NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
1. In Freud’s stages of personality development, the period where the focus of the child centres on group activities, learning and socialization with peers is at the Stage.
A. Genital
B. Latency✅
C. Oral
D. Phallic
2. A patient with bulimia nervosa frequent secret eating is usually followed by feeling of
A. anger
B. depression✅
C. humiliation
D. unreality
3. Mental retardation may occur as a result of
A. congenital syphilis
B. galactosaemia
C. Huntington’s chorea✅
D. sickle cell disease
4. Patients with delirium
A. are best nursed in a darkened room
B. are best sedated with barbiturates
C. are rarely disoriented to time
D. experience visual hallucinations✅
5. Jose who has been hospitalized with schizophrenia tells Nurse Ron, “My heart has stopped and my veins have turned to glass!” Nurse Ron is aware that this is an example of:
A . Somatic delusions✅
B . Depersonalization
C . Hypochondriasis
D . Echolalia
6. A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing:
A. a delusion.
B. flight of ideas.
C. ideas of reference.✅
D. a hallucination.
7. 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.
B. looseness of association.
C. illusion.
D. hallucination.✅
8. The definition of nihilistic delusions is:
A. a false belief about the functioning of the body.
B. belief that the body is deformed or defective in a specific way.
C. false ideas about the self, others, or the world✅
D. the inability to carry out motor activities.
9. Which of the following groups of characteristics would the nurse expect to see in the client with schizophrenia?
A. Loose associations, grandiose delusions, and auditory hallucinations✅
B. Periods of hyperactivity and irritability alternating with depression
C. Delusions of jealousy and persecution, paranoia, and mistrust
D. Sadness, apathy, feelings of worthlessness, anorexia, and weight loss
10. During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of:
A. somatic delusions.
B. waxy flexibility.✅
C. neologisms.
D. nihilistic delusions.
11. A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is:
A . highly important or famous.✅
B . being persecuted.
C . connected to events unrelated to oneself.
D . responsible for the evil in the world.
12. Which of the following is not an example of alteration of perception?
A . ideas of reference
B . flight of ideas✅
C . illusion
D . hallucination
13. Being in contact with reality and the environment is a function of the:
A . conscience
B . ego✅
C . id
D . super ego
15 . Which medications have been found to help reduce or eliminate panic attacks?
A . Antidepressants✅
B . Anticholinergics
C . Antipsychotics
D . Mood stabilizers
16. A 35 year old female has intense fear of riding an elevator. She claims “ As if I will die inside.” The client is suffering from:
A . Agoraphobia
B . Social phobia
C . Claustrophobia✅
D . Xenophobia
17. A man was sentenced to six months imprisonment after he was caught observing a tenant through the key hole whilst bathing. This behaviour is known as
A. Frotteurism
B. Sadism
C. Fetishism
D. Voyeurism✅
18. John likes his environment to be as neat and tidy as possible. According to Freud he is displaying fixation in which of the following stages?
A. Anal✅
B. Genital
C. Oral
D. Phallic
19. Epileptic attacks may be precipitated by the following
I. boredom
II. Fatigue
III. Hunger
IV. Talking to someone
A. I and II
B. II and IV
C. I, II and III✅
D. II, III and IV
20. Mrs. Ofosu Amarh bought a new dress for her daughter after smacking her for being rude. This defense mechanism is known as
A. conversion
B. Fixation
C. Restitution✅
D. Splitting
21. Kwame approached Nurse Seth asking for advice on how to deal with his alcohol addiction. Nurse Seth should tell the client that the only effective treatment for alcoholism is:
A. Psychotherapy
B. Alcoholics anonymous (A.A.)
C. Total abstinence✅
D. Aversion Therapy
22.Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
A. Hallucinations ✅
B. Delusions
C. Loose associations
D. Neologisms
23. Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…
A. Give her privacy
B. Allow her to urinate
C. Open the window and allow her to get some fresh air
D. Observe her✅
24. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
A. Provide privacy during meals
B. Set-up a strict eating plan for the client✅
C. Encourage client to exercise to reduce anxiety
D. Restrict visits with the family
25. A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
A. Turning on the television
B. Leaving the client alone
C. Staying with the client and speaking in short sentences ✅
D. Ask the client to play with other clients
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
26. A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
A. Being Killed
B. Highly famous and important ✅
C. Responsible for evil world
D. Connected to client unrelated to oneself
27. A 20 year old client was diagnosed with dependent personality disorder. Which behavior is most likely to be exhibited?
