* NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY *

PHARMACY *
PSYCHIATRIC NURSING
Prepared by:
NAME: DATE: SCORE: _____/200
INSTRUCTIONS: Select the correct answer for the following questions. Circle the letter of the correct answer for the corresponding question in the provided answer sheet.
STRICTLY NO ERASURES ALLOWED.
D. Paranoia
1. What manifestations is usually the first indication of 9. A client with moderate anxiety is most likely to exhibit
the onset of AD? which of the following signs and symptoms?
A. Inability to perform ADLs A. Hypervigilance and increased blood pressure
B. Sundowning at night B. Increased heart rate and decreased ability to
C. Subtle memory deficits concentrate
D. Inability to communicate C. Increased heart rate and decreased blood
2. The nurset also notes that Lolo Mel has also begun to pressure
experience speech deficits and incontinence. How would D. Sweaty palms and increase salivation
the nurse interpret these findings? 10. When intervening with a client who has severe or
A. The client is in stage I panic-level anxiety, it is essential for the nurset to:
B. The client is in stage II A. become aware of and control her own
C. The client is in stage III feelings of anxiety.
D. The client is in stage IV B. have the client sit down and be quiet, and
3. A patient with Alzheimer’s disease (AD) in a long-term give detailed instructions to him.
care facility is wandering the halls, very agitated, asking C. call security to restrain the client.
about her family, and crying. The best action by the D. leave the client alone so he well become
nurse is to quiet.
A. ask the patient, “why are you behaving this 11. A client reports a vague feeling of apprehension and
way?” states, “I feel scared.” He also has an increased pulse
B. tell the patient, “let’s go get a snack in the rate and blood pressure. Which of the following
kitchen.” diagnoses is most appropriate in this situation?
C. ask the patient, “wouldn’t you like to lie down A. Anxiety
now?” B. Fear
D. tell the patient, “just take some deep breaths C. Ineffective coping
and calm down.” D. Disturbed sleep pattern
4. When evaluating Ali, a nurse observes for which 12. When caring for a client with panic level anxiety, the
condition? nurse should consider which expected outcome to be a
A. Bulging eyeballs priority?
B. Diminished distal sensation A. The client will discuss his concerns for 10
C. Increased dopamine levels minutes, three times a day.
D. Muscle rigidity B. The client will verbalize a decreased level
5. Which statement best describes the cause of of anxiety by the end of the hospitalization.
Parkinson’s disease? C. The client will verbalize a decreased level
A. Loss of the myelin sheath surrounding of anxiety within 2 hours.
peripheral nerves D. The client will state the name and dose of
B. Degeneration of the substantia nigra, the anxiolytic medication.
depleting dopamine Answer C.
C. Bleeding into the brain stem, resulting in Situation: The family members of a patient just
motor dysfunction diagnosed with personality disorder receives an
D. An autoimmune disorder that destroys orientation from the psychiatrist about the nature of the
acetylcholine receptors said disorder.
6. Which symptom occurs initially in Parkinson’s disease? 13. The client exhibiting mistrust, guardedness, and
A. Akinesia restricted affect is showing signs of which personality?
B. Aspiration of food A. Antisocial personality disorder
C. Dementia B. Dependent personality disorder
D. Pill rolling movements of the hand C. Narcissistic personality disorder
7. Which of the following neurotransmitters is decreased D. Paranoid personality disorder
in patients with Parkinson’s disease? Answer D.
A. Acetylcholine 14. The axis II diagnosis of a client is schizoid
B. Norepinephrine personality disorder. Which approach should the
C. Serotonin psychologist plan to use when interacting with this
D. Dopamine client?
8. Which is a common cognitive problem associated with A. Helpful and nurturing
Parkinson’s disease? B. Matter-of-fact and calm approach
A. Emotional liability C. Light and playful
B. Depression D. Warm and friendly
C. Memory deficits Answer B.

