part of the drape. The scrub person unfolds the drape towards him or herself first to allow him or her to move closer to the table when working on the opposite side of the table since the first part of the unfolded drape now protects the sterile gown. Related posts: Principles of Sterility – Principles 1 & 2 PRINCIPLES OF ASEPTIC TECHNIQUE Principles of Surgical Asepsis

You are subscribed to email updates from Nursing Crib To stop receiving these emails, you may unsubscribe now.	Email delivery powered by Google
Google Inc., 20 West Kinzie, Chicago IL USA 60610