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NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

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NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

1. Kwame, a catatonic schizophrenic patient has been pacing up and down on the ward for the past one hour
a. help client to relax by engaging him in ward activities
b. monitor client closely
c. restrain client to prevent exhaustion and dehydration
d. serve client with his medication

2. A manic patient who is hyperactive and experiencing decrease need for food and sleep can best be assisted to eat by…..
a. restrain client and forcefully feeding him with food
b. serving client’s favorite food while pacing up and down
c. serving food that can easily be held by client while pacing up and down
d. waiting for client to calm down before he is served with food

3. A patient who normally complains that her food is poisoned and always insist that the nurse taste the food before she eats has …………….. personality.

a. Antisocial

b. Asthenic

c. Paranoid

d. Schizoid

4. Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect?

a. Chest pain

b. Anxiety

c. Shivering

d. Seizures

5. Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:

a. Control eating impulses

b. Identify anxiety-causing situations

c. Eat only three meals per day

d. Avoid shopping for large amounts of food

6. A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, Nurse Mary should:

a. Assure the client that the nurse will hold in confidence anything the client says

b. Disregard decreased communication by the client because this is common with suicidal clients

c. Check the client frequently at irregular intervals throughout the night

d. Repeatedly discuss previous suicide attempts with the client

7. Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level?

a. Flumazenil (Romazicon)

b. Acetylcysteine (Mucomyst)

c. Deferoxamine mesylate (Desferal)

d. Succimer (Chemet)

8. A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal?

a. Naloxone (Narcan)

b. Haloperidol (Haldol)

c. Chlordiazepoxide (Librium)

d. Magnesium sulfate

9. During postprandial monitoring, a female client with bulimia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. After you had sat with me yesterday, I was still able to purge. Today, my goal is to do it twice.” What is the nurse’s best response?

a. “I trust you not to purge.”

b. “Don’t worry. I won’t allow you to purge today.”

c. “How are you purging and when do you do it?”

d. I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes after you eat.”

10. A male client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, “It felt so wonderful to get high.” Which of the following is the most appropriate response?

a. “You told me you got fired from your last job for missing too many days after taking drugs all night.”

b. “Don’t you know it’s illegal to use drugs?”

c. “If you continue to talk like that, I’m going to stop speaking to you.”

d. “Tell me more about how it felt to get high.”

11. For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority?

a. The client will identify self-perceptions about body size as unrealistic

b. The client will make a contract with the nurse that sets a target weight

c. The client will establish adequate daily nutritional intake

d. The client will verbalize the possible physiological consequences of self starvation

12. When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem?

a. The family is poor

b. The parents are argumentative and demanding with emergency department personnel

c. The mother and father tell different stories regarding what happened

d. The injury isn’t consistent with the history or the child’s age

NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

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13. For a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa/

a. They maintain emotional distance from their children

b. They tend to overprotect their children

c. They alternate between loving and rejecting their children

d. They usually have a history of substance abuse

14. Mental illness is believed to be …….

a. A product of learning

b. A result of nature conflict

c. High intelligence

d. The effect of affluence

15. All the following are chromosomal abnormalities EXCEPT

a. Down’s syndrome

b. Klinefelter’s syndrome

c. Korsakoff’s syndrome

d. Turner’s syndrome

16. Nurse James has assisted the psychiatrist to perform an electroconvulsive therapy on a patient who has refused to give his consent to the treatment. Nurse James could be charged with which of the following.

a. Assault

b. Battery

c. Breach of confidentiality

d. False imprisonment

17. Attention deficit/hyperactivity disorder is BEST diagnosed at the age of.

a. 1 year

b. 2 years

c. 3 years

d. 4 years

18. The following are disorders of mood EXCEPT

a. Apathy

b. Catalepsy

c. Elation

d. Incongruity of affect

19. The patient sees a stick and screams snake, what symptom is the patient exhibiting

a. Delusion

b. Hallucination

c. Illusion

d. Phobia

20. In Freud’s stages of personality development, the period where the focus of the child centers on group activities, learning and socialization with peers is at the …………………..

a. Genital

b. Latency

c. Oral

d. Phallic

NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

21. The use of jumble of words and phrases that lacks any comprehensive meaning or logical coherency in schizophrenia is known as :

A. Clang association
B. Loose association
C. Neologism
D. Word salad

22. A thinking that is delayed and indirect in reaching a goal or getting to the point is known as :
A. Blocking of thought
B. Circumstantiality
C. Tangentially
D. Perseveration

23. Slow movement and little reactivity are signs of the psychomotor retardation common in which of these types of schizophrenia?

A. Catatonia
B. Hebephrenia
C. Paranoid
D. Residual type

24. Inventing stories about situations or events that are not remembered in an effort to mask a memory deficit is

A. Amnesia
B. Confabulation
C. Confusion
D. Clouding of consciousness

25. A female client with paranoid schizophrenia tells the nurse “Everyone hates me”. The best response by the nurse would be :

A. “Everyone does not hate you”
B. “Tell me more about it”
C. “That feeling is part of your illness”
D. “You may be doing something to promote this feeling”

26. One of these sexual deviations involving dressing in cloths appropriate to the opposite sex for the purpose of arousal is?