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15. A client diagnosed with paranoid personality disorder Situation: The Psychologist has just been informed that
needs information regarding medications. Which a new client on the unit has a diagnosis of
psychological intervention would assist this client in schizophrenia, paranoid type.
understanding prescribed medications? 21. Based on this limited information, the psychologist
A. Ask the client to join the medication education knows that she will need to address which basic need
group first?
B. Provide one-on-one teaching in the client’s A. Esteem and recognition
room. B. Love and belonging
C. During rounds, have the physician ask if the C. Physiologic integrity
client has any questions. D. Safety
D. Let the client read the medication information Answer D.
handout. 22. When assessing a client with paranoid schizophrenia,
Answer B which findings should be the psychologist’s immediate
16. When caring for a client with schizoid personality concern?
disorder, the psychologist primarily focuses on which of A. Immobility, clanging, altered sleep patterns, and
the following? difficult family relationships.
A. expanding the client’s interest in objects and B. Problems with role-functioning, peculiar
things mannerisms, and decreased social competence.
B. increasing the client’s ability to experience C. Stressful life events, altered sleep patterns,
pleasure fatigue, and hostility.
C. increasing solitary activities D. Paranoid delusions, increased suspiciousness,
D. improving the client’s functional relationships and hostility.
Answer D. Answer D.
17. Which defense mechanism is being used by a 23. When interacting with a client with a schizophrenic
paranoid client who blames others for problems he is disorder, the psychologist should remember to:
experiencing? A. avoid interactions whenever possible.
A. projection B. have an intensive 1-hour counseling sessions
B. displacement twice a day.
C. rationalization C. speak loudly and clearly.
D. intellectualization D. use brief, simple statements.
Answer A. Answer D.
18. When working with a client with paranoid personality 24. An 18-year-old man is admitted to the inpatient unit
disorder, the psychologist will find that the client most with a diagnosis of schizophrenia. As the psychologist
often resorts to which one of the following defense approaches him, she notices that he is grimacing and
mechanisms? talking to the wall. The psychologist’s first action should
A. denial be to:
B. projection A. ask him if he is hearing voices.
C. sublimation B. ask him to walk in the hall.
D. repression C. engage him in conversation.
19. When assessing the client with a diagnosis of D. have him placed in seclusion
schizoid personality disorder, you will find a pervasive Answer A.
pattern of detachment from social relationships and, 25. The client states, “I am low, how low can you go,
additionally, which of the following? I’m going to get married. Yeah, I’m going to marry Bill.
A. extreme anger when sufficiently provoked by I’ve got lots of bills to pay after that last spree!” Which
others observation is the psychologist likely to document about
B. a restricted range of emotional expression with this client?
others A. Circumstantiality was noted.
C. seeking approval from no more than two other B. Disorientation was noted.
persons C. Flight of ideas was noted.
D. more than the average interest in sexual activity D. Speech patterns using word salad was noted
with strangers Answer C.
Answer B. Situation: A newly admitted patient with schizophrenia
20. You are assigned to a client with schizotypal tells you that her dead grandmother sits in a chair in her
personality disorder. Your assessment would likely reveal room and tells her when it is safe to leave the room.
which of the following behaviors? 26. Using therapeutic communication, what is the
A. seeks attention and engages in erratic behavior psychologist’s best response to the client?
B. withdrawn and engages in odd, eccentric A. “If your grandmother is dead, she cannot be in
behavior your room”
C. overtly psychotic and experiencing hallucinations B. “Your grandmother must have been very special
and delusions to you”
D. active participation in activities with other clients C. “You don’t feel safe here?”
and staff D. “We are here to help you. You don’t need your
Answer B. grandmother for protection.”
21. A client has a diagnosis of schizoid personality Answer C
disorder. When assessing client, the psychologist should 27. Which of the following illustrates a common
expect that the client’s behavior would be: symptom of schizophrenia?
A. Rigid and controlling A. During a discussion of the loss of significant
B. Dependent and submissive people in her life, the client is laughing uncontrollably.
C. Detached and socially distant B. The admission history describes the client’s
D. Superstitious and socially anxious affect as appropriate and the mood as depressed.
Answer C.

