PSYCHIATRIC NURSING:
26. Which of the drugs are Monoamine Oxidase Inhibitors?
a. Parnate
b. Marplan
c. Manerix
d. All of the above
27. Which of the following are so called major tranquilizers?
a. anxiolytics
b. psychotropics
c. neuroleptics
d. thymoleptics
28. All of the above are drugs of choice for the treatment of manic episodes EXCEPT
a. Eskalith
b. Lithobid
c. Nortryptilline
d. Cibalith-S
29. The nurse is going to administer Lithium Carbonate to the patient. Which of the following interventions must be avoided?
a. Instruct the patient to increase oral fluid intake
b. Instruct the patient to have an intake of at least 3-6 grams of NaCl
c. Instruct to limit intake of oral fluids
d. None of the above
30. Tricyclic antidepressants can produce side effects such as all of the following EXCEPT
a. delayed cardiac conduction
b. anticholinergic effects
c. adrenergic effect
d. orthosthatic hypoension
31. Which of the following should be avoided by the patient taking Parnate?
a. Milk
b. Fried fish
c. Smoke meat
d. Sugarcane
32. The nurse must be aware that the therapeutic effect of MAOI will be apparent after
a. 2 weeks of treatment
b. 2 months of treatment
c. 3-4 weeks of treatment
d. 1-2 weeks of treatment
33. Eskalith was the drug of choice for marimar, the nurse should monitor the lithium serum level. The normal serum level is
a. 5- 6 mg/dl
b. .1-.6 meq/l
c. 5-6 mg/l
d. .5-1.5 meqs/l
34. The patient with bipolar is pacing continuously and skipping meals. The nursing plan of care should emphasize:
a. telling her she must sit down and eat
b. serving food in his room and staying with him
c. offering her finger foods
d. telling her to order at fast food chain like jollibee
35. Lenie manifest recurrent major depressive disorder which prompted her to undergoing ECT, drug called succinylcholine chloride (anectine) is used concurrently. The nurse understand that it acts by :
a. lessening salivation of client during procedure
b. causing sedation to client without producing sleep
c. reducing the intensity of muscle contraction during the convulsive stage
d. increasing muscle contraction during the procedure
36. For which of the following client would the use of ECT be contraindicated?
a. afebrile
b. pregnant women suffering from major depressive
c. with extreme hypertension
d. urinary hesitancy
37. Which side effects are common after ECT treatment?
a. headache and dizziness
b. diarrhea and urinary incontinence
c. temporary memory loss and confusion
d. nausea and vomiting
38. Which of the nursing action should the nurse perform after the patient returns from ECT.
a. take vital signs every 15 mins for the next 2 hours
b. open all lock closets so she can have assess to her belongings
c. Touching by grasping her hand or massaging her shoulders while talking to her
d. Offer a cigarette if she smokes help her relax
39. The nurse is assigned to assist in the administration of ECT. She prepares to administer:
a. Valium
b. Ativan
c. Brevital
d. Haldol
Lily has been hospitalized for the most of the past 15 years. For the past 3 years, she has been in the unit for chronically mentally ill patients. Her psychiatric diagnosis is disorganized type schizophrenia. Her behaviour is labile, fluctuating from childishness to incoherence to loud yelling to making growling noises to demonstrating slow but appropriate interaction. Lily needs assistance with all her activities of daily living. In the morning, She remains in her nightgown unless helped to dress.
40. Which behaviour is characteristic of a patient with disorganized type schizophrenia?
a. suspicious delusion
b. waxy flexibility
c. extreme social impairment
d. appropriate affect
41. Lily is seen sitting in the day room looking dishelved . Her slacks are stained and her blouse is incorrectly buttoned so that one side hangs several inches below the other. The nurse can help lily most by:
a. telling her that her slacks are soiled and her blouse needs to re buttoned
b. taking her to the room, selecting another pair of slacks, and fixing her blouse
c. bringing her to mirror and helping her identify what needs to be correct
d. reminding her that she should complete her ADLs before going to the dayroom
42. Lily continues to be unable to complete her ADLs without staff direction & assistance. The nurse formulates a nursing diagnosis of dressing & grooming self care deficit related to inability to function without assistance. An appropriate patient goal is that within one month, Lily will be able to :
a. complete ADLs independently
b. complete ADLs with only verbal encouragement
c. complete ADLs with assistance and organizing her grooming items & clothing
d. complete ADLs with assistance
43. One of the side effects of antipsychotic drugs is pseudoparkinosm . the physician orders this anticholinergenic drugs:
a. Biperiden (akineton)
b. Diazepam (Valium)
c. Clozapine (Clorazil)
d. Haloperidol (haldol)
44. After taking Haldol for 4 days, the nurse observes that Lily manifest lip smacking and tongue protrusion. He is showing signs of which of the following which is irreversible side effect of antipsychotic medication.
a. Akathisia
b. Dystonia
c. Parkinsonism
d. Tardive dyskenisia
45.After administering naloxone (Narcan), an opioid antagonist, Nurse Ronald should monitor the female client carefully for which of the following?
a. Respiratory depression
b. Epilepsy
c. Kidney failure
d. Cerebral edema
46. The best response to a patient who is verbalizing words that cannot be understood is:
a. you are not making sense
b. Go on say what you really mean
c. Say that so I can understand
d. Please repeat yourself
47. When teaching a client with antisocial disorder, the nurse primarily focuses on which of the following?
a. Allow the client to direct the discussion
b. Lecture the client about the problematic behaviour
c. Be direct and firm with the client
d. Improving the client’s functional relationships
48. Nurse John is talking with a client who has been diagnosed with antisocial personality about how to socialize during activities without being seductive. Nurse John would focus the discussion on which of the following areas?
a. Discussing his relationship with his mother
b. Asking him to explain reasons for his seductive behavior
c. Suggesting to apologize to others for his behavior
d. Explaining the negative reactions of others toward his behavior
49. Which of the following interventions should the nurse include in a plan of care for a client with histrionic personality disorder?
a. accept the client’s behaviour
b. assist the client to eliminate passive behaviour
c. set limits on attention-seeking behaviour
d. try to meet the client’s needs for attention
50. The client who constantly seeks approval from staff and other client’s in demonstrating which of the following?
a. compensation
b. manipulation
c. dependence
d. passive-aggressivenes
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