ALL INDIA INSTITUTE OF MEDICAL SCIENCES, RISHIKESH

B. Sc (Hons) Nursing III Year Batch

2016
Term Examination, February 2019
MENTAL HEALTH NURSING
Date: Exam Roll No………….

Total Marks:200 Time- Hours

Instructions: Write the Exam Roll No. Don’t write the Name.
Each M.C.Q carries 1 mark. No negative marking.
Use blue/black ball point pen to encircle O one most appropriate right
answer.
Overwriting and scribbling will not award any mark.

1. Which of the following cognitive tasks is NOT an assessment of short term or long term
memory?"
A. "Ask the patient to name the current
Prime Minister of India"
B. "Ask the patient to name as many
animals as possible that can be
found in the Delhi Zoo."
C. Ask the patient to tell you his or her
address and later, you check the
answer with patient’s medical record
D. "Inform the patient 3 objects (e.g.
Apple, Newspaper and Train) and ask
the patient to name the 3 objects
immediately

2. Nurse Sheela is caring for a male client who experience false sensory perceptions with no
basis in reality. This perception is known as:
A. Hallucinations C. Loosening association
B. Delusions D. Neologisms
3. The first psychiatric nurse, who has been recognized for significant innovations in the
psychiatric nursing profession
A. John Hopkins C. Linda Richards
B. Hildegard Peplau D. Maxwell Jones
4. The sudden involuntary twitching of small groups of muscles are known as
A. Tics C. Mannerisms
B. Hyperactivity D. Stereotypical
5. Mr. Jo is newly admitted to a psychiatric unit because of severe Obsessive-Compulsive
Behaviour. Which initial response by the nurse would be most therapeutic for him?
A. Accepting the client’s C. Expressing concern about the
ritualistic behaviours harmfulness of the client’s
B. Challenging the client’s need rituals
for rituals D. Limiting the client’s rituals
that are excessive
6. A female client is admitted with a diagnosis of delusions of grandeur. This diagnosis
reflects a belief that one is
 A. Being Killed C. Responsible for evil world
B. Highly famous and important D. Connected to client unrelated to
ones
7. The term used to describe a peculiar change in the awareness of self in which the
individual feels "as if" he is unreal is:
A. Derealization C. Jamais Vu
B. Depersonalization D. Dissociation
8. Which of the following is NOT true about schizophrenia?
A. Literally means "splitting of C. People with low intelligence
mind" are more predisposed
B. Peak incidence is 15 to 30 years D. Predominantly a disease of
of age females
9. Which nursing statement is a good example of the therapeutic communication technique
of focusing?
A. “Describe one of the best things C. “Your counselling session is
that happened to you this in 30 minutes. I’ll stay with you
week.” until then.”
B. “I’m having a difficult time D. “You mentioned your
understanding what you mean.” relationship with your father.
Let’s discuss that further.”
10. An adult is pacing about the unit and wringing his hands. He is breathing rapidly and
complains of palpitations and nausea and he has difficulty focusing on what the nurse is
saying. He says he is having a heart attack but refuses to rest. How would the nurse
interpret his level of anxiety?

A. Mild. C. Severe.
B. Moderate. D. Panic.

11. The nurse is using nursing process to care for a suicidal client. which of the following
nursing actions is part of assessment step of the nursing process?
A. Identifies nursing diagnosis: C. Prioritizes the necessity for
Risk for suicide maintaining a safe environment
B. Notes that client's family for the client
reports recent suicide attempt D. Obtains a short term contract
from the client to seek out staff
if feeling suicidal
12. Each time a client is scheduled for a therapy session she develops a headache and nausea.
How would the nurse interpret this behavior?

A. Conversion. C. Projection.
B. Reaction formation. D. Suppression.

13. A man has remained at the side of the nurse all day. When the nurse talked with other
clients during dinner, the client tried to regain the nurse’s attention and then began to
 shout, “You’re just like my mother! You pay attention to everyone but me!” What is the
best interpretation of this behaviour?
A. He is exhibiting sublimation. C. The nurse has failed to meet his
B. He has been spoiled by her needs.
family. D. He is demonstrating
transference.

14. An adult is admitted for panic attacks. He frequently experiences shortness of breath,
palpitations, nausea, diaphoresis, and terror. What should the nurse include in the care
plan when he is having a panic attack?
A. Calm reassurance, deep C. Explain the physiologic
breathing, and medication responses of anxiety.
as ordered. D. Explore alternate methods for
B. Teach him problem solving in dealing with the cause of his
relation to his anxiety. anxiety.
15. A client on an inpatient psychiatric unit refuses to eat and states that the staff is poisoning
her food. Which action should the nurse include in the client’s care plan?
A. Explain to the client that the C. Offer the client packed foods
staff can be trusted. and beverages.
B. Show the client that others eat D. Institute behaviour
the food without harm. modification with privileges
dependent on intake

16. A woman is being treated on the inpatient unit for depression. She tells the nurse, “I don’t
see how I can go on. I’ve been thinking of ways to kill myself. I can see several ways to
do it.” What is the best initial action for the nurse to perform?
A. Notify her family about her C. See that someone is with the
statements. client at all times.
B. Explain to the client the D. Help the client identify
consequences of suicide on her alternate means of coping.
family.
17. An adolescent is admitted with anorexia nervosa. You have been assigned to sit with her
while she eats her dinner. The client says to you, “My primary nurse trusts me. I don’t see
why you don’t.” What is your best response?
A. “I do trust you, but I was assigned to C. “OK. When I return, I’ll check to see
be with you.” how much you have eaten.”
B. “I’d like to share this time with D. “Who is your primary nurse?
you.”

18. A client who is diagnosed with a bipolar disorder is admitted to the hospital in the manic
phase. What is the initial plan of care?
A. Put the client in seclusion. B. Put the client on one to one for
safety.
 C. Provide a quiet environment for
the client.
D. Assign the patient with other
manic patient

19. A client is admitted to the hospital because her family is unable to manage her constant
handwashing rituals. Her family reports she washes her hands at least 30 times each day.
The nurse noticed the client’s hands are reddened, scaly, and cracked. What is the main
nursing goal?
A. Decrease the number of hand C. Provide good skin care.
washings a day. D. Eliminate the handwashing
B. Provide a milder soap. rituals.
20. During the focused assessment of a client with major depression, the nurse may ask
which of the following questions?
A. “You seem to have a lot of C. “Have you had any thoughts
energy; when did you last of harming yourself?”
have 6 or more hours of D. “You seem to be listening to
sleep?” something. Could you tell me
B. “You seem to be angry with about it?”
your family now; when was it
that you last got along?”
21. The nurse recognizes that the client with posttraumatic stress disorder (PTSD) is
improving when which of the following occurs?
A. States he feels “numb” most C. Talks about a benefit of the
of the time. traumatic experience.
B. Drinks alcohol to cope with D. Attends weekly group therapy
his feelings.
22. A young woman is found wandering on campus after a farewell party. She is unkempt
and does not know who she is. She has no recollection of the evening. At the student
counseling, she is diagnosed with dissociative amnesia subsequent to a rape. What is the
most appropriate nursing diagnosis for the nurse to formulate?