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C. The client has strong feelings about a decision A. “I think you really need to look at the amount
to go to supervised housing. you are drinking and consider the effect on your family.”
D. The client is an active participant in verbal B. “That’s wrong. I disagree with that. Your
groups on the unit. admission is because of your alcohol abuse and not for
Answer A. any other reason.”
28. A client with schizophrenia states, “The TV screen is C “I’m sure you don’t mean that. You have
constantly communicating with me.” Which of the realized that alcohol is the root of you problems.”
following would the psychologist document? D. “I find it hard to believe that alcohol is not a
A. Delusions of grandeur problem because you have recently lost your job and
B. Ideas of influence your driver’s license.”
C. Ideas of reference Answer D.
D. Looseness of association 35. During a GP-client interaction, Gary shares with you
Answer C. that he hits his wife while intoxicated with alcohol. He
29. The belief expressed by the client that an alien is asks the psychologist, “Mapapatawad pa ba niya ako?:
creating sores on his body with a laser is classified as a Which of the following responses by the GP would be
(n): best in this situation?
A. Hallucination A. “Malalaman mo lang ang sagot sa tanong mo
B. Neologism kung lalapitan mo siya.”
C. Ideas of reference B. “Maaari nating pag-usapan iyan sa ating family
D. Delusion session.”
Answer D. C. “Depende sa kaniya kung mahal ka niya talaga.”
30. If a client were experiencing negative symptoms of D. Sa tingin ko may dinaramdam ka dahil nasaktan
schizophrenia, the GP would expect to see: mo ang asawa mo.”
A. Flat affect and little speech Answer D.
B. Rigid posture 36. A client diagnosed with alcoholism is admitted to
C. Excessive purposeless movements substance abuse unit complaining of decreased exercise
D. Inappropriate laughter tolerance, lower extremity edema, arrhythmias, and
Answer A. dyspnea. Which intervention as a psychologist therapist
Situation: Micalyn, a new psychologist assigned in the would be appropriate for this client?
psychiatric unit is ever conscious of the ethico-moral A. Providing thiamine-rich foods
concerns that affect the performance of her duties in the B. Administering digoxin (Lanoxin) and furosemide
said unit. (Lasix)
31. The principle of beneficence in ethical decision C. Reorienting the client to person, place, and
making is best reflected in which of the following time.
statements? D. Encouraging high-sodium foods.
A. Be honest and open and tell the truth at all Answer B.
costs. 37. A Psychologist has developed a relationship with a
B. Be faithful to promises and obligations. client who has an addiction problem. The following
C. Treat people fairly and distribute resources actions would indicate that the therapeutic intervention
equitably. is in the working phase except:
D. Promote good, do no harm, and prevent harm. A. the client discusses how the addiction has
Answer D. contributed to family distress
32. A psychologist is explaining the Bill of Rights of B. the client verbalizes difficulty identifying
psychiatric patients to a client who has voluntarily personal strengths
sought admission to an inpatient psychiatric facility. The C. the client discusses the financial problems
following rights should be included in the discussion related to the addiction
except: D. the client expresses uncertainty about what
A. right to select health care team and psychiatric topic to discuss
members Answer D.
B. right to refuse treatment Situation: Everyday the psychologist is faced with
C. right to a written treatment plan situations related to death and dying and grief and
D. right to confidentiality grieving. As a registered psychologist deals with the
Answer A. varied reactions of patients and relatives to the
33. Joe is very restless and is pacing a lot. The phenomenon of loss, the GP must also be in touch with
psychologist says to Joe, “If you don’t sit down in the his own concept of mortality.
chair and be still, I’m going to put you in restraints!” The 38. Maria has been in a comatose state for the past 8
GP may be charge of: months as a result of an automobile accident. Although
A. assault doctors have told her husband, Reuben, that there is no
B. battery brain function, Reuben insists that she is showing
C. defamation of character responses. Which of the following stages of grief is
D. false imprisonment Reuben experiencing?
Answer A. A. Bargaining
Situation: Gary, a 35-year old, has been an alcoholic for B. Anger
5 years. He recently lost his job due to his frequent C. Denial
tardiness and has spent up all his savings. Despite this, D. Depression
he doesn’t admit that he has a problem, so his wife Answer C.
brought him to the Rehabilitation Center. 39. A client recently lost his spouse. Which behavior
34. Gary states, “I don’t think my drinking has anything indicates that the client is going through normal stage of
to do with why I am here in the hospital. I think I have grieving?
problems with depression.” Which statement by the A. The client starts using chemicals
psychologist is the most therapeutic response? B. The client becomes an overachiever

