Psychiatric questions

1) Major depression activities

A. Watch a movie with other patients.
B. Plan today's activities with the patient
2) Doctor write new order restrain (PRN) for Psychiatric patient that he is
overly aggressive. Which of the following indicate that the nurse should do??
A. Call doctor while patient aggressive to do that by himself.
B. Apply the order one time only or if needed.
C. Close patient room and do not apply restrain.
D. Express that is not acceptable and complains about your supervisor.
3) Therapeutic communication is used by the nurse to create a beneficial
outcome in the delivery of quality nursing care.Which of the following statement
best describe the term ‘’therapeutic communication’’?
A. interactive process of socialization.
B. Assessment component of nursing process
C. Communication with patient through words and language
D. Process to encourage the expression of feelings and needs.
4) While taking the history from a new patient, the nurse densified that he
had hypomanic episode which was alternating with a mirror depressive\episode
for the last two years. what is the most likely diagnosis?
A. Bipolar I disorder
B. Bipolar II disorder
C. Dysthymic disorder
D. Cyclothymic disorder
5) Talking with the parents of a child with Down syndrome, which of the
following would the appropriate goal for the care of the child?
A. Encourage self-care skills in the child.
B. Teaching the child something new each day
C. Encourage more lenient behavior limits for the Cho.
D. Achieving age-appropriate social skills
6) Patient with schizophrenia seen with which of the following signs?
A -Word salad
B -Associates lessness
7) IQ 45 what level of mental retardation?
A-moderate mental retardation.
B-severe mental retardation.
C-mild mental retardation.
8) IQ is mild retardation characteristic?
A-needs assistance all time.
B-can learn some of daily life activities but still needs helps.
9) Patient with schizophrenia. He complains with anxiety episodes which
needs is highest priority in Maslow hierarchy?
A. Physiological needs C. Self esteem
B. Safety D. actualization
Answer: B
10) An 82-year-old woman with Alzheimer’s disease had moved into a long-
term care facility two weeks previously. Since then, the staff has found her
wondering in the hallways in middle of the night. When approached, she is
confused and frustrated, often forgetting where she is. Which intervention would
most likely decrease the patient's confusion?
A. Administer a sleeping sedative.
B. Provide full-time nursing care.
C. Place a nightlight in the room
D. Provide a large meal before bed
11) The emotions that is happened during pregnancy and allow pregnant to cry
without any cause it is called which of the following??
A. Sadness
B. Mood swing
C. Ambivalence
12) The nurse was giving health education for elderly patient. The patient asked
her to repeat again many times. What is the cause?
A. Patient does not care.
B. Patient confused
C. Sensory defect
D. Mental problem
14) Child with Attention deficit hyperactivity disorder (ADHD). The parent
complains that child hyperactive and too much moving. What is your action?
A. Instruct parent to provide private school for child.
B. Instruct parent to provide normal school for child.
C. Instruct parent to allow child to share in activities that need more
movement
15) Patient habitually worries about any symptoms, which is defense
mechanism?
A. Conversion defense mechanism
16) Which of the following the most common cause of dissociative disorder?
A. Family history
B. Drug abuse
C. Traumatic Event
D. Behavioral changes
17) Schizophrenic patient with auditory hallucination. What should the nurse
do?
A. Accept the patient
B. Put patient in isolated room
C. Let him share in activity
D. Say Don't hallucinate
18) An older-adult patient has developed acute confusion. The patient has
been on tranquilizers for the past week. The patient’s vital signs are normal. What
should the nurse do?
A. Take into account age-related changes in body systems that affect
pharmacokinetic activity.
B. Increase the dose of tranquilizer if the cause of the confusion is an
infection.
C. Note when the confusion occurs and medicate before that time.
D. Restrict phone calls to prevent further confusion.
19) Persons try to stop smoking after that smoking cessation done successfully
and continue in cessation which stage of change the patient achieved?
A. He stop applying change process in action stage.
B. He stop applying change process in preparation stage.
C. He stop applying change process before maintenance stage complete.
D. He stop applying change process after Maintenance complete.
20) According to Erickson, the psychosocial task of adolescence is the
development of a sense of identity. The nurse can best promote the development
of a hospitalized adolescent by:
A. Emphasizing to follow the facility regime.
B. Allowing the parents and siblings to visit frequently.
C. Arranging for tutoring in schoolwork.
D. Encouraging peer visitation Answer:
21) One day a male client with the diagnosis of borderline personality disorder
describes a situation that happened at work when his immediate supervisor
reprimanded him for not completing an assignment. He explains that it was not
his fault and states, "people get angry and take it out on me." Which defense
mechanism identified by the nurse was the client using in this situation?
1. Denial
2. Projection
3. Displacement
4. Intellectualization
22) Extrapyramidal adverse effects and symptoms are most often associated
with which of the following drug
classes?
A. Antidepressants
B. Antipsychotics (Haloperidol)
C. Antihypertensives
D. Antidysrhythmic
23) What is the Priority of patient with schizophrenia?
A. Self esteem
B. Medication compliance
C. Family support
D. Impaired thought process
24) Which of the following psychiatric term best describes this symptom "While
talking, the psychiatric patient repeated the same words stated by the nurse"?
A. Verbigeration.
B. Echolalia.
C. Echopraxia.
D. Preservation.
25) When the psychiatric patient repeats his words boat, boat, boat. What is
the best term describing the patient action?
A. Echolalia
B. Palilalia
C. Neologism
D. Ward Salad
26) A nurse is interviewing a client with schizophrenia when the client begins to
say, "Kite, night, right, height, fright." The nurse documents this as:
A. Verbigeration.
B. Stilted language.
C. Clang association.
D. Neologisms. Answer:
27) There is psychiatric patient, every time says to a nurse, “You are my sister,
always calling her my sister,” and the nurse replied, “Your sister is not here".
What should the nurse use from therapeutic communication?
A. Placing event in time or sequence
B. Presenting reality
C. Refer to reality or Realization
28). When the client imitates or repeats what the nurse is says this is an
example of ?
A. Clang association
B. Echolalia
C. Neologisms
D. Word salad
29). Which of the following psychiatric term best describes this symptom "While
talking, the psychiatric patient repeated the same words stated by the nurse"?
A. Verbigeration.
B. Echolalia.
C. Echopraxia.
D. Preservation.