A. Ineffective individual coping. C. Anxiety related to alteration in

B. Personal identity disturbance. memory.
D. Risk for violence, self-directed.
23. The nurse finds, during the initial assessment of the star player on the basketball team,
that he is not concerned about the sudden paralysis of his “shooting arm.” What is this
behaviour known as?
A. Secondary gain C. Malingering
B. La belle indifference D. Hypochondriasis
24. A man’s family brought him into the hospital because of his many somatic complaints.
He has been seen by many medical specialists in the past without discovery of organic
pathology. The nurse assesses that the client is probably experiencing which of the
following problems?
 A. Conversion disorder C. Malingering
B. Body dysmorphic disorder D. Hypochondriasis
25. The first theoretical framework of psychiatric nursing was proposed by
A. John Hopkins C. Linda Richards
B. Hildegard Peplau D. Maxwell Jones
26. The following is one of the examples of the psychiatric nurse's role in primary prevention
A. Handling crisis intervention in an C. Conducting a post-discharge
outpatient setting support group
B. Visiting the patient's home to D. Providing sex education classes
discuss medication management for adolescents
27. Patient admitted in neuro ward reports that he sees images in front him without any
external stimuli before falling asleep
A. Visual hallucination C. Hypnogogic Hallucination
B. Illusion D. Hypnopompic Hallucination
28. Five months after the traumatic incident the client complains of difficulty to concentrate,
poor appetite, inability to sleep and guilt. She is likely suffering from
A. Adjustment disorder C. Post-traumatic Stress
B. Somatoform Disorder disorder
D. Generalised Anxiety Disorder
29. The biochemical theory of schizophrenia known as the Dopamine hypothesis refers to:
A. Insufficient Dopamine activity C. Allergic sensitivity to
B. Contaminated Dopamine Dopamine
D. Excess Dopamine activity
30. A patient admitted to a mental health unit for treatment of psychotic behavior spends
hours at the locked exit door shouting. “Let me out. There’s nothing wrong with me. I
don’t belong here.” What defense mechanism is the patient implementing?
A. Denial C. Regression
B. Projection D. Rationalization
31. The goal of cognitive therapy with depressed clients is to
A. Identify and change C. Alter the neurotransmitters
dysfunctional patterns of that are creating the depressed
thinking mood
B. Resolve the symptoms and D. Provide feedback from peers
initiate or restore adaptive who are having similar
family functioning experiences
32. A therapeutic nurse-client relationship begins with the nurse’s:

A. sincere desire to help others. D. sound knowledge of psychiatric

B. acceptance of others. nursing
C. self-awareness and
understanding.
33. A nurse is caring for a client hospitalized on numerous occasions for complaints of chest
pain and fainting spells, which she attributes to her deteriorating heart condition. No
relatives or friends report ever actually seeing a fainting spell. After undergoing an
 extensive cardiac, pulmonary, GI, and neurologic work-up, she’s told that all test results
are completely negative. The client remains persistent in her belief that she has a serious
illness. What diagnosis is appropriate for this client?
A. Exhibitionism C. Degenerative dementia
B. Somatoform disorder D. Echolalia
34. A nurse is caring for a client who’s experiencing auditory hallucinations. What should be
most crucial for the nurse to assess?

A. Possible hearing impairment C. Content of the hallucinations

B. Family history of psychosis D. Possible sella turcica tumours
35. Angelina expresses a loss of interest and pleasure in activities and life. She describes
everything as pervasively boring. What is Angelina describing?

A. Echolalia C. Anhedonia
B. Apathy D. Anergia
36. The phobic reaction will rarely occur unless the person

A. thinks about the feared object C. introjects the feared object

B. absolves the guilt of the into the body
feared object D. comes into the contact with
the feared object
37. When a client has panic-level anxiety, plans for nursing intervention should include
A. darkening the room and C. staying with the client.
offering warm blankets. D. alerting security to the
B. having the client describe how situation.
he or she usually copes with
anxiety.
38. When the nurse monitors the client diagnosed with hypochondriasis, it is important that
the nurse assesses for which of the following behaviors?
A. The client’s increased ability C. The client asks for more
to cope with anxiety medication
B. The client’s clinical D. The client reports additional
manifestations move from the clinical manifestations
primary site to a secondary site
39. When treating a client with a dissociative disorder, which of the following is a priority
intervention that the nurse should implement for early intervention?
A. Establish a therapeutic C. Suggest hypnosis to uncover
alliance repressed information
B. Complete the history that the D. Try to establish the triggering
client cannot recall events
40. Chapter 8 of The Indian mental health act, 1987 explains about
A. discharge procedure C. rights of mentally ill
B. cost of maintenance of mental D. guidelines for establishment of
hospital mental hospitals
41. When assessing a client for a bipolar disorder, the nurse should include which of the
following in the mental status exam to make a positive diagnosis of a bipolar disorder?
Assessment of
A. gait. C. emotional developmental level.
B. mood. D. nutritional status
42. The nurse is preparing to care for a client with major depression. The priority nursing
intervention is to assess the client’s
A. response to medication C. appetite and weight.
administration. D. risk of suicide
B. current mood and activity
level.
43. The nurse is caring for a client who is in the manic state of a bipolar disorder. Which of
the following should the nurse prioritize as the most appropriate nursing outcome?
A. The client will be free of agitation, C. The client will be free of
hyperactivity, and restless aggression and threatened
behavior behavior toward others
B. The client will appropriately D. The client will demonstrate
verbalize feelings of anger lessened buying clothes and
grandiosity
44. The nurse is caring for a client with schizophrenia who is experiencing delusions. Which
of the following nursing diagnoses would be appropriate?
A. Impaired verbal communication C. Disturbed thought processes
B. Ineffective role performance D. Disturbed sensory perception

