WorksheetsPsychiatric Technician Review Exam
Total questions: 100
Worksheet time: 58mins
A client with spastic cerebral palsy is able to shower independently after staff have provided him with soapy washcloths. He can apply soap to the wash cloth, but frequently drops the soap and becomes frustrated. The best intervention is?
Provide him with soapy washcloths.
Encourage him to apply the soap to the washcloth, assisting as needed.
Observe his attempts, but promote independence only if a safety issue occurs.
Provide him with an adaptation, liquid dispenser, soap-on-a-rope, and provide training in its use.
A client has mastered putting toothpaste on the brush and wetting the brush, and he now is learning to bring the brush to his mouth. Where should the reward occur?
After wetting the brush.
After bringing the toothbrush into his mouth.
After the entire sequence of the task has been learned.
After the first step of the sequence.
Post surgical directions after knee surgery directs the client to sit on the edge of the bed, passively dangle and move the knee in small back and forth movements. The Psychiatric Technician explains that this is necessary because…
it will improve sleep.
it will help with appetite
it will assist with pain control.
it is what the doctor ordered.
A client is to transferred from a bed to a gurney. This person has had orthopedic surgery for scoliosis three weeks ago. What would help with the transfer the most?
Assess the patient's ability to help with the transfer.
Attempt the transfer 50-60 minutes after administration of an analgesic.
Secure at least three staff members for the transfer attempt.
Cover client with a bed sheet for privacy.
A client with a Developmental Disabilities needs assessment for a feeding program. How should the Psychiatric Technician assess the client's swallowing reflex before the feeding program is started?
Give small amounts of easily moistened food.
Request the client swallow saliva while the Psychiatric Technician palpates the client's larynx.
Use a cup with straw and thickened liquid.
Ask the client to swallow after having chewed dry cereal.
A consumer tells the Psychiatric Technician that at home constipation was a problem. Now that the consumer has been admitted to the hospital, which goal would the Psychiatric Technician carry out first to make sure the consumer does not get constipated?
A hospitalized client with depression complains of headache and fatigue. The person sharing the room with the client says the client snores loudly. What question would the Psychiatric Technician ask the roommate to assist with assessment of the client?
Would you like to move?
Are there pauses in the snoring?
Does the snoring keep you from sleeping?
Do you notice if your roommate breathes through his mouth?
A person with a Developmental Disabilities and left side hemiparesis from a stroke needs to be moved from bed to a chair. The chair should be positioned so the move ...
will be towards the left side of the client.
will be towards the right side of the client.
involves the shortest distance to the chair.
involve two staff members.
What action would the Psychiatric Technician do when assisting a client putting on a shirt after the client has had a rotator cuff repair surgery and the physician has ordered "passive use of the right arm only"?
Encourage the client to choose a button type shirt.
Assist with sliding on the sleeve of the affected arm first.
Direct the client to slide the left sleeve on first.
Let the client do as much as possible.
A person with cerebral palsy tremors type wants to attend an employment fair on the grounds of a Developmental Center where he lives. The door is locked to his residence. What would the Psychiatric Technician’s most appropriate action?
Arrange for an escort to the fair for the client.
Unlock the door.
Get a wheelchair for the client.
Get a physician’s order for the client to attend.
A person with depression is recovering but had to be hospitalized for a hernia repair. The person says, "I'm not sure I'm going to pull through." The Psychiatric Technician's initial reply should be to…
have the person express himself further.
encourage the person to think more optimistically about the future.
remind the person of the progress that he has made.
encourage the person to focus on a more pleasant subject.
A person with developmental disabilities has been hospitalized for tests. This person is encouraged to perform activities of daily living. The chief reason for this is to…
create diversion.
help maintain independence.
discover limitations.
help strengthen muscles.
An age-appropriate activity for a 15-year-old male client would be:
Putting together a 50-piece puzzle.
Playing basketball.
Driving an automobile.
Playing with blocks.
An elderly woman with a developmental disabilities is having difficulty sleeping after a long day of walking at the mall. She has diagnosed arthritis in her knees. Which p.r.n. medication would help her to sleep best?
Chloral Hydrate
Advil
Xanax
Ambien
During the daily care of a client with Downs Syndrome, it would be most important to encourage:
eating a well balanced meal to ensure proper nutrition.
social interactions to increase level of independence.
oral care including daily cleaning of teeth.
taking all prescribed medications to minimize symptoms.
From the list below, select the disorder in which retardation can be minimized by placing the infant on a diet with restricted phenylalanine.
