Midterm Exam
Midterm Exam
A. loose of association
B. flight of ideas
C. circumstantiality
D. tangentiality
12. This is the term used to express the client's subjective description of the mood pattern during the
day.
A Libido
B. Diurnal variation
C. Affect
D. Mood
13. These are involuntary attention given to intrusive thoughts where the client laboriously considers all
sides of questions which is usually unanswerable
A. Rituals
B. Ruminations
C. Preoccupation
D. Phobia
14. A woman tells the nurse that she refuses to eat her husband's cooking because she thinks he is
poisoning her. The nurse is aware that this behavior is related to:
A. Delusion of persecution
B. Ideas of reference
C. illusion
D. Hallucination
15. A patient state that he hears voices telling him that he is Jesus. This misperception is a(n)
A. Delusion
B. Hallucination
C. Illusion
D. false belief
16. When an experiment in the laboratory goes wrong, a researcher complains of a plot against her, and
accuses the lab assistants of sending signals about her to each other. The nurse would determine that
this behaviour is related to
A. Delusion of grandeur
B. Illusion
C. Ideas of reference
D. echololia
17. This is a state characterized by adoption of exaggerated mannerisms, gestures and description are
often theatrical, seductive or highly excited
A. Anxious
B. Angry
C. Histrionic
D. Elated
18. Mr. Lozano thinks he is being followed by foreign agents who are after secret papers in his briefcase.
The though disorder from which he is suffering is called
A Delusion
B. Hallucination
C. Identification
D. Illusion
20. While watching television in a lounge, Ms Alaba says quickly and abruptly to the nurse. "The sun is
shining. My son is in Virginia. Who's afraid of Virginia Woolf?" Which one of the following disorders is
the patient displaying?
A Concreteness
B. Flight of Ideas
C. depersonalization
D. use of neologism
21. When the dient describes fear of leaving their house as well as the desire to get out and meet
others, it is called
A. Ambivalence
B. Anhedonia
C. Alogia
D. Avoidance
22. Which of the following patient's statements would reflect recent memory?
24. One therapeutic nursing attitude is to be accepting and permissive. To convey this attitude most
therapeutically, the nurse might:
25. The nurse sitting beside Juana observes that she is sobbing and rocking back and forth in a sitting
position while she hugs her arms around herself. The nurse hears her moaning softly, "I'm next, Oh, my
God, I'm next. They couldn't stop Susan and they can't protect me." The nurse could best respond by
saying:
26. The nurse is fully attentive to her client, seeks clarification of unclear statements, and periodically
tells the client about her perception of the client's feelings. Which of the following is the nurse
demonstrating?
A. Congruence
B. Empathy
C. Reflection
D. Summarization
27. Since the death of her baby, a woman has lost weight, will not eat, spends most of her time
immobile, and speaks only in monosyllabic responses. She pays little attention to her appearance. One
afternoon, this patient comes to lunch with her hair combed and traces of lipstick. What could the nurse
say to reinforce this change of behavior?
D. "I see that your hair is combed and you have lipstick on."
28. A patient says to the nurse, "I was going to kill myself last night." What is the best initial response by
the nurse?
D. "You seem upset. I am going to be here with you; perhaps will want to talk about it."
29. The client tells the nurse about the client's parents' impending divorce. The client said, "I couldn't
believe that he was going to leave us for someone else." Which would be best for the nurse to reply?
B. "Yes, go on."
31. You notice a new patient sitting alone in the corner staring at the floor. Using the concept of
proxemics, which would be the next most appropriate action by the nurse?
A. "I think your doctor needs to know that you're not sleeping well."
42. What phase in the nurse-client-relationship where the nurse Identifies the relevant stresses of
patient's life?
A. Pre-orientation phase
B. Orientation phase
C. Working phase
D. Termination phase
43. The nurse can maintain the nurse-client-relationship when she is able to
44. The nurse is preparing Nelma for the termination phase of the nurse-client relationship. The nurse
prepares to implement which nursing task appropriate for this phase?
45. Unresolved feelings related to loss most likely may be recognized during which phase of the
therapeutic nurse patient relationship?
A. Working
B. Trusting
C. Orientation
D. Termination
46. During the termination phase of the nurse-client relationship, the clinic nurse observes that the
client has made several sarcastic remarks and has an angry affect. The most appropriate interpretation
of the behavior is that the client:
47. The nurse establishes a nurse-client relationship with a patient with a schizophrenic disorder. One of
the goals is to help the patient develop a separate self-identity. One way to do this is to:
49. After an initial nurse-client interaction, the client asks for the nurse's home phone number,
indicating a desire to date the nurse. Which response is most appropriate?
A. "I may consider dating you once you are fully recovered."
50. Although the nurse's shift has ended, they remain with the client. The pattern of knowing presented
here according to Carper is?
A. Empirical
B. Personal
C. Ethical
D. Aesthetic
A. Brief intervention
B. Discharge planning
D. Symptom management
57. People with mental illness are treated in a variety of settings, and some are in touch with needed
services. C
58. A client's ability to remain in the community is closely related to the quality and adequacy of their
living condition. C
59. Psychiatric rehabilitation refers to services designed to promote the recovery process of clients with
both mental and substance disorder. C
60. Community residential settings vary In terms of structure, level of care and services provided. C
61. The psychiatrist is in an ideal position to fulfill the role of a case manager. FALSE
TEST III
MATCHING TYPE
Identify the core skills of the interdisciplinary team
A. Interpersonal skills
B. Humanitary skills
C. Teamwork skills
D. Personal Qualities
72. Client: "I'm way out in the ocean." Nurse: "You seem to feel lonely or deserted."
73. Client: "Do you think I should tell the doctor?" Nurse: "Do you think you should?"
A. Reflecting
74. Client: "I can't sleep. I stay awake all night." Nurse: You have difficulty sleeping."
B. Restating
75. Client: "I can't talk to you or anyone. It's a waste of time." Nurse: Do you feel that no one
understands?"
76. Client: "My brother spends all my money and then has nerve to ask for more." Nurse: This causes
you to feel Choices for Numbers
72-76
77. These types of questions force the client to try to recognize their problems. B. Testing
78. These way of questioning tends to make the client feel used or invaded. E. Probing
79. Attempts to dispel the client's anxiety by implying that there is not sufficient reason for concern.
A. Reassuring
80. This implies that the nurse has the right to pass judgement on the client's thoughts or actions. D.
Disapproving
81. This causes the client to defend the delusions or misconceptions more strongly than before. Choices
C. Challenging
Test IV IDENTIFICATION
91. A 100 true-false items which provides information on 14 scales related to self-concept. ______
92. A 175 true-false items which provides scores on various personality traits and personality disorders.
______
93. This is a test to assess the client's ability to make associations or interpretations about a situation or
comment ______
94. The nurse is testing the client's ______ ,when the nurse instructs the client to perform a three-part
task.
95. This is the ability to express positive and negative ideas and feeling in an open, honest and direct
way.
96. The nurse is assuming the______ role when he uses broad opening and open-ended questions to
collect information and help the client identify and discuss topic of concern.
97. The nurse is using the______ role when asking direct yes-or-no questions and using problem solving
to help client develop new coping skills related concerns.
98. This means respecting the client's right to keep private any information about their mental and
physical health and the client develop new coping skills related concerns. _____
99. The nurse use self as a therapeutic tool to establish therapeutic relationships with the clients and
help clients grow, change and heal. _____
100. Involves two people who are emotionally committed to each other. _____
91. Tennessee Self-Concept Scale (TSCS)
95. Assertiveness
96. Counselor
97. Teacher
98. Confidentiality