A. Recurrent self-destructive behavior
B. Avoiding relationship
C. Showing interest in solitary activities
D. Inability to make choices and decision without advise✅
28. A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
A. Paranoid thoughts✅
B. Emotional affect
C. Independence need
D. Aggressive behavior
29. The use of atropine in ECT is to
A. Alleviate anxiety
B. Relax the muscles
C. Serve as a short acting anestheia
D. Decrease secretions✅
30. When a patient become violent and aggressive the following measures should be taken except
A. Try to appear calm and unafraid
B. Deal with the situation alone✅
C. A rapid visual assessment of the situation should be made
D. Try tp find out the cause and give prompt attention
31. A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
A. Respiratory difficulties✅
B. Nausea and vomiting
C. Dizziness
D. Seizures
32. Inventing stories about situations or events that are not remembered in an effort to mask a memory deficit is…
A. Amnesia
B. Confusion
C. Clouding of consciousness
D. Confabulation✅
33. Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
A. Teach client to measure I & O
B. Involve client in planning daily meal
C. Observe client during meals
D. Monitor client continuously✅
34. Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?
A. Cardiac dysrhythmias resulting to cardiac arrest✅
B. Glucose intolerance resulting in protracted hypoglycemia
C. Endocrine imbalance causing cold amenorrhea
D. Decreased metabolism causing cold intolerance
35. Nurse Anna can minimize agitation in a disturbed client by?
A. Increasing stimulation
B. limiting unnecessary interaction ✅
C. increasing appropriate sensory perception
D. ensuring constant client and staff contact
36. A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Kojo recognizes that the basis of O.C. disorder is often:
A. Problems with being too conscientious
B. Problems with anger and remorse
C. Feelings of guilt and inadequacy✅
D. Feeling of unworthiness and hopelessness
37. An example of primary prevention of mental illness would be
A. Crisis intervention
B. Partial hospitalization
C. Rehabilitation
D. Providing parents with training on good care of child✅
38. Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?
A. Ask a family member to stay with the client at home temporarily
B. Discuss the meaning of the client’s statement with her ✅
C. Request an immediate extension for the client
D. Ignore the clients statement because it’s a sign of manipulation
39. Exhibitionism is
A. Shameless exposure of genitals ✅
B. Exhibiting one’s possessions
C. A type of mania
D. Not a sexual perversion
40. A child of 30 years, with mental age of 18 years has an IQ of?
A. 50
B. 60✅
C. 70
D. 80
41. Recurring thoughts that come to the mind of an individual and appear to be irrational and uncontrollable to the person are said to be
A. Phobias
B. Obsessions✅
C. Panic attacks
D. Hysteria
42. The trade name of Amitryptilline is
A. Tridione
B. Tofranil
C. Tryptizol✅
D. Pamate
43. Which one of the following community groups provides support to clients with problem of alcoholism?
A. Al Anon
B. Alcoholics Anonymous✅
C. Families Anonymous
D. Fresh Start
44. You are helping a mother to develop behavioural program to deal with her son who has oppositional defiant disorder. Which of the following is the MOST significant component of this program?