Cretinism
Hyperuricemia
Phenylketonuria
Turner's Syndrome
State Category: Activities of Daily Living In a plan to assist a client with severe mental retardation to dress himself more independently, the most appropriate first step would be written as:
Client will pull socks on with verbal prompting.
Client is currently able to grasp and separate socks.
Client has attempted to put socks on 2/5 opportunities with verbal prompts.
Client consistently refuses to attempt to put socks on.
Select the statement that is correct when positioning a client in a wheelchair for feeding.
Head slightly flexed, feeder positioned in front.
Head slightly extended.
Hips forward in the chair, weight distributed forward.
Legs extended, hips abducted.
The client body should be bathed in what order?
Chest and abdomen, back and perineum, legs and feet, face, arms and hands
Face, arms and hands, chest and abdomen, legs and feet, back and perineum
Back and perineum, face, legs and feet, arms and hands, chest and abdomen
Legs and feet, back and perineum, arms and hands, chest and abdomen, face
The first step in teaching a female developmentally disabled client how to put on her blouse using backward chaining would be:
Tucking in her blouse.
Putting her arm in a sleeve.
Taking her blouse out of the locker.
Buttoning the top button.
State Category: Activities of Daily Living The following is appropriate when feeding a person with asymmetrical tonic neck reflex.
Position the head in midline and support the jaw
Feed the person while lying flat
Encourage turning the head to one side
Allow the person to feed themselves without assistance
The greatest concern about a client with a history of tonic-clinic seizures and constipation is that constipation may:
reduce the ability of the resident to be active.
lower the seizure threshold.
increase flatulence.
increase the likelihood of a bowel accident.
The hand over hand instruction is an example of:
primary reward
prompt
modeling
shaping
The most appropriate holiday activity for clients 14-years-old and older would be to:
Have an Easter egg hunt on Easter.
Cut out paper hearts for Valentine's day.
Barbecue hot dogs on the 4th of July.
Have Santa Claus visit on Christmas.
The most appropriate site to teach a client restaurant eating skills would be a:
Patients diagnosed with a stroke and is in Phase 2 of their rehabilitation. During this phase the patient is encouraged to strengthen their muscles and help themselves. What is the best way to help them achieve these goals:
Comb and brush their hair for them.
Provide them with finger foods.
Wash their face and back for them.
Provide passive range of motion.
The Psychiatric Technician is helping a person with a hearing loss. Which approach should the Psychiatric Technician take when communicating with this person?
Use body language to convey messages.
Speak to the person face-to-face.
Speak loudly in the ear of the person.
Use one word sentences.
Your client tripped on the curb. Subsequently, he was taken to the urgent care where a fractured radius was diagnosed. A plaster cast was applied to the extremity. What teaching is essential for the client with a cast?
The cast may make your arm feel heavier.
Use a blow dryer to help speed the drying process.
Hold the cast in a downward direction to avoid pressure.
Do not place objects between the cast and the arm.
The most helpful adaptive support for a client who has had a CVA to achieve self-help skills with dressing is:
Button hook
Weighted utensils
Shower chair
Walker
You are assisting your client, who cannot transfer independently from the bed to the chair. What is the recommended placement of the chair before transfer?
The chair is at the foot of the bed, at a 45 degree angle, facing the head of the bed.
The chair is placed next to the head of the bed parallel to the bed.
The chair is placed at a 90 degree angle in the middle of the bed.
The chair is placed 18 inches away from the bed, parallel to the head of the bed.
Where is the location to check for bilateral pedal pulse?
Inside of both arms.
Behind both knees.
Inside of both ankles.
On top of each foot.
Which of the following data is within the normal range for an adult?
Rectal temperature 101 degrees F.
Respirations 22
Blood pressure 114/74
Apical pulse 54
State Category: Basic Nursing Care A consumer has difficulty swallowing. Which intervention would be most helpful?
Offer small bites and encourage slow eating
Encourage the consumer to drink large amounts quickly
Serve food at very hot temperatures
Have the consumer lie flat while eating
The consumer chokes on clear liquids. What intervention would be most helpful?
Provide only soft foods.
Encourage fruits.
Encourage the consumer to sit at a 45 degree angle for meals.
Get an order for a thickening agent.
Which of the following is an example fo a high quality protein source?
Eggs
Fortified cereal
Nuts
Peanut butter
Which of following would be appropriate for a patient on a sodium retricted diet?
Soy sauce on rice.
A quart of milk a day.
Potassium salt replacement.
Blends of herbs and spices to season foods.
