Psychiatric Nursing

Situation : Mrs. Andrea Torresi brought her son, Juanito, age 3 to the Pediatric clinic. She noticed that her son is not speaking and tend to repeat everything she says. The mother also told the nurse that Juanito prefers to be alone, will cry when someone will come near him and tend to rock himself from morning till he will fell asleep. An essential clinical feature of autistic disorder is:

Typically, if there is a change in the environment, the child will manifest which of the following?

If a child with autism develops destructive behavior, The drug of choice that the nurse will expect that the physician will give to control self injury is:

There is no definite cause identified for autism, but a strong link has been found on:

Headbanging is a common manifestation of an autistic child. A relevant nursing diagnosis would be:

Situation : Mastery of Psychotropic medications is necessary for the therapeutic improvement in the health of the psychiatric clients. Lithium is only given:

Which of the following class of antidepressant is the least sedating?

The best treatment approach for autistic children is encouraging their desired behavior through positive reinforcement. This is:

Initially, the nursing diagnosis would be:

Chlorpromazine was given to the child. Which is true with regards to this medication?

The nurse should expect that a client who checks the medication is a non-complaint patient. Knowing the non compliance is the single most important factor for exacerbation and rehospitalization, the doctor ordered Prolixin [Fluphenazine Decanoate]. The nurse knows that is it given:

The nurse knows that the relationship between sodium and lithium is that:

Which of the following is an antidepressant?

Situation : Mang Cardo, Age 72, is a widower with moderate Alzheimer’s disease. Was brought to the home for the Aged by his married daughter. On admission, she says to the nurse, “I never thought this would happen to us. I really feel guilty about bringing him here, I can’t bear to part with him.” The nurse’s therapeutic response to Mang Carlos’ daughter is:

To guide the nurse in planning activities for Mang Carlos, The nurse should prioritize soliciting which information?

Mang Cardo has been talking about how he got his scratch on his left arm, he told you that it was caused by a shard of glass that touches his skin accidentally. The next day, he told you that the scratch was caused by a knife he did not see that it fell from the table towards his arms. The next day, he said it was bitten by an ant and he scratched it because it was itchy. This is a symptom seen in Dementia known as:

One morning, Mang Cardo has difficulty putting his pyjamas. In Alzheimer’s disease, this is known as:

Cardo appears to be awake and restless throughout the night, Which of the following is the medication you are expecting to be given?

The mother of Juanito, 5-years -old asked the nurse, When is autism diagnose? The nurse will respond:

Which of the following is true about Autism?

According to freud, Juanito is at what psychosexual stage?

Which of the following must be considered while planning activities for the depressed patient?

Situation : A nurse is working with an aggressive client in the psychiatric unit. All of the following concepts are true EXCEPT:

A patient in the ward suddenly slapped you in the face and spitted on your face and is obviously agitated and violent. Which of the following is the best nursing action?

The client said “I am troubled that my Son is starting to use drugs.” The nurse replied, “It’s troubling and painful for you, I feel sorry about this.” The nurse’s reply is an example of:

Situation: In your professional nursing role, it is essential to establish a meaningful nurse-patient relationship. A helping nurse patient relationship is characterized by which of the following?

Tacrine was given to the client and the nurse knows that which of the following enzyme is periodically checked?

Which of the following is an accurate way of reporting and recording an incident?

A client with Alzheimer’s disease mumbles incoherently and rambles in a confused manner. To help redirect the client’s attention, the nurse should encourage the client to:

Therapeutic communication begins with:

Which of the following approaches will most likely make your patient accept your help?

Which of the following is the cause of Dementia of the Alzheimer’s type?

To maintain a therapeutic eye contact and body posture while interacting with angry and aggressive individual, the nurse should:

Mrs. Dizon was visiting her son at the Psychiatry Ward. Which of the following items will the nurse not allow to be brought inside the ward?

The initial sign of Dementia is:

To encourage thought, which of the following approaches is NOT therapeutic?

Which of the following will probably be most therapeutic for a patient on a behavioral modification ward?

Demonstrating a helping relationship enables you to establish in the patient:

A patient grabs and about to throw it. The nurse best responds saying.

Carlo is acting out hostile and aggressive feeling by kicking the chairs in the room. the MOST effective way to deal with Carlo’s behavior is initially to:

Situation: Mental Retardation is an increasingly common childhood disorder that impairs learning. Mental retardation is:

The client’s past reactions to ending relationships is withdrawal. The nurse assists her to practice better ways of coping termination by providing opportunities to:

Preparation for termination of the nurse-patient relationship begins during the:

The onset of mental retardation is before the child reaches what particular age?

Situation : Margie has been diagnosed with Bipolar I disorder. The client demonstrates extreme psychomotor agitation, flight of ideas, loud talking and elated mood. Which of the following is true about manic reaction?

Nursing care plan for a client with Mania like Margie should give priority to:

A child with an IQ of 35-49 is:

The child was classified as having an IQ of 55. This is said to be:

The doctor ordered lithium. You know that this is indicated in patients with:

A male nurse reminds the client that is already time for group activities, The client responded by yelling to the nurse “You are always telling me what to do! Just like my father!” This is an example of:

The possible nursing diagnosis for a mentally retarded child who is hyperactive is:

The longest and the most productive phase of the NPR is:

Which of the following is true with regards to mental retardation?

Which of the following is true with regards to Mild Mental Retardation?

An important principle for the nurse to follow in interacting with retarded children is:

Which of the following is a suitable activity that a nurse should assign for a Manic client?