A. Extinction
B. Positive reinforcement✅
C. Punishment
D. School suspension
45. Silly giggling, carrying of junks and labile indifference are major symptoms of
A. Catatonic schizophrenia
B. Paranoid Schizophrenia
C. Disorganized schizophrenia✅
D. Simple Schizophrenia
46. The following are characteristics of substance abuse except
A. Habituation
B. Craving
C. Avoidance✅
D. Dependance
47. The best way to deal with a patient who is expressing delusional ideas is
A. Agree with his false beliefs
B. Ask one of his relatives to change his beliefs
C. Try to change his beliefs by reasoning
D. Direct the conversation to another topic✅
48. The following steps are involved during an interview with a psychiatric patient.
I. Explain purpose and duration of interview
II. Restate patient’s statement by rephrasing or paraphrasing
III. Record salient points
IV. Sit down infront of patient with legs and arms crossed
A. I, II, III only✅
B. I and II only
C. I, II, III, IV
D. I, II, IV
49. The following are stages of grand mal epilepsy EXCEPT
A. Aura
B. Clonic
C. Focal✅
D. Tonic
50. An individual is said to have developed tolerance to alcohol when he/she;
A. takes alcohol everyday
B. decreases the quantity each time to achieve the same desired effect
C. increases the quantity each time to achieve the same desired effect✅
D. takes the same amount each time to achieve the same desired effect
51. One of these psychiatric disorders in which psychological factors contribute to the initiation or exacerbation of physical conditions is recognized as
A. Anxiety disorders
B. Organic brain syndrome
C. Psychosomatic disorder✅
D. Somatoform disorders
52. All the following are psychosomatic disorders except
A. Epistaxis✅
B. Bronchial asthma
C. Peptic ulcer
D. Migraine
53. Inability of a stimulus to elicit emotional response is termed as
A. Megalomania
B. Echolalia
C. Inappropriate affect
D. Flat affect✅
54. A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate:
A. Neologisms
B. Echolalia
C. Flight of ideas
D. Loosening of association✅
55. Danny who is diagnosed with bipolar disorder and acute mania, states the nurse, “Where is my daughter? I love Louis. Rain, rain go away. Dogs eat dirt.” The nurse interprets these statements as indicating which of the following?
A. Echolalia
B. Neologism
C. Clang associations
D. Flight of ideas✅
56. When assessing a male client for suicidal risk, which of the following methods of suicide would the nurse identify as most lethal?
A. Wrist cutting
B. Head banging
C. Use of gun✅
D. Aspirin overdose
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
57. Jeffrey has been hospitalized for major depression and suicidal ideation. Which of the following statements indicates to the nurse that the client is improving?
A. “I’m of no use to anyone anymore.”
B. “I know my kids don’t need me anymore since they’re grown.”
C. “I couldn’t kill myself because I don’t want to go to hell.”
D. “I don’t think about killing myself as much as I used to.”✅
58.Freud’s oral and anal stages are based on the principle of
A. autonomy
B. care giving
C. sensual gratification✅
D. toilet training
59. Nurse Gerry is aware that the defense mechanism commonly used by clients who are alcoholics is:
A. Displacement
B. Denial✅
C. Projection
D. Compensation
60. A psychiatrist orders Phenobarbital sodium 10mg by mouth daily. The medication bottle is labeled 15mg per 5ml. What dosage will the nurse administer?
A. 2.5ml
B. 3.3ml✅
C. 5ml
D. 10ml
61. When a psychiatric patient impulsively acts out aggression against a member of the therapeutic team, the most appropriate first aid treatment is
A. beat the patient up and calm him/her
B. stripping the patient naked and lock him/her up
C. both hands and feet of the patient should be tie behind him/her
D. to go to the aid of the member of the therapeutic team without causing harm to the patient.✅
62. The main aim of psychiatric treatment is to
A. Help the patient make a better psychological adjustments✅
B. Return the patient to his home and family
C. Releive the patient if symptoms
D. Prevent the patient from becoming psychotic
63. A patient states “I donot have my list of goals because my pen ran out”. Which defence mechanism is being used
A. Denial
B. Suppression
C. Reaction formation
D. Rationaliztion✅
64. Daisy sees a rag on her table and screams that it is a snake. This behaviour is referred to as
A. Delusion
B. Hallucination
C. Illusion✅
D. Phobia
65. Coining of own words which have no meaning is described as
A. Neologism✅
B. Echolalia
C. Verbigeration
D. Perseveration
66. Despite knowing about her husband’s affair, a patient states “My husband is such a good man, I love him”. This is an example of
A. Denial
B. Suppression
C. Reaction formation✅
D. Rationalization
67. As part of the nurse’s responsibility of serving the antipsychotic drugs, she needs to monitor the schizophrenic client with signs of tardive dyskinesia. The mostlikely clinical manifestations of tardive dyskinesia are