The goal of __________ diet is to limit foods that stimulate the production of gastric acid.
carbohydrate controlled
high protein
low sodium
high fiber
Your male patient is requesting assistance with voiding. The patient is unable to ambulate to the bathroom. Which technique would be most helpful?
Assist the patient with use of a fracture pan.
Apply a condom catheter to the penis.
Assist the patient to a standing position with the urinal.
Turn the patient in the left lateral Sim's position and help place the urinal.
The rationale for use of hand rolls is:
Prevention of flexion contractures of the hand.
To maintain the hands in a pronated position.
To provide active range of motion for the hands.
To keep the fingers in an abducted position.
What is the best way to secure a wheelchair restraint?
A quick release knot on the back of the chair.
A knot secured at the base of the chair.
A knot behind the patient's back.
A loop around each arm rest.
When a restraint is ordered, the patient will need to be observed at least:
Every 15 minutes.
Hourly.
Every 2 hours.
When completing Active ROM exercises on a patient's elbow, which of the following is the correct motion?
Abduction
Adduction
Flexion
Pronation
Which of the following reflects a basic principle of body mechanics?
More energy is needed to keep an object moving than to stop it.
Pushing or pulling is easier than lifting.
Rocking to use your body weight is not recommended.
Using the back muscles is recommended.
Which position is used for most of the physical examination and can be uncomfortable for a patient with back problems?
Supine
Knee-chest
Prone
Sim's
The consumer receiving an enema should be placed in the ________ position?
Fowler's
Lithotomy
Left Lateral
Right recumbent
Which action is inappropriate when positioning a patient?
When logroll turning the patient, keep the body in a straight alignment.
Use a transfer board or bridge for patients who are unable to stand.
Use a broad base of support when transferring patients.
When moving a patient to the side of the bed, bed at the back and pull with your arms.
The purpose of a "Clinitest" exam is to:
Identify protein in the blood.
Assess sugar in the urine.
Look for ketones in the blood.
Assess for increased weight loss.
Ketones in the urine may be a reflection of:
Weight gain.
Diabetes that may be out of control.
Bacteria in the urine.
Blood in the urine.
When instructing a patient to prepare for a guaiac stool specimen, it is most important to tell the client to:
avoid smoking before the test.
bring a family member to drive you home from the test.
do not take aspirin 3 days before the test.
drink plenty of fluids for 3 days before the test.
To obtain a clean catch urine specimen from a male client, instructions should be given to:
cleanse the penis using a circular motion outward from the urethral meatus.
cleanse the penis using downward strokes starting at the urethral meatus.
void the first stream into a sterile cup.
wear gloves when collecting the specimen.
A client had 240 ml cup of ice chips; 120 ml of coffee; and a 4 ounce cup of juice. The client voided 250 ml at noon and had 120 ml of emesis. Calculate I/O.
Intake: 364 ml, output: 370 ml
Intake: 360 ml, output: 250 ml
Intake: 480 ml, output: 370 ml
Intake: 480 ml, output: 120 ml
Which fo the following urine specific gravity measurements indicates the most dilute urine?
1.010
1.019
1.020
1.025
When is the best time to collect a sputum specimen?
In the morning soon after the client awakens.
In the early afternoon.
Before the evening meal.
Before hours of sleep.
A patient is complaining of nausea. In which position should the nurse place the patient?
Prone
Right side
Sim's
Supine
When preparing a cleansing enema, how much solution should the nurse use for an adult?
100 to 300 ml
400-600 ml
750-1,000 ml
1500 ml
A patient with a urinary catheter is complaining of lower abdominal cramping. The Psychiatric Technician's first action should be:
check the tubing for kinks and placement.
encourage the patient to ambulate.
medicate with analgesic.
notify the physician or team leader.
What equipment would be in a patient's room who was diagnosed with renal calculi?
bedpan
catheter
extra pillows
urine strainer
Which type of enema should be retained?
Medicated
Normal saline
Soap suds
Tap water
A patient begins to tell the Psychiatric Technician about the death of her husband. Which would be the best therapeutic communication technique?
clarifying
Questioning
Interpreting
Silence
Which of the following actions would be appropriate when caring for an unconscious client?
Describe the care procedures as you provide the care to the client.
Discuss the client when completing care.
Enter the room quietly without talking.
Perform all care silently
Advance directives:
allow the family to specify choices fo health care treatment without patient input.
are only to provide information about health care choices.
are required by law to be discussed on admission to health care facilities.
are verbal agreements allowing an individual to specify health care choices.
Discharge teaching should be individualized and...
assessment motivated.
goal directed.
insight oriented.
must be documented.