A tranquilizing agent given in calming a hyperactive mentally retarded is:

During a nurse patient interaction, Margie jumps rapidly from one topic to another. This is known as:

The objection of the nurse-patient relationship is to provide an opportunity of the patient to:

This form of psychotherapy allows the child to experience and express intense or troubling emotion in a safe environment with a caring individual:

A nurse, who is proficient in computers and information technology that uses these advantages to promote effective and secured use of computerized record is referred to as:

What specimen is taken from a client when checking the lithium level of the body?

Lithium has a narrow therapeutic range of:

The defense mechanism commonly used by these clients is:

Which of the following is NOT a drug use to augment lithium toxicity?

This is a type of a computerized recording system that enables hospitals to organize various data such as admission, records, clinical laboratory, pharmacy, inventory and finance.

Which of the following is a side effect of lithium toxicity?

A textbook publisher wants to store large amount of data in a computer format that cannot be changed by other people. Which of the following would best serve this purpose?

Initially, the relevant nursing diagnosis the nurse includes in her care plan is:

Situation: Celina age 25, a ramp model, suddenly became blind after her boyfriend broke off with her. A thorough workup did not reveal any pathological findings. The loss or alteration of physical functioning without organize cause bit is an expression of a psychological needs is known as:

An effective modality of treatment for Celina would be:

An appropriate nursing intervention which can help Celina is:

Situation : Nursing informatics is a way of using information technology, computers and the internet in the improvement of nursing care. The first nursing informatics conference was held during 1977. The ANA recognized nursing informatics heralding its establishment as a new field in nursing during what year?

The challenge most associated with the utilization of an electronic record system is which of the following?

When is the first certification of Nursing Informatics given?

Which of the following is the three (3) integrated components of the nursing informatics? 1 Nursing science, 2 Computer science, 3 Health science, 4 Information science

The nurse has a standing order of Lithium for Margie. If the lithium level is 1.5 mEq/L, the nurse knows that she should:

A client insists that the practitioner use a treatment method discovered on an internet database. Which of the following response is most appropriate?

You are to research the different types of oxygen delivery system. From the nasal cannula up to the venturi mask. Using nursing informatics, you found out different sources of information. One of the question that needs to be answered in your research is “What type of oxygen delivery system is the most comfortable?” you will answer:

One advantage of a computerized recording system is that:

Situation: A nurse should be aware that some problems in the emergency setting are not always physiologic. Sometimes, Crisis can affect the patient in an emergency setting. Which of the following statements best describes acquaintance rape?

Situation : You are a nurse working in the medical ward. Mr. E.O. age 52 had a laryngectomy due to cancer of the larynx. Discharge instructions are given to Mr.F.O. And his family. Which response by written communication from Mr. F.O. Or verbal response from the family, will be a signal to the nurse that the instructions need to be clarified?

A mother who is pregnant and has ovarian cancer has to undergo surgery to treat the cancer. In the process the fetus died. The doctrine that justifies the death of the fetus is:

Which of the following is an example of hostile environment in terms of sexual harassment?

Medical gases are used a lot in the OR. Some gases are used to operate equipment and some are used to administer general anesthesia through inhalation. What is the identifying color of the tank which contains ‘laughing gas’?

Situation : Records and Records management is one of the core of professional nursing practice. The National Archives of the Phils. (NAP) is mandated by R.A. 9470 of 2007 to plan, formulate and implement records management and archival administration program for the efficient action, utilization, maintenance, retention, preservation, conservation and disposal of public records including the adoption of security measures and vital records protection program for the government and give technical assistance to

What is an example of a subjective data?

Charting should be legible and include only standard abbreviations. Which of the following is NOT a standard abbreviation?

For pediatric patients, the spinal set is coded with color:

If The research team finished the research about Ana’s case and they are done disseminating data and after the report has been completed and written, Pre-processed data about Ana should be:

An 18-year-old male client was rushed to the hospital due to burns, bruises and cuts on the face and body. The teenager confessed that he was raped by 4 of his classmates, all of which are also male. Male to male rape also occurs and the nurse must know that:

If the anaesthesiologist asked for a 22 gauge spinal set, the nurse knew that the color of the set that she will obtain is:

All of the following are purposes of the chart EXCEPT:

Dr. Tuazon scheduled Mrs. Poe for a right breast mass incision with frozen section and possible mastectomy on Monday, first case. As the nurse in-charge for scheduling you will collaborate with the following departments EXCEPT:

Male to male rape is also another problem that a nurse can encounter. The nurse knows that in male to male rape, The perpetrator is usually:

An anesthesiologist is preparing to do a spinal anesthesia to a 220 lb, 30 year old athlete she request the circulating nurse to prepare a pink spinal set with another blue set as stand by. What gauge spinal sets will make available in the OR suite?

One of four factors describing the experience of sexually abused children and the effect it has on their growth and development is stigmatization. Stigma will occur when:

Situation : Some equipment and materials in our hospital are color coded, this is to increase the safety and proficiency of rendering patients care. If a nurse has been ordered to prepare a spinal set gauge 16, the nurse knew that the color for that spinal set is coded at:

A nurse is waiting for a report to be sent by fax. The machine activates but instead of the report, the nurse received a sexually oriented photograph. The MOST appropriate nursing action is to:

Ms. F.X.. Has been admitted with right upper quadrant pain and has been placed on a low fat diet. Which of the following trays would be acceptable for her?