Question: A patient with a specific phobia of dogs begins desensitization therapy. Which action is most appropriate with this therapy?
Answer Options:
A – Gradually expose the patient to dogs while providing relaxation support
B – Encourage the patient to avoid dogs
C – Discuss the causes of the phobia in depth
D – Administer anti-anxiety medication before each session
Answer: A – Gradually expose the patient to dogs while providing relaxation support
Question: Which of the following describes the ‘compromiser’ role in a group setting?
Answer Options:
A – Maintains group cohesion without contributing ideas.
B – Facilitates conflict resolution and supports collaboration among members.
C – Dominate discussions and seeks attention.
D – Leads the discussion and provides direction.
Answer: B – Facilitates conflict resolution and supports collaboration among members.
Question: A client is 5 feet 8 inches tall and weighs 10 pounds. The client has been taking laxatives daily, and self-induces vomiting after eating. Which is the priority nursing diagnosis for this client?
Answer Options:
A – Disturbed body image
B – Low self-esteem
C – Ineffective denial
D – Imbalanced nutrition, less than body requirements
Answer: D – Imbalanced nutrition, less than body requirements
Question: A client’s wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client’s therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapist’s recommendations?
Answer Options:
A – The therapist is using an interpersonal approach.
B – The client has an alteration in neurotransmitters.
C – It is routine practice to remind clients about nutrition, exercise, and rest.
D – The client is susceptible to illness because of effects of stress on the immune system.
Answer: D – The client is susceptible to illness because of effects of stress on the immune system.
Question: Which defense mechanism is shown when a person blames a coworker for mistakes they themselves made?
Answer Options:
A – Sublimation
B – Projection
C – Suppression
D – Compensation
Answer: B – Projection
Question: A client with generalized anxiety disorder reports constant worry and muscle tension. Which intervention is most appropriate?
Answer Options:
A – Encourage caffeine use for fatigue
B – Teach relaxation and coping strategies
C – Avoid discussing stressors
D – Challenge all feelings immediately
Answer: B – Teach relaxation and coping strategies
Question: A client taking phenelzine should avoid which food?
Answer Options:
A – Fresh fruit
B – Aged cheese
C – Rice
D – Chicken
Answer: B – Aged cheese
Question: Which medication class is most associated with extrapyramidal symptoms?
Answer Options:
A – SSRIs
B – Benzodiazepines
C – Traditional antipsychotics
D – Mood stabilizers
Answer: C – Traditional antipsychotics
Question: Which statement about ECT is correct?
Answer Options:
A – It is done while awake
B – It causes permanent memory loss
C – Temporary memory loss may occur
D – It is only used for anxiety
Answer: C – Temporary memory loss may occur
Question: A client with depression refuses hygiene. What is the best nursing goal?
Answer Options:
A – Eliminate depression immediately
B – Complete one self-care task with assistance
C – Join all group activities
D – Avoid all stress
Answer: B – Complete one self-care task with assistance
Question: Which symptom best describes a delusion?
Answer Options:
A – Sensory misinterpretation
B – False fixed belief
C – Repetitive behavior
D – Emotional instability
Answer: B – False fixed belief
Question: Which response is best for a client having a panic attack?
Answer Options:
A – “Calm down.”
B – “You are safe. Stay with me.”
C – “Ignore it.”
D – “Think about something else.”
Answer: B – “You are safe. Stay with me.”