45. A client with schizophrenia, disorganized type is admitted to the inpatient unit. He
frequently giggles and mumbles to himself. He hasn't taken a shower for the past 3 days,
presenting a disheveled, unkempt appearance. Which statement would be most
appropriate for the nurse to use in persuading the client to shower?
A. Clients on this unit take C. You'll feel better if you
showers daily. shower.
B. It's time to shower. I will D. Would you like to take a
help you. shower?
46. In which of the following condition mood congruent delusion is seen is
A. Depression C. Schizophrenia
B. Mania D. Panic Disorders
47. Commonest Psychiatric illness in India is
a. Schizophrenia c. Endogenous depression
b. Neurotic depression d. OCD
48. The term Ambivalence’ is coined by
A. Hippocrates C. Eugene Bleuler
B. Sigmund Freud D. Krapelin
49. Which of the following is the most specific psychotic feature?
a. Pressure of speech c. Preservation
b. Neologism d. Incoherence
50. Which of the following parts of the brain is associated with multiple feelings and
behaviors and is sometimes referred to as the “emotional brain?”
A. Frontal lobe C. Thalamus
B. Limbic system D. Hypothalamus
51. Basanti, 27 years old female thinks that her nose is ugly, her idea is fixed and not shared
by anyone. Whenever she goes out of home, she hides her face with a cloth. She visits a
surgeon. Next step would be.
A. Investigations and plan for C. Psychiatrist referral
surgery D. Immediate Surgery
B. Reassurance
52. Which is the first rank symptom mentioned by Schneider
A. Echolalia C. Autism
B. Suicide tendencies D. Thought insertion
53. A false belief, unexplained by reality shared by number of people is called
A. Superstition C. Delusion
B. Illusion D. Hallucination
54. Which of the following parts of the brain is associated with voluntary body movement,
thinking and judgment, and expression of feeling?
A. Frontal lobe C. Parietal Lobe
B. Temporal lobe D. Occipital lobe
55. The concept of introversion and extroversion was advanced by
A. Spranger C. Jung
B. Jeansch D. Kretchmer
56. The nurse is assessing the client for a possible mental disorder using contemporary beliefs
about mental illness as a theoretical base for practice. Given this approach, the nurse
would definitely as about:
A. Current medications and C. Religious practices
recent stressors D. Recent blood transfusions
B. Early childhood experiences
and dreams
57. All of the following are ego defense mechanisms. EXCEPT.
A. Projection C. Reaction formation
B. Conversion D. Transference
58. Which year Govt of India launched National Mental Health Programme
A. 1987 C. 1982
B. 1985 D. 1912
59. Jargon are barriers for therapeutic communication. Which of the following is true about
"JARGON"?
A. It is a commonplace terminology B. Health care workers are expected to
unique to people within a specific learn Jargon and use it daily
type of work that should be C. It is scientific terminology that is
avoided when talking to clients or exact and should be used with
patients patients.
 D. Jargon is indicative of highly qualified and professional workers
60. A nurse is caring for a schizophrenic client who’s well managed on medications. He
reveals that he’s doing so well, he doesn’t think he needs to take medication anymore.
What response indicates the nurse best understands the client’s diagnosis?
A. “The medications are helping you C. “You should take the medication for
and if you stop suddenly you several months after you go home.”
could get sick again.” D. “You have to take your pills
B. “I’ll pass this information on to because the doctor has ordered them
your doctor to see if he feels this for you.”
might be wise.
61. A nurse is caring for a client who has schizophrenia. What’s the first-line treatment for
this client?
A. Group therapy C. Milieu therapy
B. Thyroid replacement therapy D. Antipsychotics
in selected individuals
62. A nurse is caring for a client who has a dissociative disorder and is experiencing amnesia.
What could have triggered the amnesia?
A. Severe psychosocial stress C. Conscious sedation
B. Short-acting sedation D. Syndrome of inappropriate
antidiuretic hormone (SIADH)
63. Which of the following is NOT a characteristic feature of manic episode?
C. Thought echo, thought
A. Elevated, expansive, irritable insertion or thought
mood withdrawal
B. Increased psychomotor activity D. Flight of ideas

64. The theory of operant conditioning was proposed by:

A. Ian Pavlov C. Burrhus Frederick Skinner
B. Watson D. Harry Stock Sullivan
65. The systematic study of abnormal experiences, cognition and behaviour is
A. Epidemiology C. Psychopathology
B. Ethnology D. Pathophysiology
66. Thought alienation phenomenon includes all, EXCEPT:
A. Thought insertion. C. Thought broadcasting
B. Thought blocking D. Primary process thinking
67. Nurse Tony should first discuss terminating the nurse-client relationship with a client
during the:
A. Termination phase when C. Orientation phase when a
discharge plans are being made contract is established.
B. Working phase when the client D. Working phase when the client
shows some progress brings it up
68. Tania with mania is skipping up and down the hallway practically running into other
clients. Which of the following activities would the nurse in charge expect to include in
Tania’s plan of care?
 A. Watching TV C. Leading group activity
B. Cleaning dayroom tables D. Reading a book
69. A client is suffering from catatonic behaviours. Which of the following would the nurse
use to determine that the medication administered SOS has been most effective?
A. The client responds to verbal C. The client walks with the nurse
directions to eat to her room
B. The client initiates simple D. The client is able to move all
activities without direction extremities occasionally
70. The primary nursing diagnosis for a female client with a medical diagnosis of major
depression would be
A. Situational low self-esteem C. Spiritual distress related to
related to altered role depression
B. Powerlessness related to the D. Impaired verbal
loss of idealized self communication related to
depression
71. All of the following are features of obsessive compulsive disorders, except
A. Anxiety relieved by doing the C. Magical thought
act D. Patient is aware of helplessness
B. Sense of guilt
72. When the community health nurse visits a patient at home, the patient states, “I haven’t
slept the last couple of nights.” Which response by the nurse illustrates a therapeutic
communication response to this patient?
A. “I see.” C. “You’re having difficulty
B. “Really?” sleeping?”
D. “Sometimes, I have trouble
sleeping too.”
73. Which statement should a nurse identify as correct regarding a client's right to refuse
treatment?
A. Clients can refuse pharmacological C. clients can refuse only
but not psychological treatment. electroconvulsive therapy (ECT).
B. Clients can refuse any treatment at D. Professionals can override
any time. treatment refusal if the client is
actively suicidal or homicidal.
74. A client is concerned that information given to the nurse remains confidential. Which is
the nurse's best response?
A. "Your information is confidential. It C. "If the information impacts your
will be kept just between you and I." care, I will need to share it with the
B. "I will share the information with treatment team."
staff members only with your D. "You can make the decision whether
approval." your physician needs this information
or not."
75. A patient with a diagnosis of major depression who has attempted suicide says to the
nurse, “I should have died! I’ve always been a failure. Nothing ever goes right for me.”
Which response demonstrates therapeutic communication?
 A. “You have everything to live C. “Feeling like this is all part of
for.” being depressed.”
B. “Why do you see yourself as a D. You’ve been feeling like a
failure?” failure for a while?”
76. On review of the patient's record, the nurse notes the admission was voluntary. Based on
this information, the nurse anticipates which patient behavior?
A. Fearfulness regarding treatment C. An understanding of the pathology and
measures symptoms of the diagnosis.
B. A willingness to participate in the D. Anger and aggressiveness directed
planning of the care and treatment toward others
plan
77. The nurse in the mental health unit recognizes which of the following as therapeutic
communication techniques? Except.
A. Giving advice and C. Providing acknowledgment
approval or disapproval and feedback
B. Listening D. Restating
78. Which statement demonstrates the BEST understanding of the nurse’s role regarding
ensuring that each client’s rights are respected?
A. “Autonomy is the fundamental C. “Being respectful and
right of each and every client.” concerned will ensure that
B. “A patient’s rights are I’m attentive to my patient’s
guaranteed by both state and rights.”
central laws. D. “Regardless of the patient’s
conditions, all nurses have the
duty to respect patient rights.”
79. The primary prevention for Mental retardation are all of the following, except
A. Genetic counselling C. Immunization
B. Psychiatric treatment D. Proper nutrition
80. The nursing is using nursing process to care for a suicidal client. Which of the following
nursing actions is part of Planning step of the nursing process?
A. Prioritizes the necessity for C. Obtains a short term contract
maintaining a safe from the client to seek out staff
environment for the client if feeling suicidal
B. Determines if nursing D. Establishes a goal of care:
interventions have been Client will not harm self during
appropriate to achieve desired hospitalization
results

81. "Shalu is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit
with adiagnosis of anorexia nervosa. She is 5'5"" tall and weighs 38 KG. She was elected
to the Vice President for the school but states that she is not as good as the others on the
team. The treatment team has identified the following problems: refusal to eat, occasional
 purging, refusing to interact with staff and peers, and fear of failure. Which of the
following nursing diagnosis would be priority for Shalu?"
A. Social isolation D. Imbalanced nutrition: Less than
B. Disturbed body Image body requirement
C. Low self-esteem
82. "Which is a nursing intervention to establish trust with a client who is experiencing
concretethinking?"