Discharge planning begins...
after orientation to the unit.
after transfer from one unit to another.
on admission to the unit.
on the last hospital day.
When giving a tepid sponge bath, cloths are placed on the client's...
arms and legs.
trunk and back.
axillae and groin.
head and neck.
When applying a roller bandage (ace wrap) to an upper extremity, which technique should the Psychiatric Technician use?
wrap from the fingers to the shoulder.
wrap from the hip to the toes.
wrap from the shoulder to the fingers.
wrap from the toes to the hip.
When using acetone to remove tape adhesive, which precaution should the Psychiatric Technician take?
Avoid pulling the hair with the removal of tape.
Avoid slow movements, pull tape off quickly.
Never use acetone on an open wound.
Never use acetone on the client's skin.
Which roller bandage (ace wrap) would appropriate for an average adult client's extremity?
1/2 inch
2 inch
5 inch
8 inch
A client has roller bandage on the right hand. What area should be assessed?
Fingers on the right hand.
Fingers on the left hand.
Area above the shoulder.
Fingers on both hands.
Antiembolism stockings are ordered because...
it will keep feet warmer.
it will increase return circulation.
it will decrease circulation and prevent bleeding.
it will improve alignment of feet.
Sterile technique is indicated for which of the following nursing procedures?
You enter the client's room and notice that the trash can is on fire. What is the first step that must be taken?
Call a code for the fire.
Close all the doors to contain the fire.
Remove the client from immediate danger.
Extinguish the fire with an ABC fire extinguisher.
When applying a sterile gown touch only:
the neck strap of the gown.
the inside of the gown.
the upper portions of the gown.
the outer arm cuffs of the gown.
Which assessment finding relates most directly to pain?
Blood pressure 100/60
Dilated pupils
Pulse 80 per minute
Respirations 14 per minute
Which statement by the patient would warrant further investigation?
I should request pain medication when I can no longer tolerate the pain.
Distraction techniques and imagery will help my pain.
I need to change my position as much as I can.
I know the medication may not take the pain away completely.
The healthcare worker knows that the most objective positive response from a Harris flush is when:
The client is able to hold the liquid for at least 10 minutes.
Abdominal pain is lessened.
There is a large return of formed, brown stool
Bubbles return in the fluid when the cannister is lowered.
The bedside blood glucose reading is 110 at 0700. The Psychiatric Technician knows that:
Sugard must be given immediately.
The morning insulin must be held.
The blood glucose should be rechecked within 1 hour.
Breakfast may be given.
A client was admitted to a psychiatric unit for depression and prescribed psychiatric medications, she is also prescribed Precose (acarbose). The psychiatric technician who is assigned to the medication room will carefully monitor this client’s:
Blood pressure.
Pain level
Oxygen saturation.
Blood glucose.
The psychiatric technician is attending an updated class on medication administration at her work site. She learns that there are now six rights regarding accurate administration of medication. The sixth one would be:
Right documentation.
Right patient.
The psychiatric technician is assigned to administer medication and treatments. A female client is to receive a topical medication to her face. How would the psychiatric technician apply this medication?
Start with the forehead working in a clockwise motion back to the forehead.
Begin with the chin area and work upwards on both sides of the face.
First apply in circular motions on the cheeks, then the forehead and chin.
Start with the forehead and spread down each side of the face in one direction.
During the admission process the client informs the psychiatric technician that he takes nitroglycerin for angina. The psychiatric technician is aware to monitor the client for what common adverse effects of this medication?
Hypotension and bradycardia
Postural hypotension and headache
Hypertension and confusion
Postural hypotension and shortness of breath
A psychiatric technician is employed at a group home with six mentally ill clients. She is starting to work with a new client of Chinese descent. She’s in charge of meal planning and would know that dietary habits of this culture would include:
Corn is a staple and many do not drink milk due to lactose intolerance.
Food is well done and seasoned and they usually do not eat pork.
There is a specific order for food to be eaten at meals. Peanuts/soybeans are common.
Food is rich in color, spice, and flavor. Rice and beans are staples.
A client recovering from alcoholism reports that his physician said he was deficient in thiamine. The client asks the psychiatric technician what foods are rich in thiamine. The psychiatric technician responds by stating:
Meats, fish, poultry, dried peas and beans, fruits, green leafy vegetables and nuts.
Whole-grain and enriched breads and cereals, liver, beef, peas and beans and nuts.
Vegetable oils, margarine, salad dressings, nuts, seeds, and wheat germ.
Citrus fruits and juices, peppers, broccoli, greens, strawberries and tomatoes.
