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What are the five stages of death according to Kubler-Ross?
a) Anger, Bargaining, Denial, Depression, Acceptance
b) Denial, Bargaining, Anger, Depression, Acceptance
c) Denial, Anger, Bargaining, Depression, Acceptance
d) Bargaining, Denial, Anger, Depression, Acceptance
b) Denial, Bargaining, Anger, Depression, Acceptance
c) Denial, Anger, Bargaining, Depression, Acceptance
d) Bargaining, Denial, Anger, Depression, Acceptance
When does La Belle Indifference most commonly occur?
a) In patients with generalized anxiety disorder
b) In patients with conversion disorder
c) In patients with post-traumatic stress disorder
d) In patients with obsessive-compulsive disorder
b) In patients with conversion disorder
c) In patients with post-traumatic stress disorder
d) In patients with obsessive-compulsive disorder
What is the most common complication of moderate anxiety?
a) Increased ability to concentrate
b) Decrease in the ability to perceive surroundings or concentrate
c) Increased energy levels
d) Decreased heart rate
b) Decrease in the ability to perceive surroundings or concentrate
c) Increased energy levels
d) Decreased heart rate
What is the most common defense mechanism used by patients who suffer from phobias?
a) Denial
b) Rationalization
c) Self-protective avoidance
d) Repression
b) Rationalization
c) Self-protective avoidance
d) Repression
What is the most important concern of a patient who suffers from anorexia nervosa?
a) Body image
b) Correction of nutritional intake and electrolyte imbalance
c) Avoiding weight gain
d) Social interaction
b) Correction of nutritional intake and electrolyte imbalance
c) Avoiding weight gain
d) Social interaction
Why are patients taking Lithium (Lithobid) tested on a monthly basis?
a) For checking kidney function
b) To monitor Lithium (Lithobid) blood serum levels
c) To measure liver enzyme levels
d) To assess blood sugar levels
b) To monitor Lithium (Lithobid) blood serum levels
c) To measure liver enzyme levels
d) To assess blood sugar levels
What is a normal Lithium (Lithobid) blood serum level?
a) 1.5 – 2.0 mEq/L
b) 0.5 – 1.5 mEq/L
c) 1.0 – 2.5 mEq/L
d) 2.0+ mEq/L
b) 0.5 – 1.5 mEq/L
c) 1.0 – 2.5 mEq/L
d) 2.0+ mEq/L
What are the most common characteristics of alcohol withdrawal?
a) Insomnia, anxiety, anorexia, and tremors
b) Seizures, hallucinations, fever, and chills
c) Euphoria, increased energy, and insomnia
d) Depression, nausea, and fatigue
b) Seizures, hallucinations, fever, and chills
c) Euphoria, increased energy, and insomnia
d) Depression, nausea, and fatigue
Why should Chlorpromazine (Thorazine) not be administered to a patient who has ingested alcohol?
a) It can cause liver toxicity
b) Over sedation and respiratory depression can occur
c) It will reduce the therapeutic effect of alcohol
d) It causes excessive sweating
b) Over sedation and respiratory depression can occur
c) It will reduce the therapeutic effect of alcohol
d) It causes excessive sweating
What is a toxic Lithium (Lithobid) blood serum level?
a) 0.5 – 1.0 mEq/L
b) 1.0 – 1.5 mEq/L
c) 2.0+ mEq/L
d) 1.5 – 2.0 mEq/L
b) 1.0 – 1.5 mEq/L
c) 2.0+ mEq/L
d) 1.5 – 2.0 mEq/L
When do alcohol withdrawal symptoms most commonly occur?
a) Within 2 hours of withdrawal
b) Within 8 hours of withdrawal
c) Within 12 hours of withdrawal
d) Within 24 hours of withdrawal
b) Within 8 hours of withdrawal
c) Within 12 hours of withdrawal
d) Within 24 hours of withdrawal
When does Lithium (Lithobid) toxicity most commonly occur?
a) Excessive intake of Lithium
b) Insufficient fluid intake
c) Consuming foods high in sodium
d) When mixed with alcohol
b) Insufficient fluid intake
c) Consuming foods high in sodium
d) When mixed with alcohol
What is the most important consideration when dealing with a patient who is depressed?
a) Their nutrition
b) Increased risk for suicide
c) Their sleep patterns
d) Their medication schedule
b) Increased risk for suicide
c) Their sleep patterns
d) Their medication schedule
According to psychoanalytical theory, what is the ego responsible for?
a) Morals, values, and ethics
b) Instinctual drives
c) Internal demands and interaction with the environment
d) Defense mechanisms
b) Instinctual drives
c) Internal demands and interaction with the environment
d) Defense mechanisms
According to psychoanalytical theory, what is the super ego responsible for?
a) Instinctual drive
b) Morals, values, and ethics
c) Unconscious thought processes
d) Social interactions
b) Morals, values, and ethics
c) Unconscious thought processes
d) Social interactions
When is seclusion implemented?