A. Sharing what the C. Calling the client by name.

client is feeling D. Being consistent in adhering to unit guidelines.
B. Teaching the
meaning of any
idioms used.

83. A client diagnosed with a personality disorder has a nursing diagnosis of impaired
socialinteraction. Which is a short-term goal related to this diagnosis?"

A. "The client will interact without C. "The client will display no

difficulty with others in social and
therapeutic settings. "
B. " The client will discuss with the
nurse behaviors that would impede
the development of satisfactory
interpersonal relationships by day 2
of hospitalization."
evidence of splitting, clinging, or
distancing behaviors in
relationships by day 3 of
hospitalization."
D. "The client will demonstrate the
use of relaxation techniques to
maintain anxiety at a manageable
level."

84. "A client diagnosed with bipolar disorder has a nursing diagnosis of sleep pattern
disturbance. Which intervention should the nurse implement initially?
A. Assess normal sleep patterns C. Discourage the use of caffeine
B. Discourage napping during the and nicotine.
day. D. Teach relaxation exercises

85. A client diagnosed with post-traumatic stress disorder is admitted in psychiatric ward for
evaluation and medical stabilization. Which of the following comminationtechnique is an
example of broad opening?
A. What occurred prior to the rape. and C. “I notice you seem uncomfortable
when did you go to the emergency discussing this.”
department?” D. “How can we help you feel safe
B. “What would you like to talk during your stay here?”
about?”
86. Which of the following nonverbal behavior a nurse should employ while interviewing a
client?
A. Maintaining indirect eye C. Sitting squarely. facing the
contact with the client client
B. Providing space by leaning D. Maintaining open posture with
back away from the client arms and legs crossed
87. Which of the conditions essential to development of therapeutic relationship is
demonstrated when you take the client’s ideas, preferences, and opinions into
considerations when planning care?
A. Rapport C. Trust
B. Respect D. Genuineness
88. Nurse Jonsy helps Kabir to practice various techniques to control his angry Phase
outbursts. She gives Kabir positive feedback for attempting to improve maladaptive
behaviors. Which phase of NPR is referred to here?
A. Pre-Interaction C. Working
B. Introductory D. Termination
89. A client, age 40, is admitted for a surgical biopsy of a suspicious lump in her left breast.
When the nurse comes to take her to surgery, she is tearfully finishing a letter to her two
children. She tells the nurse, "I want to leave this for my children in case anything goes
wrong today." Which response by the nurse would be most therapeutic?
A. "In case anything goes C. "Try to take a few deep
wrong? What are your breaths and relax. I have
thoughts and feelings some medication that will
right now?" help."
B. "I can understand that D. "I'm sure your children
you're nervous, but this know how much you love
really is a minor procedure. them. You'll be able to talk
You'll be back in your to them on the phone in a
room before you know it." few hours."

90. Which of the following methods would you use when communicating with an angry
patient;"
A. Maintain a personal space C. Use therapeutic silence
B. Encourage safe coping D. Use touch as a therapeutic
behaviors technique
91. A patient has been withdrawn, suspicious, and explosive since admission. He is wary of
staff and other patients. Which approach is most appropriate?
A. Refraining from touch. C. Reaching out to shake his
B. "Patting his arm when he hand as a initial greeting."
seems frightened
D. Placing an arm around his
shoulders while walking down
the hall.
92. A client with obsessive-compulsive disorder tells the nurse that he must check the lock on
his apartment door 25 times before leaving for an appointment. The nurse knows that this
behavior represents the client's attempt to:
A. call attention to himself. C. maintain the safety of his
B. control his thoughts. home.
D. reduce anxiety.
93. The nurse notices that a client with obsessive-compulsive disorder washes his hands for
long periods each day. How should the nurse respond to this compulsive behavior?
A. By allowing times during B. By urging the client to reduce
which the client can focus on the frequency of the behavior
the behavior as rapidly as possible
 C. By calling attention to or D. By discouraging the client
attempting to prevent the from verbalizing anxieties
behavior
94. The nurse notices that a client with obsessive-compulsive disorder dresses and undresses
numerous times each day. Which comment by the nurse would be most therapeutic?
A. "I saw you change clothes C. "It bothers me to see you
several times today. That always so busy."
must be very tiring." D. "It's foolish to change clothes
B. "Try to dress only once per so many times in one day."
day so you won't be so tired."