A. Exhibitionism
B. Fetishism
C. Transexualism
D. Transvertism

27. The method of achieving sexual excitement by use of non-human object is :

A. Aversion
B. Fetishism
C. Frotteurism
D. Transverstic-Fetishism

28. The most prominent symptom of Korsakoff’s syndrome is :
A. Ataxia
B. Confabulation
C. Oculomotor difference
D. Recent memory

29. The nurse should observe the autistic child for signs of :
A. crying for attention
B. irresponsiveness and failure to bond
C. loss of temper
D. use of multiple non-verbal behavior

30. Echolalia and neologism are characteristic of communication impairment found in one of these types of schizophrenia

A. Catatonia
B. Folie a deux
C. Simple schizophrenia
D. Paranoid

31. A person seeing a design on the wallpaper and perceived it as an animal
A. Illusion
B. Delusion
C. Hallucination
D. Idea of reference

32. When a nurse is working with a client with psychiatric problem, a primary goal is the establishment of a therapeutic nurse-client relationship. The major purpose of this relationship is to :

A. Increase non-verbal communication
B. Provide an outlet for suppressed hostile feelings
C. Assist the client in acquiring more effective behavior
D. Provide the client with someone who can make decision

33. Delusions are NOT a hallmark of :
A. Folie a deux
B. Shizoaffective type
C. Simple schizophrenia
D. Residual type

34. Which one of these behavioral modification is used to produce deterrent to drinking of alcohol in alcoholics

A. Antabuse
B. Aversion therapy
C. Desensitization
D. Hypnosis

35. A persistent recurring of unwanted ideas, thoughts or images that cannot be eliminated even though the sufferer considers it to be foolish is

A. Compulsion
B. Folie a deux
C. Folie du donte
D. Obsession

NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

36. The tendency of performing a task or activity to relieve one’s self tension and anxiety is :

A. Compulsion
B. Dissociation
C. Obsessive – compulsive
D. Phobic reaction

37. Abrupt withdrawal from barbiturate could cause a person to experience :
A. Ataxia
B. Urticaria
C. Diarrhea
D. Seizures

38. Neuroleptics are the drug of choice to relieve symptoms of
A. Depression
B. Hyperkinesias
C. Narcotic withdrawal
D. Psychosis

39. The effectiveness of diazepam in the management of status epilepticus is determined by monitoring the client’s

A. Cardiac output
B. Diminished seizure threshold
C. Sleeping pattern
D. Vital signs

40. A type of depression that occurs within 16 days after delivery is called :
A. Reactive depression
B. Major depression
C. Involutional depression
D. Postnatal depression

41. Commonest type of schizophrenia is :
A. Simple
B. Hebephrenic
C. Cataplexy
D. Paranoid

42. Catatonia is associated with :
A. Cataplexy
B. Waxy flexibility
C. Automatic obedience
D. Tics

43. Alexithymia is
A. A feeling of intense rapture
B. Pathological sadness
C. Affective flattering
D. Inability to recognize and describe feelings

44. Features of alcohol withdrawal are all except

A. Hyper somnolence
B. Hallucination
C. Delirium
D. Delusion

45. Mental Status Examination include the following except

A. Examination of perception
B. Examination of thought
C. Examination of the interpersonal relations
D. Examination of higher mental functions

46. Which is most common form of hallucination is schizophrenia

A. Visual hallucination
B. Auditory hallucination

C. Tactile hallucination
D. Gustatory hallucination

47. La belle indifference is seen in
A. conversion reaction
B. Schizophrenia
C. Manic depressive
D. Depression

48. Insight is?
A. Patients awareness of his illness
B. Absent in neurotic disorder
C. Doctors awareness of patients illness
D. Present in manic psychosis

49. Delirium and dementia can be differentiated by

A. Clouding of consciousness
B. Disorientation
C. IQ Testing
D. Impairment of memory

50. Which of the following is not part of psychosis

A. Panic attack
B. Delusion
C. Hallucination
D. Abnormal behaviour

51. Semen’s squeeze techniques is used for

A. Premature ejaculation
B. Impatience
C. Infertility
D. Priapism

52. The following are sexual paraphilias except
A. Bisexuality
B. Transvestism
C. Bestiality
D. Exhibitionism

NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

53. The individual has a false idea about the functioning of his/her body, what type of delusion is this?

A. Grandiose
B. Reference
C. Somatic
D. Nihilistic

54. The following are psychological symptoms of anxiety except

A. Poor concentration
B. Confusion
C. Thought racing
D. Complains of body pains

55. The sustained emotion that the patient is experiencing is called

A. Affect
B. Mood
C. Cognition
D. Thought

56. An environment or surroundings that are modified to create a setting in which the patient feels safe, secure and free to express feelings and thoughts without fear of rejection, retaliation or punishment is called

A. Hospital
B. Milieu
C. Therapy
D. Occupational therapy

57. An interpersonal interaction between the nurse and patient during which the nurse focuses on the patient specific needs to promote an effective exchange of information is known as

A. Milleiu
B. Therapeutic communication
C. Systematic communication
D. Privacy system

58. It is a psychotic disorder seen in women after birth and is characterized by confusion perplexity, mood, liability, delusion etc.

A. Mania
B. Depression
C. Substance induce psychosis
D. Post partum psychosis

59. Is a syndrome which is characterized by delusional convictions that other persons in the environment are not their real selves but one their own doubles

A. Hypochondriasis syndrome
B. Capgras syndrome
C. MHP
D. Post traumatic stress syndrome

60. Jamais vu is

A. Feeling of homelessness
B. The feeling of strangeness in familiar surroundings as though one had never been there before
C. Feeling of similar identity
D. Feeling like dying

61. …………. a technique of modifying behavior that pairs relaxation with the object of fear/phobic stimulus.

a. Flooding

b. Modeling

c. Shaping

d. Systematic desensitization

62. A client with moderate level of anxiety will manifest

i. Diaphoresis

ii. Difficulty in sleeping

iii. Headache

iv. Pounding pulse

a. i, ii, and iii

b. i, iii, and iv