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C. The client shows signs of hyperactivity 46. Your client, prior to admission at the Remotivation
D. The client shows a loss of warmth when Ward disclosed that he was troubled by homosexual
interacting with others urges and initiated a campaign in the Senate
Answer D. campaigning not to grant homosexuals rights to petition
40. A female client, who has been told by her physician and assembly. Based on your previous lectures, you
that she has untreatable metastatic carcinoma, tells the learned that this is:
psychologist that she believes the physician has made A. Sublimation
an error, she does not have cancer, and she is not going
to die. The psychologist evaluates that the client is B. Reaction Formation
experiencing the stage of death and dying known as: C. Denial
A. Anger D. Undoing
B. Shock Answer B.
C. Bargaining Situation: Melissa, a new GP, admitted several suicidal
D. Acceptance patients in the last 3 days.
Answer B. 47. A client expressing suicidal thoughts suddenly
41. Immediately after the death of their 3-year-old son becomes very calm and has a much improved outlook on
the psychologist would be most therapeutic by asking life. The GP recognizes that this behavior typically
the parents: indicates:
A. “Do you feel ready to consent to an autopsy?” A. improved coping skills.
B. “Have you made a decision about organ B. increased self-esteem.
donation?” C. an increased suicide risk.
C. “Would you like to talk about how you will tell D. a positive response to treatment.
your other children?” Answer C.
D. “Can I be of some help with any practices that 48. A client was admitted to the psychiatric unit after a
are important to you?” suicide attempt. Which of the following statements by
Answer D. the client would lead the psychologist to suspect that
42. Shortly after the death of her husband following a another suicide attempt may be imminent?
long illness, the wife visits the mental health clinic A. “How often does the staff make rounds.”
complaining of malaise, lethargy and insomnia. The B. “I don’t want to be alone right now.”
psychologist, knowing that it is most important to help C. “There is something to do here.”
the wife cope with her husband’s death, should attempt D. “When will I be discharged?”
to determine the: Answer A.
A. Age of the wife 49. When children talk about wanting to kill themselves,
B. Timing of the husband’s death parents need most to:
C. Socioeconomic status of the couple A. get help for the child and take the idea of
D. Adequacy of the wife’s support system suicide seriously
Answer D. B. reduce the amount of television that the child
Situation: Human being use various defense mechanism views daily
to ensure the integrity of the ego. C. send the child to her room for a time out and to
43. A person trying to lose weight decides to take a 15 – think
minute walk every time the temptation to snack between D. ignore this kind of attention-seeking behaviour
meals occurs. This demonstrates which of the following in their child
defense mechanisms? Answer A.
A. Displacement 50. A male client is brought to the psychiatric emergency
B. Projection department after attempting to jump off a bridge. The
C. Rationalization client’s wife states that he lost his job several months
D. Sublimation ago and has been unable to find another job. The
Answer D. primary intervention as a psychologist at this time
44. Ariel, a student, went to watch a movie with a friend should be to assess for:
the night prior to the unit exam. The next morning he A. Feelings of failure
received a low score on the exam. After seeing the B. A history of depression
score, Ariel slammed the book on the table and says to C. Plans of committing suicide
his classmate, "Our research is taking up much of our D. The presence of marital difficulties
time and I don't have time to study! Anyway, I would Answer C.
not have mattered anyway because my teacher is Situation: Matet, a 44 year old former government
unreasonable." Which of the following defense employee, had been in and out of the hospital due to his
mechanisms is Ariel using? Bipolar Disorder. He is pacing constantly today while
A. compensation, rationalization, denial other clients are having a birthday party. There is music,
B. reaction formation, conversation, projection noise and food. The client walks over to the table and
C. rationalization, displacement, projection starts grabbing handfuls of cake to eat as he paces up
D. displacement, regression, intellectualization and down the halls.
Answer C 51. Among the following, what is the best response of
45. The relative confirmed that ever since his father the GP to this behavior?
died, he began talking, dressing up, and acting like his A. Let him continue to pace and eat
father. This is: B. Medicate him with anxiety drug
A. Introjection C. Restrain him in his room
B. Sublimation D. Invite him to go outside and take a walk with
C. Reaction Formation the psychologist
D. Projection Answer D.
Answer A. 52. Clients experiencing a manic episode will most likely
be noncompliant with treatment because:

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A. They do not realize they need treatment B. Lack of insight
B. They are too busy C. Labile mood
C. They want to be liked by others D. Tangential thinking
D. They enjoy the “high” Answer C.
Answer D. 59. A client with recurrent headaches has been told by
53. The GP learns a client is a college sophomore who the physician that the cause is likely psychosomatic.
recently transferred to the local university from another The client reports this conversation to the GP and says,
school in his home state. He reports he has been feeling “That just can’t be true! My head hurts so bad
depressed since he arrived and tells the GP, “I can’t sometimes that it makes me sick to my stomach.” The
seem to get with it... I don’t know anyone here and GP’s best response is:
can’t get interested in my classes.” Which of the A. “To give the client some privacy and time to
following is an appropriate diagnosis? calm down.”
A. guilt related to failure to achieve his goals B. “To say nothing and sit quietly with the client.”
B. inability to cope related to loss or separation C. “The pain in your head is very real.”
from loved ones D. “Well, that’s not what your doctor thinks.”
C. feelings of hopelessness related to change of Answer C.
residence 60. During assessment, the psychologist will find that
D. low self-esteem related to lack of trust the client who has a diagnosis of body dysmorphic
Answer B. disorder will have which of the following symptoms?
54. A male college student, age 19, is admitted to the A. Dissatisfaction with body shape and size
psychiatric unit with complains of suicidal thoughts and B. Preoccupation with an imagined defect in
plan to hang himself. Which of the following actions is appearance
not a priority for the GP? C. Fantasizing oneself as changed into an ideal
A. remove his clothing, have him put on a hospital appearance
gown, and admit him to a seclusion room until a D. A history of eight or more plastic surgeries on
complete assessment of suicide risk can be done various body parts
B. contact a family member to ask if he has made Answer B.
any prior suicide attempts 61. The primary gain from a conversion symptom is best
C. place the client on suicidal precautions represented by which of the following?
D. encourage the client to discuss recent events A. Feelings of being important to family,
which led him to feel so hopeless caregivers, and others
Answer A. B. Attention from the caregivers at home, friends,
55. Before she is discharged from the hospital, the client or health care staff
and her husband attend a client education class on the C. Getting out of negative, undesired, or stress-
topic of depression. They learn about the behaviors that producing responsibilities
could indicate a recurrence of depression. These could D. Reduction of anxiety by resolution of an
include all of the following except: unconscious psychological conflict
A. psychomotor retardation Answer D.
B. grandiosity 62. When scenario best typifies a client with somatoform
C. self-devaluation disorder?
D. insomnia A. A client describes multiple gastrointestinal
Answer D. complaints without organic pathology.
56. The psychiatrist orders tranylcypromine (Parnate) for B. A client exhibits a morbid preoccupation with the
a depressed client who has not responded to tricyclics. fear of cancer.
The psychologist knows that dietary teaching is C. A client has recurrent episodes of intense
essential. She should instruct the client to avoid all of anxiety that keep her from activities.
the following substances except: D. A client recognizes an overwhelming and
A. beer and red wine uncontrollable fear of episodes.
B. cheddar cheese and sausage Answer A.
C. cottage cheese and canned peaches 63. La belle indifference is a common manifestation of
D. liver and Italian green beans which disorder?
Answer C. A. Conversion disorder
57. A psychologist instructor is teaching about the cause B. Dissociative disorder
of mood disorders. Which statement by a psychology C. Posttraumatic stress syndrome
student best indicates an understanding of the etiology D. Somatization disorder
of mood disorders? Answer A.
A. “When clients experience loss, they learn that it 64. Client Myrna is admitted to a mental health unit with
is inevitable and become hopeless and helpless.” a diagnosis of dissociative fugue. Myrna left home 2
B. “There are alterations in the neurochemicals, days earlier and was found in another city yesterday,
such as serotonin, which cause the client’s symptoms.” and she has no memory of traveling to the other city.
C. “Evidence continues to support multiple After the initial interview, the client’s spouse asks the GP
causations related to an individual’s susceptibility to about the loss of memory. Which statement made by
mood symptoms.” the GP is appropriate?
D “There is a genetic component affecting the A. “Your spouse must be unhappy in the marriage
development of mood disorder.” is seeking a way out.”
Answer C. B. “The loss of memory regarding the travel
58. In the space of 5 minutes, the client has been experience is common with this disorder.”
laughing and euphoric, then angry, then crying for no C. “The fugue state occurred because your spouse
reason that is apparent to the GP. This behavior would has developed an alternate personality.”
be best described as: D. “I’m sure your spouse remembers the traveling
A. Flight of ideas but just doesn’t want to talk about it right now.”

