* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Psych Assessment Test
Mental disorder wikipedia , lookup
Depersonalization disorder wikipedia , lookup
Munchausen by Internet wikipedia , lookup
History of mental disorders wikipedia , lookup
Spectrum disorder wikipedia , lookup
Gender dysphoria in children wikipedia , lookup
Discrete trial training wikipedia , lookup
Parent management training wikipedia , lookup
Drug rehabilitation wikipedia , lookup
Schizoaffective disorder wikipedia , lookup
Conversion disorder wikipedia , lookup
Diagnostic and Statistical Manual of Mental Disorders wikipedia , lookup
Separation anxiety disorder wikipedia , lookup
Generalized anxiety disorder wikipedia , lookup
Conduct disorder wikipedia , lookup
Child psychopathology wikipedia , lookup
Antisocial personality disorder wikipedia , lookup
Asperger syndrome wikipedia , lookup
Dissociative identity disorder wikipedia , lookup
Externalizing disorders wikipedia , lookup
PROFESSIONAL SERVICES CLINICAL DIVISION PSYCH ASSESSMENT TEST 1. A 5-year-old girl admitted to the hospital for arm fractures and multiple bruises is a reported victim of child abuse by her mother. The nurse observes the child’s behavior after she is hospitalized. Which of the following psychosocial characteristics would the nurse be likely to see her exhibit? a) b) c) d) 2. The nurse is caring for a 6-year-old girl admitted for burns to her arms and back. Her case is being investigated as a child abuse by authorities. The child is mute during routine care procedures and is often later found crying. An important goal in providing car to this client would be to: a) b) c) d) 3. Provide a variety of stimulation by having several nurses take care of the child Provide a non-threatening, nurturing environment Discourage the child from expressing thoughts and feeling about the abuse Have the child’s parents present during care activities The nurse is discussing family history and family dynamics with the parent of a child who may be abused. Which of the following information would increase the nurse’s suspicion of potential child abuse? a) b) c) d) 4. Her behavior is appropriate to the social situation She seeks frequent parental contact She had accelerated achievement of developmental tasks She has minimal socialization with peers The parent has a high energy level The parent has several children The parent’s childhood was characterized by abuse The parent has a low socioeconomic status A 7-year-old boy is hospitalized with a diagnosis of autism. The nurse observes the child on admission. Which of the following information regarding his behavior would confirm that he is an autistic child? a) b) c) d) Lack of interest in inanimate objects Dislike of routine Unresponsive to others Below average intelligence 5. A 6-year-old boy is admitted to the hospital with the diagnosis of autism. The nurse is interested in helping the child to feel more secure on the unit. The most appropriate intervention for the nurse would be to: a) b) c) d) 6. A 6-year old boy who was recently admitted to the hospital with a diagnosis of autism grabs a toy and hits another child. The most appropriate response to the child’s attempts to hurt himself or others is to: a) b) c) d) 7. Isolate him for 24 hours Encourage him to explain his angry thoughts Assume a non-punitive attitude and stop the attempt to hurt himself or others Call his parents to get their input An 8-year old boy has recently been diagnosed with attention-deficit hyperactive disorder by his pediatrician. He and his parents come to the pediatric clinic together. Which of the following behaviors would the nurse most likely to observe from the child? a) b) c) d) 8. Have the same nurses provide care Administer Ritalin to control hyperactivity Discourage peer contact Allow him to control his own eating and sleeping patterns Lethargy Preoccupation with body parts Very poor verbal skills Short attention span In providing care to a school-age child with attention-deficit hyperactive disorder, the most effective intervention would be to: a) Increase environmental stimulation and peer interaction b) Administer drug therapy (i.e. methylphenidate <Ritalin>) and use behavior modification techniques c) Provide parental education and diet therapy d) Encourage delayed achievement of normal developmental tasks 9. A 6-year old girl is recently diagnosed as mildly retarded. An important aspect in the nursing care of a mildly mentally retarded child is to: a) Encourage her parents to concentrate on the child rather than on the family at this time b) Delay extensive diagnostic studies until the child is older c) Modify the child’s environment to promote independence and impulse control d) Provide 1:1 tutorial education and minimize peer interaction 10. The nurse realizes that the most effective way to promote positive behavioral change in a 30year old man with severe mental retardation is: a) b) c) d) Provide simple, concrete explanations of behavior to be learned Have client role play new behaviors with the nurse Provide systematic habit