30). When the psychiatric patient repeats his words boat, boat, boat. What is the
best term describes the patient action?
A. Echolalia
B. Palilalia
C. Neologism
D. Ward Salad

31) .A nurse is interviewing a client with schizophrenia when the client begins to
say, "Kite, night, right, height, fright." The nurse documents this as:
A. Verbigeration.
B. Stilted language.
C. Clang association.
D. Neologisms.
32) The nurse caring for a client with a vocal tic disorder document that he has
palilalia what is the definition of palilalia?
A. Repeating ones own sound or words
B. Repeating what others says
A. Repeating certain words or phrases out of context
33) Thoughts blocking: cessation of thoughts in the middle of sentence unable
continue train of thought often new thoughts come up unrelated to the topic

34) A nurse was trying to establish a therapeutic with patient the schizophrenia,
During the conversation she noticed that he says; I go shop, hop, bop, top
Which of the following symptom reflects the patient's speech pattern?
B. Neologism
C. Flight of idea
D. Clang association
E. Pressure of speech
35) What is the function of serotonin neurotransmitter receptors?
A. Motor
B. Memory/ Alzheimers disease –deficiency of serotonin
C. Inhibit pain Answer: B
Serotonin receptorMood + memory
Dopamine Motor (parkinsonism & schizophrenia)
36) A 45-year-old woman presents to the Emergency Room and reported that
she has lost her husband due to lung cancer three months ago. She believes that
she has colon cancer, despite of negative results in repetitive and extensive
diagnostic tests which were negative. What is the most likely diagnosis?
A. Pain disorder
B. Hypochondriasis (hypochondriasis is a condition that patient thinking that
he has major problem but reality he is completely normal but he is not willing to
believe that)
C. Depersonalization
D. Body dysmorphic disorder
37) Patient with paranoid schizophrenia most sign and symptoms
A⁃Grandiose/granduer delusions (Feeling of having supernatural power)
B ⁃- psychomotor
38) The mother brought her child to hospital then the child admitted to NICU.
After leaving the mother for him. He started crying.
what stage of anxiety separation?
A. Protest, despair, denial
B. Protest, despair and denail
C. Denial, protest, despair
D. Protest, denial, despair
39) A 25 year old woman presents to the Emergency Room with problem. Her
main complaint is that she woke up that morning see anything. All medical
examination was normal. However, reported that two days ago her husband had
asked for a divorce.What is the most likely disorder?
A. Pain
B. Conversion
C. Somatization
D. Body Dimorphic
40) The nurse performs an assessment of a 23-year-old man who believes that.
people are spying on him. During the interview, he keeps his eyes to the floor.
and answers questions awkwardly. He has never had an intimate relationship. and
avoids contact with his family members. He has never been employed and tells
the nurse that he is not looking for a job. The nurse considers Erickson’s. theory of
psychosocial development.Which stage is this patient most likely experiencing? a-
Autonomy versus shame and doubt
b- Initiative versus guilt
c- Trust versus mistrust
d- Identity versus confusion
41) A parent asks the nurse how dissociative disorder can be treated?
A- psychotherapy
B- psychology
C- electro convulsive therapy (ECT)
42) schizophrenia patient started shouting loudly in the ward to anyone who
speaks to him. what should the nurse do?
A) administer tranquilizer IM
B) call the security
C) isolate the patient
D) speak quietly to the patient and be cautious
43) patient with Alzheimer's disease has been hospitalized after sustaining a fall
and fractured hip. The patient attempts to get out of bed and has fallen twice
since admission. What is the most likely nursing action?
A. Continue the care plan as written.
B. Revise the goals and interventions
C. Add restraints to the interventions.
D. Add a new nursing diagnosis of noncompliance. Answer: B
44) When providing care for and collecting evidence from a victim of sexual
assault, which initial step should the nurse focus on?
A- Obtaining consent
B- Collecting specimens
C- Assessing the client's emotional state.
45) A student taking the Saudi Commission exam in Dublin for the first time
was optimistic and happy accompanied by his friend, a nurse specialist, and after
the exam, his mood was sour, anxious and frustrated. Which of the following is
