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WorksheetsPsych practice questions :))))
Total questions: 62
Worksheet time: 37mins
Therapeutic nurse who emphasized client relationship in psych nursing
Pepper
Peplau
Peters
Parker
What will we include in the general appearance/ motor behavior section of a psychosocial assessment?
hygiene
dressed appropriately for weather
posture
Unusual movements/mannerisms
This word is used to describe no facial expression when describing affect
(a)
Which of the following are considered thought process?
(select all that apply)
Circumstantial
loose associations
tangential
flight of ideas
Tangential thinking is...
They maintain their original train of thought but provide a lot of unnecessary details before circling back to their main point.
a disturbance in the thought process that causes the individual to relate excessive or irrelevant detail that never reaches the essential point of a conversation or the desired answer to a question.
a psychological term to describe a lack of connection between ideas.
the act of analysing a situation and coming up with a sensible solution
What is the most common type of hallucinations?
Auditory
Visual
Oflactory
Sensory
what is an illusion?
Something only a patient can see
Something that the patient feels happening to them
Something real in the environment that causes them to think something else is going on
Something that makes the patient constantly feel paranoid
How would you handle this situation???
Client asks nurse to keep this secret "I am not going to take my pills when I get discharged, please don’t tell anyone"
As a nurse, how would you respond?
"Ok, I won't tell anyone"
"I cannot keep promises if it risks your health or someone else's"
"I think you should take your pills even if you don’t want to"
"Why are you telling me this?"
Grandiose delusion
- bizarre
- implausible (captured by aliens)
-revolve around though of being harmed or sponsored again by another person or agency (harassing, spying, spreading rumors)
- exaggerated belief of one's own importance
- can be religious
-false belief that irrelevant occurrences/details in the world relate directly to oneself (radio is speaking directly to them)
persecution /paranoid delusion
- belief that something is wrong with part or whole body (have parasites or specific pain)
- exaggerated belief of one's own importance
- can be religious
-false belief that irrelevant occurrences/details in the world relate directly to oneself (radio is speaking directly to them)
-revolve around though of being harmed or sponsored again by another person or agency (harassing, spying, spreading rumors)
Ideas of reference delusions
-false belief that irrelevant occurrences/details in the world relate directly to oneself (radio is speaking directly to them)
-exaggerated belief of one's own importance
- can be religious
-revolve around though of being harmed or sponsored again by another person or agency (harassing, spying, spreading rumors)
- implausible (captured by aliens)
somatic delusions
- implausible (captured by aliens
-exaggerated belief of one's own importance
- can be religious
-revolve around though of being harmed or sponsored again by another person or agency (harassing, spying, spreading rumors)
- belief that something is wrong with part or whole body (have parasites or specific pain)
bizarre delusions
- exaggerated belief of one's own importance
- can be religious
- implausible (captured by aliens)
-false belief that irrelevant occurrences/details in the world relate directly to oneself (radio is speaking directly to them)
-revolve around though of being harmed or sponsored again by another person or agency (harassing, spying, spreading rumors)
May take several weeks of oral therapy to reach stable dosing level before transition to depot injections
TRUE
FALSE
What are some general side effects of antipsychotics?
select all that apply
Weight gain
sedation
Photosensitivity
anticholinergic sx
What are EPS?
Acute dystonic reactions
Akathisia
Parkinsonism
o Tardive dyskinesia
o Seizures
o Neuroleptic malignant syndrome
What medication is best for treating EPS?
Benztropine
(anticholinergics)
Bupropion
Muscle relaxants
Morphine
Where can a patient find the Mental Health Bill of Rights?
Copies can be distributed by the nurses
On the walls of the psych unit
If a patient has restraints on, what monitoring must be done?
SELECT ALL THAT APPLY
1-1 monitoring
Face to face every hour
Nurse documentation every 1-2 hours
If someone calls the unit asking if a person is admitted on their unit, what is the **best** way for the nurse to respond?