training Encourage independence 11. A 13-year old boy has a history of conduct disorder. In obtaining a nursing history, which of the following would not be a characteristic of this disorder? a) b) c) d) Reports incidences of fire setting Has a best friend of several years Displays physically aggressive behavior toward others Manipulates others for own gain 12. A nurse conducts an assessment of the dynamics in the family of a young man with a conduct disorder. Which of the following patterns would be considered a predisposing factor in the development of the disorder? a) b) c) d) The parents have very high expectation of their children There is inconsistent limit setting with harsh discipline The parents are over involved with the child The parents have no other children 13. A 14-year old girl is being evaluated for anorexia nervosa. Which of the following would indicate to the nurse that the teenager displays symptoms of anorexia nervosa? a) b) c) d) She has episodes of overeating and excessive weight gain She expresses a positive body image She has had severe weight loss due to self-imposed dieting She refuses to discuss food 14. The nurse is obtaining a history from a 16-year old girl. Which of the following might indicate that the client has symptoms of bulimia? a) b) c) d) Binge eating and self-induced vomiting Severe weight loss due to metabolic dysfunction Hypertension and hyperglycemia Diaphoresis and vasodilation 15. The nurse is caring for a 13-year old girl with a diagnosis of anorexia nervosa. The nurse uses her understanding of psychodynamic and family influences in the development of anorexia nervosa to guide her planning. That understanding is reflected in which of the following goals? a) Client will be able to interact effectively with peer group b) Client will be able to interact with staff using appropriate behaviors c) Client will demonstrate ability to cope with issues of control in a more adaptive manner d) Client will articulate high expectations for herself 16. The nurse is evaluating the progress of a 17-year old girl admitted with a diagnosis of bulimia. Which of the following behaviors would indicate that the client had progressed? a) b) c) d) Her conversations focus of food She identifies healthy ways of coping with anxiety She spends time alone in her room after each meal Family contact around food times is minimal 17. The nurse is caring for a newly admitted 19-year old man with a history of abuse of street drugs. She observes that he is restless and irritable shortly after having received a visit from friends. The nurse suspects the client may have taken drugs brought in by the friends. Information that is priority for the nurse to assess in a client suspected of use of drugs is: a) b) c) d) Characteristics of his feces His hemoglobin His level of consciousness The color of his nail beds 18. The nurse interview as 18-year old woman in the mental health clinic who has a history of drug use and asks for help. In planning treatment, the most important information for the nurse to obtain initially is: a) b) c) d) How the client pays for the drug(s) being used Her current height and weight Her family’s response to her drug use The types, quantity, and frequency of the drug (s) used 19. A nurse is obtaining an admission history on a 22-year old man admitted for a major depressive episode and alcohol abuse. The nurse learns that the client had been drinking 2-3 six packs of beer a day for the last year and recently lost his job. His wife and 5-month old son moved into her mother’s home 2 weeks ago. In further discussing his alcohol abuse the client states: “I wouldn’t drink so much if my wife hadn’t nagged me constantly about getting a better job, making more money. I was never good enough for her.” The nurse recognizes that his statement most likely suggests: a) b) c) d) A dysfunctional family The client is in denial about his alcohol problem The stressors were too much for this man The client will have a better prognosis if she remains separated from his wife. 20. A 7-year old girl with a diagnosis of separation anxiety disorder has been admitted to an inpatient psychiatric adolescent unit for further evaluation. Which of the following behaviors would the nurse recognize as a common characteristic of this disorder? a) She isolates herself in her room and has minimal interaction with adults b) She adjusts quickly to the unit and exhibits deep attachment to her primary nurse c) She becomes acutely anxious whenever her mother visits but is relaxed after her mother leaves d) She is preoccupied and anxious on the unit, clings to her mother when she visits, and becomes agitated and out of control when her mother leaves 21. A primary intervention in caring for a school-age girl with a diagnosis of separation anxiety disorder who requires hospitalization would be: a) Do not allow the child to verbalize her fears and worries b) Establish trust by interacting with the child in a calm manner communicating genuine positive regard c) Discourage peer interaction because it contributes to her