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Answer B. D. rigidity, temper tantrums, and impulsiveness
65. When assessing a client with dissociative identity Answer C.
disorder, the GP is most likely to find the client 73. You are observing a client who has to check the
describing which of the following things? door to see if it is locked at least 50 times before leaving
A. Feeling everything is speeded up, as if in a the house. The client you are observing is experiencing
manic state which of the following?
B. A total loss of control over life and relationships A. obsessions
with others B. compulsions
C. Finding purchases or belongings for which they C. preservation
cannot account D. preoccupations
D. Being able to identify and call on all the alters, Answer B.
at will, for protection 74. A client diagnosed with obsessive-compulsive
Answer C. personality disorder is admitted to a psychiatric unit in a
66. The person with dissociative amnesia will have the highly agitated state. The physician prescribes a
inability to recall which of the following things? benzodiazepine. Which medication is classified as a
A. Events in the immediate past benzodiazepine?
B. Significant personal information A. Clonazepam (Klonopin)
C. Information about significant others B. Lithium carbonate (Lithium)
D. Skills such as balancing a checkbook C. Clozapine (Clozaril)
Answer B. D. Olanzapine (Zyprexa)
67. A client is mildly agitated walking to the exit of the Answer A.
hospital unit. When attempting to redirect an agitated 75. Which of the following is an appropriate intervention
and confused client, the GP should take which for controlling the behavior of the “suicide personality,”
approach? Beth.
A. Approach the client calmly, explaining that you A. When Beth emerges, put the client in restraints
will touch him. B. Keep Ellen in isolation during her hospitalization
B. Call the client from a distance in a loud voice. C. Make a verbal contract with Ellen that Beth will
C. Change your activity so the client will be do no harm
distracted. D. Elicit the help of another, strong-willed
D. Quickly approach the client and take the client personality to help control Beth’s behavior
by the arm. Answer D.
Answer A. 76. An obese client continues to gain weight. The
68. Which of the following is possible from psychological psychologist observes the client obtaining candy and
factors, such as anxiety? snacks from other clients and plans to use confrontation
A. can contribute to both the development and in her interaction with the client. It will be important for
progress of heart disease the GP to:
B. can cause heart disease A. ask the client why he is behaving in this
C. cannot cause heart disease but does affect the manner.
client’s prognosis B. focus on the client’s explanation of his behavior.
D. can affect the client’s ability to adjust to a C. inform the client that his 24-hour calorie totals
diagnosis of heart disease but has little direct effect on will be reduced.
treatment outcomes D. point out the behavior as close to the snacking
Answer A. as possible.
69. The GP can evaluate the agoraphobic client’s Answer D.
progress as improving when the client is able to attend 77. The GP realizes that typical characteristics of girl
which of the following activities? with anorexia nervosa are which of the following?
A. daily community/milieu meetings A. they fail to comply with their parents’ wishes or
B. occupational therapy on the unit societal expectations
C. the hospital gift shop B. they exercise relentlessly
D. a unit picnic in a local park C. they are truthful in reporting their eating habits
Answer D. D. they have problems with self-control
70. Which of the following is hyperventilation frequently Answer B.
a sign of? 78. A 16-year-old, 5’4” white high school student is
A. fatigue admitted to an eating disorders program by her
B. opiate withdrawal psychiatrist. She tells the psychologist she has lost 25
C. anxiety pounds over the past month and now weight 85 pounds.
D. petit mal epilepsy The psychologist assessment identifies several behaviors
Answer C. that are characteristic of clients in the beginning stages
71. A psychologist is assessing a client diagnosed with of anorexia nervosa. What are characteristics of clients
dependent personality disorder. Which characteristic is a with anorexia nervosa?
major component of this disorder? A. appetite loss, amenorrhea, bradycardia, loss of
A. Abrasive to others 15% of pre illness body weight
B. Indifferent to others B. appetite loss, amenorrhea, tachycardia,
C. Manipulative of others hyperactivity
D. Overreliance on others C. tachycardia, insomnia, fear of obesity, bulimia
Answer D. D. amenorrhea, bradycardia, disturbed body image,
72. A client with obsessive-compulsive personality loss of 15% of pre-illness body weight
disorder will probably exhibit: Answer D.
A. an exaggerated sense of self-importance 79. The alcoholic client tells the psychologist he has not
B. a lack of concern about right and wrong had anything to drink for 24 hours prior to admission.
C. rigidity and a moralistic attitude He complains of feeling anxious and shaky. Based on her