Try to contact the person you are looking for
See if that person has had a court date recently
No, they are not here
I cannot confirm or deny if that person is here or not
Autonomy is...
duty to benefit others or promote good
requirement to do no harm
right to self-determination, independence
obligation to honor commitments and contracts
Beneficence is.....
duty to benefit others or promote good
fairness
obligation to honor commitments and contracts
requirement to do no harm
Nonmaleficence is.....
right to self-determination, independence
requirement to do no harm
duty to benefit others or promote good
obligation to honor commitments and contracts
Justice is.....
right to self-determination, independence
honesty, truthfulness
obligation to honor commitments and contracts
fairness
Veracity is....
honesty, truthfulness
obligation to honor commitments and contracts
duty to benefit others or promote good
fairness
Fidelity is....
fairness
duty to benefit others or promote good
obligation to honor commitments and contracts
honesty, truthfulness
How do we go about nursing interventions in an escalating situation with a patient?
(think restrictiveness)
(a)
What does HD BS Network stand for when we think of the criteria for schizophrenia?
-Hallucinations
-Delusions
-Behavioral disorganization
-Speech/thought disorganization
-Negative sx
-Hallucinations
-Delirium
-Behavioral disorganization
-Sudden tremors
-Negative sx
-Hallucinations
-Delusions
-Balance problems
-Speech/ thought disorganization
-New onset memory loss
What is an example of a disorganized behavior?
Going for walks through unit
Sitting comfortably
Waving arms
What is the biggest concern with Clozapine?
Increased urine output
Agranulocytosis
Diarrhea
Hypertension
What medications should be taken with food?
(select all that apply)
Ziprazidone
Quetiapine
Risperidone
Lurazidone
Which are examples of metabolic SE?
(select all that apply)
Joint Pain
Dysregulation of glucose
Cholesterol disturbance
Weight gain
_____ hallucinations are found most often in clients undergoing alcohol withdrawal, and would be more rare in clients with schizophrenia
Olfactory
Auditory
Tactile
Visual
____ are voices demanding that the clients take action in some sort of way. It could entail harm to self or others, and is considered dangerous
Radio
Soothing
Command
This class of medication is used to target positive symptoms of schizophrenia
stimulants
antipsychotics
antidepressants
mood stabilizers
GOLD Standard med for bipolar disorder?
Clozapine
Haloperidol
Lithium
Buspirone
Never MIX _____ with any other antidepressant
(select all that apply)
St. Johns Wort
methylphenidate
MAOIs
quetiapine
Which are symptoms of Serotonin Syndrome?
Diaphoretic, hot, fever
Bradycardia
Tachycardia
Rigid muscles, restlessness
Therapeutic range for lithium?
0.5-1
0.3-0.9
0.8-1.2
1-2
What are some early indications of lithium toxicity?
(>1.5)
Ongoing GI distress
mental confusion
poor coordination
hand tremors
What is true about Carbamazepine?
(select all that apply)
It interferes with Birth control
It should not be taken with grapefruit juice
It has a black box warning for Steven Johnson’s syndrome
Can cause aplastic anemia
What is an example of a person who would receive a diagnosis of conversion?
Client who has a slam poetry performance and suddenly cannot speak
Client who suddenly hears command hallucinations
Client does not have motivation to get out of bed
Reasonings for factious behavior
parent makes child ill for money and sympathy
Client wants to avoid jail time
Client wants to gain money through go fund me page
Client wants to be gifted trips, celebrity meetings, NFL games etc.