a) When a patient is violent
b) When protection from self-injury or injury to others is needed
c) When a patient refuses medication
d) When other therapies have failed
b) When protection from self-injury or injury to others is needed
c) When a patient refuses medication
d) When other therapies have failed
What type of diet increases the risk of hypertension for patients taking monoamine oxidase inhibitors?
a) Low sodium diet
b) Low fat diet
c) Tyramine-rich foods
d) High fiber diet
b) Low fat diet
c) Tyramine-rich foods
d) High fiber diet
What are the most important interventions for a patient taking monoamine oxidase inhibitors?
a) Monitoring heart rate
b) Weekly electrolyte testing
c) Bi-weekly weight records and monitoring for suicidal tendencies
d) Daily blood pressure readings
b) Weekly electrolyte testing
c) Bi-weekly weight records and monitoring for suicidal tendencies
d) Daily blood pressure readings
What are the most common characteristics of sexual abuse of a child?
a) Behavioral outbursts
b) Bruises on arms or legs
c) Genital trauma or sexually transmitted infections
d) Excessive crying
b) Bruises on arms or legs
c) Genital trauma or sexually transmitted infections
d) Excessive crying
What is the most common age a child is diagnosed with Autism?
a) 1-2 years
b) 2-3 years
c) 3-4 years
d) 4-5 years
b) 2-3 years
c) 3-4 years
d) 4-5 years
What are the most important interventions for a patient taking Disulfiram (Antabuse)?
a) Avoid alcohol-containing products like cough syrup and sauces made with wine
b) Increase water intake
c) Monitor blood glucose levels
d) Avoid salty foods
b) Increase water intake
c) Monitor blood glucose levels
d) Avoid salty foods
What right does a patient have when admitted involuntarily to a psychiatric unit?
a) The ability to refuse treatment
b) The ability to leave freely
c) The ability to choose their medication
d) The ability to select their doctor
b) The ability to leave freely
c) The ability to choose their medication
d) The ability to select their doctor
What are the most common characteristics of Lithium (Lithobid) toxicity?
a) Nausea, tremors, diarrhea, muscle weakness, ataxia, and confusion
b) High blood pressure and headache
c) Seizures and hallucinations
d) Muscle cramps and difficulty breathing
b) High blood pressure and headache
c) Seizures and hallucinations
d) Muscle cramps and difficulty breathing
What are the most common characteristics of borderline personality disorder?
a) Self-isolation and withdrawal
b) Violent outbursts and a judgmental attitude
c) Lack of interest in personal hygiene
d) Persistent lying and manipulation
b) Violent outbursts and a judgmental attitude
c) Lack of interest in personal hygiene
d) Persistent lying and manipulation
What is the most common disorder electro shock therapy is used to treat?
a) Schizophrenia
b) Severe depression
c) Bipolar disorder
d) Anxiety
b) Severe depression
c) Bipolar disorder
d) Anxiety
What is the most important intervention during a manic episode?
a) Encouraging rest
b) Administering anti-anxiety medication
c) Slowing the patient down to prevent self-induced exhaustion
d) Allowing the patient to release energy
b) Administering anti-anxiety medication
c) Slowing the patient down to prevent self-induced exhaustion
d) Allowing the patient to release energy
What is the most common factor that increases the risk of suicide?
a) History of substance abuse
b) Isolation from friends and family
c) Having a detailed plan for suicide
d) History of mental illness
b) Isolation from friends and family
c) Having a detailed plan for suicide
d) History of mental illness
How are phobic disorders commonly treated?
a) Cognitive behavioral therapy
b) Desensitization therapy
c) Medication
d) Hypnosis
b) Desensitization therapy
c) Medication
d) Hypnosis
What is the most important factor during Phase 1 of the nurse-patient relationship?
a) Problem solving
b) Termination of the relationship
c) Initial history and agreement on a contract
d) Building rapport
b) Termination of the relationship
c) Initial history and agreement on a contract
d) Building rapport
What is the most important factor during Phase 2 of the nurse-patient relationship?
a) Termination of the relationship
b) Problem discussion and behavioral change
c) Medication administration
d) Social interaction
b) Problem discussion and behavioral change
c) Medication administration
d) Social interaction
What is the most important factor during Phase 3 of the nurse-patient relationship?
a) Problem solving
b) Discussion of future goals
c) Termination of the relationship and positive feedback
d) Setting long-term care plans
b) Discussion of future goals
c) Termination of the relationship and positive feedback
d) Setting long-term care plans
What are the top 3 leading causes of death among teenagers?
a) Homicides, suicides, and accidents
b) Suicides, homicides, and accidents
c) Accidents, homicides, and suicides
d) Drug overdose, homicides, and accidents
b) Suicides, homicides, and accidents
c) Accidents, homicides, and suicides
d) Drug overdose, homicides, and accidents
What is the most common link between successful suicides among teenagers?
a) Lack of friends and social isolation
b) Previous attempts of suicide and symptoms of depression
c) Substance abuse and risky behaviors
d) Family problems and conflicts
b) Previous attempts of suicide and symptoms of depression
c) Substance abuse and risky behaviors
d) Family problems and conflicts
What percentage of cases should child abuse be reported if suspected?