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knowledge of alcohol withdrawal, what other behaviors A. “I know that you are not an invalid. However, I
could the GP expect him to display during the early was trying to help you.”
phase of alcohol withdrawal? B. “It sounds to me like you are angry about
A. coarse tremors, tachycardia, insomnia something. Did somebody do something wrong?”
B. confusion, visual hallucinations, delusions C. “You are pretty upset. Let’s talk about it.”
C. disorientation, confabulation, memory deficits D. “I’ll just set up this equipment for you to bathe
D. incoordination, impaired thinking, irregular eye you’re not so angry.”
movements Answer C.
Answer A. 86. A psychiatric mental health professional who
80. Cocaine intoxication can cause all of the following predominantly uses the intervention mode of group and
except: family therapies has the goal of:
A. seizures A. changing the dynamics of the client’s behavior
B. hyperactivity B. improving the quality of the individual’s
C. paranoid behavior interpersonal interactions
D. nystagmus C. developing insight
Answer D. D. managing the symptoms
81. Ellen suddenly has changed in voice quality and
sentence structure. What is the most therapeutic 87. The psychologic response that best addresses his
response by the GP? needs when he tells the GP about his delusion would be:
A. “You must be feeling very needy” A. “How is it that you are so important that
B. “I wonder why you’re not acting your age” terrorists want to kill you?”
C. “Can you tell me what is happening” B. “Your thinking is distorted because your brain
D. “This behavior keeps you from working on your chemicals are out of balance.”
problem” C. “Your story is so fantastic that I cannot believe
Answer C. it’s true.”
82. Carol, an adolescent, just returned from group D. “It must be frightening to think you are being
therapy and is crying. She says to the GP, “All the other targeted.”
kids laughed at me! I try to fit in, but I always seem to
say the wrong thing. I’ve never had a close friend. I 88. The GP would evaluate that a patient who has
guess I never will.” Which is the most appropriate auditory hallucinations has improved when the patient
response by the GP? can:
A. “Why don’t you feel this way about yourself?” A. tell the psychologist what the voices say.
B. “What makes you feel this way about yourself?” C. validate what is real.
C. “The next time they laugh at you, you should B. tell the voices to be quiet.
just get up and leave the room!” D. do what the voices command.
D. “Keep your chin up and hand in there. Your time
will come.” 89. A young patient with schizophrenia is standing in his
Answer B. pajamas next to the shower. The GP observes that he
83. A client who has just been diagnosed with cancer seems dazed and indecisive. The most helpful
tells the GP that her would rather be dead than go intervention would be to say:
through the treatment for cancer. The most appropriate A. “It’s time for you to take your shower.”
response is: B. “Take off your pajamas and step into the
A. “What it is about the cancer treatment that shower.”
concerns you?” C. “Is something wrong?”
B. “If you don’t receive the treatment, you will get D. “Why are you waiting to get into the shower?”
your wish.”
C. “Why don’t you talk to your doctor about your 90. A newly admitted patient has the diagnosis of
feelings?” catatonic schizophrenia. The psychologist would expect
D. “That wouldn’t be fair to your family, would it?” to assess:
Answer A. A. psychomotor symptoms. C.
84. The GP enters a client’s room. The client’s son tells inappropriate affect
the GP, “You people can’t do anything right. Ever since B. intense suspiciousness.
my father was admitted to this hospital, it has been one D. clanging communication.
mistake after another. I am taking him out of here
before you kill him.” The most therapeutic response by 91. The GP’s reply should be predicated on the
the GP is which of the following? knowledge that dissociative identity disorder is thought
A. “You feel that your father is not being well taken to be related to:
care of.” A. faulty learning.
B. “We have the best intentions for the client.” C. genetic predisposition.
C. “I’ll get the supervisor for you.” B. severe childhood trauma.
D. “Your father hasn’t complained about the care. D. intentional production of symptoms
What specifically is the problem.”
Answer A. 92. The GP’s who is addressing memory problems with a
85. A client has been told by the doctor that he has patient with a dissociative disorder can be most effective
cancer and that it has advanced so far that treatment if he or she:
will not help. When the psychologist enters the room to A. reorients the patient to time, place, and person
set up his bath equipment, he says to the psychologist, at every contact.
“I’m not an invalid, you know. I can take care of myself. B. observes for cues that the patient is ready to
Get out and leave me alone.” Which of the following is receive information.
the best response? C. instructs the patient not to be overly concerned
with memory loss because no organic pathology exists.