A. abnormal breathing through the nostrils
B. abnormal movements and involuntary movements of the mouth, tongue and face✅
C. severe headache, flushing, tremor and ataxia
D. severe hypertension, migraine headache, and marbles in the mouth syndrome.
68. Systematic desensitization is used to treat
A. Depression
B. Phobic attacks✅
C. Hysterical reactions
D. Schizophrenia
69. Which of the following statements BEST describe an individual with cyclothymic personality?
A. mood changes, alternating between elation and depression✅
B. tendency to have autistic thinking
C. tendency to be perplexed with ideas of reference
D. suspiciousness, jealousy, stubbornness
70. A distinguishing feature of antisocial personality disorder is:
A. attention to detail and order
B. bizarre mannerism and thoughts
C. disregard for social and legal norms✅
D. submissive dependent behavior
71. When girl child experiences sexual feelings for the father, Freud describes it as:
A. Electra complex✅
B. Nymphomaniac
C. Oedipus complex
D. Temper tantrums
72. A false believe unexplained by reality shared by a number of people is :
A. Superstition✅
B. Illusion
C. Delusion
D. Obsession
73. Parrot – like repetition of another person’s speech, word or phrase:
A. Verbsgiration
B. Echolalia✅
C. Echopraxia
D. Clang
74. A group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurologic condition is?
A. Psychogenic pain disorder
B. Panic disorder
C. Somatoform disorder✅
D. Hypochondriasis disorder
75. Hallucination occurring on waking up is called
A. Hypnopomic✅
B. Hypnologic
C. Monologic
D. Extra-pyramids
76. An epileptic tells the nurse that he smells roses, yet there are no flowers in the
room. This statement should alert the nurse to the possibility that the patient:
A. is experiencing an aura✅
B. is hallucinating
C. may be imagining he smells roses
D. wishes to have some roses
77. Which of the following will suggest to the nurse that a patient is experiencing auditory hallucinations?
A. brushing his skin continuously
B. gets up suddenly and stands at attention✅
C. repeats a sentence over and over again
D. sings a song as he walks down the hall
78. One aim of recreational therapy for psychiatric patients is to:
A. assists the patient in socialization and communication✅
B. gives the patient the belief that he can do everything
C. enable patient to generate money on his own.
D. mobilize forces to guide patient towards his goal in life
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
79. Nursing care of the schizophrenic patient includes…..
A. allowing the patient to be alone in the afternoons
B. doing whatever the patient needs for him
C. keeping the environment quiet and free from confusion✅
D. urging the patient to sing all day
80. Word salad describes speech that……
A. becomes a mixture of incoherent words or phrases✅
B. markedly accelerate resulting in a stream of connected concepts
C. new words are created by the patient
D. are complex with stories
81. Recurring thoughts that come to the mind of an individual and appear to be irrational and uncontrollable to the person are said to be
A. Phobias
B. Obsessions✅
C. Panic attacks
D. Hysteria
82. Korsakoff’s psychosis is characterized by the following except
A. Arrythmia✅
B. Confabulation
C. Confusion
D. Loss of recent memory
83. Common symptoms of panic attacks include the all of following EXCEPT:
A. Fear of dying
B. Fear of losing controll
C. Suicidal thoughts✅
D. Palpitations
84. Which one of the following community groups provides support to clients with problem of alcoholism?
A. Al Anon
B. Alcoholics Anonymous✅
C. Families Anonymous
D. Fresh Start
85. All are complications of alcoholism except
A. Paralytic agitans✅
B. Wernicks encaphalopathy
C. Peripheral neuritis
D. Korsakoff’s psychosis
86. A hereditary and progressive degenerative disease of the CNS transmitted as an autosomal dominant trait is which of the following
A. Hungtinton’s Chorea✅
B. Agoraphobia
C. General Paralysis of the insane
D. Parkinson’s disease
87. Which of the following factors are LEAST likely to be the aetiological factors in attention deficit and hyperactivity disorder (ADHD)?