the first intervention that his friend makes?
1 let him cry
2 Hold him and lie down on his back.
3 share a hot drink.
4 drinks a cold beer
46) NICU child, when his mother came out, he sat shouting, and crying at
Which stage of separation?
A. Despair
B. Denial
C. Protest
D. Anxiety
47) Patient with bipolar disorder / schizophrenia. What should the nurse ask
the patient to assess orientation for him?
A. Family history
B. The last events in country
C. Date, Time, Person name
D. Months from back to first
48) You are mental health center and pt. anxious and said do not speak with
me and let me alone
A. ask help for pt. aggression.
B. say ok fine then go away.
C. say I am here to help you
D. do not say anything and stand behind pt.
49) Woman came to ER with euphoric mood, hyperactive and talkative. But
after physical examination and assessment she does not has any psychotic
symptoms. The symptoms of hyperactivity and talkative not effect on her social
life or job. What is the appropriate diagnosis?
A. Dysesthesia
B. Mania
C. Mood disorder
50) Patient with Manic bipolar disorder. He is hyperactive, too much moving,
talk alot and he has loss of appetite, very thin . The patient also don't sleep. What
is the most appropriate nursing diagnosis?
A. High risk for suicide
B. High risk for injury
C. Nutritional disturbance
D. Alter sleep pattern
51) Psychiatric patient was crying. When the nurse asked him, He said I want to
stay alone. I don’t want anyone with me leave me cry. What is the best action for
the nurse?
A. Maintain privacy and leave him alone
B. You appear sad. I am here to help you
C. Stay with him and be silent
D. Say Okay and let him cry
52) Self limited crisis Duration for solving?
A. 2 weeks
B. 4 weeks
C. 6 weeks
D. 8 weeks
53) Psychiatric patient doesn’t like her nose and mouth shape. She has false
belief of disturbed body image and counselled many doctors' for doing operation.
Doctor's not accepted her due to no need everything is normal. What is type of
disorder?
A. Pain
B. Conversion
C. Body dysmorphic disease
D. Hypochondriasis
54) Patient has phobia to get infection. He always do hand washing too much
until his hand injured from washing. What is the Diagnosis?
Obsessive compulsive disorder
55) Psychiatric patient repeats unknown words for nurse but the patient can
understand it. What is the best term describing situation?
A. Word salad
B. Neologism
C. Circumstantiality
D. Thought problem
56) Psychiatric patient came to ER. The patient wrote on his arm by tattoo.
What is the most appropriate diagnosis?
A. Borderline personality disorder
B. Dissociative disease
C. Major manic episodes
57) Schizophrenic patient say ( I will eat fish, I will drink milk, I will go to the
sea). What is the most term for that?
A. Ward salad
B. Loss of association
C. Neologism
58) Schizophrenic patient say (Sea, Airport, bus). What is the most term for
that?
A. Ward salad
B. Loss of association
C. Neologism
59) The patient came to receive his Lab results from the nurse. The patient has
diagnosed with cancer. The patient said to nurse I am not believe that is my
diagnosis, that is not mine. What is the stage considering?
A. Denial
B. Anger
C. Depression
D. Bargaining
60) The child always fears from nurses while entering the room. What is the
most appropriate nursing diagnosis??
A. - Refusal effect
B- Anxiety related to exposure of strange environment
C - Anxiety / Fear related to medical staff
61) patient diagnosed with delirium sees the intravenous (IV) tubing and believes
it to be a snake. How should the healthcare provider document this behavior?
A. Hallucination
B. Illusion
C. Confusion
D. Delusion
62) Psychiatric patient is complaining from extrapyramidal side effect with
continuous spasms and muscle contractions), motor restlessness, rigidity,
slowness of movement, tremor, and irregular, jerky movements, upward eye
movement, smacking and sucking of lips and protruding tongue. What is the most
common drug cause that?
A. Clozapine
B. Haloperidol
63) What is insomnia drug?
A. Clozapine
B. Zolpidem
64) Diabetic Parents inform their child if he ate unhealthy food, you will not play
by your toys what is this mean?
A. Reward and punishment
65) Psychiatric patient use MAOI inhibitors. He should avoid tyramin in food.
What is the risk for tyramin intake?
A. GIT upset
B. Hypertension
C. Kidney problems Answer: B
66) Patient with somatization. What is the best action?
A. Cognitive development