11. The patient says to a nurse, "You are wearing a pretty red dress.

Tomatoes are sweet, Vegetables

makes you healthy." A nurse should recognize that these statements are an example of

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. An idea of reference C. delusion of grandeur

B. An idea of influence D. A delusion of persecution

19. Which term would the nurse use to describe the experience of an individual who thought he heard a
machine gun when this neighbor's lawnmower backfired as she was mowing the lawn?

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?

A. "Are you a doctor or a nurse?"

B. "Who knows what I was doing 40 years ago?

C. “really don't want to share that information."

D. "Could it be from the fish I ate yesterday?!"

23. In communicating with a depressed patient like Elsa, the nurse can avoid the use of value judgement
by saying:

A. "You look nice this morning."

B. "You smell sweet this morning."

C. "I like the way you fixed your hair."

D. "You have changed your hairstyle this morning."

24. One therapeutic nursing attitude is to be accepting and permissive. To convey this attitude most
therapeutically, the nurse might:

A. Wait for a client to initiate contact

B. Let the client make decisions

C Ignore undesirable behaviour

D. Meet the client at his or her level of functioning

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:

A. "Susan was a lot sicker than you are, Juana."

B. "It's different, Juana, Susan was home: you're here."

C. "You are afraid you will hurt yourself, Juana."

D. "Don't worry. All passes will be cancelled for a while."

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?

A. "What happened? You combed your hair!"

B. "This is the first time I've seen you look so good."

C. "You must be feeling better. You look much better."

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?

A. Say nothing. Wait for the patient's next comment

B."What were you going to do this time?"

C. "Have you felt this way before?"

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?

A."Was your mother expecting this to happen?"

B. "Yes, go on."

C."Did you cry?"

D."I can understand how you must feel."

30. Which of the following reflects a common interference in nurse-patient communication?

A. Discussing fears about patients with colleagues

B. Validating patient information with the family

C. Admitting and apologizing to a patient for a mistake

D. Avoiding issues that are uncomfortable for patients

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. Walk toward her and ask what she wants

B. Ask her to come to the nurse's station

C. Kneel in front of her and ask her name

D. Sit near her, leaving an empty chair next to her

32. Which of the following statements by the nurse best reflects therapeutic communications?

A. "I think your doctor needs to know that you're not sleeping well."

B. "What do you want me to do about your problems?"

C."Sometimes your doctor can be abrupt, even with the staff."

D. "No, I don't have to chart what you said tonight."

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

A. Identify patient's needs

B. Extend sympathy to the client

C. Give supportive reassurance to the client

D. Give personal opinion about the problem

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?

A. Planning short-term goals

B. Making appropriate referrals

C. Developing realistic solutions

D. Identifying expected outcomes

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:

A. Needs to be admitted to the hospital

B. Needs to be referred to the psychiatrist as soon as possible

C. Requires further treatment and is not ready to be discharged

D.Is displaying typical behaviors that can occur during termination

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:

A. Call the patient by a "pet" name frequently

B. Use "you" and "I" rather than "we"

C. Correct the patient's opinion

D. Encourage "should" responses

48. Building trust is important in

A. The orientation phase of the relationship

B. The problem identification sub-phase of the relationship

C. All phases of the relationship

D. The exploitation sub-phase of the relationship

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."

B. "I'm sorry, but I already have a special relationship."

C "It's against policy for me to date clients"

D. "This is a professional relationship and we need to stay clear on that."

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

51. Although the client shows outward signals now, the nurse has previously sensed the client's
jumpiness and subtle differences in the client's demeanor and behavior. The pattern of knowing
presented here according to Carper is?

A. Empirical

B. Personal

C. Ethical

D. Aesthetic

52. In patient psychiatric care focuses on all of the following except

A. Brief intervention

B. Discharge planning

C. Independent living skills

D. Symptom management

53. The Mentally ill homeless would benefit most from

A. Case management services

B. Outpatient psychiatric care

C. Stable housing in a residential neighbourhood

D. A combination of housing, rehabilitation services and community support

If your answer is TRUE and shade C. If your answer is FALSE

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

62. D. Personal Qualities – Acceptance.

63. D. Personal Qualities – Tolerance.

64. A. Interpersonal skills – Assertiveness.

65. D. Personal Qualities – Patience.

66. B. Humanitarian skills – Empathy.

67. B. Humanitarian skills – Non-judgmental attitude.

Choices for Numbers 62-67

A. Interpersonal skills

B. Humanitary skills

C. Teamwork skills

D. Personal Qualities

Identify the goals of rehabilitation and hospitalization

68. B. Psychiatric Rehabilitation Goals – Recovery from mental illness.

69. B. Psychiatric Rehabilitation Goals – Community reintegration.

70. A. Partial Hospitalization Goals – Stabilizing psychiatric symptoms.

71. B. Psychiatric Rehabilitation Goals – Developing social skills.

Choices for Numbers 68-71

A. Partial Hospitalization goals

B. Psychiatric Rehabilitation goals

Identify the communication technique used.

72. Client: "I'm way out in the ocean." Nurse: "You seem to feel lonely or deserted."

D. Translating into Feelings

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?"

E. Verbalizing the Implied

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

D. Translating into Feelings

72-76

A. Reflecting B. Restating C. Summarizing D. Translating into Feelings E. Verbalizing the Implied

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

for Numbers 77-81

A. Reassuring B. Testing C. Challenging D. Disapproving E. Probing

Client during the phases of the Nurse-Client Relationship

82. D. Termination – Aspires to new goals.

83. C. Working Exploitation – Makes full use of services.

84. A. Orientation – Recognizes the nurse as a person.

85. A. Orientation – Shares past experiences and expectations.

86. B. Working Identification – Develops interpersonal skills.

87. C. Working Exploitation – Abandons old needs.

88. D. Termination – Shows positive changes in self-view.

89. A. Orientation – Seeks assistance.

90. B. Working Identification – Aware of time.

Choices for Numbers 82-92

A.Orientation B. Working Identification C. Working Exploitation D. Termination

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)

92. Millon Clinical Multiaxial Inventory (MCMI)

93. Abstract Thinking Test

94. Concentration & Attention

95. Assertiveness

96. Counselor

97. Teacher

98. Confidentiality

99. Therapeutic use of self

100. Therapeutic relationship