95. While shopping at a mall, a woman experiences an episode of extreme terror

accompanied by anxiety, tachycardia, trembling, and fear of going crazy. A friend drives
her to the emergency department, where a physician rules out physiological causes and
refers her to the psychiatric resident on call. To control the client's anxiety, the nurse
caring for this client expects the resident to prescribe:
A. haloperidol (Haldol). C. bupropion (Wellbutrin).
B. lorazepam (Ativan). D. paroxetine (Paxil).
96. A client is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive
symptoms. Obsessive-compulsive disorder (OCD) is associated with:
A. physical signs and symptoms C. inability to concentrate.
with no physiologic cause. D. repetitive thoughts and
B. apprehension. recurring, irresistible
impulses.
97. A client with agoraphobia has been symptom-free for 4 months. Classic signs and
symptoms of phobias include:
A. insomnia and an inability to C. depression and weight loss.
concentrate.
B. severe anxiety and fear. D. withdrawal and failure to
distinguish reality from fantasy.
98. A woman becomes increasingly afraid of riding in elevators. One morning, she
experiences shortness of breath, palpitations, dizziness, and trembling while in an
elevator. A physician can find no physiological basis for these symptoms and refers her to
a psychiatric clinical nurse-specialist for outpatient counseling sessions. Which of the
following is most likely to reduce the client's anxiety level?
A. Psychoanalytically oriented C. Systematic desensitization
psychotherapy
B. Group psychotherapy D. Referral for evaluation for
electroconvulsive therapy
99. Which medications have been found to help reduce or eliminate panic attacks?
A. Antidepressants C. Antipsychotics
B. Anticholinergics D. Mood stabilizers
100. During a panic attack, a client hyperventilates, becomes unable to speak, and reports
symptoms that mimic those of a heart attack. Which nursing intervention would be best?
A. Encourage participation in
milieu activities.
B. Encourage work on a craft C. Encourage the client to lie
project in the client's room. down on the bed; then turn off
 the lights and leave the room. provide instructions in short,
simple statements.
D. Accompany the client to his
room; remain there and
101. A client on the behavioral health unit spends several hours a day organizing and
reorganizing his closet. He repeatedly checks to see if his clothing is arranged in the
proper order. What term is commonly used to describe this behavior?
A. Obsession C. Exhibitionism
B. Compulsion D. Transference
102. A patient is diagnosed with agoraphobia. Which of the following would the healthcare
personnel identify as a characteristic of this disorder?
A. Avoids being in the presence of C. Refuses to use a public
clowns restroom
B. Avoids interacting with D. fears the use of public
strangers transportation
103. Which of the following ego defense mechanisms describes the underlying dynamics
of somatization disorder?
A. Denial of depression C. Suppression of grief
B. Repression of anxiety D. Displacement of anger
104. Introduction of which drug was brought revolution in psychopharmacology
A. Lithium C. Valproate
B. Chlorpromazine D. Paracetamol
105. Which committee recommended expansion of mental health services and preparation
of psychiatric nursing personnel in colonial India
A. Mudaliar C. Planning Commission
B. Katarsingh D. Bhore
106. Identify the function the nurse working in a psychiatric hospital is legally not
permitted to carry out?
A. Health promotion C. Prescribing psychotropic
B. Identifying nursing diagnoses medications
D. Health prevention
107. Which nursing function is different in current psychiatric nursing practice when
compared with practice from 1915 to 1935?
A. careful client assessment C. use of nursing diagnosis
B. role of environment D. Understanding the etiology of
mental illness
108. Nursing Mental Diseases, First psychiatric nursing text book was written by
A. Dorothea Dix C. Hildegard Peplau
B. Harriet Bailey D. Linda Richards
109. Which model explains that Organic pathology as the definite cause for mental
disorder?
A. Socio cultural model C. Nursing model
B. Medical model D. Statistical model
110. Patient who is admitted in acute ward keeps repeating the same word or phrase which
is used by the health personnel
A. Perseveration C. Ambitendence
B. Echolalia D. Echopraxia
111. ICD- The type of classification system of all diseases nd related health problems
developed by
A. ANA B. APA
 C. WHO D. ICMR
112. Puneet tells his parents he is sorry for drinking beer and smoking marijuana.Which
component of Freud's structure of personality development
A. Id C. Super ego
B. Ego D. Grieving
113. Mr. Mukesh admitted first time on the psychiatric unit. He is 35 years old.Mr.Sharma
will be in which level of psychosocial development (according to Erikson)
A. "Intimacy vs. isolation C. Trust vs. mistrust
B. "Generativity vs. D. Integrity Vs Despair
Stagnation/Self-absorption

114. Mr.G, lost an important business deal and had a flat tire on the way home. That
evening, he began to find fault with everyone. Which defense mechanism is he using?
A. Displacement C. Regression
B. Projection D. Sublimation

115. The hippocampus and the amygdala, which are components of the limbic system, are
located:
A. Anterior parietal lobe C. Medial frontal lobe
B. Medial temporal lobe D. Posterior parietal lobe
116. According to Piaget, a 5-year-old is at what stage of development:
A. Sensorimotor stage C. Pre-operational
B. Concrete operations D. Formal operation
117. Which of the following hormones has been implicated in the etiology of mood
disorder with seasonal pattern?
A. Increased levels of melatonin C. Decreased levels of prolactin
B. Decreased levels of oxytocin D. Increased levels of thyrotropin
118. A patient came to the OPD with the chief complain of suspiciousness, mistrustful
behaviour, became hypersensitive to every single word and often arguing with the
informant. Identify the probable personality disorder of the patient.
A. Paranoid C. Schizotypal
B. Schizoid D. Antisocial

119. A female client came with the chief complain of emotional blackmail, impulsivity,
craving for novelty and often concern with physical attractiveness. Which personality
disorder is she likely to have?
A. Histrionic C. Antisocial
B. Schizotypal D. Anxious
120. The nurse is assessing a client with severe anorexia nervosa. Which of the following
physical findings should be immediately reported to the physician?
A. Pulse rate of 102 C. Amenorrhea
B. Blood pressure of 80/40mm D. Urine output of 50cc/hour
Hg
121. A client came in the OPD with the complain of repeated history of touching private
part of the opposite sex while travelling in a crowded bus or any gathering. Even family
member complains once he caught right handed. Identify which kind of sexual problem
the client is suffering from?
A. Frotteurism C. voyeurism
B. Pedophilia D. Fetishism
122. A patient is suffering from the dread of fatness, weight phobia and drive to thin. The
"fear of becoming fat" observed in this kind of patients is best understood as :
A. Paranoid delusion C. Overvalued idea
B. Somatic delusion D. Obsessive idea
123. A client came in the OPD with Bulimia nervosa, the nonpurging sub-type, a
behaviour which is used to compensate for binging is
A. Exercise C. Not thinking about food
B. Withdrawing from social D. wearing loose fitting dress
interaction
124. Biological accounts of anorexia and bulimia suggest that maintaining a low body
weight and self-starvation may be reinforced by:
A. Endogenous opioids C. Endorphins
B. Serotonin D. Dopamine
125. A nurse notices other clients on the unit avoiding a client diagnosed with antisocial
personality disorder. When discussing appropriate behavior in group therapy, which of
the following comments is expected about this client by his peers?
A. Belief in superstitions C. Lack of honesty
B. Show of temper tantrums D. Constant need for attention
126. A client with antisocial personality is trying to convince a nurse that he deserves
special privileges and that an exception to the rules should be made for him. Which of the
following responses is the most appropriate?
A. “I believe we need to sit down C. “What you’re asking me to do
and talk about this.” is unacceptable.”
B. “Don’t you know better than to D. “Why don’t you bring this
try to bend the rules?” request to the community
meeting?”
127. A client with a diagnosis of narcissistic personality disorder has been given a day pass
from the psychiatric hospital. The client is due to return at 6pm. At 5pm the client
telephones the nurse in charge of the unit and says “6 o’clock is too early. I feel like
coming back at 7:30.” The nurse would be most therapeutic by telling the client to:
A. Return immediately, to C. Come back at 6:45, as a
demonstrate control compromise to set limits
B. Return on time or restrictions D. Come back as soon as possible
will be imposed or the police will be sent
128. Which of the following is the term for the experience of persistent or recurrent delay
in or absence of orgasm following normal sexual excitement which causes the individual
marked distress or interpersonal difficulty?
A. Erectile Disorder C. Female Orgasmic Disorder
B. Aclimactic Disorder
D. Female Climactic Disorder
129. Genital pains that can occur before, during or after sexual intercourse, and can occur
in both males and females are known as:
A. Dyspareunia C. Dyskinesia
B. Dysmenorrhea D. Dyspraxia
130. Which of the following is a paraphilia involving sexual fantasies about exposing the
penis to a stranger, which are usually strong and recurrent to the point where the
individual feels a compulsion to expose himself?
A. Voyeurism C. Exhibitionism
B. Expositionism D. Frotteurism
131. A patient tells the nurse that his sexual functioning is normal when his wife wears
short, red camisole-style nightgowns. He states, "Without the red teddies, I am not
interested in sex." The nurse can assess this as consistent with:
A. Exhibitionism C. Frotteurism.
B. Voyeurism. D. Fetishism