A. Antenatal exposure to alcohol
B. Antenatal exposure to nicotine
C. Delivery complications
D. High birth weight✅
88. Disulfiram (Antabuse) is prescribed for a client with alcoholism. The nurse understands that this medication works on the principle of which of the following therapies?
A. Aversion therapy✅
B. Desensitiation
C. Milieu therapy
D. Self control therapy
89. The term which BEST describes an altered physiological state and neuro- adaptation caused by repeated administration of a drug is:
A. Addiction✅
B. Dependence
C. Withdrawal
D. Tolerance
90. Fear of darkness is reffered to as
A. Nyctophobia✅
B. Thanatophobia
C. Astraphobia
D. Necrophobia
91. At a graduation ceremony of your school, your best friend was invited to give a vote of thanks. As soon as she mounted the podium, she started sweating profusely, shaking, had thought block, and could not alter a word until the master of the ceremony saved her from an obvious embarrassment by collecting the microphone from her. Which of the following conditions is your friend likely to suffer from?
A. Claustrophobia
B. Social phobia✅
C. Specific phobia
D. Panic attack
92. A 17-year-old male comes to see you because he is experiencing tremendous stress in his new job. He has finished his “O” level examination and waiting to start the National Service in 6 months. He got an offer to work in a shoe shop which specializes in selling female shoes. He realizes that he feels sexually aroused by female shoes. He spends a lot of time fantasizing about female shoes. He stole multiple pairs of shoes from the shop and used them for masturbation. He used to be a normal person. He was a hardworking student whose main interests were chemistry and physics. What is the MOST likely diagnosis?
A. Adjustment disorder
B. Fetishism✅
C. Kleptomania
D. Sadomasochism
93. You served a patient with palm nut soup and he tells you to take the human blood away. This perception of the patient is termed as
A. Delusion
B. Hallucination
C. Illusion✅
D. Ideas of reference
94. The immediate nursing goal for a patient having seizures is to…….
A. control the cause
B. control the seizures
C. determine the cause
D. observe seizures✅
95. During a convulsive seizure, the nurse should do the following EXCEPT……
A. do not open jaws that are clenched
B. ease the patient to the floor
C. loosen constrictive clothing
D. restrain patient during seizures✅
96. The greatest emotional needs of the neurotic person is….. ..
A. an opportunity to achieve accomplishment
B. an opportunity to rest and to have privacy
C. financial security and a feeling of being useful
D. love, acceptance and a feeling of being useful✅
97. Mrs.Koobi is persistently anxious and worrying about life issues such as diseases and finance, what type of anxiety is she experiencing?
A. Phobic
B. Generalized anxiety✅
C. OCD
D. PTSD
98.The sever psychiatric disorder with gross disturbed behaviour, loss of contact with reality and lack of insight is known as
A Delusion
B Hallucination
C Neurosis
D Psychosis✅
99. Symptoms of hysteria might include
A. Aggressiveness in attacking problems
B. Over-concern for others
C. Persistent doubting
D. Seductiveness and dependence✅
100. Arrange the stages or degree of elevated mood in ascending order in a manic episode.
A. Euphoria, Elation, Ecstasy, Exaltation
B. Ecstasy, Euphoria, Exaltation, and Elation
C. Euphoria, Elation, Exaltation and Ecstasy✅
D. Elation, Euphoria, Ecstasy and Exaltation
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
NMC PSYCHIATRIC NURSING PAST QUESTIONS AND ANSWERS SOLUTION-2
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