anxiety d) Discourage the mother from visiting because it is too upsetting when she leaves 22. In an initial interview with a 24-year old man with a diagnosis of generalized anxiety disorder, the nurse could expect to observe which of the following behaviors? a) b) c) d) Irritability, difficulty concentration on the interview Future orientation Increased assertiveness Grandiose ideation 23. The nurse is caring for a 24-year old man with generalized anxiety disorder. In assisting the client to be less anxious, which of the following nursing actions would be most appropriate? a) b) c) d) Maintaining a calm and supportive manner while interacting Encouraging the client to cry Administering major tranquilizing drugs Beginning intensive psychotherapy 24. Medication is sometimes needed with clients who have generalized anxiety disorder. Which of the following would be a likely drug that the nurse would administer? a) b) c) d) Thorazine (chlorpromazine) Lorazepam Tofranil (imipramine) Noctec (chloral hydrate) 25. The nurse is caring for a 35-year old woman with agoraphobia. Which of the following behaviors would the nurse expect to observe in the client? a) b) c) d) The client is afraid of talking to other people The client is afraid to leave her home The client is afraid of pain The client is afraid of fire 26. In implementing treatment for a client with a phobic disorder, nursing actions include: a) b) c) d) Insight-oriented psychotherapy Administering lithium Desensitization treatment Crisis intervention 27. In providing care to a client with an obsessive-compulsive disorder, the nurse recognizes that the client’s frequent, intensive, and extensive hand washing is an attempt to: a) b) c) d) Relieve underlying anxiety Give herself a sense of control over her life Increase her self-esteem Reduce the possibility of infection 28. The goals of nursing care for a client admitted to a psychiatric unit with obsessivecompulsive disorder should be that will: a) b) c) d) Demonstrate frequent decision making Experience a variety of environmental stimuli Have time and opportunity to complete rituals Demonstrate improvement in behavior within 1 week 29. The nurse is caring for a 30-year old woman admitted with a diagnosis of PTSD. Three months ago, the client had found the body of her husband, who had hung himself, in their basement. The nurse could expect her to exhibit all but which of the following behaviors: a) b) c) d) Recurrent distressing dreams Irritability and outbursts of anger Inability to look at husband’s picture Discussing plans to remarry someday 30. The nurse is caring for a client admitted 1 week ago with a diagnosis of PTSD. Today he begins to describe the traumatic event that occurred in his life 6 months ago. The best response by the nurse would be to: a) b) c) d) Allow the client to describe the event and listen empathically Change the subject because the topic is clearly upsetting the client Tell the client that the event was not as bad as he remembers it Encourage the client to share his experience in the therapeutic group meeting 31. The nurse is caring for a 55-year old client with a diagnosis of somatoform disorder. He had had a through physical exam and has been told he does not have a cardiac pathology. The client complains of chest pain. The electrocardiogram is fine with no changes noted. The nurse should expect that somatoform disorders will be characterized by: a) b) c) d) Preoccupation with sexuality Fear of high places Preoccupation with inanimate objects Preoccupation with own health 32. A 45-year old man is recently admitted with a diagnosis of somatoform disorder. He is convinced he has a serious heart problem. He takes his pulse frequently. One of the primary goals of his nursing care is to: a) b) c) d) Challenge the validity of his physical symptoms Coordinate diagnostic testing to rule out an organic basis for the symptoms Encourage his dependency needs Discourage family participation in treatment 33. The morning she is to leaver for college, a client finds her legs suddenly paralyzed. After an extensive diagnostic workup, no organic basis is found for the paralysis, which does not conform to neurological pathways as the cause. She diagnosed as having conversion disorder and admitted to the psychiatric unit. Which of the following nursing actions is most appropriate in caring for the client? a) b) c) d) Promote her dependence to decrease her anxiety Explain to her that her paralysis is not real Encourage her to discuss her feelings about losing the use of her legs Avoid reinforcing or focusing on her paralysis 34. A 20-year old client is newly admitted to a psychiatric unit for conversion disorder. The nurse does an admission assessment and finds that he shows little emotion about his sudden inability to feel sensations in both arms. The nurse recognizes this as a common chracteristic in clients with the conversion disorder known as: a) b) c) d) La belle indifference Fugue state Secondary gain Akathesia 35. A 24-year old woman is brought tot the crisis clinic. Her family states that