132. Mr. Ram is admitted in psychiatric ward with catatonic schizophrenia is mute, can’t
perform activities of daily living, and stares out the window for hours. What is the nurse’s
first priority?
A. Assist the client with feeding. C. Reassure the client about
B. Assist the client with safety.
showering D. Encourage socialization with
peers
133. A client is admitted to the psychiatric unit of a local hospital with chronic
undifferentiated schizophrenia. During the next several days, the client is seen laughing,
yelling, and talking to herself. This behavior is characteristic of:
A. Delusion C. Illusion
B. Looseness of association D. HallucinatioN

134. Mr. Paul, a 20-year-old man, suffers from schizophrenia. He has a monozygotic twin
brother called Peter. Based on the findings from genetic studies, what is the risk (in %)
that Peter will develop schizophrenia?
A. 17% C. 37%
B. 27% D. 47%
135. A client with schizophrenia displays a lack of interest in activities, reduced affect, and
poor ability to perform activities of daily living. What term would be used to describe this
clustering of symptoms?
A. Positive symptoms C. Physiologic symptoms
B. Negative symptoms D. Extrapyramidal symptoms

136. The nurse is caring for a client with schizophrenia who experiences auditory
hallucinations. The client appears to be listening to someone who isn't visible. He
gestures, shouts angrily, and stops shouting in mid-sentence. Which nursing intervention
is the most appropriate?
A. Approach the client and touch C. Acknowledge that the client is
him to get his attention. hearing voices but make it
B. Encourage the client to go to clear that the nurse doesn't
his room where he'll experience hear these voices.
fewer distractions. D. Ask the client to describe what
the voices are saying.
137. A client with schizophrenia tells the nurse, "My intestines are rotted from the worms
chewing on them." This statement indicates a:
A. delusion of persecution. C. Somatic delusions
B. delusion of grandeur. D. jealous delusion.
138. Mr. Ramu Nursing Officer taking history of the patient. A statement by the client
leads the nurse to suspect depression?
A. "My daughter said she's not B. "I just know my daughter
coming to visit today because doesn't love me anymore."
she needs to work late."
 C. "I'm very sad about losing my D. "At least not everything in my
job, but I know things will turn life is bad."
around for me."
139. A client suffers from depression after the accidental death of her daughter. After a
suicide attempt, the client is admitted to the psychiatric unit. During the admission
interview, the client tells the nurse that she no longer wants to die. The nurse should:
A. Suggest that the client no longer C. Inspect the client's personal
requires close observation. belongings for potentially
B. Place the client in a private room, dangerous objects.
away from the nurses' station, so D. Avoid any further discussion of
that she has privacy to work suicide unless the client brings up
through the stages of the grieving the topic.
process.
140. A client in the manic phase of bipolar disorder constantly belittles other clients and
demands special favors from the nurses. Which nursing intervention would be most
appropriate for this client?
A. Ask other clients and staff C. Offer the client an antianxiety
members to ignore the client's drug when belittling or demanding
behavior. behavior occurs.
B. Set limits with consequences for D. Offer the client a variety of
belittling or demanding stimulating activities to distract
behavior. him from belittling or making
demands of others.
141. A client diagnosed with depression tells the nurse that she won't allow herself to cry,
"because it upsets the whole family when I cry." This is an example of:
A. Manipulation. C. Rationalization.
B. Insight D. Repression
142. A client with manic episodes is taking lithium. Which electrolyte level should the
nurse check before administering this medication?
A. Calcium C. Chloride
B. Sodium D. Potassium
143. A client exhibits the following defining characteristics: denial of problems that are
evident to others, expressions of shame or guilt, perceptions of self as being unable to
deal with events, and projection of blame or responsibility for problems onto others. How
would a nurse diagnose this client?
A. Anxiety C. Ineffective denial
B. Chronic low self-esteem D. Ineffective coping
144. On admission to the psychiatric unit, a client with major depression reports that a
family member is physically abusive and requests that the nurse not release any personal
information to anyone. When the allegedly abusive family member calls the unit and
demands information about the client's treatment, what is the nurse's best response?
A. "To protect clients' C. "Your family member isn't
confidentiality, I can't give any accepting telephone calls."
information, including whether D. "Your family member didn't sign
your relative is receiving an information release form with
treatment here." your name on it, so I can't give
B. "I can't give you any information. you any information."
Goodbye."
145. The nurse is caring for a client in an acute manic state. What is the most effective
nursing action for this client?
 A. Assigning him to group C. Assisting him with self-care
activities
B. Reducing his stimulation D. Helping him express his
feelings
146. A client has received treatment for depression for 3 weeks. Which behavior suggests
that the client is recovering from depression?
A. The client talks about the C. The client wears a hospital
difficulties of returning to gown instead of street clothes.
college after discharge.
B. The client spends most of the D. The client shows no emotion
day sitting alone in the corner when visitors leave.
of the room.
147. He initiated the first revolution in psychiatry has occurred by removing the chains of
mentally ill.
A. Benjamin rush C. Philip Pineal
B. Clifford beers D. Eugene Bleuler
148. The hallucinations occurring in the semiconscious state preceding awakening are
called

A. Hypnogogic C. Hypnopompic
B. Extracampine D. Pseudo hallucinations
149. The nurse knows that Freud’s phallic stage of psycho sexual development is best seen
at

A. Adolescence C. Birth to 1 year

B. 6-12 years D. 3-6 years
150. The generally accepted concept of personality development is

A. By 2 years of age the basic C. The capacity of personality

personality is firmly set
B. Personality is capable of
change and modification
throughout life
change decreases rapidly
after adolescence
D. By the end of 6 years the
personality reaches to adult
parameters.

151. A client complains of experiencing an overwhelming urge to sleep. He states that he’s
been falling asleep while working at his desk. He reports that these episodes occur about
five times daily. This client is most likely experiencing which sleep disorder?

A. Breathing-related sleep C. Primary hypersomnia

disorder D. Circadian rhythm disorder
B. Narcolepsy
152. Nurse is caring for a client with borderline personality disorder. Which interventions
should the nurse perform?

A. Setting limits on B. Allowing the client to set

manipulative behavior limits
 C. Using restraints judiciously D. Encouraging acting out
behavior

153. A client on antipsychotic drugs begins to exhibit bizarre facial and tongue
movements. Based on these findings, the client is most likely exhibiting signs and
symptoms of which disorder?

A. Akinesia C. Tardive dyskinesia

B. Pseudo parkinsonism D. Oculogyric crisis
154. Which nursing intervention is most appropriate when planning care for the client with
anorexia nervosa?

A. Have the client weigh herself at the C. Remain with the client during
same time every day. mealtime and observe her for 2
B. Have the client record her food intake hours after eating.
after she has eaten. D. Recommend that the client not eat
snacks so that she can eat at
mealtime.
155. Anankastic personality is also known as
A. Obsessional personality C. Narcisstic personality
B. Histrionic personality D. Depressive personality
156. Tactile hallucinations of insects crawling under the skin are called
A. Kianesthetic C. Formication
B. Functional D. Extracampine
157. Which statement about mental illness is true?