Paranoid personality disorder
extremely distrustful and suspicious
-thinking other people are lying to them or trying to manipulate them
may appear cold and detached, and avoid making close social contact with others
likely to have poor social skills and delusional thoughts, and behave in unusual ways
sees other people as vulnerable and may intimidate or bully others without remorse
Schizoid personality disorder
emotionally unstable, has impulses to self-harm, and has very intense and unstable relationships with others
they feel a compulsion (overwhelming urge) to be noticed and the centre of everyone’s attention
may appear cold and detached, and avoid making close social contact with others
likely to have poor social skills and delusional thoughts, and behave in unusual ways
Schizotypal personality disorder
act as if they have an inflated sense of their own importance and show an intense need for other people to look up to them
likely to have poor social skills and delusional thoughts, and behave in unusual ways
appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection
show an excessive need for others to look after them and are "clingy"
Antisocial personality disorder
show an excessive need for others to look after them and are "clingy"
emotionally unstable, has impulses to self-harm, and has very intense and unstable relationships with others
appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection
sees other people as vulnerable and may intimidate or bully others without remorse
-lack concern about the consequences of their actions
Borderline personality disorder
act as if they have an inflated sense of their own importance and show an intense need for other people to look up to them
anxious about being ignored
emotionally unstable, has impulses to self-harm, and has very intense and unstable relationships with others
feels they have no ability to be independent
Histrionic personality disorder
feel a compulsion (overwhelming urge) to be noticed and the centre of everyone’s attention
as if they have an inflated sense of their own importance and show an intense need for other people to look up to them
appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection
preoccupied with orderliness and ways to control their environment, and may come across to others as a "control freak"
Narcissistic personality disorder
fears personal relationships and shows patterns of anxious and fearful behaviour around other people
sees other people as vulnerable and may intimidate or bully others without remorse
may act as if they have an inflated sense of their own importance and show an intense need for other people to look up to them
appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection
Avoidant personality disorder
appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection
may appear cold and detached, and avoid making close social contact with others
likely to have poor social skills and delusional thoughts, and behave in unusual ways
sees other people as vulnerable and may intimidate or bully others without remorse
Dependent personality disorder
likely to have poor social skills and delusional thoughts, and behave in unusual ways
anxious about issues that seem out of control or "messy"
emotionally unstable, has impulses to self-harm, and has very intense and unstable relationships with others
show an excessive need for others to look after them and are "clingy"
Obsessive compulsive personality disorder
disorder appears painfully shy, is socially inhibited, feels inadequate and is extremely sensitive to rejection
preoccupied with orderliness and ways to control their environment, and may come across to others as a "control freak".
swings between seeing themselves as special and fearing they are worthless
sees other people as vulnerable and may intimidate or bully others without remorse
Russels Sign relates to what eating disorder??
bulimia
anorexia
anorexia nervosa
binging
Most common age for anorexia nervosa?
12-16
20-23
14-18
19-29
client has frequent visits to clinic with complaints of pain with no real medical diagnosis to explain it, what condition does this relate to?
OCD
Somatic
(illness anxiety)
Facitious
conversion
abuse / recent traumatic event is a common underlying reason for conversion dis.
true
false
Tourettes presentation
have both motor and vocal tics and have had tic symptoms for at least 1 year
have vocal tics and have had tic symptoms for 4 weeks
Psych hx client comes in ED with chest pain. Do you have to do an EKG?
Yes
No
Chuck is a 20-year-old student diagnosed with obsessive-compulsive behavior. A psychiatrist prescribes clomipramine (Anafranil) to treat his condition. Nurse Nicolette understands the rationale for this treatment is that the clomipramine
Increases dopamine levels
Decreases norepinephrine levels
Increases serotonin levels
Decreases GABA levels
A nurse at a Medical Center is developing a care plan for a female client with post-traumatic stress disorder. Which of the following would she do initially?
Instruct the client to use distraction techniques to cope with flashbacks.
Encourage the client to verbalize thoughts and feelings about the trauma
Encourage the client to put the past in proper perspective
Avoid discussing the traumatic event with the client.
Gio told his nurse that the FBI is monitoring and recording his every movement and that microphones have been placed in the unit walls. Which action would be the most therapeutic response?
Isolate Gio when he begins to talk about these beliefs.
Tell Gio that this must seem frightening to him but that you believe he is safe here
Confront the delusional material directly by telling Gio that this simply is not so
Tell Gio to wait and talk about these beliefs in his one-on-one counseling sessions.