An elderly Iranian American male client informs the psychiatric technician during the admission process that he is Muslim. The psychiatric technician would be aware that this client:
May need privacy when clergy visit, and may ask staff to read Bible passages for him.
May want a healing ceremony by a tribal shaman and a room visible to the outdoors
May pray five times a day facing east and may want to wash before prayers.
May need time for prayer and may wear a yarmulke at all times or only when praying.
When the psychiatric technician takes the vital signs for the client diagnosed with Anorexia Nervosa she should assess for:
Hypotension and bradycardia.
Hypertension and bradycardia.
Hypotension and tachycardia.
Hypertension and tachycardia.
Taking medications like Aricept (donepezil), Reminyl (galantamine) and Namenda (memantine) for the possible side effects of:
Drowsiness, hypotension, and weight gain
Dry mouth, blurred vision, and extrapyramidal symptoms.
Insomnia, fatigue, and arrhythmias.
Dizziness, headache, and gastrointestinal upset.
When the psychiatric technician takes the vital signs for the client diagnosed with Anorexia Nervosa she should assess for:
Hypotension and bradycardia.
Hypertension and bradycardia.
Hypotension and tachycardia.
Hypertension and tachycardia.
The least accurate body site for taking a temperature would be:
Oral.
Rectal.
Axillary.
Tympanic.
The psychiatric technician is instructed to measure the oxygen saturation in arterial blood for a client using a pulse oximeter. He would know that the normal range for oxygen saturation would be:
100-95.
100-90.
100-85.
100-80.
The pain scale that is ideal for children would be the:
Visual Analogue Scale (VAS) (No pain to pain as bad as it could possibly be).
Numeric Pain Intensity Scale (0-No pain to 10-Worse possible pain).
FACES Pain Rating Scale (A Happy Face to a Crying Face).
Simple Descriptive Pain Intensity Scale (No pain to worst possible pain).
The psychiatric technician is assigned to the medication room. She notices that a new client will be receiving hydrochlorothiazide (HydroDIURIL). She knows that with this client she will be assessing for:
Hypertension and edema.
Acute renal failure and intracranial pressure
Muscle spasms and cardiac arrhythmias.
Angina and intraocular pressure.
The patient is receiving prednisone on a long-term basis. The psychiatric technician would double check the patient’s food tray since this patient should be receiving a diet consisting of:
High carbohydrates and low protein.
High protein and low calcium.
High fat and low sodium.
Low sodium and high potassium.
The psychiatric technician recognizes the value for cholesterol should be less than:
200.
230
260
280
The psychiatric technician observes that many clients on a long-term psychiatric unit are receiving atypical antipsychotic medications. She would carefully monitor these clients for the adverse effects of:
Hypertension.
Diabetes mellitus.
Stevens-Johnson syndrome.
Fluid and electrolyte imbalances.
The physician prescribed glycerin for a 14-year-old child that is constipated. The psychiatric technician would know to administer this medication:
Orally in pill form.
Orally in a liquid form.
As a suppository
As an injection.
A male client asks the psychiatric technician if there are any possible sexual side effects from Desyrel (trazodone). The psychiatric technician responds by stating:
Decreased libido and ejaculation inhibition.
Premature ejaculation and dyspareunia.
Decreased libido and impotence.
Ejaculation inhibition and priapism.
A client is suffering from hypotension. The physician writes an order for the client to be placed in a Trendelenburg position. The psychiatric technician would position the bed by:
Raising the head of the bed to either a 30 or a 45 degree angle.
Raising the head of the bed while lowering the foot so it is a straight tilt.
Raising both the head and foot of the bed forming a V position.
Lowering the head of the bed while raising the foot so it is a straight tilt.
The psychiatric technician is taking care of a client who is receiving morphine. He would be carefully monitoring this client for common adverse effects such as:
Hypertension and dilated pupils.
Dizziness and drooling.
Constipation and nausea/vomiting.
Blurred vision and tingling.
The patient asks the psychiatric technician for his albuterol (Proventil). He takes two quick inhalations. The psychiatric technician teaches him to allow how much time between the first and second inhalation?
10 seconds
30 seconds
One minute
Two minutes
One of the psychiatric technician’s assigned patients is receiving Lasix (furosemide). The psychiatric technician would be aware that the patient should be observed for possible:
Disorientation.
Dehydration.
Back pain
Sedation.
The psychiatric technician is reviewing recent laboratory tests for a client. She sees that the urine specific gravity test had a value of 1.025. Therefore, she knows that this is:
Excessively high.
Slightly high.
Slightly low.
Normal.