A. Mental illness is a matter of political systems, and the

individual nonconformity with groups defining it.
societal norms. D. Mental illness is evaluated solely
B. Mental illness is present when by considering individual control
individual irrational and illogical over behavior and appraisal of
behavior occurs. reality.
C. Mental illness changes with
culture, time in history,
158. A nursing student new to psychiatric mental health nursing asks a peer what resources
he can use to figure out which symptoms are present in a specific psychiatric disorder.
The best answer would be:

A. Nursing Interventions C. NANDA-I nursing

Classification (NIC) diagnoses
B. Nursing Outcomes D. DSM-5
Classification (NOC)
159. Which statement best describes a major difference between a DSM-5 diagnosis and a
nursing diagnosis?
 A. There is no functional difference
between the two; both serve to
identify a human deviance.
B. The DSM-5 diagnosis disregards
culture, whereas the nursing
diagnosis takes culture into account.
C. The DSM-5is associated with
present symptoms, whereas a
160. Which contribution to modern psychiatric mental health nursing practice was made by
Freud?
nursing diagnosis considers past,
present, and potential responses to
actual mental health problems.
D. The DSM-5 diagnosis impacts the
choice of medical treatment, whereas
the nursing diagnosis offers a
framework for identifying
multidisciplinary interventions

A. The theory of personality C. The thesis that culture and

structure and levels of society exert significant
awareness influence on personality
B. The concept of a “self- D. Provision of a
actualized personality” developmental model that
includes the entire life span

161. The theory of interpersonal relationships developed by Hildegard Peplau is based on

the foundation provided by which early theorist?

A. Freud C. Sullivan
B. Piaget D. Maslow
162. Which drug group calls for nursing assessment for development of abnormal
movement disorders among individuals who take therapeutic dosages?
A. SSRIs C. Benzodiazepines
B. Antipsychotics D. Tricyclic antidepressants

163. A patient states he has “given up on life.” His wife left him, he was fired from his job,
and he is four payments behind on his mortgage, meaning he will soon lose his house.
Which nursing diagnosis is appropriate?

A. Anxiety related to multiple C. Ineffective denial related to

losses multiple losses
B. Defensive coping related to D. Hopelessness related to
multiple losses multiple losses
164. A 43-year-old female patient is brought to the emergency department with complaints
of bizarre speech, visual hallucinations, and changes in behavior. She has no psychiatric
history. Before ordering a psychiatric consultation, the emergency room physician orders
a battery of blood tests as well as an MRI of the brain. The rationale for this is:

A. To avoid a lawsuit. illnesses; therefore, physical

B. Medical conditions and physical causes of symptoms must be
illnesses may mimic psychiatric ruled out
 C. Emergency room physicians are D. To comply with hospital standards
required to order a certain number of care.
of tests for the emergency room
visit to be reimbursed.
165. Which of the following actions best represents the basis or foundation of all other
psychiatric nursing care?

A. The nurse assesses the C. The nurse spends time sitting

patient at regular intervals. with a withdrawn patient.
B. The nurse administers D. The nurse participates in team
psychotropic medications. meetings with other
professionals
166. You have been working closely with a patient for the past month. Today he tells you
he is looking forward to meeting with his new psychiatrist but frowns and avoids eye
contact while reporting this to you. Which of the following responses would most likely
be therapeutic?

A. “A new psychiatrist is a C. “I notice that you frowned and

chance to start fresh; I’m sure avoided eye contact just now;
it will go well for you.” don’t you feel well?”
B. “You say you look forward D. “I get the impression you
to the meeting, but you don’t really want to see your
appear anxious or psychiatrist—can you tell me
unhappy.” why?”
167. Which student behavior is consistent with therapeutic communication?
A. Offering your opinion C. Interrupting periods of
when asked in order to silence before they become
convey support. awkward for the patient.
B. Summarizing the essence D. Telling the patient, he did
of the patient’s comments well when you approve of
in your own words. his statements or actions.
168. Which statement about nonverbal behavior is accurate?

A. A calm expression means that C. The meaning of nonverbal

the patient is experiencing low
levels of anxiety.
B. Patients respond more
consistently to therapeutic
touch than to verbal
interventions.
169. A major principle the nurse should observe when communicating with a patient
experiencing elated mood is to:
A. Use a calm, firm approach.
B. Give expanded explanations.
behaviours varies with
cultural and individual
differences.
D. Eye contact is a reliable
measure of the patient’s
degree of attentiveness and
engagement.
C. Make use of abstract
concepts.
D. Encourage light-heartedness
and joking.
170. A medication teaching plan for a patient receiving lithium should include:
A. Periodic monitoring of renal and thyroid function.
B. Dietary teaching to restrict daily sodium intake.
C. The importance of blood draws to monitor serum potassium level.
D. Discontinuing the drug if weight gain and fine hand tremors are noticed.

171. A client came with the complain of odd thinking, a pervasive pattern of social and
interpersonal deficit and acute discomfort with others. Sometime shows magical thinking
also. Identify the probable personality disorder of the patient.
A. Paranoid
B. Schizotypal
C. Dependent
D. Antisocial