a) 50%
b) 75%
c) 100%
d) 90%
b) 75%
c) 100%
d) 90%
What is legally mandatory for all nurses to report?
a) Financial abuse
b) Patient non-compliance
c) Suspicion of child abuse
d) Medication errors
b) Patient non-compliance
c) Suspicion of child abuse
d) Medication errors
What is the best way to clarify a question when speaking with a patient?
a) Use an open-ended question
b) Use a yes or no question
c) Use a leading question
d) Restate the question in simpler terms
b) Use a yes or no question
c) Use a leading question
d) Restate the question in simpler terms
What are the most common characteristics of anorexia nervosa?
a) Excessive weight gain, hyperactivity, and anxiety
b) Excessive weight loss, lanugo, and electrolyte imbalance
c) Excessive calorie intake, abdominal distention, and electrolyte imbalance
d) Excessive weight loss, loss of hair, and high blood pressure
b) Excessive weight loss, lanugo, and electrolyte imbalance
c) Excessive calorie intake, abdominal distention, and electrolyte imbalance
d) Excessive weight loss, loss of hair, and high blood pressure
What medication should NOT be administered if a patient is taking Disulfiram (Antabuse)?
a) Metronidazole (Flagyl)
b) Ibuprofen
c) Acetaminophen
d) Diazepam
b) Ibuprofen
c) Acetaminophen
d) Diazepam
What 2 complications are rare but have occurred after electro shock therapy?
a) Seizures and stroke
b) Memory loss and confusion
c) Cardiac arrhythmias and death
d) Hypertension and fainting
b) Memory loss and confusion
c) Cardiac arrhythmias and death
d) Hypertension and fainting
What is the most important intervention BEFORE a patient receives electro shock therapy?
a) Administration of sedatives
b) NPO for 24 hours to prevent aspiration
c) Administration of anti-seizure medication
d) Hydration with IV fluids
b) NPO for 24 hours to prevent aspiration
c) Administration of anti-seizure medication
d) Hydration with IV fluids
What is the most common anesthetic used during electro shock therapy?
a) Methohexital (Brevital)
b) Propofol
c) Ketamine
d) Midazolam
b) Propofol
c) Ketamine
d) Midazolam
What is the most common disorder electro shock therapy is used to treat?
a) Schizophrenia
b) Severe depression
c) Bipolar disorder
d) Anxiety
b) Severe depression
c) Bipolar disorder
d) Anxiety
How long and how often is electro shock therapy usually administered?
a) 4-8 treatments at 1 treatment per week
b) 6-12 treatments at 2-3 treatments per week
c) 2-4 treatments at 1 treatment per week
d) 8-16 treatments at 3-4 treatments per week
b) 6-12 treatments at 2-3 treatments per week
c) 2-4 treatments at 1 treatment per week
d) 8-16 treatments at 3-4 treatments per week
What is the most important intervention during a manic episode?
a) Encouraging rest
b) Administering anti-anxiety medication
c) Slowing the patient down to prevent self-induced exhaustion
d) Allowing the patient to release energy
b) Administering anti-anxiety medication
c) Slowing the patient down to prevent self-induced exhaustion
d) Allowing the patient to release energy
What is the most important intervention for an Alzheimer’s Dementia patient?
a) Increasing physical activity
b) Prevention of injury
c) Medication management
d) Monitoring vital signs
b) Prevention of injury
c) Medication management
d) Monitoring vital signs
What is MOST important after a patient becomes a victim of sexual assault: the patient’s medical examinations or legal considerations?
a) Legal considerations
b) The patient’s needs
c) Police involvement
d) Medical examinations
b) The patient’s needs
c) Police involvement
d) Medical examinations
What is the most common way a maintenance program involving pharmacological intervention for narcotic abuse is structured?
a) 5-10 mg Methadone (Dolophine) once per day
b) 10-20 mg Methadone (Dolophine) once per day
c) 30-40 mg Methadone (Dolophine) once per day
d) 50-60 mg Methadone (Dolophine) once per day
b) 10-20 mg Methadone (Dolophine) once per day
c) 30-40 mg Methadone (Dolophine) once per day
d) 50-60 mg Methadone (Dolophine) once per day
What mood is most often experienced in a patient with organic brain syndrome?
a) Euphoria
b) Depression
c) Irritability
d) Anxiety
b) Depression
c) Irritability
d) Anxiety
What general anesthetic is usually given to patients undergoing electro shock therapy?
a) Propofol
b) Methohexital (Brevital)
c) Ketamine
d) Midazolam
b) Methohexital (Brevital)
c) Ketamine
d) Midazolam
What medication is used to relieve characteristics of extra pyramidal adverse effects?
a) Lorazepam
b) Diphenhydramine (Benadryl)
c) Haloperidol
d) Diazepam
b) Diphenhydramine (Benadryl)
c) Haloperidol
d) Diazepam
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