she cries all the time, and does not leave the house very often. She is evaluated for a depressive episode. The nurse could expect to observe which of the following behaviors if the client is depressed? a) b) c) d) Sexual preoccupation Psychomotor retardation Hyperexcitability Excessive talking 36. The nurse is developing a care plan for a severely depressed 35-year old woman with four small children. Which of the following would not be an appropriate goal for this client? a) b) c) d) Client will not harm self Client will be able to verbalize positive aspects about herself Client will participate in unit activities Client will focus on self and not family 37. The nurse administers nortriptyline (Aventyl) 75 mg a day to a client admitted with major depression. After 4 days, the client states that the medication is not helping her. The best nursing response to this client would be: a) “It can take up to 4 weeks for the medication to bring about an improvement in symptoms.” b) “Cheer up. You need to try to have a more positive attitude toward the medication.” c) “I’ll tell the doctor. She may need to change the medicine.” d) “Try not to dwell on the symptoms. It’s time for group.” 38. A 60-year old woman who is hospitalized with pneumonia is due to be discharged tomorrow. The nurse notices that she has not touched her food. The client states, “I don’t feel hungry. I don’t know what the point is. I don’t know why God spared me. I don’t have the energy to keep going on.” The best nursing response would be: a) b) c) d) “Now don’t talk like that. You’ll feel better when you go home.” “It’s normal to feel sad leaving the nurses after we’ve been so good to you.” “You sound very sad today. Tell me a little more about how you’re feeling.” “I’ll tell the doctor that you’ve lost your appetite and feel weak. It might be the medicine.” 39. A 55-year old woman is scheduled for ECT the next morning. The nurse knows that ECT is most commonly prescribed for: a) b) c) d) Disorganized schizophrenia Major depression Antisocial personality disorder Dissociative disorder 40. A male client is scheduled for ECT in the morning. He asks, “What am I going to be like after the treatment?” The best nursing response would be: a) “You will go to the intensive care unit. But it all goes well you should return to our psychiatric unit in a day or two.” b) “You will be in ECT recovery room for about an hour until the anesthesia wears off, and you will be awake and oriented and can get out of bed. You may experience some confusion, which is temporary.” c) “You will be in ECT recovery room for about an hour until the anesthesia wears off. When you awake you’ll fell much better than you have been feeling.” d) “It must be frightening to be getting ECT. Tell me more about your fears.” 41. A 38-year old man is diagnosed with a paranoid personality disorder. He has been coming to the mental health clinic since his wife divorced him. He thinks that his wife left him because her coworkers demanded it. The nurse is aware that paranoid personality disorders are most frequently characterized by: a) b) c) d) Hearing voices Rigid, hypersensitive, and suspicious behavior Engaging in social skills Motivation to seek treatment 42. One nursing goal in the care plan for a client with paranoid personality disorder is promoting consensual validation of reality. Which of the following nursing actions would be most appropriate to achieve this goal? a) b) c) d) Reinforce reality but avoid arguing with the client about his perceptions Use humor to challenge his perceptions Discourage him from verbalizing his perceptions Administer antidepressant drugs to decrease his depression 43. The nurse is developing a care plan for a client with a paranoid personality disorder. He has been hospitalized after repeatedly yelling and calling police day and night on his neighbors, whom he suspects of plotting to have him removed from his home. The nurse wishes to assist the client to be less socially isolated. Which of the following goals would be most applicable? a) b) c) d) Share his belongings with others Engage in group activities and share his feelings freely Have as much control as possible over his environment Participate in solitary activities 44. A 22-year old woman has been diagnosed with a schizoid personality disorder. Her frequently problems with family and employer have brought her to the crises clinic. She states that her employer is a real tyrant. The nurse knows that a common characteristic of schizoid personality disorder is: a) b) c) d) Lethargy Sexual preoccupation Two personalities Tendency to withdraw from others 45. The nurse wishes to establish a supportive therapeutic relationship with a 22-year old woman with a diagnosis of schizoid personality disorder. In developing a plan of care, it is most important for the nurse to: a) b) c) d) Allow the client’s need for distance in a relationship Minimize affiliative needs Encourage her to participate in intensive group therapy Assign different nurses each day until she finds one to whom she can relate 46. A 