172. The nurse is planning care for a patient with depression who will be discharged to
home soon. What aspect of teaching should be the priority on the nurse’s discharge plan
of care?
A. Pharmacological teaching C. Awareness of symptoms that
B. Safety risk increase depression
D. The need for interpersonal
contact
173. The nurse is caring for a patient who exhibits disorganized thinking and delusions.
The patient repeatedly states, “I hear voices of aliens trying to contact me.” The nurse
should recognize this presentation as which type of major depressive disorder (major
depression)?
A. Seasonal Affective C. Premenstrual Dysphoric
Disorder disorder
B. Dysthymic Disorder D. Psychotic
174. A nurse is educating a patient about the causes of depression. Which statement lets
the nurse know the patient understands the neurobiological theory of depression?
A. “My depression is made C. “I’m depressed because
worse because my my parents were
marriage is stressful.” depressed.”
B. “Sometimes I believe that D. “If I take these
I can’t help myself. medications as
That’s why I get so prescribed, I should
depressed.” start to think clearly
and feel energized.”
175. Since learning that he will have a trial pass to a new group home tomorrow, Luke’s
usual behavior has changed. He has started to pace, has become distracted, and is
breathing rapidly. He has trouble focusing on anything other than the group home issue
and complains that he suddenly feels nauseated. Which initial nursing response is most
appropriate for Luke’s level of anxiety?
 A. “You seem anxious. Would C. “Luke, slow down. Listen
you like to talk about how to me. You are safe. Take
you are feeling?” a deep breath, and let’s go
B. “If you do not calm down, I to a quieter place.”
will have to give you prn D. “We can delay the visit to
medicine to help you.” the group home if that
would help you calm
down.”
176. A variety of medications are used in the treatment of severe anxiety disorders. Which
class of medication used to treat anxiety is potentially addictive?
A. Selective serotonin C. Buspirone
reuptake inhibitors (SSRIs) D. Benzodiazepines
B. Antihistamines
177. You are caring for Jyoti, a 29-year-old who has been diagnosed with dissociative
identity disorder. She was recently hospitalized after coming to the emergency room with
deep cuts on her arms with no memory of how this occurred. The priority nursing
intervention for Jyoti is:
A. Assist in recovering C. Teach coping skills and
memories of abuse. stress-management
B. Maintain 1:1 observation. strategies.
D. Refer for integrative
therapy.
178. Jamie, age 24, has been diagnosed with a dissociative disorder following a traumatic
event. Jamie’s mother asks you, “Does this mean my daughter is now crazy?” Your best
response would be:
A. “People with dissociative disorders C. “Most mental health providers are
are out of touch with reality, so in skeptical about dissociative disorders
that way, your daughter is now and aren’t sure they truly exist. Jamie
mentally ill. Don’t worry. Treatment may be making up her symptoms as a
is available.” cry for help.”
B. “Jamie will most likely need long- D. “Jamie is dealing with the anxiety
term intensive in patient treatment to associated with the trauma by
deal with her traumatic memories as separating herself from it. With
well as to work through her treatment she can get back to her
delusions.” previous level of functioning.”
179. The information that is least relevant when assessing a patient with a suspected
somatization disorder is:
A. Understanding coping C. Limitations in activities of
mechanisms. daily living.
B. Results of diagnostic D. Potential for violence.
workups.
180. A suitable outcome criterion for the nursing diagnosis Ineffective coping related to
dependence on pain relievers to treat chronic pain of psychological origin is:
 A. Patient will participate in evidenced by focusing less
self-care with optimal on weaknesses.
participation. D. Patient will replace
B. Patient will learn and demanding, manipulative
practice effective coping behaviors with more
skills. socially acceptable
C. Patient will demonstrate behavior.
improved self-esteem as
181. You are caring for Yolanda, a 67-year-old patient who has been receiving
haemodialysis for 3 months. Yolanda reports that she feels angry whenever it is time for
her dialysis treatment. You attribute this to:
A. Organic changes in C. A normal response to
Yolanda’s brain. grief and loss.
B. A flaw in Yolanda’s D. Denial of the reality of a
personality. poor prognosis.
182. Lucas is a nurse on a medical floor caring for Kelly, a 48-year-old patient with newly
diagnosed type 2 diabetes. He realizes that depression is a complicating factor in the
patient’s adjustment to her new diagnosis. What problem has the most potential to arise?
A. Development of C. Frequent hypoglycaemic
agoraphobia reactions
B. Treatment Nonadherence D. Sleeping rather than
checking blood sugar
183. You are caring for Aaron, a 38-year-old patient diagnosed with somatic symptom
disorder. When interacting with you, Aaron continues to focus on his severe headaches.
In planning care for Aryan, which of the following interventions would be appropriate?
A. Call for a family meeting C. Improve reality testing by
with Aryan in attendance to tellingAryan that you do
confront Aryan regarding not believe that the
his diagnosis. headaches are real.
B. Educate Aryan on D. Shift focus from Aryan’s
alternative therapies to deal somatic concerns to
with pain. feelings and effective
coping skills
184. A young male patient tells you that somehow he feels that he should not be a man and
that inside he is a woman. This is likely an example of:
A. Fetishistic disorder. C. Gender dysphoria.
B. Frotteuristic disorder. D. Transvestic disorder.
185. Which statement about persons with personality disorders is accurate?
A. They, unlike those with problem but instead
mood or psychotic believe their problems are
disorders, are at very low caused by how others
risk of suicide. behave toward them.
B. They tend not to perceive C. They are believed to be
themselves as having a purely psychological
 disorders, that is, disorders D. Their symptoms are not as
arising from psychological disabling as most other
rather than neurological or mental disorders; therefore,
other physiological their care tends to be less
abnormalities. challenging and
complicated for staff.
186. After reviewing information related to the symptoms of schizophrenia, a group of
nursing students indicate the need for additional review when they identify which of the
following as a positive symptom?
A. Delusion C. Affective flattening
B. Hallucination D. Echolalia
187. Danny has been diagnosed with schizophrenia. On the unit he appears very anxious,
paces back andforth, and darts his head from side to side in a continuous scanning of the
area. He has refused to eat,making some barely audible comment related to “being
poisoned.” In planning care for Danny, whichof the following would be the primary focus
for nursing?
A. To decrease anxiety and C. To ensure that he gets to
develop trust group therapy
B. To set limits on his D. To attend to his hygiene
behavior need
188. The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has
diagnosed Nancy withmajor depressive disorder. The nurse says to Nancy, “Please tell me
what it was like when you weregrowing up.” Which nursing role described by Peplau is
the nurse fulfilling in this instance?
A. Surrogate C. Counselor
B. Resource person D. Technical Expert
189. Tony, age 21, has been diagnosed with schizophrenia. He has been socially isolated
and hearing voices telling him to kill his parents. He has been admitted to the psychiatric
unit from the emergency department. The initial nursing intervention for Tony is to:
A. Give him an injection of C. Place him in restraints.
Thorazine. D. Order him a nutritious diet.
B. Ensure a safe
environment for him and
others.
190. In the past facilities that housed patients who were needy, sick, or insane were known
as:
A. Detox centres C. Outpatient clinics
B. Asylums D. Hospitals
191. In general, a client diagnosed with a mental illness would demonstrate which of the
following?
A. Rational and realistic thought C. Disrupted interpersonal
processing relationships
B. Ability to function alone or D. Motivation by inner values and
with other strength
192. Patient in a deaddiction Unit demonstrates unintentional filling of gaps of memory
with untrue and fanciful information is termed as
A. Amnesia C. Confabulation
B. Hypermnesia D. Déjà vu

193. Grinding or gnashing of the teeth, typically occurring during sleep.

A. Bruxism C. Blunted affect
B. Bradykinesia D. Blocking
194. False perception that objects are smaller than they really are. Sometimes called
A. Functional C. Lilliputian
Hallucination hallucination
B. Kianesthetic D. Illusion
Hallucination
195. The suggested cause of abnormal behavior from the cognitive perspective is
A. Faulty learning C. Unconscious unresolved
B. Early childhood experiences conflicts
D. Faulty thinking
196. Operant conditioning represents learning:
A. using autobiographical C. through pairing of stimulus
memory and response
B. use of specific behavior D. through using repetitive
through reward and stimuli
reinforcement
197. According to DSM-IV classification Psychosocial & environmental problems belongs
to:
A. Axis – I C. Axis - II
B. Axis - III D. Axis – IV
198. Letty says, “Give me ten (10) minutes to recall the name of our college professor who
failed many students in our anatomy class.” She is operating on her:
A. Subconscious C. Unconscious
B. Conscious D. Ego
199. The certified forensic psychiatric nurse performs her duties among which of the
following patients?
A. Community field C. Legal Units
B. Rehabilitation units D. Last Office
200. A client tense to be detached from the other patient in the ward, used to do all work
alone and there was no close friend in the ward. Even sister-in charge praise her for some
work she does not concern at all. Identify the probable personality disorder of the patient.

A. Paranoid
B. Schizoid
C. Dependent
D. Antisocial