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D. tells the patient of the events surrounding the
memory loss at the initial therapy session.
93. When working with a patient who has dissociative
amnesia, the psychologist should plan to begin by:
A. taking measures to prevent identity diffusion.
B. setting mutual goals for behavioral changes.
C. helping the patient develop a realistic self-
concept.
D. identifying and supporting patient strengths
94. The symptom the psychologist can expect a patient
with dissociative fugue to manifest is:
A. the notion that some part of the body is ugly or
disproportionate.
B. a feeling of detachment from one’s body.
C. worry about having a serious disease.
D. travel away from home and assumption of a
new identify.
100. Which of the following techniques is appropriate for
successful interaction with a patient who has been
diagnosed with Alzheimer’s disease?
A. Giving all directions at one time to increase
understanding
B. Correcting errors made by the patient by
speaking to him in a loud, clear voice
C. Encouraging communication and maintaining a
calm demeanor
D. Setting strict time limits and repeatedly
rephrasing misunderstood questions

95. A client says, “I don’t think I’d like to go anywhere

with any member of my family. They make me sick.”
The GP’s most facilitative response is:
A. I know what you mean; sometimes I feel the
same way.
B. Your family makes you sick? Why is that?
C. What do you mean by your family making you
sick?
D. It seems that you are really sick of your family.
What do you want to do about it?

96 . A client says, “I’m really angry.” How should the

psychologist respond therapeutically?
A. What are you angry about?
C. Why are you angry?
B. Don’t worry. Everyone gets angry sometime.
D You’re really angry.

97. One of the clients in the unit requires consent.

Which one the following examples illustrate informed
consent?
A. The doctor informs the client of the treatment,
the client is competent, and then signs the consent.
B. The client is competent, is given choices as well
as the benefits and limitations for each choice, and is
not forced to make the decision.
C. The client is given the options and the
opportunity to ask questions.
D. The client is competent and able to make
informed choices.

98. An individual who recently celebrated his 65th

birthday is planning to leave from the job he has held
for the last 35 years. His place of employment is
providing information on how to adjust to the change in
lifestyle. The industrial psychologist leading the
workshop is aware that if the individual does experience
an adjustment disorder, it will likely be related to:
A. loss of identity and purpose.
C. boredom from having few interests.
B. concern about finances.
D. loneliness from having to spend time alone.

99. An action the psychologist can advise a family to

take in the home setting to enhance safety for the family
member with Alzheimer’s disease is:
A. placing throw rugs on tile or wooden floors.
B. instructing patient on cooking safety.
C. allowing patient to smoke unattended.
D. having patient wear an identification bracelet
with name, address, and telephone number.

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