22-year old woman is admitted with a diagnosis of schizoid personality disorder. The nurse assesses that her family does not seem interested in being involved in her care. Which of the following behaviors would the nurse want to promote in the family? a) b) c) d) Challenge her “loner” behavior Encourage her to continue in treatment because her condition is long-term Expect a full recovery within the near future Have weekly family meeting in which the family discusses her behavior 47. A 21-year old man has frequent problems with the local police. He is admitted to the psychiatric unit following an attempted hanging while in jail awaiting trial on burglary charges. The nurse is that clients with antisocial personality disorders are frequently characterized by: a) b) c) d) Below average intelligence, high sexual needs Religious preoccupation, grandiose ideas Need for immediate gratification, low tolerance for frustration Ability to learn from experience, criminal records 48. A 28-year old male client with a history of antisocial personality disorder is admitted to the psychiatric unit because of a suicide attempt while in jail awaiting trial for assault. The client acts very disinterested in treatment and has developed a rapport with several clients whom he is influencing in negative ways. In evaluating his progress, the nurse recognizes that he: a) b) c) d) Could make behavioral changes within a short time if motivated May not be motivated to change his behavior or lifestyle Manipulates other but does manipulate family members Usually requires intensive psychotropic drug therapy, which he refuses 49. The nurse is planning the care of a 30-year old man admitted to the psychiatric unit for courtmandated treatment for alcohol dependence. The client has a diagnosis of antisocial personality disorder as documented in previous court-mandated psychiatric evaluations. The nurse recognizes that an important part of this client’s plan will be to: a) b) c) d) Encourage him to set limits on his own behavior Establish clear, consistent limits on acting-out behaviors Minimize peer interactions Expect full family participation in effective treatment 50. A 29-year old client has been admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia because of strange behaviors that alarmed his neighbors. The nurse would expect him to exhibit which behavior? a) b) c) d) Psychomotor retardation and posturing Regressed, childlike behavior Euphoric mood and sexual acting out Extreme suspiciousness, delusions and hallucinations 51. A 30-year old man with a diagnosis of paranoid schizophrenia is admitted to the psychiatric unit with an acute exacerbation of his illness. He had stopped taking his medication and ceased his bimonthly visits to the outpatient department. He is restarted on his medication. The drug most commonly ordered for his illness is: a) b) c) d) Lorazepam Haldol Amitriptyline (Elavil) Isocarboxazid (Marplan) 52. A 22-year old client with a diagnosis of undifferentiated schizophrenia is being treated with haloperidol 5mg bid. He was estranged from his father for several years. Recently he has been spending some time with his father. His father comes with him to an appointment at the mental health clinic and asks the nurse what the haloperidol is for. The nurse explains that haloperidol is given to: a) b) c) d) Reduce extrapyramidal symptoms Prevent neuroleptic malignant syndrome Decrease psychotic symptoms Assist with sleep 53. A 20-year old woman has recently been diagnosed with paranoid schizophrenia. She has been started on Haldol and seems to be responding less to hallucinations. She has begun to attend an art group for brief periods each day. In planning care to assist the client to be more connected to reality, the nurse should: a) b) c) d) Reinforce perceptions and thinking that are in touch with reality Challenge her expressions of distorted thinking Use peer pressure to discourage delusions Ignore distorted thinking and bizarre behavior 54. The nurse is providing care for a client who is taking haloperidol 2 mg bid and has an order for benzotropine (Cogentin) 1 mg bid prn. Which of the following nursing assessments would indicate a need for benzotropine? a) b) c) d) The client’s level of agitation increases The client develops tremors and drooling The client complains of a headache The client has difficulty falling asleep 55. A 23-year old female client has been admitted to the inpatient psychiatric unit with a diagnosis of catatonic schizophrenia. She appears weak and pale. The nurse would expect to observe which behaviors in this client? a) b) c) d) Scratching, catlike motions of the extremities Exaggerated suspiciousness, excessive food intake Stuporous withdrawal, hallucinations, and delusions Sexual preoccupation, word salad 56. The nurse is collecting data to plan the care of a 21-year old woman with a diagnosis of catatonic scizophrenia. The nurse would likely observe that this client: a) b) c) d) Has excessive weight gain Appears overhydrated Is hyperreactive to stimuli Stands, sits, or lies immobile